Hospital · CCN 040072

Baptist Health Medical Center-Stuttgart

1703 North Buerkle St, Stuttgart, AR 72160 · Arkansas County
Part of Baptist Health · 49 beds · 1
Small town core: primary flow within an urban cluster of 2,500 to 9,999

2 admission types 16 outpatient services price file: ok

Billed per dollar paid, all admissions

2.55×

$713K billed against $280K paid across 29 Medicare discharges; the national figure is 5.03×.

3.1%

of adults in Arkansas County have medical debt in collections

8.2%

uninsured in the county · state 10.0%

$50K

median household income

2.5×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

39.1%

obesity in the countyⓘ

15.2%

diagnosed diabetes (PLACES)

8.6%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

291

Heart failure and shock with mcc

$24,079

$11,565

2.1× st 4.0×

690

Kidney and urinary tract infections without mcc

$25,113

$7,598

3.3× st 3.8×

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

$17,020

$2,438

7.0×

5372

Level 2 Urology and Related Services

$6,363

$622

10.2×

5115

Level 5 Musculoskeletal Procedures

$42,574

$11,602

3.7×

5431

Level 1 Nerve Procedures

—

5373

Level 3 Urology and Related Services

—

5361

Level 1 Laparoscopy and Related Services

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5302

Level 2 Upper GI Procedures

—

5183

Level 3 Vascular Procedures

—

5182

Level 2 Vascular Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5112

Level 2 Musculoskeletal 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, 6,405 rows scanned, 1,123 distinct code–setting items kept. 159 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

0202U - Nfct ds 22 trgt sars-cov-2

CPT 0202U

$1,301

$325

$436

clean

0241U - Nfct ds vir resp rna 4 trgt

CPT 0241U

$445

$111

—

clean

0866T - QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI

CPT 0866T

$555

$139

$336

clean

10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE

CPT 10060

$862

$216

$306

clean

10080 - INCISION AND DRAINAGE PILONIDAL CYST SIMPLE

CPT 10080

$1,561

$390

$779

clean

10120 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE

CPT 10120

$855

$214

$510

clean

10140 - IANDD HEMATOMA SEROMA-FLUID COLLECTION

CPT 10140

$2,399

$600

$1,720

clean

11401 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM

CPT 11401

$4,775

$1,194

$510

clean

11402 - EXC B9 LESION MRGN XCP SK TG T-A-L 1.1-2.0 CM

CPT 11402

$12,086

$3,021

$889

clean

11403 - EXC B9 LESION MRGN XCP SK TG T-A-L 2.1-3.0 CM

CPT 11403

$12,964

$3,241

$889

clean

11404 - EXC B9 LESION MRGN XCP SK TG T-A-L 3.1-4.0 CM

CPT 11404

$6,865

$1,716

$1,752

clean

11406 - EXC B9 LESION MRGN XCP SK TG T-A-L GREATER THAN 4.0 CM

CPT 11406

$5,402

$1,350

$1,752

clean

11422 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 1.1-2.0CM

CPT 11422

$10,317

$2,579

$1,736

clean

11423 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 2.1-3.0CM

CPT 11423

$6,656

$1,664

$1,752

clean

11424 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 3.1-4.0CM

CPT 11424

$6,656

$1,664

$1,752

clean

11426 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G GREATER THAN 4.0CM

CPT 11426

$6,314

$1,578

$3,054

clean

11450 - EXCISION HIDRADENITIS AXILLARY SMPL-INTRM RPR

CPT 11450

$17,825

$4,456

$3,054

clean

11451 - EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR

CPT 11451

$21,631

$5,408

$3,054

clean

11719 - TRIMMING NONDYSTROPHIC NAILS ANY NUMBER

CPT 11719

$758

$190

$93

clean

11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1

CPT 11730

$862

$216

$302

clean

11740 - EVACUATION SUBUNGUAL HEMATOMA

CPT 11740

$862

$216

$200

clean

11772 - EXCISION PILONIDAL CYST-SINUS COMPLICATED

CPT 11772

$29,558

$7,389

$3,221

clean

12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN

CPT 12001

$810

$203

$302

clean

12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM

CPT 12002

$862

$216

$302

clean

12004 - SIMPLE RPR SCALP-NECK-AX-GENIT-TRUNK 7.6-12.5CM

CPT 12004

$862

$216

$306

clean

12005 - SMPL RPR SCALP-NECK-AX-GENIT-TRUNK 12.6-20.0CM

CPT 12005

$2,581

$645

$510

clean

12011 - SIMPLE REPAIR F-E-E-N-L-M 2.5CM-LESS THAN

CPT 12011

$810

$203

$302

clean

12013 - SIMPLE REPAIR F-E-E-N-L-M 2.6CM-5.0 CM

CPT 12013

$862

$216

$302

clean

12014 - SIMPLE REPAIR F-E-E-N-L-M 5.1CM-7.5 CM

CPT 12014

$862

$216

$306

clean

12015 - SIMPLE REPAIR F-E-E-N-L-M 7.6CM-12.5 CM

CPT 12015

$862

$216

$306

clean

12031 - REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN

CPT 12031

$2,818

$705

$513

clean

12032 - REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM

CPT 12032

$2,354

$588

$510

clean

12034 - REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM

CPT 12034

$5,541

$1,385

$513

clean

12041 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.5CM-LESS THAN

CPT 12041

$1,840

$460

$510

clean

12042 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.6-7.5 CM

CPT 12042

$2,679

$670

$510

clean

12044 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 7.6-12.5CM

CPT 12044

$2,581

$645

$777

clean

13101 - REPAIR COMPLEX TRUNK 2.6-7.5 CM

CPT 13101

$4,818

$1,205

$777

clean

13102 - REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM-LESS THAN

CPT 13102

$3,443

$861

$6,256

clean

13121 - REPAIR COMPLEX SCALP-ARM-LEG 2.6-7.5 CM

CPT 13121

$9,372

$2,343

$521

clean

13122 - REPAIR COMPLEX SCALP-ARM-LEG EA ADDL 5 CM-LESS THAN

CPT 13122

$6,154

$1,539

$6,256

clean

13131 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 1.1-2.5 CM

CPT 13131

$2,581

$645

$510

clean

13132 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 2.6-7.5 CM

CPT 13132

$9,156

$2,289

$524

clean

13133 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F EA ADDL 5 CM-LESS THAN

CPT 13133

$2,627

$657

$6,256

clean

13160 - SECONDARY CLOSURE SURG WOUND-DEHSN XTNSV-COMP

CPT 13160

$17,075

$4,269

$3,532

clean

14000 - ADJACENT TISSUE TRANSFER-REARGMT TRUNK 10 SQCM-LESS THAN

CPT 14000

$14,473

$3,618

$2,184

clean

20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES

CPT 20552

$2,003

$501

$399

clean

20610 - ARTHROCENTESIS ASPIRAND-INJ MAJOR JT-BURSA W-O US

CPT 20610

$1,872

$468

$399

clean

21012 - EXCISION TUMOR SOFT TISS FACE-SCALP SUBQ 2 CM-GREATER THAN

CPT 21012

$10,783

$2,696

$1,736

clean

21550 - BIOPSY SOFT TISSUE NECK-THORAX

CPT 21550

$11,860

$2,965

$1,752

clean

21552 - EXC TUMOR SOFT TIS NECK-ANT THORAX SUBQ 3 CM-GREATER THAN

CPT 21552

$7,528

$1,882

$3,221

clean

21554 - EXC TUMOR SOFT TISSUE NECK-THORAX SUBFASC 5 CM-GREATER THAN

CPT 21554

$9,511

$2,378

$3,221

clean

21555 - EXC TUMOR SOFT TISSUE NECK-ANT THORAX SUBQ LESS THAN 3CM

CPT 21555

$8,817

$2,204

$1,752

clean

21931 - EXCISION TUMOR SOFT TIS BACK-FLANK SUBQ 3 CM-GREATER THAN

CPT 21931

$7,342

$1,836

$2,061

clean

23071 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM-GREATER THAN

CPT 23071

$10,509

$2,627

$2,061

clean

23410 - OPEN REPAIR OF ROTATOR CUFF ACUTE

CPT 23410

$13,862

$3,466

$7,518

clean

23650 - CLSD TX SHOULDER DISLC W-MANIPULATION W-O ANES

CPT 23650

$2,003

$501

$368

clean

23700 - MNPJ W-ANES SHOULDER JT APPL FIXATION APPARATUS

CPT 23700

$2,458

$614

$1,706

clean

24071 - EXC TUMOR SOFT TISSUE UPPER ARM-ELBOW SUBQ 3CM-GREATER THAN

CPT 24071

$11,017

$2,754

$3,221

clean

24075 - EXC TUMOR SOFT TISS UPPER ARM-ELBOW SUBQ LESS THAN 3CM

CPT 24075

$3,646

$912

$1,752

clean

25073 - EXC TUMOR SFT TISS FOREARMAND-WRIST SUBFASC 3CM-GREATER THAN

CPT 25073

$11,082

$2,771

$3,221

clean

25075 - EXC TUMOR SOFT TISSUE FOREARM AND-WRIST SUBQ LESS THAN 3CM

CPT 25075

$3,443

$861

$1,752

clean

26010 - DRAINAGE FINGER ABSCESS SIMPLE

CPT 26010

$862

$216

$302

clean

26011 - DRAINAGE FINGER ABSCESS COMPLICATED

CPT 26011

$2,399

$600

$1,752

clean

26055 - TENDON SHEATH INCISION

CPT 26055

$6,443

$1,611

$1,706

clean

26115 - EXC TUM-VASC MAL SFT TISS HAND-FNGR SUBQ LESS THAN 1.5CM

CPT 26115

$14,984

$3,746

$1,752

clean

26670 - CLTX CARPO-METACARPL DISLC THMB MANJ EA W-O ANES

CPT 26670

$807

$202

$368

clean

26725 - CLTX PHLNGL FX PROX-MIDDLE PX-F-T W-MANJ EA

CPT 26725

$862

$216

$368

clean

26770 - CLTX IPHAL JT DISLC W-MANJ W-O ANES

CPT 26770

$862

$216

$368

clean

26951 - AMP F-TH 1-2 JT-PHALANX W-NEURECT W-DIR CLSR

CPT 26951

$16,324

$4,081

$3,408

clean

27043 - EXCISION TUMOR SOFT TISSUE PELVISANDHIP SUBQ 3CM-GREATER THAN

CPT 27043

$14,720

$3,680

$3,221

clean

27327 - EXCISION TUMOR SOFT TISSUE THIGH-KNEE SUBQ LESS THAN 3CM

CPT 27327

$9,854

$2,464

$1,968

clean

27337 - EXCISON TUMOR SOFT TISSUE THIGH-KNEE SUBQ 3 CM-GREATER THAN

CPT 27337

$7,392

$1,848

$3,221

clean

27347 - EXCISION LESION MENISCUS-CAPSULE KNEE

CPT 27347

$13,591

$3,398

$3,440

clean

27792 - OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS

CPT 27792

$16,306

$4,077

$7,518

clean

27810 - CLOSED TX BIMALLEOLAR ANKLE FRACTURE W-MANJ

CPT 27810

$2,374

$594

$1,690

clean

28289 - HALLUX RIGIDUS W-CHEILECTOMY 1ST MP JT W-O IMPLT

CPT 28289

$11,361

$2,840

$3,396

clean

28630 - CLTX METATARSOPHLNGL JT DISLC W-O ANES

CPT 28630

$862

$216

$336

clean

29105 - APPLICATION LONG ARM SPLINT SHOULDER TO HAND

CPT 29105

$862

$216

$244

clean

29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC

CPT 29125

$806

$202

$200

clean

29505 - APPLICATION LONG LEG SPLINT THIGH TO ANKLE-TOES

CPT 29505

$862

$216

$244

clean

29515 - APPLICATION SHORT LEG SPLINT CALF TO FOOT

CPT 29515

$862

$216

$244

clean

29822 - SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1-2

CPT 29822

$10,853

$2,713

$3,440

clean

29826 - SURGICAL ARTHROSCOPY SHO W-CORACOACRM LIGM RLS

CPT 29826

$10,539

$2,635

$3,384

clean

29827 - SURGICAL ARTHROSCOPY SHOULDER W-ROTATOR CUFF RPR

CPT 29827

$9,951

$2,488

$7,628

clean

29828 - SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS

CPT 29828

$12,579

$3,145

$8,114

clean

29880 - ARTHRS KNEE SURG MENISCECTOMY MEDANDLAT W-SHAVING

CPT 29880

$14,288

$3,572

$4,088

clean

29881 - ARTHRS KNEE SURG W-MENISCECTOMY MED-LAT W-SHVG

CPT 29881

$14,750

$3,688

$4,088

clean

30300 - REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE

CPT 30300

$862

$216

$200

clean

30901 - CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE

CPT 30901

$806

$202

$200

clean

30905 - CTRL NSL HEMRRG PST NASAL PACKSAND-CAUTERY 1ST

CPT 30905

$2,003

$501

$203

clean

31500 - INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE

CPT 31500

$2,427

$607

$361

clean

32551 - TUBE THORACOSTOMY INCLUDES WATER SEAL

CPT 32551

$2,252

$563

$1,655

clean

36415 - COLLECTION VENOUS BLOOD VENIPUNCTURE

CPT 36415

$26

$10

clean

36430 - TRANSFUSION BLOOD-BLOOD COMPONENTS

CPT 36430

$1,881

$470

$556

clean

36556 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR-GREATER THAN

CPT 36556

$5,271

$1,318

$3,271

clean

36590 - RMVL TUN CTR VAD W-SUBQ PORT-PMP CTR-PRPH INSJ

CPT 36590

$11,222

$2,805

$1,670

clean

36591 - COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE

CPT 36591

$810

$203

$188

clean

36600 - ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX

CPT 36600

$848

$212

$188

clean

36680 - PLACEMENT NEEDLE INTRAOSSEOUS INFUSION

CPT 36680

$862

$216

$474

clean

38510 - BX-EXC LYMPH NODE OPEN DEEP CERVICAL NODE

CPT 38510

$16,517

$4,129

$4,008

clean

41800 - DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS

CPT 41800

$2,003

$501

$203

clean

42809 - REMOVAL FOREIGN BODY PHARYNX

CPT 42809

$2,003

$501

$474

clean

43215 - ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY

CPT 43215

$17,366

$4,341

$2,036

clean

43235 - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC

CPT 43235

$2,003

$501

$962

clean

43239 - EGD TRANSORAL BIOPSY SINGLE-MULTIPLE

CPT 43239

$4,773

$1,193

$962

clean

43246 - EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE

CPT 43246

$22,890

$5,723

$2,036

clean

43251 - EGD REMOVAL TUMOR POLYP-OTHER LESION SNARE TECH

CPT 43251

$2,768

$692

$2,036

clean

43270 - EGD ABLATE TUMOR POLYP-LESION W-DILATIONAND WIRE

CPT 43270

$7,426

$1,856

$2,036

clean

44970 - LAPAROSCOPIC APPENDECTOMY

CPT 44970

$29,718

$7,430

$6,276

clean

45330 - SIGMOIDOSCOPY FLX DX W-COLLJ SPEC BR-WA IF PFRMD

CPT 45330

$8,344

$2,086

$1,150

clean

45331 - SIGMOIDOSCOPY FLX W-BIOPSY SINGLE-MULTIPLE

CPT 45331

$6,577

$1,644

$1,150

clean

45378 - COLONOSCOPY FLX DX W-COLLJ SPEC WHEN PFRMD

CPT 45378

$4,678

$1,170

$987

clean

45380 - COLONOSCOPY W-BIOPSY SINGLE-MULTIPLE

CPT 45380

$2,991

$748

$1,270

clean

45381 - COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST

CPT 45381

$2,581

$645

$1,270

clean

45384 - COLSC FLX W-REMOVAL LESION BY HOT BX FORCEPS

CPT 45384

$2,581

$645

$1,270

clean

45385 - COLSC FLX W-RMVL OF TUMOR POLYP LESION SNARE TQ

CPT 45385

$3,038

$759

$1,270

clean

45388 - COLONOSCOPY FLX ABLATION TUMOR POLYP-OTHER LES

CPT 45388

$7,065

$1,766

$1,270

clean

45990 - ANRCT XM SURG REQ ANES GENERAL SPI-EDRL DX

CPT 45990

$9,095

$2,274

$2,891

clean

46030 - REMOVAL ANAL SETON OTHER MARKER

CPT 46030

$6,238

$1,559

$1,270

clean

46050 - IANDD PERIANAL ABSCESS SUPERFICIAL

CPT 46050

$2,003

$501

$1,150

clean

46250 - HEMORRHOIDECTOMY XTRNL 2-GREATER THAN COLUMN-GROUP

CPT 46250

$9,393

$2,348

$3,153

clean

46260 - HEMORRHOIDECTOMY INT AND XTRNL 2-GREATER THAN COLUMN-GRO

CPT 46260

$18,400

$4,600

$3,153

clean

46270 - SURG TX ANAL FISTULA SUBQ

CPT 46270

$6,238

$1,559

$3,153

clean

46280 - TX ANAL FSTL TRANS-SUPRA-XTRASPHNCTRC INCL SETON

CPT 46280

$22,626

$5,657

$3,153

clean

46320 - EXC THROMBOSED HEMORRHOID XTRNL

CPT 46320

$9,393

$2,348

$1,270

clean

46606 - ANOSCOPY W-BX SINGLE-MULTIPLE

CPT 46606

$6,313

$1,578

$1,270

clean

47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY

CPT 47562

$23,660

$5,915

$6,355

clean

47563 - LAPS SURG CHOLECYSTECTOMY W-CHOLANGIOGRAPHY

CPT 47563

$27,248

$6,812

$6,355

clean

49083 - ABDOM PARACENTESIS DX-THER W-IMAGING GUIDANCE

CPT 49083

$13,660

$3,415

$962

clean

49320 - LAPS ABD PRTMANDOMENTUM DX W-WO SPEC BR-WA SPX

CPT 49320

$19,500

$4,875

$6,264

clean

49329 - UNLISTED LAPAROSCOPY PX ABD PERTONEUM AND OMENTUM

CPT 49329

$21,027

$5,257

$6,957

clean

49505 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN REDUCIBLE

CPT 49505

$21,284

$5,321

$4,591

clean

49507 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN INCARCERATED

CPT 49507

$28,064

$7,016

$4,591

clean

49520 - RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE

CPT 49520

$41,708

$10,427

$4,591

clean

49591 - RPR AA HERNIA 1ST LESS THAN 3 CM REDUCIBLE

CPT 49591

$15,238

$3,809

$4,591

clean

49592 - RPR AA HERNIA 1ST LESS THAN 3 CM NCRC8-STRANGULATED

CPT 49592

$19,500

$4,875

$6,355

clean

49594 - RPR AA HERNIA 1ST 3-10 CM NCRC8-STRANGULATED

CPT 49594

$17,658

$4,414

$6,355

clean

51701 - INSJ NON-NDWELLG BLADDER CATHETER

CPT 51701

$810

$203

$200

clean

51702 - INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE

CPT 51702

$810

$203

$200

clean

51798 - MEAS POST-VOIDING RESIDUAL URINEAND-BLADDER CAP

CPT 51798

$810

$203

$93

clean

52000 - CYSTOURETHROSCOPY

CPT 52000

$6,374

$1,594

$864

clean

52282 - CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT

CPT 52282

$6,577

$1,644

$3,706

clean

52310 - CYSTO W-SIMPLE REMOVAL STONE AND STENT

CPT 52310

$6,784

$1,696

$2,180

clean

54150 - CIRCUMCISION W-CLAMP-OTH DEV W-BLOCK

CPT 54150

$3,893

$973

$2,184

clean

55150 - RESECTION SCROTUM

CPT 55150

$9,549

$2,387

$3,652

clean

56440 - MARSUPIALIZATION BARTHOLINS GLAND CYST

CPT 56440

$10,804

$2,701

$3,366

clean

56605 - BIOPSY VULVA-PERINEUM 1 LESION SPX

CPT 56605

$14,431

$3,608

$1,045

clean

56620 - VULVECTOMY SIMPLE PARTIAL

CPT 56620

$12,615

$3,154

$3,403

clean

56700 - PARTIAL HYMENECTOMY OR REVISION HYMENAL RING

CPT 56700

$6,577

$1,644

$3,366

clean

57460 - COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX

CPT 57460

$10,246

$2,562

$3,403

clean

57500 - BIOPSY CERVIX SINGLE-MULT-EXCISION OF LESION SPX

CPT 57500

$6,577

$1,644

$1,045

clean

57522 - CONIZATION CERVIX W-WO DANDC RPR ELTRD EXC

CPT 57522

$8,087

$2,022

$3,366

clean

58301 - REMOVAL INTRAUTERINE DEVICE IUD

CPT 58301

$6,577

$1,644

$391

clean

58558 - HYSTEROSCOPY BX ENDOMETRIUMAND-POLYPC W-WO DANDC

CPT 58558

$6,964

$1,741

$3,378

clean

58563 - HYSTEROSCOPY ENDOMETRIAL ABLATION

CPT 58563

$9,030

$2,258

$5,480

clean

58661 - LAPAROSCOPY W-RMVL ADNEXAL STRUCTURES

CPT 58661

$19,453

$4,863

$6,355

clean

58662 - LAPS FULG-EXC OVARY VISCERA-PERITONEAL SURFACE

CPT 58662

$24,232

$6,058

$6,355

clean

59025 - FETAL NONSTRESS TEST

CPT 59025

$1,562

$390

$304

clean

59151 - LAPS TX ECTOPIC PREG W-SALPINGAND-OOPHORECTOMY

CPT 59151

$20,446

$5,112

$6,355

clean

59812 - TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL

CPT 59812

$9,437

$2,359

$3,403

clean

59820 - TX MISSED ABORTION FIRST TRIMESTER SURGICAL

CPT 59820

$6,064

$1,516

$3,403

clean

62273 - INJECTION EPIDURAL BLOOD-CLOT PATCH

CPT 62273

$2,003

$501

$884

clean

62322 - NJX DX-THER SBST INTRLMNR LMBR-SAC W-O IMG GDN

CPT 62322

$2,434

$608

$1,134

clean

64415 - INJECTION AAAND-STRD BRACHIAL PLEXUS W-IMG GDN

CPT 64415

$8,488

$2,122

$1,134

clean

64445 - INJECTION AAAND-STRD SCIATIC NERVE W-IMG GDN

CPT 64445

$10,240

$2,560

$884

clean

64721 - NEUROPLASTY AND-TRANSPOS MEDIAN NRV CARPAL TUNNE

CPT 64721

$9,832

$2,458

$2,128

clean

69200 - RMVL FB XTRNL AUDITORY CANAL W-O ANES

CPT 69200

$862

$216

$200

clean

69209 - REMOVAL IMPACTED CERUMEN IRRIGATION-LVG UNILAT

CPT 69209

$943

$236

$93

clean

70100 - RADIOLOGIC EXAMINATION MANDIPLE PRTL LESS THAN 4 VIEWS

CPT 70100

$172

$43

$88

clean

70110 - RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS

CPT 70110

$405

$101

$111

clean

70140 - RADEX FACIAL BONES LESS THAN 3 VIEWS

CPT 70140

$172

$43

$88

clean

70150 - RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS

CPT 70150

$310

$77

$111

clean

70160 - RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS

CPT 70160

$310

$77

$88

clean

70200 - RADEX ORBITS COMPLETE MINIMUM 4 VIEWS

CPT 70200

$405

$101

$111

clean

70210 - RADEX SINUSES PARANASAL LESS THAN 3 VIEWS

CPT 70210

$263

$66

$88

clean

70220 - RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS

CPT 70220

$310

$77

$88

clean

70250 - RADIOLOGIC EXAMINATION SKULL 4LESS THAN VIEWS

CPT 70250

$392

$98

$111

clean

70360 - RADIOLOGIC EXAMINATION NECK SOFT TISSUE

CPT 70360

$176

$44

$88

clean

70450 - CT HEAD-BRAIN W-O CONTRAST MATERIAL

CPT 70450

$1,537

$384

$130

clean

70470 - CT HEAD-BRAIN W-O AND W-CONTRAST MATERIAL

CPT 70470

$1,537

$384

$213

clean

70480 - CT ORBIT SELLA-POST FOSSA-EAR W-O CONTRAST MATRL

CPT 70480

$1,537

$384

$130

clean

70481 - CT ORBIT SELLA-POST FOSSA-EAR W-CONTRAST MATRL

CPT 70481

$1,537

$384

$213

clean

70486 - CT MAXILLOFACIAL W-O CONTRAST MATERIAL

CPT 70486

$1,537

$384

$130

clean

70487 - CT MAXILLOFACIAL W-CONTRAST MATERIAL

CPT 70487

$1,537

$384

$213

clean

70490 - CT SOFT TISSUE NECK W-O CONTRAST MATERIAL

CPT 70490

$1,537

$384

$130

clean

70491 - CT SOFT TISSUE NECK W-CONTRAST MATERIAL

CPT 70491

$1,537

$384

$213

clean

70492 - CT SOFT TISSUE NECK W-O AND W-CONTRAST MATERIAL

CPT 70492

$1,537

$384

$203

clean

70496 - CT ANGIOGRAPHY HEAD W-CONTRAST-NONCONTRAST

CPT 70496

$1,537

$384

$213

clean

70498 - CT ANGIOGRAPHY NECK W-CONTRAST-NONCONTRAST

CPT 70498

$1,537

$384

$213

clean

70540 - MRI ORBIT FACE AND-NECK W-O CONTRAST

CPT 70540

$2,335

$584

$274

clean

70543 - MRI ORBIT FACE AND NECK W-O AND W-CONTRAST MATRL

CPT 70543

$2,335

$584

$441

clean

70544 - MRA HEAD W-O CONTRST MATERIAL

CPT 70544

$2,335

$584

$274

clean

70546 - MRA HEAD W-O AND W-CONTRAST MATERIAL

CPT 70546

$2,335

$584

$441

clean

70547 - MRA NECK W-O CONTRST MATERIAL

CPT 70547

$2,335

$584

$274

clean

70551 - MRI BRAIN BRAIN STEM W-O CONTRAST MATERIAL

CPT 70551

$2,335

$584

$274

clean

70552 - MRI BRAIN BRAIN STEM W-CONTRAST MATERIAL

CPT 70552

$2,335

$584

$441

clean

70553 - MRI BRAIN BRAIN STEM W-O W-CONTRAST MATERIAL

CPT 70553

$2,335

$584

$441

clean

71045 - RADIOLOGIC EXAM CHEST SINGLE VIEW

CPT 71045

$179

$45

$88

clean

71046 - RADIOLOGIC EXAM CHEST 2 VIEWS

CPT 71046

$181

$45

$88

clean

71100 - RADEX RIBS UNILATERAL 2 VIEWS

CPT 71100

$310

$77

$88

clean

Showing the first 200 of 1,123 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_negotiated_above_gross_systematic

151 of 997 comparable items (15%) 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 $6,256 exceeds the gross charge $555

warn

mrf_rate_without_estimate

7,458 of 7,458 percentage/algorithm rates across 1,123 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 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 62322/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $2,434 — part of a file-wide pattern, counted once at the file level

CPT 64415/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $8,488 — 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 $10,240 — part of a file-wide pattern, counted once at the file level

CPT 70100/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 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 75571/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $82 — 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 81229/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,533 exceeds the gross charge $2,288 — part of a file-wide pattern, counted once at the file level

CPT 81406/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,385 exceeds the gross charge $735 — part of a file-wide pattern, counted once at the file level

CPT 84393/o

info

mrf_negotiated_above_gross

highest negotiated rate $282 exceeds the gross charge $260 — part of a file-wide pattern, counted once at the file level

CPT 86580/o

info

mrf_negotiated_above_gross

highest negotiated rate $58 exceeds the gross charge $40 — 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 86860/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 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 86923/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 88184/o

info

mrf_negotiated_above_gross

highest negotiated rate $724 exceeds the gross charge $56 — part of a file-wide pattern, counted once at the file level

CPT 88185/o

info

mrf_negotiated_above_gross

highest negotiated rate $41 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level

CPT 88300/o

info

mrf_negotiated_above_gross

highest negotiated rate $58 exceeds the gross charge $50 — part of a file-wide pattern, counted once at the file level

CPT 90375/o

info

mrf_negotiated_above_gross

highest negotiated rate $611 exceeds the gross charge $474 — 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 $99 — 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 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 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 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 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 C9781/o

info

mrf_negotiated_above_gross

highest negotiated rate $25,950 exceeds the gross charge $495 — 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 G0104/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,880 exceeds the gross charge $1,548 — 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 $2,670 — part of a file-wide pattern, counted once at the file level

CPT G0270/o

info

mrf_negotiated_above_gross

highest negotiated rate $64 exceeds the gross charge $59 — part of a file-wide pattern, counted once at the file level

CPT J0282/o

info

mrf_negotiated_above_gross

highest negotiated rate $8 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level

CPT J0290/o

info

mrf_negotiated_above_gross

highest negotiated rate $8 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level

CPT J0295/o

info

mrf_negotiated_above_gross

highest negotiated rate $13 exceeds the gross charge $12 — part of a file-wide pattern, counted once at the file level

CPT J0456/o

info

mrf_negotiated_above_gross

highest negotiated rate $36 exceeds the gross charge $16 — part of a file-wide pattern, counted once at the file level

CPT J0561/o

info

mrf_negotiated_above_gross

highest negotiated rate $70 exceeds the gross charge $57 — part of a file-wide pattern, counted once at the file level

CPT J0690/o

info

mrf_negotiated_above_gross

highest negotiated rate $7 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level

CPT J0692/o

info

mrf_negotiated_above_gross

highest negotiated rate $11 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level

CPT J0696/o

info

mrf_negotiated_above_gross

highest negotiated rate $17 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level

CPT J0713/o

info

mrf_negotiated_above_gross

highest negotiated rate $9 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level

CPT J0885/o

info

mrf_negotiated_above_gross

highest negotiated rate $17 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level

CPT J1100/o

info

mrf_negotiated_above_gross

highest negotiated rate $11 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level

CPT J1160/o

info

mrf_negotiated_above_gross

highest negotiated rate $12 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level

CPT J1165/o

info

mrf_negotiated_above_gross

highest negotiated rate $4 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level

CPT J1450/o

info

mrf_negotiated_above_gross

highest negotiated rate $126 exceeds the gross charge $26 — part of a file-wide pattern, counted once at the file level

CPT J1644/o

info

mrf_negotiated_above_gross

highest negotiated rate $3 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level

CPT J1650/o

info

mrf_negotiated_above_gross

highest negotiated rate $26 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level

CPT J1815/o

info

mrf_negotiated_above_gross

highest negotiated rate $5 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level

CPT J1885/o

info

mrf_negotiated_above_gross

highest negotiated rate $14 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level

CPT J1921/o

info

mrf_negotiated_above_gross

highest negotiated rate $2 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level

CPT J1956/o

info

mrf_negotiated_above_gross

highest negotiated rate $27 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level

CPT J2060/o

info

mrf_negotiated_above_gross

highest negotiated rate $7 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 $6 — part of a file-wide pattern, counted once at the file level

CPT J2185/o

info

mrf_negotiated_above_gross

highest negotiated rate $6 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level

CPT J2250/o

info

mrf_negotiated_above_gross

highest negotiated rate $6 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level

CPT J2272/o

info

mrf_negotiated_above_gross

highest negotiated rate $11 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level

CPT J2405/o

info

mrf_negotiated_above_gross

highest negotiated rate $10 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level

CPT J2550/o

info

mrf_negotiated_above_gross

highest negotiated rate $8 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level

CPT J2720/o

info

mrf_negotiated_above_gross

highest negotiated rate $8 exceeds the gross charge $7 — 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 $182 — part of a file-wide pattern, counted once at the file level

CPT J3420/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 J3489/o

info

mrf_negotiated_above_gross

highest negotiated rate $155 exceeds the gross charge $132 — part of a file-wide pattern, counted once at the file level

CPT J3490/o

info

mrf_negotiated_above_gross

highest negotiated rate $32 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level

CPT J7030/o

info

mrf_negotiated_above_gross

highest negotiated rate $2 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level

CPT J9260/o

info

mrf_negotiated_above_gross

highest negotiated rate $20 exceeds the gross charge $1 — 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 0865T/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,256 exceeds the gross charge $555 — part of a file-wide pattern, counted once at the file level

CPT 0866T/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,256 exceeds the gross charge $555 — part of a file-wide pattern, counted once at the file level

CPT 10060/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 10080/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $1,561 — 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 $6,865 — 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 $10,317 — part of a file-wide pattern, counted once at the file level

CPT 11423/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $6,656 — part of a file-wide pattern, counted once at the file level

CPT 11719/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 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 12031/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $2,818 — 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 $2,354 — 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 $1,840 — part of a file-wide pattern, counted once at the file level

CPT 12042/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $2,679 — 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 13102/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $3,443 — part of a file-wide pattern, counted once at the file level

CPT 13122/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $6,154 — part of a file-wide pattern, counted once at the file level

CPT 13131/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 13133/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $2,627 — 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 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 21552/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,528 exceeds the gross charge $7,528 — part of a file-wide pattern, counted once at the file level

CPT 21931/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,528 exceeds the gross charge $7,342 — part of a file-wide pattern, counted once at the file level

CPT 23410/o

info

mrf_negotiated_above_gross

highest negotiated rate $14,666 exceeds the gross charge $13,862 — 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 23700/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $2,458 — part of a file-wide pattern, counted once at the file level

CPT 25075/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $3,443 — part of a file-wide pattern, counted once at the file level

CPT 26011/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 26670/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $807 — part of a file-wide pattern, counted once at the file level

CPT 26725/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,769 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 27337/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,528 exceeds the gross charge $7,392 — part of a file-wide pattern, counted once at the file level

CPT 27810/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $2,374 — part of a file-wide pattern, counted once at the file level

CPT 28630/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 29827/o

info

mrf_negotiated_above_gross

highest negotiated rate $14,666 exceeds the gross charge $9,951 — part of a file-wide pattern, counted once at the file level

CPT 29828/o

info

mrf_negotiated_above_gross

highest negotiated rate $14,666 exceeds the gross charge $12,579 — part of a file-wide pattern, counted once at the file level

CPT 30905/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 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 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 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 41800/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 42809/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 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 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 43270/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $7,426 — 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 $8,344 — 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 $6,577 — 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 $2,991 — 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 46030/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $6,238 — part of a file-wide pattern, counted once at the file level

CPT 46050/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 46320/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $9,393 — part of a file-wide pattern, counted once at the file level

CPT 46606/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $6,313 — part of a file-wide pattern, counted once at the file level

CPT 52000/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $6,374 — part of a file-wide pattern, counted once at the file level

CPT 52282/o

info

mrf_negotiated_above_gross

highest negotiated rate $16,082 exceeds the gross charge $6,577 — 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 55150/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $9,549 — part of a file-wide pattern, counted once at the file level

CPT 56700/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $6,577 — part of a file-wide pattern, counted once at the file level

CPT 57460/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $10,246 — 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 $6,577 — 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 $9,030 — part of a file-wide pattern, counted once at the file level

CPT 59812/o

info

mrf_negotiated_above_gross

highest negotiated rate $11,316 exceeds the gross charge $9,437 — 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 $6,064 — 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 $1,757 — 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

Sources for this hospital

the files read, as fetched — not our copy of them

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)
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)
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
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)
Baptist Health Medical Center-Stuttgart — standard charges file · AR · updated 4/1/2026
· csv-wide · 3.1M bytes · fetched 2026-08-23 · sha256 4f26b563440a…

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.