{ "hospital_name": "Memorial Hospital for Cancer and Allied Diseases", "last_updated_on": "2024-09-15", "version": "2.0.0", "hospital_location": [ "Memorial Hospital for Cancer and Allied Diseases", "David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center", "Evelyn H. Lauder Breast Center", "Josie Robertson Surgery Center", "Memorial Sloan Kettering 64th Street Outpatient Center", "Memorial Sloan Kettering Counseling Center", "Memorial Sloan Kettering Imaging Center", "Mortimer B. Zuckerman Research Center", "MSK Ralph Lauren Center", "Rockefeller Outpatient Pavilion", "Sidney Kimmel Center for Prostate and Urologic Cancers", "Memorial Sloan Kettering Brooklyn Infusion Center" ], "hospital_address": [ "1275 York Avenue, New York, New York 10065", "530 East 74th Street, New York, NY 10021", "300 East 66th Street, Floors 1 - 4, New York, NY 10065", "1133 York Avenue, New York, NY 10065", "205 East 64th Street, New York, NY 10065", "160 East 53rd Street, New York, NY 10022", "300 East 66th Street, Floors 5 - 6, New York, NY 10065", "417 East 68th Street, New York, NY 10065", "1919 Madison Avenue (Entrance on 124th Street), New York, NY 10035", "160 East 53rd Street, New York, NY 10022", "353 East 68th Street, New York, NY 10065", "557 Atlantic Avenue, Brooklyn, NY 11217" ], "license_information": { "license_number": "7002020H", "state": "NY" }, "affirmation": { "affirmation": "To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.", "confirm_affirmation": true }, "standard_charge_information": [ { "billing_class": "facility", "description": "OPHTH US (A SCAN, ONLY) BI", "code_information": [ { "code": "AMB000004", "type": "LOCAL" }, { "code": "76511", "type": "CPT" }, { "code": "402", "type": "RC" } ], "standard_charges": [ { "setting": "outpatient", "gross_charge": 617.0, "discounted_cash": 617.0, "minimum": 158.92, "maximum": 555.3, "payers_information": [ { "payer_name": "[Aetna]", "plan_name": "[Gatekeeper & Non-Gatekeeper]", "standard_charge_dollar": 197.22, "methodology": "fee schedule" }, { "payer_name": "[Aetna]", "plan_name": "[Whole Health/APCN+, Premier Care Network, and NY Preferred]", "standard_charge_dollar": 177.62, "methodology": "fee schedule" }, { "payer_name": "[Aetna]", "plan_name": "[MTA MA Retirees]", 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