{"reporting_entity_name":"Molina-Healthcare-of-Ohio","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-20","version":"2.0.0","provider_references":[{"provider_group_id":213400,"network_name":["OH Network"],"provider_groups":[{"npi":[1730692773],"tin":{"type":"ein","value":"364856198","business_name":null}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"All-Inclusive Rate -  All Inclusive Room and Board","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0101","description":"All-Inclusive Rate","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"All-Inclusive Rate -  All-Inclusive Room & Board Plus Ancill","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0100","description":"All-Inclusive Rate","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Blood Storage and Processing - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0390","description":"Administration, Processing,& Storage Blood & Blood Component","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":132.05,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":133.76,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":144.26,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":145.22,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":150.57,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":151.58,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":155.84,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":189.59,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":189.84,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":249.4,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":250.49,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":265.19,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":265.41,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":294.48,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":308.96,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":313.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":35.32,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":368.58,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":392.97,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":422.69,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":503.45,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":511.59,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":53.17,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":53.25,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":549.28,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":55.78,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":55.96,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":559.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":607.43,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":680.03,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":680.61,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":708.06,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":71.95,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":73.77,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":8.11,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":84.55,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":85.98,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":949.13,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Clinic - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0510","description":"Clinic","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":0.68,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":212.67,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":28.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":31.84,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":43.51,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":630.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":655.52,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":7.38,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":745.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":75.6,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":777.69,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":8.74,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"fee schedule","negotiated_rate":816.99,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Coronary Care - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0210","description":"Coronary Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Coronary Care - Heart Transplant","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0213","description":"Coronary Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Coronary Care - Intermediate Coronary Care Unit (CCU)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0214","description":"Coronary Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Coronary Care - Myocardial Infarction","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0211","description":"Coronary Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Coronary Care - Other Coronary Care","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0219","description":"Coronary Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Coronary Care - Pulmonary Care","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0212","description":"Coronary Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"HIPPS - Inpatient rehab facility PPS","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0024","description":"Health Insurance - Prospective Payment System (HIPPS)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"INCREMENTAL NURSING CHARGE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0236","description":"Incremental Nursing Care Rate","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"INCREMENTAL NURSING CHARGE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0237","description":"Incremental Nursing Care Rate","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"INCREMENTAL NURSING CHARGE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0238","description":"Incremental Nursing Care Rate","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Incremental Nursing Care Rate - CCU","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0234","description":"Incremental Nursing Charge","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Incremental Nursing Care Rate - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0230","description":"Incremental Nursing Charge","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Incremental Nursing Care Rate - Hospice","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0235","description":"Incremental Nursing Charge","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Incremental Nursing Care Rate - ICU","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0233","description":"Incremental Nursing Charge","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Incremental Nursing Care Rate - Nursery","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0231","description":"Incremental Nursing Charge","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Incremental Nursing Care Rate - OB","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0232","description":"Incremental Nursing Charge","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Incremental Nursing Care Rate - Other","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0239","description":"Incremental Nursing Charge","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Intensive Care - Burn Care","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0207","description":"Intensive Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Intensive Care - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0200","description":"Intensive Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Intensive Care - Intermediate  (ICU)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0206","description":"Intensive Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Intensive Care - Medical","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0202","description":"Intensive Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Intensive Care - Other Intensive Care","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0209","description":"Intensive Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Intensive Care - Pediatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0203","description":"Intensive Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Intensive Care - Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0204","description":"Intensive Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Intensive Care - Surgical","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0201","description":"Intensive Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Intensive Care - Trauma","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0208","description":"Intensive Care Unit","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"LEAVE OF ABSENCE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0186","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"LEAVE OF ABSENCE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0187","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"LEAVE OF ABSENCE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0188","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Leave of Absence - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0180","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Leave of Absence - Nursing Home (for hospitalization)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0185","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Leave of Absence - Other Leave of Absence","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0189","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Leave of Absence - Patient Convenience","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0182","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Leave of Absence - Reserved","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0181","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Leave of Absence - Reserved","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0184","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Leave of Absence - Therapeutic Leave","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0183","description":"Leave of Absence","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSERY","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0175","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSERY","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0176","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSERY","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0177","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"NURSERY","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0178","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0170","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Newborn - Level I","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0171","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Newborn - Level II","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0172","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Newborn - Level III","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0173","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Newborn - Level IV","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0174","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Nursery - Other","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0179","description":"Nursery","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Organ Acquisition - Cadaver Donor","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0812","description":"Acquisition of Body Components","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Organ Acquisition - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0810","description":"Acquisition of Body Components","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Organ Acquisition - Living Donor","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0811","description":"Acquisition of Body Components","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Organ Acquisition - Other Donor","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0819","description":"Acquisition of Body Components","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Organ Acquisition - Unknown Donor","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0813","description":"Acquisition of Body Components","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Organ Acquisition - Unsuccessful Donor Search - Donor Bank C","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0814","description":"Acquisition of Body Components","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Other Room & Board - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0160","description":"Room & Board - Other","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Other Room & Board - Other","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0169","description":"Room & Board - Other","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Other Room & Board - Self Care","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0167","description":"Room & Board - Other","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Other Room & Board - Sterile Environment","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0164","description":"Room & Board - Other","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"PROFESSIONAL FEES (EXTENSION OF 96X AND 97X) - Reserved","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0980","description":"Professional Fees (EXTENSION OF 96X AND 97X)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"PROFESSIONAL FEES (SEE ALSO 97X AND 98X)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0965","description":"Professional Fees","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"PROFESSIONAL FEES (SEE ALSO 97X AND 98X)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0966","description":"Professional Fees","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"PROFESSIONAL FEES (SEE ALSO 97X AND 98X)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0967","description":"Professional Fees","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"PROFESSIONAL FEES (SEE ALSO 97X AND 98X)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0968","description":"Professional Fees","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Pharmacy - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0250","description":"Pharmacy (also see 063x, an extension of 025x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.18,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.25,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.37,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.39,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.57,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.7,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1.84,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":100.81,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1004.58,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1023.12,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":103.4,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":104.75,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":105.55,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":105.58,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":106.75,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":109.09,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":112.13,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1153.83,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1173.98,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":118.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1180.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":119.11,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":119.64,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":120.67,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":120.98,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1205.03,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":124.07,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":124.3,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1248.33,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":125.22,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":12553.71,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":127.38,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1270.52,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":128.29,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":128.37,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1285.22,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1285.78,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":129.6,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":129.94,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":131.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":132.69,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":133.31,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":135.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":135.89,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":137.23,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1378.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":139.75,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":140.71,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":143.23,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":143.7,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1463.33,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":147.81,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":148.05,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":149.57,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1501.7,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1517.83,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1550.46,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":156.69,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1592.51,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":160.01,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":160.29,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":163.36,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":164.27,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":165.74,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":166.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1668.84,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":169.13,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":171.09,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":171.15,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1716.22,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1724.08,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":174.06,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":174.08,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":174.39,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":176.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1765.57,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":17771.01,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":178.05,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1808.61,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1841.02,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1850.25,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":186.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":187.17,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":188.35,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":192.47,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":193.46,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":194.94,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":196.12,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":196.88,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":197.44,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":197.63,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1989.46,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":1996.56,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2.14,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2.42,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2.64,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2.66,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":20.82,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":201.76,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2015.59,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":203.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":205.09,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":207.51,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":208.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":211.14,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":212.1,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2123.98,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2125.34,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":214.02,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":214.81,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":219.22,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":221.49,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":222.49,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2225.25,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":223.4,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":223.68,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":224.99,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":227.58,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":228.38,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2292.42,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":230.07,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":231.05,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":237.84,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":240.17,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":240.91,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":241.8,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":244.04,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2440.42,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":247.08,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":253.47,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":254.76,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":254.85,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2587087.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":259.6,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":259.96,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":261.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2626.33,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":263.21,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":268.73,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":269.69,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":27.89,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2800.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2816.77,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2840.68,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":28424.06,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2904.58,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":293.83,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2938320.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":2943.42,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":295.97,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":296.15,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":298.74,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3.07,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3.58,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":301.18,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":306.05,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3070.09,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":311.95,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3121.31,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3125.94,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3154.93,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3159.8,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":319.94,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3196.84,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":323.17,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3245381.5,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":327.72,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":328.6,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":330.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3321376.5,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3338.87,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":336.39,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":337.67,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":338.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3416.94,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":345.62,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3452.3,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":346.49,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":349.19,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":35.99,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":353.07,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3539.65,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":357.28,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":357.49,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3571.35,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3594.95,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":36.01,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":36.13,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3603.26,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":361.03,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":362.5,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":367.91,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3691450.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":371.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3717.53,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3723.76,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":377.13,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3790.74,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":382.19,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":3824.52,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":384.14,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":385.47,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":388.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":39.19,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":390.02,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":391.07,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":391.97,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":392.72,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":395.6,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":396.03,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":396.32,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":397.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":4.49,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":4.5,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":4011.54,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":402.33,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":4094.26,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":41173.43,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":4146.34,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":417.21,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":4199.67,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":425.17,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":4250.97,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":430.74,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":45.15,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":465.23,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":469.38,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":478.52,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":4812.31,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":4823.47,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":489290.6,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":495.55,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":498.72,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":5.32,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":500.93,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":5000.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":5019.27,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":509.81,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":513.57,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":513.6,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":5166.99,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":518.63,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":520.03,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":523.54,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":524.18,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":526.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":526.87,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":5292.43,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":530.32,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":531849.1,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":540.18,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":55.64,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":558.12,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":558.22,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":559781.06,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":56.88,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":560.79,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":562260.8,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":56269.19,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":56824.55,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":574.22,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":588494.8,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":595.69,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":596.3,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":604.86,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":6102.87,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":613.93,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":614180.8,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":623.36,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":637.3,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":64282.3,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":655.34,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":661.76,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":667.07,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":671.22,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":671.56,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":672.35,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":680.63,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":682.8,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":686.09,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":69.42,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":693.56,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":71.67,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":712.63,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":731.89,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":748.98,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":755.87,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":776.85,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":7786.66,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":795.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":796.47,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":801.26,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":81.31,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":83.91,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":852.83,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":855.55,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":888.1,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":89.56,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":896.69,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":897.06,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":9.95,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":908.7,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":91.67,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":961.21,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":97.95,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":991.44,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe)  - Other","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0149","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe)  - Rehabilitation","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0148","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - Detoxification","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0146","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0140","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - Hospice","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0145","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - Medical/Surgical/GYN","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0141","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - OB","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0142","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - Oncology","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0147","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - Pediatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0143","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Private (Deluxe) - Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0144","description":"Room & Board - Deluxe Private","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Anesthesiologist (MD)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0963","description":"Professional Fees (also see 097x and 098x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Anesthetist (CRNA)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0964","description":"Professional Fees (also see 097x and 098x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Clinic","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0983","description":"Professional Fees (Extension of 096x and 097x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Consultation","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0988","description":"Professional Fees (Extension of 096x and 097x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - EEG","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0986","description":"Professional Fees (Extension of 096x and 097x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - EKG","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0985","description":"Professional Fees (Extension of 096x and 097x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Emergency Room","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0981","description":"Professional Fees (Extension of 096x and 097x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0960","description":"Professional Fees (also see 097x and 098x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Hospital Visit","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0987","description":"Professional Fees (Extension of 096x and 097x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Laboratory","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0971","description":"Professional Fees (Extension of 096x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Medical Social Services","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0984","description":"Professional Fees (Extension of 096x and 097x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Occupational Therapy","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0978","description":"Professional Fees (Extension of 096x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Operating Room","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0975","description":"Professional Fees (Extension of 096x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Opthalmology","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0962","description":"Professional Fees (also see 097x and 098x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Other Professional Fees","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0969","description":"Professional Fees (also see 097x and 098x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Outpatient Services","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0982","description":"Professional Fees (Extension of 096x and 097x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Physical Therapy","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0977","description":"Professional Fees (Extension of 096x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Private Duty Nurse","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0989","description":"Professional Fees (Extension of 096x and 097x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0961","description":"Professional Fees (also see 097x and 098x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Radiology - Diagnostic","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0972","description":"Professional Fees (Extension of 096x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Radiology - Nuclear Medicine","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0974","description":"Professional Fees (Extension of 096x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Radiology - Therapeutic","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0973","description":"Professional Fees (Extension of 096x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Respiratory Therapy","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0976","description":"Professional Fees (Extension of 096x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Professional Fees - Speech Language Pathology","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0979","description":"Professional Fees (Extension of 096x)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Reserved","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0970","description":"Professional Fees (EXTENSION OF 96X)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - Detoxification","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0116","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0110","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - Hospice","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0115","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - Medical/Surgical/Gyn","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0111","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - OB","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0112","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - Oncology","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0117","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - Other","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0119","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - Pediatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0113","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0114","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Private - Rehabilitation","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0118","description":"Room & Board - Private (One Bed)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate -  2 Beds - Other","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0129","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds -  Pediatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0123","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds - Detoxification","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0126","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0120","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds - Hospice","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0125","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds - Medical/Surgical/GYN","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0121","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds - OB","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0122","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds - Oncology","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0127","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds - Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0124","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Semiprivate - 2 Beds - Rehabilitation","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0128","description":"Room & Board - Semi-private (Two Beds)","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - Detoxification","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0156","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0150","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - Hospice","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0155","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - Medical/Surgical/Gyn","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0151","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - OB","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0152","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - Oncology","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0157","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - Other","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0159","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - Pediatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0153","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0154","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Room & Board - Ward - Rehabilitation","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0158","description":"Room & Board - Ward","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CHARGES","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0225","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CHARGES","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0226","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CHARGES","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0227","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CHARGES","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0228","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBACUTE CARE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0195","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBACUTE CARE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0196","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBACUTE CARE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0197","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"SUBACUTE CARE","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0198","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - Detoxification","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0136","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0130","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - Hospice","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0135","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - Medical/Surgical/GYN","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0131","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - OB","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0132","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - Oncology","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0137","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - Other","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0139","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - Pediatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0133","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - Psychiatric","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0134","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Semiprivate - 3 & 4 Beds - Rehabilitation","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0138","description":"Room & Board - Three and Four Beds","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Special Charges - Admission Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0221","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Special Charges - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0220","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Special Charges - Late Discharge, Medically Necessary","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0224","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Special Charges - Other Special Charges","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0229","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Special Charges - Technical Support Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0222","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Special Charges - UR Service Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0223","description":"Special Charges","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Subacute Care - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0190","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Subacute Care - Level 1 (skilled care)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0191","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Subacute Care - Level II (comprehensive care)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0192","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Subacute Care - Level III (complex care)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0193","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Subacute Care - Level IV (intensive care)","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0194","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Subacute Care - Other Subacute Care","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0199","description":"Subacute Care","negotiated_rates":[{"provider_references":[213400],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"negotiated","negotiated_rate":1139.16,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]}]}