Project Crossfoot
Hospital · CCN 050230

Garden Grove Hospital & Medical Center

12601 Garden Grove Blvd, Garden Grove, CA 92843 · Orange County
Part of Prime Healthcare Services · 167 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

22 admission types 8 outpatient services price file: ok
Billed per dollar paid, all admissions
4.16×
$55.2M billed against $13.3M paid across 736 Medicare discharges; the national figure is 5.03×.
—
of adults in Orange County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
7.3%
uninsured in the county · state 7.5%
$110K
median household income
5.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (25 in the inpatient or outpatient file)ⓘ
23.9%
obesity in the countyⓘ
11.5%
diagnosed diabetes (PLACES)
5.5%
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
248
$89,487
$20,128
4.4× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
57
$53,980
$13,566
4.0× st 5.7×
177
Respiratory infections and inflammations with mcc
53
$95,945
$17,233
5.6× st 6.6×
682
Renal failure with mcc
40
$57,034
$15,272
3.7× st 6.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
34
$37,233
$8,302
4.5× st 6.3×
870
Septicemia or severe sepsis with mv >96 hours
32
$217,634
$62,624
3.5× st 6.2×
291
Heart failure and shock with mcc
30
$44,419
$13,386
3.3× st 6.5×
683
Renal failure with cc
25
$46,708
$9,472
4.9× st 6.7×
193
Simple pneumonia and pleurisy with mcc
24
$62,906
$13,819
4.6× st 6.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
22
$42,867
$10,825
4.0× st 6.1×
377
Gastrointestinal hemorrhage with mcc
21
$65,056
$17,119
3.8× st 6.4×
690
Kidney and urinary tract infections without mcc
18
$28,127
$8,548
3.3× st 6.6×
637
Diabetes with mcc
18
$42,316
$15,698
2.7× st 6.3×
698
Other kidney and urinary tract diagnoses with mcc
14
$93,851
$17,067
5.5× st 6.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
13
$36,973
$8,349
4.4× st 6.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
13
$128,144
$43,493
2.9× st 6.2×
189
Pulmonary edema and respiratory failure
13
$51,740
$12,928
4.0× st 6.7×
074
Cranial and peripheral nerve disorders without mcc
13
$54,516
$10,871
5.0× st 6.2×
071
Other cerebrovascular disorders with cc
13
$43,058
$11,039
3.9× st 6.1×
312
Syncope and collapse
12
$45,505
$9,159
5.0× st 7.2×
206
Other respiratory system diagnoses without mcc
12
$29,350
$10,264
2.9× st 6.1×
194
Simple pneumonia and pleurisy with cc
11
$43,508
$8,705
5.0× st 7.5×
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
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
8011
Comprehensive Observation 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 2026-03-17, template 3.0, 5,226 rows scanned, 3,767 distinct code–setting items kept. 842 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Hc Liver Dis 10 Assays W/Nash
CPT 0003M
$2,517
$503
$503
23
clean
Hc Anesth Vag Delivery, Epidural
CPT 01967
$1,151
—
$77
4
clean
Hc Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2
CPT 0202U
$2,084
$416
$417
27
clean
Hc Translum Peripherl Atherectomy Brachiocephal Ea
CPT 0237T
$35,791
$14,775
$14,775
23
clean
Hc Translum Peripheral Atherectomy Iliac Artery Ea
CPT 0238T
$35,791
$23,462
$23,462
23
clean
Hc Nfct Ds Rna 4 Targets Upper Respiratory Specimen
CPT 0241U
$713
$142
$143
23
clean
Hc Fine Needle Aspiration Bx W/Us Gdn 1St Lesion
CPT 10005
$2,897
$906
$906
27
clean
Hc Fine Needle Aspiration Bx W/Us Gdn Ea Addl
CPT 10006
$500
—
$52
4
clean
Hc Fine Needle Aspiration Bx W/Fluor Gdn 1St Lesion
CPT 10007
$2,897
$906
$906
27
clean
Hc Fine Needle Aspiration Bx W/Ct Gdn 1St Lesion
CPT 10009
$3,784
$906
$906
27
clean
Hc Fine Needle Aspiration Bx W/Ct Gdn Ea Addl
CPT 10010
$500
—
$257
4
clean
Hc Fine Needle Aspiration Bx W/Mr Gdn 1St Lesion
CPT 10011
$2,897
$906
$906
23
clean
Hc Fine Needle Asp Wo Img Guidance
CPT 10021
$2,175
$520
$520
27
clean
Hc Image-Guided Catheter Fluid Collection Drainage
CPT 10030
$4,330
$906
$906
27
clean
Hc Acne Surgery Of Skin Abscess
CPT 10040
$185
$256
$185
27
clean
Hc Incision & Drain Skin Abscess Simple
CPT 10060
$1,384
$256
$257
27
clean
Hc Incision & Drain Skin Abscess Complic
CPT 10061
$882
$520
$520
27
clean
Hc Incision & Drain Pilonidal Cyst Simpl
CPT 10080
$3,784
$906
$906
27
clean
Hc Incision & Drain Pilonidal Cyst Complicated
CPT 10081
$3,894
$906
$906
27
clean
Hc Remove Foreign Body Simple
CPT 10120
$2,719
$520
$520
27
clean
Hc Remove Foreign Body Complex
CPT 10121
$4,463
$2,113
$2,114
27
clean
Hc Incision & Drain Of Hematoma/Fluid
CPT 10140
$8,965
$2,113
$2,114
27
clean
Hc Puncture Drainage Of Lesion
CPT 10160
$551
$520
$520
27
clean
Hc Complex Drainage, Wound
CPT 10180
$11,892
$3,717
$3,718
27
clean
Hc Debridement, Infected Skin, Up To 10% Bsa
CPT 11000
$2,521
$520
$520
27
clean
Hc Debridement, Infected Skin, Ea Add 10% Bsa
CPT 11001
$310
—
$15
4
clean
Hc Debride Necrotic Skin/ Tissue, Genit & Perinm
CPT 11004
$2,521
—
$339
4
clean
Hc Debride Necrotic Skin/ Tissue, Abd Wall
CPT 11005
$3,251
—
$454
4
clean
Hc Debride Necrot Skin/ Tiss, Genit,Peri, Adb Wall
CPT 11006
$2,521
—
$426
4
clean
Hc Remove Mesh From Abd Wall For Infection
CPT 11008
$4,037
—
$172
4
clean
Hc Debride W Fb Remove, Fx/Disloc
CPT 11010
$4,133
$906
$906
27
clean
Hc Debride Skin Sub-Q Tiss =<20 Sq Cm
CPT 11042
$2,175
$520
$520
27
clean
Hc Debride Skin Sub-Q Tiss Muscle =<20 Sq Cm
CPT 11043
$3,387
$945
$946
27
clean
Hc Debride Skin Sub-Q Tiss Muscle Bone =<20 Sq Cm
CPT 11044
$8,743
$2,113
$2,114
27
clean
Hc Debride Skin Sub-Q Tiss Each Add 20 Sq Cm
CPT 11045
$1,105
—
$15
4
clean
Hc Debride Skin Sub-Q Tiss Muscle Ea Add 20 Sq Cm
CPT 11046
$1,219
—
$31
4
clean
Hc Debride Skin Sub-Q Tiss Musc Bn Ea 20 Sq Cm
CPT 11047
$3,278
—
$54
4
clean
Hc Trim Benign Hyperkeratotic Skin Lesion, Single
CPT 11055
$1,053
$256
$257
27
clean
Hc Trim Benign Hyperkeratotic Skin Lesion,2-4
CPT 11056
$1,053
$256
$257
27
clean
Hc Trim Benign Hyperkeratotic Skin Lesion,>4
CPT 11057
$1,053
$256
$257
27
clean
Hc Tangential Biopsy Skin Single Lesion
CPT 11102
$882
$520
$520
27
clean
Hc Tangential Biopsy Skin Ea Sep/Additional Lesion
CPT 11103
$500
—
$48
4
clean
Hc Punch Biopsy Skin Single Lesion
CPT 11104
$882
$520
$520
27
clean
Hc Punch Biopsy Skin Ea Sep/Additional Lesion
CPT 11105
$500
—
$55
4
clean
Hc Incisional Biopsy Skin Single Lesion
CPT 11106
$1,570
$945
$946
27
clean
Hc Removal Of Skin Tags, Up To 15
CPT 11200
$1,053
$256
$257
27
clean
Hc Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 1.1-2.0 Cm
CPT 11402
$4,133
$906
$906
27
clean
Hc Exc Skin Benig <0.5 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11420
$2,758
$2,113
$2,114
27
clean
Hc Exc Skin Benig 0.6-1 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11421
$2,210
$906
$906
27
clean
Hc Exc Skin Benig 1.1-2 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11422
$2,855
$2,113
$2,114
27
clean
Hc Exc Skin Benig 2.1-3 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11423
$3,737
$2,113
$2,114
27
clean
Hc Exc Skin Benig 3.1-4 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11424
$6,707
$2,113
$2,114
27
clean
Hc Exc Skin Benig >4 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11426
$9,122
$3,717
$3,718
27
clean
Hc Exc Skin Benig <0.5 Cm Face/Head/Mucus
CPT 11440
$1,893
$906
$906
27
clean
Hc Exc Skin Benig 0.6-1 Cm Face/Head/Mucus
CPT 11441
$1,893
$906
$906
27
clean
Hc Exc Skin Benig 1.1-2 Cm Face/Head/Mucus
CPT 11442
$4,133
$906
$906
27
clean
Hc Exc Skin Benig 2.1-3 Cm Face/Head/Mucus
CPT 11443
$4,133
$2,113
$2,114
27
clean
Hc Exc Skin Benig 3.1-4 Cm Face/Head/Mucus
CPT 11444
$4,133
$2,113
$2,114
27
clean
Hc Exc Skin Benig >4 Cm Face/Head/Mucus
CPT 11446
$9,122
$3,717
$3,718
27
clean
Hc Exc Skin Malig <0.5 Cm Trnk/Arm/Leg
CPT 11600
$4,710
$906
$906
27
clean
Hc Exc Skin Malig 0.6-1 Cm Trnk/Arm/Leg
CPT 11601
$2,403
$906
$906
27
clean
Hc Exc Skin Malig 1.1-2 Cm Trnk/Arm/Leg
CPT 11602
$2,403
$520
$520
27
clean
Hc Exc Skin Malig 2.1-3 Cm Trnk/Arm/Leg
CPT 11603
$4,710
$906
$906
27
clean
Hc Exc Skin Malig 3.1-4 Cm Trnk/Arm/Leg
CPT 11604
$4,710
$906
$906
27
clean
Hc Exc Skin Malig >4 Cm Trnk/Arm/Leg
CPT 11606
$7,071
$2,113
$2,114
27
clean
Hc Exc Skin Malig <0.5 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11620
$4,848
$2,113
$2,114
27
clean
Hc Exc Skin Malig 0.6-1 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11621
$11,621
$906
$906
27
clean
Hc Exc Skin Malig 1.1-2 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11622
$4,848
$906
$906
27
clean
Hc Exc Skin Malig 2.1-3 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11623
$4,848
$2,113
$2,114
27
clean
Hc Exc Skin Malig 3.1-4 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11624
$6,707
$2,113
$2,114
27
clean
Hc Exc Skin Malig >4 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11626
$9,122
$3,717
$3,718
27
clean
Hc Trim Nail(S)
CPT 11719
$335
$75
$76
23
clean
Hc Debridement Of Nails, 1-5
CPT 11720
$370
$75
$76
27
clean
Hc Debridement Of Nails, 6 Or More
CPT 11721
$366
$75
$76
27
clean
Hc Removal Of Nail Plate
CPT 11730
$1,053
$256
$257
27
clean
Hc Removal Of Nail Plate, Simple, Ea Ad
CPT 11732
$252
—
$21
4
clean
Hc Drain Blood From Under Nail
CPT 11740
$677
$170
$170
27
clean
Hc Removal Of Nail Bed
CPT 11750
$2,175
$520
$520
27
clean
Hc Biopsy, Nail Unit (Sep Proc)
CPT 11755
$2,368
$906
$906
27
clean
Hc Reconstruc Of Nail Bed
CPT 11760
$3,387
$945
$946
27
clean
Hc Excision Of Nail Fold (Wedge), Toe
CPT 11765
$2,719
$520
$520
27
clean
Hc Excision Of Pilonidal Cyst, Simple
CPT 11770
$9,122
$3,717
$3,718
27
clean
Hc Excision Pilonidal Cyst/Sinus Complicated
CPT 11772
$11,624
$3,717
$3,718
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr <2.5 Cm
CPT 12001
$1,356
$256
$257
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr 2.6-7.5 Cm
CPT 12002
$1,378
$256
$257
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr 7.6-12.5 Cm
CPT 12004
$1,365
$256
$257
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr 12.6-20 Cm
CPT 12005
$2,719
$520
$520
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr 20.1-30 Cm
CPT 12006
$2,175
$520
$520
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr >30.1 Cm
CPT 12007
$1,751
$256
$259
27
clean
Hc Repr Wnd Smp Face 2.6-5.0 Cm
CPT 12013
$1,316
$256
$257
27
clean
Hc Repr Wnd Smp Face 5.1-7.5 Cm
CPT 12014
$1,360
$256
$257
27
clean
Hc Repr Wnd Smp Face 7.6-12.5 Cm
CPT 12015
$1,262
$256
$257
27
clean
Hc Repr Wnd Smp Face 12.6-20 Cm
CPT 12016
$2,175
$520
$520
27
clean
Hc Repr Wnd Smp Face 20.1-30 Cm
CPT 12017
$2,175
$520
$520
27
clean
Hc Repr Wnd Smp Face >30.1 Cm
CPT 12018
$731
$256
$259
27
clean
Hc Treat Wnd Dehiscence, Simple Closure
CPT 12020
$3,387
$945
$946
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr <2.5 Cm
CPT 12031
$2,175
$520
$520
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 2.6-7.5 Cm
CPT 12032
$2,175
$520
$520
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 7.6-12.5 Cm
CPT 12034
$2,175
$520
$520
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 12.5-20 Cm
CPT 12035
$2,175
$520
$520
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 20.1-30 Cm
CPT 12036
$670
$945
$670
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr >30.1 Cm
CPT 12037
$2,151
$2,640
$2,151
23
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent <2.5 Cm
CPT 12041
$2,175
$520
$520
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 2.6-7.5 Cm
CPT 12042
$2,175
$520
$520
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 7.6-12.5 Cm
CPT 12044
$3,387
$945
$946
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 12.5-20 Cm
CPT 12045
$1,159
$945
$946
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 20.1-30 Cm
CPT 12046
$1,100
$945
$946
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent >30.1 Cm
CPT 12047
$2,151
$2,640
$2,151
27
clean
Hc Repr Wnd Intrmd Face <2.5 Cm
CPT 12051
$2,719
$520
$520
27
clean
Hc Repr Wnd Intrmd Face 2.6-5.0 Cm
CPT 12052
$2,719
$520
$520
27
clean
Hc Repr Wnd Intrmd Face 5.1-7.5 Cm
CPT 12053
$2,175
$520
$520
27
clean
Hc Repr Wnd Intrmd Face 7.6-12.5 Cm
CPT 12054
$2,175
$520
$520
27
clean
Hc Repr Wnd Intrmd Face 12.6-20 Cm
CPT 12055
$843
$520
$520
27
clean
Hc Repr Wnd Intrmd Face 20.1-30 Cm
CPT 12056
$1,100
$520
$520
27
clean
Hc Repr Wnd Intrmd Face >30.1 Cm
CPT 12057
$1,100
$520
$525
27
clean
Hc Repr Wnd Cplx Trunk 1.1-2.5 Cm
CPT 13100
$1,263
$945
$946
27
clean
Hc Repr Wnd Cplx Trnk 2.6-7.5 Cm
CPT 13101
$1,579
$945
$946
27
clean
Hc Repr Wnd Cplx Trnk Add 5.0 Cm
CPT 13102
$1,598
—
$72
4
clean
Hc Repr Wnd Cplx Scalp 1.1-2.5 Cm
CPT 13120
$369
$520
$369
27
clean
Hc Repr Wnd Cplx Scalp 2.6-7.5 Cm
CPT 13121
$3,387
$520
$520
27
clean
Hc Repr Wnd Cplx Scalp Add 5.0 Cm
CPT 13122
$506
—
$84
4
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent 1.1-2.5 Cm
CPT 13131
$369
$520
$369
27
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent 2.6-7.5 Cm
CPT 13132
$3,387
$520
$520
27
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent Ea Add 5.0 Cm
CPT 13133
$506
—
$124
4
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip 1.1-2.5 Cm
CPT 13151
$1,598
$945
$946
27
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip 2.6-7.5 Cm
CPT 13152
$1,579
$945
$946
27
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip Ea Add 5.0 Cm
CPT 13153
$456
—
$137
4
clean
Hc Secondary Closure Surg Wound Dehiscense Complicated
CPT 13160
$2,151
$4,535
$2,151
27
clean
Hc Adjacent Tissue Trns/Reargmt F/C/C/M/N/A/G/H/F 10Sqcm/&Lt
CPT 14040
$3,737
$2,640
$2,641
27
clean
Hc Prep Wnd Trk/Ar/Lg 100 Sqcm Or 1% Peds
CPT 15002
$2,686
$945
$946
27
clean
Hc Prep Wnd Trk/Ar/Lg Ea Add 100 Sqcm Or 1% Peds
CPT 15003
$1,771
—
$60
4
clean
Hc Prep Wnd Head/Hnd/Ft/Gent 100 Sqcm Or 1% Peds
CPT 15004
$2,500
$520
$520
27
clean
Hc Prep Wnd Head/Hnd/Ft/Gent Ea Add 100 Sqcm
CPT 15005
$1,771
—
$100
4
clean
Hc Epidrm Autogrft Trnk/Arm/Leg <100 Sqcm
CPT 15110
$5,261
$2,640
$2,641
27
clean
Hc Epidrm Autogrft Trnk/Arm/Leg, Each 100 Sqcm
CPT 15111
$2,630
—
$104
4
clean
Hc Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm
CPT 15115
$3,002
$2,640
$2,641
27
clean
Hc Epi Autogrft Face/Nck/Hnd/Ft/Gen , Ea 100 Sqcm
CPT 15116
$1,501
—
$134
4
clean
Hc App Skn Sub Trnk/Arm/Leg Ttl 100Sqcm 1St 25 Sqcm
CPT 15271
$10,063
$945
$946
27
clean
Hc App Skn Sub Trnk/Arm/Leg Ttl 100Sqcm Ea Ad 25Qsqcm
CPT 15272
$661
—
$14
4
clean
Hc App Skn Sub Trnk/Arm/Leg >=100Sqcm 1St 100Sqcm
CPT 15273
$1,927
$2,640
$1,927
27
clean
Hc App Skn Sub Trnk/Arm/Leg >=100Sqcm Ea Add 100Sqcm
CPT 15274
$2,711
—
$36
4
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt Ttl 100Sqcm 1St 25 Sqcm
CPT 15275
$10,063
$945
$946
27
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt Ttl 100Sqcm Ea Ad 25Cm
CPT 15276
$1,170
—
$20
4
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt >=100Sqcm 1St 100Sqcm
CPT 15277
$1,927
$2,640
$1,927
27
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt >=100Sqcm Ea Ad 100Sqcm
CPT 15278
$1,385
—
$45
4
clean
Hc Blepharoplasty Upper Eyelid
CPT 15822
$8,954
$2,640
$2,641
27
clean
Hc Treat Burn 1St Degree, Initial
CPT 16000
$1,316
$256
$257
27
clean
Hc Dress/Debride Burn <5% Total Sm
CPT 16020
$277
$256
$257
27
clean
Hc Dress/Debride Burn 5-10% Ttl Med
CPT 16025
$1,053
$256
$257
27
clean
Hc Dress/Debride Burn >10% Ttl Lg
CPT 16030
$2,175
$520
$520
27
clean
Hc Escharotomy
CPT 16035
$1,136
$520
$520
27
clean
Hc Destruc Benign/Premal,First Lesion
CPT 17000
$213
$256
$213
27
clean
Hc Destruc Benign/Premal,2-14 Lesions
CPT 17003
$108
—
$9
4
clean
Hc Destruc Benign/Premal,15+ Lesions
CPT 17004
$552
$520
$520
27
clean
Hc Chem Cautery Granulatn Tissue
CPT 17250
$1,053
$256
$257
27
clean
Hc I&D Breast Lesion
CPT 19000
$1,041
$906
$906
27
clean
Hc I&D Breast Lesion Add On
CPT 19001
$335
—
$30
4
clean
Hc Mastotomy W Explor/Drain Absc, Deep
CPT 19020
$6,991
$2,113
$2,114
27
clean
Hc Inject Ductogram/Galactogram
CPT 19030
$1,009
—
$278
4
clean
Hc Bx Breast W Device Stereotact Guide 1St Lesion
CPT 19081
$5,263
$2,113
$2,114
27
clean
Hc Bx Breast W Device Stereotact Guide Addl Lesion
CPT 19082
$5,263
—
$527
4
clean
Hc Bx Breast W Device Us Guide 1St Lesion
CPT 19083
$8,743
$2,113
$2,114
27
clean
Hc Bx Breast W Device Us Guide Addl Lesion
CPT 19084
$5,263
—
$507
4
clean
Hc Bx Breast W Device Mri Guide 1St Lesion
CPT 19085
$5,263
$2,113
$2,114
27
clean
Hc Bx Breast W Device Mri Guide Addl Lesion
CPT 19086
$5,263
—
$77
4
clean
Hc Bx Breast, Needle Core
CPT 19100
$2,437
$2,113
$2,114
27
clean
Hc Perq Dev Place Breast Loc 1St Les W Mammo Guid
CPT 19281
$707
$2,113
$707
27
clean
Hc Perq Device Placemt Breast Loc Ea Les W Guidnce
CPT 19282
$707
—
$152
4
clean
Hc Perq Breast Loc Dev Place Strotact Guid 1St Les
CPT 19283
$530
$906
$530
27
clean
Hc Perq Breast Loc Dev Place Strotact Guid Add Les
CPT 19284
$707
—
$186
4
clean
Hc Perq Breast Loc Dev Place Us Guide 1St Lesion
CPT 19285
$707
$906
$707
27
clean
Hc Perq Breast Loc Dev Place Us Guide Addl Lesion
CPT 19286
$707
—
$418
4
clean
Hc Perq Breast Loc Dev Place Mri Guide 1St Lesion
CPT 19287
$707
$906
$707
27
clean
Hc Perq Breast Loc Dev Place Mri Guide Addl Lesion
CPT 19288
$707
—
$55
4
clean
Hc Explore Wound,Neck
CPT 20100
$1,418
$690
$690
27
clean
Hc Explore Wound,Chest
CPT 20101
$5,414
$2,640
$2,641
27
clean
Hc Explore Wound Abdomen/Flank/Back
CPT 20102
$5,414
$2,640
$2,641
27
clean
Hc Explore Wound Extremity
CPT 20103
$1,418
$2,113
$1,418
27
clean
Hc Muscle Biopsy
CPT 20200
$4,191
$2,113
$2,114
27
clean
Hc Deep Muscle Biopsy
CPT 20205
$5,013
$3,717
$3,718
27
clean
Hc Needle Biopsy,Muscle
CPT 20206
$8,743
$2,113
$2,114
27
clean
Hc Bone Bx Tr/Ndl; Superf
CPT 20220
$3,586
$2,113
$2,114
27
clean
Hc Bone Biopsy,Trocar/Needle Deep
CPT 20225
$5,379
$2,113
$2,114
27
clean
Hc Bone Biopsy,Excisional Superf
CPT 20240
$4,988
$3,717
$3,718
27
clean
Hc Bone Biopsy,Excisional Deep
CPT 20245
$5,632
$3,717
$3,718
27
clean
Hc Inject Sinus Tract For Dx W Xray
CPT 20501
$401
—
$320
4
clean
Hc Remove Fb Musc/Tendon, Simple
CPT 20520
$1,234
$2,113
$1,234
27
clean
Hc Removal Of Foreign Body Deep/Complex
CPT 20525
$5,824
$3,717
$3,718
27
clean
Hc Inject Carpal Tunnel
CPT 20526
$570
$392
$393
27
clean
Hc Inject Tendon Sheath/Ligament
CPT 20550
$674
$392
$393
27
clean
Hc Inject Tendon Origin/Insert
CPT 20551
$517
$392
$393
27
clean
Hc Inject Trigger Point1-2 Muscle
CPT 20552
$1,585
$392
$393
27
clean
Hc Inject Trigger Points, > 3
CPT 20553
$1,585
$392
$393
27
clean
Hc Drain/Inject Small Joint/Bursa
CPT 20600
$983
$392
$393
27
clean
Hc Drain/Inject Intermediate Joint/Bursa
CPT 20605
$1,585
$392
$393
27
clean
Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us
CPT 20606
$3,757
$903
$903
27
clean
Hc Asp/Drain Large Joint/Bursa
CPT 20610
$1,585
$392
$393
27
clean
Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us
CPT 20611
$1,585
$392
$393
27
clean
Hc Apply/Remove Cranial Fix Dev
CPT 20660
$3,566
$2,058
$2,058
27
clean
REMOVAL OF IMPLANT DEEP
CPT 20680
$9,975
$3,717
$3,718
54
clean

Showing the first 200 of 3,767 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 36420/o
error
mrf_cash_above_gross
discounted cash price $170 exceeds gross charge $25
CPT G0455/o
error
mrf_cash_above_gross
discounted cash price $1,190 exceeds gross charge $456
CPT 36425/o
error
mrf_cash_above_gross
discounted cash price $571 exceeds gross charge $25
CPT 36470/o
error
mrf_cash_above_gross
discounted cash price $520 exceeds gross charge $351
CPT 36555/o
error
mrf_cash_above_gross
discounted cash price $4,041 exceeds gross charge $3,046
CPT 36640/o
error
mrf_cash_above_gross
discounted cash price $4,041 exceeds gross charge $1,356
CPT P9032/o
error
mrf_cash_above_gross
discounted cash price $391 exceeds gross charge $125
CPT 37182/o
error
mrf_cash_above_gross
discounted cash price $23,462 exceeds gross charge $21,562
CPT P9036/o
error
mrf_cash_above_gross
discounted cash price $944 exceeds gross charge $612
CPT 37212/o
error
mrf_cash_above_gross
discounted cash price $4,041 exceeds gross charge $947
CPT P9037/o
error
mrf_cash_above_gross
discounted cash price $677 exceeds gross charge $470
CPT 38220/o
error
mrf_cash_above_gross
discounted cash price $2,113 exceeds gross charge $164
CPT P9044/o
error
mrf_cash_above_gross
discounted cash price $131 exceeds gross charge $75
CPT 38221/o
error
mrf_cash_above_gross
discounted cash price $2,113 exceeds gross charge $955
CPT P9055/o
error
mrf_cash_above_gross
discounted cash price $249 exceeds gross charge $175
CPT 40804/o
error
mrf_cash_above_gross
discounted cash price $1,160 exceeds gross charge $183
CPT 43220/o
error
mrf_cash_above_gross
discounted cash price $2,455 exceeds gross charge $2,400
CPT 43270/o
error
mrf_cash_above_gross
discounted cash price $2,455 exceeds gross charge $2,400
CPT 45307/o
error
mrf_cash_above_gross
discounted cash price $3,552 exceeds gross charge $1,272
CPT 46320/o
error
mrf_cash_above_gross
discounted cash price $1,531 exceeds gross charge $1,043
CPT 47534/o
error
mrf_cash_above_gross
discounted cash price $4,582 exceeds gross charge $2,462
CPT 47536/o
error
mrf_cash_above_gross
discounted cash price $4,582 exceeds gross charge $4,170
CPT 49460/o
error
mrf_cash_above_gross
discounted cash price $1,160 exceeds gross charge $1,031
CPT 50433/o
error
mrf_cash_above_gross
discounted cash price $4,511 exceeds gross charge $2,659
CPT 50688/o
error
mrf_cash_above_gross
discounted cash price $2,675 exceeds gross charge $875
CPT 50694/o
error
mrf_cash_above_gross
discounted cash price $4,511 exceeds gross charge $3,456
CPT 55700/o
error
mrf_cash_above_gross
discounted cash price $2,566 exceeds gross charge $1,851
CPT 59000/o
error
mrf_cash_above_gross
discounted cash price $1,178 exceeds gross charge $1,040
CPT 59001/o
error
mrf_cash_above_gross
discounted cash price $390 exceeds gross charge $229
CPT 61624/o
error
mrf_cash_above_gross
discounted cash price $23,462 exceeds gross charge $1,557
CPT 61626/o
error
mrf_cash_above_gross
discounted cash price $14,775 exceeds gross charge $12,577
CPT 64435/o
error
mrf_cash_above_gross
discounted cash price $903 exceeds gross charge $795
CPT 65210/o
error
mrf_cash_above_gross
discounted cash price $571 exceeds gross charge $368
CPT 67108/o
error
mrf_cash_above_gross
discounted cash price $5,290 exceeds gross charge $4,000
CPT 70134/o
error
mrf_cash_above_gross
discounted cash price $699 exceeds gross charge $527
CPT 86720/o
error
mrf_cash_above_gross
discounted cash price $16 exceeds gross charge $13
CPT 86885/o
error
mrf_cash_above_gross
discounted cash price $218 exceeds gross charge $160
CPT 86886/o
error
mrf_cash_above_gross
discounted cash price $218 exceeds gross charge $167
CPT 86904/o
error
mrf_cash_above_gross
discounted cash price $75 exceeds gross charge $38
CPT 86921/o
error
mrf_cash_above_gross
discounted cash price $218 exceeds gross charge $24
CPT 86927/o
error
mrf_cash_above_gross
discounted cash price $218 exceeds gross charge $37
CPT 86965/o
error
mrf_cash_above_gross
discounted cash price $218 exceeds gross charge $107
CPT 86970/o
error
mrf_cash_above_gross
discounted cash price $75 exceeds gross charge $19
CPT 86971/o
error
mrf_cash_above_gross
discounted cash price $218 exceeds gross charge $19
CPT 86972/o
error
mrf_cash_above_gross
discounted cash price $218 exceeds gross charge $86
CPT 86975/o
error
mrf_cash_above_gross
discounted cash price $571 exceeds gross charge $126
CPT 86977/o
error
mrf_cash_above_gross
discounted cash price $218 exceeds gross charge $38
CPT 86978/o
error
mrf_cash_above_gross
discounted cash price $75 exceeds gross charge $38
CPT 72295/o
error
mrf_cash_above_gross
discounted cash price $2,499 exceeds gross charge $2,082
CPT 75831/o
error
mrf_cash_above_gross
discounted cash price $4,041 exceeds gross charge $3,624
CPT 75833/o
error
mrf_cash_above_gross
discounted cash price $4,041 exceeds gross charge $3,624
CPT 75870/o
error
mrf_cash_above_gross
discounted cash price $4,041 exceeds gross charge $2,629
CPT 78999/o
error
mrf_cash_above_gross
discounted cash price $511 exceeds gross charge $425
CPT 88368/o
error
mrf_cash_above_gross
discounted cash price $458 exceeds gross charge $330
CPT 88399/o
error
mrf_cash_above_gross
discounted cash price $66 exceeds gross charge $8
CPT 10040/o
error
mrf_cash_above_gross
discounted cash price $256 exceeds gross charge $185
CPT 12036/o
error
mrf_cash_above_gross
discounted cash price $945 exceeds gross charge $670
CPT 12037/o
error
mrf_cash_above_gross
discounted cash price $2,640 exceeds gross charge $2,151
CPT 12047/o
error
mrf_cash_above_gross
discounted cash price $2,640 exceeds gross charge $2,151
CPT 92512/o
error
mrf_cash_above_gross
discounted cash price $276 exceeds gross charge $143
CPT 13120/o
error
mrf_cash_above_gross
discounted cash price $520 exceeds gross charge $369
CPT 92520/o
error
mrf_cash_above_gross
discounted cash price $170 exceeds gross charge $52
CPT 13131/o
error
mrf_cash_above_gross
discounted cash price $520 exceeds gross charge $369
CPT 13160/o
error
mrf_cash_above_gross
discounted cash price $4,535 exceeds gross charge $2,151
CPT 15273/o
error
mrf_cash_above_gross
discounted cash price $2,640 exceeds gross charge $1,927
CPT 81412/o
error
mrf_cash_above_gross
discounted cash price $2,448 exceeds gross charge $2,100
CPT 81443/o
error
mrf_cash_above_gross
discounted cash price $2,448 exceeds gross charge $142
CPT 15277/o
error
mrf_cash_above_gross
discounted cash price $2,640 exceeds gross charge $1,927
CPT 81507/o
error
mrf_cash_above_gross
discounted cash price $795 exceeds gross charge $550
CPT 17000/o
error
mrf_cash_above_gross
discounted cash price $256 exceeds gross charge $213
CPT 19281/o
error
mrf_cash_above_gross
discounted cash price $2,113 exceeds gross charge $707
CPT 19283/o
error
mrf_cash_above_gross
discounted cash price $906 exceeds gross charge $530
CPT 19285/o
error
mrf_cash_above_gross
discounted cash price $906 exceeds gross charge $707
CPT 19287/o
error
mrf_cash_above_gross
discounted cash price $906 exceeds gross charge $707
CPT 20103/o
error
mrf_cash_above_gross
discounted cash price $2,113 exceeds gross charge $1,418
CPT 20520/o
error
mrf_cash_above_gross
discounted cash price $2,113 exceeds gross charge $1,234
CPT 21320/o
error
mrf_cash_above_gross
discounted cash price $4,243 exceeds gross charge $2,543
CPT 21450/o
error
mrf_cash_above_gross
discounted cash price $690 exceeds gross charge $619
CPT 92953/o
error
mrf_cash_above_gross
discounted cash price $845 exceeds gross charge $731
CPT 23575/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 24200/o
error
mrf_cash_above_gross
discounted cash price $2,113 exceeds gross charge $1,605
CPT 24535/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,764
CPT 24565/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 93653/o
error
mrf_cash_above_gross
discounted cash price $33,452 exceeds gross charge $13,779
CPT 24577/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 93654/o
error
mrf_cash_above_gross
discounted cash price $33,452 exceeds gross charge $13,779
CPT 24620/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,245
CPT 24655/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 25066/o
error
mrf_cash_above_gross
discounted cash price $3,717 exceeds gross charge $3,481
CPT 25520/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 25624/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $568
CPT 25635/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 94669/o
error
mrf_cash_above_gross
discounted cash price $280 exceeds gross charge $45
CPT 26645/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 26675/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $576
CPT 26705/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 26992/o
error
mrf_cash_above_gross
discounted cash price $4,187 exceeds gross charge $1,500
CPT 27238/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 27240/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 27502/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $561
CPT 27503/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 27510/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 27517/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $1,069
CPT 27768/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $845
CPT 28455/o
error
mrf_cash_above_gross
discounted cash price $2,058 exceeds gross charge $845
CPT 99195/o
error
mrf_cash_above_gross
discounted cash price $170 exceeds gross charge $148
CPT 29705/o
error
mrf_cash_above_gross
discounted cash price $357 exceeds gross charge $321
CPT 31505/o
error
mrf_cash_above_gross
discounted cash price $255 exceeds gross charge $239
CPT 33233/o
error
mrf_cash_above_gross
discounted cash price $10,591 exceeds gross charge $7,204
warn
mrf_rate_without_estimate
63 of 63 percentage/algorithm rates across 23 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 36251/o
info
mrf_cash_under_tenth_of_gross
cash price $4,041 is 10% of the gross charge $40,411
CPT 82415/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $172
CPT 86362/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 6% of the gross charge $189
CPT 36252/o
info
mrf_cash_under_tenth_of_gross
cash price $4,041 is 10% of the gross charge $40,411
CPT 82435/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $152
CPT 86364/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $389
CPT G0283/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 5% of the gross charge $245
CPT 36254/o
info
mrf_cash_under_tenth_of_gross
cash price $4,041 is 10% of the gross charge $40,411
CPT 82436/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $162
CPT 86382/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 8% of the gross charge $207
CPT G0435/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 5% of the gross charge $203
CPT 82438/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $165
CPT 86384/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $155
CPT 82441/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 6% of the gross charge $106
CPT 86403/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $349
CPT 82465/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $121
CPT 86406/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $159
CPT 82495/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 8% of the gross charge $248
CPT 86430/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 4% of the gross charge $138
CPT 82507/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 9% of the gross charge $311
CPT 86431/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $71
CPT P9019/o
info
mrf_cash_under_tenth_of_gross
cash price $52 is 7% of the gross charge $754
CPT 82523/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $282
CPT 86590/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $150
CPT 82528/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $245
CPT 86592/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $189
CPT 82530/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $163
CPT 86593/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $112
CPT 82533/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 4% of the gross charge $396
CPT 86602/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $152
CPT 82540/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $128
CPT 86606/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $170
CPT 86609/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $175
CPT Q0112/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $86
CPT 82550/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 2% of the gross charge $259
CPT 86612/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 6% of the gross charge $200
CPT Q0114/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 8% of the gross charge $117
CPT 82552/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 4% of the gross charge $293
CPT 86615/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $164
CPT 82553/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $438
CPT 86618/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 8% of the gross charge $204
CPT 82565/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $187
CPT 86619/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $182
CPT 82570/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 2% of the gross charge $203
CPT 86635/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 5% of the gross charge $208
CPT 82575/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 3% of the gross charge $335
CPT 86638/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $184
CPT 82595/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 4% of the gross charge $137
CPT 86641/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $144
CPT 82607/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 4% of the gross charge $369
CPT 86644/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $144
CPT 82627/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 10% of the gross charge $222
CPT 86648/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $174
CPT 82633/o
info
mrf_cash_under_tenth_of_gross
cash price $30 is 10% of the gross charge $307
CPT 86651/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $171
CPT 82638/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $167
CPT 86653/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $170
CPT 82657/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $244
CPT 86654/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $163
CPT 82668/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 10% of the gross charge $188
CPT 86658/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $136
CPT 82672/o
info
mrf_cash_under_tenth_of_gross
cash price $21 is 6% of the gross charge $376
CPT 86663/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $134
CPT 82679/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 8% of the gross charge $286
CPT 86664/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $168
CPT 82693/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 6% of the gross charge $230
CPT 86666/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 3% of the gross charge $300
CPT 82705/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $151
CPT 86668/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 9% of the gross charge $156
CPT 82710/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 6% of the gross charge $282
CPT 86671/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 5% of the gross charge $229
CPT 82726/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 9% of the gross charge $221
CPT 86674/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 8% of the gross charge $180
CPT 82728/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $175
CPT 86677/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 9% of the gross charge $168
CPT 82731/o
info
mrf_cash_under_tenth_of_gross
cash price $64 is 10% of the gross charge $672
CPT 86684/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 6% of the gross charge $252
CPT 82746/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 4% of the gross charge $364
CPT 86687/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 7% of the gross charge $126
CPT 82747/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 6% of the gross charge $270
CPT 86688/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $191
CPT 82757/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 6% of the gross charge $263
CPT 86689/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 5% of the gross charge $392
CPT 82759/o
info
mrf_cash_under_tenth_of_gross
cash price $21 is 8% of the gross charge $263
CPT 86698/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $202
CPT 70336/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 8% of the gross charge $3,851
CPT 82760/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 7% of the gross charge $152
CPT 86701/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 9% of the gross charge $89
CPT 70450/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 2% of the gross charge $5,370
CPT 82784/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $247

Showing the first 200 of 842 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  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. Garden Grove Hospital & Medical Center — standard charges file · CA · updated 2026-03-17
    · json · 30.4M bytes · fetched 2026-08-26 · sha256 306850507f39…

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.