Hospital · CCN 050262

Ronald Reagan Ucla Medical Center

757 Westwood Plaza, Los Angeles, CA 90095 · Los Angeles County
Part of University of California Health · 446 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

132 admission types 71 outpatient services price file: ok
Billed per dollar paid, all admissions
3.46×
$882.2M billed against $254.9M paid across 4,027 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
427
$148,388
$42,270
3.5× st 6.2×
291
Heart failure and shock with mcc
147
$131,874
$33,060
4.0× st 6.5×
698
Other kidney and urinary tract diagnoses with mcc
99
$132,744
$37,858
3.5× st 6.2×
025
Craniotomy and endovascular intracranial procedures with mcc
87
$277,681
$81,548
3.4× st 6.5×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
84
$246,510
$104,651
2.4× st 5.5×
314
Other circulatory system diagnoses with mcc
78
$163,207
$46,076
3.5× st 6.1×
699
Other kidney and urinary tract diagnoses with cc
71
$92,605
$22,835
4.1× st 6.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
68
$68,314
$20,820
3.3× st 6.1×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
67
$398,579
$126,137
3.2× st 6.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
63
$212,809
$48,913
4.4× st 7.4×
652
Kidney transplant
61
$270,317
$59,317
4.6× st 9.8×
164
Major chest procedures with cc
61
$146,291
$45,763
3.2× st 6.3×
177
Respiratory infections and inflammations with mcc
58
$108,902
$34,393
3.2× st 6.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
55
$456,458
$133,633
3.4× st 6.2×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
53
$1,263,774
$422,338
3.0× st 5.9×
330
Major small and large bowel procedures with cc
52
$157,816
$46,266
3.4× st 6.9×
101
Seizures without mcc
50
$77,451
$22,128
3.5× st 6.8×
205
Other respiratory system diagnoses with mcc
48
$130,508
$38,212
3.4× st 6.2×
432
Cirrhosis and alcoholic hepatitis with mcc
47
$264,314
$64,681
4.1× st 5.6×
235
Coronary bypass without cardiac catheterization with mcc
43
$352,939
$97,334
3.6× st 7.3×
026
Craniotomy and endovascular intracranial procedures with cc
40
$168,572
$50,378
3.3× st 6.6×
377
Gastrointestinal hemorrhage with mcc
40
$168,890
$48,434
3.5× st 6.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
40
$423,792
$108,866
3.9× st 6.6×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
40
$157,296
$42,202
3.7× st 6.5×
193
Simple pneumonia and pleurisy with mcc
39
$69,396
$23,499
3.0× st 6.9×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
38
$214,791
$54,547
3.9× st 5.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
38
$87,946
$19,986
4.4× st 7.9×
309
Cardiac arrhythmia and conduction disorders with cc
37
$62,907
$15,782
4.0× st 7.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
37
$96,320
$22,355
4.3× st 7.7×
682
Renal failure with mcc
36
$107,148
$30,705
3.5× st 6.1×
274
Percutaneous and other intracardiac procedures without mcc
36
$134,061
$53,534
2.5× st 5.6×
091
Other disorders of nervous system with mcc
35
$116,037
$35,385
3.3× st 6.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
34
$60,473
$17,923
3.4× st 6.8×
683
Renal failure with cc
34
$65,015
$19,032
3.4× st 6.7×
406
Pancreas, liver and shunt procedures with cc
33
$169,868
$51,782
3.3× st 6.1×
308
Cardiac arrhythmia and conduction disorders with mcc
32
$145,441
$37,087
3.9× st 6.9×
690
Kidney and urinary tract infections without mcc
32
$55,215
$15,421
3.6× st 6.6×
919
Complications of treatment with mcc
31
$186,405
$52,220
3.6× st 6.0×
481
Hip and femur procedures except major joint with cc
31
$114,498
$36,952
3.1× st 6.7×
393
Other digestive system diagnoses with mcc
31
$181,245
$45,010
4.0× st 5.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
31
$87,438
$26,527
3.3× st 5.7×
870
Septicemia or severe sepsis with mv >96 hours
30
$738,684
$193,450
3.8× st 6.2×
163
Major chest procedures with mcc
30
$248,495
$81,959
3.0× st 6.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
29
$190,466
$78,307
2.4× st 5.4×
650
Kidney transplant with hemodialysis with mcc
28
$343,000
$84,248
4.1× st 8.4×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
27
$89,540
$22,826
3.9× st 6.2×
405
Pancreas, liver and shunt procedures with mcc
27
$339,831
$146,518
2.3× st 4.9×
001
Heart transplant or implant of heart assist system with mcc
25
$2,221,323
$611,930
3.6× st 5.3×
092
Other disorders of nervous system with cc
25
$96,050
$21,809
4.4× st 6.8×
280
Acute myocardial infarction, discharged alive with mcc
25
$175,782
$39,501
4.5× st 6.6×
327
Stomach, esophageal and duodenal procedures with cc
25
$188,854
$46,542
4.1× st 6.1×
312
Syncope and collapse
24
$56,743
$16,901
3.4× st 7.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
24
$627,664
$158,720
4.0× st 6.3×
651
Kidney transplant with hemodialysis without mcc
24
$289,293
$62,027
4.7× st 11.3×
827
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedur
23
$158,641
$43,186
3.7× st 5.8×
315
Other circulatory system diagnoses with cc
22
$97,019
$20,877
4.6× st 6.7×
435
Malignancy of hepatobiliary system or pancreas with mcc
22
$176,242
$45,983
3.8× st 6.8×
141
Major head and neck procedures with cc
22
$182,503
$39,150
4.7× st 7.0×
389
Gastrointestinal obstruction with cc
21
$80,179
$19,479
4.1× st 6.9×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
21
$468,363
$125,340
3.7× st 6.2×
689
Kidney and urinary tract infections with mcc
21
$77,668
$20,803
3.7× st 6.3×
394
Other digestive system diagnoses with cc
21
$48,245
$18,338
2.6× st 6.9×
252
Other vascular procedures with mcc
21
$265,954
$80,770
3.3× st 5.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
21
$166,289
$43,264
3.8× st 6.5×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
20
$100,145
$34,271
2.9× st 7.8×
005
Liver transplant with mcc or intestinal transplant
20
$1,507,378
$333,202
4.5× st 6.6×
144
Other ear, nose, mouth and throat o.r. procedures with cc
20
$112,214
$31,128
3.6× st 7.5×
085
Traumatic stupor and coma <1 hour with mcc
19
$180,852
$50,621
3.6× st 7.1×
329
Major small and large bowel procedures with mcc
19
$316,534
$139,299
2.3× st 6.5×
189
Pulmonary edema and respiratory failure
19
$98,116
$26,244
3.7× st 6.7×
178
Respiratory infections and inflammations with cc
19
$68,842
$19,351
3.6× st 7.1×
378
Gastrointestinal hemorrhage with cc
18
$61,065
$18,321
3.3× st 6.8×
552
Medical back problems without mcc
18
$74,825
$19,400
3.9× st 7.5×
007
Lung transplant
18
$668,301
$229,564
2.9× st 7.2×
082
Traumatic stupor and coma >1 hour with mcc
18
$204,922
$54,119
3.8× st 7.7×
812
Red blood cell disorders without mcc
18
$51,487
$16,948
3.0× st 6.4×
270
Other major cardiovascular procedures with mcc
17
$514,195
$134,571
3.8× st 6.4×
673
Other kidney and urinary tract procedures with mcc
17
$222,461
$77,362
2.9× st 5.8×
243
Permanent cardiac pacemaker implant with cc
17
$135,427
$41,163
3.3× st 6.7×
100
Seizures with mcc
17
$213,558
$45,645
4.7× st 6.2×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
16
$518,915
$141,361
3.7× st 7.0×
580
Other skin, subcutaneous tissue and breast procedures with cc
16
$135,001
$40,750
3.3× st 6.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$60,275
$16,118
3.7× st 6.3×
614
Adrenal and pituitary procedures with cc/mcc
16
$149,492
$43,444
3.4× st 5.8×
145
Other ear, nose, mouth and throat o.r. procedures without cc/mcc
16
$80,068
$22,108
3.6× st 7.0×
056
Degenerative nervous system disorders with mcc
16
$162,006
$40,874
4.0× st 5.9×
644
Endocrine disorders with cc
16
$72,944
$20,908
3.5× st 6.5×
165
Major chest procedures without cc/mcc
16
$121,695
$33,114
3.7× st 7.6×
166
Other respiratory system o.r. procedures with mcc
16
$190,086
$73,133
2.6× st 6.7×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
16
$935,770
$267,619
3.5× st 6.6×
016
Autologous bone marrow transplant with cc/mcc
16
$326,868
$125,635
2.6× st 4.5×
196
Interstitial lung disease with mcc
16
$128,081
$39,636
3.2× st 7.0×
033
Ventricular shunt procedures without cc/mcc
16
$71,085
$27,609
2.6× st 4.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$222,481
$57,501
3.9× st 7.4×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
15
$311,487
$89,570
3.5× st 6.7×
643
Endocrine disorders with mcc
15
$161,764
$37,922
4.3× st 6.5×
374
Digestive malignancy with mcc
15
$175,457
$43,756
4.0× st 7.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$140,849
$50,156
2.8× st 7.4×
375
Digestive malignancy with cc
15
$111,273
$27,759
4.0× st 6.9×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
14
$536,113
$166,241
3.2× st 5.4×
737
Uterine and adnexa procedures for ovarian or adnexal malignancy with cc
14
$116,450
$40,212
2.9× st 5.9×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
14
$116,146
$36,951
3.1× st 6.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$53,604
$12,732
4.2× st 7.6×
300
Peripheral vascular disorders with cc
14
$48,193
$19,130
2.5× st 6.3×
253
Other vascular procedures with cc
14
$119,482
$44,754
2.7× st 6.7×
054
Nervous system neoplasms with mcc
14
$153,672
$30,388
5.1× st 7.6×
840
Lymphoma and non-acute leukemia with mcc
13
$382,651
$92,995
4.1× st 6.0×
242
Permanent cardiac pacemaker implant with mcc
13
$249,493
$77,166
3.2× st 6.5×
292
Heart failure and shock with cc
13
$67,027
$17,935
3.7× st 5.8×
326
Stomach, esophageal and duodenal procedures with mcc
13
$304,495
$94,542
3.2× st 6.1×
273
Percutaneous and other intracardiac procedures with mcc
13
$347,610
$82,639
4.2× st 6.5×
331
Major small and large bowel procedures without cc/mcc
13
$103,274
$26,260
3.9× st 6.6×
536
Fractures of hip and pelvis without mcc
13
$31,206
$10,812
2.9× st 7.0×
125
Other disorders of the eye without mcc
13
$71,041
$19,548
3.6× st 3.6×
271
Other major cardiovascular procedures with cc
13
$139,334
$57,463
2.4× st 5.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
13
$86,784
$26,481
3.3× st 7.2×
433
Cirrhosis and alcoholic hepatitis with cc
12
$88,668
$24,460
3.6× st 5.5×
917
Poisoning and toxic effects of drugs with mcc
12
$85,570
$29,175
2.9× st 6.2×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$108,495
$26,303
4.1× st 7.1×
862
Postoperative and post-traumatic infections with mcc
12
$107,869
$38,112
2.8× st 5.9×
659
Kidney and ureter procedures for non-neoplasm with mcc
12
$312,673
$88,086
3.6× st 6.4×
029
Spinal procedures with cc or spinal neurostimulators
12
$284,905
$70,783
4.0× st 6.4×
086
Traumatic stupor and coma <1 hour with cc
12
$99,987
$25,566
3.9× st 7.9×
444
Disorders of the biliary tract with mcc
12
$127,867
$34,719
3.7× st 7.0×
269
Aortic and heart assist procedures except pulsation balloon without mcc
11
$174,878
$67,396
2.6× st 5.5×
811
Red blood cell disorders with mcc
11
$155,247
$36,134
4.3× st 6.4×
907
Other o.r. procedures for injuries with mcc
11
$206,865
$71,107
2.9× st 6.0×
834
Acute leukemia with mcc
11
$411,465
$129,376
3.2× st 5.1×
480
Hip and femur procedures except major joint with mcc
11
$209,431
$59,550
3.5× st 6.8×
603
Cellulitis without mcc
11
$48,085
$16,339
2.9× st 5.9×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
11
$348,823
$91,964
3.8× st 5.8×
103
Headaches without mcc
11
$61,917
$18,866
3.3× st 7.0×
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
5491
Level 1 Intraocular Procedures
1,990
$10,567
$2,844
3.7×
8011
Comprehensive Observation Services
780
$28,515
$3,352
8.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
518
$11,777
$1,984
5.9×
5302
Level 2 Upper GI Procedures
512
$11,601
$2,297
5.1×
5492
Level 2 Intraocular Procedures
473
$20,210
$4,957
4.1×
5191
Level 1 Endovascular Procedures
302
$26,306
$3,934
6.7×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
289
$13,659
$2,849
4.8×
5213
Level 3 Electrophysiologic Procedures
262
$92,584
$29,114
3.2×
5375
Level 5 Urology and Related Services
235
$36,780
$6,362
5.8×
5165
Level 5 ENT Procedures
222
$33,132
$7,057
4.7×
5193
Level 3 Endovascular Procedures
218
$67,168
$13,503
5.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
214
$21,811
$3,464
6.3×
5376
Level 6 Urology and Related Services
209
$52,688
$11,266
4.7×
5361
Level 1 Laparoscopy and Related Services
203
$33,278
$7,023
4.7×
5183
Level 3 Vascular Procedures
200
$25,857
$3,863
6.7×
5313
Level 3 Lower GI Procedures
168
$12,604
$3,419
3.7×
5362
Level 2 Laparoscopy and Related Services
161
$71,524
$12,439
5.8×
5154
Level 4 Airway Endoscopy
160
$19,465
$4,398
4.4×
5373
Level 3 Urology and Related Services
156
$15,670
$2,479
6.3×
5374
Level 4 Urology and Related Services
153
$21,876
$4,286
5.1×
5184
Level 4 Vascular Procedures
147
$50,029
$6,031
8.3×
5493
Level 3 Intraocular Procedures
127
$24,804
$6,426
3.9×
5114
Level 4 Musculoskeletal Procedures
104
$38,580
$8,792
4.4×
5223
Level 3 Pacemaker and Similar Procedures
96
$51,060
$12,988
3.9×
5192
Level 2 Endovascular Procedures
87
$36,514
$7,027
5.2×
5113
Level 3 Musculoskeletal Procedures
85
$22,796
$3,868
5.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
84
$36,377
$7,959
4.6×
5155
Level 5 Airway Endoscopy
75
$39,729
$8,413
4.7×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
74
$27,463
$4,686
5.9×
5303
Level 3 Upper GI Procedures
68
$18,978
$4,708
4.0×
5112
Level 2 Musculoskeletal Procedures
63
$11,064
$1,951
5.7×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
62
$18,732
$4,692
4.0×
5331
Complex GI Procedures
61
$21,924
$6,915
3.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
55
$24,651
$4,192
5.9×
5465
Level 5 Neurostimulator and Related Procedures
49
$111,504
$38,054
2.9×
5431
Level 1 Nerve Procedures
49
$14,187
$2,297
6.2×
5414
Level 4 Gynecologic Procedures
48
$20,244
$3,844
5.3×
5416
Level 6 Gynecologic Procedures
46
$47,909
$9,285
5.2×
5194
Level 4 Endovascular Procedures
45
$89,634
$21,503
4.2×
5164
Level 4 ENT Procedures
39
$26,672
$3,958
6.7×
5627
Level 7 Radiation Therapy
39
$42,631
$9,568
4.5×
5153
Level 3 Airway Endoscopy
33
$16,685
$2,087
8.0×
5415
Level 5 Gynecologic Procedures
32
$32,120
$6,115
5.3×
5222
Level 2 Pacemaker and Similar Procedures
28
$41,004
$10,435
3.9×
5464
Level 4 Neurostimulator and Related Procedures
26
$95,117
$25,851
3.7×
5232
Level 2 ICD and Similar Procedures
26
$106,779
$40,316
2.6×
5182
Level 2 Vascular Procedures
24
$25,458
$1,904
13.4×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
24
$44,043
$11,575
3.8×
5378
Level 8 Urology and Related Services
23
$86,672
$24,732
3.5×
5372
Level 2 Urology and Related Services
23
$12,649
$840
15.1×
5166
Cochlear Implant Procedure
21
$129,809
$41,094
3.2×
5115
Level 5 Musculoskeletal Procedures
16
$80,837
$16,148
5.0×
5224
Level 4 Pacemaker and Similar Procedures
14
$74,095
$23,891
3.1×
5461
Level 1 Neurostimulator and Related Procedures
14
$21,862
$3,945
5.5×
5231
Level 1 ICD and Similar Procedures
13
$73,936
$28,895
2.6×
5432
Level 2 Nerve Procedures
12
$39,132
$7,670
5.1×
5462
Level 2 Neurostimulator and Related Procedures
11
$35,247
$7,845
4.5×
5496
Level 6 Intraocular Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5494
Level 4 Intraocular Procedures
—
—
—
—
5244
Level 4 Blood Product Exchange and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5495
Level 5 Intraocular Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via uclahealth.org/cms-hpt.txt, the file itself ↗ read as json, last updated 2026-03-29, template 3.0.0, 20,203 rows scanned, 11,287 distinct code–setting items kept. 51 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$792
21
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$554
20
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$554
20
clean
ONCO PRST8 3 GENE UR ALG
—
—
$836
20
clean
ANES PX SALIVARY GLAND W/BX
—
—
$63
1
clean
ANES PX PLSTC RPR CLEFT LIP
—
—
$76
1
clean
ANES RCNSTV PX EYELID
—
—
$63
1
clean
ANES ELECTROCONVULSIVE THER
—
—
$51
1
clean
ANES PX EAR W/BX NOS
—
—
$63
1
clean
ANES PX EAR OTOSCOPY
—
—
$51
1
clean
ANES PX EAR TYMPANOTOMY
—
—
$51
1
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$836
20
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$836
20
clean
ANES PROCEDURES ON EYE NOS
—
—
$63
1
clean
ANES PX ON EYE LENS SURGERY
—
—
$76
1
clean
ANES PX EYE CORNEAL TRNSPL
—
—
$76
1
clean
ANES PX EYE VITREORTNL SURG
—
—
$76
1
clean
ANES PX ON EYE IRIDECTOMY
—
—
$51
1
clean
ANES PX EYE OPHTHALMOSCOPY
—
—
$51
1
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,436
20
clean
ANES PX NOSE&SINUS NOS
—
—
$63
1
clean
ANES PX NOSE&SINUS RAD SURG
—
—
$89
1
clean
ANES PX NOSE&SINS BX SFT TIS
—
—
$51
1
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,839
20
clean
ANES INTRAORAL PX NOS
—
—
$63
1
clean
ANES NTRORAL PX RPR CLFT PAL
—
—
$76
1
clean
ANES NTRORL EXC RTRPHRNG TUM
—
—
$76
1
clean
ANES INTRAORAL PX RAD SURG
—
—
$89
1
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,302
21
clean
ANES PX FACIAL B1/SKULL NOS
—
—
$63
1
clean
ANES PX FCL B1/SKL RAD SURG
—
—
$89
1
clean
ANES INTRACRANIAL PX NOS
—
—
$139
1
clean
ANES ICR PX SUBDURAL TAPS
—
—
$63
1
clean
ANES ICR PX BURR HOLES
—
—
$114
1
clean
ANES ICR PX CRNOP/ELVTN FX
—
—
$114
1
clean
ANES ICR PX VASCULAR PX
—
—
$190
1
clean
ANES ICR PX IN SITTING POS
—
—
$164
1
clean
ANES ICR PX CSF SHUNTING PX
—
—
$127
1
clean
ANES ICR PX ECOAG ICR NRV
—
—
$76
1
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$273
21
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$38
20
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,960
21
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$134
21
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$817
20
clean
ANES ALL PX INTEG H/N/PTRUNK
—
—
$63
1
clean
ANES ALL PX NECK NOS 1YR/>
—
—
$76
1
clean
ANES ALL PX NCK NDL BX THYR
—
—
$38
1
clean
TPMT NUDT15 GENES
—
—
$513
21
clean
ANES PX MAJOR VSL NECK NOS
—
—
$127
1
clean
ANES PX MAJ VSL NCK SMPL LIG
—
—
$63
1
clean
NEURO CSF PRION PRTN QUAL
—
—
$595
21
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,850
21
clean
ANES INTEGUMENTARY SYS NOS
—
—
$38
1
clean
ANES INTEG SYS RCNSTV BREAST
—
—
$63
1
clean
ANES INTEG SYS RAD/MODF BRST
—
—
$63
1
clean
ANES INTEG SYS RAD BRST DSJ
—
—
$164
1
clean
ANES INTEG SYS CONV ARRHYT
—
—
$51
1
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$19
21
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$19
21
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$16
21
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$16
21
clean
ANES PX CLAV&SCAPULA NOS
—
—
$63
1
clean
ANES PX CLAV&SCAPULA BX CLAV
—
—
$38
1
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$4,260
20
clean
ANES PARTIAL RIB RESCJ NOS
—
—
$76
1
clean
ANES PRTL RIB RESCJ THORACOP
—
—
$127
1
clean
ANES PRTL RIB RESCJ RAD PX
—
—
$164
1
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$4,260
21
clean
ANES ALL PX ON ESOPHAGUS
—
—
$190
1
clean
ANES CLOSED CHEST PX NOS
—
—
$76
1
clean
ANES CLSD CH PX NDL BX PLEUR
—
—
$51
1
clean
ANES CLSD CH PX PNEUMOCENTS
—
—
$51
1
clean
ANES CLSD CH MEDIAST&THRC WO
—
—
$101
1
clean
ANES CLSD CH MEDIAST&THRC W/
—
—
$139
1
clean
ANES PERM TRANSVNS PM INSJ
—
—
$51
1
clean
ANES ACCESS CTR VENOUS CRCJ
—
—
$51
1
clean
ANES INSERTION/RPLCMT CVDFB
—
—
$89
1
clean
ANES CARDIAC EP PROCEDURES
—
—
$89
1
clean
ANES TRACHEOBRONCHIAL RCNSTJ
—
—
$228
1
clean
ANES THORACOTOMY PX NOS
—
—
$164
1
clean
ANES THRCM PX 1 LUNG VNTJ
—
—
$190
1
clean
ANES THRCM PX DECORTICATION
—
—
$190
1
clean
ANES THRCM PX PULM RESCJ
—
—
$190
1
clean
ANES THRCM PX TRACH&BRONCHI
—
—
$190
1
clean
ANES FOR STERNAL DEBRIDEMENT
—
—
$127
1
clean
ANES PX HEART W/O PUMP OXTJ
—
—
$190
1
clean
ANES PX HRT W/PUMP AGE 1YR+
—
—
$253
1
clean
ANES PX HEART W/PMP CRC ARST
—
—
$316
1
clean
ANES DIRECT CABG W/O PUMP
—
—
$316
1
clean
ANES HEART/LUNG TRANSPLANT
—
—
$253
1
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$355
21
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$355
21
clean
ANES PX CRV SPINE&CORD NOS
—
—
$127
1
clean
ANES PX CRV SPN&CORD SITTING
—
—
$164
1
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$28
20
clean
ANES PX THRC SPINE&CORD NOS
—
—
$127
1
clean
ANES THRC SPINE WO 1LNG VENT
—
—
$164
1
clean
ANES THRC SPINE W/1 LNG VENT
—
—
$190
1
clean
ANES PX LUMBAR REGION NOS
—
—
$101
1
clean
ANES PX LUMBAR SYMPATHECTOMY
—
—
$89
1
clean
ANES DX/THER LUMBAR PNXR
—
—
$51
1
clean
ANES SPINE MANIPULATION
—
—
$38
1
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$34
21
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$20
21
clean
ANES XTNSV SP&SPI CORD PX
—
—
$164
1
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$157
21
clean
ANES PX UPR ANT ABD WALL NOS
—
—
$38
1
clean
ANES UPR ANT ABD WALL LVR BX
—
—
$51
1
clean
ANES PX UPPER PST ABDL WALL
—
—
$63
1
clean
ANES UPR GI NDSC PX NOS
—
—
$70
1
clean
ANES UPR GI NDSC PX ERCP
—
—
$84
1
clean
ANES HRNA RPR UPR ABD NOS
—
—
$51
1
clean
ANES HRNA RPR LMBR&VNT&/DEHS
—
—
$76
1
clean
ANES HRNA RPR OMPHALOCELE
—
—
$89
1
clean
ANES HRNA RPR DIPHRG HRNA
—
—
$89
1
clean
ANES PX MAJ ABD BLOOD VESSEL
—
—
$190
1
clean
IG PARAPROTEIN QUAL BLD/UR
—
—
$48
21
clean
ANES IPER UPR ABD NOS
—
—
$89
1
clean
ANES IPER UPR ABD PRTL HPTC
—
—
$164
1
clean
ANES IPER UPR ABD PNCRTECT
—
—
$101
1
clean
ANES IPER UPR ABD LVR TRNSPL
—
—
$380
1
clean
ANES IPER UPR ABD GSTR PX MO
—
—
$101
1
clean
ANES PX LWR ANT ABDL WAL NOS
—
—
$38
1
clean
ANES PX LWR ABDL WAL PANNIC
—
—
$63
1
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,872
20
clean
ANES LWR INTST NDSC NOS
—
—
$56
1
clean
ANES LWR INTST SCR COLSC
—
—
$42
1
clean
ANES UPR LWR GI NDSC PX
—
—
$70
1
clean
ANES PX LWR POST ABDL WALL
—
—
$63
1
clean
ANES HERNIA RPR LWR ABD NOS
—
—
$51
1
clean
ANES HERNIA REPAIR VNT&INCAL
—
—
$76
1
clean
ANES HRNA RPR<37WK BRTH<50
—
—
$76
1
clean
ANES IPER PX LOWER ABD NOS
—
—
$76
1
clean
ANES IPER PX ABDMNPRNL RESCJ
—
—
$89
1
clean
ANES IPER PX RAD HYSTRECTOMY
—
—
$101
1
clean
ANES IPER PX PEL EXENTRATION
—
—
$101
1
clean
ANES IPER PX TUBAL LIGATION
—
—
$76
1
clean
ANES XTRPRTL PX LWR ABD NOS
—
—
$76
1
clean
ANES XTRPRTL LWR ABD RNL PX
—
—
$89
1
clean
ANES XTRPRT LWR ABD TOT CSTC
—
—
$101
1
clean
ANES XTRPRT LWR ABD PRST8ECT
—
—
$89
1
clean
ANES XTRPRT LW ABD ADRNLCTMY
—
—
$127
1
clean
ANES XTRPRTL PX RNL TRANSPL
—
—
$127
1
clean
ANES XTRPRTL CYSTOLITHOTOMY
—
—
$63
1
clean
ANES LITHOTRP ESW WATER BATH
—
—
$89
1
clean
ANES LITHOTRP ESW WO WTR BTH
—
—
$89
1
clean
ANES MAJ LWR ABD VESSEL NOS
—
—
$190
1
clean
ANES MAJ LWR ADB VSL IVC LIG
—
—
$127
1
clean
ONC MLNMA PRAME & LINC00518
—
—
$836
20
clean
ANES ANORECTAL PX
—
—
$51
1
clean
ANES RADICAL PERINEAL PX
—
—
$89
1
clean
ANES VULVECTOMY
—
—
$51
1
clean
ANES PERINEAL PROSTATECTOMY
—
—
$76
1
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$2,145
20
clean
ANES TRANSURETHRAL PX NOS
—
—
$38
1
clean
ANES TRURL PX RESCJ BLDR TUM
—
—
$63
1
clean
ANES TRURL PX RESCJ PRST8
—
—
$63
1
clean
ANES TRURL PX RESCJ BLEEDING
—
—
$63
1
clean
ANES TRURL PX URTRL CAL RMVL
—
—
$63
1
clean
ANES PX MALE GENITALIA NOS
—
—
$38
1
clean
ANES PX MALE GENITALIA VASEC
—
—
$38
1
clean
ANES PX MALE GENT SEM VES
—
—
$76
1
clean
ANES MALE GENT UNDSCND TSTIS
—
—
$51
1
clean
ANES MALE GENT RAD ORCH ING
—
—
$51
1
clean
ANES MALE GENT RAD ORCH ABD
—
—
$76
1
clean
ANES PX MALE GENT ORCHIOPEXY
—
—
$51
1
clean
ANES MALE GENT COMPL AMP PNS
—
—
$51
1
clean
ANES RAD AMP PENIS INGUN LYM
—
—
$76
1
clean
ANES INSJ PENILE PROSTHESIS
—
—
$51
1
clean
ANES VAGINAL PX NOS
—
—
$38
1
clean
ANES VAG PX CLPTMY VGNC CLPR
—
—
$51
1
clean
ANES VAG PX VAG HYSTERECTOMY
—
—
$76
1
clean
ANES VAG PX CRV CERCLAGE
—
—
$62
1
clean
ANES VAG PX HYSTSC&/HSG
—
—
$51
1
clean
ESW MUSCSKEL SYS NOS
—
—
$335
21
clean
HERED COLON CA DO 15 GENES
—
—
$1,918
20
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$1,045
20
clean
TOUCH QUANT SENSORY TEST
—
—
$55
21
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$962
20
clean
VIBRATE QUANT SENSORY TEST
—
—
$55
21
clean
COOL QUANT SENSORY TEST
—
—
$83
21
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$5,445
20
clean
HEAT QUANT SENSORY TEST
—
—
$55
21
clean
ANES BONE MARROW ASPIR&/BX
—
—
$63
1
clean
ANES PX ON BONY PELVIS
—
—
$76
1
clean
IADI 16S&18S RRNA GENES
—
—
$392
20
clean
ANES BODY CAST APPL/REVJ
—
—
$38
1
clean
ANES NTRPLVABDMNL AMPUTATION
—
—
$190
1
clean
ANES RAD PX TUMOR OF PELVIS
—
—
$101
1
clean
ANES CLSD PX SYMPH PUB/SI JT
—
—
$51
1
clean
ANES OPN PX SYMPH PUB/SI JT
—
—
$101
1
clean
ANES OPN RPR FX DISRPJ PLVS
—
—
$152
1
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$3,029
20
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$92
20
clean
ANES ALL CLOSED PX HIP JOINT
—
—
$51
1
clean
ANES ARTHROSCOPIC PX HIP JT
—
—
$51
1
clean
ANES OPEN PX HIP JOINT NOS
—
—
$76
1
clean
ANES OPEN PX HIP JT DISRTCJ
—
—
$127
1
clean
ANES OPEN PX TOT HIP ARTHRP
—
—
$127
1
clean
ANES OPN REVJ TOT HIP ARTHRP
—
—
$127
1
clean

Showing the first 200 of 11,287 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 90611/o
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $275
CPT J0665/o
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $4
CPT J3425/o
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $4
warn
mrf_rate_without_estimate
10,522 of 10,522 percentage/algorithm rates across 765 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 067/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 068/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 070/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 071/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 072/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 233/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 234/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 266/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 267/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 273/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 274/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 398/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 461/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 462/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 469/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 470/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 483/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 510/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 511/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 512/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 562/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 563/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 640/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 641/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 642/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 650/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 739/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 740/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 741/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 834/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 835/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 836/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 894/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 895/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 896/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 897/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 001/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 005/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 007/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 008/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 010/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 011/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 012/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 013/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 014/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 016/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 018/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item

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. found via cms-hpt.txt · json · 500.0M bytes · fetched 2026-08-21 · sha256 97215d1ec3a3…

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.