{"reporting_entity_name": "First Choice Next, A Product of SHSC, Inc.","reporting_entity_type": "First Choice Next, A Product of SHSC, Inc.","last_updated_on": "2026-02-18","version": "2.0.0","out_of_network":[{"name":"Basic Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":181.00,"npi":[1649726738]}]}]}]},{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":126.00,"npi":[1447706569,1649726738]}]}]}]},{"name":"Comprehensive Metabolic Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":18.48,"providers":[{"billed_charge":230.00,"npi":[1447706569]}]}]}]},{"name":"Electrocardiogram, Routine 12+ Leads; Tracing Only W\/O Interpretation & Report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"93005XU","description":"Electrocardiogram, Routine 12+ Leads; Tracing Only W\/O Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":96.79,"providers":[{"billed_charge":429.00,"npi":[1649726738]}]}]}]},{"name":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and high level of medical decision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and high level of medical decision","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":999.02,"providers":[{"billed_charge":2527.00,"npi":[1649726738]}]}]}]},{"name":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and high level of medical decision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9928525","description":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and high level of medical decision","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":997.80,"providers":[{"billed_charge":2527.00,"npi":[1447706569]}]}]}]},{"name":"Hepatic Function Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":14.30,"providers":[{"billed_charge":157.00,"npi":[1649726738]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":0.60,"npi":[1649726738]},{"billed_charge":1.20,"npi":[1649726738]},{"billed_charge":1.80,"npi":[1649726738]},{"billed_charge":1309.00,"npi":[1649726738]},{"billed_charge":1759.00,"npi":[1649726738]},{"billed_charge":177.00,"npi":[1649726738]},{"billed_charge":1950.00,"npi":[1649726738]},{"billed_charge":2.90,"npi":[1649726738]},{"billed_charge":214.00,"npi":[1649726738]},{"billed_charge":236.00,"npi":[1649726738]},{"billed_charge":2527.00,"npi":[1649726738]},{"billed_charge":27.60,"npi":[1649726738]},{"billed_charge":28.00,"npi":[1649726738]},{"billed_charge":29.50,"npi":[1649726738]},{"billed_charge":378.00,"npi":[1649726738]},{"billed_charge":384.00,"npi":[1649726738]},{"billed_charge":4.30,"npi":[1649726738]},{"billed_charge":42.80,"npi":[1649726738]},{"billed_charge":448.00,"npi":[1649726738]},{"billed_charge":59.00,"npi":[1649726738]},{"billed_charge":6.00,"npi":[1649726738]},{"billed_charge":97.00,"npi":[1649726738]}]},{"allowed_amount":11.80,"providers":[{"billed_charge":59.00,"npi":[1649726738]}]},{"allowed_amount":12022.17,"providers":[{"billed_charge":2382.00,"npi":[1649726738]}]}]}]},{"name":"Lipase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":12.06,"providers":[{"billed_charge":188.00,"npi":[1649726738]}]}]}]},{"name":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9967","description":"Low osmolar contrast material, 300-399 mg\/ml iodine concentration, per ml","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":66.20,"npi":[1447706569]}]}]}]},{"name":"Magnesium","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":11.73,"providers":[{"billed_charge":126.00,"npi":[1649726738]}]}]}]},{"name":"Troponin, Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84484","description":"Troponin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":21.82,"providers":[{"billed_charge":340.00,"npi":[1649726738]}]}]}]},{"name":"Urinalysis, Dip Stick\/Tablet Reagent; Automated W\/O Microscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, Dip Stick\/Tablet Reagent; Automated W\/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":97.00,"npi":[1649726738]}]}]}]}]}