{"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": "2026-06-24","version": "2.0.0","out_of_network":[{"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":"340714618"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":13.60,"providers":[{"billed_charge":51.00,"npi":[1215989611]}]}]}]},{"name":"Collection, Venous Blood, Venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection, Venous Blood, Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"340714618"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":15.91,"providers":[{"billed_charge":58.00,"npi":[1215989611]}]}]}]},{"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":"340714618"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":18.48,"providers":[{"billed_charge":69.00,"npi":[1215989611]}]}]}]},{"name":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W\/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"340714585"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.36,"providers":[{"billed_charge":74.00,"npi":[1578959789]}]}]}]},{"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":"340714585"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":183.73,"providers":[{"billed_charge":1721.00,"npi":[1578959789]}]}]}]},{"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":"821910968"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":184.02,"providers":[{"billed_charge":1870.00,"npi":[1902241144]}]}]}]},{"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":"340714618"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":994.65,"providers":[{"billed_charge":3672.00,"npi":[1215989611]}]}]}]},{"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":"340714618"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.80,"providers":[{"billed_charge":4.00,"npi":[1215989611]}]}]}]},{"name":"Magnesium","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"340714618"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":11.73,"providers":[{"billed_charge":44.00,"npi":[1215989611]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"570963518"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.97,"providers":[{"billed_charge":248.00,"npi":[1831174978]}]}]}]},{"name":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"570963518"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":29.37,"providers":[{"billed_charge":436.00,"npi":[1417277591]}]}]}]},{"name":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"570963518"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":37.30,"providers":[{"billed_charge":872.00,"npi":[1417277591]}]}]}]},{"name":"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial subs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96374","description":"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial subs","allowed_amounts":[{"tin":{"type":"ein","value":"340714618"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":341.81,"providers":[{"billed_charge":1324.00,"npi":[1215989611]}]}]}]}]}