{
    "hospital_name": "Centerstone of Florida",
    "last_updated_on": "2026-01-07",
    "version": "3.0.0",
    "location_name": [
        "Centerstone of Florida"
    ],
    "hospital_address": [
        "2020 26th Avenue East, Bradenton, FL 34208"
    ],
    "type_2_npi": [
        "1144251638"
    ],
    "license_information": {
        "license_number": "3977",
        "state": "FL"
    },
    "attestation": {
        "attestation": "To the best of its knowledge and belief, this 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 in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.",
        "confirm_attestation": true,
        "attester_name": "Sean Gingras"
    },
    "standard_charge_information": [
        {
            "description": "Room & Board - Hospital Psychiatric",
            "code_information": [
                {
                    "code": "124",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 1200,
                    "discounted_cash": 840,
                    "minimum": 700,
                    "maximum": 1000,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 901,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 900,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicare Advantage",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Cigna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 950,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Humana Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 800,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Sunshine Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 705,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 700,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 880,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 880,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Wellcare Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 900,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Room & Board - Detox",
            "code_information": [
                {
                    "code": "126",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 1200,
                    "discounted_cash": 840,
                    "minimum": 700,
                    "maximum": 1000,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 901,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 900,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicare Advantage",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Cigna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 950,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Humana Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 800,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Sunshine Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 705,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 700,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 880,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 880,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Wellcare Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 900,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Room & Board - Hospital Substance Abuse Rehab",
            "code_information": [
                {
                    "code": "128",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 1200,
                    "discounted_cash": 840,
                    "minimum": 700,
                    "maximum": 1000,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 901,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 900,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Cigna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 950,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 770,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 700,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 880,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 880,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Room & Board - Crisis Stabilization Unit",
            "code_information": [
                {
                    "code": "100",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 1200,
                    "discounted_cash": 840,
                    "minimum": 700,
                    "maximum": 1000,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 901,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 800,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicare Advantage",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Cigna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 950,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Humana Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 1000,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 800,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Sunshine Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 705,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 700,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 880,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 880,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 750,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Wellcare Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 900,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "X-Ray other than Chest",
            "code_information": [
                {
                    "code": "320",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 250,
                    "discounted_cash": 175
                }
            ]
        },
        {
            "description": "X-Ray - Chest",
            "code_information": [
                {
                    "code": "324",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 250,
                    "discounted_cash": 175
                }
            ]
        },
        {
            "description": "Occupational Therapy",
            "code_information": [
                {
                    "code": "430",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 225,
                    "discounted_cash": 157.5
                }
            ]
        },
        {
            "description": "Therapy Individual (Inpatient Only)",
            "code_information": [
                {
                    "code": "914",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 200,
                    "discounted_cash": 140
                }
            ]
        },
        {
            "description": "Group psychotherapy (Inpatient Only)",
            "code_information": [
                {
                    "code": "915",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 72,
                    "discounted_cash": 50.4
                }
            ]
        },
        {
            "description": "Therapy Family (Inpatient Only)",
            "code_information": [
                {
                    "code": "916",
                    "type": "RC"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 200,
                    "discounted_cash": 140
                }
            ]
        },
        {
            "description": "Hospital Care Initial - Level 1",
            "code_information": [
                {
                    "code": "99221",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 300,
                    "discounted_cash": 210,
                    "minimum": 65.18,
                    "maximum": 186.88,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 186.88,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 83,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 99.89,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 107.97,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 105.15,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 65.18,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Hospital Care Initial - Level 2",
            "code_information": [
                {
                    "code": "99222",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 350,
                    "discounted_cash": 245,
                    "minimum": 88.04,
                    "maximum": 145.59,
                    "payers_information": [
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 112.64,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 134.4,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 145.59,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 141.47,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 88.04,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Hospital Care Initial - Level 3",
            "code_information": [
                {
                    "code": "99223",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 400,
                    "discounted_cash": 280,
                    "minimum": 129.23,
                    "maximum": 215.94,
                    "payers_information": [
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 165.91,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 196.66,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 215.94,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 207.01,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 129.23,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Hospital Care Subsequent - Level 1",
            "code_information": [
                {
                    "code": "99231",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 150,
                    "discounted_cash": 105,
                    "minimum": 25.12,
                    "maximum": 80,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 80,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 32.38,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 38.33,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 41.76,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 40.35,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 25.12,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Hospital Care Subsequent - Level 2",
            "code_information": [
                {
                    "code": "99232",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 200,
                    "discounted_cash": 140,
                    "minimum": 46.17,
                    "maximum": 77.5,
                    "payers_information": [
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 59.27,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 70.12,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 77.5,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 73.82,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 46.17,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Hospital Care Subsequent - Level 3",
            "code_information": [
                {
                    "code": "99233",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 300,
                    "discounted_cash": 210,
                    "minimum": 66.54,
                    "maximum": 112.1,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 112.1,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 85.14,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 101.06,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 110.98,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 106.38,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 66.54,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Hospital Discharge - Less than 30 minutes",
            "code_information": [
                {
                    "code": "99238",
                    "type": "CPT"
                }
            ],
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                {
                    "setting": "inpatient",
                    "gross_charge": 200,
                    "discounted_cash": 140,
                    "minimum": 46.62,
                    "maximum": 80.64,
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                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 80.64,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 57.44,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 65.4,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 77.87,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 74.29,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 46.62,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Hospital Discharge - Greater than 30 minutes",
            "code_information": [
                {
                    "code": "99239",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "inpatient",
                    "gross_charge": 350,
                    "discounted_cash": 245,
                    "minimum": 68.35,
                    "maximum": 114.74,
                    "payers_information": [
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 85.22,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 103.32,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 114.74,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 108.76,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
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                            "standard_charge_dollar": 68.35,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Psychotherapy, 30 min",
            "code_information": [
                {
                    "code": "90832",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "outpatient",
                    "gross_charge": 120,
                    "discounted_cash": 84,
                    "minimum": 45.05,
                    "maximum": 76,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 67.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 66.71,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicare Advantage",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 60.33,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 45.05,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 71.42,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Cigna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 76,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Humana Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 63.9,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 45.05,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 45.05,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 45.05,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Sunshine Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 45.05,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 56.39,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 58.84,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 59.99,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 45.05,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Wellcare Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 56.39,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Psychotherapy, 45 min",
            "code_information": [
                {
                    "code": "90834",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "outpatient",
                    "gross_charge": 180,
                    "discounted_cash": 126,
                    "minimum": 67.58,
                    "maximum": 95,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 88.26,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 78.3,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicare Advantage",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 79.9,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 67.58,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 94.58,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Cigna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 95,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Humana Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 84.63,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 67.58,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 67.58,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 67.58,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Sunshine Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 67.58,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 74.67,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 80.21,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 95,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 67.58,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Wellcare Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 74.67,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Psychotherapy, 60 min",
            "code_information": [
                {
                    "code": "90837",
                    "type": "CPT"
                }
            ],
            "standard_charges": [
                {
                    "setting": "outpatient",
                    "gross_charge": 250,
                    "discounted_cash": 175,
                    "minimum": 90.1,
                    "maximum": 179.26,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 101.49,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 114.67,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicare Advantage",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 179.26,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 90.1,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 139.04,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Cigna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 145,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Humana Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 124.41,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 90.1,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 90.1,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
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                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Sunshine Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 90.1,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 109.77,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 120,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 138.82,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 90.1,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Wellcare Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 109.77,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Family psychotherapy, not including patient, 50 min",
            "code_information": [
                {
                    "code": "90846",
                    "type": "CPT"
                }
            ],
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                {
                    "setting": "outpatient",
                    "gross_charge": 216,
                    "discounted_cash": 151.2,
                    "minimum": 65.61,
                    "maximum": 114,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 88.26,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 84.03,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicare Advantage",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 76.98,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 65.61,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 91.12,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Cigna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 114,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Humana Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 83.78,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Sunshine Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 71.94,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 96.83,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 96.83,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Wellcare Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 96.83,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Family psychotherapy, including patient, 50 min",
            "code_information": [
                {
                    "code": "90847",
                    "type": "CPT"
                }
            ],
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                {
                    "setting": "outpatient",
                    "gross_charge": 216,
                    "discounted_cash": 151.2,
                    "minimum": 65.61,
                    "maximum": 115,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 88.26,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.58,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicare Advantage",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 99.95,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 65.61,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 94.95,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Cigna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 115,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Humana Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 84.96,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Sunshine Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 74.96,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 100.74,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 100.74,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 87.48,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Wellcare Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 96.83,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        },
        {
            "description": "Group psychotherapy",
            "code_information": [
                {
                    "code": "90853",
                    "type": "CPT"
                }
            ],
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                {
                    "setting": "outpatient",
                    "gross_charge": 70,
                    "discounted_cash": 49,
                    "minimum": 20.03,
                    "maximum": 62.08,
                    "payers_information": [
                        {
                            "payer_name": "Aetna",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 62.08,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Am Better",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 21.05,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicare Advantage",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 26.71,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Carelon Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 26.92,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Blue Cross Blue Shield",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 26.12,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Humana Medicare",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 24.41,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Aetna Better Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 27.73,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Florida Community Care Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 27.73,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Community Care Plan Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 27.78,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Sunshine Health Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 27.73,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "Tricare East",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 20.03,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Commercial",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 40,
                            "methodology": "fee schedule"
                        },
                        {
                            "payer_name": "United Behavioral Medicaid",
                            "plan_name": "Standard",
                            "standard_charge_dollar": 27.73,
                            "methodology": "fee schedule"
                        }
                    ]
                }
            ]
        }
    ]
}