Hospital · CCN 040154

Baptist Health Medical Center- Conway

1555 Exchange Avenue, Conway, AR 72032 · Faulkner County
Part of Baptist Health · 106 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

25 admission types 48 outpatient services price file: ok
Billed per dollar paid, all admissions
5.32×
$42.9M billed against $8.1M paid across 805 Medicare discharges; the national figure is 5.03×.
5.7%
of adults in Faulkner County have medical debt in collections
7.6%
uninsured in the county · state 10.0%
$69K
median household income
4.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
39.8%
obesity in the countyⓘ
10.8%
diagnosed diabetes (PLACES)
6.0%
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
181
$67,613
$13,307
5.1× st 4.0×
291
Heart failure and shock with mcc
80
$51,093
$8,998
5.7× st 4.0×
193
Simple pneumonia and pleurisy with mcc
69
$46,584
$8,642
5.4× st 4.4×
280
Acute myocardial infarction, discharged alive with mcc
50
$50,205
$10,600
4.7× st 4.2×
177
Respiratory infections and inflammations with mcc
43
$55,957
$10,748
5.2× st 4.2×
683
Renal failure with cc
27
$38,065
$6,080
6.3× st 3.9×
189
Pulmonary edema and respiratory failure
25
$37,294
$9,002
4.1× st 4.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
25
$39,064
$8,437
4.6× st 3.8×
682
Renal failure with mcc
24
$43,097
$9,397
4.6× st 3.9×
481
Hip and femur procedures except major joint with cc
24
$68,777
$13,686
5.0× st 3.9×
689
Kidney and urinary tract infections with mcc
22
$47,545
$7,856
6.1× st 3.7×
698
Other kidney and urinary tract diagnoses with mcc
21
$57,502
$10,923
5.3× st 3.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
21
$36,006
$6,934
5.2× st 4.1×
308
Cardiac arrhythmia and conduction disorders with mcc
21
$42,916
$8,865
4.8× st 4.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
20
$28,914
$5,496
5.3× st 4.2×
281
Acute myocardial infarction, discharged alive with cc
19
$37,276
$6,561
5.7× st 4.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
19
$78,691
$12,570
6.3× st 6.0×
690
Kidney and urinary tract infections without mcc
17
$31,212
$5,552
5.6× st 3.8×
389
Gastrointestinal obstruction with cc
17
$29,973
$5,776
5.2× st 3.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
15
$32,121
$5,252
6.1× st 4.1×
309
Cardiac arrhythmia and conduction disorders with cc
15
$30,712
$5,209
5.9× st 3.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$141,424
$20,092
7.0× st 5.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$24,802
$4,032
6.2× st 3.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
12
$109,600
$19,133
5.7× st 3.9×
282
Acute myocardial infarction, discharged alive without cc/mcc
11
$38,882
$5,090
7.6× st 5.3×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
156
$20,212
$2,334
8.7×
5191
Level 1 Endovascular Procedures
104
$17,526
$2,759
6.4×
5114
Level 4 Musculoskeletal Procedures
98
$31,455
$6,032
5.2×
5115
Level 5 Musculoskeletal Procedures
93
$46,333
$11,164
4.2×
5374
Level 4 Urology and Related Services
70
$12,417
$2,988
4.2×
5113
Level 3 Musculoskeletal Procedures
64
$22,296
$2,714
8.2×
5373
Level 3 Urology and Related Services
56
$9,277
$1,746
5.3×
5375
Level 5 Urology and Related Services
56
$14,995
$4,435
3.4×
5361
Level 1 Laparoscopy and Related Services
50
$27,381
$4,876
5.6×
5154
Level 4 Airway Endoscopy
47
$18,604
$3,167
5.9×
5116
Level 6 Musculoskeletal Procedures
39
$56,799
$15,942
3.6×
5465
Level 5 Neurostimulator and Related Procedures
38
$75,983
$25,886
2.9×
5491
Level 1 Intraocular Procedures
33
$10,612
$1,901
5.6×
5431
Level 1 Nerve Procedures
31
$16,644
$1,612
10.3×
5193
Level 3 Endovascular Procedures
26
$52,024
$9,424
5.5×
5153
Level 3 Airway Endoscopy
21
$8,740
$1,455
6.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
20
$12,629
$1,279
9.9×
5112
Level 2 Musculoskeletal Procedures
19
$12,448
$1,320
9.4×
5183
Level 3 Vascular Procedures
19
$13,596
$2,732
5.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
15
$19,258
$2,965
6.5×
5302
Level 2 Upper GI Procedures
13
$12,463
$1,631
7.6×
5362
Level 2 Laparoscopy and Related Services
12
$52,833
$8,221
6.4×
5223
Level 3 Pacemaker and Similar Procedures
12
$26,944
$9,149
2.9×
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 4/1/2026, template 3.0.0, 7,699 rows scanned, 2,363 distinct code–setting items kept. 564 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
0202U - Nfct ds 22 trgt sars-cov-2
$1,301
$325
$436
11
clean
0241U - Nfct ds vir resp rna 4 trgt
$445
$111
—
0
clean
0690T - QUANTITATIVE US TISS CHARAC IANDR W-DX US SM ANAT
$260
$65
$6,256
1
clean
0707T - NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT
$596
$149
$4,624
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
$2,069
$517
$867
20
clean
10006 - FINE NEEDLE ASPIRATION BX W-US GDN EA ADDL
$1,382
$346
$3,487
3
clean
10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE
$989
$247
$306
20
clean
10061 - INCISION AND DRAINAGE ABSCESS COMPLICATED-MULTIPLE
$10,992
$2,748
$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
$5,093
$1,273
$498
20
clean
10121 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMP
$12,877
$3,219
$1,652
19
clean
10140 - IANDD HEMATOMA SEROMA-FLUID COLLECTION
$6,256
$1,564
$1,622
19
clean
11010 - DBRDMT W-RMVL FM FXAND-DISLC SKINANDSUBQ TISSUS
$6,422
$1,605
$867
20
clean
11012 - DBRDMT FXAND-DISLC SUBQ T-M-F BONE
$8,476
$2,119
$2,837
20
clean
11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS THAN
$10,000
$2,500
$498
20
clean
11043 - DEBRIDEMENT MUSCLE AND-FASCIA 1ST 20 SQ CM-LESS THAN
$10,926
$2,731
$733
20
clean
11044 - DEBRIDEMENT BONE 1ST 20 SQ CM-LESS THAN
$10,412
$2,603
$1,637
20
clean
11045 - DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
$5,945
$1,486
$3,487
3
clean
11102 - TANGENTIAL BIOPSY SKIN SINGLE LESION
$8,008
$2,002
$392
20
clean
11401 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM
$4,753
$1,188
$498
20
clean
11402 - EXC B9 LESION MRGN XCP SK TG T-A-L 1.1-2.0 CM
$6,064
$1,516
$867
20
clean
11403 - EXC B9 LESION MRGN XCP SK TG T-A-L 2.1-3.0 CM
$4,429
$1,107
$867
20
clean
11404 - EXC B9 LESION MRGN XCP SK TG T-A-L 3.1-4.0 CM
$5,676
$1,419
$1,652
19
clean
11406 - EXC B9 LESION MRGN XCP SK TG T-A-L GREATER THAN 4.0 CM
$11,322
$2,831
$1,652
19
clean
11420 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS THAN
$16,478
$4,119
$1,637
20
clean
11421 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.6-1.0CM
$8,721
$2,180
$867
20
clean
11422 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 1.1-2.0CM
$8,266
$2,066
$1,637
20
clean
11423 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 2.1-3.0CM
$5,776
$1,444
$1,652
19
clean
11424 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 3.1-4.0CM
$9,420
$2,355
$1,652
19
clean
11426 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G GREATER THAN 4.0CM
$7,051
$1,763
$2,879
20
clean
11441 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 0.6-1.0CM
$7,852
$1,963
$867
20
clean
11443 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 2.1-3.0CM
$13,044
$3,261
$1,637
20
clean
11444 - EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 3.1-4.0CM
$10,841
$2,710
$1,637
20
clean
11450 - EXCISION HIDRADENITIS AXILLARY SMPL-INTRM RPR
$14,785
$3,696
$2,879
20
clean
11603 - EXCISION MAL LESION TRUNK-ARM-LEG 2.1-3.0 CM
$4,914
$1,229
$867
20
clean
11606 - EXCISION MALIGNANT LESION TRUNK-ARM-LEG GREATER THAN 4.0 CM
$7,074
$1,769
$1,652
19
clean
11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1
$2,272
$568
$302
19
clean
11740 - EVACUATION SUBUNGUAL HEMATOMA
$862
$216
$200
19
clean
11750 - EXCISION NAILANDNAIL MATRIX PRTL-COMPL PERM RMVL
$6,632
$1,658
$498
20
clean
11760 - REPAIR NAIL BED
$6,542
$1,636
$733
20
clean
11770 - EXCISION PILONIDAL CYST-SINUS SIMPLE
$24,636
$6,159
$3,133
20
clean
11771 - EXCISION PILONIDAL CYST-SINUS EXTENSIVE
$13,902
$3,476
$3,133
20
clean
11772 - EXCISION PILONIDAL CYST-SINUS COMPLICATED
$13,861
$3,465
$3,133
20
clean
11900 - INJECTION INTRALESIONAL UP TO AND INCLUD 7 LESIONS
$7,777
$1,944
$293
15
clean
11982 - REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
$12,957
$3,239
$447
19
clean
12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN
$810
$203
$302
19
clean
12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM
$911
$228
$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
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
12020 - TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE
$2,003
$501
$733
20
clean
12031 - REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN
$862
$216
$508
20
clean
12032 - REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM
$4,672
$1,168
$498
20
clean
12034 - REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM
$6,106
$1,527
$508
20
clean
12041 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.5CM-LESS THAN
$3,088
$772
$498
20
clean
12042 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.6-7.5 CM
$3,105
$776
$498
20
clean
12044 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 7.6-12.5CM
$8,239
$2,060
$733
20
clean
12051 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.5 CM-LESS THAN
$862
$216
$498
20
clean
13120 - REPAIR COMPLEX SCALP-ARM-LEG 1.1-2.5 CM
$2,581
$645
$536
20
clean
13121 - REPAIR COMPLEX SCALP-ARM-LEG 2.6-7.5 CM
$10,919
$2,730
$509
20
clean
13122 - REPAIR COMPLEX SCALP-ARM-LEG EA ADDL 5 CM-LESS THAN
$863
$216
$6,256
3
clean
13131 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 1.1-2.5 CM
$2,581
$645
$498
20
clean
13132 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 2.6-7.5 CM
$10,529
$2,632
$519
20
clean
13133 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F EA ADDL 5 CM-LESS THAN
$863
$216
$6,256
3
clean
13151 - REPAIR COMPLEX EYELID-NOSE-EAR-LIP 1.1-2.5 CM
$10,529
$2,632
$733
20
clean
14020 - ADJT TIS TRNSFR-REARGMT SCALP-ARM-LEG 10 SQ CM-LESS THAN
$29,623
$7,406
$2,064
19
clean
14040 - ADJT TIS TRNS-REARGMT F-C-C-M-N-A-G-H-F 10SQCM-LESS THAN
$6,490
$1,622
$2,064
19
clean
14041 - ADJT-REARGMT F-C-C-M-N-AX-G-H-F 10.1-30.0 SQ CM
$7,315
$1,829
$2,064
19
clean
14350 - FILLETED FINGER-TOE FLAP W-PREPJ RECIPIENT SITE
$6,561
$1,640
$2,064
19
clean
15220 - FTH-GFT FREE W-DIRECT CLOSURE S-A-L 20 SQ CM-LESS THAN
$5,636
$1,409
$2,064
19
clean
15240 - FTH-GFT FR DIR CLSR F-C-C-M-N-AX-G-H-F 20SQCM-LESS THAN
$5,636
$1,409
$2,064
19
clean
15275 - SUB GRFT F-S-N-H-F-G-M-D LESS THAN 100SQ CM 1ST 25 SQ CM
$9,067
$2,267
$739
19
clean
15769 - GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC
$11,546
$2,887
$4,343
20
clean
15853 - REMOVAL SUTURES-STAPLES NOT REQUIRING ANESTHESIA
$252
$63
$3,477
2
clean
16020 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ SMALL
$2,003
$501
$201
19
clean
17999 - UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE
$7,968
$1,992
$293
15
clean
20103 - EXPLORATION PENETRATING WOUND SPX EXTREMITY
$7,388
$1,847
$1,637
20
clean
20205 - BIOPSY MUSCLE DEEP
$13,913
$3,478
$2,879
18
clean
20240 - BIOPSY BONE OPEN SUPERFICIAL
$7,170
$1,792
$2,879
20
clean
20525 - RMVL FOREIGN BODY MUSCLE-TENDON SHEATH DEEP-COMP
$12,784
$3,196
$3,133
20
clean
20526 - INJECTION THERAPEUTIC CARPAL TUNNEL
$5,700
$1,425
$395
20
clean
20550 - INJECTION 1 TENDON SHEATH-LIGAMENT APONEUROSIS
$8,703
$2,176
$395
20
clean
20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES
$2,003
$501
$395
20
clean
20600 - ARTHROCENTESIS ASPIRAND-INJ SMALL JT-BURSA W-O US
$6,930
$1,733
$395
20
clean
20605 - ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US
$6,964
$1,741
$395
20
clean
20610 - ARTHROCENTESIS ASPIRAND-INJ MAJOR JT-BURSA W-O US
$3,366
$842
$395
20
clean
20670 - REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
$8,026
$2,006
$1,652
19
clean
20680 - REMOVAL IMPLANT DEEP
$11,345
$2,836
$3,133
20
clean
20690 - APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM
$10,602
$2,650
$7,003
20
clean
20694 - REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES
$8,933
$2,233
$1,609
19
clean
20900 - BONE GRAFT ANY DONOR AREA MINOR-SMALL
$7,153
$1,788
$7,003
20
clean
20931 - ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL
$6,544
$1,636
$6,256
3
clean
20937 - AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION
$5,395
$1,349
$6,256
3
clean
20985 - CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
$20,014
$5,004
$6,256
3
clean
20999 - UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL
$6,006
$1,501
$336
15
clean
21013 - EXC TUMOR SOFT TISS FACEANDSCALP SUBFASCIAL LESS THAN 2CM
$26,636
$6,659
$1,637
20
clean
21320 - CLOSED TX NASAL BONE FX W-MNPJ W-STABILIZATION
$8,234
$2,058
$3,255
19
clean
21335 - OPEN TX NASAL FX W-CONCOMITANT OPTX FXD SEPTUM
$18,220
$4,555
$3,338
20
clean
21552 - EXC TUMOR SOFT TIS NECK-ANT THORAX SUBQ 3 CM-GREATER THAN
$13,885
$3,471
$3,133
20
clean
21554 - EXC TUMOR SOFT TISSUE NECK-THORAX SUBFASC 5 CM-GREATER THAN
$16,728
$4,182
$3,133
20
clean
21555 - EXC TUMOR SOFT TISSUE NECK-ANT THORAX SUBQ LESS THAN 3CM
$15,684
$3,921
$1,652
19
clean
21556 - EXC TUMOR SOFT TISS NECK-THORAX SUBFASCIAL LESS THAN 5CM
$24,097
$6,024
$2,879
20
clean
21685 - HYOID MYOTOMY AND SUSPENSION
$14,062
$3,515
$5,713
20
clean
21930 - EXCISION TUMOR SOFT TISSUE BACK-FLANK SUBQ LESS THAN 3CM
$11,628
$2,907
$1,652
19
clean
21931 - EXCISION TUMOR SOFT TIS BACK-FLANK SUBQ 3 CM-GREATER THAN
$11,894
$2,973
$2,011
20
clean
22551 - ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2
$6,711
$1,678
$12,390
20
clean
22552 - ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC
$5,906
$1,476
$6,256
3
clean
22600 - ARTHRD PST-PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT
$4,056
$1,014
$16,722
16
clean
22612 - ARTHRODESIS POSTERIOR-PSTLAT TQ 1NTRSPC LUMBAR
$5,831
$1,458
$17,540
15
clean
22614 - ARTHRODESIS PST-PSTLAT TQ 1NTRSPC EA ADDL NTRSPC
$4,736
$1,184
$3,477
2
clean
22630 - ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR
$4,880
$1,220
$26,187
20
clean
22633 - ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR
$5,791
$1,448
$26,187
20
clean
22634 - ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL
$5,190
$1,297
$5,571
3
clean
22830 - EXPLORATION SPINAL FUSION
$5,938
$1,485
$7,003
16
clean
22840 - POSTERIOR NON-SEGMENTAL INSTRUMENTATION
$5,558
$1,390
$5,571
3
clean
22842 - POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG
$6,828
$1,707
$3,477
2
clean
22845 - ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS
$6,247
$1,562
$6,256
3
clean
22853 - INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W-ARTHRD
$6,092
$1,523
$6,256
3
clean
22856 - TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL
$21,009
$5,252
$17,040
19
clean
22858 - TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL
$14,121
$3,530
$3,477
2
clean
22859 - INSJ BIOMCHN DEV NTRVRT DISC SPACE W-O ARTHRD
$5,810
$1,453
$6,256
3
clean
23020 - CAPSULAR CONTRACTURE RELEASE
$8,548
$2,137
$3,243
20
clean
23075 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ LESS THAN 3CM
$14,323
$3,581
$1,652
19
clean
23076 - EXC TUMOR SOFT TISS SHOULDER SUBFASC LESS THAN 5CM
$13,023
$3,256
$2,852
19
clean
23120 - CLAVICULECTOMY PARTIAL
$5,005
$1,251
$3,989
20
clean
23140 - EXC-CURTG BONE CYST-BENIGN TUMOR CLAV-SCAPULA
$7,545
$1,886
$3,317
20
clean
23350 - INJECTION SHOULDER ARTHROGRAPHY- CT-MRI ARTHG
$754
$189
$360
6
clean
23410 - OPEN REPAIR OF ROTATOR CUFF ACUTE
$10,675
$2,669
$7,088
20
clean
23420 - RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC
$6,294
$1,574
$7,004
20
clean
23430 - TENODESIS LONG TENDON BICEPS
$6,970
$1,743
$7,088
20
clean
23440 - RESECTION-TRANSPLANTATION LONG TENDON BICEPS
$14,025
$3,506
$8,857
16
clean
23470 - ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY
$34,744
$8,686
$12,541
20
clean
23472 - ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER
$19,348
$4,837
$16,922
20
clean
23474 - REVIS SHOULDER ARTHRPLSTY HUMERALANDGLENOID COMPNT
$20,598
$5,150
$12,184
17
clean
23480 - OSTEOTOMY CLAVICLE W-WO INTERNAL FIXATION
$12,472
$3,118
$8,857
16
clean
23515 - OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION
$22,849
$5,712
$7,088
20
clean
23550 - OPEN TX ACROMIOCLAVICULAR DISLC ACUTE-CHRONIC
$22,266
$5,566
$7,088
20
clean
23552 - OPTX ACROMCLAV DISLC ACUTE-CHRONIC W-FASCIAL GRF
$22,325
$5,581
$7,192
20
clean
23585 - OPEN TX SCAPULAR FX W-INT FIXATION WHEN PFRMD
$13,604
$3,401
$8,857
16
clean
23615 - OPTX PROX HUMERAL FX W-INT FIXJ RPR TUBEROSITY
$13,335
$3,334
$12,390
20
clean
23630 - OPTX GREATER HUMERAL TUBEROSITY FX W-INT FIXJ
$15,384
$3,846
$7,192
20
clean
23650 - CLSD TX SHOULDER DISLC W-MANIPULATION W-O ANES
$2,003
$501
$360
20
clean
23655 - CLSD TX SHOULDER DISLC W-MANIPULATION REQ ANES
$3,704
$926
$1,609
19
clean
23670 - OPTX SHO DISLC W-FX GR HUMERAL TUBRST INT FIXJ
$7,699
$1,925
$7,088
20
clean
23700 - MNPJ W-ANES SHOULDER JT APPL FIXATION APPARATUS
$6,006
$1,502
$1,609
19
clean
23931 - INCISIONANDDRAINAGE UPPER ARM-ELBOW BURSA
$3,402
$850
$1,652
19
clean
24075 - EXC TUMOR SOFT TISS UPPER ARM-ELBOW SUBQ LESS THAN 3CM
$4,530
$1,133
$1,652
19
clean
24076 - EXC TUMOR SOFT TISS UPR ARM-ELBOW SUBFASC LESS THAN 5CM
$13,050
$3,262
$2,852
19
clean
24105 - EXCISION OLECRANON BURSA
$16,147
$4,037
$3,317
20
clean
24147 - PARTIAL EXCISION BONE OLECRANON PROCESS
$8,932
$2,233
$3,243
20
clean
24149 - RAD RESCJ CAPSL TISSANDHTRTPC B1 ELBW CONTRCT RLS
$34,665
$8,666
$8,857
16
clean
24200 - RMVL FOREIGN BODY UPPER ARM-ELBOW SUBCUTANEOUS
$2,693
$673
$1,622
19
clean
24220 - INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY
$807
$202
$427
6
clean
24301 - MUSCLE-TENDON TRANSFER UPPER ARM-ELBOW SINGLE
$14,570
$3,643
$7,088
20
clean
24340 - TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE
$15,338
$3,835
$7,004
20
clean
24341 - REPAIR TENDON-MUSCLE UPPER ARM-ELBOW EA TDN-MUSC
$17,299
$4,325
$7,004
20
clean
24342 - RINSJ RPTD BICEPS-TRICEPS TDN DSTL W-WO TDN GRF
$17,920
$4,480
$7,004
20
clean
24343 - REPAIR LATERAL COLLATERAL LIGAMENT ELBOW
$20,937
$5,234
$3,329
20
clean
24359 - TNOT ELBOW LATERAL-MEDIAL DEBRIDE OPEN TDN RPR
$12,457
$3,114
$3,989
20
clean
24435 - REPAIR NON-MALUNION HUMERUS W-ILIAC-OTH AGRFT
$16,440
$4,110
$12,390
20
clean
24515 - OPTX HUMERAL SHFT FX PLATE-SCREWS W-WO CERCLAGE
$26,431
$6,608
$12,390
20
clean
24535 - CLTX SPRCNDYLR-TRANSCNDYLR HUMERAL FX W-MNPJ
$2,374
$594
$1,594
20
clean
24575 - OPEN TX HUMERAL EPICONDYLAR FRACTURE
$11,670
$2,917
$12,390
20
clean
24600 - TREATMENT CLOSED ELBOW DISLOCATION W-O ANES
$2,003
$501
$360
20
clean
24640 - CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W-MNPJ
$2,003
$501
$360
19
clean
24665 - OPEN TX RADIAL HEAD-NECK FRACTURE
$20,352
$5,088
$7,192
20
clean
24685 - OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W-FIX
$12,241
$3,060
$7,088
20
clean
25000 - INCISION EXTENSOR TENDON SHEATH WRIST
$9,796
$2,449
$1,938
20
clean
25025 - DCMPRN FASCT F-ARMAND-WRST FLXRANDXTNSR DBRDMT
$31,562
$7,890
$1,938
20
clean
25040 - ARTHRT RDCRPL-MIDCARPL JT W-EXPL DRG-RMVL FB
$7,458
$1,864
$3,989
20
clean
25071 - EXC TUMOR SOFT TISS FOREARM AND-WRIST SUBQ 3CM-GREATER THAN
$11,725
$2,931
$2,011
20
clean
25075 - EXC TUMOR SOFT TISSUE FOREARM AND-WRIST SUBQ LESS THAN 3CM
$10,721
$2,680
$1,652
19
clean
25085 - CAPSULOTOMY WRIST
$3,392
$848
$3,317
20
clean
25111 - EXCISION GANGLION WRIST DORSAL-VOLAR PRIMARY
$11,502
$2,876
$1,938
20
clean
25112 - EXCISION GANGLION WRIST DORSAL-VOLAR RECURRENT
$11,637
$2,909
$1,938
20
clean
25115 - RAD EXC BURSA SYNVA WRST-F-ARM TDN SHTHS FLXRS
$3,608
$902
$1,938
20
clean
25116 - RAD EXC BURSA SYNVA WRST-F-ARM TDN SHTHS XTNSRS
$7,164
$1,791
$3,317
20
clean
25118 - SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT
$6,184
$1,546
$1,896
20
clean
25210 - CARPECTOMY 1 BONE
$7,113
$1,778
$3,329
20
clean
25215 - CARPECTOMY ALL BONES PROXIMAL ROW
$7,902
$1,975
$3,989
20
clean
25230 - RADICAL STYLOIDECTOMY SEPARATE PROCEDURE
$2,003
$501
$3,989
20
clean
25246 - INJECTION WRIST ARTHROGRAPHY
$1,614
$404
$427
6
clean
25259 - MANIPULATION WRIST UNDER ANESTHESIA
$819
$205
$1,609
19
clean
25274 - RPR TDN-MUSC XTNSR F-ARMAND-WRST SEC FR GRF EA TDN
$6,481
$1,620
$3,989
20
clean
25295 - TNOLS FLXR-XTNSR TENDON FOREARMAND-WRIST 1 EA
$4,706
$1,176
$3,317
20
clean
25320 - CAPSL-RHPHY-RCNSTJ WRST OPN CARPL INS
$7,609
$1,902
$7,004
20
clean
25337 - RCNSTJ STABLJ DSTL U-DSTL JT 2 SOFT TISS STABLJ
$668
$167
$7,088
20
clean
25360 - OSTEOTOMY ULNA
$9,584
$2,396
$7,192
16
clean
25390 - OSTEOPLASTY RADIUS-ULNA SHORTENING
$8,513
$2,128
$7,004
20
clean
25400 - RPR NONUNION-MALUNION RADIUS-ULNA W-O AUTOGRAFT
$9,584
$2,396
$7,004
20
clean
25405 - RPR NONUNION-MALUNION RADIUS-ULNA W-AUTOGRAFT
$1,002
$250
$7,192
20
clean
25430 - INSERTION VASCULAR PEDICLE CARPAL BONE
$8,896
$2,224
$3,273
19
clean
25440 - RPR NONUNION SCAPHOID CARPAL B1 W-WO RDL STYLODC
$8,896
$2,224
$7,088
20
clean
25447 - ARTHRP INTERCARPAL-CARP-MTCRPL JT INTERPOSITION
$9,744
$2,436
$3,989
20
clean
25515 - OPEN TREATMENT RADIAL SHAFT FRACTURE W-INT FIXJ
$16,157
$4,039
$7,088
20
clean
25526 - OPTX RDL SHAFT FXANDOPTX DSTL RAD-ULN JT DISLC
$23,581
$5,895
$7,192
20
clean

Showing the first 200 of 2,363 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
554 of 1,964 comparable items (28%) 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 $260
warn
mrf_rate_without_estimate
16,984 of 16,984 percentage/algorithm rates across 2,363 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 481/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $10,101; the same hospital's average submitted charge to Medicare for this DRG is $68,777 (0.1×)
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 24575/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $11,670 — 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 $2,003 — part of a file-wide pattern, counted once at the file level
CPT 24600/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 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 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 50387/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,225 exceeds the gross charge $1,755 — part of a file-wide pattern, counted once at the file level
CPT 24685/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,241 — 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 $7,666 — part of a file-wide pattern, counted once at the file level
CPT 25040/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,458 — 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 $3,438 — part of a file-wide pattern, counted once at the file level
CPT 25085/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $3,392 — 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
CPT 25115/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $3,608 — part of a file-wide pattern, counted once at the file level
CPT 50695/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,239 — part of a file-wide pattern, counted once at the file level
CPT 25116/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,164 — part of a file-wide pattern, counted once at the file level
CPT 51050/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $4,466 — part of a file-wide pattern, counted once at the file level
CPT 25215/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,902 — part of a file-wide pattern, counted once at the file level
CPT 51101/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,214 — part of a file-wide pattern, counted once at the file level
CPT 25230/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 51102/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,704 — 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 $1,614 — part of a file-wide pattern, counted once at the file level
CPT 51600/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 25259/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $819 — part of a file-wide pattern, counted once at the file level
CPT 51610/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 25274/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,481 — part of a file-wide pattern, counted once at the file level
CPT 51700/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 25295/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $4,706 — part of a file-wide pattern, counted once at the file level
CPT 51703/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 25320/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,609 — part of a file-wide pattern, counted once at the file level
CPT 51705/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,984 — part of a file-wide pattern, counted once at the file level
CPT 25337/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $668 — part of a file-wide pattern, counted once at the file level
CPT 51715/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $6,310 — part of a file-wide pattern, counted once at the file level
CPT 25360/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,584 — 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 $7,230 — part of a file-wide pattern, counted once at the file level
CPT 25390/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,513 — part of a file-wide pattern, counted once at the file level
CPT 52001/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $6,706 — part of a file-wide pattern, counted once at the file level
CPT 25400/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,584 — part of a file-wide pattern, counted once at the file level
CPT 52214/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $4,010 — part of a file-wide pattern, counted once at the file level
CPT 25405/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $1,002 — part of a file-wide pattern, counted once at the file level
CPT 52224/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $5,819 — part of a file-wide pattern, counted once at the file level
CPT 25440/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,896 — part of a file-wide pattern, counted once at the file level
CPT 52234/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $6,828 — part of a file-wide pattern, counted once at the file level
CPT 25447/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,744 — part of a file-wide pattern, counted once at the file level
CPT 52276/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $3,869 — part of a file-wide pattern, counted once at the file level
CPT 25535/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $9,287 — part of a file-wide pattern, counted once at the file level
CPT 52287/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $7,130 — 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 52300/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $3,288 — part of a file-wide pattern, counted once at the file level
CPT 25575/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,586 — part of a file-wide pattern, counted once at the file level
CPT 52317/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,547 — part of a file-wide pattern, counted once at the file level
CPT 25607/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $14,278 — part of a file-wide pattern, counted once at the file level
CPT 52320/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,026 — part of a file-wide pattern, counted once at the file level
CPT 25608/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,410 — part of a file-wide pattern, counted once at the file level
CPT 52344/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $4,084 — part of a file-wide pattern, counted once at the file level
CPT 25609/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,320 — part of a file-wide pattern, counted once at the file level
CPT 52346/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,837 exceeds the gross charge $4,809 — part of a file-wide pattern, counted once at the file level
CPT 25628/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $5,840 — part of a file-wide pattern, counted once at the file level
CPT 52351/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $5,411 — part of a file-wide pattern, counted once at the file level
CPT 25652/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,542 — part of a file-wide pattern, counted once at the file level
CPT 52352/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $5,536 — part of a file-wide pattern, counted once at the file level
CPT 25825/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,059 — part of a file-wide pattern, counted once at the file level
CPT 52353/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,037 — part of a file-wide pattern, counted once at the file level
CPT 26040/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $5,062 — part of a file-wide pattern, counted once at the file level
CPT 52354/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $4,649 — part of a file-wide pattern, counted once at the file level
CPT 26080/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,858 — part of a file-wide pattern, counted once at the file level
CPT 52356/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $11,020 — part of a file-wide pattern, counted once at the file level
CPT 26121/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,393 — part of a file-wide pattern, counted once at the file level
CPT 52500/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $4,183 — part of a file-wide pattern, counted once at the file level
CPT 26125/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,711 — part of a file-wide pattern, counted once at the file level
CPT 52601/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $11,016 — part of a file-wide pattern, counted once at the file level
CPT 26340/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,400 — part of a file-wide pattern, counted once at the file level
CPT 52640/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,125 exceeds the gross charge $6,129 — part of a file-wide pattern, counted once at the file level
CPT 26350/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,630 — part of a file-wide pattern, counted once at the file level
CPT 52648/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $14,626 — part of a file-wide pattern, counted once at the file level
CPT 26415/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,442 — part of a file-wide pattern, counted once at the file level
CPT 53440/o
info
mrf_negotiated_above_gross
highest negotiated rate $26,667 exceeds the gross charge $4,915 — part of a file-wide pattern, counted once at the file level
CPT 26418/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,940 — 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 26426/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $4,124 — part of a file-wide pattern, counted once at the file level
CPT 54405/o
info
mrf_negotiated_above_gross
highest negotiated rate $41,892 exceeds the gross charge $26,343 — part of a file-wide pattern, counted once at the file level
CPT 26434/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $2,288 — part of a file-wide pattern, counted once at the file level
CPT 54410/o
info
mrf_negotiated_above_gross
highest negotiated rate $41,892 exceeds the gross charge $27,724 — part of a file-wide pattern, counted once at the file level
CPT 26437/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $5,924 — part of a file-wide pattern, counted once at the file level
CPT 54640/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,315 — part of a file-wide pattern, counted once at the file level
CPT 26480/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $1,002 — part of a file-wide pattern, counted once at the file level
CPT 55100/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 26516/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,814 — part of a file-wide pattern, counted once at the file level
CPT 56405/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,581 — part of a file-wide pattern, counted once at the file level
CPT 26531/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $3,165 — part of a file-wide pattern, counted once at the file level
CPT 56420/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 26535/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $5,674 — part of a file-wide pattern, counted once at the file level
CPT 56620/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,856 — part of a file-wide pattern, counted once at the file level
CPT 26536/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,718 — part of a file-wide pattern, counted once at the file level
CPT 57240/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,389 — part of a file-wide pattern, counted once at the file level
CPT 26541/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $6,070 — part of a file-wide pattern, counted once at the file level
CPT 57250/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,464 — part of a file-wide pattern, counted once at the file level
CPT 26545/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $10,237 — part of a file-wide pattern, counted once at the file level
CPT 57260/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $11,178 — 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 57282/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,988 exceeds the gross charge $6,950 — 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 $10,629 — part of a file-wide pattern, counted once at the file level
CPT 57425/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $16,560 — 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 $4,580 — part of a file-wide pattern, counted once at the file level
CPT 57452/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,288 — 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 $7,201 — part of a file-wide pattern, counted once at the file level
CPT 57454/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,053 — 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 58340/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $905 — part of a file-wide pattern, counted once at the file level
CPT 26852/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,237 — part of a file-wide pattern, counted once at the file level
CPT 58542/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $18,049 — part of a file-wide pattern, counted once at the file level
CPT 26952/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $5,968 — part of a file-wide pattern, counted once at the file level
CPT 58561/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,111 exceeds the gross charge $9,962 — part of a file-wide pattern, counted once at the file level
CPT 27062/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,468 — 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 $11,265 — 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 58670/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $6,019 — 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 59820/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,827 — 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 $9,920 — 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 $1,740 — part of a file-wide pattern, counted once at the file level
CPT 27369/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 61782/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,505 — part of a file-wide pattern, counted once at the file level
CPT 27380/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $6,673 — part of a file-wide pattern, counted once at the file level
CPT 61783/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,282 — part of a file-wide pattern, counted once at the file level
CPT 27385/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $13,820 — part of a file-wide pattern, counted once at the file level
CPT 61885/o
info
mrf_negotiated_above_gross
highest negotiated rate $62,371 exceeds the gross charge $23,581 — part of a file-wide pattern, counted once at the file level
CPT 27403/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,476 — part of a file-wide pattern, counted once at the file level
CPT 62270/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,786 — part of a file-wide pattern, counted once at the file level
CPT 27405/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,950 — part of a file-wide pattern, counted once at the file level
CPT 62322/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $3,446 — 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 $8,231 — part of a file-wide pattern, counted once at the file level
CPT 62328/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,003 — part of a file-wide pattern, counted once at the file level
CPT 27422/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $7,669 — part of a file-wide pattern, counted once at the file level
CPT 62362/o
info
mrf_negotiated_above_gross
highest negotiated rate $36,430 exceeds the gross charge $17,193 — 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 $10,611 — part of a file-wide pattern, counted once at the file level
CPT 63048/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $12,462 — 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 $23,302 — part of a file-wide pattern, counted once at the file level
CPT 63052/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,173 — part of a file-wide pattern, counted once at the file level
CPT 27550/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 63650/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,881 exceeds the gross charge $10,856 — part of a file-wide pattern, counted once at the file level
CPT 27552/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $2,231 — part of a file-wide pattern, counted once at the file level
CPT 63655/o
info
mrf_negotiated_above_gross
highest negotiated rate $39,212 exceeds the gross charge $11,582 — 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 $7,815 — part of a file-wide pattern, counted once at the file level
CPT 63661/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $8,424 — part of a file-wide pattern, counted once at the file level
CPT 27605/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,989 — part of a file-wide pattern, counted once at the file level
CPT 63662/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $9,294 — part of a file-wide pattern, counted once at the file level
CPT 27606/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,879 — part of a file-wide pattern, counted once at the file level
CPT 63663/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,881 exceeds the gross charge $8,510 — part of a file-wide pattern, counted once at the file level
CPT 27610/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $5,852 — part of a file-wide pattern, counted once at the file level
CPT 63664/o
info
mrf_negotiated_above_gross
highest negotiated rate $22,522 exceeds the gross charge $17,131 — part of a file-wide pattern, counted once at the file level
CPT 27630/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $5,531 — part of a file-wide pattern, counted once at the file level
CPT 63685/o
info
mrf_negotiated_above_gross
highest negotiated rate $62,371 exceeds the gross charge $13,069 — part of a file-wide pattern, counted once at the file level
CPT 27640/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $4,813 — part of a file-wide pattern, counted once at the file level
CPT 64400/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 27650/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,905 — part of a file-wide pattern, counted once at the file level
CPT 64417/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,152 — 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 $6,944 — 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 $8,292 — part of a file-wide pattern, counted once at the file level
CPT 27676/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,627 — part of a file-wide pattern, counted once at the file level
CPT 64450/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $3,854 — part of a file-wide pattern, counted once at the file level
CPT 27691/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $5,495 — part of a file-wide pattern, counted once at the file level
CPT 64568/o
info
mrf_negotiated_above_gross
highest negotiated rate $98,263 exceeds the gross charge $21,700 — 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 $7,483 — part of a file-wide pattern, counted once at the file level
CPT 64582/o
info
mrf_negotiated_above_gross
highest negotiated rate $62,371 exceeds the gross charge $24,276 — 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 $7,861 — part of a file-wide pattern, counted once at the file level
CPT 64585/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,485 — 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 $9,187 — part of a file-wide pattern, counted once at the file level
CPT 64590/o
info
mrf_negotiated_above_gross
highest negotiated rate $39,212 exceeds the gross charge $18,807 — part of a file-wide pattern, counted once at the file level
CPT 27752/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 64595/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,244 — part of a file-wide pattern, counted once at the file level
CPT 27759/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,950 exceeds the gross charge $16,886 — part of a file-wide pattern, counted once at the file level
CPT 64640/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $7,396 — part of a file-wide pattern, counted once at the file level
CPT 27766/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $12,512 — part of a file-wide pattern, counted once at the file level
CPT 64702/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $9,731 — 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 64727/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $6,076 — part of a file-wide pattern, counted once at the file level
CPT 27792/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $9,447 — part of a file-wide pattern, counted once at the file level
CPT 64778/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $4,868 — 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 64831/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $7,630 — part of a file-wide pattern, counted once at the file level
CPT 27814/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $10,095 — part of a file-wide pattern, counted once at the file level
CPT 64910/o
info
mrf_negotiated_above_gross
highest negotiated rate $17,738 exceeds the gross charge $5,450 — 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 64912/o
info
mrf_negotiated_above_gross
highest negotiated rate $17,738 exceeds the gross charge $6,948 — part of a file-wide pattern, counted once at the file level
CPT 27822/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $8,706 — part of a file-wide pattern, counted once at the file level
CPT 64999/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $5,786 — 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 $20,225 — part of a file-wide pattern, counted once at the file level
CPT 66984/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $9,103 — 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 $7,767 — part of a file-wide pattern, counted once at the file level
CPT 69205/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $9,613 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 564 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 5.0M bytes · fetched 2026-08-23 · sha256 1589c1baffbf…

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.