{"reporting_entity_name": "Emblemhealth_GHI_ASO","reporting_entity_type": "Third Party","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [                                                                                                                                                                       
{"provider_group_id":1791549003,"provider_groups":[{"npi":[1548315401],"tin":{"type":"ein","value":"161552370"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0636","description":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Other Components","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0386","description":"Blood - Other Components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0636","description":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Other Implants","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0278","description":"Medical/Surgical Supplies and Devices - Other Implants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34999.65,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Identification - Single Source Drug","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0631","description":"Drugs Requiring Specific Identification - Single Source Drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0636","description":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Other Implants","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0278","description":"Medical/Surgical Supplies and Devices - Other Implants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34999.65,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0635","description":"Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood Processing & Storage","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0392","description":"Blood Processing & Storage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Leukocytes","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0385","description":"Blood - Leukocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Generic Drugs","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0251","description":"Pharmacy - Generic Drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Identification - Restrictive Prescription","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0633","description":"Drugs Requiring Specific Identification - Restrictive Prescription","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Other Blood","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0389","description":"Blood - Other Blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Take Home Drugs","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0253","description":"Pharmacy - Take Home Drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Other Room & Board - Other","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0169","description":"Other Room & Board - Other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":3233.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0380","description":"Blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Intensive Care - ICU","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0206","description":"Intensive Care - ICU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":8979.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0274","description":"Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Oxygen - Take Home","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0277","description":"Medical/Surgical Supplies and Devices - Oxygen - Take Home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Platelets","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0384","description":"Blood - Platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Self-administrable drugs not requiring detailed coding","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0637","description":"Self-administrable drugs not requiring detailed coding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Identification - Multiple Source Drug","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0632","description":"Drugs Requiring Specific Identification - Multiple Source Drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Acquisition of Body Components-Other Donor","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0819","description":"Acquisition of Body Components-Other Donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Intensive Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0200","description":"Intensive Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":12571.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Whole Blood","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0382","description":"Blood - Whole Blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Packed Red Cells","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0381","description":"Blood - Packed Red Cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Intraocular Lens","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0276","description":"Medical/Surgical Supplies and Devices - Intraocular Lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Other Room & Board - Sterile Environment","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0164","description":"Other Room & Board - Sterile Environment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":12571.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear Medicine - Diagnostic Radiopharmaceuticals","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0343","description":"Nuclear Medicine - Diagnostic Radiopharmaceuticals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"MS-DRG-014","billing_code_type":"MS-DRG","billing_code_type_version":"2026","billing_code":"014","description":"MS-DRG-014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"MS-DRG-017","billing_code_type":"MS-DRG","billing_code_type_version":"2026","billing_code":"017","description":"MS-DRG-017","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"MS-DRG-016","billing_code_type":"MS-DRG","billing_code_type_version":"2026","billing_code":"016","description":"MS-DRG-016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Drugs Incident to Other Diagnostic Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0254","description":"Pharmacy - Drugs Incident to Other Diagnostic Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Take Home Supplies","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0273","description":"Medical/Surgical Supplies and Devices - Take Home Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Pace Maker","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0275","description":"Medical/Surgical Supplies and Devices - Pace Maker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Sterile Supply","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0272","description":"Medical/Surgical Supplies and Devices - Sterile Supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Acquisition of Body Components-General Classification","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0810","description":"Acquisition of Body Components-General Classification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear Medicine - Therapeutic Radiopharmaceuticals","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0344","description":"Nuclear Medicine - Therapeutic Radiopharmaceuticals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Other Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0259","description":"Pharmacy - Other Pharmacy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - IV Solutions","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0258","description":"Pharmacy - IV Solutions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Drugs Incident to Radiology","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0255","description":"Pharmacy - Drugs Incident to Radiology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Experimental Drugs","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0256","description":"Pharmacy - Experimental Drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood Storage & Processing","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0390","description":"Blood Storage & Processing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0250","description":"Pharmacy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Non Sterile Supply","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0271","description":"Medical/Surgical Supplies and Devices - Non Sterile Supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0634","description":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Plasma","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0383","description":"Blood - Plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0634","description":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0634","description":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Operating Room Services - Other Operating Room Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0369","description":"Operating Room Services - Other Operating Room Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood Storage & Processing - Other Blood Storage & Processing","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0399","description":"Blood Storage & Processing - Other Blood Storage & Processing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Operating Room Services - Other Operating Room Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0369","description":"Operating Room Services - Other Operating Room Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Other Derivatives (Cryoprecipitates)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0387","description":"Blood - Other Derivatives (Cryoprecipitates)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Identification","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0630","description":"Drugs Requiring Specific Identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Non-Prescription","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0257","description":"Pharmacy - Non-Prescription","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0270","description":"Medical/Surgical Supplies and Devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Other Supplies/Devices","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0279","description":"Medical/Surgical Supplies and Devices - Other Supplies/Devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Non-Generic Drugs","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0252","description":"Pharmacy - Non-Generic Drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood Processing & Storage","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0392","description":"Blood Processing & Storage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Experimental Drugs","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0256","description":"Pharmacy - Experimental Drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Other Components","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0386","description":"Blood - Other Components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0636","description":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0636","description":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Drugs Incident to Radiology","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0255","description":"Pharmacy - Drugs Incident to Radiology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0636","description":"Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Leukocytes","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0385","description":"Blood - Leukocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Take Home Supplies","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0273","description":"Medical/Surgical Supplies and Devices - Take Home Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0380","description":"Blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Other Room & Board - Sterile Environment","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0164","description":"Other Room & Board - Sterile Environment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":12571.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0130","description":"Semi-Private - Three & Four Beds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64651.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Other Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0259","description":"Pharmacy - Other Pharmacy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - IV Solutions","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0258","description":"Pharmacy - IV Solutions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Non-Prescription","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0257","description":"Pharmacy - Non-Prescription","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Intensive Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0200","description":"Intensive Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":12571.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Identification - Multiple Source Drug","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0632","description":"Drugs Requiring Specific Identification - Multiple Source Drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0250","description":"Pharmacy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear Medicine - Diagnostic Radiopharmaceuticals","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0343","description":"Nuclear Medicine - Diagnostic Radiopharmaceuticals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0634","description":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0634","description":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0634","description":"Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":40.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Other Room & Board - Other","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0169","description":"Other Room & Board - Other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":3233.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Identification - Single Source Drug","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0631","description":"Drugs Requiring Specific Identification - Single Source Drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Sterile Supply","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0272","description":"Medical/Surgical Supplies and Devices - Sterile Supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Acquisition of Body Components-Other Donor","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0819","description":"Acquisition of Body Components-Other Donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0131","description":"Semi-Private - Three & Four Beds - Medical/Surgical/Gyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53876.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Plasma","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0383","description":"Blood - Plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Oxygen - Take Home","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0277","description":"Medical/Surgical Supplies and Devices - Oxygen - Take Home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0270","description":"Medical/Surgical Supplies and Devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Operating Room Services - Other Operating Room Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0369","description":"Operating Room Services - Other Operating Room Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Operating Room Services - Other Operating Room Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0369","description":"Operating Room Services - Other Operating Room Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":72.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0499","description":"Ambulatory Surgical Care - Other Ambulatory Surgical Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48488.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Whole Blood","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0382","description":"Blood - Whole Blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Generic Drugs","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0251","description":"Pharmacy - Generic Drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Intraocular Lens","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0276","description":"Medical/Surgical Supplies and Devices - Intraocular Lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Non-Generic Drugs","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0252","description":"Pharmacy - Non-Generic Drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0635","description":"Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Other Supplies/Devices","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0279","description":"Medical/Surgical Supplies and Devices - Other Supplies/Devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood Storage & Processing - Other Blood Storage & Processing","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0399","description":"Blood Storage & Processing - Other Blood Storage & Processing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Take Home Drugs","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0253","description":"Pharmacy - Take Home Drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Identification","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0630","description":"Drugs Requiring Specific Identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Non Sterile Supply","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0271","description":"Medical/Surgical Supplies and Devices - Non Sterile Supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood Storage & Processing","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0390","description":"Blood Storage & Processing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Other Implants","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0278","description":"Medical/Surgical Supplies and Devices - Other Implants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34999.65,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Other Implants","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0278","description":"Medical/Surgical Supplies and Devices - Other Implants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34999.65,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy - Drugs Incident to Other Diagnostic Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0254","description":"Pharmacy - Drugs Incident to Other Diagnostic Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear Medicine - Therapeutic Radiopharmaceuticals","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0344","description":"Nuclear Medicine - Therapeutic Radiopharmaceuticals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Other Blood","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0389","description":"Blood - Other Blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"MS-DRG-016","billing_code_type":"MS-DRG","billing_code_type_version":"2026","billing_code":"016","description":"MS-DRG-016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Pace Maker","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0275","description":"Medical/Surgical Supplies and Devices - Pace Maker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Other Derivatives (Cryoprecipitates)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0387","description":"Blood - Other Derivatives (Cryoprecipitates)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"MS-DRG-017","billing_code_type":"MS-DRG","billing_code_type_version":"2026","billing_code":"017","description":"MS-DRG-017","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"MS-DRG-014","billing_code_type":"MS-DRG","billing_code_type_version":"2026","billing_code":"014","description":"MS-DRG-014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Drugs Requiring Specific Identification - Restrictive Prescription","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0633","description":"Drugs Requiring Specific Identification - Restrictive Prescription","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Platelets","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0384","description":"Blood - Platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Self-administrable drugs not requiring detailed coding","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0637","description":"Self-administrable drugs not requiring detailed coding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0274","description":"Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Blood - Packed Red Cells","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0381","description":"Blood - Packed Red Cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Intensive Care - ICU","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0206","description":"Intensive Care - ICU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":8979.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]},
{"negotiation_arrangement":"ffs","name":"Acquisition of Body Components-General Classification","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0810","description":"Acquisition of Body Components-General Classification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}],"provider_references":[1791549003]}]}]}