Hospital · CCN 040114

Baptist Health Medical Center-Little Rock

9601 Baptist Health Drive, Little Rock, AR 72205 · Pulaski County
Part of Baptist Health · 658 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

166 admission types 63 outpatient services price file: ok
Billed per dollar paid, all admissions
5.11×
$499.9M billed against $97.9M paid across 6,018 Medicare discharges; the national figure is 5.03×.
4.0%
of adults in Pulaski County have medical debt in collections
9.0%
uninsured in the county · state 10.0%
$61K
median household income
4.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
40.5%
obesity in the countyⓘ
12.9%
diagnosed diabetes (PLACES)
6.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
529
$77,714
$14,113
5.5× st 4.0×
291
Heart failure and shock with mcc
264
$62,907
$10,672
5.9× st 4.0×
885
Psychoses
138
$72,893
$11,212
6.5× st 3.5×
378
Gastrointestinal hemorrhage with cc
138
$35,895
$7,059
5.1× st 4.4×
193
Simple pneumonia and pleurisy with mcc
137
$54,679
$9,085
6.0× st 4.4×
177
Respiratory infections and inflammations with mcc
135
$57,088
$11,439
5.0× st 4.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
126
$39,264
$7,262
5.4× st 4.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
115
$76,637
$13,375
5.7× st 4.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
115
$30,863
$5,840
5.3× st 4.2×
682
Renal failure with mcc
112
$59,294
$10,747
5.5× st 3.9×
683
Renal failure with cc
99
$34,291
$6,400
5.4× st 3.9×
189
Pulmonary edema and respiratory failure
97
$62,938
$8,797
7.2× st 4.2×
481
Hip and femur procedures except major joint with cc
96
$83,748
$14,534
5.8× st 3.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
91
$100,432
$32,003
3.1× st 3.6×
689
Kidney and urinary tract infections with mcc
87
$46,756
$8,420
5.6× st 3.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
80
$51,648
$9,956
5.2× st 3.8×
377
Gastrointestinal hemorrhage with mcc
79
$71,178
$14,095
5.1× st 4.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
75
$38,738
$7,159
5.4× st 4.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
75
$195,466
$38,704
5.1× st 4.2×
274
Percutaneous and other intracardiac procedures without mcc
74
$70,877
$22,084
3.2× st 4.1×
698
Other kidney and urinary tract diagnoses with mcc
70
$54,696
$11,191
4.9× st 3.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
62
$33,224
$5,841
5.7× st 4.1×
690
Kidney and urinary tract infections without mcc
59
$30,175
$5,824
5.2× st 3.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
57
$82,812
$15,808
5.2× st 3.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
54
$80,301
$14,653
5.5× st 3.8×
190
Chronic obstructive pulmonary disease with mcc
54
$39,198
$7,686
5.1× st 4.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
50
$49,540
$9,574
5.2× st 4.0×
194
Simple pneumonia and pleurisy with cc
50
$33,248
$6,066
5.5× st 4.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
50
$174,798
$32,365
5.4× st 4.4×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
47
$35,750
$6,194
5.8× st 4.2×
552
Medical back problems without mcc
42
$35,698
$6,994
5.1× st 3.8×
025
Craniotomy and endovascular intracranial procedures with mcc
41
$146,069
$30,911
4.7× st 3.9×
100
Seizures with mcc
41
$80,636
$14,661
5.5× st 4.0×
314
Other circulatory system diagnoses with mcc
39
$50,175
$14,041
3.6× st 3.3×
330
Major small and large bowel procedures with cc
39
$92,258
$16,738
5.5× st 4.1×
394
Other digestive system diagnoses with cc
37
$33,557
$7,253
4.6× st 4.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
37
$104,572
$19,040
5.5× st 4.4×
309
Cardiac arrhythmia and conduction disorders with cc
36
$35,041
$5,417
6.5× st 3.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
36
$125,958
$20,300
6.2× st 5.3×
312
Syncope and collapse
36
$45,687
$6,452
7.1× st 4.3×
308
Cardiac arrhythmia and conduction disorders with mcc
35
$55,782
$9,213
6.1× st 4.3×
329
Major small and large bowel procedures with mcc
35
$147,042
$29,666
5.0× st 3.7×
480
Hip and femur procedures except major joint with mcc
35
$110,239
$19,499
5.7× st 3.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
34
$87,119
$12,644
6.9× st 6.0×
812
Red blood cell disorders without mcc
34
$41,406
$6,676
6.2× st 3.7×
603
Cellulitis without mcc
33
$29,636
$6,777
4.4× st 4.1×
393
Other digestive system diagnoses with mcc
33
$63,723
$11,327
5.6× st 4.1×
870
Septicemia or severe sepsis with mv >96 hours
32
$244,397
$50,786
4.8× st 4.6×
101
Seizures without mcc
31
$34,054
$7,049
4.8× st 3.9×
082
Traumatic stupor and coma >1 hour with mcc
31
$77,535
$17,357
4.5× st 3.1×
389
Gastrointestinal obstruction with cc
31
$27,427
$5,718
4.8× st 3.9×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
31
$168,611
$37,464
4.5× st 4.1×
445
Disorders of the biliary tract with cc
31
$46,120
$8,148
5.7× st 4.5×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
30
$127,227
$41,556
3.1× st 3.4×
083
Traumatic stupor and coma >1 hour with cc
30
$59,569
$9,259
6.4× st 4.4×
178
Respiratory infections and inflammations with cc
29
$36,975
$7,154
5.2× st 3.6×
536
Fractures of hip and pelvis without mcc
26
$29,213
$5,769
5.1× st 3.7×
637
Diabetes with mcc
26
$65,083
$10,836
6.0× st 3.9×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
26
$318,053
$69,118
4.6× st 4.3×
699
Other kidney and urinary tract diagnoses with cc
26
$37,077
$6,876
5.4× st 3.6×
092
Other disorders of nervous system with cc
25
$38,618
$7,462
5.2× st 4.1×
919
Complications of treatment with mcc
25
$52,221
$14,301
3.7× st 3.3×
948
Signs and symptoms without mcc
25
$30,419
$6,286
4.8× st 3.2×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
25
$527,538
$162,712
3.2× st 3.1×
270
Other major cardiovascular procedures with mcc
25
$236,635
$35,429
6.7× st 4.6×
001
Heart transplant or implant of heart assist system with mcc
25
$1,489,784
$317,829
4.7× st 4.3×
331
Major small and large bowel procedures without cc/mcc
24
$61,100
$11,779
5.2× st 4.2×
280
Acute myocardial infarction, discharged alive with mcc
24
$65,147
$12,212
5.3× st 4.2×
813
Coagulation disorders
24
$81,328
$13,486
6.0× st 4.4×
252
Other vascular procedures with mcc
24
$120,162
$27,317
4.4× st 4.1×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
23
$86,858
$16,555
5.2× st 3.5×
435
Malignancy of hepatobiliary system or pancreas with mcc
23
$77,203
$15,766
4.9× st 4.1×
390
Gastrointestinal obstruction without cc/mcc
23
$25,279
$4,472
5.7× st 3.9×
551
Medical back problems with mcc
23
$66,579
$11,516
5.8× st 5.2×
039
Extracranial procedures without cc/mcc
22
$58,796
$8,229
7.1× st 5.4×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
22
$73,100
$14,400
5.1× st 3.5×
086
Traumatic stupor and coma <1 hour with cc
22
$51,861
$10,814
4.8× st 3.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
22
$72,758
$12,041
6.0× st 4.3×
388
Gastrointestinal obstruction with mcc
22
$41,629
$9,576
4.3× st 3.9×
472
Cervical spinal fusion with cc
22
$79,269
$19,044
4.2× st 3.5×
253
Other vascular procedures with cc
22
$118,724
$17,427
6.8× st 4.3×
304
Hypertension with mcc
22
$49,236
$8,182
6.0× st 4.3×
884
Organic disturbances and intellectual disability
21
$84,559
$15,069
5.6× st 3.2×
271
Other major cardiovascular procedures with cc
21
$162,357
$24,176
6.7× st 4.1×
074
Cranial and peripheral nerve disorders without mcc
21
$35,398
$7,467
4.7× st 4.7×
621
O.r. procedures for obesity without cc/mcc
20
$48,387
$10,359
4.7× st 5.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
20
$59,115
$11,209
5.3× st 4.6×
057
Degenerative nervous system disorders without mcc
20
$46,483
$8,545
5.4× st 3.5×
444
Disorders of the biliary tract with mcc
20
$66,192
$11,632
5.7× st 4.5×
269
Aortic and heart assist procedures except pulsation balloon without mcc
20
$116,848
$28,648
4.1× st 4.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
20
$88,741
$12,895
6.9× st 4.7×
236
Coronary bypass without cardiac catheterization without mcc
20
$205,384
$35,257
5.8× st 4.2×
191
Chronic obstructive pulmonary disease with cc
20
$32,202
$5,628
5.7× st 4.0×
085
Traumatic stupor and coma <1 hour with mcc
20
$81,416
$15,131
5.4× st 4.2×
180
Respiratory neoplasms with mcc
20
$78,469
$11,585
6.8× st 5.4×
660
Kidney and ureter procedures for non-neoplasm with cc
20
$52,415
$9,746
5.4× st 4.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
19
$48,938
$8,140
6.0× st 4.5×
305
Hypertension without mcc
19
$31,339
$5,186
6.0× st 4.1×
432
Cirrhosis and alcoholic hepatitis with mcc
19
$95,124
$13,571
7.0× st 3.7×
207
Respiratory system diagnosis with ventilator support >96 hours
19
$250,278
$46,276
5.4× st 5.2×
163
Major chest procedures with mcc
19
$156,802
$33,093
4.7× st 3.6×
811
Red blood cell disorders with mcc
19
$61,843
$10,497
5.9× st 3.8×
438
Disorders of pancreas except malignancy with mcc
18
$57,243
$11,882
4.8× st 4.4×
071
Other cerebrovascular disorders with cc
18
$44,271
$7,454
5.9× st 4.7×
519
Back and neck procedures except spinal fusion with cc
18
$66,328
$14,007
4.7× st 3.5×
521
Hip replacement with principal diagnosis of hip fracture with mcc
18
$147,737
$23,138
6.4× st 3.8×
070
Other cerebrovascular disorders with mcc
18
$54,376
$11,545
4.7× st 3.9×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
18
$28,286
$5,016
5.6× st 4.8×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
18
$272,698
$51,287
5.3× st 4.8×
372
Major gastrointestinal disorders and peritoneal infections with cc
18
$35,281
$7,368
4.8× st 3.4×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
17
$141,176
$25,069
5.6× st 4.6×
862
Postoperative and post-traumatic infections with mcc
17
$46,360
$12,678
3.7× st 3.2×
299
Peripheral vascular disorders with mcc
17
$71,056
$12,834
5.5× st 3.6×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
17
$399,451
$80,332
5.0× st 3.6×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
17
$76,015
$16,853
4.5× st 4.3×
300
Peripheral vascular disorders with cc
16
$33,902
$7,085
4.8× st 3.3×
243
Permanent cardiac pacemaker implant with cc
16
$73,032
$15,487
4.7× st 3.7×
907
Other o.r. procedures for injuries with mcc
16
$173,926
$32,020
5.4× st 5.4×
328
Stomach, esophageal and duodenal procedures without cc/mcc
15
$66,155
$11,006
6.0× st 6.0×
638
Diabetes with cc
15
$35,338
$6,807
5.2× st 3.5×
659
Kidney and ureter procedures for non-neoplasm with mcc
15
$60,032
$17,559
3.4× st 3.9×
446
Disorders of the biliary tract without cc/mcc
15
$38,660
$5,809
6.7× st 6.7×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
15
$176,421
$28,283
6.2× st 6.2×
164
Major chest procedures with cc
15
$109,839
$18,319
6.0× st 4.1×
482
Hip and femur procedures except major joint without cc/mcc
15
$56,264
$10,803
5.2× st 3.6×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
15
$255,059
$35,866
7.1× st 4.2×
056
Degenerative nervous system disorders with mcc
14
$56,583
$14,369
3.9× st 3.0×
292
Heart failure and shock with cc
14
$38,361
$7,317
5.2× st 3.0×
281
Acute myocardial infarction, discharged alive with cc
14
$44,260
$7,085
6.2× st 4.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
14
$64,938
$13,770
4.7× st 4.4×
917
Poisoning and toxic effects of drugs with mcc
14
$86,607
$15,541
5.6× st 3.8×
264
Other circulatory system o.r. procedures
14
$130,350
$21,138
6.2× st 6.2×
235
Coronary bypass without cardiac catheterization with mcc
14
$222,008
$44,292
5.0× st 4.4×
242
Permanent cardiac pacemaker implant with mcc
14
$102,077
$26,481
3.9× st 3.3×
439
Disorders of pancreas except malignancy with cc
14
$28,841
$7,015
4.1× st 3.6×
535
Fractures of hip and pelvis with mcc
14
$34,922
$8,023
4.4× st 4.4×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
14
$96,666
$18,095
5.3× st 5.3×
673
Other kidney and urinary tract procedures with mcc
14
$137,791
$28,142
4.9× st 3.4×
038
Extracranial procedures with cc
13
$88,117
$11,050
8.0× st 6.3×
327
Stomach, esophageal and duodenal procedures with cc
13
$87,849
$16,952
5.2× st 5.2×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
13
$38,342
$6,787
5.7× st 3.6×
355
Hernia procedures except inguinal and femoral without cc/mcc
13
$42,682
$9,385
4.5× st 4.5×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
13
$146,062
$30,360
4.8× st 4.8×
374
Digestive malignancy with mcc
12
$73,790
$14,493
5.1× st 5.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$24,019
$4,125
5.8× st 3.5×
834
Acute leukemia with mcc
12
$410,731
$72,831
5.6× st 4.5×
357
Other digestive system o.r. procedures with cc
12
$91,209
$15,411
5.9× st 5.9×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
12
$49,070
$9,980
4.9× st 3.4×
602
Cellulitis with mcc
12
$37,044
$9,531
3.9× st 3.7×
141
Major head and neck procedures with cc
11
$97,272
$16,381
5.9× st 3.8×
054
Nervous system neoplasms with mcc
11
$58,238
$11,904
4.9× st 3.7×
920
Complications of treatment with cc
11
$40,419
$8,384
4.8× st 3.7×
908
Other o.r. procedures for injuries with cc
11
$60,973
$12,081
5.0× st 3.8×
186
Pleural effusion with mcc
11
$86,590
$11,055
7.8× st 7.8×
436
Malignancy of hepatobiliary system or pancreas with cc
11
$37,963
$7,764
4.9× st 4.9×
166
Other respiratory system o.r. procedures with mcc
11
$124,273
$23,465
5.3× st 3.0×
315
Other circulatory system diagnoses with cc
11
$35,886
$6,720
5.3× st 4.1×
326
Stomach, esophageal and duodenal procedures with mcc
11
$154,009
$38,746
4.0× st 3.5×
244
Permanent cardiac pacemaker implant without cc/mcc
11
$52,083
$14,037
3.7× st 3.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$34,388
$6,295
5.5× st 3.0×
091
Other disorders of nervous system with mcc
11
$60,613
$10,866
5.6× st 3.8×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
11
$45,056
$9,252
4.9× st 4.0×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$41,688
$12,016
3.5× st 2.8×
380
Complicated peptic ulcer with mcc
11
$71,156
$13,431
5.3× st 5.3×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
11
$405,528
$73,905
5.5× st 4.8×
841
Lymphoma and non-acute leukemia with cc
11
$74,364
$11,499
6.5× st 6.5×
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
763
$20,456
$2,295
8.9×
5492
Level 2 Intraocular Procedures
671
$18,735
$3,437
5.5×
5491
Level 1 Intraocular Procedures
626
$12,279
$1,963
6.3×
5191
Level 1 Endovascular Procedures
507
$18,567
$2,750
6.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
302
$10,251
$1,369
7.5×
5302
Level 2 Upper GI Procedures
284
$9,841
$1,596
6.2×
5115
Level 5 Musculoskeletal Procedures
280
$57,572
$11,105
5.2×
5361
Level 1 Laparoscopy and Related Services
270
$30,350
$4,887
6.2×
5114
Level 4 Musculoskeletal Procedures
246
$29,502
$6,053
4.9×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
235
$14,811
$1,992
7.4×
5193
Level 3 Endovascular Procedures
201
$51,437
$9,270
5.5×
5183
Level 3 Vascular Procedures
194
$14,515
$2,677
5.4×
5362
Level 2 Laparoscopy and Related Services
164
$46,749
$8,698
5.4×
5213
Level 3 Electrophysiologic Procedures
137
$75,353
$20,052
3.8×
5154
Level 4 Airway Endoscopy
123
$16,930
$3,127
5.4×
5184
Level 4 Vascular Procedures
119
$29,655
$3,683
8.1×
5223
Level 3 Pacemaker and Similar Procedures
118
$28,179
$9,148
3.1×
5194
Level 4 Endovascular Procedures
111
$71,016
$15,002
4.7×
5116
Level 6 Musculoskeletal Procedures
107
$66,874
$15,414
4.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
94
$19,419
$2,393
8.1×
5165
Level 5 ENT Procedures
91
$28,001
$5,020
5.6×
5493
Level 3 Intraocular Procedures
72
$25,879
$4,430
5.8×
5153
Level 3 Airway Endoscopy
71
$7,381
$1,439
5.1×
5331
Complex GI Procedures
71
$27,599
$4,611
6.0×
5192
Level 2 Endovascular Procedures
68
$25,182
$4,787
5.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
66
$20,861
$2,859
7.3×
5374
Level 4 Urology and Related Services
65
$15,300
$2,926
5.2×
5375
Level 5 Urology and Related Services
62
$16,915
$4,435
3.8×
5416
Level 6 Gynecologic Procedures
62
$27,418
$6,477
4.2×
5113
Level 3 Musculoskeletal Procedures
55
$20,703
$2,743
7.5×
5303
Level 3 Upper GI Procedures
54
$18,523
$3,283
5.6×
5232
Level 2 ICD and Similar Procedures
51
$109,779
$28,118
3.9×
5414
Level 4 Gynecologic Procedures
50
$16,690
$2,602
6.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
45
$29,825
$5,491
5.4×
5373
Level 3 Urology and Related Services
41
$7,949
$1,746
4.6×
5112
Level 2 Musculoskeletal Procedures
38
$12,904
$1,378
9.4×
5313
Level 3 Lower GI Procedures
36
$16,860
$2,406
7.0×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
31
$20,051
$3,235
6.2×
5224
Level 4 Pacemaker and Similar Procedures
30
$65,610
$15,986
4.1×
5182
Level 2 Vascular Procedures
26
$8,424
$1,247
6.8×
5464
Level 4 Neurostimulator and Related Procedures
26
$41,657
$18,051
2.3×
5462
Level 2 Neurostimulator and Related Procedures
20
$16,830
$5,405
3.1×
5471
Implantation of Drug Infusion Device
19
$41,609
$13,823
3.0×
5415
Level 5 Gynecologic Procedures
18
$23,044
$4,092
5.6×
5431
Level 1 Nerve Procedures
17
$17,744
$1,500
11.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
16
$25,908
$3,105
8.3×
5222
Level 2 Pacemaker and Similar Procedures
16
$23,913
$7,282
3.3×
5465
Level 5 Neurostimulator and Related Procedures
12
$66,452
$26,541
2.5×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via baptist-health.com/cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 4/1/2026, template 3.0.0, 9,177 rows scanned, 3,717 distinct code–setting items kept. 891 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
0035U - NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$1,409
$352
$678
15
clean
0037U - TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES
$9,100
$2,275
$4,337
19
clean
0184T - RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
$382
$95
$6,256
15
clean
0201T - PERQ SAC AGMNTJ BI W-WO BALO-MCHNL DEV 2-GREATER THAN NDLS
$12,279
$3,070
$8,528
15
clean
0202U - Nfct ds 22 trgt sars-cov-2
$1,301
$325
$436
11
clean
0238T - TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$29,118
$7,280
$18,338
15
clean
0339T - TRANSCATHETER RENAL SYMPATH DENERVATION BILAT
$10,239
$2,560
$8,528
15
clean
0358T - BIA WHOLE BODY COMPOSITION ASSESSMENT W-IANDR
$59
$15
$34
14
clean
0707T - NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT
$186
$47
$4,624
15
clean
0795T - TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS
$46,338
$11,585
$19,269
15
clean
0823T - TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL
$46,386
$11,597
$19,269
15
clean
0866T - QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI
$555
$139
$336
15
clean
10005 - FINE NEEDLE ASPIRATION BX W-US GDN 1ST LESION
$2,276
$569
$867
20
clean
10006 - FINE NEEDLE ASPIRATION BX W-US GDN EA ADDL
$1,162
$290
$3,487
3
clean
10009 - FINE NEEDLE ASPIRATION BX W-CT GDN 1ST LESION
$1,144
$286
$867
20
clean
10030 - IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ
$1,569
$392
$757
20
clean
10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE
$1,164
$291
$306
20
clean
10061 - INCISION AND DRAINAGE ABSCESS COMPLICATED-MULTIPLE
$6,204
$1,551
$498
20
clean
10080 - INCISION AND DRAINAGE PILONIDAL CYST SIMPLE
$1,561
$390
$757
20
clean
10120 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$855
$214
$498
20
clean
10121 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMP
$20,819
$5,205
$1,652
19
clean
10140 - IANDD HEMATOMA SEROMA-FLUID COLLECTION
$13,219
$3,305
$1,622
19
clean
10160 - PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA-CYST
$854
$213
$407
19
clean
10180 - INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION
$22,070
$5,518
$2,879
20
clean
11011 - DBRDMT W-RMVL FM FXAND-DISLC SKN SUBQ T-M-F MUSC
$25,846
$6,462
$867
20
clean
11012 - DBRDMT FXAND-DISLC SUBQ T-M-F BONE
$7,084
$1,771
$2,837
20
clean
11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS THAN
$9,927
$2,482
$498
20
clean
11043 - DEBRIDEMENT MUSCLE AND-FASCIA 1ST 20 SQ CM-LESS THAN
$13,183
$3,296
$733
20
clean
11044 - DEBRIDEMENT BONE 1ST 20 SQ CM-LESS THAN
$18,686
$4,671
$1,637
20
clean
11045 - DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
$7,653
$1,913
$3,487
3
clean
11046 - DEBRIDEMENT MUSCLE AND-FASCIA EA ADDL 20 SQ CM
$7,762
$1,940
$3,487
3
clean
11102 - TANGENTIAL BIOPSY SKIN SINGLE LESION
$3,544
$886
$392
20
clean
11104 - PUNCH BIOPSY SKIN SINGLE LESION
$5,875
$1,469
$498
20
clean
11200 - RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TOANDINC 15
$8,649
$2,162
$310
20
clean
11400 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.5 CM-LESS THAN
$10,947
$2,737
$867
20
clean
11401 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM
$3,957
$989
$498
20
clean
11402 - EXC B9 LESION MRGN XCP SK TG T-A-L 1.1-2.0 CM
$10,380
$2,595
$867
20
clean
11403 - EXC B9 LESION MRGN XCP SK TG T-A-L 2.1-3.0 CM
$18,920
$4,730
$867
20
clean
11406 - EXC B9 LESION MRGN XCP SK TG T-A-L GREATER THAN 4.0 CM
$7,729
$1,932
$1,652
19
clean
11420 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS THAN
$16,173
$4,043
$1,637
20
clean
11422 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 1.1-2.0CM
$7,410
$1,853
$1,637
20
clean
11423 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 2.1-3.0CM
$13,056
$3,264
$1,652
19
clean
11424 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 3.1-4.0CM
$3,957
$989
$1,652
19
clean
11426 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G GREATER THAN 4.0CM
$10,713
$2,678
$2,879
20
clean
11440 - EXC B9 LESION MRGN XCP SK TG F-E-E-N-L-M 0.5CM-LESS THAN
$6,900
$1,725
$867
20
clean
11441 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 0.6-1.0CM
$11,995
$2,999
$867
20
clean
11442 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 1.1-2.0CM
$8,297
$2,074
$867
20
clean
11443 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 2.1-3.0CM
$7,591
$1,898
$1,637
20
clean
11444 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 3.1-4.0CM
$6,578
$1,644
$1,637
20
clean
11450 - EXCISION HIDRADENITIS AXILLARY SMPL-INTRM RPR
$19,840
$4,960
$2,879
20
clean
11451 - EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
$19,610
$4,903
$2,879
20
clean
11462 - EXCISION HIDRADENITIS INGUINAL SMPL-INTRM RPR
$13,399
$3,350
$2,879
20
clean
11463 - EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
$11,313
$2,828
$2,879
20
clean
11470 - EXCISION H-P-P-U SIMPLE-INTERMEDIATE REPAIR
$17,378
$4,344
$2,879
20
clean
11471 - EXCISION H-P-P-U COMPLEX REPAIR
$11,313
$2,828
$2,879
20
clean
11601 - EXCISION MAL LESION TRUNK-ARM-LEG 0.6-1.0 CM
$7,820
$1,955
$708
19
clean
11604 - EXCISION MAL LESION TRUNK-ARM-LEG 3.1-4.0 CM
$7,820
$1,955
$867
20
clean
11606 - EXCISION MALIGNANT LESION TRUNK-ARM-LEG GREATER THAN 4.0 CM
$12,384
$3,096
$1,652
19
clean
11623 - EXCISION MALIGNANT LESION S-N-H-F-G 2.1-3.0 CM
$15,985
$3,996
$1,613
20
clean
11626 - EXCISION MALIGNANT LESION S-N-H-F-G GREATER THAN 4.0 CM
$9,549
$2,387
$2,879
20
clean
11642 - EXCISION MALIGNANT LESION F-E-E-N-L 1.1-2.0 CM
$10,551
$2,638
$867
20
clean
11643 - EXCISION MALIGNANT LESION F-E-E-N-L 2.1-3.0 CM
$5,961
$1,490
$1,637
20
clean
11646 - EXCISION MALIGNANT LESION F-E-E-N-L GREATER THAN 4.0 CM
$8,445
$2,111
$2,879
20
clean
11719 - TRIMMING NONDYSTROPHIC NAILS ANY NUMBER
$758
$190
$93
19
clean
11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1
$1,868
$467
$302
19
clean
11740 - EVACUATION SUBUNGUAL HEMATOMA
$862
$216
$200
19
clean
11750 - EXCISION NAILANDNAIL MATRIX PRTL-COMPL PERM RMVL
$5,874
$1,469
$498
20
clean
11760 - REPAIR NAIL BED
$892
$223
$733
20
clean
11770 - EXCISION PILONIDAL CYST-SINUS SIMPLE
$15,355
$3,839
$3,133
20
clean
11771 - EXCISION PILONIDAL CYST-SINUS EXTENSIVE
$21,863
$5,466
$3,133
20
clean
11772 - EXCISION PILONIDAL CYST-SINUS COMPLICATED
$21,086
$5,272
$3,133
20
clean
11970 - REPLACEMENT TISSUE EXPANDER W-PERMANENT IMPLANT
$11,233
$2,808
$7,004
20
clean
11971 - REMOVAL TISSUE EXPANDER W-O INSERTION IMPLANT
$20,376
$5,094
$2,879
20
clean
11981 - INSERTION DRUG DELIVERY IMPLANT
$4,580
$1,145
$200
19
clean
11982 - REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
$10,083
$2,521
$447
19
clean
12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN
$834
$209
$302
19
clean
12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM
$862
$216
$302
19
clean
12004 - SIMPLE RPR SCALP-NECK-AX-GENIT-TRUNK 7.6-12.5CM
$862
$216
$306
20
clean
12005 - SMPL RPR SCALP-NECK-AX-GENIT-TRUNK 12.6-20.0CM
$2,581
$645
$498
20
clean
12006 - SMPL RPR SCALP-NECK-AX-GENIT-TRUNK 20.1-30.0CM
$2,581
$645
$498
20
clean
12011 - SIMPLE REPAIR F-E-E-N-L-M 2.5CM-LESS THAN
$810
$203
$302
19
clean
12013 - SIMPLE REPAIR F-E-E-N-L-M 2.6CM-5.0 CM
$862
$216
$302
19
clean
12014 - SIMPLE REPAIR F-E-E-N-L-M 5.1CM-7.5 CM
$862
$216
$306
20
clean
12015 - SIMPLE REPAIR F-E-E-N-L-M 7.6CM-12.5 CM
$862
$216
$306
20
clean
12016 - SIMPLE REPAIR F-E-E-N-L-M 12.6CM-20.0 CM
$2,581
$645
$605
16
clean
12017 - SIMPLE REPAIR F-E-E-N-L-M 20.1CM-30.0 CM
$2,581
$645
$498
20
clean
12031 - REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN
$4,577
$1,144
$498
20
clean
12032 - REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM
$1,390
$348
$498
20
clean
12034 - REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM
$2,879
$720
$498
20
clean
12035 - REPAIR INTERMEDIATE S-A-T-E 12.6-20.0CM
$2,997
$749
$498
20
clean
12036 - REPAIR INTERMEDIATE S-A-T-E 20.1-30.0 CM
$6,812
$1,703
$733
20
clean
12037 - REPAIR INTERMEDIATE S-A-T-E GREATER THAN 30.0 CM
$10,237
$2,559
$2,064
19
clean
12041 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.5CM-LESS THAN
$3,177
$794
$498
20
clean
12042 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.6-7.5 CM
$3,793
$948
$498
20
clean
12044 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 7.6-12.5CM
$2,581
$645
$733
20
clean
12051 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.5 CM-LESS THAN
$4,758
$1,190
$498
20
clean
12052 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.6-5.0 CM
$1,871
$468
$498
20
clean
12053 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 5.1-7.5 CM
$862
$216
$498
20
clean
12054 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 7.6-12.5 CM
$5,783
$1,446
$498
20
clean
12055 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 12.6-20.0CM
$2,581
$645
$498
20
clean
13100 - REPAIR COMPLEX TRUNK 1.1-2.5 CM
$13,707
$3,427
$733
20
clean
13101 - REPAIR COMPLEX TRUNK 2.6-7.5 CM
$6,220
$1,555
$733
20
clean
13102 - REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM-LESS THAN
$6,033
$1,508
$6,256
3
clean
13121 - REPAIR COMPLEX SCALP-ARM-LEG 2.6-7.5 CM
$8,302
$2,076
$509
20
clean
13122 - REPAIR COMPLEX SCALP-ARM-LEG EA ADDL 5 CM-LESS THAN
$5,657
$1,414
$6,256
3
clean
13131 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 1.1-2.5 CM
$2,603
$651
$498
20
clean
13132 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 2.6-7.5 CM
$7,334
$1,834
$509
20
clean
13133 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F EA ADDL 5 CM-LESS THAN
$4,968
$1,242
$6,256
3
clean
13151 - REPAIR COMPLEX EYELID-NOSE-EAR-LIP 1.1-2.5 CM
$10,529
$2,632
$733
20
clean
13152 - REPAIR COMPLEX EYELID-NOSE-EAR-LIP 2.6-7.5 CM
$7,905
$1,976
$733
20
clean
13153 - REPAIR COMPLX EYELID-NOSE-EAR-LIP EA ADDL 5 CM-LESS THAN
$3,297
$824
$4,769
3
clean
13160 - SECONDARY CLOSURE SURG WOUND-DEHSN XTNSV-COMP
$14,795
$3,699
$3,363
19
clean
14000 - ADJACENT TISSUE TRANSFER-REARGMT TRUNK 10 SQCM-LESS THAN
$19,942
$4,986
$2,064
19
clean
14001 - ADJNT TIS TRANSFR-REARRANGE TRUNK 10.1-30.0 SQCM
$18,150
$4,537
$2,064
19
clean
14020 - ADJT TIS TRNSFR-REARGMT SCALP-ARM-LEG 10 SQ CM-LESS THAN
$16,503
$4,126
$2,064
19
clean
14021 - ADJT-REARRGMT SCALP-ARM-LEG 10.1-30.0 SQ CM
$6,857
$1,714
$2,064
19
clean
14040 - ADJT TIS TRNS-REARGMT F-C-C-M-N-A-G-H-F 10SQCM-LESS THAN
$19,548
$4,887
$2,064
19
clean
14041 - ADJT-REARGMT F-C-C-M-N-AX-G-H-F 10.1-30.0 SQ CM
$17,508
$4,377
$2,064
19
clean
14060 - ADJT TIS TRNSFR-REARRGMT E-N-E-L DFCT 10 SQ CM-LESS THAN
$10,280
$2,570
$2,064
19
clean
14061 - ADJT TIS REARGMT EYE-NOSE-EAR-LIP 10.1-30.0 SQCM
$14,315
$3,579
$2,064
19
clean
14301 - ADJNT TIS TRNSFR-REARGMT ANY AREA 30.1-60 SQ CM
$16,069
$4,017
$4,343
20
clean
14302 - ADJT TIS TRNSFR-REARGMT DEFEC EA ADDL 30 SQCM
$17,220
$4,305
$6,256
3
clean
15002 - PREP SITE TRUNK-ARM-LEG 1ST 100 SQ CM-1PCT
$11,891
$2,973
$739
19
clean
15004 - PREP SITE F-S-N-H-F-G-M-D GT 1ST 100 SQ CM-1PCT
$7,532
$1,883
$509
20
clean
15100 - SPLT AGRFT T-A-L 1ST 100 SQCM-LESS THAN -1PERCENT BDY INFT-CHLD
$16,609
$4,152
$2,064
19
clean
15220 - FTH-GFT FREE W-DIRECT CLOSURE S-A-L 20 SQ CM-LESS THAN
$10,769
$2,692
$2,064
19
clean
15221 - FTH-GFT FR W-DIR CLSR S-A-L EA ADDL 20 SQ CM
$7,647
$1,912
$3,487
3
clean
15240 - FTH-GFT FR DIR CLSR F-C-C-M-N-AX-G-H-F 20SQCM-LESS THAN
$12,326
$3,082
$2,064
19
clean
15260 - FTH-GFT FREE W-DIRECT CLOSURE N-E-E-L 20 SQ CM-LESS THAN
$9,525
$2,381
$2,064
19
clean
15271 - APP SKN SUB GRFT T-A-L AREA-100SQ CM -LESS THAN 1ST 25
$11,711
$2,928
$739
19
clean
15273 - APP SKN SUBGRFT T-A-L AREA-100SQ CM 1ST 100SQ CM
$7,250
$1,813
$2,124
20
clean
15275 - SUB GRFT F-S-N-H-F-G-M-D LESS THAN 100SQ CM 1ST 25 SQ CM
$7,811
$1,953
$739
19
clean
15277 - SUB GRFT F-S-N-H-F-G-M-D GREATER THAN = 100SCM 1ST 100SQ CM
$5,273
$1,318
$2,064
19
clean
15278 - SUB GRFT F-S-N-H-F-G-M-D GREATER THAN = 100SCM ADL 100SQ CM
$5,273
$1,318
$6,256
3
clean
15576 - FRMJ DIRECT-TUBED PEDICLE W-WOTR E-N-E-L-NTRORAL
$19,905
$4,976
$2,064
19
clean
15630 - DELAY FLAP-SCTJ FLAP EYELIDS NOSE EARS-LIPS
$20,358
$5,090
$2,064
19
clean
15731 - FOREHEAD FLAP W-PRESERVATION VASCULAR PEDICLE
$14,505
$3,626
$3,512
20
clean
15734 - MUSC MYOCUTANEOUS-FASCIOCUTANEOUS FLAP TRUNK
$10,889
$2,722
$3,512
20
clean
15769 - GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC
$14,270
$3,568
$4,343
20
clean
15771 - GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS
$9,279
$2,320
$5,277
16
clean
15772 - GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC
$7,519
$1,880
$4,769
3
clean
15777 - IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT
$9,538
$2,384
$3,487
3
clean
15820 - BLEPHAROPLASTY LOWER EYELID
$14,317
$3,579
$2,800
15
clean
15822 - BLEPHAROPLASTY UPPER EYELID
$15,040
$3,760
$2,800
15
clean
15823 - BLEPHAROPLASTY UPPER EYELID W-EXCESSIVE SKIN
$10,322
$2,581
$2,800
15
clean
15829 - RHYTIDECTOMY SMAS FLAP
$19,830
$4,958
$5,277
16
clean
15830 - EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY
$11,658
$2,915
$6,486
20
clean
15832 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH
$27,772
$6,943
$3,733
16
clean
15835 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK
$17,989
$4,497
$3,733
16
clean
15836 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM
$15,313
$3,828
$4,083
15
clean
15839 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA
$27,102
$6,775
$4,083
15
clean
15847 - EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ABDOMEN
$13,235
$3,309
$4,769
3
clean
15851 - REMOVAL SUTURES-STAPLES REQUIRING ANESTHESIA
$6,931
$1,733
$2,064
19
clean
15852 - DRESSING CHANGE UNDER ANESTHESIA
$9,549
$2,387
$726
19
clean
15853 - REMOVAL SUTURES-STAPLES NOT REQUIRING ANESTHESIA
$252
$63
$3,477
2
clean
15860 - IV INJECTION AGENT TEST VASCULAR FLOW FLAP-GRAFT
$8,400
$2,100
$612
15
clean
15877 - SUCTION ASSISTED LIPECTOMY TRUNK
$11,793
$2,948
$4,955
16
clean
15879 - SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY
$15,654
$3,913
$4,955
16
clean
16020 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ SMALL
$3,453
$863
$201
19
clean
17250 - CHEMICAL CAUTERIZATION OF GRANULATION TISSUE
$862
$216
$302
19
clean
17999 - UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE
$10,567
$2,642
$293
15
clean
19000 - PUNCTURE ASPIRATION CYST OF BREAST
$2,003
$501
$708
19
clean
19020 - MASTOTOMY W-EXPLORATION-DRAINAGE ABSCESS DEEP
$14,631
$3,658
$1,918
20
clean
19081 - BX BREAST W-DEVICE 1ST LESION STEREOTACTIC GUID
$10,529
$2,632
$1,652
19
clean
19082 - BX BREAST W-DEVICE ADDL LESION STEREOTACT GUID
$1,207
$302
$3,487
3
clean
19083 - BX BREAST W-DEVICE 1ST LESION ULTRASOUND GUID
$10,529
$2,632
$1,652
19
clean
19084 - BX BREAST W-DEVICE ADDL LESION ULTRASOUND GUID
$1,212
$303
$3,487
3
clean
19085 - BX BREAST W-DEVICE 1ST LESION MAGNETIC RES GUID
$5,128
$1,282
$1,652
19
clean
19110 - NIPPLE EXPLORATION
$18,033
$4,508
$3,779
20
clean
19120 - EXC CYST-ABERRANT BREAST TISSUE OPEN 1-GREATER THAN LESION
$16,570
$4,143
$3,825
20
clean
19125 - EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES
$19,978
$4,995
$3,825
20
clean
19283 - PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE
$1,971
$493
$867
20
clean
19284 - PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC
$1,121
$280
$6,256
3
clean
19285 - PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG
$2,137
$534
$867
20
clean
19286 - PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE
$1,106
$277
$6,256
3
clean
19301 - MASTECTOMY PARTIAL
$15,791
$3,948
$3,825
20
clean
19302 - MASTECTOMY PARTIAL W-AXILLARY LYMPHADENECTOMY
$13,557
$3,389
$6,486
20
clean
19303 - MASTECTOMY SIMPLE COMPLETE
$13,868
$3,467
$6,486
20
clean
19307 - MAST MODF RAD W-AX LYMPH NOD W-WO PECT-ALIS MIN
$12,363
$3,091
$6,643
19
clean
19316 - MASTOPEXY
$14,285
$3,571
$8,018
16
clean
19318 - BREAST REDUCTION
$22,803
$5,701
$6,581
20
clean
19325 - BREAST AUGMENTATION WITH IMPLANT
$14,847
$3,712
$8,352
20
clean
19328 - REMOVAL INTACT BREAST IMPLANT
$11,936
$2,984
$3,881
20
clean
19340 - INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY
$10,106
$2,526
$7,888
20
clean
19342 - INSJ-RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY
$15,064
$3,766
$7,984
20
clean
19357 - TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION
$10,362
$2,591
$13,300
20
clean
19370 - REVISION PERI-IMPLANT CAPSULE BREAST
$11,472
$2,868
$4,675
20
clean
19371 - PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE
$11,988
$2,997
$4,675
20
clean
19380 - REVISION OF RECONSTRUCTED BREAST
$10,928
$2,732
$6,581
20
clean
19499 - UNLISTED PROCEDURE BREAST
$22,751
$5,688
$5,433
15
clean
20102 - EXPL PENETRATING WOUND SPX ABDOMEN-FLANK-BACK
$13,050
$3,262
$2,045
18
clean
20206 - BIOPSY MUSCLE PERCUTANEOUS NEEDLE
$2,833
$708
$1,652
19
clean
20220 - BIOPSY BONE TROCAR-NEEDLE SUPERFICIAL
$2,593
$648
$1,637
20
clean
20225 - BIOPSY BONE TROCAR-NEEDLE DEEP
$2,581
$645
$1,652
19
clean
20500 - INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX
$3,059
$765
$2,194
15
clean
20501 - INJECTION SINUS TRACT DIAGNOSTIC
$807
$202
$310
6
clean
20520 - REMOVAL FOREIGN BODY MUSCLE-TENDON SHEATH SIMPLE
$2,693
$673
$1,637
20
clean
20525 - RMVL FOREIGN BODY MUSCLE-TENDON SHEATH DEEP-COMP
$18,574
$4,644
$3,133
20
clean
20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES
$2,003
$501
$370
20
clean
20600 - ARTHROCENTESIS ASPIRAND-INJ SMALL JT-BURSA W-O US
$2,003
$501
$370
20
clean

Showing the first 200 of 3,717 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
882 of 3,029 comparable items (29%) 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 $12,271 exceeds the gross charge $382
warn
mrf_rate_without_estimate
27,587 of 27,587 percentage/algorithm rates across 3,717 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 24344/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,601 — 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 80074/o
info
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $48 — part of a file-wide pattern, counted once at the file level
CPT 24345/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,924 — part of a file-wide pattern, counted once at the file level
CPT 45334/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 80164/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $19 — part of a file-wide pattern, counted once at the file level
CPT 24366/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $22,372 — part of a file-wide pattern, counted once at the file level
CPT 45335/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 80178/o
info
mrf_negotiated_above_gross
highest negotiated rate $14 exceeds the gross charge $13 — part of a file-wide pattern, counted once at the file level
CPT 24430/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $25,418 — part of a file-wide pattern, counted once at the file level
CPT 45337/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,382 — part of a file-wide pattern, counted once at the file level
CPT 80195/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $19 — part of a file-wide pattern, counted once at the file level
CPT 24545/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $14,466 — part of a file-wide pattern, counted once at the file level
CPT 45338/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,211 — part of a file-wide pattern, counted once at the file level
CPT 80197/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $14 — part of a file-wide pattern, counted once at the file level
CPT 24565/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,374 — part of a file-wide pattern, counted once at the file level
CPT 45341/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,008 — 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 24575/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $21,955 — part of a file-wide pattern, counted once at the file level
CPT 45342/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,451 — part of a file-wide pattern, counted once at the file level
CPT 81272/o
info
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $250 — part of a file-wide pattern, counted once at the file level
CPT 24586/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $11,014 — part of a file-wide pattern, counted once at the file level
CPT 45346/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,772 — part of a file-wide pattern, counted once at the file level
CPT 81311/o
info
mrf_negotiated_above_gross
highest negotiated rate $646 exceeds the gross charge $582 — 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 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 81314/o
info
mrf_negotiated_above_gross
highest negotiated rate $720 exceeds the gross charge $499 — 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 45380/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $3,066 — part of a file-wide pattern, counted once at the file level
CPT 81381/o
info
mrf_negotiated_above_gross
highest negotiated rate $371 exceeds the gross charge $265 — 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 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 81449/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,306 exceeds the gross charge $936 — part of a file-wide pattern, counted once at the file level
CPT 24655/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,694 — part of a file-wide pattern, counted once at the file level
CPT 45382/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 82233/o
info
mrf_negotiated_above_gross
highest negotiated rate $282 exceeds the gross charge $250 — part of a file-wide pattern, counted once at the file level
CPT 24666/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $7,924 — 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 82234/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 25246/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $897 — 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 $3,035 — part of a file-wide pattern, counted once at the file level
CPT 82306/o
info
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $33 — part of a file-wide pattern, counted once at the file level
CPT 25520/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 45386/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 82575/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT 25565/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 45392/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $3,451 — part of a file-wide pattern, counted once at the file level
CPT 82607/o
info
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $28 — part of a file-wide pattern, counted once at the file level
CPT 25690/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,390 — part of a file-wide pattern, counted once at the file level
CPT 45915/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,016 — part of a file-wide pattern, counted once at the file level
CPT 82670/o
info
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $14 — 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 46030/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $8,647 — part of a file-wide pattern, counted once at the file level
CPT 82728/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $22 — part of a file-wide pattern, counted once at the file level
CPT 26605/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $807 — 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 $5,656 — part of a file-wide pattern, counted once at the file level
CPT 82746/o
info
mrf_negotiated_above_gross
highest negotiated rate $32 exceeds the gross charge $24 — part of a file-wide pattern, counted once at the file level
CPT 26608/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,287 — part of a file-wide pattern, counted once at the file level
CPT 46221/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $1,419 — part of a file-wide pattern, counted once at the file level
CPT 83001/o
info
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $9 — 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 46606/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,370 — part of a file-wide pattern, counted once at the file level
CPT 83718/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 26700/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 46707/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $5,724 — part of a file-wide pattern, counted once at the file level
CPT 83721/o
info
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT 26735/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,835 — 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 $2,604 — part of a file-wide pattern, counted once at the file level
CPT 84144/o
info
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT 26765/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,626 — part of a file-wide pattern, counted once at the file level
CPT 47490/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,237 exceeds the gross charge $6,395 — part of a file-wide pattern, counted once at the file level
CPT 84146/o
info
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $9 — 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 47531/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,237 exceeds the gross charge $5,463 — part of a file-wide pattern, counted once at the file level
CPT 84153/o
info
mrf_negotiated_above_gross
highest negotiated rate $40 exceeds the gross charge $17 — part of a file-wide pattern, counted once at the file level
CPT 27093/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 47534/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,035 — 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 $265 — part of a file-wide pattern, counted once at the file level
CPT 27096/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 47536/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,035 — part of a file-wide pattern, counted once at the file level
CPT 84394/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 27216/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,778 — part of a file-wide pattern, counted once at the file level
CPT 47537/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,923 — part of a file-wide pattern, counted once at the file level
CPT 84443/o
info
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $33 — part of a file-wide pattern, counted once at the file level
CPT 27250/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 47538/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $10,304 — part of a file-wide pattern, counted once at the file level
CPT 84478/o
info
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT 27256/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $848 — part of a file-wide pattern, counted once at the file level
CPT 47543/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,776 — part of a file-wide pattern, counted once at the file level
CPT 84480/o
info
mrf_negotiated_above_gross
highest negotiated rate $31 exceeds the gross charge $24 — part of a file-wide pattern, counted once at the file level
CPT 27265/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 47544/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,776 — part of a file-wide pattern, counted once at the file level
CPT 84481/o
info
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $13 — part of a file-wide pattern, counted once at the file level
CPT 27279/o
info
mrf_negotiated_above_gross
highest negotiated rate $35,522 exceeds the gross charge $11,852 — part of a file-wide pattern, counted once at the file level
CPT 47553/o
info
mrf_negotiated_above_gross
highest negotiated rate $13,085 exceeds the gross charge $10,971 — part of a file-wide pattern, counted once at the file level
CPT 85055/o
info
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 27280/o
info
mrf_negotiated_above_gross
highest negotiated rate $35,440 exceeds the gross charge $12,654 — part of a file-wide pattern, counted once at the file level
CPT 47999/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $3,639 — 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 27386/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,792 — part of a file-wide pattern, counted once at the file level
CPT 48102/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,526 — 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 27418/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,043 — part of a file-wide pattern, counted once at the file level
CPT 49000/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,647 — part of a file-wide pattern, counted once at the file level
CPT 86060/o
info
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT 27422/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,648 — part of a file-wide pattern, counted once at the file level
CPT 49020/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $2,556 — part of a file-wide pattern, counted once at the file level
CPT 86140/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 27427/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,757 — 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 $2,764 — part of a file-wide pattern, counted once at the file level
CPT 86317/o
info
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $31 — part of a file-wide pattern, counted once at the file level
CPT 27446/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $19,418 — part of a file-wide pattern, counted once at the file level
CPT 49180/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,895 — part of a file-wide pattern, counted once at the file level
CPT 86430/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 27447/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $23,115 — 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 $11,437 — 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 27560/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 49322/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $10,975 — part of a file-wide pattern, counted once at the file level
CPT 86581/o
info
mrf_negotiated_above_gross
highest negotiated rate $477 exceeds the gross charge $470 — part of a file-wide pattern, counted once at the file level
CPT 27570/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,094 — part of a file-wide pattern, counted once at the file level
CPT 49326/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $7,862 — part of a file-wide pattern, counted once at the file level
CPT 86704/o
info
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $16 — part of a file-wide pattern, counted once at the file level
CPT 27650/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,938 — part of a file-wide pattern, counted once at the file level
CPT 49407/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $785 — part of a file-wide pattern, counted once at the file level
CPT 86705/o
info
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level
CPT 27654/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $5,127 — part of a file-wide pattern, counted once at the file level
CPT 49423/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,332 — 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 27695/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,696 — part of a file-wide pattern, counted once at the file level
CPT 49424/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $1,281 — 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 27698/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $6,200 — part of a file-wide pattern, counted once at the file level
CPT 49440/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,879 exceeds the gross charge $2,717 — 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 27702/o
info
mrf_negotiated_above_gross
highest negotiated rate $54,844 exceeds the gross charge $11,313 — part of a file-wide pattern, counted once at the file level
CPT 49446/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 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 27705/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $14,380 — part of a file-wide pattern, counted once at the file level
CPT 49450/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,991 — part of a file-wide pattern, counted once at the file level
CPT 86886/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $241 — part of a file-wide pattern, counted once at the file level
CPT 27709/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $16,711 — part of a file-wide pattern, counted once at the file level
CPT 49451/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 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 27781/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,390 — part of a file-wide pattern, counted once at the file level
CPT 49452/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,055 — 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 27788/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 49460/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 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 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 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 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 27818/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 49613/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,325 — part of a file-wide pattern, counted once at the file level
CPT 86922/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 27827/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $23,426 — part of a file-wide pattern, counted once at the file level
CPT 50081/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,134 exceeds the gross charge $15,680 — 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 27828/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $22,401 — part of a file-wide pattern, counted once at the file level
CPT 50200/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,467 — 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 27829/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,789 — part of a file-wide pattern, counted once at the file level
CPT 50387/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,225 exceeds the gross charge $3,938 — part of a file-wide pattern, counted once at the file level
CPT 87081/o
info
mrf_negotiated_above_gross
highest negotiated rate $14 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level
CPT 27840/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 50389/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,881 — part of a file-wide pattern, counted once at the file level
CPT 87086/o
info
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $15 — part of a file-wide pattern, counted once at the file level
CPT 27871/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $7,415 — part of a file-wide pattern, counted once at the file level
CPT 50390/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,215 — part of a file-wide pattern, counted once at the file level
CPT 87250/o
info
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $24 — part of a file-wide pattern, counted once at the file level
CPT 28010/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,388 — part of a file-wide pattern, counted once at the file level
CPT 50432/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,340 — part of a file-wide pattern, counted once at the file level
CPT 87340/o
info
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT 28035/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,904 — part of a file-wide pattern, counted once at the file level
CPT 50434/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $4,617 — part of a file-wide pattern, counted once at the file level
CPT 87389/o
info
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $16 — part of a file-wide pattern, counted once at the file level
CPT 28118/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,669 — part of a file-wide pattern, counted once at the file level
CPT 50541/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $13,926 — part of a file-wide pattern, counted once at the file level
CPT 88172/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 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 50544/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $16,456 — 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 $622 — part of a file-wide pattern, counted once at the file level
CPT 28200/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $5,402 — part of a file-wide pattern, counted once at the file level
CPT 50593/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $17,461 — 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 $689 — part of a file-wide pattern, counted once at the file level
CPT 28297/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $23,729 — part of a file-wide pattern, counted once at the file level
CPT 50688/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,280 — part of a file-wide pattern, counted once at the file level
CPT 88309/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,628 exceeds the gross charge $1,044 — part of a file-wide pattern, counted once at the file level
CPT 28298/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,359 — part of a file-wide pattern, counted once at the file level
CPT 50690/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

Showing the first 200 of 891 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. found via cms-hpt.txt · csv-wide · 7.3M bytes · fetched 2026-08-21 · sha256 17558388ce96…

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.