Hospital · CCN 010131
Crestwood Medical Center
One Hospital Dr Se, Huntsville, AL 35801 · Madison County
Part of Community Health Systems · 164 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
55 admission types 54 outpatient services price file: ok 54 Medicare-file findings
Billed per dollar paid, all admissions
15.07×
$224.7M billed against $14.9M paid across 1,440 Medicare discharges; the national figure is 5.03×.
5.5%
of adults in Madison County have medical debt in collections
8.1%
uninsured in the county · state 10.5%
$86K
median household income
6.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
39.9%
obesity in the countyⓘ
12.1%
diagnosed diabetes (PLACES)
5.8%
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
141
$174,632
$11,774
14.8× st 5.5×
291
Heart failure and shock with mcc
72
$111,000
$8,571
13.0× st 4.5×
193
Simple pneumonia and pleurisy with mcc
63
$137,309
$9,068
15.1× st 5.1×
690
Kidney and urinary tract infections without mcc
55
$81,987
$5,459
15.0× st 4.3×
177
Respiratory infections and inflammations with mcc
55
$157,841
$10,458
15.1× st 5.0×
378
Gastrointestinal hemorrhage with cc
47
$97,843
$6,464
15.1× st 5.9×
455
Combined anterior and posterior spinal fusion without cc/mcc
46
$483,738
$29,147
16.6× st 7.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
46
$78,397
$5,888
13.3× st 5.2×
309
Cardiac arrhythmia and conduction disorders with cc
36
$64,679
$5,514
11.7× st 4.9×
280
Acute myocardial infarction, discharged alive with mcc
35
$160,021
$10,251
15.6× st 6.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
34
$90,579
$6,389
14.2× st 5.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
32
$57,554
$3,720
15.5× st 5.0×
481
Hip and femur procedures except major joint with cc
30
$211,016
$13,246
15.9× st 6.0×
689
Kidney and urinary tract infections with mcc
29
$104,680
$7,272
14.4× st 5.1×
683
Renal failure with cc
29
$79,173
$6,739
11.7× st 4.9×
389
Gastrointestinal obstruction with cc
25
$77,779
$4,967
15.7× st 5.2×
190
Chronic obstructive pulmonary disease with mcc
25
$145,626
$7,020
20.7× st 5.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
25
$93,021
$6,566
14.2× st 4.9×
330
Major small and large bowel procedures with cc
25
$212,121
$14,189
15.0× st 6.6×
460
Spinal fusion except cervical without mcc
24
$320,146
$22,372
14.3× st 7.4×
603
Cellulitis without mcc
23
$68,746
$6,006
11.4× st 4.0×
638
Diabetes with cc
22
$75,285
$6,380
11.8× st 4.2×
281
Acute myocardial infarction, discharged alive with cc
22
$92,572
$6,649
13.9× st 7.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$223,755
$13,151
17.0× st 5.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
21
$73,212
$4,966
14.7× st 4.3×
312
Syncope and collapse
21
$89,530
$5,470
16.4× st 5.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
20
$488,592
$31,583
15.5× st 5.8×
194
Simple pneumonia and pleurisy with cc
20
$91,436
$5,365
17.0× st 4.0×
282
Acute myocardial infarction, discharged alive without cc/mcc
19
$112,003
$5,515
20.3× st 9.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
19
$279,841
$12,653
22.1× st 8.9×
454
Combined anterior and posterior spinal fusion with cc
18
$561,201
$38,895
14.4× st 6.6×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$102,458
$7,547
13.6× st 5.0×
682
Renal failure with mcc
17
$128,843
$9,335
13.8× st 5.3×
189
Pulmonary edema and respiratory failure
17
$118,645
$7,725
15.4× st 5.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
16
$211,114
$14,302
14.8× st 6.1×
069
Transient ischemia without thrombolytic
16
$67,689
$5,150
13.1× st 6.7×
482
Hip and femur procedures except major joint without cc/mcc
16
$212,245
$10,009
21.2× st 7.6×
329
Major small and large bowel procedures with mcc
16
$472,692
$27,801
17.0× st 6.5×
377
Gastrointestinal hemorrhage with mcc
16
$134,051
$11,403
11.8× st 5.8×
812
Red blood cell disorders without mcc
16
$89,046
$5,648
15.8× st 4.1×
698
Other kidney and urinary tract diagnoses with mcc
15
$143,465
$10,054
14.3× st 5.0×
331
Major small and large bowel procedures without cc/mcc
15
$179,291
$10,453
17.2× st 8.0×
468
Revision of hip or knee replacement without cc/mcc
15
$305,698
$17,746
17.2× st 7.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
14
$134,376
$8,323
16.1× st 4.8×
472
Cervical spinal fusion with cc
14
$218,034
$17,005
12.8× st 5.1×
439
Disorders of pancreas except malignancy with cc
13
$73,565
$5,333
13.8× st 6.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
13
$126,757
$7,561
16.8× st 5.8×
092
Other disorders of nervous system with cc
13
$71,598
$6,395
11.2× st 5.8×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$158,340
$9,290
17.0× st 7.6×
432
Cirrhosis and alcoholic hepatitis with mcc
12
$121,221
$12,302
9.9× st 5.5×
473
Cervical spinal fusion without cc/mcc
12
$190,833
$15,204
12.6× st 8.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$96,192
$8,383
11.5× st 4.8×
536
Fractures of hip and pelvis without mcc
11
$64,162
$4,956
12.9× st 5.1×
445
Disorders of the biliary tract with cc
11
$82,414
$7,087
11.6× st 6.9×
948
Signs and symptoms without mcc
11
$53,295
$5,053
10.5× st 4.3×
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
5115
Level 5 Musculoskeletal Procedures
410
$155,643
$10,838
14.4×
5302
Level 2 Upper GI Procedures
284
$32,260
$1,565
20.6×
5191
Level 1 Endovascular Procedures
208
$62,604
$2,674
23.4×
5114
Level 4 Musculoskeletal Procedures
168
$104,801
$5,838
18.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
153
$35,457
$1,335
26.6×
5361
Level 1 Laparoscopy and Related Services
143
$81,184
$4,685
17.3×
8011
Comprehensive Observation Services
129
$36,322
$2,246
16.2×
5113
Level 3 Musculoskeletal Procedures
128
$54,133
$2,694
20.1×
5375
Level 5 Urology and Related Services
125
$73,658
$4,144
17.8×
5374
Level 4 Urology and Related Services
119
$65,047
$2,920
22.3×
5431
Level 1 Nerve Procedures
112
$36,369
$1,555
23.4×
5183
Level 3 Vascular Procedures
108
$61,827
$2,651
23.3×
5112
Level 2 Musculoskeletal Procedures
74
$29,932
$1,318
22.7×
5154
Level 4 Airway Endoscopy
65
$49,938
$3,044
16.4×
5116
Level 6 Musculoskeletal Procedures
48
$221,287
$14,876
14.9×
5492
Level 2 Intraocular Procedures
47
$58,348
$3,313
17.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
44
$47,550
$2,299
20.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
42
$73,245
$2,863
25.6×
5193
Level 3 Endovascular Procedures
41
$204,207
$9,086
22.5×
5362
Level 2 Laparoscopy and Related Services
38
$120,860
$8,344
14.5×
5165
Level 5 ENT Procedures
37
$67,833
$4,939
13.7×
5223
Level 3 Pacemaker and Similar Procedures
36
$175,839
$8,797
20.0×
5155
Level 5 Airway Endoscopy
35
$81,811
$5,378
15.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
35
$69,673
$3,141
22.2×
5462
Level 2 Neurostimulator and Related Procedures
35
$27,229
$2,741
9.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
30
$102,075
$5,358
19.1×
5465
Level 5 Neurostimulator and Related Procedures
29
$306,401
$25,269
12.1×
5373
Level 3 Urology and Related Services
22
$48,724
$1,658
29.4×
5182
Level 2 Vascular Procedures
21
$22,871
$1,351
16.9×
5153
Level 3 Airway Endoscopy
21
$38,155
$1,377
27.7×
5303
Level 3 Upper GI Procedures
17
$42,784
$2,776
15.4×
5213
Level 3 Electrophysiologic Procedures
16
$323,151
$19,981
16.2×
5414
Level 4 Gynecologic Procedures
16
$57,248
$2,637
21.7×
5164
Level 4 ENT Procedures
13
$53,386
$2,549
20.9×
5313
Level 3 Lower GI Procedures
13
$49,678
$2,368
21.0×
5493
Level 3 Intraocular Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5378
Level 8 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-wide, last updated 2026-01-01, template 3.0.0, 29,737 rows scanned, 4,032 distinct code–setting items kept. 3,397 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Showing the first 200 of 4,032 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT J0695/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $77
CPT A9512/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $9
CPT 77373/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,430 exceeds the gross charge $2,130
CPT A9517/o
warn
mrf_negotiated_above_gross
highest negotiated rate $674 exceeds the gross charge $248
CPT J0699/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $16
CPT 77412/o
warn
mrf_negotiated_above_gross
highest negotiated rate $751 exceeds the gross charge $638
CPT 77417/o
warn
mrf_negotiated_above_gross
highest negotiated rate $272 exceeds the gross charge $215
CPT J7165/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,406 exceeds the gross charge $16
CPT J7186/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $11
CPT J0759/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $37
CPT J7187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $14
CPT J7197/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,669 exceeds the gross charge $23
CPT J0841/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,812 exceeds the gross charge $8,077
CPT J7325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $535 exceeds the gross charge $107
CPT J0881/o
warn
mrf_negotiated_above_gross
highest negotiated rate $535 exceeds the gross charge $49
CPT J7402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,670 exceeds the gross charge $73
CPT J0883/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $5
CPT J0894/o
warn
mrf_negotiated_above_gross
highest negotiated rate $204 exceeds the gross charge $30
CPT J7519/o
warn
mrf_negotiated_above_gross
highest negotiated rate $785 exceeds the gross charge $12
CPT J1190/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,044 exceeds the gross charge $642
CPT J9017/o
warn
mrf_negotiated_above_gross
highest negotiated rate $294 exceeds the gross charge $151
CPT 15854/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,688 exceeds the gross charge $811
CPT J9025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $93 exceeds the gross charge $23
CPT J1301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,316 exceeds the gross charge $183
CPT 92972/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,793 exceeds the gross charge $4,950
CPT J9034/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,406 exceeds the gross charge $147
CPT J9035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,406 exceeds the gross charge $767
CPT 92978/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,237 exceeds the gross charge $627
CPT 92979/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,237 exceeds the gross charge $274
CPT J9039/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $951
CPT J9041/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,044 exceeds the gross charge $43
CPT J1439/o
warn
mrf_negotiated_above_gross
highest negotiated rate $785 exceeds the gross charge $11
CPT J9042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,812 exceeds the gross charge $1,522
CPT 86900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $181 exceeds the gross charge $143
CPT 93286/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,268 exceeds the gross charge $157
CPT 93287/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,268 exceeds the gross charge $136
CPT 86902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $487 exceeds the gross charge $309
CPT J1451/o
warn
mrf_negotiated_above_gross
highest negotiated rate $535 exceeds the gross charge $42
CPT 93289/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,268 exceeds the gross charge $374
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $487 exceeds the gross charge $460
CPT J9145/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $407
CPT J1561/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $352
CPT J9153/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,812 exceeds the gross charge $1,500
CPT 93356/o
warn
mrf_negotiated_above_gross
highest negotiated rate $690 exceeds the gross charge $583
CPT J1569/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,406 exceeds the gross charge $914
CPT J9179/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $918
CPT J1602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,406 exceeds the gross charge $205
CPT 84393/o
warn
mrf_negotiated_above_gross
highest negotiated rate $130 exceeds the gross charge $86
CPT 93571/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,716 exceeds the gross charge $1,363
CPT 93572/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,716 exceeds the gross charge $1,363
CPT J1745/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $459
CPT 93609/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,311 exceeds the gross charge $3,932
CPT J9271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,812 exceeds the gross charge $364
CPT 93613/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,311 exceeds the gross charge $5,536
CPT J1807/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $134
CPT J9303/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $1,014
CPT 93621/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,311 exceeds the gross charge $1,658
CPT J1833/o
warn
mrf_negotiated_above_gross
highest negotiated rate $535 exceeds the gross charge $8
CPT J9307/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,669 exceeds the gross charge $2,305
CPT 93622/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,311 exceeds the gross charge $2,420
CPT 93623/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,311 exceeds the gross charge $2,258
CPT J9330/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,044 exceeds the gross charge $360
CPT 93641/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,218 exceeds the gross charge $2,824
CPT J9342/o
warn
mrf_negotiated_above_gross
highest negotiated rate $294 exceeds the gross charge $135
CPT C9488/o
warn
mrf_negotiated_above_gross
highest negotiated rate $785 exceeds the gross charge $244
CPT 93655/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,311 exceeds the gross charge $15,869
CPT J9395/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,044 exceeds the gross charge $151
CPT 93657/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,311 exceeds the gross charge $22,421
CPT J9400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,670 exceeds the gross charge $68
CPT 93662/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,311 exceeds the gross charge $2,067
CPT J2186/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $18
CPT G0109/o
warn
mrf_negotiated_above_gross
highest negotiated rate $141 exceeds the gross charge $24
CPT L8691/o
warn
mrf_negotiated_above_gross
highest negotiated rate $694 exceeds the gross charge $463
CPT J2323/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $184
CPT G0378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,943 exceeds the gross charge $257
CPT J2325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,316 exceeds the gross charge $442
CPT G0379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,943 exceeds the gross charge $1,841
CPT J2357/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $398
CPT Q0138/o
warn
mrf_negotiated_above_gross
highest negotiated rate $535 exceeds the gross charge $5
CPT J0122/o
warn
mrf_negotiated_above_gross
highest negotiated rate $785 exceeds the gross charge $15
CPT Q0139/o
warn
mrf_negotiated_above_gross
highest negotiated rate $535 exceeds the gross charge $6
CPT J0129/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,406 exceeds the gross charge $418
CPT J2407/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $206
CPT Q4081/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $10
CPT J2506/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,406 exceeds the gross charge $1,849
CPT J0185/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $24
CPT J0206/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,406 exceeds the gross charge $18
CPT J0209/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,669 exceeds the gross charge $10
CPT J0211/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $19
CPT 36481/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,620 exceeds the gross charge $2,395
CPT 87811/o
warn
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $41
CPT J0270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $4
CPT Q5103/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $514
CPT Q5104/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $486
CPT J2786/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $65
CPT J2791/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $101
CPT Q5108/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $824
CPT 88120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $585 exceeds the gross charge $206
CPT 96523/o
warn
mrf_negotiated_above_gross
highest negotiated rate $465 exceeds the gross charge $382
CPT J0289/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,316 exceeds the gross charge $180
CPT J2794/o
warn
mrf_negotiated_above_gross
highest negotiated rate $785 exceeds the gross charge $75
CPT Q5115/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,669 exceeds the gross charge $900
CPT 76014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,012 exceeds the gross charge $24
CPT 88121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $404 exceeds the gross charge $206
CPT Q5121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,406 exceeds the gross charge $479
CPT 37195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,688 exceeds the gross charge $995
CPT J0401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $40
CPT J2850/o
warn
mrf_negotiated_above_gross
highest negotiated rate $785 exceeds the gross charge $351
CPT J0485/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,670 exceeds the gross charge $37
CPT 88271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $466 exceeds the gross charge $262
CPT J3090/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $18
CPT J0583/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $3
CPT J3101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,669 exceeds the gross charge $871
CPT J0585/o
warn
mrf_negotiated_above_gross
highest negotiated rate $785 exceeds the gross charge $70
CPT J0587/o
warn
mrf_negotiated_above_gross
highest negotiated rate $785 exceeds the gross charge $134
CPT J0597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $459
CPT 24220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,620 exceeds the gross charge $589
CPT 97802/o
warn
mrf_negotiated_above_gross
highest negotiated rate $141 exceeds the gross charge $115
CPT J3358/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $85
CPT 97803/o
warn
mrf_negotiated_above_gross
highest negotiated rate $141 exceeds the gross charge $93
CPT 97804/o
warn
mrf_negotiated_above_gross
highest negotiated rate $141 exceeds the gross charge $48
CPT J3379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $7
CPT J0650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $77
CPT J3380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $173
CPT J0652/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $61
CPT J3424/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,316 exceeds the gross charge $38
CPT J3470/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $4
CPT J0691/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $7
CPT 77332/o
warn
mrf_negotiated_above_gross
highest negotiated rate $272 exceeds the gross charge $159
CPT J3471/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $5
warn
mrf_rate_without_estimate
5,364 of 5,364 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 12051/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25001/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28615/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 42106/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 56405/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70330/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77336/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82985/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86480/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 89325/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A9505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J3475/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12052/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25071/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28660/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 42120/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 56420/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70336/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77338/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83001/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86481/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 90371/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0695/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J3480/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12053/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25073/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28715/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 42140/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 56440/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70360/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77370/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83002/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86592/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 90375/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A9512/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0696/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3485/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12054/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25075/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28725/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 42145/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 56605/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70371/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83003/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86596/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90376/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A9516/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0697/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3486/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12055/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25101/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28730/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 42335/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 56606/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70450/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77373/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86606/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 90377/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0698/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3489/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 13101/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25107/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28740/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 42400/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 56620/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70460/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77402/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83013/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
Showing the first 200 of 3,397 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 064
info
inp_charge_10x_payment
average charge $211,114 is 14.8× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $90,579 is 14.2× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $67,689 is 13.1× the total payment
MS-DRG 092
info
inp_charge_10x_payment
average charge $71,598 is 11.2× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $157,841 is 15.1× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $118,645 is 15.4× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $145,626 is 20.7× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $137,309 is 15.1× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $91,436 is 17.0× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $160,021 is 15.6× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $92,572 is 13.9× the total payment
MS-DRG 282
info
inp_charge_10x_payment
average charge $112,003 is 20.3× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $126,757 is 16.8× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $111,000 is 13.0× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $102,458 is 13.6× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $64,679 is 11.7× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $57,554 is 15.5× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $89,530 is 16.4× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $279,841 is 22.1× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $472,692 is 17.0× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $212,121 is 14.9× the total payment
MS-DRG 331
info
inp_charge_10x_payment
average charge $179,291 is 17.2× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $134,051 is 11.8× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $97,843 is 15.1× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $77,779 is 15.7× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $96,192 is 11.5× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $78,397 is 13.3× the total payment
MS-DRG 439
info
inp_charge_10x_payment
average charge $73,565 is 13.8× the total payment
MS-DRG 445
info
inp_charge_10x_payment
average charge $82,414 is 11.6× the total payment
MS-DRG 454
info
inp_charge_10x_payment
average charge $561,201 is 14.4× the total payment
MS-DRG 455
info
inp_charge_10x_payment
average charge $483,738 is 16.6× the total payment
MS-DRG 460
info
inp_charge_10x_payment
average charge $320,146 is 14.3× the total payment
MS-DRG 468
info
inp_charge_10x_payment
average charge $305,698 is 17.2× the total payment
MS-DRG 472
info
inp_charge_10x_payment
average charge $218,034 is 12.8× the total payment
MS-DRG 473
info
inp_charge_10x_payment
average charge $190,833 is 12.6× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $211,016 is 15.9× the total payment
MS-DRG 482
info
inp_charge_10x_payment
average charge $212,245 is 21.2× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $223,755 is 17.0× the total payment
MS-DRG 536
info
inp_charge_10x_payment
average charge $64,162 is 12.9× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $68,746 is 11.4× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $75,285 is 11.8× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $134,376 is 16.1× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $73,212 is 14.7× the total payment
MS-DRG 660
info
inp_charge_10x_payment
average charge $158,340 is 17.0× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $128,843 is 13.8× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $79,173 is 11.7× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $104,680 is 14.4× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $81,987 is 15.0× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $143,465 is 14.3× the total payment
MS-DRG 812
info
inp_charge_10x_payment
average charge $89,046 is 15.8× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $488,592 is 15.5× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $174,632 is 14.8× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $93,021 is 14.2× the total payment
MS-DRG 948
info
inp_charge_10x_payment
average charge $53,295 is 10.5× the total payment
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)
- Crestwood Medical Center — standard charges file · AL · updated 2026-01-01· csv-wide · 93.8M bytes · fetched 2026-08-25 · sha256 10a5fe0dec90…
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.