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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-DEOXYCORTISL", "code_information": [{"code": "82634", "type": "CPT"}, {"code": "7042004", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"gross_charge": 485.0, "discounted_cash": 363.75, "setting": "both", "billing_class": "facility"}]}, {"description": "11-DEOXYXORTISL", "code_information": 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31383.0, "discounted_cash": 23537.25, "setting": "both", "billing_class": "facility"}]}, {"description": "INS ENDOVA VENACAVA FILT", "code_information": [{"code": "4917191", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 30433.0, "discounted_cash": 22824.75, "setting": "both", "billing_class": "facility"}]}, {"description": "INS ENDOVA VENACAVA FILT", "code_information": [{"code": "4927191", "type": "CDM"}, {"code": "360", "type": "RC"}], "standard_charges": [{"gross_charge": 23331.0, "discounted_cash": 17498.25, "setting": "both", "billing_class": "facility"}]}, {"description": "INS GLARG PER 5U IJ", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J1815", "type": "HCPCS"}, {"code": "5321260", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 14.0, "discounted_cash": 10.5, "setting": "both", "billing_class": "facility"}]}, {"description": "INS GLARG PER 5U IJ", "drug_information": 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"both", "billing_class": "facility"}]}, {"description": "PHENOL/NA PHENOL180ML SP", "code_information": [{"code": "A9150", "type": "HCPCS"}, {"code": "5316020", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 77.0, "discounted_cash": 57.75, "setting": "both", "billing_class": "facility"}]}, {"description": "PHENOL/NA PHENOL180ML SP", "code_information": [{"code": "A9150", "type": "HCPCS"}, {"code": "5316020", "type": "CDM"}, {"code": "637", "type": "RC"}], "standard_charges": [{"gross_charge": 77.0, "discounted_cash": 57.75, "setting": "both", "billing_class": "facility"}]}, {"description": "PHENOXYBENZAMINE 10MGCP", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J8499", "type": "HCPCS"}, {"code": "5309245", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 194.0, "discounted_cash": 145.5, "setting": "both", "billing_class": "facility"}]}, {"description": "PHENOXYBENZAMINE 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"J3490", "type": "HCPCS"}, {"code": "5323301", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 661.0, "discounted_cash": 495.75, "setting": "both", "billing_class": "facility"}]}, {"description": "PHENYLEPHRIN PED CMPD IJ", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J3490", "type": "HCPCS"}, {"code": "5323290", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 545.0, "discounted_cash": 408.75, "setting": "both", "billing_class": "facility"}]}, {"description": "PHENYLEPHRINE PER 20MCG IJ", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J2371", "type": "HCPCS"}, {"code": "5323281", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 0.5, "discounted_cash": 0.38, "setting": "both", "billing_class": "facility"}]}, {"description": "PHENYLEPHRINE PER 20MCG IJ", "drug_information": {"unit": 1.0, "type": "EA"}, 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{"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J8499", "type": "HCPCS"}, {"code": "5309438", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 32.0, "discounted_cash": 24.0, "setting": "both", "billing_class": "facility"}]}, {"description": "PHENYTOIN 100MG XR CP", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J8499", "type": "HCPCS"}, {"code": "5309438", "type": "CDM"}, {"code": "637", "type": "RC"}], "standard_charges": [{"gross_charge": 32.0, "discounted_cash": 24.0, "setting": "both", "billing_class": "facility"}]}, {"description": "PHENYTOIN 100MG/4ML LQ", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J8499", "type": "HCPCS"}, {"code": "5316059", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 76.0, "discounted_cash": 57.0, "setting": "both", "billing_class": "facility"}]}, {"description": "PHENYTOIN 100MG/4ML LQ", 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