Hospital · CCN 050084

St Joseph's Medical Center Of Stockton

1800 N California St, Stockton, CA 95204 · San Joaquin County
Part of CommonSpirit Health · 348 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

68 admission types 46 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
6.50×
$542.2M billed against $83.4M paid across 2,971 Medicare discharges; the national figure is 5.03×.
—
of adults in San Joaquin County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
7.6%
uninsured in the county · state 7.5%
$86K
median household income
7.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (7 in the inpatient or outpatient file)ⓘ
30.7%
obesity in the countyⓘ
12.3%
diagnosed diabetes (PLACES)
5.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
830
$170,717
$25,823
6.6× st 6.2×
291
Heart failure and shock with mcc
173
$113,063
$17,290
6.5× st 6.5×
280
Acute myocardial infarction, discharged alive with mcc
90
$143,677
$21,232
6.8× st 6.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
90
$465,653
$64,020
7.3× st 6.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
87
$94,893
$13,670
6.9× st 6.1×
870
Septicemia or severe sepsis with mv >96 hours
77
$582,731
$84,821
6.9× st 6.2×
682
Renal failure with mcc
73
$121,735
$19,670
6.2× st 6.1×
698
Other kidney and urinary tract diagnoses with mcc
65
$131,248
$21,922
6.0× st 6.2×
193
Simple pneumonia and pleurisy with mcc
59
$103,779
$17,211
6.0× st 6.9×
274
Percutaneous and other intracardiac procedures without mcc
59
$138,779
$41,898
3.3× st 5.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
54
$133,358
$17,296
7.7× st 5.7×
177
Respiratory infections and inflammations with mcc
53
$120,894
$21,454
5.6× st 6.6×
683
Renal failure with cc
51
$89,563
$12,567
7.1× st 6.7×
378
Gastrointestinal hemorrhage with cc
50
$91,701
$13,380
6.9× st 6.8×
377
Gastrointestinal hemorrhage with mcc
47
$183,252
$24,475
7.5× st 6.4×
308
Cardiac arrhythmia and conduction disorders with mcc
42
$148,075
$17,047
8.7× st 6.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
37
$275,015
$26,043
10.6× st 7.4×
190
Chronic obstructive pulmonary disease with mcc
37
$105,347
$14,783
7.1× st 7.1×
689
Kidney and urinary tract infections with mcc
35
$127,836
$15,548
8.2× st 6.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
35
$169,011
$16,330
10.3× st 7.9×
100
Seizures with mcc
35
$167,044
$25,827
6.5× st 6.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
30
$244,556
$38,625
6.3× st 7.4×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
30
$270,434
$78,976
3.4× st 5.5×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
29
$160,479
$24,124
6.7× st 7.8×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
28
$854,663
$106,290
8.0× st 7.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
28
$119,376
$11,291
10.6× st 6.8×
228
Other cardiothoracic procedures with mcc
27
$275,375
$64,978
4.2× st 5.8×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
27
$229,897
$62,443
3.7× st 5.4×
637
Diabetes with mcc
25
$130,024
$18,528
7.0× st 6.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
24
$206,364
$28,956
7.1× st 6.6×
690
Kidney and urinary tract infections without mcc
24
$88,748
$11,224
7.9× st 6.6×
189
Pulmonary edema and respiratory failure
23
$102,941
$16,761
6.1× st 6.7×
281
Acute myocardial infarction, discharged alive with cc
23
$118,513
$12,518
9.5× st 7.8×
638
Diabetes with cc
22
$101,110
$12,282
8.2× st 6.3×
314
Other circulatory system diagnoses with mcc
22
$165,749
$26,751
6.2× st 6.1×
699
Other kidney and urinary tract diagnoses with cc
21
$107,823
$13,575
7.9× st 6.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
21
$184,683
$30,314
6.1× st 6.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
20
$355,001
$51,312
6.9× st 6.3×
070
Other cerebrovascular disorders with mcc
20
$186,433
$24,461
7.6× st 5.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
20
$153,715
$19,152
8.0× st 7.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
19
$124,779
$13,306
9.4× st 7.7×
069
Transient ischemia without thrombolytic
19
$152,439
$11,162
13.7× st 9.5×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
18
$47,421
$16,899
2.8× st 5.9×
919
Complications of treatment with mcc
18
$157,570
$21,960
7.2× st 6.0×
481
Hip and femur procedures except major joint with cc
18
$142,651
$26,946
5.3× st 6.7×
603
Cellulitis without mcc
18
$85,505
$11,605
7.4× st 5.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
17
$230,832
$35,763
6.5× st 7.4×
673
Other kidney and urinary tract procedures with mcc
17
$301,642
$51,875
5.8× st 5.8×
270
Other major cardiovascular procedures with mcc
17
$334,354
$64,307
5.2× st 6.4×
309
Cardiac arrhythmia and conduction disorders with cc
17
$60,508
$12,134
5.0× st 7.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$75,665
$10,697
7.1× st 6.3×
271
Other major cardiovascular procedures with cc
16
$203,335
$45,027
4.5× st 5.8×
300
Peripheral vascular disorders with cc
16
$117,265
$14,667
8.0× st 6.3×
312
Syncope and collapse
15
$112,663
$12,083
9.3× st 7.2×
432
Cirrhosis and alcoholic hepatitis with mcc
15
$143,391
$25,750
5.6× st 5.6×
229
Other cardiothoracic procedures without mcc
15
$154,573
$41,326
3.7× st 5.9×
917
Poisoning and toxic effects of drugs with mcc
15
$126,964
$21,582
5.9× st 6.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$140,040
$17,511
8.0× st 6.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$173,060
$27,720
6.2× st 6.9×
235
Coronary bypass without cardiac catheterization with mcc
14
$584,514
$69,418
8.4× st 7.3×
389
Gastrointestinal obstruction with cc
14
$87,598
$11,241
7.8× st 6.9×
299
Peripheral vascular disorders with mcc
13
$175,870
$21,562
8.2× st 6.4×
812
Red blood cell disorders without mcc
13
$92,135
$12,674
7.3× st 6.4×
242
Permanent cardiac pacemaker implant with mcc
13
$189,998
$44,737
4.2× st 6.5×
269
Aortic and heart assist procedures except pulsation balloon without mcc
13
$217,677
$54,228
4.0× st 5.5×
196
Interstitial lung disease with mcc
11
$130,524
$24,094
5.4× st 7.0×
393
Other digestive system diagnoses with mcc
11
$133,882
$22,047
6.1× st 5.8×
253
Other vascular procedures with cc
11
$194,507
$33,434
5.8× st 6.7×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
650
$57,552
$3,738
15.4×
5191
Level 1 Endovascular Procedures
315
$58,655
$4,458
13.2×
5193
Level 3 Endovascular Procedures
175
$100,299
$15,064
6.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
138
$12,754
$2,216
5.8×
5183
Level 3 Vascular Procedures
132
$31,299
$4,224
7.4×
5375
Level 5 Urology and Related Services
117
$61,985
$7,099
8.7×
5374
Level 4 Urology and Related Services
97
$41,605
$4,733
8.8×
5302
Level 2 Upper GI Procedures
93
$25,251
$2,611
9.7×
5213
Level 3 Electrophysiologic Procedures
84
$185,439
$32,484
5.7×
5194
Level 4 Endovascular Procedures
76
$106,282
$23,992
4.4×
5115
Level 5 Musculoskeletal Procedures
73
$117,711
$18,015
6.5×
5373
Level 3 Urology and Related Services
65
$23,408
$2,794
8.4×
5223
Level 3 Pacemaker and Similar Procedures
58
$71,307
$14,623
4.9×
5182
Level 2 Vascular Procedures
46
$24,195
$2,173
11.1×
5192
Level 2 Endovascular Procedures
41
$54,485
$7,842
6.9×
5116
Level 6 Musculoskeletal Procedures
38
$126,053
$25,496
4.9×
5361
Level 1 Laparoscopy and Related Services
38
$96,200
$7,916
12.2×
5362
Level 2 Laparoscopy and Related Services
32
$98,057
$14,098
7.0×
5224
Level 4 Pacemaker and Similar Procedures
27
$105,916
$26,656
4.0×
5114
Level 4 Musculoskeletal Procedures
27
$78,050
$9,808
8.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
25
$22,941
$3,899
5.9×
5184
Level 4 Vascular Procedures
24
$54,102
$6,911
7.8×
5232
Level 2 ICD and Similar Procedures
23
$165,337
$44,985
3.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
20
$54,195
$4,746
11.4×
5331
Complex GI Procedures
19
$40,016
$7,819
5.1×
5113
Level 3 Musculoskeletal Procedures
13
$60,284
$4,172
14.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
13
$90,436
$8,943
10.1×
5303
Level 3 Upper GI Procedures
12
$27,475
$5,254
5.2×
5112
Level 2 Musculoskeletal Procedures
11
$39,222
$2,205
17.8×
5431
Level 1 Nerve Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-02-28, template 3.0.0, 30,823 rows scanned, 8,982 distinct code–setting items kept. 3,206 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RL-A-14-3-3 TAU 3001255B
$320
$94
$320
35
clean
RL-FN-TGTGNM SEQ/DNA ANLS
$3,500
$1,029
$3,500
35
clean
CT CEREBRL PERFUSION WCON
$1,660
$488
$1,646
24
clean
STNT PLC EC VERT ART INI
$13,309
$3,913
$10,004
17
clean
RL-MI-IADI 16S&18S RRNA
$400
$118
$356
28
clean
RL-A-KARIUS 3017098
$2,230
$656
$2,126
56
clean
SACRL AUGMEN INJ IMAG UNI
$10,027
$2,948
$10,004
29
clean
TRANSLUM ATHEREC BRACH EA
$8,299
$2,440
$12,440
96
clean
TRANSLUM ATHEREC ILIAC EA
$3,147
$925
$10,004
64
clean
TRANSCATH RNL DENERV BIL
$47,583
$13,989
$8,089
32
clean
INS/RPL CRD MOD SY PG TVE
$163,492
$48,067
$45,489
32
clean
TMVI VLV PERCUTANEOUS APP
$38,671
$11,369
$14,119
19
clean
TMVI VALVE TRANSTHORACIC
$38,671
$11,369
$14,119
19
clean
NON INV 3D FFR PROCEDURE
$8,809
$2,590
$4,625
14
clean
INS/REPLACE COMPLETE IIMS
$63,424
$18,647
$27,058
32
clean
PRG DEV EVAL IIMS IN PRSN
$200
$59
$105
32
clean
INTG DEV EVL IIMS IN PRSN
$200
$59
$105
32
clean
REM INTRCRD MASS VIA SUCT
$33,945
$9,980
$23,868
22
clean
INS 2CHMBR LDLS PM CMPL
$108,000
$31,752
$77,760
11
clean
INS 2CHMBR LDLS PM RA
$96,927
$28,497
$69,787
11
clean
INS 2CHMBR LDLS PM RV
$96,927
$28,497
$69,787
11
clean
INS TCAT 1CHMR LDLS PM RA
$54,563
$16,042
$39,285
11
clean
FNA BX W/O IMG GDN EA ADDL
—
—
$111
13
clean
FNA BX US GDE 1ST LESION
$1,733
$510
$998
40
clean
FNA BX US GDE EA ADD LES
$849
$250
$611
23
clean
FNA BX FLUORO GDE 1ST LES
$1,768
$520
$998
80
clean
FNA BX CT GDE 1ST LESION
$1,733
$510
$998
40
clean
FNA BX CT GDE EA ADD LES
$1,733
$510
$1,248
23
clean
FNA BX W/MR GDN 1ST LES
—
—
$998
23
clean
FNA BX W/MR GDN EA ADDL
—
—
$3,155
6
clean
FNA BX W/O IMG GDN 1ST LES
—
—
$567
30
clean
IMAGE CATH FLUID SOFT TIS
$1,419
$417
$998
120
clean
PLC SOFT TISS LOC DEV 1ST
$1,796
$528
$998
80
clean
PLC SOFT TISS LOC DEV ADD
$780
$229
$640
23
clean
ACNE SURGERY
—
—
$282
30
clean
I AND D ABSCESS SIMPLE
$2,394
$704
$392
80
clean
I AND D ABSCESS COMPLEX
$4,086
$1,201
$712
40
clean
DRAINAGE OF PILONIDAL CYST
—
—
$998
30
clean
DRAINAGE OF PILONIDAL CYST
—
—
$998
30
clean
I AND R FB SUBQ SIMPLE
$524
$154
$524
40
clean
REMOVE FOREIGN BODY
—
—
$2,299
30
clean
I D HEMATOMA/SEROMA/FLUID
$5,198
$1,528
$2,299
40
clean
ASP ABSC/HEMA/CYST/BULLA
$215
$63
$567
80
clean
COMPLEX DRAINAGE WOUND
—
—
$4,061
30
clean
DEBRIDE INFECTED SKIN
—
—
$868
30
clean
DEBRIDE INFECTED SKIN ADD-ON
—
—
$988
15
clean
DEBRIDE GENITALIA PERINEUM
—
—
$3,122
15
clean
DEBRIDE ABDOM WALL
—
—
$3,122
15
clean
DEBRIDE GENIT/PER/ABDOM WALL
—
—
$3,199
15
clean
REMOVE MESH FROM ABD WALL
—
—
$988
15
clean
DEBRIDE SKIN AT FX SITE
—
—
$998
30
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$998
30
clean
DEB SKIN BONE AT FX SITE
—
—
$4,061
30
clean
DEBR SUBQ TISS 1ST 20SQCM
$2,269
$667
$567
40
clean
DEBR MSCL/FASCIA 1ST 20CM
$3,534
$1,039
$868
40
clean
DEBR SUBQ/MUS/BONE 1ST 20
$9,121
$2,682
$2,299
40
clean
DEBR SUBQ TISS ADD 20SQCM
$543
$160
$391
23
clean
DEBR SUBQ/MSCL ADD 20SQCM
$1,125
$331
$810
23
clean
DEBR SUBQ/MUS/BONE ADD 20
$1,986
$584
$1,430
23
clean
TRIM SKIN LESION
—
—
$282
27
clean
TRIM SKIN LESIONS 2 TO 4
—
—
$282
27
clean
TRIM SKIN LESIONS OVER 4
—
—
$282
27
clean
BX SKN TANGENTIAL SNG LES
$1,098
$323
$282
40
clean
TANGNTL BX SKIN EA SEP/ADDL
—
—
$95
13
clean
PUNCH BX SKIN SINGLE LESION
—
—
$567
30
clean
PUNCH BX SKIN EA SEP/ADDL
—
—
$108
13
clean
BX SKN INCISIONAL SNG LES
$515
$151
$515
40
clean
INCAL BX SKN EA SEP/ADDL
—
—
$128
13
clean
REMOVAL OF SKIN TAGS <W/15
—
—
$282
30
clean
REMOVE SKIN TAGS ADD-ON
—
—
$988
15
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$567
30
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$282
30
clean
SHAVE LES T/A/L 1.1-2CM
$1,098
$323
$282
40
clean
SHAVE SKIN LESION >2.0 CM
—
—
$567
30
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$282
30
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$282
30
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$282
30
clean
SHAVE SKIN LESION >2.0 CM
—
—
$567
30
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$282
30
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$282
30
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$567
30
clean
SHAVE SKIN LESION >2.0 CM
—
—
$567
30
clean
EXC TR-EXT B9+MARG 0.5 CM<
—
—
$998
30
clean
EXC TR-EXT B9+MARG 0.6-1 CM
—
—
$567
30
clean
EXC TR-EXT B9+MARG 1.1-2 CM
—
—
$998
30
clean
EXC TR-EXT B9+MARG 2.1-3CM
—
—
$998
30
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
—
$2,299
30
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
$2,299
30
clean
EXC H-F-NK-SP B9+MARG 0.5/<
—
—
$2,299
30
clean
EXC H-F-NK-SP B9+MARG 0.6-1
—
—
$998
30
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
—
$2,299
30
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
—
$2,299
30
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
$2,299
30
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
—
$4,061
30
clean
EXC FACE-MM B9+MARG 0.5 CM/<
—
—
$998
30
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
—
$998
30
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
—
$998
30
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
$2,299
30
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$2,299
30
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$4,061
30
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,061
30
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,061
30
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,061
30
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,061
30
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,061
30
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,061
30
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$998
30
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$998
30
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
—
$567
30
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$998
30
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$998
30
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$2,299
30
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$2,299
30
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$998
30
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
—
$998
30
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$2,299
30
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$2,299
30
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
$4,061
30
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
—
$998
30
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$998
30
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
—
$998
30
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
—
$2,299
30
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$2,299
30
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$4,061
30
clean
TRIM NAIL(S) ANY NUMBER
—
—
$84
20
clean
DEBRIDE NAIL 1-5
—
—
$84
30
clean
DEBRIDE NAIL 6 OR MORE
—
—
$84
30
clean
REMOVAL OF NAIL PLATE
—
—
$282
30
clean
REMOVE NAIL PLATE ADD-ON
—
—
$3,122
15
clean
DRAIN BLOOD FROM UNDER NAIL
—
—
$183
30
clean
REMOVAL OF NAIL BED
—
—
$567
30
clean
BIOPSY NAIL UNIT
—
—
$998
30
clean
REPAIR OF NAIL BED
—
—
$868
30
clean
RECONSTRUCTION OF NAIL BED
—
—
$2,595
30
clean
EXCISION OF NAIL FOLD TOE
—
—
$567
30
clean
REMOVE PILONIDAL CYST SIMPLE
—
—
$4,061
30
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$4,061
30
clean
REMOVE PILONIDAL CYST COMPL
—
—
$4,061
30
clean
INJECT SKIN LESIONS </W 7
—
—
$282
30
clean
INJECT SKIN LESIONS >7
—
—
$282
30
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$868
23
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$868
23
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$3,155
8
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$868
23
clean
INSERT TISSUE EXPANDER(S)
—
—
$5,194
30
clean
REPLACE TISSUE EXPANDER
—
—
$10,136
30
clean
REMOVE TISSUE EXPANDER(S)
—
—
$4,061
30
clean
IMPLANT HORMONE PELLET(S)
—
—
$566
30
clean
INSERT DRUG IMPLANT DEVICE
—
—
$183
27
clean
REM NONBIO DRUG DELIV IMP
$710
$209
$566
37
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$566
27
clean
RPR S/N/AX/GEN/TRNK 2.5CM/<
—
—
$282
30
clean
RPR S/N/AX/GEN/TRNK2.6-7.5CM
—
—
$282
30
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
—
—
$282
30
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
—
—
$567
30
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
—
—
$567
30
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
—
—
$323
30
clean
RPR F/E/E/N/L/M 2.5 CM/<
—
—
$282
30
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
—
—
$282
30
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
—
—
$282
30
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
—
—
$282
30
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
—
—
$567
30
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
—
$567
30
clean
RPR F/E/E/N/L/M >30.0 CM
—
—
$436
30
clean
CLOSURE OF SPLIT WOUND
—
—
$868
30
clean
CLOSURE OF SPLIT WOUND
—
—
$567
30
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
—
—
$567
30
clean
INTMD RPR S/A/T/EXT 2.6-7.5
—
—
$567
30
clean
INTMD RPR S/TR/EXT 7.6-12.5
—
—
$567
30
clean
INTMD RPR S/A/T/EXT 12.6-20
—
—
$567
30
clean
INTMD RPR S/A/T/EXT 20.1-30
—
—
$868
30
clean
INTMD RPR S/TR/EXT >30.0 CM
—
—
$2,595
25
clean
INTMD RPR N-HF/GENIT 2.5CM/<
—
—
$567
30
clean
INTMD RPR N-HF/GENIT2.6-7.5
—
—
$567
30
clean
INTMD RPR N-HF/GENIT7.6-12.5
—
—
$868
30
clean
INTMD RPR N-HF/GENIT12.6-20
—
—
$868
30
clean
INTMD RPR N-HF/GENIT20.1-30
—
—
$868
30
clean
INTMD RPR N-HF/GENIT >30.0CM
—
—
$2,595
30
clean
INTMD RPR FACE/MM 2.5 CM/<
—
—
$567
30
clean
INTMD RPR FACE/MM 2.6-5.0 CM
—
—
$567
30
clean
INTMD RPR FACE/MM 5.1-7.5 CM
—
—
$567
30
clean
INTMD RPR FACE/MM 7.6-12.5CM
—
—
$567
30
clean
INTMD RPR FACE/MM 12.6-20 CM
—
—
$567
30
clean
INTMD RPR FACE/MM 20.1-30.0
—
—
$567
30
clean
INTMD RPR FACE/MM >30.0 CM
—
—
$567
30
clean
CMPLX RPR TRUNK 1.1-2.5 CM
—
—
$868
30
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
—
$868
30
clean
CMPLX RPR TRUNK ADDL 5CM/<
—
—
$3,122
15
clean
CMPLX RPR S/A/L 1.1-2.5 CM
—
—
$868
30
clean
CMPLX RPR S/A/L 2.6-7.5 CM
—
—
$868
30
clean
CMPLX RPR S/A/L ADDL 5 CM/>
—
—
$3,122
15
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$567
30
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$868
30
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$3,122
15
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
—
—
$868
30
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
—
—
$868
30
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
—
—
$3,122
15
clean
LATE CLOSURE OF WOUND
—
—
$2,595
30
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
—
$2,595
30
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
—
$2,595
30
clean

Showing the first 200 of 8,982 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
MS-DRG 805/i
error
mrf_negotiated_above_max
a negotiated rate of $17,709 is above the file's own maximum $13,717
MS-DRG 806/i
error
mrf_negotiated_above_max
a negotiated rate of $17,709 is above the file's own maximum $13,717
MS-DRG 807/i
error
mrf_negotiated_above_max
a negotiated rate of $17,709 is above the file's own maximum $13,717
MS-DRG 222/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 223/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 224/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 225/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 226/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 227/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 244/i
error
mrf_negotiated_above_max
a negotiated rate of $25,356 is above the file's own maximum $23,992
MS-DRG 246/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 247/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 248/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 249/i
error
mrf_negotiated_above_max
a negotiated rate of $23,021 is above the file's own maximum $18,491
MS-DRG 251/i
error
mrf_negotiated_above_max
a negotiated rate of $25,356 is above the file's own maximum $23,340
MS-DRG 259/i
error
mrf_negotiated_above_max
a negotiated rate of $25,356 is above the file's own maximum $23,383
MS-DRG 262/i
error
mrf_negotiated_above_max
a negotiated rate of $25,356 is above the file's own maximum $23,340
MS-DRG 287/i
error
mrf_negotiated_above_max
a negotiated rate of $25,356 is above the file's own maximum $14,726
MS-DRG 322/i
error
mrf_negotiated_above_max
a negotiated rate of $25,356 is above the file's own maximum $24,050
MS-DRG 184/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 448/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,926
MS-DRG 784/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $12,389
MS-DRG 185/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,473
MS-DRG 450/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,926
MS-DRG 785/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $11,690
MS-DRG 186/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 451/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,926
MS-DRG 786/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $12,389
MS-DRG 187/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 453/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 787/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $12,389
MS-DRG 188/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $9,920
MS-DRG 454/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 788/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $12,086
MS-DRG 189/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 455/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 789/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 190/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 456/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 790/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 191/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 457/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 791/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 192/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $8,814
MS-DRG 458/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 792/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 193/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 459/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 793/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 194/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 460/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 794/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 195/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $8,503
MS-DRG 461/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 795/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $3,130
MS-DRG 196/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 462/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 796/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $12,389
MS-DRG 197/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 463/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 797/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $12,389
MS-DRG 198/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $9,490
MS-DRG 464/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 798/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $12,389
MS-DRG 199/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 465/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 799/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 200/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 466/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 800/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 201/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $9,194
MS-DRG 467/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 801/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 202/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 468/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 802/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 203/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $9,442
MS-DRG 469/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 803/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 204/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 470/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 804/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $14,639
MS-DRG 205/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 471/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 805/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 206/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 472/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 207/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 473/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 806/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $9,785
MS-DRG 208/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 474/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 212/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $21,773
MS-DRG 475/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 807/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $8,689
MS-DRG 215/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 476/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $15,369
MS-DRG 216/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 477/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 808/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 217/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 478/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 809/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 218/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 479/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 810/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 219/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 480/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 811/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 220/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 481/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 812/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 221/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 482/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 813/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 222/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 483/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 814/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 485/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 815/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 223/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 486/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 816/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $8,969
MS-DRG 487/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 817/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $32,802
MS-DRG 224/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 488/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 818/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $16,956
MS-DRG 489/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $16,326
MS-DRG 819/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,966
MS-DRG 225/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 492/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 820/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 493/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 821/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 226/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 494/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $20,277
MS-DRG 822/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $15,123
MS-DRG 495/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 823/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 227/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 496/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 824/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 497/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $17,650
MS-DRG 825/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $16,230
MS-DRG 228/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 498/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 826/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 229/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 499/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $15,340
MS-DRG 827/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 231/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 500/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 828/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 232/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 501/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 829/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 233/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 502/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,344
MS-DRG 830/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 234/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 503/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 831/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $15,216
MS-DRG 235/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 504/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 832/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,088
MS-DRG 236/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 505/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 833/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $7,196
MS-DRG 239/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 506/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 834/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 240/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 507/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 835/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 241/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 508/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $16,989
MS-DRG 836/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 242/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 509/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 837/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 243/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 510/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 838/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 244/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 511/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 839/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 512/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 840/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 245/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 513/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 841/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 246/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 514/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $13,546
MS-DRG 842/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 515/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 843/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841
MS-DRG 247/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 516/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $18,491
MS-DRG 844/i
error
mrf_negotiated_below_min
a negotiated rate of $958 is below the file's own minimum $10,841

Showing the first 200 of 3,206 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 064
info
inp_charge_10x_payment
average charge $275,015 is 10.6× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $169,011 is 10.3× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $152,439 is 13.7× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $119,376 is 10.6× the total payment

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. · json · 102.8M bytes · fetched 2026-08-23 · sha256 6bcb507bc371…

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.