Hospital · CCN 041312

BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS

1800 BYPASS ROAD, HEBER SPRINGS, AR 72543 · Cleburne County
Part of Baptist Health · 25 beds · 1

price file: ok

Billed per dollar paid, all admissions

—

$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.

3.6%

of adults in Cleburne County have medical debt in collections

10.0%

uninsured in the county · state 10.0%

$57K

median household income

—

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (0 in the inpatient or outpatient file)ⓘ

37.9%

obesity in the countyⓘ

15.1%

diagnosed diabetes (PLACES)

10.3%

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

Not in the Medicare inpatient file.

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, 3,349 rows scanned, 1,193 distinct code–setting items kept. 303 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

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

CPT 0202U

$1,092

$273

$667

clean

0866T - QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI

CPT 0866T

$555

$139

$359

clean

10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE

CPT 10060

$660

$165

$352

clean

10061 - INCISION AND DRAINAGE ABSCESS COMPLICATED-MULTIPLE

CPT 10061

$453

$113

$608

clean

10120 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE

CPT 10120

$2,198

$550

$608

clean

10140 - IANDD HEMATOMA SEROMA-FLUID COLLECTION

CPT 10140

$1,487

$372

$2,433

clean

11043 - DEBRIDEMENT MUSCLE AND-FASCIA 1ST 20 SQ CM-LESS THAN

CPT 11043

$2,425

$606

$942

clean

11200 - RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TOANDINC 15

CPT 11200

$3,904

$976

$352

clean

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

CPT 11401

$2,177

$544

$608

clean

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

CPT 11402

$2,044

$511

$1,059

clean

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

CPT 11403

$4,791

$1,198

$1,059

clean

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

CPT 11404

$2,177

$544

$2,433

clean

11420 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS THAN

CPT 11420

$7,064

$1,766

$2,401

clean

11421 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.6-1.0CM

CPT 11421

$3,365

$841

$1,059

clean

11450 - EXCISION HIDRADENITIS AXILLARY SMPL-INTRM RPR

CPT 11450

$6,398

$1,600

$3,785

clean

11740 - EVACUATION SUBUNGUAL HEMATOMA

CPT 11740

$181

$45

$269

clean

11760 - REPAIR NAIL BED

CPT 11760

$776

$194

$930

clean

11772 - EXCISION PILONIDAL CYST-SINUS COMPLICATED

CPT 11772

$5,764

$1,441

$4,137

clean

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

CPT 12001

$509

$127

$352

clean

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

CPT 12002

$549

$137

$352

clean

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

CPT 12004

$560

$140

$352

clean

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

CPT 12005

$569

$142

$608

clean

12006 - SMPL RPR SCALP-NECK-AX-GENIT-TRUNK 20.1-30.0CM

CPT 12006

$551

$138

$608

clean

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

CPT 12011

$509

$127

$352

clean

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

CPT 12013

$540

$135

$352

clean

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

CPT 12014

$172

$43

$352

clean

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

CPT 12015

$581

$145

$352

clean

12016 - SIMPLE REPAIR F-E-E-N-L-M 12.6CM-20.0 CM

CPT 12016

$592

$148

$636

clean

12020 - TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE

CPT 12020

$9,305

$2,326

$942

clean

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

CPT 12031

$546

$137

$608

clean

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

CPT 12032

$935

$234

$608

clean

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

CPT 12034

$573

$143

$608

clean

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

CPT 12041

$546

$137

$608

clean

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

CPT 12042

$502

$126

$608

clean

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

CPT 12044

$478

$120

$942

clean

12051 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.5 CM-LESS THAN

CPT 12051

$546

$137

$608

clean

13100 - REPAIR COMPLEX TRUNK 1.1-2.5 CM

CPT 13100

$3,111

$778

$942

clean

13101 - REPAIR COMPLEX TRUNK 2.6-7.5 CM

CPT 13101

$2,968

$742

$942

clean

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

CPT 13121

$2,029

$507

$671

clean

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

CPT 13122

$163

$41

$6,256

clean

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

CPT 14000

$3,740

$935

$2,800

clean

14020 - ADJT TIS TRNSFR-REARGMT SCALP-ARM-LEG 10 SQ CM-LESS THAN

CPT 14020

$3,083

$771

$2,800

clean

14021 - ADJT-REARRGMT SCALP-ARM-LEG 10.1-30.0 SQ CM

CPT 14021

$6,531

$1,633

$2,800

clean

14040 - ADJT TIS TRNS-REARGMT F-C-C-M-N-A-G-H-F 10SQCM-LESS THAN

CPT 14040

$4,253

$1,063

$2,800

clean

14060 - ADJT TIS TRNSFR-REARRGMT E-N-E-L DFCT 10 SQ CM-LESS THAN

CPT 14060

$4,625

$1,156

$2,800

clean

14061 - ADJT TIS REARGMT EYE-NOSE-EAR-LIP 10.1-30.0 SQCM

CPT 14061

$4,833

$1,208

$2,800

clean

14301 - ADJNT TIS TRNSFR-REARGMT ANY AREA 30.1-60 SQ CM

CPT 14301

$3,598

$900

$5,302

clean

15260 - FTH-GFT FREE W-DIRECT CLOSURE N-E-E-L 20 SQ CM-LESS THAN

CPT 15260

$4,737

$1,184

$2,800

clean

15576 - FRMJ DIRECT-TUBED PEDICLE W-WOTR E-N-E-L-NTRORAL

CPT 15576

$5,536

$1,384

$2,800

clean

15630 - DELAY FLAP-SCTJ FLAP EYELIDS NOSE EARS-LIPS

CPT 15630

$5,221

$1,305

$2,800

clean

15730 - MIDFACE FLAP W-PRESERVATION OF VASCULAR PEDICLES

CPT 15730

$6,852

$1,713

$5,277

clean

15733 - MUSC MYOQ-FSCQ FLAP HEADANDNECK W-NAMED VASC PEDCL

CPT 15733

$5,142

$1,285

$5,302

clean

16020 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ SMALL

CPT 16020

$386

$96

$293

clean

19120 - EXC CYST-ABERRANT BREAST TISSUE OPEN 1-GREATER THAN LESION

CPT 19120

$7,308

$1,827

$5,101

clean

19300 - MASTECTOMY FOR GYNECOMASTIA

CPT 19300

$10,458

$2,615

$5,577

clean

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

CPT 20552

$308

$77

$451

clean

20600 - ARTHROCENTESIS ASPIRAND-INJ SMALL JT-BURSA W-O US

CPT 20600

$2,608

$652

$451

clean

20605 - ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US

CPT 20605

$478

$120

$451

clean

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

CPT 20610

$405

$101

$451

clean

20670 - REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE

CPT 20670

$4,735

$1,184

$2,433

clean

20680 - REMOVAL IMPLANT DEEP

CPT 20680

$6,313

$1,578

$4,137

clean

20985 - CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS

CPT 20985

$7,593

$1,898

$6,256

clean

21011 - EXCISION TUMOR SOFT TISS FACE-SCALP SUBQ LESS THAN 2CM

CPT 21011

$7,308

$1,827

$2,401

clean

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

CPT 21012

$6,365

$1,591

$2,401

clean

21013 - EXC TUMOR SOFT TISS FACEANDSCALP SUBFASCIAL LESS THAN 2CM

CPT 21013

$6,997

$1,749

$2,401

clean

21014 - EXC TUMOR SOFT TISS FACEANDSCALP SUBFASCIAL 2 CM-GREATER THAN

CPT 21014

$6,265

$1,566

$3,785

clean

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

CPT 21552

$4,012

$1,003

$4,137

clean

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

CPT 21554

$6,598

$1,649

$4,137

clean

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

CPT 21555

$3,996

$999

$2,433

clean

21930 - EXCISION TUMOR SOFT TISSUE BACK-FLANK SUBQ LESS THAN 3CM

CPT 21930

$4,059

$1,015

$2,433

clean

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

CPT 21931

$4,663

$1,166

$2,458

clean

21932 - EXC TUMOR SOFT TISS BACK-FLANK SUBFASCIAL LESS THAN 5CM

CPT 21932

$7,130

$1,783

$4,190

clean

22902 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ LESS THAN 3CM

CPT 22902

$1,382

$346

$2,433

clean

22903 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM-GREATER THAN

CPT 22903

$2,854

$714

$4,190

clean

23030 - IANDD SHOULDER DEEP ABSCESS-HEMATOMA

CPT 23030

$9,992

$2,498

$4,137

clean

23073 - EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM-GREATER THAN

CPT 23073

$6,797

$1,699

$4,137

clean

23075 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ LESS THAN 3CM

CPT 23075

$3,820

$955

$2,433

clean

23076 - EXC TUMOR SOFT TISS SHOULDER SUBFASC LESS THAN 5CM

CPT 23076

$3,565

$891

$4,083

clean

23120 - CLAVICULECTOMY PARTIAL

CPT 23120

$3,037

$759

$4,874

clean

23412 - OPEN REPAIR OF ROTATOR CUFF CHRONIC

CPT 23412

$3,127

$782

$8,706

clean

23430 - TENODESIS LONG TENDON BICEPS

CPT 23430

$3,870

$967

$10,592

clean

23472 - ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER

CPT 23472

$6,078

$1,519

$18,352

clean

23515 - OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION

CPT 23515

$4,690

$1,172

$10,592

clean

23550 - OPEN TX ACROMIOCLAVICULAR DISLC ACUTE-CHRONIC

CPT 23550

$10,129

$2,532

$10,592

clean

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

CPT 23650

$446

$112

$361

clean

24105 - EXCISION OLECRANON BURSA

CPT 24105

$5,279

$1,320

$4,737

clean

24147 - PARTIAL EXCISION BONE OLECRANON PROCESS

CPT 24147

$5,029

$1,257

$4,767

clean

24340 - TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE

CPT 24340

$4,969

$1,242

$8,706

clean

24342 - RINSJ RPTD BICEPS-TRICEPS TDN DSTL W-WO TDN GRF

CPT 24342

$6,993

$1,748

$8,706

clean

24358 - TNOT ELBOW LATERAL-MEDIAL DEBRIDE OPEN

CPT 24358

$4,128

$1,032

$4,829

clean

24359 - TNOT ELBOW LATERAL-MEDIAL DEBRIDE OPEN TDN RPR

CPT 24359

$6,910

$1,728

$4,829

clean

24577 - CLTX HUMERAL CONDYLAR FX MEDIAL-LATERAL W-MNPJ

CPT 24577

$1,381

$345

$2,297

clean

24640 - CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W-MNPJ

CPT 24640

$473

$118

$352

clean

25000 - INCISION EXTENSOR TENDON SHEATH WRIST

CPT 25000

$3,489

$872

$2,372

clean

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

CPT 25075

$7,064

$1,766

$2,433

clean

25111 - EXCISION GANGLION WRIST DORSAL-VOLAR PRIMARY

CPT 25111

$3,116

$779

$2,372

clean

25118 - SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT

CPT 25118

$4,479

$1,120

$2,327

clean

25447 - ARTHRP INTERCARPAL-CARP-MTCRPL JT INTERPOSITION

CPT 25447

$5,395

$1,349

$4,874

clean

25565 - CLOSED TX RADIALANDULNAR SHAFT FRACTURES W-MNPJ

CPT 25565

$796

$199

$2,297

clean

25605 - CLTX DSTL RDL FX-EPIPHYSL SEP W-MNPJ

CPT 25605

$2,059

$515

$2,327

clean

25606 - PERQ SKEL FIXJ DISTAL RADIAL FX-EPIPHYSL SEP

CPT 25606

$6,832

$1,708

$4,737

clean

25607 - OPTX DSTL RDL X-ARTIC FX-EPIPHYSL SEPARATION

CPT 25607

$7,514

$1,878

$10,730

clean

25608 - OPTX DSTL RADL I-ARTIC FX-EPIPHYSL SEP 2 FRAG

CPT 25608

$7,116

$1,779

$10,730

clean

26010 - DRAINAGE FINGER ABSCESS SIMPLE

CPT 26010

$436

$109

$352

clean

26055 - TENDON SHEATH INCISION

CPT 26055

$3,495

$874

$2,327

clean

26070 - ARTHRT EXPL DRG-RMVL LOOSE-FB CARP-MTCRPL JT

CPT 26070

$1,313

$328

$2,327

clean

26111 - EX TUM-VASC MALF SFT TISS HAND-FNGR SUBQ 1.5CM-GREATER THAN

CPT 26111

$4,850

$1,212

$2,458

clean

26116 - EXC TUM-VAS MAL SFT TIS HAND-FNGR SUBFASCLESS THAN 1.5CM

CPT 26116

$5,533

$1,383

$2,433

clean

26160 - EXC LESION TDN SHTH-JT CAPSL HAND-FNGR

CPT 26160

$3,815

$954

$2,327

clean

26418 - REPAIR EXTENSOR TENDON FINGER W-O GRAFT EACH

CPT 26418

$2,425

$606

$2,327

clean

26700 - CLTX METACARPOPHALANGEAL DISLC W-MANJ W-O ANES

CPT 26700

$487

$122

$361

clean

26755 - CLTX DSTL PHLNGL FX FNGR-THMB W-MANJ EA

CPT 26755

$254

$63

$361

clean

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

CPT 26770

$395

$99

$361

clean

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

CPT 26951

$6,198

$1,550

$4,705

clean

26989 - UNLISTED PROCEDURE HANDS-FINGERS

CPT 26989

$5,136

$1,284

$352

clean

27047 - EXC TUMOR SOFT TISSUE PELVIS AND HIP SUBQ LESS THAN 3CM

CPT 27047

$7,308

$1,827

$4,083

clean

27130 - ARTHRP ACETBLR-PROX FEM PROSTC AGRFT-ALGRFT

CPT 27130

$12,702

$3,176

$15,421

clean

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

CPT 27337

$5,599

$1,400

$4,137

clean

27339 - EXC TUMOR SOFT TISSUE THIGH-KNEE SUBFASC 5 CM-GREATER THAN

CPT 27339

$5,364

$1,341

$4,190

clean

27447 - ARTHRP KNE CONDYLEANDPLATU MEDIALANDLAT COMPARTMENTS

CPT 27447

$15,643

$3,911

$17,691

clean

27524 - OPTX PATLLR FX W-INT FIXJ-PATLLCANDSOFT TISS RPR

CPT 27524

$12,075

$3,019

$10,592

clean

27560 - CLOSED TX PATELLAR DISLOCATION W-O ANESTHESIA

CPT 27560

$537

$134

$361

clean

27570 - MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA

CPT 27570

$3,326

$831

$2,327

clean

27613 - BIOPSY SOFT TISSUE LEG-ANKLE AREA SUPERFICIAL

CPT 27613

$6,465

$1,616

$2,401

clean

27618 - EXC TUMOR SOFT TISSUE LEG-ANKLE SUBQ LESS THAN 3CM

CPT 27618

$7,308

$1,827

$2,433

clean

27650 - REPAIR PRIMARY OPEN-PRQ RUPTURED ACHILLES TENDON

CPT 27650

$4,675

$1,169

$8,706

clean

27792 - OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS

CPT 27792

$7,270

$1,818

$10,592

clean

27810 - CLOSED TX BIMALLEOLAR ANKLE FRACTURE W-MANJ

CPT 27810

$2,374

$594

$2,297

clean

27814 - OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE

CPT 27814

$6,655

$1,664

$10,592

clean

27822 - OPEN TX TRIMALLEOLAR ANKLE FX W-O FIXJ PST LIP

CPT 27822

$8,404

$2,101

$10,592

clean

27829 - OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION

CPT 27829

$5,214

$1,304

$10,592

clean

28043 - EXCISION TUMOR SOFT TISSUE FOOT-TOE SUBQ LESS THAN 1.5CM

CPT 28043

$4,850

$1,212

$2,433

clean

28092 - EXC LESION TENDON SHEATH-CAPSULE W-SYNVCT TOE EA

CPT 28092

$6,280

$1,570

$2,372

clean

29105 - APPLICATION LONG ARM SPLINT SHOULDER TO HAND

CPT 29105

$379

$95

$328

clean

29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC

CPT 29125

$379

$95

$269

clean

29505 - APPLICATION LONG LEG SPLINT THIGH TO ANKLE-TOES

CPT 29505

$238

$60

$328

clean

29515 - APPLICATION SHORT LEG SPLINT CALF TO FOOT

CPT 29515

$238

$60

$328

clean

29807 - SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION

CPT 29807

$3,401

$850

$10,592

clean

29822 - SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1-2

CPT 29822

$3,005

$751

$4,799

clean

29823 - SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+

CPT 29823

$3,275

$819

$4,799

clean

29826 - SURGICAL ARTHROSCOPY SHO W-CORACOACRM LIGM RLS

CPT 29826

$3,186

$797

$3,384

clean

29827 - SURGICAL ARTHROSCOPY SHOULDER W-ROTATOR CUFF RPR

CPT 29827

$3,699

$925

$10,730

clean

29828 - SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS

CPT 29828

$3,029

$757

$10,730

clean

29875 - ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX

CPT 29875

$7,996

$1,999

$4,874

clean

29880 - ARTHRS KNEE SURG MENISCECTOMY MEDANDLAT W-SHAVING

CPT 29880

$6,941

$1,735

$4,874

clean

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

CPT 29881

$7,370

$1,843

$4,874

clean

29888 - ARTHRS AIDED ANT CRUCIATE LIGM RPR-AGMNTJ-RCNSTJ

CPT 29888

$6,225

$1,556

$10,592

clean

30300 - REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE

CPT 30300

$100

$25

$269

clean

30901 - CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE

CPT 30901

$181

$45

$269

clean

31500 - INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE

CPT 31500

$942

$236

$495

clean

32551 - TUBE THORACOSTOMY INCLUDES WATER SEAL

CPT 32551

$1,794

$449

$2,359

clean

32554 - THORACENTESIS NEEDLE-CATH PLEURA W-O IMAGING

CPT 32554

$2,003

$501

$941

clean

32555 - THORACENTESIS NEEDLE-CATH PLEURA W-IMAGING

CPT 32555

$1,994

$498

$941

clean

32556 - PERQ DRAINAGE PLEURA INSERT CATH W-O IMAGING

CPT 32556

$790

$198

$2,825

clean

35226 - REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY

CPT 35226

$2,958

$739

$1,053

clean

36415 - COLLECTION VENOUS BLOOD VENIPUNCTURE

CPT 36415

$32

$15

clean

36430 - TRANSFUSION BLOOD-BLOOD COMPONENTS

CPT 36430

$1,390

$348

$662

clean

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

CPT 36556

$1,253

$313

$4,727

clean

36561 - INSJ TUNNELED CTR VAD W-SUBQ PORT AGE 5 YR-GREATER THAN

CPT 36561

$6,562

$1,640

$4,758

clean

36582 - RPLCMT COMPL TUN CTR VAD W-SUBQ PORT

CPT 36582

$6,664

$1,666

$4,758

clean

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

CPT 36590

$5,352

$1,338

$2,366

clean

36591 - COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE

CPT 36591

$211

$53

$206

clean

36592 - COLLECT BLOOD FROM CATHETER VENOUS NOS

CPT 36592

$251

$63

$206

clean

36600 - ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX

CPT 36600

$171

$43

$206

clean

36680 - PLACEMENT NEEDLE INTRAOSSEOUS INFUSION

CPT 36680

$399

$100

$612

clean

38525 - BX-EXC LYMPH NODE OPEN DEEP AXILLARY NODE

CPT 38525

$7,164

$1,791

$4,460

clean

38531 - OPEN BIOPSY-EXCISION INGUINOFEMORAL NODES

CPT 38531

$6,132

$1,533

$5,577

clean

43211 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN

CPT 43211

$3,607

$902

$2,825

clean

43229 - ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION

CPT 43229

$5,379

$1,345

$5,289

clean

43239 - EGD TRANSORAL BIOPSY SINGLE-MULTIPLE

CPT 43239

$2,609

$652

$1,339

clean

43246 - EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE

CPT 43246

$5,533

$1,383

$2,825

clean

43247 - EGD FLEXIBLE FOREIGN BODY REMOVAL

CPT 43247

$1,991

$498

$1,339

clean

43248 - EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS

CPT 43248

$1,387

$347

$1,339

clean

43249 - EGD BALLOON DILATION ESOPHAGUS LESS THAN 30 MM DIAM

CPT 43249

$1,489

$372

$2,825

clean

43251 - EGD REMOVAL TUMOR POLYP-OTHER LESION SNARE TECH

CPT 43251

$2,408

$602

$2,825

clean

43450 - DILATION ESOPH UNGUIDED SOUND-BOUGIE 1-MULT PASS

CPT 43450

$1,039

$260

$1,339

clean

43762 - PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC

CPT 43762

$448

$112

$418

clean

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

CPT 45330

$1,456

$364

$1,373

clean

45378 - COLONOSCOPY FLX DX W-COLLJ SPEC WHEN PFRMD

CPT 45378

$1,856

$464

$1,348

clean

45380 - COLONOSCOPY W-BIOPSY SINGLE-MULTIPLE

CPT 45380

$2,276

$569

$1,757

clean

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

CPT 45385

$2,309

$577

$1,757

clean

45388 - COLONOSCOPY FLX ABLATION TUMOR POLYP-OTHER LES

CPT 45388

$1,893

$473

$1,757

clean

47379 - UNLISTED LAPAROSCOPIC PROCEDURE LIVER

CPT 47379

$3,898

$975

$7,597

clean

47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY

CPT 47562

$7,541

$1,885

$8,455

clean

47563 - LAPS SURG CHOLECYSTECTOMY W-CHOLANGIOGRAPHY

CPT 47563

$9,804

$2,451

$8,455

clean

49082 - ABDOM PARACENTESIS DX-THER W-O IMAGING GUIDANCE

CPT 49082

$784

$196

$1,339

clean

49083 - ABDOM PARACENTESIS DX-THER W-IMAGING GUIDANCE

CPT 49083

$2,531

$633

$1,339

clean

49465 - CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE

CPT 49465

$337

$84

$418

clean

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

CPT 49592

$8,306

$2,077

$8,455

clean

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

CPT 49594

$8,955

$2,239

$8,455

clean

49616 - RPR AA HERNIA RECR 3-10 CM NCRC8-STRANGULATED

CPT 49616

$9,829

$2,457

$7,247

clean

49650 - LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA

CPT 49650

$10,129

$2,532

$8,455

clean

51701 - INSJ NON-NDWELLG BLADDER CATHETER

CPT 51701

$347

$87

$269

clean

51702 - INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE

CPT 51702

$249

$62

$269

clean

51798 - MEAS POST-VOIDING RESIDUAL URINEAND-BLADDER CAP

CPT 51798

$185

$46

$119

clean

58662 - LAPS FULG-EXC OVARY VISCERA-PERITONEAL SURFACE

CPT 58662

$3,401

$850

$8,455

clean

60220 - TOTAL THYROID LOBECTOMY UNI W-WO ISTHMUSECTOMY

CPT 60220

$9,979

$2,495

$8,346

clean

60260 - THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL

CPT 60260

$9,979

$2,495

$7,698

clean

62270 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE

CPT 62270

$692

$173

$1,053

clean

62321 - NJX DX-THER SBST INTRLMNR CRV-THRC W-IMG GDN

CPT 62321

$3,651

$913

$1,053

clean

Showing the first 200 of 1,193 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_negotiated_above_gross_systematic

301 of 1,078 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 $555

warn

mrf_rate_without_estimate

14,392 of 14,392 percentage/algorithm rates across 1,193 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 64415/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $4,201 — 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 $3,492 — 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 $5,075 — part of a file-wide pattern, counted once at the file level

CPT 64447/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $8,032 — 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 $1,066 — part of a file-wide pattern, counted once at the file level

CPT 64455/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $401 — part of a file-wide pattern, counted once at the file level

CPT 64483/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $3,604 — part of a file-wide pattern, counted once at the file level

CPT 64520/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $9,107 — part of a file-wide pattern, counted once at the file level

CPT 64620/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $4,735 — part of a file-wide pattern, counted once at the file level

CPT 64633/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $4,175 — part of a file-wide pattern, counted once at the file level

CPT 64634/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $3,054 — part of a file-wide pattern, counted once at the file level

CPT 64635/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,256 exceeds the gross charge $2,092 — part of a file-wide pattern, counted once at the file level

CPT 64636/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $1,713 — part of a file-wide pattern, counted once at the file level

CPT 64718/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,947 exceeds the gross charge $3,226 — 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 $3,132 — part of a file-wide pattern, counted once at the file level

CPT 65220/o

info

mrf_negotiated_above_gross

highest negotiated rate $903 exceeds the gross charge $148 — part of a file-wide pattern, counted once at the file level

CPT 65222/o

info

mrf_negotiated_above_gross

highest negotiated rate $806 exceeds the gross charge $570 — part of a file-wide pattern, counted once at the file level

CPT 66821/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $1,230 — part of a file-wide pattern, counted once at the file level

CPT 66982/o

info

mrf_negotiated_above_gross

highest negotiated rate $16,082 exceeds the gross charge $8,531 — 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 $7,537 — part of a file-wide pattern, counted once at the file level

CPT 69200/o

info

mrf_negotiated_above_gross

highest negotiated rate $806 exceeds the gross charge $227 — part of a file-wide pattern, counted once at the file level

CPT 69209/o

info

mrf_negotiated_above_gross

highest negotiated rate $806 exceeds the gross charge $125 — part of a file-wide pattern, counted once at the file level

CPT 69210/o

info

mrf_negotiated_above_gross

highest negotiated rate $806 exceeds the gross charge $227 — part of a file-wide pattern, counted once at the file level

CPT 70360/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $165 — part of a file-wide pattern, counted once at the file level

CPT 71045/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $118 — part of a file-wide pattern, counted once at the file level

CPT 71046/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $145 — part of a file-wide pattern, counted once at the file level

CPT 71047/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $160 — part of a file-wide pattern, counted once at the file level

CPT 72020/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $165 — part of a file-wide pattern, counted once at the file level

CPT 72081/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $128 — part of a file-wide pattern, counted once at the file level

CPT 72220/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $165 — part of a file-wide pattern, counted once at the file level

CPT 73020/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $165 — part of a file-wide pattern, counted once at the file level

CPT 73502/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $168 — part of a file-wide pattern, counted once at the file level

CPT 73552/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $128 — part of a file-wide pattern, counted once at the file level

CPT 74018/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $118 — part of a file-wide pattern, counted once at the file level

CPT 74230/o

info

mrf_negotiated_above_gross

highest negotiated rate $355 exceeds the gross charge $332 — part of a file-wide pattern, counted once at the file level

CPT 75571/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $80 — part of a file-wide pattern, counted once at the file level

CPT 77061/o

info

mrf_negotiated_above_gross

highest negotiated rate $141 exceeds the gross charge $48 — part of a file-wide pattern, counted once at the file level

CPT 77062/o

info

mrf_negotiated_above_gross

highest negotiated rate $180 exceeds the gross charge $73 — part of a file-wide pattern, counted once at the file level

CPT 81240/o

info

mrf_negotiated_above_gross

highest negotiated rate $143 exceeds the gross charge $85 — part of a file-wide pattern, counted once at the file level

CPT 81291/o

info

mrf_negotiated_above_gross

highest negotiated rate $143 exceeds the gross charge $90 — part of a file-wide pattern, counted once at the file level

CPT 81301/o

info

mrf_negotiated_above_gross

highest negotiated rate $761 exceeds the gross charge $750 — part of a file-wide pattern, counted once at the file level

CPT 82274/o

info

mrf_negotiated_above_gross

highest negotiated rate $35 exceeds the gross charge $25 — part of a file-wide pattern, counted once at the file level

CPT 86352/o

info

mrf_negotiated_above_gross

highest negotiated rate $297 exceeds the gross charge $249 — 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 $34 — part of a file-wide pattern, counted once at the file level

CPT 86617/o

info

mrf_negotiated_above_gross

highest negotiated rate $34 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level

CPT 86663/o

info

mrf_negotiated_above_gross

highest negotiated rate $29 exceeds the gross charge $26 — 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 $406 — 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 $199 — part of a file-wide pattern, counted once at the file level

CPT 86901/o

info

mrf_negotiated_above_gross

highest negotiated rate $75 exceeds the gross charge $48 — 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 $406 — 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 $119 — part of a file-wide pattern, counted once at the file level

CPT 87420/o

info

mrf_negotiated_above_gross

highest negotiated rate $30 exceeds the gross charge $27 — 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 $690 — part of a file-wide pattern, counted once at the file level

CPT 88271/o

info

mrf_negotiated_above_gross

highest negotiated rate $47 exceeds the gross charge $30 — 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 $686 — part of a file-wide pattern, counted once at the file level

CPT 88313/o

info

mrf_negotiated_above_gross

highest negotiated rate $269 exceeds the gross charge $178 — part of a file-wide pattern, counted once at the file level

CPT 88367/o

info

mrf_negotiated_above_gross

highest negotiated rate $724 exceeds the gross charge $414 — part of a file-wide pattern, counted once at the file level

CPT 90471/o

info

mrf_negotiated_above_gross

highest negotiated rate $146 exceeds the gross charge $82 — part of a file-wide pattern, counted once at the file level

CPT 92960/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,511 exceeds the gross charge $629 — part of a file-wide pattern, counted once at the file level

CPT 93798/o

info

mrf_negotiated_above_gross

highest negotiated rate $261 exceeds the gross charge $251 — part of a file-wide pattern, counted once at the file level

CPT 94010/o

info

mrf_negotiated_above_gross

highest negotiated rate $436 exceeds the gross charge $253 — part of a file-wide pattern, counted once at the file level

CPT 94060/o

info

mrf_negotiated_above_gross

highest negotiated rate $754 exceeds the gross charge $693 — part of a file-wide pattern, counted once at the file level

CPT 94640/o

info

mrf_negotiated_above_gross

highest negotiated rate $443 exceeds the gross charge $170 — part of a file-wide pattern, counted once at the file level

CPT 94664/o

info

mrf_negotiated_above_gross

highest negotiated rate $443 exceeds the gross charge $352 — part of a file-wide pattern, counted once at the file level

CPT 94669/o

info

mrf_negotiated_above_gross

highest negotiated rate $443 exceeds the gross charge $369 — part of a file-wide pattern, counted once at the file level

CPT 95908/o

info

mrf_negotiated_above_gross

highest negotiated rate $436 exceeds the gross charge $378 — part of a file-wide pattern, counted once at the file level

CPT 96374/o

info

mrf_negotiated_above_gross

highest negotiated rate $430 exceeds the gross charge $423 — part of a file-wide pattern, counted once at the file level

CPT 96416/o

info

mrf_negotiated_above_gross

highest negotiated rate $668 exceeds the gross charge $511 — part of a file-wide pattern, counted once at the file level

CPT 96523/o

info

mrf_negotiated_above_gross

highest negotiated rate $119 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level

CPT 97163/o

info

mrf_negotiated_above_gross

highest negotiated rate $278 exceeds the gross charge $209 — part of a file-wide pattern, counted once at the file level

CPT 97164/o

info

mrf_negotiated_above_gross

highest negotiated rate $139 exceeds the gross charge $122 — part of a file-wide pattern, counted once at the file level

CPT 97165/o

info

mrf_negotiated_above_gross

highest negotiated rate $204 exceeds the gross charge $185 — part of a file-wide pattern, counted once at the file level

CPT 97166/o

info

mrf_negotiated_above_gross

highest negotiated rate $209 exceeds the gross charge $194 — part of a file-wide pattern, counted once at the file level

CPT 97167/o

info

mrf_negotiated_above_gross

highest negotiated rate $278 exceeds the gross charge $194 — part of a file-wide pattern, counted once at the file level

CPT 97168/o

info

mrf_negotiated_above_gross

highest negotiated rate $139 exceeds the gross charge $107 — part of a file-wide pattern, counted once at the file level

CPT 97763/o

info

mrf_negotiated_above_gross

highest negotiated rate $99 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level

CPT 99195/o

info

mrf_negotiated_above_gross

highest negotiated rate $269 exceeds the gross charge $225 — part of a file-wide pattern, counted once at the file level

CPT 99281/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,196 exceeds the gross charge $234 — part of a file-wide pattern, counted once at the file level

CPT 99282/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,600 exceeds the gross charge $504 — part of a file-wide pattern, counted once at the file level

CPT 99283/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,745 exceeds the gross charge $811 — part of a file-wide pattern, counted once at the file level

CPT 99284/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,021 exceeds the gross charge $1,238 — part of a file-wide pattern, counted once at the file level

CPT 99285/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,721 exceeds the gross charge $1,726 — part of a file-wide pattern, counted once at the file level

CPT 99291/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,907 exceeds the gross charge $1,882 — part of a file-wide pattern, counted once at the file level

CPT 99292/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,340 exceeds the gross charge $702 — part of a file-wide pattern, counted once at the file level

CPT 0865T/o

info

mrf_negotiated_above_gross

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

CPT G0008/o

info

mrf_negotiated_above_gross

highest negotiated rate $95 exceeds the gross charge $68 — part of a file-wide pattern, counted once at the file level

CPT 0866T/o

info

mrf_negotiated_above_gross

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

CPT G0105/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $1,860 — part of a file-wide pattern, counted once at the file level

CPT 10060/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $660 — part of a file-wide pattern, counted once at the file level

CPT G0108/o

info

mrf_negotiated_above_gross

highest negotiated rate $365 exceeds the gross charge $104 — part of a file-wide pattern, counted once at the file level

CPT 10061/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $453 — part of a file-wide pattern, counted once at the file level

CPT G0109/o

info

mrf_negotiated_above_gross

highest negotiated rate $365 exceeds the gross charge $33 — part of a file-wide pattern, counted once at the file level

CPT 10120/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $2,198 — part of a file-wide pattern, counted once at the file level

CPT G0121/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $2,276 — part of a file-wide pattern, counted once at the file level

CPT 10140/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $1,487 — part of a file-wide pattern, counted once at the file level

CPT G0379/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,204 exceeds the gross charge $347 — part of a file-wide pattern, counted once at the file level

CPT 11043/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 G0463/o

info

mrf_negotiated_above_gross

highest negotiated rate $269 exceeds the gross charge $141 — part of a file-wide pattern, counted once at the file level

CPT 11200/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $3,904 — part of a file-wide pattern, counted once at the file level

CPT J0256/o

info

mrf_negotiated_above_gross

highest negotiated rate $12 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level

CPT 11401/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $2,177 — part of a file-wide pattern, counted once at the file level

CPT J0282/o

info

mrf_negotiated_above_gross

highest negotiated rate $8 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level

CPT 11402/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $2,044 — part of a file-wide pattern, counted once at the file level

CPT J0456/o

info

mrf_negotiated_above_gross

highest negotiated rate $34 exceeds the gross charge $13 — part of a file-wide pattern, counted once at the file level

CPT 11403/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $4,791 — part of a file-wide pattern, counted once at the file level

CPT J0561/o

info

mrf_negotiated_above_gross

highest negotiated rate $70 exceeds the gross charge $63 — part of a file-wide pattern, counted once at the file level

CPT 11404/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $2,177 — part of a file-wide pattern, counted once at the file level

CPT J0640/o

info

mrf_negotiated_above_gross

highest negotiated rate $93 exceeds the gross charge $12 — part of a file-wide pattern, counted once at the file level

CPT 11421/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $3,365 — part of a file-wide pattern, counted once at the file level

CPT J0690/o

info

mrf_negotiated_above_gross

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

CPT 11740/o

info

mrf_negotiated_above_gross

highest negotiated rate $806 exceeds the gross charge $181 — part of a file-wide pattern, counted once at the file level

CPT J0696/o

info

mrf_negotiated_above_gross

highest negotiated rate $17 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level

CPT 11760/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $776 — part of a file-wide pattern, counted once at the file level

CPT J0713/o

info

mrf_negotiated_above_gross

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

CPT 11772/o

info

mrf_negotiated_above_gross

highest negotiated rate $5,871 exceeds the gross charge $5,764 — part of a file-wide pattern, counted once at the file level

CPT J0744/o

info

mrf_negotiated_above_gross

highest negotiated rate $17 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level

CPT 12001/o

info

mrf_negotiated_above_gross

highest negotiated rate $806 exceeds the gross charge $509 — part of a file-wide pattern, counted once at the file level

CPT J1100/o

info

mrf_negotiated_above_gross

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

CPT 12002/o

info

mrf_negotiated_above_gross

highest negotiated rate $806 exceeds the gross charge $549 — part of a file-wide pattern, counted once at the file level

CPT J1160/o

info

mrf_negotiated_above_gross

highest negotiated rate $12 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level

CPT 12004/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $560 — part of a file-wide pattern, counted once at the file level

CPT J1165/o

info

mrf_negotiated_above_gross

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

CPT 12005/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $569 — part of a file-wide pattern, counted once at the file level

CPT J1450/o

info

mrf_negotiated_above_gross

highest negotiated rate $121 exceeds the gross charge $21 — part of a file-wide pattern, counted once at the file level

CPT 12006/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $551 — part of a file-wide pattern, counted once at the file level

CPT J1453/o

info

mrf_negotiated_above_gross

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

CPT 12011/o

info

mrf_negotiated_above_gross

highest negotiated rate $806 exceeds the gross charge $509 — part of a file-wide pattern, counted once at the file level

CPT J1610/o

info

mrf_negotiated_above_gross

highest negotiated rate $360 exceeds the gross charge $332 — part of a file-wide pattern, counted once at the file level

CPT 12013/o

info

mrf_negotiated_above_gross

highest negotiated rate $806 exceeds the gross charge $540 — part of a file-wide pattern, counted once at the file level

CPT J1644/o

info

mrf_negotiated_above_gross

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

CPT 12014/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $172 — part of a file-wide pattern, counted once at the file level

CPT J1650/o

info

mrf_negotiated_above_gross

highest negotiated rate $25 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level

CPT 12015/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $581 — part of a file-wide pattern, counted once at the file level

CPT J1720/o

info

mrf_negotiated_above_gross

highest negotiated rate $28 exceeds the gross charge $10 — part of a file-wide pattern, counted once at the file level

CPT 12016/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $592 — part of a file-wide pattern, counted once at the file level

CPT J1815/o

info

mrf_negotiated_above_gross

highest negotiated rate $5 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level

CPT 12020/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $9,305 — part of a file-wide pattern, counted once at the file level

CPT J1885/o

info

mrf_negotiated_above_gross

highest negotiated rate $14 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level

CPT 12031/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $546 — part of a file-wide pattern, counted once at the file level

CPT J1956/o

info

mrf_negotiated_above_gross

highest negotiated rate $26 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level

CPT 12032/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $935 — part of a file-wide pattern, counted once at the file level

CPT J2020/o

info

mrf_negotiated_above_gross

highest negotiated rate $46 exceeds the gross charge $19 — part of a file-wide pattern, counted once at the file level

CPT 12034/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $573 — part of a file-wide pattern, counted once at the file level

CPT J2175/o

info

mrf_negotiated_above_gross

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

CPT 12041/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $546 — part of a file-wide pattern, counted once at the file level

CPT J2185/o

info

mrf_negotiated_above_gross

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

CPT 12042/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $502 — part of a file-wide pattern, counted once at the file level

CPT J2250/o

info

mrf_negotiated_above_gross

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

CPT 12044/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $478 — part of a file-wide pattern, counted once at the file level

CPT J2272/o

info

mrf_negotiated_above_gross

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

CPT 12051/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $546 — part of a file-wide pattern, counted once at the file level

CPT J2405/o

info

mrf_negotiated_above_gross

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

CPT 13100/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $3,111 — part of a file-wide pattern, counted once at the file level

CPT J3101/o

info

mrf_negotiated_above_gross

highest negotiated rate $408 exceeds the gross charge $286 — part of a file-wide pattern, counted once at the file level

CPT 13101/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,769 exceeds the gross charge $2,968 — part of a file-wide pattern, counted once at the file level

CPT J3260/o

info

mrf_negotiated_above_gross

highest negotiated rate $12 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level

CPT 13121/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,769 exceeds the gross charge $2,029 — part of a file-wide pattern, counted once at the file level

CPT J3489/o

info

mrf_negotiated_above_gross

highest negotiated rate $148 exceeds the gross charge $146 — part of a file-wide pattern, counted once at the file level

CPT 13122/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $163 — part of a file-wide pattern, counted once at the file level

CPT J3490/o

info

mrf_negotiated_above_gross

highest negotiated rate $30 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level

CPT 14000/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,170 exceeds the gross charge $3,740 — part of a file-wide pattern, counted once at the file level

CPT J9045/o

info

mrf_negotiated_above_gross

highest negotiated rate $161 exceeds the gross charge $8 — part of a file-wide pattern, counted once at the file level

CPT 14020/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,769 exceeds the gross charge $3,083 — part of a file-wide pattern, counted once at the file level

CPT J9060/o

info

mrf_negotiated_above_gross

highest negotiated rate $39 exceeds the gross charge $14 — part of a file-wide pattern, counted once at the file level

CPT 14060/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,769 exceeds the gross charge $4,625 — part of a file-wide pattern, counted once at the file level

CPT J9177/o

info

mrf_negotiated_above_gross

highest negotiated rate $80 exceeds the gross charge $77 — part of a file-wide pattern, counted once at the file level

CPT 14301/o

info

mrf_negotiated_above_gross

highest negotiated rate $11,316 exceeds the gross charge $3,598 — part of a file-wide pattern, counted once at the file level

CPT J9181/o

info

mrf_negotiated_above_gross

highest negotiated rate $18 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level

CPT 15730/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,528 exceeds the gross charge $6,852 — part of a file-wide pattern, counted once at the file level

CPT J9201/o

info

mrf_negotiated_above_gross

highest negotiated rate $150 exceeds the gross charge $14 — part of a file-wide pattern, counted once at the file level

CPT 15733/o

info

mrf_negotiated_above_gross

highest negotiated rate $11,316 exceeds the gross charge $5,142 — part of a file-wide pattern, counted once at the file level

CPT J9263/o

info

mrf_negotiated_above_gross

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

CPT 16020/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,184 exceeds the gross charge $386 — part of a file-wide pattern, counted once at the file level

CPT P9100/o

info

mrf_negotiated_above_gross

highest negotiated rate $119 exceeds the gross charge $84 — part of a file-wide pattern, counted once at the file level

CPT 19120/o

info

mrf_negotiated_above_gross

highest negotiated rate $7,914 exceeds the gross charge $7,308 — part of a file-wide pattern, counted once at the file level

CPT 19300/o

info

mrf_negotiated_above_gross

highest negotiated rate $11,316 exceeds the gross charge $10,458 — part of a file-wide pattern, counted once at the file level

CPT 20552/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,487 exceeds the gross charge $308 — part of a file-wide pattern, counted once at the file level

CPT 20600/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $2,608 — part of a file-wide pattern, counted once at the file level

CPT 20605/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $478 — part of a file-wide pattern, counted once at the file level

CPT 20610/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $405 — part of a file-wide pattern, counted once at the file level

CPT 20670/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $4,735 — part of a file-wide pattern, counted once at the file level

CPT 20985/o

info

mrf_negotiated_above_gross

highest negotiated rate $16,082 exceeds the gross charge $7,593 — part of a file-wide pattern, counted once at the file level

CPT 21552/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,528 exceeds the gross charge $4,012 — part of a file-wide pattern, counted once at the file level

CPT 21554/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,528 exceeds the gross charge $6,598 — part of a file-wide pattern, counted once at the file level

CPT 21931/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,528 exceeds the gross charge $4,662 — part of a file-wide pattern, counted once at the file level

CPT 22902/o

info

mrf_negotiated_above_gross

highest negotiated rate $11,316 exceeds the gross charge $1,382 — part of a file-wide pattern, counted once at the file level

CPT 22903/o

info

mrf_negotiated_above_gross

highest negotiated rate $11,316 exceeds the gross charge $2,854 — part of a file-wide pattern, counted once at the file level

CPT 23030/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $9,992 — part of a file-wide pattern, counted once at the file level

CPT 23073/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,528 exceeds the gross charge $6,797 — part of a file-wide pattern, counted once at the file level

CPT 23076/o

info

mrf_negotiated_above_gross

highest negotiated rate $5,871 exceeds the gross charge $3,565 — part of a file-wide pattern, counted once at the file level

CPT 23120/o

info

mrf_negotiated_above_gross

highest negotiated rate $11,316 exceeds the gross charge $3,037 — part of a file-wide pattern, counted once at the file level

CPT 23412/o

info

mrf_negotiated_above_gross

highest negotiated rate $14,666 exceeds the gross charge $3,127 — part of a file-wide pattern, counted once at the file level

CPT 23430/o

info

mrf_negotiated_above_gross

highest negotiated rate $14,666 exceeds the gross charge $3,870 — part of a file-wide pattern, counted once at the file level

CPT 23472/o

info

mrf_negotiated_above_gross

highest negotiated rate $35,440 exceeds the gross charge $6,078 — part of a file-wide pattern, counted once at the file level

CPT 23515/o

info

mrf_negotiated_above_gross

highest negotiated rate $14,666 exceeds the gross charge $4,690 — part of a file-wide pattern, counted once at the file level

CPT 23550/o

info

mrf_negotiated_above_gross

highest negotiated rate $14,666 exceeds the gross charge $10,129 — part of a file-wide pattern, counted once at the file level

CPT 23650/o

info

mrf_negotiated_above_gross

highest negotiated rate $10,533 exceeds the gross charge $446 — part of a file-wide pattern, counted once at the file level

CPT 24105/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,613 exceeds the gross charge $5,279 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 303 findings, errors first — every finding as JSON →

Sources for this hospital

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

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS — standard charges file · AR · updated 4/1/2026
· csv-wide · 2.7M bytes · fetched 2026-08-23 · sha256 d4b66dfea41f…

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.