Hospital · CCN 020012

Fairbanks Memorial Hospital

1650 Cowles Street, Fairbanks, AK 99701 · Yukon-Koyukuk Census Area
Part of Foundation Health Partners · 122 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

30 admission types 43 outpatient services price file: ok
Billed per dollar paid, all admissions
2.82×
$55.9M billed against $19.8M paid across 760 Medicare discharges; the national figure is 5.03×.
5.3%
of adults in Yukon-Koyukuk Census Area have medical debt in collections
19.1%
uninsured in the county · state 13.3%
$49K
median household income
2.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
36.9%
obesity in the countyⓘ
16.5%
diagnosed diabetes (PLACES)
9.7%
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
885
Psychoses
102
$89,059
$27,349
3.3× st 5.1×
871
Septicemia or severe sepsis without mv >96 hours with mcc
96
$86,759
$33,271
2.6× st 4.8×
291
Heart failure and shock with mcc
48
$53,799
$20,532
2.6× st 5.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
37
$60,424
$17,829
3.4× st 5.0×
177
Respiratory infections and inflammations with mcc
37
$70,801
$29,825
2.4× st 4.3×
193
Simple pneumonia and pleurisy with mcc
35
$45,179
$20,958
2.2× st 4.8×
481
Hip and femur procedures except major joint with cc
29
$93,225
$33,038
2.8× st 5.5×
039
Extracranial procedures without cc/mcc
27
$43,097
$19,557
2.2× st 3.0×
951
Other factors influencing health status
22
$33,917
$9,709
3.5× st 6.6×
280
Acute myocardial infarction, discharged alive with mcc
22
$69,843
$25,553
2.7× st 5.2×
603
Cellulitis without mcc
21
$44,404
$14,048
3.2× st 3.9×
378
Gastrointestinal hemorrhage with cc
20
$54,092
$15,789
3.4× st 4.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
20
$55,146
$16,075
3.4× st 5.5×
190
Chronic obstructive pulmonary disease with mcc
20
$51,428
$17,580
2.9× st 3.2×
189
Pulmonary edema and respiratory failure
20
$39,728
$20,828
1.9× st 5.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
18
$247,001
$87,045
2.8× st 5.1×
683
Renal failure with cc
18
$40,614
$14,226
2.9× st 4.9×
682
Renal failure with mcc
16
$52,877
$24,823
2.1× st 5.5×
377
Gastrointestinal hemorrhage with mcc
16
$72,446
$29,414
2.5× st 4.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$75,296
$33,631
2.2× st 6.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
14
$135,800
$35,198
3.9× st 7.5×
330
Major small and large bowel procedures with cc
14
$78,839
$37,736
2.1× st 5.0×
698
Other kidney and urinary tract diagnoses with mcc
13
$61,427
$26,179
2.3× st 5.2×
881
Depressive neuroses
13
$52,762
$14,418
3.7× st 3.7×
482
Hip and femur procedures except major joint without cc/mcc
12
$66,155
$30,202
2.2× st 2.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
12
$63,879
$31,638
2.0× st 5.7×
690
Kidney and urinary tract infections without mcc
11
$109,979
$13,263
8.3× st 5.6×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
11
$45,557
$10,990
4.1× st 6.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$177,035
$48,618
3.6× st 7.3×
194
Simple pneumonia and pleurisy with cc
11
$35,655
$13,013
2.7× st 2.4×
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
8011
Comprehensive Observation Services
276
$22,038
$2,973
7.4×
5491
Level 1 Intraocular Procedures
275
$8,526
$2,535
3.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
121
$5,926
$1,747
3.4×
5375
Level 5 Urology and Related Services
94
$17,466
$5,615
3.1×
5374
Level 4 Urology and Related Services
85
$15,859
$3,760
4.2×
5191
Level 1 Endovascular Procedures
67
$38,535
$3,583
10.8×
5183
Level 3 Vascular Procedures
59
$16,977
$3,504
4.8×
5361
Level 1 Laparoscopy and Related Services
51
$21,503
$6,149
3.5×
5115
Level 5 Musculoskeletal Procedures
49
$49,382
$14,366
3.4×
5112
Level 2 Musculoskeletal Procedures
36
$10,222
$1,721
5.9×
5302
Level 2 Upper GI Procedures
36
$5,023
$2,049
2.5×
5194
Level 4 Endovascular Procedures
35
$112,427
$18,712
6.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
35
$10,684
$3,117
3.4×
5193
Level 3 Endovascular Procedures
34
$88,896
$12,050
7.4×
5223
Level 3 Pacemaker and Similar Procedures
34
$61,144
$11,743
5.2×
5362
Level 2 Laparoscopy and Related Services
30
$24,719
$11,240
2.2×
5182
Level 2 Vascular Procedures
28
$5,720
$1,693
3.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
27
$19,477
$6,943
2.8×
5113
Level 3 Musculoskeletal Procedures
26
$12,936
$3,429
3.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
25
$15,935
$3,814
4.2×
5114
Level 4 Musculoskeletal Procedures
20
$26,390
$7,830
3.4×
5192
Level 2 Endovascular Procedures
18
$50,388
$6,295
8.0×
5373
Level 3 Urology and Related Services
15
$13,544
$2,222
6.1×
5415
Level 5 Gynecologic Procedures
15
$17,960
$5,426
3.3×
5414
Level 4 Gynecologic Procedures
11
$15,706
$3,456
4.5×
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
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 2026-06-16, template 3.0.0, 135,179 rows scanned, 5,175 distinct code–setting items kept. 2,011 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Anesthesia for procedure on eyelid
$125
$119
$121
7
clean
Anesthesia for other procedure on external middle and inner ear
$125
$119
$121
7
clean
Anesthesia for exam of ear using an endoscope
$125
$119
$121
7
clean
Anesthesia for incision of ear drum
$125
$119
$121
7
clean
Anesthesia for other procedure on eye
$125
$119
$121
7
clean
Anesthesia for lens surgery
$125
$119
$121
7
clean
Anesthesia for retinal surgery
$125
$119
$121
7
clean
Anesthesia for other procedure on nose and sinuses
$125
$119
$121
7
clean
Anesthesia for other procedure on mouth
$125
$119
$121
7
clean
Anesthesia for other procedure on face bones or skull
$125
$119
$121
7
clean
Anesthesia for extensive surgery on face bones or skull
$125
$119
$121
7
clean
Gene analysis (Janus kinase 2) of targeted sequence exons 12-15
$699
$664
$608
20
clean
Gene analysis of targeted sequences for adverse drug reactions and drug response
$663
$629
$643
10
clean
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back
$125
$119
$121
7
clean
Anesthesia for other procedure on neck area (1 year or older)
$125
$119
$121
7
clean
Gene analysis (thiopurine S-methyltransferase) for common variants
$1,730
$1,643
$1,634
10
clean
Anesthesia for other procedure on large blood vessel of neck
$125
$119
$121
7
clean
Anesthesia for tying large blood vessels of neck
$125
$119
$121
7
clean
Anesthesia for other procedure on skin of arms, legs, and front body
$125
$119
$121
7
clean
Anesthesia for reconstruction of breast
$125
$119
$121
7
clean
Anesthesia for removal of all or part of breast
$125
$119
$121
7
clean
Anesthesia for procedure to correct abnormal heart rhythm
$125
$119
$121
7
clean
Anesthesia for other procedure on collar bone and shoulder blade
$125
$119
$121
7
clean
Anesthesia for procedure on esophagus
$125
$119
$121
7
clean
Anesthesia for other closed procedure on chest
$125
$119
$121
7
clean
Anesthesia for closed needle biopsy of lung
$125
$119
$121
7
clean
Anesthesia for closed drainage of lung fluid
$125
$119
$121
7
clean
Anesthesia for closed exam of chest using an endoscope
$125
$119
$121
7
clean
Anesthesia for closed exam of chest using an endoscope with 1 lung inflated
$125
$119
$121
7
clean
Anesthesia for insertion of permanent heart pacemaker
$125
$119
$121
7
clean
Anesthesia for access to central vein
$125
$119
$121
7
clean
Anesthesia for insertion or replace of pacing heart defibrillator
$125
$119
$121
7
clean
Anesthesia for other procedure on chest
$125
$119
$121
7
clean
Anesthesia for procedure on chest with 1 lung inflated
$125
$119
$121
7
clean
Anesthesia for removal of tissue from around lung
$125
$119
$121
7
clean
Anesthesia for procedure on heart and large blood vessels
$125
$119
$121
7
clean
Anesthesia for other procedure on upper spine
$125
$119
$121
7
clean
Anesthesia for other procedure on middle spine
$125
$119
$121
7
clean
Anesthesia for other procedure on lower spine
$125
$119
$121
7
clean
Anesthesia for spinal tap
$125
$119
$121
7
clean
Antibody testing for syphilis
$98
$93
$93
10
clean
Anesthesia for extensive surgery on spine
$125
$119
$121
7
clean
Anesthesia for other procedure on upper front abdomen
$125
$119
$121
7
clean
Anesthesia for biopsy of liver
$125
$119
$121
7
clean
Anesthesia for procedure on upper rear abdomen
$125
$119
$121
7
clean
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
$125
$119
$121
7
clean
Anesthesia for other repair of upper abdomen hernia
$125
$119
$121
7
clean
Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening
$125
$119
$121
7
clean
Anesthesia for procedure to repair abdominal hernia
$125
$119
$121
7
clean
Insertion of stents into vertebral artery via catheter, open or accessed through the skin including radiologic supervision and interpretation, initial vessel
$8,739
$8,302
$8,637
14
clean
Anesthesia for procedure on large blood vessels in abdomen
$125
$119
$121
7
clean
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine
$330
$313
$196
20
clean
Anesthesia for other procedure on upper abdomen
$125
$119
$121
7
clean
Anesthesia for procedure on stomach for weight loss
$125
$119
$121
7
clean
Anesthesia for other procedure on lower front abdomen
$125
$119
$121
7
clean
Anesthesia for removal of excess tissue of lower rear abdomen
$125
$119
$121
7
clean
Anesthesia for other procedure on large bowel using an endoscope
$125
$119
$121
7
clean
Anesthesia for exam of colon using an endoscope
$125
$119
$121
7
clean
Anesthesia for procedure on small and large bowel using an endoscope
$125
$119
$121
7
clean
Anesthesia for other repair of lower abdomen hernia (1 year or older)
$125
$119
$121
7
clean
Anesthesia for repair of abdominal wall hernia
$125
$119
$121
7
clean
Anesthesia for other procedure on lower abdomen
$125
$119
$121
7
clean
Anesthesia for tying or incision of fallopian tubes using an endoscope
$125
$119
$121
7
clean
Anesthesia for other procedure on lower abdomen outside abdominal cavity
$125
$119
$121
7
clean
Anesthesia for procedure on upper urinary tubes or removal of kidney for transplant
$125
$119
$121
7
clean
Anesthesia for extensive removal of prostate
$125
$119
$121
7
clean
Anesthesia for removal of adrenal gland
$125
$119
$121
7
clean
Anesthesia for removal of urinary bladder stone
$125
$119
$121
7
clean
Anesthesia for shock wave therapy for urinary system stones without water bath
$125
$119
$121
7
clean
Anesthesia for other procedure on large blood vessel of lower abdomen
$125
$119
$121
7
clean
Anesthesia for procedure on anus and rectum
$125
$119
$121
7
clean
Anesthesia for extensive procedure on perineum
$125
$119
$121
7
clean
Anesthesia for removal of external female genitals
$125
$119
$121
7
clean
Anesthesia for other procedure on urinary system through urethra
$125
$119
$121
7
clean
Anesthesia for removal of urinary bladder tumors including use of an endoscope
$125
$119
$121
7
clean
Anesthesia for removal of prostate including use of an endoscope
$125
$119
$121
7
clean
Anesthesia for procedure to control urinary system bleeding including use of an endoscope
$125
$119
$121
7
clean
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope
$125
$119
$121
7
clean
Anesthesia for other procedure on male genitals
$125
$119
$121
7
clean
Anesthesia for vasectomy
$125
$119
$121
7
clean
Anesthesia for removal of testicle through groin
$125
$119
$121
7
clean
Anesthesia for relocation of undescended testicle into scrotum
$125
$119
$121
7
clean
Anesthesia for other procedure on female genitals
$125
$119
$121
7
clean
Anesthesia for repair or removal of vagina and urinary procedure
$125
$119
$121
7
clean
Anesthesia for vaginal removal of uterus
$125
$119
$121
7
clean
Anesthesia for suture closure of cervix
$125
$119
$121
7
clean
Anesthesia for exam of uterus using an endoscope
$125
$119
$121
7
clean
High energy shock wave therapy of musculoskeletal system
$328
$312
$318
17
clean
Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone
$125
$119
$121
7
clean
Anesthesia for procedure on hip bone
$125
$119
$121
7
clean
Anesthesia for application or revision of body cast
$125
$119
$121
7
clean
Anesthesia for closed procedure on pubic bone or pelvic joint
$125
$119
$121
7
clean
Anesthesia for repair of broken hip bone
$125
$119
$121
7
clean
Anesthesia for closed procedure on hip joint
$125
$119
$121
7
clean
Anesthesia for procedure on hip joint using an endoscope
$125
$119
$121
7
clean
Anesthesia for other procedure on hip joint
$125
$119
$121
7
clean
Anesthesia for total hip replacement
$125
$119
$121
7
clean
Anesthesia for closed procedure on upper 2/3rd of thigh bone
$125
$119
$121
7
clean
Anesthesia for procedure on upper 2/3rd of thigh bone
$125
$119
$121
7
clean
Anesthesia for amputation on upper 2/3rd of thigh bone
$125
$119
$121
7
clean
Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg
$125
$119
$121
7
clean
Anesthesia for procedure on veins in upper leg
$125
$119
$121
7
clean
Anesthesia for other procedure on artery of upper leg
$125
$119
$121
7
clean
Anesthesia for removal of blood clot in artery of upper leg
$125
$119
$121
7
clean
Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee
$125
$119
$121
7
clean
Anesthesia for closed procedure on lower 1/3rd of thigh bone
$125
$119
$121
7
clean
Anesthesia for procedure on lower 1/3rd of thigh bone
$125
$119
$121
7
clean
Anesthesia for closed procedure on knee joint
$125
$119
$121
7
clean
Anesthesia for exam of knee joint using an endoscope
$125
$119
$121
7
clean
Anesthesia for closed procedure on kneecap and/or upper part of lower leg bones
$125
$119
$121
7
clean
Anesthesia for procedure on kneecap and/or upper part of lower leg bones
$125
$119
$121
7
clean
Anesthesia for other procedure or exam of knee joint using an endoscope
$125
$119
$121
7
clean
Anesthesia for procedure for total knee joint replacement
$125
$119
$121
7
clean
Anesthesia for application, removal, or repair of cast to knee
$125
$119
$121
7
clean
Anesthesia for other procedure on vein of knee
$125
$119
$121
7
clean
Anesthesia for removal of blood clot of artery behind knee
$125
$119
$121
7
clean
Anesthesia for repair of bulging (aneurysm) defect in knee artery
$125
$119
$121
7
clean
Anesthesia for closed procedure on lower leg, ankle, and foot
$125
$119
$121
7
clean
Anesthesia for procedure on ankle or foot using an endoscope
$125
$119
$121
7
clean
Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle, and foot
$125
$119
$121
7
clean
Anesthesia for repair of Achilles tendon
$125
$119
$121
7
clean
Anesthesia for other procedure on lower leg, ankle, and foot bones
$125
$119
$121
7
clean
Anesthesia for open amputation below the knee
$125
$119
$121
7
clean
Anesthesia for open reconstruction of lower leg, ankle, and/or foot bone
$125
$119
$121
7
clean
Anesthesia for other procedure on artery of lower leg
$125
$119
$121
7
clean
Anesthesia for removal of blood clot in artery of lower leg
$125
$119
$121
7
clean
Anesthesia for other procedure on vein of lower leg
$125
$119
$121
7
clean
Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm
$125
$119
$121
7
clean
Anesthesia for closed procedure on top of arm bone and shoulder joint
$125
$119
$121
7
clean
Anesthesia for other procedure on top of arm bone and shoulder joint
$125
$119
$121
7
clean
Anesthesia for open or endoscopic total shoulder joint replacement
$125
$119
$121
7
clean
Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper arm and elbow
$125
$119
$121
7
clean
Anesthesia for closed procedure on upper arm and elbow
$125
$119
$121
7
clean
Anesthesia for other procedure on elbow
$125
$119
$121
7
clean
Anesthesia for repair of nonhealed broken upper arm bone
$125
$119
$121
7
clean
Anesthesia for other procedure on arteries of upper arm and elbow
$125
$119
$121
7
clean
Anesthesia for other procedure on veins of upper arm and elbow
$125
$119
$121
7
clean
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand
$125
$119
$121
7
clean
Anesthesia for closed procedure on bones of forearm, wrist, or hand
$125
$119
$121
7
clean
Anesthesia for other procedure on forearm, wrist, or hand bones
$125
$119
$121
7
clean
Anesthesia for other procedure on arteries of forearm, wrist, and hand
$125
$119
$121
7
clean
Anesthesia for placement or revision of blood flow shunt
$125
$119
$121
7
clean
Anesthesia for X-ray exam of arteries and veins using contrast
$125
$119
$121
7
clean
Anesthesia for X-ray on heart vessels and chambers
$125
$119
$121
7
clean
Anesthesia for X-ray or radiation therapy
$125
$119
$121
7
clean
Anesthesia for X-ray on artery of neck or heart
$125
$119
$121
7
clean
Anesthesia for X-ray on artery of brain, heart, or chest
$125
$119
$121
7
clean
Anesthesia for X-ray on vein of liver
$125
$119
$121
7
clean
Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance
$125
$119
$121
6
clean
Anesthesia for treatment of second and third degree burn, less than 4% of total body surface area
$125
$119
$121
7
clean
Anesthesia for treatment of second and third degree burn, 4-9% of total body surface area
$125
$119
$121
7
clean
Anesthesia for vaginal delivery
$125
$119
$121
7
clean
Anesthesia for cesarean delivery
$125
$119
$121
7
clean
Anesthesia for procedure to remove uterus following delivery
$125
$119
$121
7
clean
Anesthesia for incomplete or missed abortion
$125
$119
$121
7
clean
Anesthesia for induced abortion
$125
$119
$121
7
clean
Anesthesia for labor during planned vaginal delivery
$115
$109
$112
7
clean
Anesthesia for cesarean delivery following labor
$125
$119
$121
7
clean
Physiological support for harvesting of organs
$115
$109
$112
7
clean
Other anesthesia procedure
$125
$119
$121
7
clean
Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2
$935
$888
$883
10
clean
Catheter removal of plaque from upper arm artery, accessed through the skin or open procedure including radiological supervision and interpretation
$41,353
$39,285
$39,079
10
clean
Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation
$12,318
$11,702
$20,345
17
clean
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
$2,122
$2,016
$2,058
7
clean
Enzyme immunoassay analysis of beta-amyloid fragments in cerebral spinal fluid to evaluate mild mental impairment
$1,009
$958
$953
10
clean
Genomic testing for solid organ cancer
$5,341
$5,074
$5,047
10
clean
Malabsorption evaluation in stool
$186
$177
$62
40
clean
Implantation of drug-releasing device in front chamber of eye
$9,584
$9,105
$9,057
10
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
$1,821
$1,730
$1,721
10
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
$455
$432
$430
10
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
$1,821
$1,730
$1,721
10
clean
Fine needle aspiration biopsy of growth using CT guidance, each additional growth
$325
$309
$307
10
clean
Fine needle aspiration biopsy, first growth
$677
$643
$451
40
clean
Drainage of fluid collection in soft tissue using imaging guidance
$1,636
$1,554
$1,587
30
clean
Placement of soft tissue locating device using X-ray, first growth
$1,929
$1,832
$1,823
20
clean
Placement of soft tissue locating device using X-ray, each additional growth
$166
$157
$157
10
clean
Acne surgery
$760
$722
$730
10
clean
Simple or single drainage of skin abscess
$1,214
$1,153
$583
90
clean
Complicated or multiple drainage of skin abscess
$1,429
$1,358
$930
70
clean
Simple drainage of cyst of tailbone
$1,592
$1,512
$786
40
clean
Complicated drainage of cyst of tailbone
$2,216
$2,105
$2,127
10
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$986
$937
$635
60
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$1,755
$1,667
$1,702
30
clean
Drainage of blood or fluid accumulation
$1,368
$1,299
$1,833
50
clean
Aspiration of abscess, blood, or cyst
$656
$623
$451
100
clean
Complex drainage of wound infection after surgery
$1,707
$1,622
$1,687
20
clean
Removal of inflamed or infected skin, up to 10% of body surface
$391
$371
$320
30
clean
Removal of inflamed or infected skin, each additional 10% of body surface or less
$191
$182
$181
10
clean
Removal of infected skin, tissue or muscle of genitals
$3,964
$3,766
$3,805
10
clean
Removal of infected skin, tissue or muscle of abdomen
$5,316
$5,050
$5,103
10
clean
Removal of infected artificial material or mesh from abdomen
$1,875
$1,781
$1,800
10
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
$2,961
$2,813
$2,843
10
clean
Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone
$3,262
$3,099
$3,132
10
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
$4,410
$4,190
$4,234
10
clean
Removal of skin and tissue, 20.0 sq cm or less
$833
$791
$802
80
clean
Removal of muscle and/or tissue, 20.0 sq cm or less
$1,819
$1,728
$1,545
60
clean
Removal of bone, 20.0 sq cm or less
$2,962
$2,814
$2,072
50
clean
Removal of skin and tissue, each additional 20.0 sq cm or less
$192
$183
$187
30
clean
Removal of muscle and/or tissue, each additional 20.0 sq cm or less
$644
$612
$484
40
clean
Removal of bone, each additional 20.0 sq cm or less
$824
$783
$799
20
clean

Showing the first 200 of 5,175 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT E0678/o
warn
mrf_negotiated_above_gross
highest negotiated rate $193 exceeds the gross charge $85
MS-DRG 903/i
warn
mrf_negotiated_above_gross
highest negotiated rate $10,577 exceeds the gross charge $10,106
MS-DRG 935/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,630 exceeds the gross charge $6,753
CPT 86975/o
warn
mrf_negotiated_above_gross
highest negotiated rate $496 exceeds the gross charge $94
MS-DRG 939/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,814 exceeds the gross charge $1,596
CPT 86977/o
warn
mrf_negotiated_above_gross
highest negotiated rate $189 exceeds the gross charge $154
CPT 86985/o
warn
mrf_negotiated_above_gross
highest negotiated rate $189 exceeds the gross charge $181
CPT 74485/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,320 exceeds the gross charge $1,226
CPT G0559/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $16
CPT 87154/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,027 exceeds the gross charge $471
CPT J0178/o
warn
mrf_negotiated_above_gross
highest negotiated rate $732 exceeds the gross charge $319
CPT 95905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $496 exceeds the gross charge $415
CPT J0600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,103 exceeds the gross charge $3,270
CPT 75860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,504 exceeds the gross charge $2,237
CPT 75870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,504 exceeds the gross charge $2,237
CPT 75887/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,504 exceeds the gross charge $2,237
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,504 exceeds the gross charge $1,086
CPT 0029U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $742 exceeds the gross charge $662
CPT 87483/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,683 exceeds the gross charge $884
CPT 96373/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $118
CPT 0219U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $725 exceeds the gross charge $596
CPT 33230/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,686 exceeds the gross charge $23,497
CPT 96409/b
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $302
CPT 76499/o
warn
mrf_negotiated_above_gross
highest negotiated rate $97 exceeds the gross charge $76
CPT 96413/b
warn
mrf_negotiated_above_gross
highest negotiated rate $367 exceeds the gross charge $71
CPT 33500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,073 exceeds the gross charge $6
CPT 58301/b
warn
mrf_negotiated_above_gross
highest negotiated rate $338 exceeds the gross charge $247
CPT 87631/o
warn
mrf_negotiated_above_gross
highest negotiated rate $882 exceeds the gross charge $618
CPT 58350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $950 exceeds the gross charge $651
CPT 87636/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,030 exceeds the gross charge $722
CPT 83884/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,324 exceeds the gross charge $1,139
CPT 59000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,022 exceeds the gross charge $656
CPT J1410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $392 exceeds the gross charge $307
CPT J1430/o
warn
mrf_negotiated_above_gross
highest negotiated rate $519 exceeds the gross charge $276
CPT 87900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $700 exceeds the gross charge $537
CPT 87901/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,766 exceeds the gross charge $686
CPT 87906/o
warn
mrf_negotiated_above_gross
highest negotiated rate $887 exceeds the gross charge $689
CPT 87912/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,895 exceeds the gross charge $736
CPT 61624/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,345 exceeds the gross charge $6,134
CPT 62272/o
warn
mrf_negotiated_above_gross
highest negotiated rate $783 exceeds the gross charge $773
CPT 62273/b
warn
mrf_negotiated_above_gross
highest negotiated rate $783 exceeds the gross charge $748
CPT 88233/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,000 exceeds the gross charge $711
CPT 88235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,253 exceeds the gross charge $833
CPT 62350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,740 exceeds the gross charge $8,871
CPT 88239/o
warn
mrf_negotiated_above_gross
highest negotiated rate $491 exceeds the gross charge $333
CPT 62360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,003 exceeds the gross charge $8,871
CPT 97610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $223 exceeds the gross charge $189
CPT 88263/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,675 exceeds the gross charge $1,115
CPT 88267/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,515 exceeds the gross charge $1,334
CPT 88269/o
warn
mrf_negotiated_above_gross
highest negotiated rate $388 exceeds the gross charge $223
CPT 84393/o
warn
mrf_negotiated_above_gross
highest negotiated rate $854 exceeds the gross charge $662
CPT 88309/o
warn
mrf_negotiated_above_gross
highest negotiated rate $894 exceeds the gross charge $771
CPT 88319/o
warn
mrf_negotiated_above_gross
highest negotiated rate $894 exceeds the gross charge $228
CPT 88333/o
warn
mrf_negotiated_above_gross
highest negotiated rate $894 exceeds the gross charge $210
CPT 88350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $52
CPT 88367/o
warn
mrf_negotiated_above_gross
highest negotiated rate $398 exceeds the gross charge $257
CPT 88368/o
warn
mrf_negotiated_above_gross
highest negotiated rate $398 exceeds the gross charge $192
CPT 88380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $141 exceeds the gross charge $136
CPT 89220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $189 exceeds the gross charge $98
CPT 36557/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,176 exceeds the gross charge $5,481
CPT 90473/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71 exceeds the gross charge $27
CPT 90694/o
warn
mrf_negotiated_above_gross
highest negotiated rate $162 exceeds the gross charge $89
CPT 81120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $973 exceeds the gross charge $503
CPT 81121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,279 exceeds the gross charge $770
CPT 36597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,747 exceeds the gross charge $1,661
CPT 81162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $50,797 exceeds the gross charge $2,784
CPT 90750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $393 exceeds the gross charge $190
CPT 81170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,769 exceeds the gross charge $590
CPT 81185/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $361
CPT 36680/b
warn
mrf_negotiated_above_gross
highest negotiated rate $496 exceeds the gross charge $203
CPT 81187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,096 exceeds the gross charge $1,530
CPT 36819/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,631 exceeds the gross charge $5,026
CPT 81201/o
warn
mrf_negotiated_above_gross
highest negotiated rate $22,941 exceeds the gross charge $2,941
CPT 36820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,581 exceeds the gross charge $5,026
CPT 81203/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,404 exceeds the gross charge $702
CPT 90836/o
warn
mrf_negotiated_above_gross
highest negotiated rate $237 exceeds the gross charge $192
CPT J7699/o
warn
mrf_negotiated_above_gross
highest negotiated rate $102 exceeds the gross charge $2
CPT 81207/o
warn
mrf_negotiated_above_gross
highest negotiated rate $342 exceeds the gross charge $236
CPT 90839/o
warn
mrf_negotiated_above_gross
highest negotiated rate $379 exceeds the gross charge $308
CPT 81208/o
warn
mrf_negotiated_above_gross
highest negotiated rate $518 exceeds the gross charge $241
CPT 90840/o
warn
mrf_negotiated_above_gross
highest negotiated rate $182 exceeds the gross charge $153
CPT 81210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $359 exceeds the gross charge $204
CPT 92325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $152 exceeds the gross charge $6
CPT 37182/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,345 exceeds the gross charge $8,688
CPT 81222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,721 exceeds the gross charge $1,545
CPT 81223/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,709 exceeds the gross charge $1,545
CPT 81225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,146 exceeds the gross charge $1,080
CPT 15851/o
warn
mrf_negotiated_above_gross
highest negotiated rate $407 exceeds the gross charge $391
CPT 81226/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,875 exceeds the gross charge $859
CPT 81227/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,700 exceeds the gross charge $972
CPT 81228/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,326 exceeds the gross charge $1,147
CPT 86152/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,960 exceeds the gross charge $781
CPT 92587/o
warn
mrf_negotiated_above_gross
highest negotiated rate $240 exceeds the gross charge $191
CPT J9015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,339 exceeds the gross charge $1,256
CPT 81229/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21,211 exceeds the gross charge $1,828
CPT 81232/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,085 exceeds the gross charge $1,192
CPT 81235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,747 exceeds the gross charge $1,155
CPT 81245/o
warn
mrf_negotiated_above_gross
highest negotiated rate $605 exceeds the gross charge $366
CPT 81259/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,176 exceeds the gross charge $1,029
CPT 81261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,437 exceeds the gross charge $1,231
CPT 37222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,431 exceeds the gross charge $2,157
CPT 81263/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,344 exceeds the gross charge $1,135
CPT 37223/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,991 exceeds the gross charge $2,453
CPT 81264/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,305 exceeds the gross charge $756
CPT 37224/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,580 exceeds the gross charge $5,134
CPT 81265/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,531 exceeds the gross charge $1,086
CPT 37225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $60,861 exceeds the gross charge $6,917
CPT 81269/o
warn
mrf_negotiated_above_gross
highest negotiated rate $935 exceeds the gross charge $462
CPT 19281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,833 exceeds the gross charge $883
CPT 37226/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56,588 exceeds the gross charge $5,994
CPT 37227/o
warn
mrf_negotiated_above_gross
highest negotiated rate $77,902 exceeds the gross charge $8,307
CPT 81271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $717 exceeds the gross charge $523
CPT 37228/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,126 exceeds the gross charge $6,267
CPT 81272/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,086 exceeds the gross charge $633
CPT J9266/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28,424 exceeds the gross charge $2,502
CPT 37229/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61,975 exceeds the gross charge $8,070
CPT 81273/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,400 exceeds the gross charge $1,121
CPT 92953/b
warn
mrf_negotiated_above_gross
highest negotiated rate $734 exceeds the gross charge $449
CPT 37230/o
warn
mrf_negotiated_above_gross
highest negotiated rate $62,028 exceeds the gross charge $8,029
CPT 81275/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,057 exceeds the gross charge $547
CPT 92953/o
warn
mrf_negotiated_above_gross
highest negotiated rate $734 exceeds the gross charge $682
CPT 37231/o
warn
mrf_negotiated_above_gross
highest negotiated rate $81,793 exceeds the gross charge $8,656
CPT 81276/o
warn
mrf_negotiated_above_gross
highest negotiated rate $553 exceeds the gross charge $286
CPT 37232/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,865 exceeds the gross charge $2,318
CPT 81279/o
warn
mrf_negotiated_above_gross
highest negotiated rate $753 exceeds the gross charge $407
CPT 86352/o
warn
mrf_negotiated_above_gross
highest negotiated rate $480 exceeds the gross charge $354
CPT L0120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $111 exceeds the gross charge $13
CPT 37233/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,541 exceeds the gross charge $3,770
CPT 81292/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,755 exceeds the gross charge $1,592
CPT L0456/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,339 exceeds the gross charge $1,408
CPT 81295/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,704 exceeds the gross charge $1,494
CPT L0621/o
warn
mrf_negotiated_above_gross
highest negotiated rate $240 exceeds the gross charge $33
CPT 81298/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,186 exceeds the gross charge $496
CPT 92990/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,812 exceeds the gross charge $12,571
CPT L1810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $306 exceeds the gross charge $188
CPT 81301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,621 exceeds the gross charge $752
CPT 92997/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,812 exceeds the gross charge $12,571
CPT L1820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $356 exceeds the gross charge $42
CPT 81305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $744 exceeds the gross charge $424
CPT L1830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $279 exceeds the gross charge $42
CPT 81310/o
warn
mrf_negotiated_above_gross
highest negotiated rate $902 exceeds the gross charge $366
CPT L1832/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,598 exceeds the gross charge $963
CPT 81311/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,016 exceeds the gross charge $343
CPT L1833/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,341 exceeds the gross charge $305
CPT 81313/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,267 exceeds the gross charge $497
CPT 81317/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,540 exceeds the gross charge $523
CPT A4400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $210
CPT L2114/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,064 exceeds the gross charge $1,243
CPT 81319/o
warn
mrf_negotiated_above_gross
highest negotiated rate $320 exceeds the gross charge $157
CPT 93041/o
warn
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $61
CPT L3170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $120 exceeds the gross charge $20
CPT 81324/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,728 exceeds the gross charge $755
CPT L3265/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $12
CPT 81329/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,153 exceeds the gross charge $841
CPT A6021/o
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $31
CPT L3332/o
warn
mrf_negotiated_above_gross
highest negotiated rate $173 exceeds the gross charge $109
CPT L3350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $15
CPT 81335/o
warn
mrf_negotiated_above_gross
highest negotiated rate $645 exceeds the gross charge $369
CPT L3650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $291 exceeds the gross charge $137
CPT 81338/o
warn
mrf_negotiated_above_gross
highest negotiated rate $484 exceeds the gross charge $322
CPT L3660/o
warn
mrf_negotiated_above_gross
highest negotiated rate $267 exceeds the gross charge $21
CPT 37765/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,169 exceeds the gross charge $3,087
CPT A6534/o
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $79
CPT L3670/o
warn
mrf_negotiated_above_gross
highest negotiated rate $395 exceeds the gross charge $242
CPT 20950/b
warn
mrf_negotiated_above_gross
highest negotiated rate $786 exceeds the gross charge $257
CPT 81340/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,024 exceeds the gross charge $490
CPT L3702/o
warn
mrf_negotiated_above_gross
highest negotiated rate $618 exceeds the gross charge $376
CPT 20982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,459 exceeds the gross charge $18,624
CPT 38220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,833 exceeds the gross charge $1,064
CPT 81342/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,056 exceeds the gross charge $524
CPT L3760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,070 exceeds the gross charge $647
CPT 81352/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,234 exceeds the gross charge $981
CPT 81363/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,520 exceeds the gross charge $751
CPT L3809/o
warn
mrf_negotiated_above_gross
highest negotiated rate $535 exceeds the gross charge $25
CPT 81372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,139 exceeds the gross charge $530
CPT L3905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,184 exceeds the gross charge $2,540
CPT L3908/o
warn
mrf_negotiated_above_gross
highest negotiated rate $231 exceeds the gross charge $58
CPT 81375/o
warn
mrf_negotiated_above_gross
highest negotiated rate $424 exceeds the gross charge $192
CPT L3923/o
warn
mrf_negotiated_above_gross
highest negotiated rate $171 exceeds the gross charge $38
CPT 41250/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,981 exceeds the gross charge $1,121
CPT L3980/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,084 exceeds the gross charge $651
CPT 81380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,599 exceeds the gross charge $902
CPT A9582/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,318 exceeds the gross charge $1,243
CPT L3982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,674 exceeds the gross charge $155
CPT 81381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,166 exceeds the gross charge $686
CPT L3984/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,075 exceeds the gross charge $104
CPT 81382/o
warn
mrf_negotiated_above_gross
highest negotiated rate $631 exceeds the gross charge $510
CPT L3999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $102 exceeds the gross charge $75
CPT L4360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $735 exceeds the gross charge $138
CPT L4361/o
warn
mrf_negotiated_above_gross
highest negotiated rate $735 exceeds the gross charge $95
CPT 81402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $475 exceeds the gross charge $316
CPT 93316/o
warn
mrf_negotiated_above_gross
highest negotiated rate $92 exceeds the gross charge $6
CPT L4386/o
warn
mrf_negotiated_above_gross
highest negotiated rate $373 exceeds the gross charge $229
CPT L4387/o
warn
mrf_negotiated_above_gross
highest negotiated rate $373 exceeds the gross charge $52
CPT L4631/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,731 exceeds the gross charge $2,842
CPT 81405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $503 exceeds the gross charge $167
CPT 81408/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54,996 exceeds the gross charge $2,750
CPT 81410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $15,814 exceeds the gross charge $3,138
CPT 81435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21,426 exceeds the gross charge $1,643
CPT 81439/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,538 exceeds the gross charge $3,169

Showing the first 200 of 2,011 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 · 45.2M bytes · fetched 2026-08-25 · sha256 35a1f86cf9a5…

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.