Project Crossfoot
Hospital · CCN 040051

Baptist Health Medical Center-Drew County

778 Scogin Drive, Monticello, AR 71655 · Drew County
Small town core: primary flow within an urban cluster of 2,500 to 9,999

13 admission types 18 outpatient services price file: ok
Billed per dollar paid, all admissions
3.69×
$9.6M billed against $2.6M paid across 291 Medicare discharges; the national figure is 5.03×.
13.5%
of adults in Drew County have medical debt in collections
8.7%
uninsured in the county · state 10.0%
$49K
median household income
3.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
43.8%
obesity in the countyⓘ
15.2%
diagnosed diabetes (PLACES)
8.5%
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
291
Heart failure and shock with mcc
44
$33,772
$9,620
3.5× st 4.0×
193
Simple pneumonia and pleurisy with mcc
37
$43,117
$10,211
4.2× st 4.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
27
$23,129
$6,286
3.7× st 4.2×
689
Kidney and urinary tract infections with mcc
26
$36,497
$8,838
4.1× st 3.7×
871
Septicemia or severe sepsis without mv >96 hours with mcc
24
$44,192
$14,006
3.2× st 4.0×
194
Simple pneumonia and pleurisy with cc
23
$27,444
$6,274
4.4× st 4.2×
190
Chronic obstructive pulmonary disease with mcc
21
$28,056
$8,530
3.3× st 4.3×
690
Kidney and urinary tract infections without mcc
19
$27,196
$5,997
4.5× st 3.8×
177
Respiratory infections and inflammations with mcc
19
$36,353
$12,049
3.0× st 4.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
14
$31,110
$9,596
3.2× st 3.8×
683
Renal failure with cc
14
$24,633
$6,695
3.7× st 3.9×
603
Cellulitis without mcc
12
$29,119
$6,777
4.3× st 4.1×
378
Gastrointestinal hemorrhage with cc
11
$27,179
$7,113
3.8× st 4.4×
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
272
$16,976
$2,444
6.9×
5491
Level 1 Intraocular Procedures
119
$12,729
$2,088
6.1×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
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 4/1/2026, template 3.0.0, 6,770 rows scanned, 1,408 distinct code–setting items kept. 224 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
0241U - Nfct ds vir resp rna 4 trgt
CPT 0241U
$445
$111
—
0
clean
10005 - FINE NEEDLE ASPIRATION BX W-US GDN 1ST LESION
CPT 10005
$2,328
$582
$880
20
clean
10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE
CPT 10060
$6,382
$1,595
$306
20
clean
10061 - INCISION AND DRAINAGE ABSCESS COMPLICATED-MULTIPLE
CPT 10061
$13,891
$3,473
$521
20
clean
10080 - INCISION AND DRAINAGE PILONIDAL CYST SIMPLE
CPT 10080
$9,835
$2,459
$771
20
clean
10081 - INCISION AND DRAINAGE PILONIDAL CYST COMPLICATED
CPT 10081
$14,631
$3,658
$771
20
clean
10120 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
CPT 10120
$855
$214
$521
20
clean
10140 - IANDD HEMATOMA SEROMA-FLUID COLLECTION
CPT 10140
$2,399
$600
$1,683
19
clean
10160 - PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA-CYST
CPT 10160
$862
$216
$452
19
clean
11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS THAN
CPT 11042
$3,985
$996
$521
20
clean
11044 - DEBRIDEMENT BONE 1ST 20 SQ CM-LESS THAN
CPT 11044
$9,932
$2,483
$1,699
20
clean
11200 - RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TOANDINC 15
CPT 11200
$23,558
$5,890
$327
20
clean
11400 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.5 CM-LESS THAN
CPT 11400
$11,629
$2,907
$880
20
clean
11401 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM
CPT 11401
$5,464
$1,366
$521
20
clean
11404 - EXC B9 LESION MRGN XCP SK TG T-A-L 3.1-4.0 CM
CPT 11404
$5,464
$1,366
$1,715
19
clean
11406 - EXC B9 LESION MRGN XCP SK TG T-A-L GREATER THAN 4.0 CM
CPT 11406
$8,851
$2,213
$1,715
19
clean
11420 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS THAN
CPT 11420
$9,369
$2,342
$1,699
20
clean
11422 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 1.1-2.0CM
CPT 11422
$5,749
$1,437
$1,699
20
clean
11423 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 2.1-3.0CM
CPT 11423
$11,398
$2,850
$1,715
19
clean
11440 - EXC B9 LESION MRGN XCP SK TG F-E-E-N-L-M 0.5CM-LESS THAN
CPT 11440
$10,629
$2,657
$880
20
clean
11606 - EXCISION MALIGNANT LESION TRUNK-ARM-LEG GREATER THAN 4.0 CM
CPT 11606
$10,086
$2,521
$1,715
19
clean
11624 - EXCISION MALIGNANT LESION S-N-H-F-G 3.1-4.0 CM
CPT 11624
$12,666
$3,167
$1,715
19
clean
11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1
CPT 11730
$862
$216
$302
19
clean
11770 - EXCISION PILONIDAL CYST-SINUS SIMPLE
CPT 11770
$15,520
$3,880
$3,188
20
clean
11772 - EXCISION PILONIDAL CYST-SINUS COMPLICATED
CPT 11772
$15,554
$3,889
$3,188
20
clean
11982 - REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
CPT 11982
$6,782
$1,695
$464
19
clean
12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN
CPT 12001
$810
$203
$302
19
clean
12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM
CPT 12002
$862
$216
$302
19
clean
12004 - SIMPLE RPR SCALP-NECK-AX-GENIT-TRUNK 7.6-12.5CM
CPT 12004
$862
$216
$306
20
clean
12005 - SMPL RPR SCALP-NECK-AX-GENIT-TRUNK 12.6-20.0CM
CPT 12005
$2,581
$645
$521
20
clean
12011 - SIMPLE REPAIR F-E-E-N-L-M 2.5CM-LESS THAN
CPT 12011
$810
$203
$302
19
clean
12013 - SIMPLE REPAIR F-E-E-N-L-M 2.6CM-5.0 CM
CPT 12013
$862
$216
$302
19
clean
12014 - SIMPLE REPAIR F-E-E-N-L-M 5.1CM-7.5 CM
CPT 12014
$862
$216
$306
20
clean
12015 - SIMPLE REPAIR F-E-E-N-L-M 7.6CM-12.5 CM
CPT 12015
$862
$216
$306
20
clean
12032 - REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM
CPT 12032
$6,446
$1,612
$521
20
clean
12034 - REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM
CPT 12034
$8,328
$2,082
$563
20
clean
12041 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.5CM-LESS THAN
CPT 12041
$862
$216
$521
20
clean
12044 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 7.6-12.5CM
CPT 12044
$2,581
$645
$760
20
clean
13121 - REPAIR COMPLEX SCALP-ARM-LEG 2.6-7.5 CM
CPT 13121
$10,529
$2,632
$531
20
clean
15240 - FTH-GFT FR DIR CLSR F-C-C-M-N-AX-G-H-F 20SQCM-LESS THAN
CPT 15240
$11,317
$2,829
$2,142
19
clean
15275 - SUB GRFT F-S-N-H-F-G-M-D LESS THAN 100SQ CM 1ST 25 SQ CM
CPT 15275
$7,679
$1,920
$767
19
clean
15823 - BLEPHAROPLASTY UPPER EYELID W-EXCESSIVE SKIN
CPT 15823
$12,615
$3,154
$2,800
15
clean
16020 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ SMALL
CPT 16020
$2,003
$501
$208
19
clean
20206 - BIOPSY MUSCLE PERCUTANEOUS NEEDLE
CPT 20206
$2,987
$747
$1,715
19
clean
20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES
CPT 20552
$2,003
$501
$452
20
clean
20605 - ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US
CPT 20605
$2,003
$501
$452
20
clean
20610 - ARTHROCENTESIS ASPIRAND-INJ MAJOR JT-BURSA W-O US
CPT 20610
$1,872
$468
$452
20
clean
21014 - EXC TUMOR SOFT TISS FACEANDSCALP SUBFASCIAL 2 CM-GREATER THAN
CPT 21014
$16,170
$4,042
$2,945
20
clean
21930 - EXCISION TUMOR SOFT TISSUE BACK-FLANK SUBQ LESS THAN 3CM
CPT 21930
$16,940
$4,235
$1,715
19
clean
21931 - EXCISION TUMOR SOFT TIS BACK-FLANK SUBQ 3 CM-GREATER THAN
CPT 21931
$18,728
$4,682
$2,042
20
clean
22900 - EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL LESS THAN 5CM
CPT 22900
$4,260
$1,065
$3,188
20
clean
22902 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ LESS THAN 3CM
CPT 22902
$4,712
$1,178
$1,715
19
clean
22903 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM-GREATER THAN
CPT 22903
$13,344
$3,336
$3,188
20
clean
23071 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM-GREATER THAN
CPT 23071
$11,079
$2,770
$2,042
20
clean
23350 - INJECTION SHOULDER ARTHROGRAPHY- CT-MRI ARTHG
CPT 23350
$754
$189
$452
6
clean
23650 - CLSD TX SHOULDER DISLC W-MANIPULATION W-O ANES
CPT 23650
$2,003
$501
$376
20
clean
24071 - EXC TUMOR SOFT TISSUE UPPER ARM-ELBOW SUBQ 3CM-GREATER THAN
CPT 24071
$11,672
$2,918
$3,188
20
clean
24073 - EXC TUMOR SOFT TISS UPPER ARM-ELBW SUBFASC 5CM-GREATER THAN
CPT 24073
$20,480
$5,120
$3,188
20
clean
24075 - EXC TUMOR SOFT TISS UPPER ARM-ELBOW SUBQ LESS THAN 3CM
CPT 24075
$4,712
$1,178
$1,715
19
clean
24600 - TREATMENT CLOSED ELBOW DISLOCATION W-O ANES
CPT 24600
$2,003
$501
$376
20
clean
24605 - TREATMENT CLOSED ELBOW DISLOCATION REQ ANES
CPT 24605
$2,425
$606
$1,670
19
clean
24640 - CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W-MNPJ
CPT 24640
$2,003
$501
$371
19
clean
25071 - EXC TUMOR SOFT TISS FOREARM AND-WRIST SUBQ 3CM-GREATER THAN
CPT 25071
$11,826
$2,957
$2,042
20
clean
25605 - CLTX DSTL RDL FX-EPIPHYSL SEP W-MNPJ
CPT 25605
$10,529
$2,632
$1,654
20
clean
26010 - DRAINAGE FINGER ABSCESS SIMPLE
CPT 26010
$862
$216
$302
19
clean
26720 - CLTX PHLNGL FX PROX-MIDDLE PX-F-T W-O MANJ EA
CPT 26720
$862
$216
$376
20
clean
26770 - CLTX IPHAL JT DISLC W-MANJ W-O ANES
CPT 26770
$862
$216
$376
20
clean
28190 - REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS
CPT 28190
$2,003
$501
$880
20
clean
28810 - AMPUTATION METATARSAL W-TOE SINGLE
CPT 28810
$9,109
$2,277
$3,347
20
clean
28820 - AMPUTATION TOE METATARSOPHALANGEAL JOINT
CPT 28820
$8,942
$2,235
$3,347
20
clean
28825 - AMPUTATION TOE INTERPHALANGEAL JOINT
CPT 28825
$19,485
$4,871
$3,347
20
clean
29105 - APPLICATION LONG ARM SPLINT SHOULDER TO HAND
CPT 29105
$862
$216
$244
19
clean
29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC
CPT 29125
$806
$202
$200
19
clean
29505 - APPLICATION LONG LEG SPLINT THIGH TO ANKLE-TOES
CPT 29505
$862
$216
$244
19
clean
29515 - APPLICATION SHORT LEG SPLINT CALF TO FOOT
CPT 29515
$862
$216
$244
19
clean
29700 - REMOVAL-BIVALVING GAUNTLET BOOT-BODY CAST
CPT 29700
$807
$202
$389
15
clean
30901 - CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE
CPT 30901
$806
$202
$200
19
clean
31500 - INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE
CPT 31500
$2,427
$607
$361
20
clean
32408 - CORE NEEDLE BX LUNG-MEDIASTINUM PERQ W-IMG
CPT 32408
$3,294
$823
$1,715
19
clean
32551 - TUBE THORACOSTOMY INCLUDES WATER SEAL
CPT 32551
$2,252
$563
$1,619
20
clean
32554 - THORACENTESIS NEEDLE-CATH PLEURA W-O IMAGING
CPT 32554
$2,003
$501
$783
20
clean
32555 - THORACENTESIS NEEDLE-CATH PLEURA W-IMAGING
CPT 32555
$4,004
$1,001
$783
20
clean
36415 - COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$26
$7
$10
12
clean
36430 - TRANSFUSION BLOOD-BLOOD COMPONENTS
CPT 36430
$1,881
$470
$551
20
clean
36556 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR-GREATER THAN
CPT 36556
$5,271
$1,318
$3,201
20
clean
36561 - INSJ TUNNELED CTR VAD W-SUBQ PORT AGE 5 YR-GREATER THAN
CPT 36561
$19,861
$4,965
$3,331
20
clean
36573 - INSERTION PICC W-RSANDI 5 YR-GREATER THAN
CPT 36573
$6,639
$1,660
$1,634
19
clean
36590 - RMVL TUN CTR VAD W-SUBQ PORT-PMP CTR-PRPH INSJ
CPT 36590
$12,468
$3,117
$1,634
19
clean
36591 - COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE
CPT 36591
$819
$205
$188
15
clean
36592 - COLLECT BLOOD FROM CATHETER VENOUS NOS
CPT 36592
$758
$190
$188
15
clean
36600 - ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX
CPT 36600
$828
$207
$188
15
clean
36680 - PLACEMENT NEEDLE INTRAOSSEOUS INFUSION
CPT 36680
$862
$216
$464
19
clean
37609 - LIGATION-BIOPSY TEMPORAL ARTERY
CPT 37609
$13,499
$3,375
$1,715
19
clean
38222 - DIAGNOSTIC BONE MARROW BIOPSIES AND ASPIRATIONS
CPT 38222
$4,648
$1,162
$2,945
18
clean
38500 - BX-EXC LYMPH NODE OPEN SUPERFICIAL
CPT 38500
$16,940
$4,235
$3,922
20
clean
43235 - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC
CPT 43235
$2,003
$501
$942
19
clean
43239 - EGD TRANSORAL BIOPSY SINGLE-MULTIPLE
CPT 43239
$4,674
$1,168
$942
19
clean
43247 - EGD FLEXIBLE FOREIGN BODY REMOVAL
CPT 43247
$2,581
$645
$942
19
clean
43250 - EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS
CPT 43250
$2,768
$692
$1,992
19
clean
43251 - EGD REMOVAL TUMOR POLYP-OTHER LESION SNARE TECH
CPT 43251
$2,768
$692
$1,992
19
clean
43762 - PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC
CPT 43762
$2,003
$501
$381
20
clean
44180 - LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
CPT 44180
$11,569
$2,892
$6,256
19
clean
44970 - LAPAROSCOPIC APPENDECTOMY
CPT 44970
$21,061
$5,265
$6,208
20
clean
45305 - PROCTOSGMDSC RIGID W-BX SINGLE-MULTIPLE
CPT 45305
$2,074
$518
$1,242
19
clean
45330 - SIGMOIDOSCOPY FLX DX W-COLLJ SPEC BR-WA IF PFRMD
CPT 45330
$2,003
$501
$1,139
20
clean
45331 - SIGMOIDOSCOPY FLX W-BIOPSY SINGLE-MULTIPLE
CPT 45331
$2,003
$501
$1,139
20
clean
45378 - COLONOSCOPY FLX DX W-COLLJ SPEC WHEN PFRMD
CPT 45378
$4,669
$1,167
$966
19
clean
45379 - COLONOSCOPY FLX W-REMOVAL OF FOREIGN BODY(S)
CPT 45379
$2,581
$645
$1,242
19
clean
45380 - COLONOSCOPY W-BIOPSY SINGLE-MULTIPLE
CPT 45380
$3,038
$759
$1,242
19
clean
45381 - COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
CPT 45381
$2,581
$645
$1,242
19
clean
45384 - COLSC FLX W-REMOVAL LESION BY HOT BX FORCEPS
CPT 45384
$2,581
$645
$1,242
19
clean
45385 - COLSC FLX W-RMVL OF TUMOR POLYP LESION SNARE TQ
CPT 45385
$3,038
$759
$1,242
19
clean
45388 - COLONOSCOPY FLX ABLATION TUMOR POLYP-OTHER LES
CPT 45388
$7,065
$1,766
$1,242
19
clean
46040 - IANDD ISCHIORECTALAND-PERIRECTAL ABSCESS SPX
CPT 46040
$9,330
$2,333
$1,242
19
clean
46083 - INCISION THROMBOSED HEMORRHOID EXTERNAL
CPT 46083
$2,003
$501
$381
20
clean
46250 - HEMORRHOIDECTOMY XTRNL 2-GREATER THAN COLUMN-GROUP
CPT 46250
$19,864
$4,966
$3,121
20
clean
46255 - HEMORRHOIDECTOMY NTRNL AND XTRNL 1 COLUMN-GROUP
CPT 46255
$14,939
$3,735
$3,121
20
clean
46260 - HEMORRHOIDECTOMY INT AND XTRNL 2-GREATER THAN COLUMN-GRO
CPT 46260
$25,936
$6,484
$3,121
20
clean
46910 - DSTRJ LESION ANUS SMPL ELTRDSICCATION
CPT 46910
$9,337
$2,334
$2,122
18
clean
46922 - DSTRJ LESION ANUS SIMPLE SURG EXCISION
CPT 46922
$8,415
$2,104
$2,855
20
clean
47000 - BIOPSY LIVER NEEDLE PERCUTANEOUS
CPT 47000
$5,575
$1,394
$1,715
19
clean
47001 - BX LVR NDL DONE PURPOSE TM OTH MAJOR PX
CPT 47001
$13,725
$3,431
$536
7
clean
47379 - UNLISTED LAPAROSCOPIC PROCEDURE LIVER
CPT 47379
$8,251
$2,063
$6,208
20
clean
47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY
CPT 47562
$20,537
$5,134
$6,219
20
clean
49082 - ABDOM PARACENTESIS DX-THER W-O IMAGING GUIDANCE
CPT 49082
$2,003
$501
$942
19
clean
49083 - ABDOM PARACENTESIS DX-THER W-IMAGING GUIDANCE
CPT 49083
$2,750
$687
$942
19
clean
49320 - LAPS ABD PRTMANDOMENTUM DX W-WO SPEC BR-WA SPX
CPT 49320
$8,035
$2,009
$6,129
20
clean
49321 - LAPAROSCOPY SURG W-BX SINGLE-MULTIPLE
CPT 49321
$4,978
$1,245
$6,266
20
clean
49322 - LAPS SURG W-ASPIR CAVITY-CYST SINGLE-MULTIPLE
CPT 49322
$7,238
$1,809
$6,266
20
clean
49329 - UNLISTED LAPAROSCOPY PX ABD PERTONEUM AND OMENTUM
CPT 49329
$7,450
$1,863
$6,957
15
clean
49418 - INSJ INTRAPERITONEAL CATHETER W-IMG GUID
CPT 49418
$10,684
$2,671
$3,683
20
clean
49465 - CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE
CPT 49465
$810
$203
$378
20
clean
49505 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN REDUCIBLE
CPT 49505
$19,819
$4,955
$4,550
20
clean
49507 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN INCARCERATED
CPT 49507
$14,184
$3,546
$4,550
20
clean
49591 - RPR AA HERNIA 1ST LESS THAN 3 CM REDUCIBLE
CPT 49591
$15,708
$3,927
$4,550
20
clean
49592 - RPR AA HERNIA 1ST LESS THAN 3 CM NCRC8-STRANGULATED
CPT 49592
$19,403
$4,851
$6,266
20
clean
49593 - RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
CPT 49593
$21,655
$5,414
$6,345
20
clean
49594 - RPR AA HERNIA 1ST 3-10 CM NCRC8-STRANGULATED
CPT 49594
$27,098
$6,775
$6,266
20
clean
49614 - RPR AA HERNIA RECR LESS THAN 3 CM NCRC8-STRANGULATED
CPT 49614
$14,121
$3,530
$6,266
20
clean
49616 - RPR AA HERNIA RECR 3-10 CM NCRC8-STRANGULATED
CPT 49616
$22,635
$5,659
$7,247
10
clean
49623 - RMVL NONINFCT MESH-PROSTH AA-PARASTOMAL HRNA RPR
CPT 49623
$14,121
$3,530
$3,477
2
clean
49650 - LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA
CPT 49650
$18,552
$4,638
$6,266
20
clean
51701 - INSJ NON-NDWELLG BLADDER CATHETER
CPT 51701
$810
$203
$200
19
clean
51702 - INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE
CPT 51702
$810
$203
$200
19
clean
51798 - MEAS POST-VOIDING RESIDUAL URINEAND-BLADDER CAP
CPT 51798
$810
$203
$93
19
clean
51860 - CYSTORRHAPHY SUTR BLDR WND INJ-RPT SIMPLE
CPT 51860
$20,175
$5,044
$9,548
19
clean
54150 - CIRCUMCISION W-CLAMP-OTH DEV W-BLOCK
CPT 54150
$3,893
$973
$2,177
20
clean
55520 - EXC LESION SPERMATIC CORD SEPARATE PROCEDURE
CPT 55520
$14,184
$3,546
$3,626
20
clean
56405 - IANDD VULVA-PERINEAL ABSCESS
CPT 56405
$2,581
$645
$455
20
clean
56420 - IANDD OF BARTHOLINS GLAND ABSCESS
CPT 56420
$2,003
$501
$308
20
clean
56515 - DESTRUCTION LESIONS VULVA EXTENSIVE
CPT 56515
$5,468
$1,367
$2,142
19
clean
56605 - BIOPSY VULVA-PERINEUM 1 LESION SPX
CPT 56605
$3,554
$888
$1,034
20
clean
56620 - VULVECTOMY SIMPLE PARTIAL
CPT 56620
$16,632
$4,158
$3,360
20
clean
57065 - DESTRUCTION VAGINAL LESIONS EXTENSIVE
CPT 57065
$15,209
$3,802
$3,329
20
clean
57200 - COLPORRHAPHY SUTURE INJURY VAGINA
CPT 57200
$17,986
$4,496
$3,329
20
clean
57268 - REPAIR ENTEROCELE VAGINAL APPROACH SPX
CPT 57268
$14,379
$3,595
$5,011
20
clean
57288 - SLING OPERATION STRESS INCONTINENCE
CPT 57288
$20,146
$5,037
$5,725
20
clean
57500 - BIOPSY CERVIX SINGLE-MULT-EXCISION OF LESION SPX
CPT 57500
$7,084
$1,771
$1,034
20
clean
57522 - CONIZATION CERVIX W-WO DANDC RPR ELTRD EXC
CPT 57522
$7,663
$1,916
$3,329
20
clean
58301 - REMOVAL INTRAUTERINE DEVICE IUD
CPT 58301
$5,603
$1,401
$387
20
clean
58340 - CATH AND SALINE-CONTRAST SONOHYSTER-HYSTEROSALPI
CPT 58340
$5,698
$1,424
$536
6
clean
58350 - CHROMOTUBATION OVIDUCT W-MATERIALS
CPT 58350
$4,901
$1,225
$5,072
20
clean
58545 - LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM-LESS THAN
CPT 58545
$9,366
$2,342
$6,617
20
clean
58550 - LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM-LESS THAN
CPT 58550
$14,795
$3,699
$7,257
20
clean
58552 - LAPS W-VAG HYSTERECT 250 GM-ANDRMVL TUBEAND-OVARIES
CPT 58552
$18,268
$4,567
$10,825
20
clean
58554 - LAPS VAGINAL HYSTERECT GREATER THAN 250 GM RMVL TUBEAND-OVAR
CPT 58554
$18,134
$4,533
$10,818
19
clean
58555 - HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE
CPT 58555
$8,624
$2,156
$3,329
20
clean
58558 - HYSTEROSCOPY BX ENDOMETRIUMAND-POLYPC W-WO DANDC
CPT 58558
$8,042
$2,010
$3,360
20
clean
58561 - HYSTEROSCOPY REMOVAL LEIOMYOMATA
CPT 58561
$10,081
$2,520
$5,072
20
clean
58562 - HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY
CPT 58562
$8,196
$2,049
$3,360
20
clean
58563 - HYSTEROSCOPY ENDOMETRIAL ABLATION
CPT 58563
$7,623
$1,906
$5,423
20
clean
58571 - LAPS TOTAL HYSTERECT 250 GM-LESS THAN W-RMVL TUBE-OVARY
CPT 58571
$44,643
$11,161
$10,825
20
clean
58572 - LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS GREATER THAN 250 GM
CPT 58572
$43,106
$10,776
$10,825
20
clean
58573 - LAPAROSCOPY TOT HYSTERECTOMY GREATER THAN 250 G W-TUBE-OVAR
CPT 58573
$14,262
$3,565
$10,825
20
clean
58578 - UNLISTED LAPAROSCOPY PROCEDURE UTERUS
CPT 58578
$13,431
$3,358
$7,597
16
clean
58661 - LAPAROSCOPY W-RMVL ADNEXAL STRUCTURES
CPT 58661
$9,933
$2,483
$6,266
20
clean
58662 - LAPS FULG-EXC OVARY VISCERA-PERITONEAL SURFACE
CPT 58662
$7,400
$1,850
$6,266
20
clean
58670 - LAPAROSCOPY FULGURATION OVIDUCTS
CPT 58670
$4,350
$1,088
$6,129
20
clean
58679 - UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT OVARY
CPT 58679
$6,078
$1,520
$7,597
16
clean
58940 - OOPHORECTOMY PARTIAL-TOTAL UNI-BI
CPT 58940
$19,248
$4,812
$4,835
6
clean
59025 - FETAL NONSTRESS TEST
CPT 59025
$1,502
$375
$304
19
clean
59151 - LAPS TX ECTOPIC PREG W-SALPINGAND-OOPHORECTOMY
CPT 59151
$27,137
$6,784
$6,266
20
clean
59320 - CERCLAGE CERVIX PREGNANCY VAGINAL
CPT 59320
$7,641
$1,910
$3,329
20
clean
59820 - TX MISSED ABORTION FIRST TRIMESTER SURGICAL
CPT 59820
$6,972
$1,743
$3,360
20
clean
60100 - BIOPSY THYROID PERCUTANEOUS CORE NEEDLE
CPT 60100
$2,060
$515
$880
20
clean
62270 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE
CPT 62270
$2,786
$697
$876
20
clean
62273 - INJECTION EPIDURAL BLOOD-CLOT PATCH
CPT 62273
$2,003
$501
$876
20
clean
62328 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE W-FLUOR OR CT
CPT 62328
$2,003
$501
$876
20
clean
64445 - INJECTION AAAND-STRD SCIATIC NERVE W-IMG GDN
CPT 64445
$7,736
$1,934
$876
20
clean
64450 - INJECTION AAAND-STRD OTHER PERIPHERAL NERVE-BRANCH
CPT 64450
$5,529
$1,382
$876
20
clean
64486 - TAP BLOCK UNILATERAL BY INJECTION(S)
CPT 64486
$14,205
$3,551
$452
6
clean
64488 - TAP BLOCK BILATERAL BY INJECTION(S)
CPT 64488
$11,705
$2,926
$452
7
clean
66850 - RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR
CPT 66850
$10,804
$2,701
$2,878
20
clean
66982 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP
CPT 66982
$10,231
$2,558
$2,878
20
clean
66984 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH W-O ECP
CPT 66984
$9,876
$2,469
$2,878
20
clean
67036 - VITRECTOMY MECHANICAL PARS PLANA
CPT 67036
$6,726
$1,681
$5,253
20
clean
67500 - RETROBULBAR INJECTION MEDICATION SPX
CPT 67500
$5,820
$1,455
$452
19
clean
67808 - EXC CHALAZION ANES REQ HOSPIZATION SINGLE-MULT
CPT 67808
$13,656
$3,414
$2,446
20
clean
67840 - EXC LESION EYELID W-O CLSR-W-SIMPLE DIR CLOSURE
CPT 67840
$12,615
$3,154
$1,035
19
clean
67917 - REPAIR ECTROPION EXTENSIVE
CPT 67917
$14,015
$3,504
$2,905
20
clean

Showing the first 200 of 1,408 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
215 of 1,172 comparable items (18%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $3,487 exceeds the gross charge $2,328
warn
mrf_rate_without_estimate
10,947 of 10,947 percentage/algorithm rates across 1,408 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 789/i
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
MS-DRG 790/i
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
MS-DRG 791/i
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
MS-DRG 792/i
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
MS-DRG 793/i
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
MS-DRG 794/i
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
MS-DRG 795/i
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 J1885/o
info
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT J1931/o
info
mrf_negotiated_above_gross
highest negotiated rate $87 exceeds the gross charge $26 — part of a file-wide pattern, counted once at the file level
CPT J1956/o
info
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT J2060/o
info
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT J2175/o
info
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $8 — part of a file-wide pattern, counted once at the file level
CPT J2185/o
info
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT J2250/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level
CPT J2272/o
info
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT J2353/o
info
mrf_negotiated_above_gross
highest negotiated rate $435 exceeds the gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT J2354/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT J2405/o
info
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT J2471/o
info
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level
CPT J2550/o
info
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT J2765/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT J2785/o
info
mrf_negotiated_above_gross
highest negotiated rate $102 exceeds the gross charge $96 — part of a file-wide pattern, counted once at the file level
CPT J2790/o
info
mrf_negotiated_above_gross
highest negotiated rate $218 exceeds the gross charge $123 — part of a file-wide pattern, counted once at the file level
CPT J2802/o
info
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT J2805/o
info
mrf_negotiated_above_gross
highest negotiated rate $138 exceeds the gross charge $136 — part of a file-wide pattern, counted once at the file level
CPT J2916/o
info
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT J3030/o
info
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $14 — part of a file-wide pattern, counted once at the file level
CPT J3101/o
info
mrf_negotiated_above_gross
highest negotiated rate $408 exceeds the gross charge $281 — part of a file-wide pattern, counted once at the file level
CPT J3105/o
info
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT J3480/o
info
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT J3490/o
info
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT J7298/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,325 exceeds the gross charge $373 — part of a file-wide pattern, counted once at the file level
CPT J9000/o
info
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $16 — part of a file-wide pattern, counted once at the file level
CPT J9041/o
info
mrf_negotiated_above_gross
highest negotiated rate $51 exceeds the gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT J9047/o
info
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $79 — part of a file-wide pattern, counted once at the file level
CPT J9055/o
info
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $71 — part of a file-wide pattern, counted once at the file level
CPT J9201/o
info
mrf_negotiated_above_gross
highest negotiated rate $193 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT J9206/o
info
mrf_negotiated_above_gross
highest negotiated rate $242 exceeds the gross charge $19 — part of a file-wide pattern, counted once at the file level
CPT J9227/o
info
mrf_negotiated_above_gross
highest negotiated rate $184 exceeds the gross charge $60 — part of a file-wide pattern, counted once at the file level
CPT J9263/o
info
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT J9299/o
info
mrf_negotiated_above_gross
highest negotiated rate $73 exceeds the gross charge $66 — part of a file-wide pattern, counted once at the file level
CPT J9334/o
info
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT J9370/o
info
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $32 — part of a file-wide pattern, counted once at the file level
CPT J9395/o
info
mrf_negotiated_above_gross
highest negotiated rate $146 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT P9016/o
info
mrf_negotiated_above_gross
highest negotiated rate $366 exceeds the gross charge $347 — part of a file-wide pattern, counted once at the file level
CPT P9017/o
info
mrf_negotiated_above_gross
highest negotiated rate $170 exceeds the gross charge $153 — part of a file-wide pattern, counted once at the file level
CPT P9047/o
info
mrf_negotiated_above_gross
highest negotiated rate $116 exceeds the gross charge $108 — part of a file-wide pattern, counted once at the file level
CPT Q2009/o
info
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT Q5105/o
info
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 10005/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,328 — part of a file-wide pattern, counted once at the file level
CPT 10120/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $855 — part of a file-wide pattern, counted once at the file level
CPT 10140/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,399 — part of a file-wide pattern, counted once at the file level
CPT 11404/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,464 — part of a file-wide pattern, counted once at the file level
CPT 11422/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,749 — part of a file-wide pattern, counted once at the file level
CPT 12004/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 12005/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 12014/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 12015/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 12032/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,446 — part of a file-wide pattern, counted once at the file level
CPT 12041/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 12044/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 15275/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,679 — part of a file-wide pattern, counted once at the file level
CPT 16020/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 20206/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,987 — part of a file-wide pattern, counted once at the file level
CPT 20552/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 20605/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 20610/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,872 — part of a file-wide pattern, counted once at the file level
CPT 22900/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $4,260 — part of a file-wide pattern, counted once at the file level
CPT 22902/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $4,712 — part of a file-wide pattern, counted once at the file level
CPT 23350/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $754 — part of a file-wide pattern, counted once at the file level
CPT 23650/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 24600/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 24605/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,425 — part of a file-wide pattern, counted once at the file level
CPT 24640/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 26720/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 26770/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 28190/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 31500/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,427 — part of a file-wide pattern, counted once at the file level
CPT 32408/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $3,294 — part of a file-wide pattern, counted once at the file level
CPT 32551/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,252 — part of a file-wide pattern, counted once at the file level
CPT 32554/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 32555/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,004 — part of a file-wide pattern, counted once at the file level
CPT 36000/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $807 — part of a file-wide pattern, counted once at the file level
CPT 36430/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,881 — part of a file-wide pattern, counted once at the file level
CPT 36556/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,271 — part of a file-wide pattern, counted once at the file level
CPT 36592/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $758 — part of a file-wide pattern, counted once at the file level
CPT 36680/o
info
mrf_negotiated_above_gross
highest negotiated rate $903 exceeds the gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 37195/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 38222/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,871 exceeds the gross charge $4,648 — part of a file-wide pattern, counted once at the file level
CPT 43235/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 43247/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 43250/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,879 exceeds the gross charge $2,768 — part of a file-wide pattern, counted once at the file level
CPT 43251/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,879 exceeds the gross charge $2,768 — part of a file-wide pattern, counted once at the file level
CPT 43762/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 44180/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $11,569 — part of a file-wide pattern, counted once at the file level
CPT 45305/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,074 — part of a file-wide pattern, counted once at the file level
CPT 45330/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 45331/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 45379/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 45380/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $3,038 — part of a file-wide pattern, counted once at the file level
CPT 45381/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 45384/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 45385/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $3,038 — part of a file-wide pattern, counted once at the file level
CPT 46083/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 46922/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $8,415 — part of a file-wide pattern, counted once at the file level
CPT 47000/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,575 — part of a file-wide pattern, counted once at the file level
CPT 47379/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $8,251 — part of a file-wide pattern, counted once at the file level
CPT 49082/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 49083/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,750 — part of a file-wide pattern, counted once at the file level
CPT 49320/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $8,035 — part of a file-wide pattern, counted once at the file level
CPT 49321/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $4,978 — part of a file-wide pattern, counted once at the file level
CPT 49322/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $7,238 — part of a file-wide pattern, counted once at the file level
CPT 49329/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $7,450 — part of a file-wide pattern, counted once at the file level
CPT 49465/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $810 — part of a file-wide pattern, counted once at the file level
CPT 49507/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $14,184 — part of a file-wide pattern, counted once at the file level
CPT 54150/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,893 — part of a file-wide pattern, counted once at the file level
CPT 56405/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 56420/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 56605/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,554 — part of a file-wide pattern, counted once at the file level
CPT 57500/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,084 — part of a file-wide pattern, counted once at the file level
CPT 58340/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $5,698 — part of a file-wide pattern, counted once at the file level
CPT 58350/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,111 exceeds the gross charge $4,901 — part of a file-wide pattern, counted once at the file level
CPT 58545/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $9,366 — part of a file-wide pattern, counted once at the file level
CPT 58550/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $14,795 — part of a file-wide pattern, counted once at the file level
CPT 58552/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $18,268 — part of a file-wide pattern, counted once at the file level
CPT 58554/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $18,134 — part of a file-wide pattern, counted once at the file level
CPT 58555/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $8,624 — part of a file-wide pattern, counted once at the file level
CPT 58563/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $7,623 — part of a file-wide pattern, counted once at the file level
CPT 58573/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $14,262 — part of a file-wide pattern, counted once at the file level
CPT 58661/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $9,933 — part of a file-wide pattern, counted once at the file level
CPT 58662/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $7,400 — part of a file-wide pattern, counted once at the file level
CPT 58670/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $4,350 — part of a file-wide pattern, counted once at the file level
CPT 58679/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $6,078 — part of a file-wide pattern, counted once at the file level
CPT 59320/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,641 — part of a file-wide pattern, counted once at the file level
CPT 59820/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,972 — part of a file-wide pattern, counted once at the file level
CPT 59899/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $1,744 — part of a file-wide pattern, counted once at the file level
CPT 60100/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,060 — part of a file-wide pattern, counted once at the file level
CPT 62270/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,786 — part of a file-wide pattern, counted once at the file level
CPT 62273/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 62328/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 64445/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,736 — part of a file-wide pattern, counted once at the file level
CPT 64450/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,529 — part of a file-wide pattern, counted once at the file level
CPT 66982/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $10,231 — part of a file-wide pattern, counted once at the file level
CPT 66984/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $9,876 — part of a file-wide pattern, counted once at the file level
CPT 67036/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,726 — part of a file-wide pattern, counted once at the file level
CPT 67924/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,246 — part of a file-wide pattern, counted once at the file level
CPT 68841/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,960 — part of a file-wide pattern, counted once at the file level
CPT 70140/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $172 — part of a file-wide pattern, counted once at the file level
CPT 71047/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $160 — part of a file-wide pattern, counted once at the file level
CPT 76775/o
info
mrf_negotiated_above_gross
highest negotiated rate $211 exceeds the gross charge $209 — part of a file-wide pattern, counted once at the file level
CPT 78014/o
info
mrf_negotiated_above_gross
highest negotiated rate $808 exceeds the gross charge $604 — part of a file-wide pattern, counted once at the file level
CPT 78580/o
info
mrf_negotiated_above_gross
highest negotiated rate $808 exceeds the gross charge $682 — part of a file-wide pattern, counted once at the file level
CPT 78700/o
info
mrf_negotiated_above_gross
highest negotiated rate $808 exceeds the gross charge $682 — part of a file-wide pattern, counted once at the file level
CPT 78708/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,097 exceeds the gross charge $1,006 — part of a file-wide pattern, counted once at the file level
CPT 81405/o
info
mrf_negotiated_above_gross
highest negotiated rate $868 exceeds the gross charge $785 — part of a file-wide pattern, counted once at the file level
CPT 85097/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,628 exceeds the gross charge $1,387 — part of a file-wide pattern, counted once at the file level
CPT 85999/o
info
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $42 — part of a file-wide pattern, counted once at the file level
CPT 86581/o
info
mrf_negotiated_above_gross
highest negotiated rate $695 exceeds the gross charge $470 — part of a file-wide pattern, counted once at the file level
CPT 86850/o
info
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $92 — part of a file-wide pattern, counted once at the file level
CPT 86870/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 86885/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $274 — part of a file-wide pattern, counted once at the file level
CPT 86900/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $207 — part of a file-wide pattern, counted once at the file level
CPT 86902/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 86905/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 86920/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $238 — part of a file-wide pattern, counted once at the file level
CPT 86977/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $315 — part of a file-wide pattern, counted once at the file level
CPT 88184/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $575 — part of a file-wide pattern, counted once at the file level
CPT 88307/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $708 — part of a file-wide pattern, counted once at the file level
CPT 88313/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $184 — part of a file-wide pattern, counted once at the file level
CPT 88361/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 88367/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 88381/o
info
mrf_negotiated_above_gross
highest negotiated rate $354 exceeds the gross charge $79 — part of a file-wide pattern, counted once at the file level
CPT 90471/o
info
mrf_negotiated_above_gross
highest negotiated rate $146 exceeds the gross charge $98 — part of a file-wide pattern, counted once at the file level
CPT 90675/o
info
mrf_negotiated_above_gross
highest negotiated rate $698 exceeds the gross charge $366 — part of a file-wide pattern, counted once at the file level
CPT 92521/o
info
mrf_negotiated_above_gross
highest negotiated rate $273 exceeds the gross charge $256 — part of a file-wide pattern, counted once at the file level
CPT 92522/o
info
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $207 — part of a file-wide pattern, counted once at the file level
CPT 92523/o
info
mrf_negotiated_above_gross
highest negotiated rate $464 exceeds the gross charge $453 — part of a file-wide pattern, counted once at the file level
CPT 92524/o
info
mrf_negotiated_above_gross
highest negotiated rate $224 exceeds the gross charge $211 — part of a file-wide pattern, counted once at the file level
CPT 94060/o
info
mrf_negotiated_above_gross
highest negotiated rate $754 exceeds the gross charge $622 — part of a file-wide pattern, counted once at the file level
CPT 94618/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $198 — part of a file-wide pattern, counted once at the file level
CPT 94640/o
info
mrf_negotiated_above_gross
highest negotiated rate $443 exceeds the gross charge $314 — part of a file-wide pattern, counted once at the file level
CPT 94660/o
info
mrf_negotiated_above_gross
highest negotiated rate $443 exceeds the gross charge $346 — part of a file-wide pattern, counted once at the file level
CPT 94664/o
info
mrf_negotiated_above_gross
highest negotiated rate $443 exceeds the gross charge $350 — part of a file-wide pattern, counted once at the file level
CPT 94668/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $181 — part of a file-wide pattern, counted once at the file level
CPT 94669/o
info
mrf_negotiated_above_gross
highest negotiated rate $443 exceeds the gross charge $346 — part of a file-wide pattern, counted once at the file level
CPT 94726/o
info
mrf_negotiated_above_gross
highest negotiated rate $754 exceeds the gross charge $423 — part of a file-wide pattern, counted once at the file level
CPT 94799/o
info
mrf_negotiated_above_gross
highest negotiated rate $260 exceeds the gross charge $257 — part of a file-wide pattern, counted once at the file level
CPT 96156/o
info
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $193 — part of a file-wide pattern, counted once at the file level
CPT 96374/o
info
mrf_negotiated_above_gross
highest negotiated rate $430 exceeds the gross charge $423 — part of a file-wide pattern, counted once at the file level
CPT 96377/o
info
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $96 — part of a file-wide pattern, counted once at the file level
CPT 96416/o
info
mrf_negotiated_above_gross
highest negotiated rate $668 exceeds the gross charge $511 — part of a file-wide pattern, counted once at the file level
CPT 96523/o
info
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $102 — part of a file-wide pattern, counted once at the file level
CPT 96900/o
info
mrf_negotiated_above_gross
highest negotiated rate $75 exceeds the gross charge $62 — part of a file-wide pattern, counted once at the file level
CPT 99195/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $225 — part of a file-wide pattern, counted once at the file level
CPT 99292/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,340 exceeds the gross charge $2,080 — part of a file-wide pattern, counted once at the file level
CPT G0008/o
info
mrf_negotiated_above_gross
highest negotiated rate $95 exceeds the gross charge $87 — part of a file-wide pattern, counted once at the file level
CPT G0105/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT G0121/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,576 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 224 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    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. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    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. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    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. Baptist Health Medical Center-Drew County — standard charges file · AR · updated 4/1/2026
    · csv-wide · 3.7M bytes · fetched 2026-08-23 · sha256 6dc63e1c2454…

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.