Hospital · CCN 050481

Ucla West Valley Medical Center

7300 Medical Center Dr, West Hills, CA 91307 · Los Angeles County
Part of HCA Healthcare · 214 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

69 admission types 40 outpatient services price file: ok 63 Medicare-file findings
Billed per dollar paid, all admissions
14.36×
$498.1M billed against $34.7M paid across 2,078 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
288
$297,149
$19,519
15.2× st 6.2×
291
Heart failure and shock with mcc
103
$184,028
$12,439
14.8× st 6.5×
177
Respiratory infections and inflammations with mcc
100
$228,459
$16,076
14.2× st 6.6×
193
Simple pneumonia and pleurisy with mcc
82
$210,315
$13,133
16.0× st 6.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
55
$292,338
$20,759
14.1× st 6.4×
689
Kidney and urinary tract infections with mcc
53
$167,864
$12,452
13.5× st 6.3×
280
Acute myocardial infarction, discharged alive with mcc
52
$221,281
$15,630
14.2× st 6.6×
682
Renal failure with mcc
51
$166,696
$13,928
12.0× st 6.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
49
$112,720
$8,026
14.0× st 6.8×
683
Renal failure with cc
48
$131,761
$9,271
14.2× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
48
$612,524
$46,694
13.1× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
42
$198,521
$13,074
15.2× st 5.7×
312
Syncope and collapse
42
$112,843
$8,655
13.0× st 7.2×
690
Kidney and urinary tract infections without mcc
41
$111,202
$8,006
13.9× st 6.6×
698
Other kidney and urinary tract diagnoses with mcc
40
$205,365
$15,492
13.3× st 6.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
39
$179,781
$11,005
16.3× st 6.1×
274
Percutaneous and other intracardiac procedures without mcc
37
$550,038
$31,524
17.4× st 5.6×
189
Pulmonary edema and respiratory failure
37
$194,318
$12,117
16.0× st 6.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
36
$290,750
$18,907
15.4× st 7.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
35
$325,370
$22,095
14.7× st 7.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
28
$99,764
$7,574
13.2× st 6.3×
378
Gastrointestinal hemorrhage with cc
26
$163,691
$13,772
11.9× st 6.8×
377
Gastrointestinal hemorrhage with mcc
25
$304,423
$22,061
13.8× st 6.4×
309
Cardiac arrhythmia and conduction disorders with cc
24
$94,861
$7,498
12.7× st 7.2×
481
Hip and femur procedures except major joint with cc
24
$297,665
$19,872
15.0× st 6.7×
313
Chest pain
23
$104,294
$7,038
14.8× st 7.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
23
$407,791
$26,347
15.5× st 7.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
23
$220,163
$14,870
14.8× st 7.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$333,757
$22,580
14.8× st 6.9×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
21
$516,143
$30,542
16.9× st 7.4×
305
Hypertension without mcc
20
$98,986
$7,590
13.0× st 7.3×
870
Septicemia or severe sepsis with mv >96 hours
20
$972,533
$65,513
14.8× st 6.2×
552
Medical back problems without mcc
20
$122,267
$9,560
12.8× st 7.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
19
$81,345
$6,122
13.3× st 7.6×
603
Cellulitis without mcc
19
$109,429
$9,145
12.0× st 5.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
19
$175,930
$13,171
13.4× st 6.5×
394
Other digestive system diagnoses with cc
19
$114,842
$9,359
12.3× st 6.9×
329
Major small and large bowel procedures with mcc
18
$973,760
$60,359
16.1× st 6.5×
202
Bronchitis and asthma with cc/mcc
18
$147,016
$9,542
15.4× st 7.4×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
17
$101,087
$8,945
11.3× st 6.9×
190
Chronic obstructive pulmonary disease with mcc
17
$202,535
$11,276
18.0× st 7.1×
308
Cardiac arrhythmia and conduction disorders with mcc
16
$157,729
$11,852
13.3× st 6.9×
194
Simple pneumonia and pleurisy with cc
15
$140,853
$8,683
16.2× st 7.5×
393
Other digestive system diagnoses with mcc
15
$207,041
$15,907
13.0× st 5.8×
884
Organic disturbances and intellectual disability
15
$111,539
$16,982
6.6× st 5.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
15
$253,317
$21,069
12.0× st 6.6×
811
Red blood cell disorders with mcc
14
$194,874
$12,935
15.1× st 6.4×
812
Red blood cell disorders without mcc
14
$103,160
$11,137
9.3× st 6.4×
432
Cirrhosis and alcoholic hepatitis with mcc
14
$346,643
$18,769
18.5× st 5.6×
813
Coagulation disorders
13
$146,462
$15,263
9.6× st 5.8×
468
Revision of hip or knee replacement without cc/mcc
13
$367,084
$25,890
14.2× st 5.8×
390
Gastrointestinal obstruction without cc/mcc
13
$103,526
$5,740
18.0× st 7.0×
100
Seizures with mcc
13
$172,222
$18,568
9.3× st 6.2×
389
Gastrointestinal obstruction with cc
13
$109,937
$14,722
7.5× st 6.9×
643
Endocrine disorders with mcc
12
$156,939
$14,473
10.8× st 6.5×
699
Other kidney and urinary tract diagnoses with cc
12
$143,204
$10,024
14.3× st 6.1×
069
Transient ischemia without thrombolytic
12
$138,015
$8,060
17.1× st 9.5×
948
Signs and symptoms without mcc
12
$89,734
$7,981
11.2× st 7.3×
467
Revision of hip or knee replacement with cc
12
$391,599
$32,416
12.1× st 6.1×
205
Other respiratory system diagnoses with mcc
12
$159,776
$15,549
10.3× st 6.2×
917
Poisoning and toxic effects of drugs with mcc
12
$227,646
$15,097
15.1× st 6.2×
092
Other disorders of nervous system with cc
12
$146,345
$10,235
14.3× st 6.8×
314
Other circulatory system diagnoses with mcc
11
$256,383
$19,317
13.3× st 6.1×
281
Acute myocardial infarction, discharged alive with cc
11
$169,443
$8,870
19.1× st 7.8×
057
Degenerative nervous system disorders without mcc
11
$126,211
$13,303
9.5× st 5.7×
101
Seizures without mcc
11
$114,514
$8,870
12.9× st 6.8×
196
Interstitial lung disease with mcc
11
$237,165
$17,271
13.7× st 7.0×
480
Hip and femur procedures except major joint with mcc
11
$422,382
$28,669
14.7× st 6.8×
602
Cellulitis with mcc
11
$171,567
$14,135
12.1× st 5.7×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
258
$71,704
$3,355
21.4×
5213
Level 3 Electrophysiologic Procedures
118
$589,604
$29,114
20.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
92
$33,855
$1,979
17.1×
5191
Level 1 Endovascular Procedures
78
$109,354
$4,013
27.3×
5361
Level 1 Laparoscopy and Related Services
71
$135,692
$6,935
19.6×
5115
Level 5 Musculoskeletal Procedures
54
$237,712
$16,148
14.7×
5193
Level 3 Endovascular Procedures
45
$204,415
$13,239
15.4×
5302
Level 2 Upper GI Procedures
28
$57,895
$2,339
24.7×
5183
Level 3 Vascular Procedures
24
$51,007
$3,919
13.0×
5375
Level 5 Urology and Related Services
23
$102,098
$6,362
16.0×
5194
Level 4 Endovascular Procedures
20
$358,299
$21,503
16.7×
5112
Level 2 Musculoskeletal Procedures
19
$19,534
$1,893
10.3×
5114
Level 4 Musculoskeletal Procedures
18
$201,725
$8,793
22.9×
5116
Level 6 Musculoskeletal Procedures
15
$301,746
$22,851
13.2×
5374
Level 4 Urology and Related Services
15
$77,343
$4,286
18.0×
5223
Level 3 Pacemaker and Similar Procedures
15
$176,696
$13,108
13.5×
5153
Level 3 Airway Endoscopy
13
$49,239
$2,087
23.6×
5492
Level 2 Intraocular Procedures
13
$100,315
$4,999
20.1×
5232
Level 2 ICD and Similar Procedures
12
$371,622
$40,316
9.2×
5192
Level 2 Endovascular Procedures
12
$180,711
$6,734
26.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
12
$138,348
$4,254
32.5×
5414
Level 4 Gynecologic Procedures
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related 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 2026-03-29, template 3.0.0, 15,663 rows scanned, 12,194 distinct code–setting items kept. 2 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$720
11
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$503
10
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$503
10
clean
ONCO PRST8 3 GENE UR ALG
—
—
$760
10
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
—
—
$760
10
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$760
10
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
—
—
$1,305
10
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
—
—
$3,490
10
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
—
—
$3,002
11
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
—
—
$249
11
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$34
10
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,600
11
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$122
11
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$742
10
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
—
—
$466
11
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
—
—
$541
11
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,500
11
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
—
—
$17
11
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$17
11
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
11
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
11
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
—
—
$3,873
10
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
—
—
$3,873
11
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
—
—
$323
11
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$323
11
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
—
—
$25
10
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
—
—
$31
11
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$18
11
clean
ANES XTNSV SP&SPI CORD PX
—
—
$164
1
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$143
11
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
—
—
$43
11
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
—
—
$3,520
10
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
—
—
$760
10
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
—
—
$1,950
10
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
—
—
$317
15
clean
HERED COLON CA DO 15 GENES
—
—
$1,744
10
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$950
10
clean
TOUCH QUANT SENSORY TEST
—
—
$50
15
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$874
10
clean
VIBRATE QUANT SENSORY TEST
—
—
$50
15
clean
COOL QUANT SENSORY TEST
—
—
$76
15
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$4,950
10
clean
HEAT QUANT SENSORY TEST
—
—
$50
15
clean
ANES BONE MARROW ASPIR&/BX
—
—
$63
1
clean
ANES PX ON BONY PELVIS
—
—
$76
1
clean
IADI 16S&18S RRNA GENES
—
—
$356
10
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
—
—
$2,753
10
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$84
10
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 12,194 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
warn
mrf_rate_without_estimate
2,366 of 2,366 percentage/algorithm rates across 765 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 064
info
inp_charge_10x_payment
average charge $290,750 is 15.4× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $220,163 is 14.8× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $138,015 is 17.1× the total payment
MS-DRG 092
info
inp_charge_10x_payment
average charge $146,345 is 14.3× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $114,514 is 12.9× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $228,459 is 14.2× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $194,318 is 16.0× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $202,535 is 18.0× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $210,315 is 16.0× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $140,853 is 16.2× the total payment
MS-DRG 196
info
inp_charge_10x_payment
average charge $237,165 is 13.7× the total payment
MS-DRG 202
info
inp_charge_10x_payment
average charge $147,016 is 15.4× the total payment
MS-DRG 205
info
inp_charge_10x_payment
average charge $159,776 is 10.3× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $407,791 is 15.5× the total payment
MS-DRG 274
info
inp_charge_10x_payment
average charge $550,038 is 17.4× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $221,281 is 14.2× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $169,443 is 19.1× the total payment
MS-DRG 286
info
inp_charge_10x_payment
average charge $253,317 is 12.0× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $184,028 is 14.8× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $98,986 is 13.0× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $157,729 is 13.3× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $94,861 is 12.7× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $81,345 is 13.3× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $112,843 is 13.0× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $104,294 is 14.8× the total payment
MS-DRG 314
info
inp_charge_10x_payment
average charge $256,383 is 13.3× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $516,143 is 16.9× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $325,370 is 14.7× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $973,760 is 16.1× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $304,423 is 13.8× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $163,691 is 11.9× the total payment
MS-DRG 390
info
inp_charge_10x_payment
average charge $103,526 is 18.0× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $175,930 is 13.4× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $112,720 is 14.0× the total payment
MS-DRG 393
info
inp_charge_10x_payment
average charge $207,041 is 13.0× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $114,842 is 12.3× the total payment
MS-DRG 432
info
inp_charge_10x_payment
average charge $346,643 is 18.5× the total payment
MS-DRG 467
info
inp_charge_10x_payment
average charge $391,599 is 12.1× the total payment
MS-DRG 468
info
inp_charge_10x_payment
average charge $367,084 is 14.2× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $292,338 is 14.1× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $422,382 is 14.7× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $297,665 is 15.0× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $333,757 is 14.8× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $122,267 is 12.8× the total payment
MS-DRG 563
info
inp_charge_10x_payment
average charge $101,087 is 11.3× the total payment
MS-DRG 602
info
inp_charge_10x_payment
average charge $171,567 is 12.1× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $109,429 is 12.0× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $198,521 is 15.2× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $99,764 is 13.2× the total payment
MS-DRG 643
info
inp_charge_10x_payment
average charge $156,938 is 10.8× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $166,696 is 12.0× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $131,761 is 14.2× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $167,864 is 13.5× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $111,202 is 13.9× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $205,365 is 13.3× the total payment
MS-DRG 699
info
inp_charge_10x_payment
average charge $143,204 is 14.3× the total payment
MS-DRG 811
info
inp_charge_10x_payment
average charge $194,874 is 15.1× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $612,524 is 13.1× the total payment
MS-DRG 870
info
inp_charge_10x_payment
average charge $972,533 is 14.8× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $297,149 is 15.2× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $179,781 is 16.3× the total payment
MS-DRG 917
info
inp_charge_10x_payment
average charge $227,646 is 15.1× the total payment
MS-DRG 948
info
inp_charge_10x_payment
average charge $89,734 is 11.2× 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 · 115.9M bytes · fetched 2026-08-23 · sha256 4aef37d2c414…

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.