Hospital · CCN 010087

Usa Health University Hospital

2451 Fillingim Street, Mobile, AL 36617 · Mobile County
Part of University of South Alabama Hospitals · 264 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

36 admission types 50 outpatient services price file: ok
Billed per dollar paid, all admissions
2.27×
$38.3M billed against $16.9M paid across 698 Medicare discharges; the national figure is 5.03×.
7.0%
of adults in Mobile County have medical debt in collections
11.8%
uninsured in the county · state 10.5%
$56K
median household income
3.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 in the inpatient or outpatient file)ⓘ
39.0%
obesity in the countyⓘ
16.1%
diagnosed diabetes (PLACES)
7.3%
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
57
$59,355
$25,299
2.3× st 5.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
53
$58,377
$21,039
2.8× st 6.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
39
$37,418
$15,199
2.5× st 5.9×
812
Red blood cell disorders without mcc
31
$30,540
$14,924
2.0× st 4.1×
025
Craniotomy and endovascular intracranial procedures with mcc
30
$104,457
$43,225
2.4× st 5.6×
552
Medical back problems without mcc
29
$23,530
$13,750
1.7× st 4.7×
291
Heart failure and shock with mcc
28
$27,676
$17,263
1.6× st 4.5×
481
Hip and femur procedures except major joint with cc
27
$62,606
$25,317
2.5× st 6.0×
330
Major small and large bowel procedures with cc
20
$39,935
$22,483
1.8× st 6.6×
690
Kidney and urinary tract infections without mcc
18
$24,917
$12,715
2.0× st 4.3×
189
Pulmonary edema and respiratory failure
18
$30,988
$14,217
2.2× st 5.6×
101
Seizures without mcc
18
$18,025
$11,263
1.6× st 4.9×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
17
$72,916
$23,259
3.1× st 4.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
17
$140,118
$55,819
2.5× st 5.8×
083
Traumatic stupor and coma >1 hour with cc
17
$33,051
$17,117
1.9× st 5.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
17
$26,593
$12,068
2.2× st 5.2×
460
Spinal fusion except cervical without mcc
16
$90,395
$44,858
2.0× st 7.4×
082
Traumatic stupor and coma >1 hour with mcc
16
$41,668
$24,291
1.7× st 5.6×
100
Seizures with mcc
15
$84,517
$27,998
3.0× st 5.8×
928
Full thickness burn with skin graft or inhalation injury with cc/mcc
15
$175,950
$83,062
2.1× st 2.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
14
$57,528
$22,901
2.5× st 4.8×
378
Gastrointestinal hemorrhage with cc
14
$27,399
$12,087
2.3× st 5.9×
086
Traumatic stupor and coma <1 hour with cc
14
$26,717
$14,932
1.8× st 3.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$20,512
$11,031
1.9× st 4.3×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
13
$160,296
$57,247
2.8× st 4.9×
551
Medical back problems with mcc
13
$42,074
$23,095
1.8× st 4.8×
057
Degenerative nervous system disorders without mcc
13
$34,368
$24,762
1.4× st 3.6×
331
Major small and large bowel procedures without cc/mcc
13
$33,056
$16,721
2.0× st 8.0×
329
Major small and large bowel procedures with mcc
13
$116,202
$50,462
2.3× st 6.5×
087
Traumatic stupor and coma <1 hour without cc/mcc
12
$13,040
$10,541
1.2× st 4.7×
811
Red blood cell disorders with mcc
12
$33,309
$17,334
1.9× st 4.3×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
12
$71,836
$31,638
2.3× st 5.5×
193
Simple pneumonia and pleurisy with mcc
11
$26,299
$15,658
1.7× st 5.1×
603
Cellulitis without mcc
11
$17,799
$11,598
1.5× st 4.0×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
11
$112,370
$34,888
3.2× st 5.1×
964
Other multiple significant trauma with cc
11
$31,695
$17,466
1.8× st 4.1×
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
5302
Level 2 Upper GI Procedures
155
$7,631
$1,541
5.0×
5373
Level 3 Urology and Related Services
83
$7,282
$1,673
4.4×
8011
Comprehensive Observation Services
79
$11,031
$2,183
5.1×
5374
Level 4 Urology and Related Services
62
$8,418
$2,891
2.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
60
$6,096
$1,286
4.7×
5184
Level 4 Vascular Procedures
58
$22,171
$4,557
4.9×
5183
Level 3 Vascular Procedures
56
$10,134
$2,643
3.8×
5375
Level 5 Urology and Related Services
38
$9,913
$4,114
2.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
34
$9,712
$2,305
4.2×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
31
$14,067
$5,407
2.6×
5191
Level 1 Endovascular Procedures
30
$7,739
$2,647
2.9×
5193
Level 3 Endovascular Procedures
27
$43,873
$9,117
4.8×
5464
Level 4 Neurostimulator and Related Procedures
26
$71,205
$18,097
3.9×
5362
Level 2 Laparoscopy and Related Services
25
$28,286
$8,533
3.3×
5313
Level 3 Lower GI Procedures
23
$8,406
$2,328
3.6×
5361
Level 1 Laparoscopy and Related Services
22
$18,129
$4,784
3.8×
5155
Level 5 Airway Endoscopy
20
$25,324
$5,675
4.5×
5114
Level 4 Musculoskeletal Procedures
16
$23,221
$5,636
4.1×
5182
Level 2 Vascular Procedures
16
$3,875
$1,328
2.9×
5465
Level 5 Neurostimulator and Related Procedures
13
$92,544
$23,825
3.9×
5331
Complex GI Procedures
13
$29,313
$4,726
6.2×
5113
Level 3 Musculoskeletal Procedures
12
$7,679
$2,684
2.9×
5115
Level 5 Musculoskeletal Procedures
11
$43,006
$10,901
3.9×
5192
Level 2 Endovascular Procedures
11
$12,683
$4,739
2.7×
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-04-30, template 3.0.0, 2,264,732 rows scanned, 18,755 distinct code–setting items kept. 8,581 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEA Molecular Panel (American Red Cross)
$697
$697
$720
22
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$503
13
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$503
13
clean
ONCO PRST8 3 GENE UR ALG
—
—
$760
15
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$760
15
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$760
15
clean
Anesthesia for procedures on eye not otherwise specified 00140
$50
$50
$25
1
clean
Anesthesia lens surgery 00142
$50
$50
$25
1
clean
Anesthesia corneal transplant 00144
$50
$50
$25
1
clean
Anesthesia vitreoretinal surgery 00145
$50
$50
$25
1
clean
Anesthesia iridectomy 00147
$50
$50
$25
1
clean
Anesthesia ophthalmoscopy 00148
$50
$50
$25
1
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,305
15
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,490
15
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,002
15
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$249
15
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$34
15
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,600
15
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$122
15
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$742
15
clean
Head and Neck Deep sedation 00300
$62
$62
$31
2
clean
TPMT NUDT15 GENES
—
—
$466
15
clean
Strep pneumoniae Ab (IgG) (14 Serotypes)-Q - 86317
$44
$44
$541
44
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,500
15
clean
Chest (anterior) Deep sedation 00400
$55
$55
$28
6
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$17
15
clean
CTA HEAD and NECK w BRAIN PERFUSION (M) ADD ON 2
$627
$627
$439
11
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$17
15
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
15
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
15
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,873
15
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,873
15
clean
Bronchoscopy Deep sedation 00520
$64
$64
$32
2
clean
Thoracentesis Deep sedation 00524
$55
$55
$28
1
clean
Central Venous Access (PICC) Deep sedation 00532
$55
$55
$28
2
clean
BONE SRGRY CMPTR FLUOR IMAGE
—
—
$345
2
clean
BONE SRGRY CMPTR CT/MRI IMAG
—
—
$345
2
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$323
15
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$323
15
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$25
15
clean
Lumbar puncture Deep sedation 00635
$55
$55
$28
1
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$31
15
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$18
15
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$143
15
clean
Abdomen (upper) Deep sedation 00700
$55
$55
$28
1
clean
Liver Biopsy Deep sedation 00702
$55
$55
$28
1
clean
Anesthesia for procedures on upper posterior abdominal wall 00730
$50
$50
$25
1
clean
Anesthesia Upper GI Endoscopic Proximal to duodenum NOS 00731
$428
$428
$214
1
clean
Anesthesia Upper GI Endoscopic Proximal to duodenum ERCP 00732
$428
$428
$214
1
clean
Anesthesia for hernia repairs in upper abdomen not otherwise specified 00750
$50
$50
$25
1
clean
Anesthesia lumbar and ventral (incisional) hernias and/or wound dehiscence 00752
$50
$50
$25
1
clean
Anesthesia omphalocele 00754
$50
$50
$25
1
clean
Anesthesia transabdominal repair of diaphragmatic hernia 00756
$50
$50
$25
1
clean
TRANSCATH PLACE EXTRACRAN VERT ART STENT
$680
$680
$442
11
clean
Transcatheter Placement of Extracranial Vertebral Artery Stent 0075T
$1,611
$1,611
$806
1
clean
Anesthesia for all procedures on major abdominal blood vessels 00770
$50
$50
$25
1
clean
IG PARAPROTEIN QUAL BLD/UR
—
—
$43
15
clean
Anesthesia for intraperitoneal procedures in upper abdomen laparoscopy not otherwise specified 00790
$50
$50
$25
1
clean
Abdomen (lower) Deep sedation 00800
$55
$55
$28
1
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,520
15
clean
Anesthesia lower intestine endoscopic distal duodenum NOS 00811
$473
$473
$237
1
clean
Anesthesia lower intestine endoscopic distal duodenum screening colonoscopy 00812
$473
$473
$237
1
clean
Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, 00813
$473
$473
$237
1
clean
Renal Biopsy Deep sedation 00860
$55
$55
$28
1
clean
ONC MLNMA PRAME & LINC00518
—
—
$760
15
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$1,950
15
clean
ESW MUSCSKEL SYS NOS
—
—
$1,242
2
clean
HERED COLON CA DO 15 GENES
—
—
$1,744
15
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$950
15
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$874
15
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$4,950
15
clean
Bone Marrow Deep sedation 01112
$55
$55
$28
1
clean
IADI 16S&18S RRNA GENES
—
—
$356
15
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,753
15
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$84
15
clean
HERED BRST CA RLTD DO PANEL
—
—
$1,304
15
clean
Karius Test
$4,000
$4,000
$2,126
22
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
—
$112
15
clean
LIVER DS 10 BIOCHEM ASY SRM
—
—
$503
15
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
—
$3,030
15
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
—
$1,305
15
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$1,242
2
clean
Non invasive imaging Deep sedation 01922
$147
$147
$79
10
clean
ECHO Deep sedation 01922
$65
$65
$33
2
clean
Anesthesia intracranial intracardiac, or aortic 01926
$50
$50
$25
1
clean
Less than 4% burn Deep sedation 01951
$55
$55
$28
1
clean
4-9% burn Deep sedation 01952
$55
$55
$28
1
clean
Each additional 9% burn Deep sedation 01953
$81
$81
$41
1
clean
OBGYN Nitrous Gas
$75
$75
$38
1
clean
PERQ SACRAL AUGMT UNILAT INJ
—
—
$1,242
2
clean
PERQ SACRAL AUGMT BILAT INJ
—
—
$1,242
2
clean
POST VERT ARTHRPLST 1 LUMBAR
—
—
$3,638
2
clean
Biofire Respiratory panel 2.1
$1,081
$1,081
$417
22
clean
NEURO ALZHEIMER CELL AGGREGJ
—
—
$2,215
15
clean
CLEAR EYELID GLAND W/HEAT
—
—
$345
2
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$511
15
clean
NJX PLATELET PLASMA
—
—
$345
2
clean
Injection, platelet rich plasma, any site, w/ image guidance 0232T
$996
$996
$498
1
clean
TRLUML PERIP ATHRC BRCHIOCPH
—
—
$4,265
2
clean
ILIAC ATHERECTOMY EA VESSEL
$25,600
$25,600
$12,800
13
clean
TRGT GEN SEQ ALYS PNL 311+
—
—
$3,500
15
clean
Outpatient Services
—
—
$143
15
clean
Outpatient Services
—
—
$143
15
clean
TRGT GEN SEQ ALYS PNL 55-74
—
—
$5,000
15
clean
ONC THYR MUT ALYS 10 GEN&37
—
—
$1,266
15
clean
ONC SLD ORG NEO DNA 505 GENE
—
—
$2,920
15
clean
Ambulatory Surgery
—
—
$7,406
2
clean
Ambulatory Surgery
—
—
$7,406
2
clean
Ambulatory Surgery
—
—
$3,638
2
clean
TEMPR
—
—
$345
2
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$3,873
15
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,435
15
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$391
15
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$391
15
clean
NFCT DS BCT QUAN ANTMCRB SC
—
—
$8
15
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$841
15
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$8,500
15
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,650
15
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,000
15
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,438
15
clean
ONC SLD ORGN TGSA DNA 84/+
—
—
$3,500
15
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,435
15
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,435
15
clean
TRNSCTH RENAL SYMP DENRV BIL
$22,808
$22,808
$12,316
26
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$760
15
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$3,590
15
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$792
15
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,336
15
clean
Outpatient Services
—
—
$93
13
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$1,336
15
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$742
15
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$742
15
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
—
$261
15
clean
Outpatient Services
—
—
$143
13
clean
Outpatient Services
—
—
$70
13
clean
APOL1 Renal Risk Var Genotype-Q
$1,695
$1,695
$137
22
clean
ONC OROP/ANAL 17 DNA DDPCR
—
—
$1,800
15
clean
NEURO ALYS ß-AMYL 1-42&1-40
—
—
$261
15
clean
ONC PRST8 CA ALYS ALL PSA
—
—
$760
15
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
—
$841
15
clean
Outpatient Services
—
—
$116
15
clean
ONC URTHL MRNA 5 GEN ALG
—
—
$760
15
clean
ONC BLDR 10 UR HRBR URTHL CA
—
—
$897
15
clean
ONC BLDR 10 PRB RECR BLDR CA
—
—
$897
15
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
—
$897
15
clean
ONC PRST8 CA IMG ALYS 128
—
—
$706
15
clean
TGSAP SL OR NEO DNA523&RNA55
—
—
$3,289
15
clean
Outpatient Services
—
—
$417
13
clean
ONC NONSM CLL LNG CA 37 GEN
—
—
$3,500
15
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
—
$541
15
clean
PFAS 16 PFAS COMPND LC MS/MS
—
—
$199
15
clean
GI BARET ESPH DNA MTHYLN ALY
—
—
$1,755
15
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
—
$1,105
2
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
—
$760
15
clean
ONC BRST SEMIQ MEAS THYM KN
—
—
$323
15
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
—
$760
15
clean
NEPH DBTC CKD MULT ECLIA ALG
—
—
$950
15
clean
INSJ/RPLC CARDIAC MODULJ SYS
—
—
$9,406
2
clean
ONC SLD TUM DNA 80 & RNA 36
—
—
$2,920
15
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,336
15
clean
CV DS ACS BLD ALG 5 YR SCORE
—
—
$391
15
clean
Ambulatory Surgery
—
—
$2,258
2
clean
ONC PAN SOLID TUM ALYS DNA
—
—
$1,943
13
clean
GI MALABS AAT CALPRO PNCRTC
—
—
$62
15
clean
GLY RCPTR ALPHA1 IGG SRM/CSF
—
—
$37
15
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
—
$37
15
clean
ONC PRST8 5 DNA REG MRK PCR
—
—
$760
15
clean
RX METAB ADVRS VRNT ALYS 25
—
—
$417
15
clean
IMPLTJ SYNTH RNFCMT ABDL WAL
—
—
$345
2
clean
ABLTJ PERC LXTR/PERPH NRV
—
—
$2,258
2
clean
ABLTJ PERC PLEX/TRNCL NRV
—
—
$2,258
2
clean
NEURFLMNT LT CHN ULTRSENS IA
—
—
$116
13
clean
Creation of subQ pocket/insert implantable glucose sensor/system activation/patient training 0446T
$100
$100
$50
1
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
—
$6,320
15
clean
Removal of Implantable interstitial glucose sensor from subcutaneous pocket via incision 0447T
$100
$100
$50
1
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
—
$101
15
clean
Remove Impl glucose sensor/create a subQ pockt at diffrnt site/insert new impl sensor/sys Act 0448T
$100
$100
$50
1
clean
REMVL INSJ IMPLTBL GLUC SENS
—
—
$6,220
15
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
$2,258
2
clean
ONC SLD TUM BLD/SLV 648 GENE
—
—
$4,500
15
clean
HERED PRST8 CA GSAP 23 GENES
—
—
$1,304
15
clean
FXJL ABL LSR 1ST 100 SQ CM
—
—
$501
2
clean
FXJL ABL LSR EA ADDL 100SQCM
—
—
$345
2
clean
TMVI PERCUTANEOUS APPROACH
—
—
$690
2
clean
TMVI TRANSTHORACIC EXPOSURE
—
—
$690
2
clean
ONC SOL TUM CFDNA&RNA NGS GM
—
—
$3,649
13
clean
PREP & CANNULJ CDVR DON LUNG
—
—
$690
2
clean
MNTR CDVR DON LNG 1ST 2 HRS
—
—
$690
2
clean
EV FEMPOP ARTL REVSC
—
—
$4,265
2
clean
PATTERN ERG W/I&R
—
—
$78
13
clean
ESW INTEG WND HLG 1ST WND
—
—
$345
2
clean
ESW INTEG WND HLG EA ADDL
—
—
$345
2
clean
NTRAPX C FFR W/3D FUNCJL MAP
—
—
$345
2
clean
INSJ/RPLCMT COMPL IIMS
—
—
$4,265
2
clean
TTVR PERQ APPR 1ST PROSTH
—
—
$690
2
clean
TTVR PERQ EA ADDL PROSTH
—
—
$690
2
clean
INSJ/RPLCMT ICDS SS ELTRD
—
—
$9,406
2
clean
ABLTJ MAL BRST TUM PERQ CRTX
—
—
$1,105
2
clean
ABLT IRE 1+ O/T LV/PRST8 PRQ
—
—
$3,638
2
clean
ABLTJ IRE 1+TUMORS OPEN
—
—
$3,638
2
clean

Showing the first 200 of 18,755 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT G0269/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $98
CPT 26010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $506 exceeds the gross charge $358
CPT 29130/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $164
CPT 84466/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17 exceeds the gross charge $12
CPT 20560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $35
CPT 29131/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $116
CPT J7504/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,145 exceeds the gross charge $2,453
CPT 29240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $150
CPT 97026/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $84
CPT G0378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,864 exceeds the gross charge $40
CPT 36908/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,878 exceeds the gross charge $1,668
CPT G0379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,864 exceeds the gross charge $812
CPT 29260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $150
CPT 24220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $182
CPT 29280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $150
CPT 27781/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,310 exceeds the gross charge $1,230
CPT 37183/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,296 exceeds the gross charge $6,686
CPT 91065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $209
CPT 27232/o
warn
mrf_negotiated_above_gross
highest negotiated rate $941 exceeds the gross charge $480
CPT 37184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,291 exceeds the gross charge $13,415
CPT 37186/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,562 exceeds the gross charge $241
CPT 42550/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $158
CPT 27788/o
warn
mrf_negotiated_above_gross
highest negotiated rate $673 exceeds the gross charge $294
CPT 57452/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $294
CPT 84585/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $15
CPT 97130/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $106
CPT 27810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,310 exceeds the gross charge $1,247
CPT 0588U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,026 exceeds the gross charge $488
CPT 42700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $350
CPT 84681/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $14
CPT 82024/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $22
CPT 84704/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $18
CPT 87350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $12
CPT G0483/o
warn
mrf_negotiated_above_gross
highest negotiated rate $333 exceeds the gross charge $270
CPT 0780T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $175
CPT 57461/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,548 exceeds the gross charge $2,480
CPT 29530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $150
CPT 50590/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,811 exceeds the gross charge $2,923
CPT 97542/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $131
CPT 29540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $150
CPT 81170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $405 exceeds the gross charge $400
CPT 29580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $263
CPT 97598/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $250
CPT 27830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $588 exceeds the gross charge $368
CPT 82135/o
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $18
CPT 92508/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $66
CPT 76015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $72 exceeds the gross charge $50
CPT 97755/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $100
CPT 27840/o
warn
mrf_negotiated_above_gross
highest negotiated rate $611 exceeds the gross charge $473
CPT 76019/o
warn
mrf_negotiated_above_gross
highest negotiated rate $207 exceeds the gross charge $119
CPT 82157/o
warn
mrf_negotiated_above_gross
highest negotiated rate $40 exceeds the gross charge $36
CPT 76376/o
warn
mrf_negotiated_above_gross
highest negotiated rate $525 exceeds the gross charge $502
CPT 97761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $103
CPT 50706/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,070 exceeds the gross charge $658
CPT 82166/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $40
CPT 29799/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $191
CPT 76377/o
warn
mrf_negotiated_above_gross
highest negotiated rate $525 exceeds the gross charge $502
CPT 82172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $16
CPT 98960/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $38
CPT 24500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $560 exceeds the gross charge $236
CPT 58110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $341
CPT 98966/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $23
CPT 22512/o
warn
mrf_negotiated_above_gross
highest negotiated rate $999 exceeds the gross charge $300
CPT 76390/o
warn
mrf_negotiated_above_gross
highest negotiated rate $917 exceeds the gross charge $168
CPT 22515/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,020 exceeds the gross charge $300
CPT 98967/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $43
CPT 98968/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $62
CPT 98971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $31 exceeds the gross charge $28
CPT 98972/o
warn
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $43
CPT 82308/o
warn
mrf_negotiated_above_gross
highest negotiated rate $36 exceeds the gross charge $29
CPT 99204/o
warn
mrf_negotiated_above_gross
highest negotiated rate $239 exceeds the gross charge $171
CPT 99205/o
warn
mrf_negotiated_above_gross
highest negotiated rate $320 exceeds the gross charge $171
CPT 99214/o
warn
mrf_negotiated_above_gross
highest negotiated rate $183 exceeds the gross charge $171
CPT 11102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $277
CPT 99215/o
warn
mrf_negotiated_above_gross
highest negotiated rate $260 exceeds the gross charge $171
CPT 42999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $350
CPT 11103/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $143
CPT 54220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $307
CPT 99244/o
warn
mrf_negotiated_above_gross
highest negotiated rate $217 exceeds the gross charge $171
CPT 81208/o
warn
mrf_negotiated_above_gross
highest negotiated rate $290 exceeds the gross charge $157
CPT 99245/o
warn
mrf_negotiated_above_gross
highest negotiated rate $283 exceeds the gross charge $171
CPT 11107/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $187
CPT 24600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $643 exceeds the gross charge $314
CPT 47541/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,166 exceeds the gross charge $3,566
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $625 exceeds the gross charge $282
CPT 64480/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $331
CPT 99282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $625 exceeds the gross charge $323
CPT 64484/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $331
CPT 85598/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $15
CPT 99283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $625 exceeds the gross charge $612
CPT 99284/o
warn
mrf_negotiated_above_gross
highest negotiated rate $932 exceeds the gross charge $739
CPT 58300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $310
CPT 82390/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14 exceeds the gross charge $12
CPT 99292/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,164 exceeds the gross charge $134
CPT 24640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $300
CPT 81220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $751 exceeds the gross charge $712
CPT 87556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $37
CPT 92613/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $100
CPT A0425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $350 exceeds the gross charge $35
CPT 24650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $407 exceeds the gross charge $368
CPT 92615/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $89
CPT 92617/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $111
CPT 24655/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,310 exceeds the gross charge $368
CPT 86008/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $11
CPT 31720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $310
CPT 92921/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,811 exceeds the gross charge $2,417
CPT 81229/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,566 exceeds the gross charge $1,400
CPT 27369/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $311
CPT 61623/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,966 exceeds the gross charge $4,623
CPT 86060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $8
CPT 61624/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,468 exceeds the gross charge $3,932
CPT 61626/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,142 exceeds the gross charge $11,817
CPT 61641/o
warn
mrf_negotiated_above_gross
highest negotiated rate $723 exceeds the gross charge $241
CPT 61642/o
warn
mrf_negotiated_above_gross
highest negotiated rate $723 exceeds the gross charge $241
CPT 82626/o
warn
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $29
CPT 92950/o
warn
mrf_negotiated_above_gross
highest negotiated rate $512 exceeds the gross charge $390
CPT 0001U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $972 exceeds the gross charge $697
CPT 61651/o
warn
mrf_negotiated_above_gross
highest negotiated rate $723 exceeds the gross charge $305
CPT 82652/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $29
CPT 86162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $25
CPT 82664/o
warn
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $65
CPT 77013/o
warn
mrf_negotiated_above_gross
highest negotiated rate $525 exceeds the gross charge $362
CPT 82747/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $12
CPT A9551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $891 exceeds the gross charge $872
CPT 87906/o
warn
mrf_negotiated_above_gross
highest negotiated rate $174 exceeds the gross charge $89
CPT 64636/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $324
CPT 88104/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $100
CPT 32160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,043 exceeds the gross charge $899
CPT 51600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $525 exceeds the gross charge $342
CPT 88108/o
warn
mrf_negotiated_above_gross
highest negotiated rate $93 exceeds the gross charge $76
CPT 88120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $732 exceeds the gross charge $171
CPT 51610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $311
CPT 88121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $532 exceeds the gross charge $407
CPT 51701/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $157
CPT 93314/o
warn
mrf_negotiated_above_gross
highest negotiated rate $312 exceeds the gross charge $265
CPT 51702/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $226
CPT 86357/o
warn
mrf_negotiated_above_gross
highest negotiated rate $51 exceeds the gross charge $31
CPT 77318/o
warn
mrf_negotiated_above_gross
highest negotiated rate $625 exceeds the gross charge $479
CPT 82941/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $19
CPT 86361/o
warn
mrf_negotiated_above_gross
highest negotiated rate $36 exceeds the gross charge $34
CPT 51705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $251
CPT 70554/o
warn
mrf_negotiated_above_gross
highest negotiated rate $917 exceeds the gross charge $712
CPT 11732/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $257
CPT 51725/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $335
CPT 93463/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $180
CPT 11740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $90
CPT 77338/o
warn
mrf_negotiated_above_gross
highest negotiated rate $641 exceeds the gross charge $529
CPT 88160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $110 exceeds the gross charge $90
CPT 51726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $366 exceeds the gross charge $335
CPT 88161/o
warn
mrf_negotiated_above_gross
highest negotiated rate $112 exceeds the gross charge $46
CPT 82985/o
warn
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $12
CPT 26605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $508 exceeds the gross charge $338
CPT 77407/o
warn
mrf_negotiated_above_gross
highest negotiated rate $418 exceeds the gross charge $248
CPT 93566/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $219
CPT 16000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $169
CPT 51728/o
warn
mrf_negotiated_above_gross
highest negotiated rate $557 exceeds the gross charge $546
CPT 93567/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $219
CPT 88173/o
warn
mrf_negotiated_above_gross
highest negotiated rate $225 exceeds the gross charge $117
CPT 25246/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $310
CPT 77750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $534 exceeds the gross charge $338
CPT 83020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17 exceeds the gross charge $5
CPT 93572/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $168
CPT 11900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $250
CPT 30300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $292
CPT 88177/o
warn
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $11
CPT 77763/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,069 exceeds the gross charge $1,056
CPT 51784/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $198
CPT 77768/o
warn
mrf_negotiated_above_gross
highest negotiated rate $498 exceeds the gross charge $437
CPT L8614/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,747 exceeds the gross charge $5,380
CPT 86622/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $8
CPT 88189/o
warn
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $15
CPT 86638/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $13
CPT 26700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $549 exceeds the gross charge $338
CPT 77772/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,235 exceeds the gross charge $1,056
CPT 51798/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $157
CPT 17111/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $310
CPT 77778/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,259 exceeds the gross charge $763
CPT 86665/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $20
CPT 17250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $250
CPT 86668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $8
CPT 78195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $441 exceeds the gross charge $429
CPT 11981/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $310
CPT 26725/o
warn
mrf_negotiated_above_gross
highest negotiated rate $534 exceeds the gross charge $473
CPT 83497/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17 exceeds the gross charge $15
CPT 83498/o
warn
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $35
CPT 59020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $240
CPT 12001/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $269
CPT 23330/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,321 exceeds the gross charge $906
CPT 36000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $294
CPT 88283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $93 exceeds the gross charge $87
CPT 12002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $269
CPT 36005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $125
CPT 59025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $240
CPT 0075T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $723 exceeds the gross charge $680
CPT 36010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $692 exceeds the gross charge $425
CPT 12004/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $269
CPT 26755/o
warn
mrf_negotiated_above_gross
highest negotiated rate $514 exceeds the gross charge $473
CPT 36011/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,056 exceeds the gross charge $461
CPT 40830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $309
CPT 23350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $310

Showing the first 200 of 8,581 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. 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)
  3. 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
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 640.9M bytes · fetched 2026-08-26 · sha256 0b04ce6beb4f…

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.