Hospital · CCN 041321

BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA

3050 TWIN RIVERS DRIVE, ARKADELPHIA, AR 71923 · Clark 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×.
4.4%
of adults in Clark County have medical debt in collections
9.0%
uninsured in the county · state 10.0%
$54K
median household income
—
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (0 in the inpatient or outpatient file)ⓘ
40.0%
obesity in the countyⓘ
12.9%
diagnosed diabetes (PLACES)
7.2%
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, 3,280 rows scanned, 1,137 distinct code–setting items kept. 243 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
0202U - Nfct ds 22 trgt sars-cov-2
$1,092
$273
$667
5
clean
0241U - Nfct ds vir resp rna 4 trgt
$374
$94
—
0
clean
0866T - QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI
$555
$139
$359
9
clean
10060 - INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE
$436
$109
$429
14
clean
10061 - INCISION AND DRAINAGE ABSCESS COMPLICATED-MULTIPLE
$453
$113
$608
14
clean
10080 - INCISION AND DRAINAGE PILONIDAL CYST SIMPLE
$1,035
$259
$1,053
14
clean
10120 - INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$646
$161
$608
14
clean
11012 - DBRDMT FXAND-DISLC SUBQ T-M-F BONE
$2,768
$692
$3,785
14
clean
11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS THAN
$3,979
$995
$608
14
clean
11400 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.5 CM-LESS THAN
$5,214
$1,304
$1,059
14
clean
11401 - EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM
$1,655
$414
$608
14
clean
11402 - EXC B9 LESION MRGN XCP SK TG T-A-L 1.1-2.0 CM
$1,655
$414
$1,059
14
clean
11403 - EXC B9 LESION MRGN XCP SK TG T-A-L 2.1-3.0 CM
$5,307
$1,327
$1,059
14
clean
11420 - EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS THAN
$7,663
$1,916
$2,401
14
clean
11730 - AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1
$1,522
$381
$406
13
clean
11740 - EVACUATION SUBUNGUAL HEMATOMA
$181
$45
$269
13
clean
12001 - SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS THAN
$591
$148
$406
13
clean
12002 - SMPL REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.6-7.5CM
$549
$137
$406
13
clean
12004 - SIMPLE RPR SCALP-NECK-AX-GENIT-TRUNK 7.6-12.5CM
$560
$140
$429
14
clean
12005 - SMPL RPR SCALP-NECK-AX-GENIT-TRUNK 12.6-20.0CM
$569
$142
$608
14
clean
12011 - SIMPLE REPAIR F-E-E-N-L-M 2.5CM-LESS THAN
$509
$127
$406
13
clean
12013 - SIMPLE REPAIR F-E-E-N-L-M 2.6CM-5.0 CM
$540
$135
$406
13
clean
12014 - SIMPLE REPAIR F-E-E-N-L-M 5.1CM-7.5 CM
$172
$43
$429
14
clean
12031 - REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN
$546
$137
$608
14
clean
12032 - REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM
$565
$141
$608
14
clean
12034 - REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM
$573
$143
$608
14
clean
12035 - REPAIR INTERMEDIATE S-A-T-E 12.6-20.0CM
$577
$144
$608
14
clean
12042 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.6-7.5 CM
$502
$126
$608
14
clean
12044 - REPAIR INTERMEDIATE N-H-F-XTRNL GENT 7.6-12.5CM
$546
$137
$942
14
clean
12052 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.6-5.0 CM
$555
$139
$608
14
clean
12053 - REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 5.1-7.5 CM
$588
$147
$608
14
clean
13132 - REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 2.6-7.5 CM
$1,284
$321
$671
14
clean
13151 - REPAIR COMPLEX EYELID-NOSE-EAR-LIP 1.1-2.5 CM
$10,529
$2,632
$942
14
clean
16025 - DRSAND-DBRDMT PRTL-THKNS BURNS 1ST-SBSQ MEDIUM
$410
$102
$370
14
clean
20552 - INJECTION SINGLE-MLT TRIGGER POINT 1-2 MUSCLES
$308
$77
$456
14
clean
20605 - ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US
$467
$117
$456
14
clean
20610 - ARTHROCENTESIS ASPIRAND-INJ MAJOR JT-BURSA W-O US
$2,004
$501
$456
14
clean
20670 - REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
$6,265
$1,566
$2,433
13
clean
21552 - EXC TUMOR SOFT TIS NECK-ANT THORAX SUBQ 3 CM-GREATER THAN
$5,520
$1,380
$4,137
14
clean
23412 - OPEN REPAIR OF ROTATOR CUFF CHRONIC
$8,005
$2,001
$8,706
14
clean
23650 - CLSD TX SHOULDER DISLC W-MANIPULATION W-O ANES
$446
$112
$452
14
clean
24071 - EXC TUMOR SOFT TISSUE UPPER ARM-ELBOW SUBQ 3CM-GREATER THAN
$5,364
$1,341
$4,190
14
clean
24105 - EXCISION OLECRANON BURSA
$7,197
$1,799
$4,737
14
clean
24200 - RMVL FOREIGN BODY UPPER ARM-ELBOW SUBCUTANEOUS
$2,643
$661
$2,370
13
clean
24358 - TNOT ELBOW LATERAL-MEDIAL DEBRIDE OPEN
$6,065
$1,516
$4,829
14
clean
24640 - CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W-MNPJ
$473
$118
$452
13
clean
25000 - INCISION EXTENSOR TENDON SHEATH WRIST
$5,078
$1,270
$2,372
14
clean
25071 - EXC TUMOR SOFT TISS FOREARM AND-WRIST SUBQ 3CM-GREATER THAN
$4,735
$1,184
$2,458
14
clean
25248 - EXPL W-REMOVAL DEEP FOREIGN BODY FOREARM-WRIST
$4,850
$1,212
$2,327
14
clean
25565 - CLOSED TX RADIALANDULNAR SHAFT FRACTURES W-MNPJ
$2,387
$597
$2,297
14
clean
25605 - CLTX DSTL RDL FX-EPIPHYSL SEP W-MNPJ
$2,059
$515
$2,327
14
clean
26010 - DRAINAGE FINGER ABSCESS SIMPLE
$1,869
$467
$406
13
clean
26055 - TENDON SHEATH INCISION
$3,917
$979
$2,327
13
clean
26727 - PRQ SKEL FIXJ PHLNGL SHFT FX PROX-MIDDLE PX-F-T
$3,888
$972
$4,829
14
clean
26765 - OPEN TX DISTAL PHALANGEAL FRACTURE EACH
$2,768
$692
$4,829
14
clean
26770 - CLTX IPHAL JT DISLC W-MANJ W-O ANES
$395
$99
$452
14
clean
26952 - AMP F-TH 1-2 JT-PHALANX W-NEURECT LOCAL FLAP
$2,958
$739
$4,829
13
clean
27041 - BIOPSY SOFT TISSUE PELVISANDHIP DEEP-SUBFSCAL-IM
$5,932
$1,483
$2,401
14
clean
27339 - EXC TUMOR SOFT TISSUE THIGH-KNEE SUBFASC 5 CM-GREATER THAN
$5,536
$1,384
$4,190
14
clean
27650 - REPAIR PRIMARY OPEN-PRQ RUPTURED ACHILLES TENDON
$6,931
$1,733
$8,706
14
clean
27752 - CLTX TIBIAL SHAFT FX W-MANJ W-WO SKEL TRACJ
$2,234
$558
$2,327
13
clean
27788 - CLTX DSTL FIBULAR FX LAT MALLS W-MANJ
$592
$148
$538
14
clean
27818 - CLTX TRIMALLEOLAR ANKLE FX W-MANIPULATION
$2,059
$515
$2,297
14
clean
28820 - AMPUTATION TOE METATARSOPHALANGEAL JOINT
$6,931
$1,733
$4,096
14
clean
29105 - APPLICATION LONG ARM SPLINT SHOULDER TO HAND
$379
$95
$328
13
clean
29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC
$379
$95
$269
13
clean
29130 - APPLICATION FINGER SPLINT STATIC
$361
$90
$269
13
clean
29515 - APPLICATION SHORT LEG SPLINT CALF TO FOOT
$238
$60
$328
13
clean
29822 - SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1-2
$3,569
$892
$4,799
14
clean
29823 - SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
$6,515
$1,629
$4,799
14
clean
29826 - SURGICAL ARTHROSCOPY SHO W-CORACOACRM LIGM RLS
$3,569
$892
$3,384
3
clean
29827 - SURGICAL ARTHROSCOPY SHOULDER W-ROTATOR CUFF RPR
$11,457
$2,864
$10,730
14
clean
29875 - ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX
$6,065
$1,516
$4,874
14
clean
29877 - ARTHRS KNEE SURG DEBRIDEMENT-SHVG ARTCLR CRTLG
$6,465
$1,616
$4,874
14
clean
29881 - ARTHRS KNEE SURG W-MENISCECTOMY MED-LAT W-SHVG
$4,774
$1,193
$4,874
14
clean
30300 - REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE
$100
$25
$269
13
clean
31500 - INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE
$942
$236
$567
14
clean
32551 - TUBE THORACOSTOMY INCLUDES WATER SEAL
$1,794
$449
$2,359
14
clean
36410 - VNPNXR 3 YEARS-GREATER THAN PHYS-QHP SKILL DX-THER PURPOSES
$73
$18
$452
5
clean
36415 - COLLECTION VENOUS BLOOD VENIPUNCTURE
$32
$8
$15
6
clean
36430 - TRANSFUSION BLOOD-BLOOD COMPONENTS
$1,390
$348
$662
14
clean
36556 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR-GREATER THAN
$1,253
$313
$4,727
14
clean
36558 - INSJ TUNNELED CVC W-O SUBQ PORT-PMP AGE 5 YR-GREATER THAN
$3,769
$942
$4,727
14
clean
36561 - INSJ TUNNELED CTR VAD W-SUBQ PORT AGE 5 YR-GREATER THAN
$7,130
$1,783
$4,758
14
clean
36591 - COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE
$211
$53
$206
9
clean
36592 - COLLECT BLOOD FROM CATHETER VENOUS NOS
$251
$63
$206
9
clean
36600 - ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX
$169
$42
$206
9
clean
43235 - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC
$998
$250
$1,339
13
clean
43239 - EGD TRANSORAL BIOPSY SINGLE-MULTIPLE
$2,609
$652
$1,339
13
clean
43762 - PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC
$448
$112
$521
14
clean
44970 - LAPAROSCOPIC APPENDECTOMY
$11,368
$2,842
$8,346
14
clean
45378 - COLONOSCOPY FLX DX W-COLLJ SPEC WHEN PFRMD
$1,856
$464
$1,348
13
clean
45380 - COLONOSCOPY W-BIOPSY SINGLE-MULTIPLE
$2,276
$569
$1,757
13
clean
45381 - COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST
$1,378
$345
$1,757
13
clean
45384 - COLSC FLX W-REMOVAL LESION BY HOT BX FORCEPS
$2,276
$569
$1,757
13
clean
45385 - COLSC FLX W-RMVL OF TUMOR POLYP LESION SNARE TQ
$2,276
$569
$1,757
13
clean
45388 - COLONOSCOPY FLX ABLATION TUMOR POLYP-OTHER LES
$1,893
$473
$1,757
13
clean
46040 - IANDD ISCHIORECTALAND-PERIRECTAL ABSCESS SPX
$6,834
$1,708
$1,757
13
clean
46060 - IANDD ISCHIORECTAL-INTRAMURAL ABSC W-WO SETON
$5,599
$1,400
$4,061
13
clean
46221 - HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
$3,604
$901
$1,373
14
clean
46255 - HEMORRHOIDECTOMY NTRNL AND XTRNL 1 COLUMN-GROUP
$4,690
$1,172
$4,115
14
clean
46270 - SURG TX ANAL FISTULA SUBQ
$5,565
$1,391
$4,115
14
clean
47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY
$9,455
$2,364
$8,455
14
clean
49083 - ABDOM PARACENTESIS DX-THER W-IMAGING GUIDANCE
$2,582
$646
$1,339
13
clean
49320 - LAPS ABD PRTMANDOMENTUM DX W-WO SPEC BR-WA SPX
$4,241
$1,060
$7,597
14
clean
49321 - LAPAROSCOPY SURG W-BX SINGLE-MULTIPLE
$4,840
$1,210
$8,346
14
clean
49329 - UNLISTED LAPAROSCOPY PX ABD PERTONEUM AND OMENTUM
$3,369
$842
$8,455
9
clean
49465 - CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE
$337
$84
$509
14
clean
49505 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN REDUCIBLE
$9,075
$2,269
$5,625
14
clean
49507 - RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN INCARCERATED
$10,316
$2,579
$5,625
14
clean
49591 - RPR AA HERNIA 1ST LESS THAN 3 CM REDUCIBLE
$8,388
$2,097
$5,625
14
clean
49592 - RPR AA HERNIA 1ST LESS THAN 3 CM NCRC8-STRANGULATED
$7,501
$1,875
$8,455
14
clean
49593 - RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
$7,727
$1,932
$5,746
14
clean
51701 - INSJ NON-NDWELLG BLADDER CATHETER
$347
$87
$269
13
clean
51702 - INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE
$249
$62
$269
13
clean
51703 - INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED
$296
$74
$356
14
clean
51705 - CHANGE CYSTOSTOMY TUBE SIMPLE
$375
$94
$452
14
clean
51798 - MEAS POST-VOIDING RESIDUAL URINEAND-BLADDER CAP
$185
$46
$119
13
clean
54150 - CIRCUMCISION W-CLAMP-OTH DEV W-BLOCK
$3,820
$955
$3,009
14
clean
56405 - IANDD VULVA-PERINEAL ABSCESS
$1,888
$472
$473
14
clean
57454 - COLPOSCOPY CERVIX BX CERVIX AND ENDOCRV CURRETAGE
$4,013
$1,003
$473
14
clean
57460 - COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX
$4,768
$1,192
$4,587
14
clean
57461 - COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX
$5,221
$1,305
$4,528
14
clean
57520 - CONIZATION CERVIX W-WO DANDC RPR KNIFE-LASER
$7,513
$1,878
$3,978
14
clean
58120 - DILATION AND CURETTAGE DXAND-THER NONOBSTETRIC
$4,176
$1,044
$3,978
14
clean
58260 - VAGINAL HYSTERECTOMY UTERUS 250 GM-LESS THAN
$12,688
$3,172
$7,519
14
clean
58262 - VAG HYST 250 GM-LESS THAN W-RMVL TUBEAND-OVARY
$12,882
$3,221
$7,519
14
clean
58301 - REMOVAL INTRAUTERINE DEVICE IUD
$3,369
$842
$473
14
clean
58350 - CHROMOTUBATION OVIDUCT W-MATERIALS
$4,747
$1,187
$6,489
14
clean
58550 - LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM-LESS THAN
$18,374
$4,593
$8,491
14
clean
58552 - LAPS W-VAG HYSTERECT 250 GM-ANDRMVL TUBEAND-OVARIES
$17,292
$4,323
$14,552
14
clean
58555 - HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE
$4,239
$1,060
$4,528
14
clean
58558 - HYSTEROSCOPY BX ENDOMETRIUMAND-POLYPC W-WO DANDC
$3,988
$997
$4,528
14
clean
58562 - HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY
$3,725
$931
$4,528
14
clean
58571 - LAPS TOTAL HYSTERECT 250 GM-LESS THAN W-RMVL TUBE-OVARY
$17,762
$4,441
$14,552
14
clean
58660 - LAPAROSCOPY W-LYSIS OF ADHESIONS
$11,102
$2,776
$8,455
14
clean
58661 - LAPAROSCOPY W-RMVL ADNEXAL STRUCTURES
$9,775
$2,444
$8,455
14
clean
58662 - LAPS FULG-EXC OVARY VISCERA-PERITONEAL SURFACE
$7,120
$1,780
$8,455
14
clean
58670 - LAPAROSCOPY FULGURATION OVIDUCTS
$9,355
$2,339
$8,346
14
clean
59025 - FETAL NONSTRESS TEST
$464
$116
$409
13
clean
59151 - LAPS TX ECTOPIC PREG W-SALPINGAND-OOPHORECTOMY
$8,930
$2,233
$8,455
14
clean
59430 - POSTPARTUM CARE ONLY SEPARATE PROCEDURE
$3,781
$945
$6,256
1
clean
59812 - TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL
$4,266
$1,066
$4,587
14
clean
59820 - TX MISSED ABORTION FIRST TRIMESTER SURGICAL
$3,788
$947
$4,587
14
clean
62270 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE
$692
$173
$1,053
14
clean
62272 - THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF
$939
$235
$1,053
14
clean
64415 - INJECTION AAAND-STRD BRACHIAL PLEXUS W-IMG GDN
$5,247
$1,312
$1,375
14
clean
64450 - INJECTION AAAND-STRD OTHER PERIPHERAL NERVE-BRANCH
$2,201
$550
$1,053
14
clean
64721 - NEUROPLASTY AND-TRANSPOS MEDIAN NRV CARPAL TUNNE
$5,279
$1,320
$2,916
14
clean
65205 - REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL
$112
$28
$269
13
clean
65220 - RMVL FB XTRNL EYE CORNEAL W-O SLIT LAMP
$148
$37
$612
13
clean
66982 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP
$4,935
$1,234
$3,486
14
clean
66984 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH W-O ECP
$4,726
$1,181
$3,486
14
clean
69200 - RMVL FB XTRNL AUDITORY CANAL W-O ANES
$227
$57
$269
13
clean
69210 - REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT
$227
$57
$119
13
clean
70110 - RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS
$346
$87
$121
13
clean
70130 - RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE
$312
$78
$121
13
clean
70140 - RADEX FACIAL BONES LESS THAN 3 VIEWS
$301
$75
$86
13
clean
70150 - RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS
$278
$69
$121
13
clean
70160 - RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS
$278
$69
$86
13
clean
70200 - RADEX ORBITS COMPLETE MINIMUM 4 VIEWS
$402
$101
$121
13
clean
70210 - RADEX SINUSES PARANASAL LESS THAN 3 VIEWS
$233
$58
$86
13
clean
70220 - RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS
$278
$69
$86
13
clean
70250 - RADIOLOGIC EXAMINATION SKULL 4LESS THAN VIEWS
$324
$81
$121
13
clean
70260 - RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS
$467
$117
$121
13
clean
70360 - RADIOLOGIC EXAMINATION NECK SOFT TISSUE
$165
$41
$86
13
clean
70450 - CT HEAD-BRAIN W-O CONTRAST MATERIAL
$1,774
$444
$164
12
clean
70460 - CT HEAD-BRAIN W-CONTRAST MATERIAL
$1,983
$496
$275
12
clean
70470 - CT HEAD-BRAIN W-O AND W-CONTRAST MATERIAL
$2,193
$548
$275
12
clean
70480 - CT ORBIT SELLA-POST FOSSA-EAR W-O CONTRAST MATRL
$3,271
$818
$164
12
clean
70481 - CT ORBIT SELLA-POST FOSSA-EAR W-CONTRAST MATRL
$2,765
$691
$275
12
clean
70482 - CT ORBIT SELLA-POST FOSSA-EAR W-O AND W-CONTR MATR
$3,317
$829
$275
12
clean
70486 - CT MAXILLOFACIAL W-O CONTRAST MATERIAL
$1,774
$444
$164
12
clean
70487 - CT MAXILLOFACIAL W-CONTRAST MATERIAL
$2,064
$516
$275
12
clean
70488 - CT MAXILLOFACIAL W-O AND W-CONTRAST MATERIAL
$3,579
$895
$275
12
clean
70490 - CT SOFT TISSUE NECK W-O CONTRAST MATERIAL
$1,774
$444
$164
12
clean
70491 - CT SOFT TISSUE NECK W-CONTRAST MATERIAL
$1,983
$496
$275
12
clean
70492 - CT SOFT TISSUE NECK W-O AND W-CONTRAST MATERIAL
$2,193
$548
$256
12
clean
70496 - CT ANGIOGRAPHY HEAD W-CONTRAST-NONCONTRAST
$2,076
$519
$275
12
clean
70498 - CT ANGIOGRAPHY NECK W-CONTRAST-NONCONTRAST
$2,076
$519
$275
12
clean
70540 - MRI ORBIT FACE AND-NECK W-O CONTRAST
$2,352
$588
$374
12
clean
70543 - MRI ORBIT FACE AND NECK W-O AND W-CONTRAST MATRL
$3,372
$843
$546
12
clean
70544 - MRA HEAD W-O CONTRST MATERIAL
$2,418
$605
$374
12
clean
70546 - MRA HEAD W-O AND W-CONTRAST MATERIAL
$3,372
$843
$546
12
clean
70549 - MRA NECK W-O ANDW-CONTRAST MATERIAL
$3,372
$843
$546
12
clean
70551 - MRI BRAIN BRAIN STEM W-O CONTRAST MATERIAL
$3,543
$886
$374
12
clean
70553 - MRI BRAIN BRAIN STEM W-O W-CONTRAST MATERIAL
$4,035
$1,009
$546
12
clean
71045 - RADIOLOGIC EXAM CHEST SINGLE VIEW
$118
$29
$86
13
clean
71046 - RADIOLOGIC EXAM CHEST 2 VIEWS
$145
$36
$86
13
clean
71047 - RADIOLOGIC EXAM CHEST 3 VIEWS
$160
$40
$86
13
clean
71100 - RADEX RIBS UNILATERAL 2 VIEWS
$254
$63
$86
13
clean
71101 - RADEX RIBS UNI W-POSTEROANT CH MINIMUM 3 VIEWS
$274
$68
$121
13
clean
71110 - RADEX RIBS BILATERAL 3 VIEWS
$410
$102
$121
13
clean
71111 - RADEX RIBS BI W-POSTEROANT CH MINIMUM 4 VIEWS
$298
$75
$121
13
clean
71120 - RADEX STERNUM MINIMUM 2 VIEWS
$254
$63
$86
13
clean
71250 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W-O CNTRST
$1,925
$481
$164
12
clean
71260 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W-CONTRAST
$2,221
$555
$275
12
clean
71270 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C--C+
$3,114
$778
$275
12
clean
71275 - CT ANGIOGRAPHY CHEST W-CONTRAST-NONCONTRAST
$2,330
$582
$275
12
clean
71550 - MRI CHEST W-O CONTRAST MATERIAL
$1,390
$347
$374
12
clean

Showing the first 200 of 1,137 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
235 of 998 comparable items (24%) 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
14,139 of 14,139 percentage/algorithm rates across 1,137 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 789/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 791/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 792/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 793/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 794/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 795/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 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 86885/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $243 — 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 86905/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 87530/o
info
mrf_negotiated_above_gross
highest negotiated rate $110 exceeds the gross charge $109 — part of a file-wide pattern, counted once at the file level
CPT 87808/o
info
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $19 — 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 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 88360/o
info
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $279 — part of a file-wide pattern, counted once at the file level
CPT 90384/o
info
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $33 — 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 92523/o
info
mrf_negotiated_above_gross
highest negotiated rate $464 exceeds the gross charge $296 — 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 94375/o
info
mrf_negotiated_above_gross
highest negotiated rate $436 exceeds the gross charge $387 — part of a file-wide pattern, counted once at the file level
CPT 94618/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $199 — 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 $350 — part of a file-wide pattern, counted once at the file level
CPT 94668/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $90 — 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 94762/o
info
mrf_negotiated_above_gross
highest negotiated rate $260 exceeds the gross charge $245 — part of a file-wide pattern, counted once at the file level
CPT 96374/o
info
mrf_negotiated_above_gross
highest negotiated rate $430 exceeds the gross charge $423 — part of a file-wide pattern, counted once at the file level
CPT 96523/o
info
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 97162/o
info
mrf_negotiated_above_gross
highest negotiated rate $268 exceeds the gross charge $209 — part of a file-wide pattern, counted once at the file level
CPT 97163/o
info
mrf_negotiated_above_gross
highest negotiated rate $357 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 $179 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 $268 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 $357 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 $179 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 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 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 G0105/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,856 — 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 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 G0463/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $174 — part of a file-wide pattern, counted once at the file level
CPT J0282/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 J0456/o
info
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $32 — 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 J0690/o
info
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level
CPT J0694/o
info
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $15 — part of a file-wide pattern, counted once at the file level
CPT J0696/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT J0713/o
info
mrf_negotiated_above_gross
highest negotiated rate $11 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT J0744/o
info
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT J1100/o
info
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT J1165/o
info
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT J1630/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 J1644/o
info
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT J1650/o
info
mrf_negotiated_above_gross
highest negotiated rate $32 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT J1815/o
info
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level
CPT J1885/o
info
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $8 — part of a file-wide pattern, counted once at the file level
CPT J1956/o
info
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT J2060/o
info
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT J2175/o
info
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $8 — part of a file-wide pattern, counted once at the file level
CPT J2185/o
info
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT J2250/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $4 — part of a file-wide pattern, counted once at the file level
CPT J2272/o
info
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT J2354/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT J2405/o
info
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT J2550/o
info
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT J2597/o
info
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $22 — part of a file-wide pattern, counted once at the file level
CPT J3010/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $5 — part of a file-wide pattern, counted once at the file level
CPT J3101/o
info
mrf_negotiated_above_gross
highest negotiated rate $408 exceeds the gross charge $295 — part of a file-wide pattern, counted once at the file level
CPT J3480/o
info
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT J3489/o
info
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $59 — part of a file-wide pattern, counted once at the file level
CPT J3490/o
info
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT P9100/o
info
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $104 — part of a file-wide pattern, counted once at the file level
CPT Q9968/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT 0866T/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $555 — part of a file-wide pattern, counted once at the file level
CPT 10060/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $436 — 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 10080/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,035 — 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 $646 — part of a file-wide pattern, counted once at the file level
CPT 11012/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,871 exceeds the gross charge $2,768 — 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 $1,655 — 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 $1,655 — 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 $5,307 — 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 12001/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $591 — 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 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 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 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 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 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 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 12032/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $565 — 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 12035/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $577 — 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 12044/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 12052/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $555 — part of a file-wide pattern, counted once at the file level
CPT 12053/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $588 — part of a file-wide pattern, counted once at the file level
CPT 13132/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $1,284 — part of a file-wide pattern, counted once at the file level
CPT 16025/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $410 — 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 20605/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $467 — 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 $2,004 — 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 $6,265 — 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 $5,520 — 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 $8,005 — 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 24071/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,364 — part of a file-wide pattern, counted once at the file level
CPT 24200/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,338 exceeds the gross charge $2,643 — part of a file-wide pattern, counted once at the file level
CPT 24358/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $6,065 — 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 $473 — part of a file-wide pattern, counted once at the file level
CPT 25071/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $4,735 — 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 $2,387 — part of a file-wide pattern, counted once at the file level
CPT 25605/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $2,059 — part of a file-wide pattern, counted once at the file level
CPT 26727/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $3,888 — 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 $2,768 — 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 $395 — 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 $2,958 — part of a file-wide pattern, counted once at the file level
CPT 27339/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,528 exceeds the gross charge $5,536 — 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 $6,931 — 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 $2,234 — 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 $592 — 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 $2,059 — part of a file-wide pattern, counted once at the file level
CPT 29105/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $379 — part of a file-wide pattern, counted once at the file level
CPT 29125/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $379 — part of a file-wide pattern, counted once at the file level
CPT 29130/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $361 — part of a file-wide pattern, counted once at the file level
CPT 29515/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $238 — part of a file-wide pattern, counted once at the file level
CPT 29822/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,613 exceeds the gross charge $3,569 — part of a file-wide pattern, counted once at the file level
CPT 29823/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,818 exceeds the gross charge $6,515 — part of a file-wide pattern, counted once at the file level
CPT 29826/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $3,569 — part of a file-wide pattern, counted once at the file level
CPT 29827/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,666 exceeds the gross charge $11,457 — part of a file-wide pattern, counted once at the file level
CPT 29875/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,065 — part of a file-wide pattern, counted once at the file level
CPT 29877/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $6,465 — part of a file-wide pattern, counted once at the file level
CPT 29881/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $4,774 — part of a file-wide pattern, counted once at the file level
CPT 30300/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $100 — part of a file-wide pattern, counted once at the file level
CPT 31500/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $942 — part of a file-wide pattern, counted once at the file level
CPT 32551/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,794 — part of a file-wide pattern, counted once at the file level
CPT 36410/o
info
mrf_negotiated_above_gross
highest negotiated rate $452 exceeds the gross charge $73 — part of a file-wide pattern, counted once at the file level
CPT 36430/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,390 — part of a file-wide pattern, counted once at the file level
CPT 36556/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $1,253 — part of a file-wide pattern, counted once at the file level
CPT 36558/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,382 exceeds the gross charge $3,769 — part of a file-wide pattern, counted once at the file level
CPT 36591/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $211 — part of a file-wide pattern, counted once at the file level
CPT 36592/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $251 — part of a file-wide pattern, counted once at the file level
CPT 36600/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $169 — part of a file-wide pattern, counted once at the file level
CPT 37195/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $1,488 — part of a file-wide pattern, counted once at the file level
CPT 43235/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $998 — part of a file-wide pattern, counted once at the file level
CPT 43239/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,609 — part of a file-wide pattern, counted once at the file level
CPT 43762/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $448 — part of a file-wide pattern, counted once at the file level
CPT 44970/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $11,368 — part of a file-wide pattern, counted once at the file level
CPT 45378/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,856 — part of a file-wide pattern, counted once at the file level
CPT 45380/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,276 — part of a file-wide pattern, counted once at the file level
CPT 45381/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $1,378 — part of a file-wide pattern, counted once at the file level
CPT 45384/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,276 — part of a file-wide pattern, counted once at the file level
CPT 45385/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,276 — part of a file-wide pattern, counted once at the file level
CPT 45388/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,256 exceeds the gross charge $1,893 — part of a file-wide pattern, counted once at the file level
CPT 46221/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,769 exceeds the gross charge $3,604 — part of a file-wide pattern, counted once at the file level
CPT 46255/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,610 exceeds the gross charge $4,690 — part of a file-wide pattern, counted once at the file level
CPT 47562/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $9,455 — part of a file-wide pattern, counted once at the file level
CPT 49083/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,487 exceeds the gross charge $2,582 — part of a file-wide pattern, counted once at the file level
CPT 49320/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $4,241 — part of a file-wide pattern, counted once at the file level
CPT 49321/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $4,840 — part of a file-wide pattern, counted once at the file level
CPT 49329/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $3,369 — 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 $337 — part of a file-wide pattern, counted once at the file level
CPT 49505/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $9,075 — part of a file-wide pattern, counted once at the file level
CPT 49507/o
info
mrf_negotiated_above_gross
highest negotiated rate $16,082 exceeds the gross charge $10,316 — part of a file-wide pattern, counted once at the file level
CPT 49591/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,316 exceeds the gross charge $8,388 — part of a file-wide pattern, counted once at the file level
CPT 49592/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,219 exceeds the gross charge $7,501 — part of a file-wide pattern, counted once at the file level
CPT 49593/o
info
mrf_negotiated_above_gross
highest negotiated rate $13,085 exceeds the gross charge $7,727 — part of a file-wide pattern, counted once at the file level
CPT 51701/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $347 — part of a file-wide pattern, counted once at the file level
CPT 51702/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $249 — 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 $296 — 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 $375 — part of a file-wide pattern, counted once at the file level
CPT 51798/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $185 — 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 $3,820 — 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 $1,888 — 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 $4,013 — part of a file-wide pattern, counted once at the file level
CPT 57460/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,768 — part of a file-wide pattern, counted once at the file level
CPT 57461/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $5,221 — part of a file-wide pattern, counted once at the file level
CPT 58120/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,543 exceeds the gross charge $4,176 — part of a file-wide pattern, counted once at the file level
CPT 58301/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,571 exceeds the gross charge $3,369 — part of a file-wide pattern, counted once at the file level
CPT 58350/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,111 exceeds the gross charge $4,747 — part of a file-wide pattern, counted once at the file level
CPT 58552/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $17,292 — part of a file-wide pattern, counted once at the file level
CPT 58555/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,533 exceeds the gross charge $4,239 — part of a file-wide pattern, counted once at the file level
CPT 58558/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,543 exceeds the gross charge $3,988 — part of a file-wide pattern, counted once at the file level
CPT 58562/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,543 exceeds the gross charge $3,725 — part of a file-wide pattern, counted once at the file level
CPT 58571/o
info
mrf_negotiated_above_gross
highest negotiated rate $21,485 exceeds the gross charge $17,762 — part of a file-wide pattern, counted once at the file level
CPT 58600/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,543 exceeds the gross charge $4,353 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 243 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 · 2.6M bytes · fetched 2026-08-23 · sha256 c1c090478d8a…

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.