Hospital · CCN 050116

Northridge Hospital Medical Center

18300 Roscoe Blvd, Northridge, CA 91325 · Los Angeles County
Part of CommonSpirit Health · 318 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

80 admission types 41 outpatient services price file: ok 23 Medicare-file findings
Billed per dollar paid, all admissions
9.02×
$548.6M billed against $60.8M paid across 2,945 Medicare discharges; the national figure is 5.03×.
—
of adults in Los Angeles County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
9.4%
uninsured in the county · state 7.5%
$86K
median household income
6.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (73 in the inpatient or outpatient file)ⓘ
26.5%
obesity in the countyⓘ
12.6%
diagnosed diabetes (PLACES)
5.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
611
$192,493
$20,480
9.4× st 6.2×
291
Heart failure and shock with mcc
176
$144,558
$13,930
10.4× st 6.5×
280
Acute myocardial infarction, discharged alive with mcc
107
$167,037
$16,719
10.0× st 6.6×
177
Respiratory infections and inflammations with mcc
89
$168,945
$17,720
9.5× st 6.6×
689
Kidney and urinary tract infections with mcc
76
$103,256
$13,227
7.8× st 6.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
75
$369,844
$48,592
7.6× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
73
$120,445
$13,900
8.7× st 5.7×
193
Simple pneumonia and pleurisy with mcc
63
$146,859
$14,200
10.3× st 6.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
61
$104,471
$11,336
9.2× st 6.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
57
$138,346
$20,129
6.9× st 6.4×
377
Gastrointestinal hemorrhage with mcc
54
$162,537
$18,738
8.7× st 6.4×
698
Other kidney and urinary tract diagnoses with mcc
52
$174,284
$17,114
10.2× st 6.2×
378
Gastrointestinal hemorrhage with cc
51
$109,017
$10,842
10.1× st 6.8×
682
Renal failure with mcc
50
$132,942
$14,966
8.9× st 6.1×
683
Renal failure with cc
46
$98,266
$10,291
9.5× st 6.7×
189
Pulmonary edema and respiratory failure
45
$115,743
$13,482
8.6× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
43
$122,941
$13,574
9.1× st 7.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
42
$241,873
$21,206
11.4× st 7.4×
870
Septicemia or severe sepsis with mv >96 hours
42
$643,919
$63,008
10.2× st 6.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
40
$83,224
$8,747
9.5× st 6.3×
481
Hip and femur procedures except major joint with cc
39
$193,515
$22,082
8.8× st 6.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
38
$83,901
$8,849
9.5× st 6.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
37
$245,466
$31,152
7.9× st 7.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
36
$186,374
$20,084
9.3× st 7.8×
552
Medical back problems without mcc
33
$109,443
$10,366
10.6× st 7.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
32
$123,952
$10,903
11.4× st 7.9×
312
Syncope and collapse
31
$101,314
$9,687
10.5× st 7.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
30
$183,388
$22,310
8.2× st 6.9×
309
Cardiac arrhythmia and conduction disorders with cc
27
$87,485
$8,447
10.4× st 7.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
25
$145,569
$11,949
12.2× st 7.7×
281
Acute myocardial infarction, discharged alive with cc
25
$116,693
$10,223
11.4× st 7.8×
690
Kidney and urinary tract infections without mcc
23
$87,355
$9,105
9.6× st 6.6×
274
Percutaneous and other intracardiac procedures without mcc
23
$246,595
$33,733
7.3× st 5.6×
313
Chest pain
23
$93,285
$8,174
11.4× st 7.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
23
$174,856
$23,089
7.6× st 6.6×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
22
$357,105
$50,010
7.1× st 5.4×
389
Gastrointestinal obstruction with cc
22
$81,412
$9,039
9.0× st 6.9×
086
Traumatic stupor and coma <1 hour with cc
21
$186,494
$15,129
12.3× st 7.9×
480
Hip and femur procedures except major joint with mcc
20
$314,221
$30,841
10.2× st 6.8×
643
Endocrine disorders with mcc
18
$144,504
$16,843
8.6× st 6.5×
644
Endocrine disorders with cc
18
$118,868
$11,561
10.3× st 6.5×
314
Other circulatory system diagnoses with mcc
18
$176,003
$23,184
7.6× st 6.1×
637
Diabetes with mcc
18
$131,031
$15,283
8.6× st 6.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
17
$117,906
$10,054
11.7× st 6.9×
100
Seizures with mcc
17
$148,511
$19,240
7.7× st 6.2×
085
Traumatic stupor and coma <1 hour with mcc
17
$288,239
$26,162
11.0× st 7.1×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$131,969
$13,201
10.0× st 6.9×
699
Other kidney and urinary tract diagnoses with cc
15
$105,764
$11,240
9.4× st 6.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$134,933
$14,034
9.6× st 6.5×
202
Bronchitis and asthma with cc/mcc
15
$99,401
$10,711
9.3× st 7.4×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
15
$266,956
$36,407
7.3× st 6.5×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
15
$321,231
$44,500
7.2× st 6.2×
536
Fractures of hip and pelvis without mcc
14
$83,056
$8,987
9.2× st 7.0×
603
Cellulitis without mcc
14
$89,048
$9,902
9.0× st 5.9×
521
Hip replacement with principal diagnosis of hip fracture with mcc
14
$233,649
$26,970
8.7× st 7.1×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
14
$1,611,525
$205,029
7.9× st 5.9×
101
Seizures without mcc
14
$96,974
$10,186
9.5× st 6.8×
070
Other cerebrovascular disorders with mcc
14
$140,696
$17,616
8.0× st 5.4×
025
Craniotomy and endovascular intracranial procedures with mcc
14
$498,605
$49,459
10.1× st 6.5×
305
Hypertension without mcc
13
$103,299
$8,534
12.1× st 7.3×
069
Transient ischemia without thrombolytic
13
$125,059
$9,024
13.9× st 9.5×
483
Major joint or limb reattachment procedures of upper extremities
13
$222,879
$26,529
8.4× st 6.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
13
$297,696
$28,709
10.4× st 7.4×
388
Gastrointestinal obstruction with mcc
13
$112,984
$15,849
7.1× st 6.5×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
13
$604,362
$68,166
8.9× st 6.2×
551
Medical back problems with mcc
13
$178,939
$18,408
9.7× st 7.0×
371
Major gastrointestinal disorders and peritoneal infections with mcc
12
$114,602
$17,861
6.4× st 6.6×
638
Diabetes with cc
12
$102,061
$10,223
10.0× st 6.3×
252
Other vascular procedures with mcc
12
$244,890
$36,230
6.8× st 5.7×
304
Hypertension with mcc
12
$99,291
$11,608
8.6× st 5.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$115,573
$13,939
8.3× st 7.2×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
11
$995,685
$129,625
7.7× st 6.6×
228
Other cardiothoracic procedures with mcc
11
$444,709
$56,275
7.9× st 5.8×
673
Other kidney and urinary tract procedures with mcc
11
$268,369
$36,437
7.4× st 5.8×
645
Endocrine disorders without cc/mcc
11
$95,448
$8,675
11.0× st 6.8×
270
Other major cardiovascular procedures with mcc
11
$427,433
$52,419
8.2× st 6.4×
393
Other digestive system diagnoses with mcc
11
$128,366
$17,631
7.3× st 5.8×
394
Other digestive system diagnoses with cc
11
$79,911
$10,453
7.6× st 6.9×
444
Disorders of the biliary tract with mcc
11
$130,234
$17,334
7.5× st 7.0×
917
Poisoning and toxic effects of drugs with mcc
11
$155,996
$17,400
9.0× st 6.2×
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
387
$58,695
$3,351
17.5×
5191
Level 1 Endovascular Procedures
300
$44,866
$4,003
11.2×
5193
Level 3 Endovascular Procedures
192
$110,251
$13,441
8.2×
5115
Level 5 Musculoskeletal Procedures
135
$102,556
$15,825
6.5×
5361
Level 1 Laparoscopy and Related Services
93
$74,352
$7,094
10.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
53
$16,684
$1,913
8.7×
5192
Level 2 Endovascular Procedures
41
$74,549
$7,027
10.6×
5194
Level 4 Endovascular Procedures
36
$153,073
$21,504
7.1×
5183
Level 3 Vascular Procedures
35
$35,772
$3,666
9.8×
5116
Level 6 Musculoskeletal Procedures
32
$145,913
$22,851
6.4×
5114
Level 4 Musculoskeletal Procedures
28
$83,845
$8,792
9.5×
5375
Level 5 Urology and Related Services
20
$56,910
$6,362
8.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
18
$28,617
$3,494
8.2×
5184
Level 4 Vascular Procedures
16
$49,926
$6,420
7.8×
5112
Level 2 Musculoskeletal Procedures
16
$23,674
$1,976
12.0×
5302
Level 2 Upper GI Procedures
16
$22,122
$2,339
9.5×
5113
Level 3 Musculoskeletal Procedures
14
$51,089
$3,980
12.8×
5223
Level 3 Pacemaker and Similar Procedures
14
$52,562
$13,108
4.0×
5182
Level 2 Vascular Procedures
13
$11,029
$1,969
5.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
13
$33,200
$4,023
8.3×
5373
Level 3 Urology and Related Services
12
$30,615
$2,504
12.2×
5414
Level 4 Gynecologic Procedures
11
$34,370
$3,844
8.9×
5374
Level 4 Urology and Related Services
11
$45,219
$4,286
10.6×
5303
Level 3 Upper GI Procedures
11
$29,085
$4,709
6.2×
5362
Level 2 Laparoscopy and Related Services
11
$101,793
$11,636
8.7×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
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, 23,593 rows scanned, 8,819 distinct code–setting items kept. 2,335 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RL-A-14-3-3 TAU 3001255B
$320
$89
$320
42
clean
CT CEREBRL PERFUSION WCON
$4,098
$1,143
$1,617
11
clean
TRANSLUM ATHEREC ILIAC EA
$26,277
$7,331
$22,816
33
clean
CP RESP VIRUS RNA 3 TRGTS
$1,037
$289
$467
12
clean
CP RESP VIRUS RNA 4 TRGTS
$1,037
$289
$467
12
clean
INS/RPL CRD MOD SY PG TVE
$80,042
$22,332
$40,737
32
clean
INS/RPL ICD SBSTRNL ELECS
$113,800
$31,750
$40,737
33
clean
INS 2CHMBR LDLS PM CMPL
$38,141
$10,641
$24,792
11
clean
INS 2CHMBR LDLS PM RA
$38,141
$10,641
$24,792
11
clean
INS 2CHMBR LDLS PM RV
$38,141
$10,641
$24,792
11
clean
INS TCAT 1CHMR LDLS PM RA
$38,141
$10,641
$22,694
10
clean
FNA BX W/O IMG GDN EA ADDL
—
—
$60
16
clean
FNA BX US GDE 1ST LESION
$2,192
$612
$894
49
clean
FNA BX US GDE EA ADD LES
$1,644
$459
$378
27
clean
FNA BX FLUORO GDE 1ST LES
$2,192
$612
$894
49
clean
FNA BX CT GDE 1ST LESION
$2,192
$612
$894
49
clean
FNA BX CT GDE EA ADD LES
$1,644
$459
$411
27
clean
FNA BX W/MR GDN 1ST LES
—
—
$894
25
clean
FNA BX W/MR GDN EA ADDL
—
—
$3,150
3
clean
FNA BX W/O IMG GDN 1ST LES
—
—
$508
38
clean
IMAGE CATH FLUID SOFT TIS
$3,864
$1,078
$894
49
clean
PLC SOFT TISS LOC DEV 1ST
$4,039
$1,127
$894
49
clean
PERQ DEV SOFT TISS ADD IMAG
—
—
$578
16
clean
ACNE SURGERY
—
—
$252
37
clean
I AND D ABSCESS SIMPLE
$1,314
$367
$252
49
clean
I AND D ABSCESS COMPLEX
$2,628
$733
$508
48
clean
DRAINAGE OF PILONIDAL CYST
—
—
$894
37
clean
DRAINAGE OF PILONIDAL CYST
—
—
$894
38
clean
REMOVE FOREIGN BODY
—
—
$508
38
clean
REMOVE FOREIGN BODY
—
—
$2,059
38
clean
I D HEMATOMA/SEROMA/FLUID
$5,418
$1,512
$2,059
49
clean
ASP ABSC/HEMA/CYST/BULLA
$908
$253
$508
98
clean
COMPLEX DRAINAGE WOUND
—
—
$3,637
38
clean
DEBRIDE INFECTED SKIN
—
—
$778
38
clean
DEBRIDE INFECTED SKIN ADD-ON
—
—
$23
18
clean
DEBRIDE GENITALIA PERINEUM
—
—
$560
18
clean
DEBRIDE ABDOM WALL
—
—
$750
18
clean
DEBRIDE GENIT/PER/ABDOM WALL
—
—
$704
18
clean
REMOVE MESH FROM ABD WALL
—
—
$283
18
clean
DEBRIDE SKIN AT FX SITE
—
—
$894
38
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$894
38
clean
DEB SKIN BONE AT FX SITE
—
—
$3,637
38
clean
DEBR SUBQ TISS 1ST 20SQCM
$1,489
$415
$508
49
clean
DEBR MSCL/FASCIA 1ST 20CM
$2,318
$647
$778
49
clean
DEBR SUBQ/MUS/BONE 1ST 20
$5,985
$1,670
$2,059
49
clean
DEBR SUBQ TISS ADD 20SQCM
$745
$208
$171
27
clean
DEBR SUBQ/MSCL ADD 20SQCM
$1,160
$324
$267
27
clean
DEBR SUBQ/MUS/BONE ADD 20
$2,992
$835
$688
27
clean
TRIM SKIN LESION
—
—
$252
35
clean
TRIM SKIN LESIONS 2 TO 4
—
—
$252
35
clean
TRIM SKIN LESIONS OVER 4
—
—
$252
35
clean
BX SKN TANGENTIAL SNG LES
$1,365
$381
$252
49
clean
TANGNTL BX SKIN EA SEP/ADDL
—
—
$54
16
clean
PUNCH BX SKIN SINGLE LESION
—
—
$508
38
clean
PUNCH BX SKIN EA SEP/ADDL
—
—
$61
16
clean
INCAL BX SKN SINGLE LES
—
—
$778
38
clean
INCAL BX SKN EA SEP/ADDL
—
—
$73
16
clean
REMOVAL OF SKIN TAGS <W/15
—
—
$252
37
clean
REMOVE SKIN TAGS ADD-ON
—
—
$24
17
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$508
37
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$252
37
clean
SHAVE LES T/A/L 1.1-2CM
$721
$201
$252
48
clean
SHAVE SKIN LESION >2.0 CM
—
—
$508
38
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$252
37
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$252
37
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$252
37
clean
SHAVE SKIN LESION >2.0 CM
—
—
$508
37
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$252
37
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$252
37
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$508
37
clean
SHAVE SKIN LESION >2.0 CM
—
—
$508
37
clean
EXC TR-EXT B9+MARG 0.5 CM<
—
—
$894
38
clean
EXC TR-EXT B9+MARG 0.6-1 CM
—
—
$508
38
clean
EXC TR-EXT B9+MARG 1.1-2 CM
—
—
$894
38
clean
EXC TR-EXT B9+MARG 2.1-3CM
—
—
$894
38
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
—
$2,059
38
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
$2,059
38
clean
EXC H-F-NK-SP B9+MARG 0.5/<
—
—
$2,059
38
clean
EXC H-F-NK-SP B9+MARG 0.6-1
—
—
$894
38
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
—
$2,059
38
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
—
$2,059
38
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
$2,059
38
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
—
$3,637
38
clean
EXC FACE-MM B9+MARG 0.5 CM/<
—
—
$894
38
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
—
$894
38
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
—
$894
38
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
$2,059
38
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$2,059
38
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$3,637
38
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
38
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
38
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
38
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
38
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
38
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
38
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$894
38
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$894
38
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
—
$508
38
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$894
38
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$894
38
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$2,059
38
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$2,059
38
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$894
38
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
—
$894
38
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$2,059
38
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$2,059
38
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
$3,637
38
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
—
$894
38
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$894
38
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
—
$894
38
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
—
$2,059
38
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$2,059
38
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$3,637
38
clean
TRIM NAIL(S) ANY NUMBER
—
—
$75
22
clean
DEBRIDE NAIL 1-5
—
—
$75
38
clean
DEBRIDE NAIL 6 OR MORE
—
—
$75
38
clean
REMOVAL OF NAIL PLATE
—
—
$252
37
clean
REMOVE NAIL PLATE ADD-ON
—
—
$28
17
clean
DRAIN BLOOD FROM UNDER NAIL
—
—
$164
37
clean
REMOVAL OF NAIL BED
—
—
$508
38
clean
BIOPSY NAIL UNIT
—
—
$894
37
clean
REPAIR OF NAIL BED
—
—
$778
38
clean
RECONSTRUCTION OF NAIL BED
—
—
$2,324
37
clean
EXCISION OF NAIL FOLD TOE
—
—
$508
37
clean
REMOVE PILONIDAL CYST SIMPLE
—
—
$3,637
38
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$3,637
38
clean
REMOVE PILONIDAL CYST COMPL
—
—
$3,637
38
clean
INJECT SKIN LESIONS </W 7
—
—
$252
37
clean
INJECT SKIN LESIONS >7
—
—
$252
37
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$778
27
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$778
27
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$816
7
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$778
24
clean
INSERT TISSUE EXPANDER(S)
—
—
$4,652
38
clean
REPLACE TISSUE EXPANDER
—
—
$8,948
38
clean
REMOVE TISSUE EXPANDER(S)
—
—
$3,637
38
clean
IMPLANT HORMONE PELLET(S)
—
—
$507
38
clean
INSERT DRUG IMPLANT DEVICE
—
—
$167
35
clean
REMOVE DRUG IMPLANT DEVICE
—
—
$507
35
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$507
35
clean
RPR S/N/AX/GEN/TRNK 2.5CM/<
—
—
$252
38
clean
RPR S/N/AX/GEN/TRNK2.6-7.5CM
—
—
$252
38
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
—
—
$252
38
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
—
—
$508
38
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
—
—
$508
38
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
—
—
$323
38
clean
RPR F/E/E/N/L/M 2.5 CM/<
—
—
$252
38
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
—
—
$252
38
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
—
—
$252
38
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
—
—
$252
38
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
—
—
$508
38
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
—
$508
38
clean
RPR F/E/E/N/L/M >30.0 CM
—
—
$436
38
clean
CLOSURE OF SPLIT WOUND
—
—
$778
38
clean
CLOSURE OF SPLIT WOUND
—
—
$508
38
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
—
—
$508
38
clean
INTMD RPR S/A/T/EXT 2.6-7.5
—
—
$508
38
clean
INTMD RPR S/TR/EXT 7.6-12.5
—
—
$508
38
clean
INTMD RPR S/A/T/EXT 12.6-20
—
—
$508
38
clean
INTMD RPR S/A/T/EXT 20.1-30
—
—
$778
38
clean
INTMD RPR S/TR/EXT >30.0 CM
—
—
$2,324
27
clean
INTMD RPR N-HF/GENIT 2.5CM/<
—
—
$508
38
clean
INTMD RPR N-HF/GENIT2.6-7.5
—
—
$508
38
clean
INTMD RPR N-HF/GENIT7.6-12.5
—
—
$778
38
clean
INTMD RPR N-HF/GENIT12.6-20
—
—
$778
38
clean
INTMD RPR N-HF/GENIT20.1-30
—
—
$778
38
clean
INTMD RPR N-HF/GENIT >30.0CM
—
—
$2,324
38
clean
INTMD RPR FACE/MM 2.5 CM/<
—
—
$508
38
clean
INTMD RPR FACE/MM 2.6-5.0 CM
—
—
$508
38
clean
INTMD RPR FACE/MM 5.1-7.5 CM
—
—
$508
38
clean
INTMD RPR FACE/MM 7.6-12.5CM
—
—
$508
38
clean
INTMD RPR FACE/MM 12.6-20 CM
—
—
$508
38
clean
INTMD RPR FACE/MM 20.1-30.0
—
—
$508
38
clean
INTMD RPR FACE/MM >30.0 CM
—
—
$508
38
clean
CMPLX RPR TRUNK 1.1-2.5 CM
—
—
$778
38
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
—
$778
38
clean
CMPLX RPR TRUNK ADDL 5CM/<
—
—
$112
18
clean
CMPLX RPR S/A/L 1.1-2.5 CM
—
—
$778
38
clean
CMPLX RPR S/A/L 2.6-7.5 CM
—
—
$778
38
clean
CMPLX RPR S/A/L ADDL 5 CM/>
—
—
$130
18
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$508
38
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$778
38
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$193
18
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
—
—
$778
38
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
—
—
$778
38
clean
RPR CPLX EYE/N/EAR ADD<=5
$1,030
$287
$258
26
clean
LATE CLOSURE OF WOUND
—
—
$2,324
38
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
—
$2,324
38
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
—
$2,324
38
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
$2,324
38
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
$2,324
38
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,324
38
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,324
38
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
—
—
$2,324
38
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
$2,324
38
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
$4,652
38
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$260
18
clean
FILLETED FINGER/TOE FLAP
—
—
$2,324
38
clean
WOUND PREP TRK/ARM/LEG
—
—
$2,324
38
clean
WOUND PREP ADDL 100 CM
—
—
$82
18
clean

Showing the first 200 of 8,819 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
MS-DRG 287/i
error
mrf_negotiated_above_max
a negotiated rate of $16,204 is above the file's own maximum $13,911
MS-DRG 203/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $7,640
MS-DRG 487/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 820/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 204/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 488/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 821/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 205/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 489/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 822/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 206/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 492/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 823/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 207/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 493/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 824/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 208/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 494/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 825/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 212/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 495/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 826/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 215/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 496/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 827/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 216/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 497/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 828/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 217/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 498/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 829/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 218/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 499/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 830/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 219/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 500/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 831/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $12,208
MS-DRG 220/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 501/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 832/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,151
MS-DRG 221/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 502/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 833/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $5,862
MS-DRG 222/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $27,494
MS-DRG 503/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 834/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 223/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $27,494
MS-DRG 504/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 835/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 224/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $27,494
MS-DRG 505/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 836/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 225/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $27,494
MS-DRG 506/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 837/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 226/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $27,494
MS-DRG 507/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 838/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 227/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $27,494
MS-DRG 508/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 839/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 228/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 509/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 840/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 229/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 510/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 841/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 230/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $27,494
MS-DRG 511/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 842/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 231/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 512/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 843/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 232/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 513/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 844/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 233/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 514/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 845/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 234/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 515/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 846/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 235/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 516/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 847/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 236/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 517/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 848/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 239/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 518/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 849/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 240/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 519/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 850/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 241/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 520/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 853/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 242/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 521/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $25,064
MS-DRG 854/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 243/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 522/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $21,831
MS-DRG 855/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 244/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 533/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 856/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 245/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 534/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 857/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 250/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 535/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 858/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 251/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 536/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 862/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 252/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 537/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 863/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 253/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 538/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $7,388
MS-DRG 864/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 254/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 539/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 865/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 255/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 540/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 866/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 256/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 541/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 867/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 257/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $9,603
MS-DRG 542/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 868/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 258/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 543/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 869/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $7,871
MS-DRG 259/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 544/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,234
MS-DRG 870/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 260/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 545/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 871/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 261/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 546/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 872/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 262/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 547/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,139
MS-DRG 876/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 263/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 548/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 880/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 264/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 549/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 881/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 265/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 550/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 882/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 266/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 551/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 883/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 267/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 552/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 884/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 268/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 553/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 885/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 269/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 554/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 886/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 270/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 555/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 887/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 271/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 556/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 894/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $6,911
MS-DRG 272/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 557/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 895/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 273/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $12,887
MS-DRG 558/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 896/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 274/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $12,887
MS-DRG 559/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 897/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 275/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 560/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 901/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 276/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 561/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 902/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 277/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 562/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 903/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 278/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 563/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 904/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 279/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $13,188
MS-DRG 564/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743
MS-DRG 905/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $10,521
MS-DRG 280/i
error
mrf_negotiated_below_min
a negotiated rate of $950 is below the file's own minimum $8,743

Showing the first 200 of 2,335 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 025
info
inp_charge_10x_payment
average charge $498,605 is 10.1× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $241,873 is 11.4× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $123,952 is 11.4× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $125,059 is 13.9× the total payment
MS-DRG 085
info
inp_charge_10x_payment
average charge $288,239 is 11.0× the total payment
MS-DRG 086
info
inp_charge_10x_payment
average charge $186,494 is 12.3× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $146,859 is 10.3× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $297,696 is 10.4× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $116,693 is 11.4× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $145,569 is 12.2× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $144,558 is 10.4× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $103,299 is 12.1× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $87,485 is 10.4× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $101,314 is 10.5× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $93,285 is 11.4× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $109,017 is 10.1× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $314,221 is 10.2× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $109,443 is 10.6× the total payment
MS-DRG 563
info
inp_charge_10x_payment
average charge $117,906 is 11.7× the total payment
MS-DRG 644
info
inp_charge_10x_payment
average charge $118,868 is 10.3× the total payment
MS-DRG 645
info
inp_charge_10x_payment
average charge $95,448 is 11.0× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $174,284 is 10.2× the total payment
MS-DRG 870
info
inp_charge_10x_payment
average charge $643,919 is 10.2× 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 · 90.3M bytes · fetched 2026-08-23 · sha256 ffbd68141743…

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.