Hospital · CCN 010033
University Of Alabama Hospital
619 South 19th Street, Birmingham, AL 35233 · Jefferson County
Part of UAB Health System · 1,149 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
222 admission types 63 outpatient services price file: ok
Billed per dollar paid, all admissions
4.53×
$1,079.9M billed against $238.5M paid across 7,197 Medicare discharges; the national figure is 5.03×.
6.2%
of adults in Jefferson County have medical debt in collections
9.6%
uninsured in the county · state 10.5%
$65K
median household income
6.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
37.4%
obesity in the countyⓘ
15.1%
diagnosed diabetes (PLACES)
6.6%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
329
$94,600
$22,459
4.2× st 5.5×
291
Heart failure and shock with mcc
167
$56,844
$17,215
3.3× st 4.5×
274
Percutaneous and other intracardiac procedures without mcc
162
$97,106
$26,604
3.7× st 6.3×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
132
$137,745
$36,540
3.8× st 5.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
119
$117,852
$22,870
5.2× st 6.1×
280
Acute myocardial infarction, discharged alive with mcc
104
$89,154
$20,144
4.4× st 6.1×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
99
$243,581
$55,392
4.4× st 5.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
96
$111,581
$27,917
4.0× st 4.9×
025
Craniotomy and endovascular intracranial procedures with mcc
95
$218,684
$41,306
5.3× st 5.6×
189
Pulmonary edema and respiratory failure
88
$88,602
$16,389
5.4× st 5.6×
467
Revision of hip or knee replacement with cc
88
$121,066
$32,557
3.7× st 5.7×
236
Coronary bypass without cardiac catheterization without mcc
86
$196,680
$40,389
4.9× st 5.5×
330
Major small and large bowel procedures with cc
81
$108,159
$26,127
4.1× st 6.6×
683
Renal failure with cc
80
$37,712
$11,810
3.2× st 4.9×
235
Coronary bypass without cardiac catheterization with mcc
79
$265,145
$56,306
4.7× st 5.6×
177
Respiratory infections and inflammations with mcc
79
$82,548
$20,527
4.0× st 5.0×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
78
$477,875
$95,770
5.0× st 4.9×
193
Simple pneumonia and pleurisy with mcc
76
$54,927
$15,259
3.6× st 5.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
76
$48,446
$13,384
3.6× st 4.9×
652
Kidney transplant
75
$305,629
$32,053
9.5× st 9.5×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
73
$169,848
$48,385
3.5× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
73
$64,957
$16,319
4.0× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
73
$36,816
$12,456
3.0× st 5.2×
690
Kidney and urinary tract infections without mcc
72
$34,336
$10,964
3.1× st 4.3×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
66
$102,425
$21,838
4.7× st 4.7×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
66
$45,945
$13,441
3.4× st 3.4×
699
Other kidney and urinary tract diagnoses with cc
65
$45,011
$12,989
3.5× st 3.3×
481
Hip and femur procedures except major joint with cc
65
$128,286
$26,186
4.9× st 6.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
61
$267,228
$60,603
4.4× st 5.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
59
$42,464
$13,074
3.2× st 4.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
55
$66,269
$13,338
5.0× st 5.9×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
53
$1,282,615
$243,294
5.3× st 5.5×
331
Major small and large bowel procedures without cc/mcc
52
$78,187
$17,231
4.5× st 8.0×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
51
$250,218
$61,239
4.1× st 4.9×
101
Seizures without mcc
50
$42,020
$11,712
3.6× st 4.9×
552
Medical back problems without mcc
49
$72,299
$16,166
4.5× st 4.7×
378
Gastrointestinal hemorrhage with cc
48
$49,882
$12,465
4.0× st 5.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
48
$93,445
$19,114
4.9× st 5.8×
460
Spinal fusion except cervical without mcc
48
$165,761
$41,192
4.0× st 7.4×
281
Acute myocardial infarction, discharged alive with cc
46
$50,083
$11,070
4.5× st 7.2×
196
Interstitial lung disease with mcc
45
$175,579
$32,923
5.3× st 5.0×
018
Chimeric antigen receptor (car) t-cell and other immunotherapies
45
$2,435,969
$465,198
5.2× st 5.2×
100
Seizures with mcc
44
$172,578
$29,900
5.8× st 5.8×
472
Cervical spinal fusion with cc
44
$142,999
$39,925
3.6× st 5.1×
190
Chronic obstructive pulmonary disease with mcc
43
$55,138
$13,438
4.1× st 5.3×
698
Other kidney and urinary tract diagnoses with mcc
43
$58,208
$18,787
3.1× st 5.0×
070
Other cerebrovascular disorders with mcc
42
$98,808
$22,556
4.4× st 5.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
42
$304,927
$71,629
4.3× st 5.0×
812
Red blood cell disorders without mcc
41
$37,954
$11,499
3.3× st 4.1×
309
Cardiac arrhythmia and conduction disorders with cc
39
$59,773
$13,726
4.4× st 4.9×
314
Other circulatory system diagnoses with mcc
39
$93,901
$26,555
3.5× st 5.0×
270
Other major cardiovascular procedures with mcc
38
$265,626
$54,083
4.9× st 4.6×
178
Respiratory infections and inflammations with cc
37
$62,952
$16,698
3.8× st 4.2×
689
Kidney and urinary tract infections with mcc
36
$48,727
$16,459
3.0× st 5.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
36
$197,596
$39,239
5.0× st 5.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
36
$168,457
$26,667
6.3× st 4.5×
682
Renal failure with mcc
36
$71,422
$20,091
3.6× st 5.3×
016
Autologous bone marrow transplant with cc/mcc
36
$184,482
$67,512
2.7× st 2.7×
432
Cirrhosis and alcoholic hepatitis with mcc
36
$102,413
$24,160
4.2× st 5.5×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
35
$129,461
$29,597
4.4× st 5.5×
164
Major chest procedures with cc
35
$101,961
$25,275
4.0× st 4.6×
071
Other cerebrovascular disorders with cc
35
$45,648
$12,394
3.7× st 5.7×
329
Major small and large bowel procedures with mcc
34
$356,964
$76,499
4.7× st 6.5×
315
Other circulatory system diagnoses with cc
34
$56,109
$12,518
4.5× st 4.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
33
$40,709
$14,842
2.7× st 4.8×
377
Gastrointestinal hemorrhage with mcc
32
$100,749
$22,779
4.4× st 5.8×
394
Other digestive system diagnoses with cc
32
$32,248
$11,264
2.9× st 5.2×
082
Traumatic stupor and coma >1 hour with mcc
31
$135,772
$22,843
5.9× st 5.6×
468
Revision of hip or knee replacement without cc/mcc
31
$96,788
$30,685
3.2× st 7.9×
389
Gastrointestinal obstruction with cc
31
$42,640
$12,213
3.5× st 5.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
31
$77,038
$22,694
3.4× st 3.6×
057
Degenerative nervous system disorders without mcc
30
$66,679
$18,810
3.5× st 3.6×
191
Chronic obstructive pulmonary disease with cc
29
$62,031
$13,516
4.6× st 4.2×
026
Craniotomy and endovascular intracranial procedures with cc
29
$124,929
$28,900
4.3× st 5.7×
603
Cellulitis without mcc
28
$38,083
$12,078
3.2× st 4.0×
292
Heart failure and shock with cc
28
$57,769
$12,799
4.5× st 4.1×
300
Peripheral vascular disorders with cc
28
$65,217
$16,945
3.8× st 3.9×
393
Other digestive system diagnoses with mcc
28
$73,471
$21,123
3.5× st 5.2×
919
Complications of treatment with mcc
28
$96,547
$19,459
5.0× st 4.4×
083
Traumatic stupor and coma >1 hour with cc
28
$126,903
$21,902
5.8× st 5.5×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
28
$331,155
$70,194
4.7× st 5.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
27
$128,464
$20,269
6.3× st 8.9×
165
Major chest procedures without cc/mcc
27
$75,368
$18,027
4.2× st 4.6×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
27
$46,192
$12,377
3.7× st 3.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
27
$121,074
$26,477
4.6× st 5.9×
054
Nervous system neoplasms with mcc
26
$89,357
$18,795
4.8× st 4.8×
638
Diabetes with cc
26
$35,710
$13,953
2.6× st 4.2×
811
Red blood cell disorders with mcc
26
$64,059
$16,333
3.9× st 4.3×
092
Other disorders of nervous system with cc
26
$51,398
$13,184
3.9× st 5.8×
519
Back and neck procedures except spinal fusion with cc
26
$104,207
$21,654
4.8× st 4.9×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
26
$167,147
$29,923
5.6× st 5.6×
907
Other o.r. procedures for injuries with mcc
25
$177,179
$44,907
3.9× st 4.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
25
$53,278
$13,408
4.0× st 4.9×
870
Septicemia or severe sepsis with mv >96 hours
25
$409,955
$88,843
4.6× st 6.1×
406
Pancreas, liver and shunt procedures with cc
25
$145,991
$28,759
5.1× st 9.0×
834
Acute leukemia with mcc
25
$264,320
$56,998
4.6× st 4.6×
637
Diabetes with mcc
25
$74,106
$18,193
4.1× st 4.4×
141
Major head and neck procedures with cc
24
$104,634
$20,055
5.2× st 5.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
24
$103,696
$27,608
3.8× st 7.1×
252
Other vascular procedures with mcc
24
$189,959
$36,818
5.2× st 5.2×
091
Other disorders of nervous system with mcc
24
$124,160
$27,719
4.5× st 5.4×
253
Other vascular procedures with cc
24
$143,396
$25,693
5.6× st 4.4×
205
Other respiratory system diagnoses with mcc
24
$102,053
$20,053
5.1× st 4.7×
194
Simple pneumonia and pleurisy with cc
24
$41,234
$11,272
3.7× st 4.0×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
24
$459,516
$92,767
5.0× st 4.6×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
23
$103,835
$23,001
4.5× st 4.5×
308
Cardiac arrhythmia and conduction disorders with mcc
23
$48,179
$14,296
3.4× st 5.0×
948
Signs and symptoms without mcc
23
$45,343
$15,464
2.9× st 4.3×
454
Combined anterior and posterior spinal fusion with cc
23
$245,951
$54,859
4.5× st 6.6×
012
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc
23
$200,667
$39,195
5.1× st 5.1×
862
Postoperative and post-traumatic infections with mcc
23
$52,976
$20,510
2.6× st 4.4×
207
Respiratory system diagnosis with ventilator support >96 hours
23
$427,832
$86,714
4.9× st 4.2×
466
Revision of hip or knee replacement with mcc
22
$234,931
$50,823
4.6× st 4.6×
299
Peripheral vascular disorders with mcc
22
$99,908
$22,170
4.5× st 4.5×
957
Other o.r. procedures for multiple significant trauma with mcc
22
$396,015
$77,064
5.1× st 5.1×
480
Hip and femur procedures except major joint with mcc
22
$205,821
$33,830
6.1× st 5.7×
920
Complications of treatment with cc
22
$57,642
$12,895
4.5× st 4.5×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
22
$111,528
$24,791
4.5× st 4.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
21
$29,574
$10,407
2.8× st 2.3×
483
Major joint or limb reattachment procedures of upper extremities
21
$99,494
$21,349
4.7× st 7.2×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
21
$118,360
$20,465
5.8× st 7.3×
880
Acute adjustment reaction and psychosocial dysfunction
21
$37,419
$10,595
3.5× st 4.9×
142
Major head and neck procedures without cc/mcc
21
$92,579
$15,876
5.8× st 5.8×
013
Tracheostomy for face, mouth and neck diagnoses or laryngectomy without cc/mcc
21
$148,185
$26,253
5.6× st 5.6×
917
Poisoning and toxic effects of drugs with mcc
20
$112,186
$28,683
3.9× st 4.4×
908
Other o.r. procedures for injuries with cc
20
$98,111
$21,519
4.6× st 4.5×
074
Cranial and peripheral nerve disorders without mcc
20
$80,869
$16,575
4.9× st 4.8×
014
Allogeneic bone marrow transplant
19
$397,369
$127,627
3.1× st 3.1×
271
Other major cardiovascular procedures with cc
19
$182,217
$30,315
6.0× st 6.0×
273
Percutaneous and other intracardiac procedures with mcc
19
$210,172
$43,097
4.9× st 4.4×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
19
$43,120
$8,647
5.0× st 4.8×
312
Syncope and collapse
19
$47,815
$11,189
4.3× st 5.3×
885
Psychoses
19
$82,063
$24,267
3.4× st 5.4×
145
Other ear, nose, mouth and throat o.r. procedures without cc/mcc
18
$68,147
$12,621
5.4× st 5.4×
444
Disorders of the biliary tract with mcc
18
$73,924
$22,806
3.2× st 8.4×
551
Medical back problems with mcc
18
$107,461
$22,003
4.9× st 4.8×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
18
$330,523
$62,142
5.3× st 5.3×
086
Traumatic stupor and coma <1 hour with cc
17
$72,236
$12,928
5.6× st 3.9×
463
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
17
$282,644
$61,881
4.6× st 4.6×
374
Digestive malignancy with mcc
17
$57,941
$21,086
2.7× st 2.7×
336
Peritoneal adhesiolysis with cc
17
$106,948
$20,430
5.2× st 4.4×
650
Kidney transplant with hemodialysis with mcc
17
$372,799
$45,605
8.2× st 8.2×
433
Cirrhosis and alcoholic hepatitis with cc
17
$39,961
$11,959
3.3× st 5.2×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
17
$37,259
$13,894
2.7× st 2.7×
837
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy a
17
$132,007
$59,544
2.2× st 2.2×
521
Hip replacement with principal diagnosis of hip fracture with mcc
16
$152,357
$70,573
2.2× st 5.5×
958
Other o.r. procedures for multiple significant trauma with cc
16
$221,398
$40,984
5.4× st 5.4×
840
Lymphoma and non-acute leukemia with mcc
16
$147,112
$32,378
4.5× st 5.4×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
16
$304,445
$52,175
5.8× st 6.5×
303
Atherosclerosis without mcc
16
$24,567
$9,099
2.7× st 3.3×
354
Hernia procedures except inguinal and femoral with cc
16
$113,096
$18,804
6.0× st 6.0×
643
Endocrine disorders with mcc
16
$93,555
$23,612
4.0× st 4.1×
439
Disorders of pancreas except malignancy with cc
15
$39,440
$10,432
3.8× st 6.8×
176
Pulmonary embolism without mcc
15
$50,914
$10,392
4.9× st 4.4×
884
Organic disturbances and intellectual disability
15
$46,676
$21,091
2.2× st 2.9×
186
Pleural effusion with mcc
15
$77,798
$21,094
3.7× st 3.7×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
15
$134,016
$30,210
4.4× st 5.1×
536
Fractures of hip and pelvis without mcc
15
$58,733
$12,999
4.5× st 5.1×
073
Cranial and peripheral nerve disorders with mcc
15
$119,113
$30,930
3.9× st 4.1×
863
Postoperative and post-traumatic infections without mcc
14
$37,843
$14,538
2.6× st 3.5×
657
Kidney and ureter procedures for neoplasm with cc
14
$116,682
$17,816
6.5× st 6.5×
435
Malignancy of hepatobiliary system or pancreas with mcc
14
$83,075
$21,118
3.9× st 7.3×
282
Acute myocardial infarction, discharged alive without cc/mcc
14
$42,492
$8,422
5.0× st 9.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$148,639
$27,359
5.4× st 7.7×
184
Major chest trauma with cc
14
$95,628
$13,968
6.8× st 5.8×
163
Major chest procedures with mcc
14
$192,239
$43,456
4.4× st 5.1×
355
Hernia procedures except inguinal and femoral without cc/mcc
14
$78,329
$17,128
4.6× st 5.1×
033
Ventricular shunt procedures without cc/mcc
14
$71,898
$14,790
4.9× st 4.9×
459
Spinal fusion except cervical with mcc
14
$266,757
$52,321
5.1× st 5.1×
478
Biopsies of musculoskeletal system and connective tissue with cc
14
$129,639
$23,886
5.4× st 5.4×
580
Other skin, subcutaneous tissue and breast procedures with cc
13
$103,039
$18,369
5.6× st 5.6×
964
Other multiple significant trauma with cc
13
$106,187
$17,687
6.0× st 4.1×
963
Other multiple significant trauma with mcc
13
$159,988
$24,572
6.5× st 6.5×
283
Acute myocardial infarction, expired with mcc
13
$145,134
$24,680
5.9× st 5.9×
006
Liver transplant without mcc
13
$335,551
$91,698
3.7× st 3.7×
838
Chemotherapy with acute leukemia as secondary diagnosis with cc or high dose chemotherap
13
$106,270
$23,740
4.5× st 4.5×
268
Aortic and heart assist procedures except pulsation balloon with mcc
13
$329,885
$97,791
3.4× st 3.4×
841
Lymphoma and non-acute leukemia with cc
13
$99,544
$24,047
4.1× st 4.1×
254
Other vascular procedures without cc/mcc
13
$106,929
$18,265
5.9× st 6.5×
087
Traumatic stupor and coma <1 hour without cc/mcc
13
$82,581
$10,326
8.0× st 4.7×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
13
$542,522
$130,438
4.2× st 4.5×
327
Stomach, esophageal and duodenal procedures with cc
13
$145,278
$42,828
3.4× st 7.3×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
13
$94,657
$21,388
4.4× st 7.7×
448
Multiple level spinal fusion except cervical without mcc
13
$183,255
$40,208
4.6× st 4.6×
388
Gastrointestinal obstruction with mcc
13
$55,725
$22,982
2.4× st 4.5×
445
Disorders of the biliary tract with cc
13
$47,702
$13,294
3.6× st 6.9×
375
Digestive malignancy with cc
13
$44,957
$17,211
2.6× st 2.6×
069
Transient ischemia without thrombolytic
12
$38,483
$9,227
4.2× st 6.7×
602
Cellulitis with mcc
12
$95,216
$19,793
4.8× st 5.1×
405
Pancreas, liver and shunt procedures with mcc
12
$299,105
$61,567
4.9× st 9.7×
032
Ventricular shunt procedures with cc
12
$100,950
$23,320
4.3× st 4.3×
217
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
12
$274,163
$54,699
5.0× st 5.0×
144
Other ear, nose, mouth and throat o.r. procedures with cc
12
$66,213
$16,357
4.0× st 4.0×
011
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc
12
$308,391
$62,601
4.9× st 4.9×
085
Traumatic stupor and coma <1 hour with mcc
12
$120,863
$20,989
5.8× st 5.7×
828
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedur
12
$70,891
$21,695
3.3× st 3.3×
829
Myeloproliferative disorders or poorly differentiated neoplasms with other procedures wi
12
$120,382
$27,837
4.3× st 4.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$27,614
$7,001
3.9× st 5.0×
754
Malignancy, female reproductive system with mcc
12
$44,922
$18,377
2.4× st 2.4×
674
Other kidney and urinary tract procedures with cc
12
$96,062
$26,855
3.6× st 2.9×
482
Hip and femur procedures except major joint without cc/mcc
12
$89,868
$19,107
4.7× st 7.6×
737
Uterine and adnexa procedures for ovarian or adnexal malignancy with cc
12
$76,204
$18,137
4.2× st 4.2×
039
Extracranial procedures without cc/mcc
11
$77,249
$11,237
6.9× st 6.3×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
11
$187,609
$38,484
4.9× st 5.8×
935
Non-extensive burns
11
$97,474
$24,668
4.0× st 4.0×
005
Liver transplant with mcc or intestinal transplant
11
$722,885
$157,533
4.6× st 4.6×
451
Single level spinal fusion except cervical without mcc
11
$146,358
$26,690
5.5× st 6.7×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
11
$73,481
$13,561
5.4× st 6.5×
475
Amputation for musculoskeletal system and connective tissue disorders with cc
11
$103,047
$21,186
4.9× st 4.9×
240
Amputation for circulatory system disorders except upper limb and toe with cc
11
$198,980
$32,909
6.0× st 6.0×
326
Stomach, esophageal and duodenal procedures with mcc
11
$293,561
$72,168
4.1× st 8.8×
357
Other digestive system o.r. procedures with cc
11
$110,661
$19,889
5.6× st 5.6×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
11
$58,754
$11,017
5.3× st 6.9×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$78,115
$15,416
5.1× st 7.6×
304
Hypertension with mcc
11
$43,418
$12,598
3.4× st 5.2×
644
Endocrine disorders with cc
11
$53,099
$13,678
3.9× st 4.2×
001
Heart transplant or implant of heart assist system with mcc
11
$1,346,295
$340,532
4.0× st 4.0×
501
Soft tissue procedures with cc
11
$117,381
$20,207
5.8× st 5.8×
436
Malignancy of hepatobiliary system or pancreas with cc
11
$36,255
$16,053
2.3× st 2.3×
167
Other respiratory system o.r. procedures with cc
11
$87,836
$18,131
4.8× st 4.8×
615
Adrenal and pituitary procedures without cc/mcc
11
$58,454
$13,425
4.4× st 4.4×
742
Uterine and adnexa procedures for non-malignancy with cc/mcc
11
$90,728
$18,256
5.0× st 5.0×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
991
$9,111
$1,324
6.9×
5191
Level 1 Endovascular Procedures
696
$31,856
$2,671
11.9×
5372
Level 2 Urology and Related Services
669
$3,315
$570
5.8×
5302
Level 2 Upper GI Procedures
452
$14,117
$1,527
9.2×
8011
Comprehensive Observation Services
442
$23,655
$2,262
10.5×
5153
Level 3 Airway Endoscopy
441
$8,501
$1,407
6.0×
5373
Level 3 Urology and Related Services
392
$12,684
$1,656
7.7×
5183
Level 3 Vascular Procedures
344
$17,649
$2,577
6.8×
5213
Level 3 Electrophysiologic Procedures
308
$169,637
$19,014
8.9×
5165
Level 5 ENT Procedures
225
$43,052
$4,760
9.0×
5193
Level 3 Endovascular Procedures
204
$69,736
$9,024
7.7×
5154
Level 4 Airway Endoscopy
203
$27,321
$3,069
8.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
199
$20,380
$2,344
8.7×
5361
Level 1 Laparoscopy and Related Services
185
$46,576
$4,796
9.7×
5115
Level 5 Musculoskeletal Procedures
167
$67,902
$10,975
6.2×
5374
Level 4 Urology and Related Services
162
$27,798
$2,845
9.8×
5362
Level 2 Laparoscopy and Related Services
154
$62,299
$8,438
7.4×
5375
Level 5 Urology and Related Services
149
$39,239
$4,124
9.5×
5114
Level 4 Musculoskeletal Procedures
141
$52,553
$5,837
9.0×
5184
Level 4 Vascular Procedures
135
$36,797
$3,589
10.3×
5431
Level 1 Nerve Procedures
108
$11,048
$1,612
6.9×
5182
Level 2 Vascular Procedures
107
$7,830
$1,272
6.2×
5155
Level 5 Airway Endoscopy
100
$46,577
$5,668
8.2×
5192
Level 2 Endovascular Procedures
91
$35,094
$4,691
7.5×
5313
Level 3 Lower GI Procedures
84
$21,146
$2,248
9.4×
5113
Level 3 Musculoskeletal Procedures
82
$32,431
$2,567
12.6×
5331
Complex GI Procedures
76
$36,450
$4,708
7.7×
5164
Level 4 ENT Procedures
68
$20,093
$2,688
7.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
67
$25,528
$2,854
8.9×
5414
Level 4 Gynecologic Procedures
61
$28,655
$2,545
11.3×
5223
Level 3 Pacemaker and Similar Procedures
51
$55,613
$8,910
6.2×
5116
Level 6 Musculoskeletal Procedures
50
$94,641
$14,971
6.3×
5627
Level 7 Radiation Therapy
48
$70,060
$6,393
11.0×
5232
Level 2 ICD and Similar Procedures
48
$132,338
$26,848
4.9×
5416
Level 6 Gynecologic Procedures
46
$49,225
$6,308
7.8×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
46
$58,688
$5,349
11.0×
5303
Level 3 Upper GI Procedures
45
$28,164
$3,161
8.9×
5194
Level 4 Endovascular Procedures
45
$95,937
$13,423
7.1×
5415
Level 5 Gynecologic Procedures
44
$35,065
$4,095
8.6×
5222
Level 2 Pacemaker and Similar Procedures
42
$26,839
$7,092
3.8×
5163
Level 3 ENT Procedures
40
$11,834
$1,273
9.3×
5465
Level 5 Neurostimulator and Related Procedures
37
$92,019
$24,540
3.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
36
$39,954
$3,041
13.1×
5378
Level 8 Urology and Related Services
29
$62,039
$15,254
4.1×
5112
Level 2 Musculoskeletal Procedures
27
$21,121
$1,223
17.3×
5224
Level 4 Pacemaker and Similar Procedures
25
$95,879
$15,754
6.1×
5462
Level 2 Neurostimulator and Related Procedures
20
$29,114
$5,424
5.4×
5166
Cochlear Implant Procedure
16
$73,731
$27,913
2.6×
5212
Level 2 Electrophysiologic Procedures
12
$67,172
$6,234
10.8×
5464
Level 4 Neurostimulator and Related Procedures
12
$66,995
$17,398
3.9×
5376
Level 6 Urology and Related Services
11
$41,046
$7,690
5.3×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via uabmedicine.org/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-02-19, template 3.0.0, 2,160,360 rows scanned, 5,220 distinct code–setting items kept. 1,899 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
EXCISION OF RECTAL TUMOR, TRANSANAL ENDOSCOPIC MICROSURGICAL APPROACH (IE, TEMS), INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)
—
—
$717
1
clean
TRANSURETHRAL WATERJET ABLATION OF PROSTATE, INCLUDING CONTROL OF POST-OPERATIVE BLEEDING, INCLUDING ULTRASOUND GUIDANCE, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTER
—
—
$671
1
clean
IMPLANTATION OF NON-BIOLOGIC OR SYNTHETIC IMPLANT (EG, POLYPROPYLENE) FOR FASCIAL REINFORCEMENT OF THE ABDOMINAL WALL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$171
1
clean
ENDOVASCULAR VENOUS ARTERIALIZATION, TIBIAL OR PERONEAL VEIN, WITH TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT GRAFT(S) AND CLOSURE BY ANY METHOD, INCLUDING PERCUTANEOUS OR OPEN VASCULAR ACCESS, ULTRASOUND GUIDANCE FO
—
—
$1,209
1
clean
INJECTION(S), BONE-SUBSTITUTE MATERIAL (EG, CALCIUM PHOSPHATE) INTO SUBCHONDRAL BONE DEFECT (IE, BONE MARROW LESION, BONE BRUISE, STRESS INJURY, MICROTRABECULAR FRACTURE), INCLUDING IMAGING GUIDANCE AND ARTHROSCOPIC ASSI
—
—
$300
1
clean
OPEN INSERTION OR REPLACEMENT OF INTEGRATED NEUROSTIMULATION SYSTEM FOR BLADDER DYSFUNCTION INCLUDING ELECTRODE(S) (EG, ARRAY OR LEADLESS), AND PULSE GENERATOR OR RECEIVER, INCLUDING ANALYSIS, PROGRAMMING, AND IMAGING GU
—
—
$4,200
1
clean
Showing the first 200 of 5,220 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT 95905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $491 exceeds the gross charge $438
CPT 86886/o
warn
mrf_negotiated_above_gross
highest negotiated rate $211 exceeds the gross charge $181
CPT 95941/o
warn
mrf_negotiated_above_gross
highest negotiated rate $252 exceeds the gross charge $234
CPT 51102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,522 exceeds the gross charge $1,833
CPT 76816/o
warn
mrf_negotiated_above_gross
highest negotiated rate $277 exceeds the gross charge $244
CPT 86985/o
warn
mrf_negotiated_above_gross
highest negotiated rate $224 exceeds the gross charge $219
CPT 96138/o
warn
mrf_negotiated_above_gross
highest negotiated rate $491 exceeds the gross charge $394
CPT 96158/o
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $167
CPT J9395/o
warn
mrf_negotiated_above_gross
highest negotiated rate $79 exceeds the gross charge $14
CPT 59000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,072 exceeds the gross charge $510
CPT 61626/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,961 exceeds the gross charge $8,761
CPT 10140/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,995 exceeds the gross charge $1,629
CPT 10180/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,523 exceeds the gross charge $3,296
CPT 11000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $754 exceeds the gross charge $627
CPT 62269/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,995 exceeds the gross charge $1,650
CPT 77300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,000 exceeds the gross charge $1,305
CPT 63655/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26,399 exceeds the gross charge $25,306
CPT 11106/o
warn
mrf_negotiated_above_gross
highest negotiated rate $754 exceeds the gross charge $548
CPT 11300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $492 exceeds the gross charge $423
CPT 78290/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,046 exceeds the gross charge $923
CPT 11420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,995 exceeds the gross charge $1,813
CPT 78650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,397 exceeds the gross charge $2,383
CPT 12047/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,252 exceeds the gross charge $756
CPT 15115/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,252 exceeds the gross charge $1,867
CPT 99024/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $0
CPT P9025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $85
CPT 15830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,028 exceeds the gross charge $4,713
CPT 15877/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,507 exceeds the gross charge $3,376
CPT Q0166/o
warn
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $17
CPT 17108/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,252 exceeds the gross charge $2,140
CPT 19000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $866 exceeds the gross charge $841
CPT 69000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $866 exceeds the gross charge $648
CPT 69300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,992 exceeds the gross charge $3,266
CPT 69424/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,992 exceeds the gross charge $3,454
CPT 19100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,995 exceeds the gross charge $1,753
CPT 70134/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,427 exceeds the gross charge $641
CPT 70170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $629 exceeds the gross charge $581
CPT 19316/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,028 exceeds the gross charge $5,031
CPT 19325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,780 exceeds the gross charge $5,140
CPT 70300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $222
CPT 20500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,824 exceeds the gross charge $1,736
CPT 20982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $15,840 exceeds the gross charge $12,385
CPT 21030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,282 exceeds the gross charge $6,067
CPT A9558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $269
CPT 21235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,282 exceeds the gross charge $6,862
CPT 21299/o
warn
mrf_negotiated_above_gross
highest negotiated rate $286 exceeds the gross charge $0
CPT 26645/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,970 exceeds the gross charge $1,368
CPT A9579/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $0
CPT 27238/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,970 exceeds the gross charge $1,827
CPT C1602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,557 exceeds the gross charge $206
CPT 29740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $327 exceeds the gross charge $316
CPT 30400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,282 exceeds the gross charge $6,167
CPT 31287/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,522 exceeds the gross charge $8,050
CPT 31295/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,522 exceeds the gross charge $7,884
CPT 81226/o
warn
mrf_negotiated_above_gross
highest negotiated rate $976 exceeds the gross charge $502
CPT 81267/o
warn
mrf_negotiated_above_gross
highest negotiated rate $449 exceeds the gross charge $350
CPT 81268/o
warn
mrf_negotiated_above_gross
highest negotiated rate $564 exceeds the gross charge $545
CPT 31626/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,522 exceeds the gross charge $4,397
CPT 31628/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,539 exceeds the gross charge $3,996
CPT 31629/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,539 exceeds the gross charge $3,996
CPT 31634/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,522 exceeds the gross charge $3,623
CPT 31647/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,522 exceeds the gross charge $5,398
CPT 31661/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,522 exceeds the gross charge $7,664
CPT 32550/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,344 exceeds the gross charge $2,900
CPT J2507/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,034 exceeds the gross charge $4,793
CPT 33211/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,188 exceeds the gross charge $9,350
CPT 33217/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,188 exceeds the gross charge $8,024
CPT 33220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,480 exceeds the gross charge $4,368
CPT 88309/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,006 exceeds the gross charge $824
CPT 33233/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,188 exceeds the gross charge $6,396
CPT 33240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27,632 exceeds the gross charge $21,488
CPT 33285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,188 exceeds the gross charge $8,393
CPT 33289/o
warn
mrf_negotiated_above_gross
highest negotiated rate $34,996 exceeds the gross charge $31,246
CPT 88319/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,006 exceeds the gross charge $836
CPT 72255/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,056 exceeds the gross charge $1,920
CPT 81418/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,985 exceeds the gross charge $1,219
CPT 72285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,082 exceeds the gross charge $3,439
CPT 88344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $443 exceeds the gross charge $401
CPT 72295/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,082 exceeds the gross charge $3,647
CPT 88362/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,006 exceeds the gross charge $975
CPT J3030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $39
CPT J3240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,910 exceeds the gross charge $2,806
CPT 73115/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $697
CPT C1877/o
warn
mrf_negotiated_above_gross
highest negotiated rate $451 exceeds the gross charge $172
CPT J3300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $2
CPT 36557/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,655 exceeds the gross charge $4,355
CPT 36596/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,912 exceeds the gross charge $1,190
CPT 36600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $232
CPT 37200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,655 exceeds the gross charge $4,633
CPT 90702/o
warn
mrf_negotiated_above_gross
highest negotiated rate $47 exceeds the gross charge $2
CPT 37242/o
warn
mrf_negotiated_above_gross
highest negotiated rate $22,105 exceeds the gross charge $18,285
CPT 38240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $72,806 exceeds the gross charge $8,393
CPT 40820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,992 exceeds the gross charge $2,196
CPT J7308/o
warn
mrf_negotiated_above_gross
highest negotiated rate $539 exceeds the gross charge $534
CPT 41105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,992 exceeds the gross charge $3,368
CPT 41108/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,995 exceeds the gross charge $1,558
CPT 41116/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,992 exceeds the gross charge $3,532
CPT 92504/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,436 exceeds the gross charge $224
CPT 43214/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,335 exceeds the gross charge $1,790
CPT 43240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,328 exceeds the gross charge $5,456
CPT C9352/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,398 exceeds the gross charge $2,274
CPT 74190/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,427 exceeds the gross charge $1,279
CPT 92587/o
warn
mrf_negotiated_above_gross
highest negotiated rate $383 exceeds the gross charge $327
CPT 43266/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,328 exceeds the gross charge $7,080
CPT J9029/o
warn
mrf_negotiated_above_gross
highest negotiated rate $87,096 exceeds the gross charge $85,593
CPT C9797/o
warn
mrf_negotiated_above_gross
highest negotiated rate $22,105 exceeds the gross charge $18,285
CPT 44370/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,328 exceeds the gross charge $5,846
CPT 44402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,328 exceeds the gross charge $5,336
CPT 44500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,154 exceeds the gross charge $1,034
CPT 45307/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,376 exceeds the gross charge $1,738
CPT 45308/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,376 exceeds the gross charge $1,971
CPT 75605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,067 exceeds the gross charge $8,731
CPT 45327/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,328 exceeds the gross charge $5,838
CPT 75630/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $7,355
CPT 93602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,341 exceeds the gross charge $7,668
CPT G0396/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $71
CPT 93610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,341 exceeds the gross charge $6,565
CPT 75705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,067 exceeds the gross charge $7,066
CPT 75710/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $5,732
CPT 75716/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $7,575
CPT 45390/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,376 exceeds the gross charge $2,821
CPT 75726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,067 exceeds the gross charge $7,224
CPT 46945/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,376 exceeds the gross charge $2,457
CPT 46946/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,376 exceeds the gross charge $3,194
CPT 75741/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $6,335
CPT 75746/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $3,617
CPT 75756/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $4,604
CPT 47532/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,344 exceeds the gross charge $3,831
CPT 75803/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,042 exceeds the gross charge $3,480
CPT 75805/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $4,153
CPT 75807/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $3,351
CPT 75810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $5,984
CPT 47552/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,681 exceeds the gross charge $5,550
CPT 75820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,042 exceeds the gross charge $2,661
CPT J9178/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $10
CPT 47553/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,681 exceeds the gross charge $3,907
CPT 75822/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,042 exceeds the gross charge $3,301
CPT 47554/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,817 exceeds the gross charge $9,222
CPT 75825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $4,824
CPT 47556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,817 exceeds the gross charge $5,569
CPT 75831/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $5,433
CPT 75833/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $5,738
CPT 94664/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $214
CPT 75840/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $6,391
CPT 75860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $3,608
CPT 75870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $3,191
CPT 75885/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $2,955
CPT 75887/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $4,472
CPT 75889/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $7,340
CPT 75891/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $3,787
CPT 95004/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,252 exceeds the gross charge $121
CPT 49441/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,335 exceeds the gross charge $2,053
CPT 75893/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,067 exceeds the gross charge $5,148
CPT 95044/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,252 exceeds the gross charge $119
CPT 49460/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,154 exceeds the gross charge $448
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,190 exceeds the gross charge $2,726
CPT 95115/o
warn
mrf_negotiated_above_gross
highest negotiated rate $57 exceeds the gross charge $52
CPT 95801/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,352 exceeds the gross charge $1,276
CPT 50387/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,522 exceeds the gross charge $1,793
warn
mrf_rate_without_estimate
624 of 624 percentage/algorithm rates across 241 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 50435/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 76641/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 83550/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 86870/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 95887/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0490/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9281/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 50592/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 76642/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 83605/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 86880/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0561/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J9286/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 50593/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 76706/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 83615/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 95925/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0571/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9299/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 50688/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 76770/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 83655/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 86900/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 95926/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0584/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J9303/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 50693/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 76776/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 83690/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 86901/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 95930/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J0585/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9305/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 50694/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 76802/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 83695/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 86905/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 95937/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J0592/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT J9306/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
Showing the first 200 of 1,899 findings, errors first — every finding as JSON →
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- UAB Hospital — standard charges file · AL · updated 2026-02-19found via cms-hpt.txt · csv-tall · 61.2M bytes · fetched 2026-08-22 · sha256 4b4fb8953e8b…
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.