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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": "7252517", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 579.0, "discounted_cash": 434.25, "setting": "both", "billing_class": "facility"}]}, {"description": "17-HYDROXY PREGNENOLONE", "code_information": [{"code": "7258414", "type": 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942.75, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECT AGNT NOS AMP PRB/2", "code_information": [{"code": "4100145", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 579.0, "discounted_cash": 434.25, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECT AGNT NOS AMP PRB/20", "code_information": [{"code": "7006313", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 1257.0, "discounted_cash": 942.75, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECT AGNT NOS AMP PRB/21", "code_information": [{"code": "7258798", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 1257.0, "discounted_cash": 942.75, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECT AGNT NOS AMP PRB/22", "code_information": [{"code": "7257290", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": 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"billing_class": "facility"}]}, {"description": "INFECT AGNT NOS DIR OPT/8", "code_information": [{"code": "7257894", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 272.0, "discounted_cash": 204.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECT AGNT NOS DIR PRB", "code_information": [{"code": "7087001", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 645.0, "discounted_cash": 483.75, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECT AGNT NOS QUANT/13", "code_information": [{"code": "7258795", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 1252.0, "discounted_cash": 939.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECT AGNT NOS QUANT/2", "code_information": [{"code": "7257800", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 1252.0, "discounted_cash": 939.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECT AGNT NOS QUANT/4", "code_information": [{"code": "7257623", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 1252.0, "discounted_cash": 939.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECT AGNT NOS QUANT/8", "code_information": [{"code": "7257790", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 1252.0, "discounted_cash": 939.0, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECTIOUS AGNT NOS IA", "code_information": [{"code": "4107449", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 593.0, "discounted_cash": 444.75, "setting": "both", "billing_class": "facility"}]}, {"description": "INFECTIOUS AGNT NOS IA", "code_information": [{"code": "4177221", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 460.0, 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