FacilityIn-Network: (Other than Tier 2 & 3) - 100% of the allowed amount subject to a $250.00 per day copay for days 1 through 5 (applies to OOP), preadmission certification is required.In-Network: (Tier 2 & 3) - 100% of the allowed amount subject to a $500.00 per day copay for days 1 through 5 (applies to OOP), preadmission certification is required.Out-of-Network: (In-State) - Non-CoveredOut-of-Network: (All Else) - 80% of the allowed amount (coinsurance does not apply to OOP) subject to a $800 per admission deductible (does not apply to OOP),
In above text i need to extract amount “$250.00”
Keyword is In-Network: (Other than Tier 2 & 3)