{"hospital_name": "Doctors Medical Center of Modesto, Inc.", "last_updated_on": "2026-04-07", "version": "3.0.0", "pid": "1514756307", "rid": "11225", "location_name": ["Emanuel Medical Center"], "hospital_address": ["825 Delbon Ave, Turlock, CA 95382"], "type_2_npi": ["1396087672"], "license_information": {"license_number": "030000035", "state": "CA"}, "attestation": {"attestation": "To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.", "confirm_attestation": true, "attester_name": "Geoffrey Vines"}, "standard_charge_information": [{"description": "11-DEOXYXORTISL", "code_information": [{"code": "82634", "type": "CPT"}, {"code": "7252517", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 24.23, "discounted_cash": 18.17, "setting": "both", "billing_class": "facility"}], "modifiers": "TC"}, {"description": "14-3-3 PROTEIN", 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15.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INS DETEMR PER 5U IJ", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "5321258", "type": "CDM"}, {"code": "637", "type": "RC"}], "standard_charges": [{"gross_charge": 20.0, "discounted_cash": 15.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INS ENDOVA VENACAVA FILT", "code_information": [{"code": "4617191", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 17896.0, "discounted_cash": 13422.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INS GLARG PER 5U IJ", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "5321260", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 20.0, "discounted_cash": 15.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INS GLARG PER 5U IJ", "drug_information": {"unit": 1.0, "type": "EA"}, 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"billing_class": "facility"}]}, {"description": "INS HUM 70/30 3ML VL IJ", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "5321499", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 644.0, "discounted_cash": 483.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INS HUM 70/30 3ML VL IJ", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "5321499", "type": "CDM"}, {"code": "637", "type": "RC"}], "standard_charges": [{"gross_charge": 644.0, "discounted_cash": 483.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INS HUM REG VIAL 3ML", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "5321498", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 644.0, "discounted_cash": 483.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INS HUM REG VIAL 3ML", "drug_information": 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"standard_charges": [{"gross_charge": 12.0, "discounted_cash": 9.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INS TUNN INTRAPER CATH", "code_information": [{"code": "4619418", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 12639.0, "discounted_cash": 9479.25, "setting": "both", "billing_class": "facility"}]}, {"description": "INS VAD LEFT HRT PERC ART", "code_information": [{"code": "4613986", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 30979.0, "discounted_cash": 23234.25, "setting": "both", "billing_class": "facility"}]}, {"description": "INS VAD LEFT PERC ART/VEIN", "code_information": [{"code": "4613987", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 30979.0, "discounted_cash": 23234.25, "setting": "both", "billing_class": "facility"}]}, {"description": "INS/BR PLY HGH CRSLK CRIN CL", "code_information": [{"code": "4013217", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 11289.0, "discounted_cash": 8466.75, "setting": "both", "billing_class": "facility"}]}, {"description": "INS/RPL PM W/TRNSV LD AT", "code_information": [{"code": "4613206", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 92380.0, "discounted_cash": 69285.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INS/RPL PM W/TRNSV LD VE", "code_information": [{"code": "4613207", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 73938.0, "discounted_cash": 55453.5, "setting": "both", "billing_class": "facility"}]}, {"description": "INS/RPL PMW/TRNSV LD A-V", "code_information": [{"code": "4613208", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 95596.0, "discounted_cash": 71697.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INSERT ARTICULAR", "code_information": [{"code": "4012680", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 28546.0, "discounted_cash": 21409.5, "setting": "both", "billing_class": "facility"}]}, {"description": "INSERT HUM LNR BEAR EXACT CL", "code_information": [{"code": "4012841", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 11289.0, "discounted_cash": 8466.75, "setting": "both", "billing_class": "facility"}]}, {"description": "INSERT HUMERAL STD", "code_information": [{"code": "8137719", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 13126.0, "discounted_cash": 9844.5, "setting": "both", "billing_class": "facility"}]}, {"description": "INSERT KNEE REVISION SN CL", "code_information": [{"code": "4012883", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 28546.0, "discounted_cash": 21409.5, "setting": "both", "billing_class": "facility"}]}, {"description": "INSERT TIBIAL", "code_information": [{"code": "8137720", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 8272.0, "discounted_cash": 6204.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INSERT TIBIAL ANY DJO CL", "code_information": [{"code": "4013412", "type": "CDM"}, {"code": "278", "type": "RC"}], "standard_charges": [{"gross_charge": 8467.0, "discounted_cash": 6350.25, "setting": "both", "billing_class": "facility"}]}, {"description": "INSIT E ADD PRB CMP ASST", "code_information": [{"code": "88373", "type": "CPT"}, {"code": "4308373", "type": "CDM"}, {"code": "310", "type": "RC"}], "standard_charges": [{"gross_charge": 179.0, "discounted_cash": 134.25, "setting": "both", "billing_class": "facility"}], "modifiers": "TC"}, {"description": "INSIT E ADD PRB CMP ASST", "code_information": [{"code": "88373", "type": "CPT"}, {"code": "7270096", "type": "CDM"}, {"code": "310", "type": "RC"}], "standard_charges": [{"gross_charge": 143.0, 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1710.0, "discounted_cash": 1282.5, "setting": "both", "billing_class": "facility"}], "modifiers": "GN"}, {"description": "SPEECH/LANG TX EXTNSV", "code_information": [{"code": "92507", "type": "CPT"}, {"code": "5901005", "type": "CDM"}, {"code": "440", "type": "RC"}], "standard_charges": [{"gross_charge": 1710.0, "discounted_cash": 1282.5, "setting": "both", "billing_class": "facility"}], "modifiers": "GN"}, {"description": "SPEECH/LANG TX INTER", "code_information": [{"code": "92507", "type": "CPT"}, {"code": "5901008", "type": "CDM"}, {"code": "440", "type": "RC"}], "standard_charges": [{"gross_charge": 1710.0, "discounted_cash": 1282.5, "setting": "both", "billing_class": "facility"}], "modifiers": "GN"}, {"description": "SPINAL PUNCT LUMB DX WFLUOR/CT", "code_information": [{"code": "4612328", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 5919.0, "discounted_cash": 4439.25, "setting": "both", "billing_class": "facility"}]}, {"description": 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