Hospital · CCN 050758

Montclair Hospital Medical Center

5000 San Bernardino St, Montclair, CA 91763 · San Bernardino County
Part of Prime Healthcare Services · 106 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

14 admission types 9 outpatient services price file: ok
Billed per dollar paid, all admissions
3.72×
$28.1M billed against $7.6M paid across 406 Medicare discharges; the national figure is 5.03×.
—
of adults in San Bernardino County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
8.7%
uninsured in the county · state 7.5%
$85K
median household income
5.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (15 in the inpatient or outpatient file)ⓘ
33.3%
obesity in the countyⓘ
12.1%
diagnosed diabetes (PLACES)
5.6%
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
129
$80,061
$20,327
3.9× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
60
$36,493
$14,241
2.6× st 5.7×
177
Respiratory infections and inflammations with mcc
31
$62,209
$16,900
3.7× st 6.6×
689
Kidney and urinary tract infections with mcc
24
$34,331
$12,241
2.8× st 6.3×
870
Septicemia or severe sepsis with mv >96 hours
22
$316,486
$66,756
4.7× st 6.2×
682
Renal failure with mcc
21
$43,989
$15,802
2.8× st 6.1×
690
Kidney and urinary tract infections without mcc
17
$34,308
$9,126
3.8× st 6.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$28,344
$8,923
3.2× st 6.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
15
$57,836
$11,383
5.1× st 6.1×
291
Heart failure and shock with mcc
15
$57,693
$14,049
4.1× st 6.5×
637
Diabetes with mcc
14
$45,338
$14,969
3.0× st 6.3×
206
Other respiratory system diagnoses without mcc
14
$24,080
$10,048
2.4× st 6.1×
193
Simple pneumonia and pleurisy with mcc
14
$40,588
$13,436
3.0× st 6.9×
070
Other cerebrovascular disorders with mcc
14
$46,762
$17,734
2.6× st 5.4×
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
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5415
Level 5 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, 3,607 rows scanned, 2,221 distinct code–setting items kept. 466 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Hc Nfct Ds Rna 4 Targets Upper Respiratory Specimen
$713
$142
$143
35
clean
Hc Fine Needle Aspiration Bx W/Us Gdn 1St Lesion
$3,708
$906
$906
41
clean
Hc Fine Needle Aspiration Bx W/Fluor Gdn 1St Lesion
$3,518
$906
$906
41
clean
Hc Fine Needle Asp Wo Img Guidance
$2,059
$520
$520
41
clean
Hc Image-Guided Catheter Fluid Collection Drainage
$6,782
$906
$906
41
clean
Hc Incision & Drain Skin Abscess Simple
$1,337
$256
$257
41
clean
Hc Incision & Drain Skin Abscess Complic
$2,231
$520
$520
41
clean
Hc Incision & Drain Pilonidal Cyst Simpl
$3,936
$906
$906
41
clean
Hc Incision & Drain Pilonidal Cyst Complicated
$3,825
$906
$906
41
clean
Hc Remove Foreign Body Simple
$2,059
$520
$520
41
clean
Hc Incision & Drain Of Hematoma/Fluid
$9,070
$2,113
$2,114
82
clean
Hc Puncture Drainage Of Lesion
$2,231
$520
$520
41
clean
Hc Debride Skin Sub-Q Tiss Muscle =<20 Sq Cm
$3,061
$945
$946
41
clean
Hc Trim Benign Hyperkeratotic Skin Lesion, Single
$903
$256
$257
41
clean
Hc Punch Biopsy Skin Ea Sep/Additional Lesion
$577
—
$55
7
clean
Hc Removal Of Skin Tags, Up To 15
$1,070
$256
$257
41
clean
Exc tr-ext b9+marg 2.1-3cm
$7,044
$906
$906
41
clean
Exc tr-ext b9+marg >4.0 cm
$7,007
$2,113
$2,114
82
clean
Hc Exc Skin Benig <0.5 Cm Scalp/Neck/Hnd/Ft/Gent
$5,442
$2,113
$2,114
41
clean
Hc Removal Of Nail Plate
$1,337
$256
$257
41
clean
Hc Removal Of Nail Plate, Simple, Ea Ad
$1,316
—
$21
7
clean
Hc Drain Blood From Under Nail
$672
$170
$170
41
clean
Hc Removal Of Nail Bed
$2,231
$520
$520
41
clean
Hc Reconstruc Of Nail Bed
$3,513
$945
$946
41
clean
Hc Excision Of Nail Fold (Wedge), Toe
$2,059
$520
$520
41
clean
Remove Pilonidal Cyst Simple
$20,789
$3,717
$3,718
41
clean
Remove Pilonidal Cyst Exten
$16,226
$3,717
$3,718
41
clean
Remove Pilonidal Cyst Compl
$12,634
$3,717
$3,718
41
clean
Hc Tattooing Incl Micropigmentation 6.1-20.0 Cm
$2,108
$945
$946
35
clean
Hc Repr Wnd Smp Body/Scalp/Extr <2.5 Cm
$1,471
$256
$257
41
clean
Hc Repr Wnd Smp Body/Scalp/Extr 2.6-7.5 Cm
$1,337
$256
$257
41
clean
Hc Repr Wnd Smp Body/Scalp/Extr 7.6-12.5 Cm
$1,337
$256
$257
41
clean
Hc Repr Wnd Smp Body/Scalp/Extr 12.6-20 Cm
$2,231
$520
$520
41
clean
Hc Repr Wnd Smp Body/Scalp/Extr 20.1-30 Cm
$2,059
$520
$520
41
clean
Hc Repr Wnd Smp Body/Scalp/Extr >30.1 Cm
$1,718
$256
$257
41
clean
Hc Repr Wnd Smp Face 2.6-5.0 Cm
$1,337
$256
$257
41
clean
Hc Repr Wnd Smp Face 5.1-7.5 Cm
$1,070
$256
$257
41
clean
Hc Repr Wnd Smp Face 7.6-12.5 Cm
$1,161
$256
$257
41
clean
Hc Repr Wnd Smp Face 12.6-20 Cm
$1,338
$520
$520
41
clean
Hc Repr Wnd Smp Face 20.1-30 Cm
$1,998
$520
$520
41
clean
Hc Treat Wnd Dehiscence, Simple Closure
$3,513
$945
$946
41
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr <2.5 Cm
$2,059
$520
$520
41
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 2.6-7.5 Cm
$2,059
$520
$520
41
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 7.6-12.5 Cm
$2,059
$520
$520
41
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 12.5-20 Cm
$2,059
$520
$520
41
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 20.1-30 Cm
$2,108
$945
$946
41
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent <2.5 Cm
$2,059
$520
$520
41
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 2.6-7.5 Cm
$2,059
$520
$520
41
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 7.6-12.5 Cm
$3,120
$945
$946
41
clean
Hc Repr Wnd Intrmd Face <2.5 Cm
$2,059
$520
$520
41
clean
Hc Repr Wnd Intrmd Face 2.6-5.0 Cm
$2,059
$520
$520
41
clean
Hc Repr Wnd Intrmd Face 5.1-7.5 Cm
$1,338
$520
$520
41
clean
Hc Repr Wnd Intrmd Face 7.6-12.5 Cm
$1,463
$520
$520
41
clean
Cmplx rpr trunk 2.6-7.5 cm
$3,500
$945
$946
82
clean
Hc Repr Wnd Cplx Scalp 2.6-7.5 Cm
$3,120
$520
$520
41
clean
Hc Repr Wnd Cplx Scalp Add 5.0 Cm
$884
—
$84
7
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent 2.6-7.5 Cm
$3,120
$520
$520
41
clean
Hc Adjacent Tissue Trns/Reargmt F/C/C/M/N/A/G/H/F 10Sqcm/&Lt
$6,121
$2,640
$2,641
41
clean
Skin sub graft trnkarmleg
$8,802
$945
$946
41
clean
Skin sub graft facenkhfg
$20,567
$945
$946
82
clean
Hc Treat Burn 1St Degree, Initial
$1,120
$256
$257
41
clean
Hc Dress/Debride Burn <5% Total Sm
$1,337
$256
$257
41
clean
Hc Chem Cautery Granulatn Tissue
$882
$256
$257
41
clean
Hc Bx Breast W Device Us Guide 1St Lesion
$7,498
$2,113
$2,114
41
clean
Removal Of Breast Lesion
$14,377
$5,011
$5,011
41
clean
Hc Perq Dev Place Breast Loc 1St Les W Mammo Guid
$6,000
$2,113
$2,114
41
clean
Hc Perq Device Placemt Breast Loc Ea Les W Guidnce
$2,621
—
$152
7
clean
Hc Perq Breast Loc Dev Place Strotact Guid 1St Les
$2,361
$906
$906
41
clean
Hc Perq Breast Loc Dev Place Us Guide 1St Lesion
$3,245
$906
$906
41
clean
Partial Mastectomy
$15,375
$5,011
$5,011
41
clean
Hc Deep Muscle Biopsy
$12,916
$3,717
$3,718
41
clean
Hc Needle Biopsy,Muscle
$7,498
$2,113
$2,114
41
clean
Hc Bone Biopsy,Trocar/Needle Deep
$5,442
$2,113
$2,114
41
clean
Bone biopsy open superficial
$3,141
$3,717
$3,141
41
clean
Hc Bone Biopsy,Excisional Deep
$14,127
$3,717
$3,718
41
clean
Hc Inject Trigger Point1-2 Muscle
$1,946
$392
$393
41
clean
Hc Inject Trigger Points, > 3
$1,657
$392
$393
41
clean
Hc Drain/Inject Small Joint/Bursa
$994
$392
$393
41
clean
Hc Drain/Inject Intermediate Joint/Bursa
$1,657
$392
$393
41
clean
Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us
$3,173
$903
$903
41
clean
Hc Asp/Drain Large Joint/Bursa
$1,946
$392
$393
41
clean
Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us
$1,558
$392
$393
41
clean
Hc Aspirat/Injection Ganglion Cyst(S)
$1,476
$392
$393
41
clean
REMOVAL OF IMPLANT DEEP
$8,333
$3,717
$3,718
41
clean
EXC FACE TUM DEEP 2 CM>
$10,507
$3,717
$3,718
82
clean
Hc Clsd Treat Temporomandibl Disloc
$1,228
$315
$316
41
clean
Exc Back Les Sc 3 Cm/>
$11,793
$2,113
$2,114
41
clean
EXC ABDL TUM DEEP < 5 CM
$10,507
$3,717
$3,718
82
clean
Exc Abd Les Sc 3 Cm/>
$12,729
$3,717
$3,718
41
clean
EXC SHOULDER TUM DEEP 5 CM>
$10,628
$3,717
$3,718
82
clean
Hc Clsd Treat Scapula Fx Wo Manip
$1,123
$315
$316
41
clean
Hc Clsd Treat Scapula Fx W Manip
$7,657
$2,058
$2,058
41
clean
Hc Clsd Treat Prox Humerus Fx W Manip
$5,394
$2,058
$2,058
41
clean
Hc Clsd Treat Shldr Disloc W Manip Wo Anes
$1,531
$315
$316
41
clean
Cltx Sho Dslc W/Mnpj W/Anes
$9,887
$2,058
$2,058
41
clean
Hc Clsd Treat Shldr Disloc,Gr Tub Fx, W Manip
$5,394
$2,058
$2,058
41
clean
Hc Clsd Treat Shldr Disloc,Prox Hum Fx W Manip
$5,394
$2,058
$2,058
41
clean
Hc Clsd Treat Mid Humerus Fx W Manip
$8,002
$2,058
$2,058
41
clean
Hc Clsd Treat Humeral Supracondylar Fx Wo Manip
$792
$315
$316
41
clean
Hc Clsd Treat Elbow Disloc Wo Anes
$1,319
$315
$316
41
clean
Hc Clsd Treat Monteggia Fx/Disloc Elbow W Manip
$5,394
$2,058
$2,058
41
clean
Hc Clsd Treat Radial Head Disloc Child W Amnip
$1,319
$315
$316
41
clean
Hc Clsd Treat Ulnar Fx Prox End W Manip
$8,002
$2,058
$2,058
41
clean
EXC FOREARM LES SC < 3 CM
$8,750
$2,113
$2,114
82
clean
Hc Inj For Wrist X-Ray
$870
—
$261
7
clean
Hc Clsd Treat Radial Shaft Fx W Manip
$8,299
$2,058
$2,058
41
clean
Hc Clsd Treat Ulna Shaft Fx W Manip
$1,076
$315
$316
41
clean
Hc Clsd Treat Rad/Ulna Shaft Fx W Manip
$8,299
$2,058
$2,058
41
clean
Hc Clsd Treat Distl Rad/Ulna Fx W Manip
$8,991
$2,058
$2,058
41
clean
Hc Clsd Treat Radioulna Disloc W Manip
$1,035
$315
$316
41
clean
Hc Clsd Treat Lunate Disloc W Manip
$7,657
$2,058
$2,058
41
clean
Hc Drain Finger Abscess Simple
$1,569
$256
$257
41
clean
Hc Drain Finger Abscess,Complicated
$8,383
$2,113
$2,114
41
clean
Hc Clsd Treat Metacarpal Fx W Manip Ea
$1,319
$315
$316
41
clean
Hc Clsd Treat Carpometacar Disloc,Non-Thumb W Anes
$792
$315
$316
41
clean
Hc Clsd Treat Mc-P Disloc W Manip Wo Anes
$1,228
$315
$316
41
clean
Hc Clsd Treat Prox/Mid Fing Shft Fx W Manip Ea
$1,319
$315
$316
41
clean
Hc Clsd Treat Fingr Articular Fx W Manip Ea
$8,991
$2,058
$2,058
41
clean
Hc Clsd Treat Dist Fingr Fx W Manip Ea
$1,228
$315
$316
41
clean
Hc Clsd Treat Ip Jnt Disloc W Manip Wo Anes
$1,319
$315
$316
41
clean
Hc Amp Mtcrpl W/Finger/Thumb W/Wo Inteross Transfer
$10,864
$4,187
$4,188
41
clean
Hc Amputation Of Finger/Thumb
$18,107
$4,187
$4,188
41
clean
Hc Clsd Treat Traumatic Hip Disloc Wo Anes
$1,389
$315
$316
41
clean
Hc Clsd Treat Post Hip Arthrplas Disloc W Anes
$1,243
$315
$316
41
clean
Exc thighknee les sc < 3 cm
$4,375
$2,113
$2,114
82
clean
Hc Clsd Treat Tibial Plateau Fx Wo Manip
$1,283
$315
$316
41
clean
Hc Clsd Treat Tib Plat Fx W/Wo Manip
$16,873
$4,187
$4,188
41
clean
Hc Clsd Treat Knee Disloc Wo Anes
$1,670
$315
$316
41
clean
Hc Clsd Treat Patellr Disloc Wo Anes
$1,319
$315
$316
41
clean
Hc Removal Of Ankle Implant
$15,420
$4,187
$4,188
41
clean
Hc Clsd Treat Tibia Shaft Fx W Manip
$8,991
$2,058
$2,058
41
clean
Hc Clsd Treat Med Malleolus Fx W Manip
$5,394
$2,058
$2,058
41
clean
Optx Medial Ankle Fx
$23,625
$9,286
$9,287
41
clean
Hc Clsd Treat Pst Malleolus Fx W Manip
$5,394
$2,058
$2,058
41
clean
Hc Clsd Treat Dist Fibula Fx W Manip
$1,418
$315
$316
41
clean
Hc Clsd Treat Bimalleolar Ankle Fx W/O Manip
$792
$315
$316
41
clean
Hc Clsd Treat Bimalleolar Ankle Fx W Manip
$8,299
$2,058
$2,058
41
clean
Hc Clsd Treat Trimalleolar Fx Wo Manip
$792
$315
$316
41
clean
Hc Clsd Treat Trimalleolar Fx W Manip
$8,299
$2,058
$2,058
41
clean
Hc Clsd Treat Weight Bear Dist Tib W Manip
$8,299
$2,058
$2,058
41
clean
Hc Clsd Treat Ankle Disloc Wo Anes
$1,228
$315
$316
41
clean
Exc foottoe tum dep 1.5cm>
$4,375
$3,717
$3,718
82
clean
Removal of toe lesions
$5,600
$2,058
$2,058
82
clean
Removal of foot lesion
$6,090
$4,187
$4,188
41
clean
Part removal of metatarsal
$7,797
$4,187
$4,188
41
clean
Repair of foot tendon
$15,525
$4,187
$4,188
82
clean
Repair Of Hammertoe
$9,961
$4,187
$4,188
41
clean
Cor hlx vlgs dstl mtar osteo
$13,470
$4,187
$4,188
82
clean
Cor Hlx Vlgs Double Osteot
$18,750
$9,286
$9,287
41
clean
Incision of heel bone
$8,763
$9,286
$8,763
41
clean
Incision of metatarsal
$5,496
$4,187
$4,188
41
clean
Removal Of Sesamoid Bone
$19,218
$4,187
$4,188
41
clean
Hc Clsd Treat Metatarsal Fx W Manip
$1,228
$315
$316
41
clean
Treat metatarsal fracture
$21,023
$9,286
$9,287
82
clean
Hc Clsd Treat Toe Fx W Manip Ea
$1,319
$315
$316
41
clean
Hc Clsd Treat Tarsal Disloc Wo Anes
$1,228
$315
$316
41
clean
Hc Clsd Treat Mt-Phal Toe Disloc Wo Anes
$792
$315
$316
41
clean
Hc Clsd Treat I-P Jt,Toe Disloc Wo Anes
$1,228
$315
$316
41
clean
Hc Open Treatment Interphalangeal Joint Dislocation
$12,192
$4,187
$4,188
41
clean
Fusion Of Foot Bones - 28730 - OR36028730
$11,275
$16,431
$11,275
41
clean
Fusion of foot bones - 28735 -
$7,793
$16,431
$7,793
41
clean
Revision of foot bones
$10,272
$16,431
$10,272
82
clean
Fusion of foot bones - 28740 -
$6,625
$9,286
$6,625
41
clean
Partial amputation of toe
$4,339
$4,187
$4,188
41
clean
Hc Apply Long Arm Splint
$1,052
$207
$208
41
clean
Hc Apply Forearm Splint Static
$924
$170
$170
41
clean
Hc Apply Finger Splint Static
$840
$170
$170
41
clean
Hc Strapping Shoulder
$672
$170
$170
41
clean
Hc Strapping Elbow Or Wrist
$487
$75
$76
41
clean
Hc Strapping Hand Or Finger
$354
$75
$76
41
clean
Hc Apply Long Leg Splint
$1,052
$207
$208
41
clean
Hc Apply Lower Leg Splint
$1,052
$207
$208
41
clean
Hc Strapping Knee
$715
$170
$170
41
clean
Hc Strapping Of Ankle And/Or Ft
$596
$207
$208
41
clean
Scope Plantar Fasciotomy
$15,617
$4,187
$4,188
41
clean
Unlisted px arthroscopy
$6,312
$315
$316
34
clean
Hc Remove Nasal Fb
$672
$170
$170
41
clean
Hc Control Nose Bleed Anter Simple
$840
$170
$170
41
clean
Hc Control Nose Bleed Anter Complex
$715
$170
$170
41
clean
Hc Control Nose Bleed Post Pack/Caut Init
$708
$170
$170
41
clean
Hc Intubation Endotracheal
$1,733
$303
$303
41
clean
Hc Tracheotomy Tube Change
$1,260
$303
$303
41
clean
Hc Laryngoscopy Direct Diagnostic
$5,697
$2,278
$2,278
41
clean
Hc Bronchoscopy Diag
$11,143
$2,278
$2,278
41
clean
Hc Bronchoscopy Diag W Brush
$8,086
$2,278
$2,278
41
clean
Hc Bronchoscopy Diag W Lavage
$10,444
$2,278
$2,278
41
clean
Hc Bronchoscopy Diag W Bronch Bx
$8,914
$2,278
$2,278
41
clean
Hc Bronchoscopy Diag W Lung Bx, Single Lobe
$18,435
$4,771
$4,772
41
clean
Hc Bronchoscopy Therapeutic Aspir, Init
$9,495
$2,278
$2,278
41
clean
Hc Bronchoscopy Therapeutic Aspir, Subsq
$1,945
$500
$501
41
clean
Hc Bronchoscopy Thermoplasty One Lobe
$32,606
$9,032
$9,033
41
clean
Hc Bronchoscopy Thermoplasty =>2 Lobes
$32,606
$9,032
$9,033
41
clean
Hc Catheter Aspiratn Nasotrach
$1,312
$280
$280
41
clean
Hc Perq Pleura Bx
$8,101
$2,113
$2,114
41
clean
Hc Perq Lung/Mediastinum Bx
$9,070
$2,113
$2,114
41
clean
Hc Insert Indwel Tunneled Pleural Cath W Cuff
$17,645
$4,582
$4,582
41
clean
Hc Tube Thoracostomy W Drain Sys
$10,473
$2,014
$2,015
41
clean
Hc Remv Indwelling Tunneled Pleural Cath W Cuff
$3,153
$802
$803
41
clean
Hc Thoracentesis Ndl/Cath Pleura Asp Wo Imag
$3,221
$802
$803
41
clean
Hc Thoracentesis Ndl/Cath Pleura Asp W Imag
$4,298
$802
$803
41
clean

Showing the first 200 of 2,221 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 20240/o
error
mrf_cash_above_gross
discounted cash price $3,717 exceeds gross charge $3,141
CPT 28300/o
error
mrf_cash_above_gross
discounted cash price $9,286 exceeds gross charge $8,763
CPT 28730/o
error
mrf_cash_above_gross
discounted cash price $16,431 exceeds gross charge $11,275
CPT 28735/o
error
mrf_cash_above_gross
discounted cash price $16,431 exceeds gross charge $7,793
CPT 28740/o
error
mrf_cash_above_gross
discounted cash price $9,286 exceeds gross charge $6,625
CPT 58554/o
error
mrf_cash_above_gross
discounted cash price $13,604 exceeds gross charge $11,500
warn
mrf_rate_without_estimate
16 of 16 percentage/algorithm rates across 11 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 82800/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $414
CPT 82803/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 4% of the gross charge $719
CPT 82810/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 2% of the gross charge $420
CPT 82945/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 1% of the gross charge $285
CPT 82947/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $158
CPT 82948/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $140
CPT 82950/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 1% of the gross charge $345
CPT 82951/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 2% of the gross charge $615
CPT 82952/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 3% of the gross charge $107
CPT 82962/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 4% of the gross charge $81
CPT 82977/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 4% of the gross charge $192
CPT 83001/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 5% of the gross charge $368
CPT 83002/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 5% of the gross charge $365
CPT 83010/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $308
CPT 83020/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $172
CPT 83036/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $216
CPT 83037/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 3% of the gross charge $301
CPT 83051/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 4% of the gross charge $158
CPT 83090/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 10% of the gross charge $171
CPT 83516/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 4% of the gross charge $263
CPT 83519/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $231
CPT 83520/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 5% of the gross charge $313
CPT 83525/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 7% of the gross charge $152
CPT 83540/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 3% of the gross charge $228
CPT 83550/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 3% of the gross charge $260
CPT 83605/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $375
CPT 83615/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 3% of the gross charge $202
CPT 83625/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $176
CPT 83690/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 2% of the gross charge $339
CPT 83718/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 4% of the gross charge $192
CPT 83721/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 5% of the gross charge $191
CPT 83735/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 2% of the gross charge $248
CPT 83789/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 10% of the gross charge $250
CPT 83835/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 6% of the gross charge $262
CPT 83874/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 3% of the gross charge $384
CPT 83880/o
info
mrf_cash_under_tenth_of_gross
cash price $39 is 7% of the gross charge $591
CPT 83930/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 2% of the gross charge $258
CPT 83935/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 2% of the gross charge $252
CPT 83970/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 10% of the gross charge $422
CPT 83986/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $135
CPT 83993/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 5% of the gross charge $366
CPT 84030/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $186
CPT 84075/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $142
CPT 84100/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $193
CPT 84105/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 5% of the gross charge $110
CPT 84132/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $166
CPT 84133/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $186
CPT 84134/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 6% of the gross charge $232
CPT 84144/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 6% of the gross charge $363
CPT 84145/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 5% of the gross charge $496
CPT 84146/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 5% of the gross charge $399
CPT 84153/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $252
CPT 84154/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 9% of the gross charge $190
CPT 84155/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $165
CPT 84156/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $178
CPT 29999/o
info
mrf_cash_under_tenth_of_gross
cash price $315 is 5% of the gross charge $6,312
CPT 84157/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $205
CPT 84165/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 4% of the gross charge $244
CPT 84295/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $144
CPT 84300/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 2% of the gross charge $206
CPT 84302/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $104
CPT 42999/o
info
mrf_cash_under_tenth_of_gross
cash price $303 is 4% of the gross charge $6,925
CPT 84315/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 1% of the gross charge $393
CPT 84403/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 10% of the gross charge $254
CPT 84436/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 2% of the gross charge $260
CPT 84439/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 3% of the gross charge $341
CPT 84443/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 4% of the gross charge $434
CPT 84450/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $149
CPT 84460/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 2% of the gross charge $201
CPT 43761/o
info
mrf_cash_under_tenth_of_gross
cash price $319 is 6% of the gross charge $5,436
CPT 84466/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $153
CPT 84478/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $181
CPT 84479/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 3% of the gross charge $223
CPT 84480/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 4% of the gross charge $371
CPT 84484/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 3% of the gross charge $474
CPT 84520/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $166
CPT 84540/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $175
CPT 84550/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $191
CPT 84560/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $170
CPT 84590/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 10% of the gross charge $115
CPT 84597/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 9% of the gross charge $149
CPT 84630/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 5% of the gross charge $205
CPT 84702/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 3% of the gross charge $487
CPT 70336/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 6% of the gross charge $4,738
CPT 84703/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 2% of the gross charge $335
CPT 70450/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 2% of the gross charge $6,964
CPT 85007/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $152
CPT 70460/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 6% of the gross charge $3,856
CPT 85014/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 2% of the gross charge $117
CPT 70470/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,599
CPT 85018/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 2% of the gross charge $112
CPT 70480/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 2% of the gross charge $5,350
CPT 85025/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 2% of the gross charge $301
CPT 70481/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 5% of the gross charge $4,717
CPT 85027/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 4% of the gross charge $158
CPT 70482/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,685
CPT 85032/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $138
CPT 70486/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 2% of the gross charge $6,183
CPT 85044/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $165
CPT 70487/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 5% of the gross charge $4,518
CPT 85045/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $163
CPT 70488/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,749
CPT 85048/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 2% of the gross charge $93
CPT 70490/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 2% of the gross charge $5,350
CPT 85049/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $147
CPT 70491/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 5% of the gross charge $4,640
CPT 85220/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 6% of the gross charge $293
CPT 70492/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $6,061
CPT 85300/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 6% of the gross charge $190
CPT 70496/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 3% of the gross charge $7,088
CPT 85301/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 10% of the gross charge $104
CPT 70498/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 3% of the gross charge $6,986
CPT 85302/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $173
CPT 70540/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 7% of the gross charge $4,611
CPT 85303/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 4% of the gross charge $293
CPT 70543/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 8% of the gross charge $5,677
CPT 85305/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $354
CPT 70544/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 6% of the gross charge $5,095
CPT 85306/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 6% of the gross charge $272
CPT 70547/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 6% of the gross charge $5,095
CPT 85362/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 3% of the gross charge $212
CPT 70551/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 5% of the gross charge $5,922
CPT 85378/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 2% of the gross charge $476
CPT 70553/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 5% of the gross charge $8,454
CPT 85379/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 3% of the gross charge $397
CPT 71111/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 8% of the gross charge $1,575
CPT 85384/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 3% of the gross charge $278
CPT 71250/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 2% of the gross charge $6,179
CPT 85610/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $182
CPT 71260/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,911
CPT 85611/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 9% of the gross charge $34
CPT 71270/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,614
CPT 85613/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 8% of the gross charge $118
CPT 71275/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $6,227
CPT 85651/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $191
CPT 71550/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 6% of the gross charge $5,103
CPT 85652/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 1% of the gross charge $134
CPT 72050/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 10% of the gross charge $1,351
CPT 85660/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $166
CPT 72110/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 10% of the gross charge $1,399
CPT 85670/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 5% of the gross charge $110
CPT 72114/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 10% of the gross charge $1,362
CPT 85705/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 5% of the gross charge $200
CPT 72125/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 2% of the gross charge $5,885
CPT 85730/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 2% of the gross charge $249
CPT 72126/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 8% of the gross charge $5,639
CPT 85732/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $125
CPT 72127/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 7% of the gross charge $3,274
CPT 86003/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $75
CPT 72128/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 3% of the gross charge $5,260
CPT 86022/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 4% of the gross charge $416
CPT 72129/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,176
CPT 86038/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $178
CPT 72130/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,330
CPT 86039/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 5% of the gross charge $239
CPT 72131/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 3% of the gross charge $5,260
CPT 86060/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 4% of the gross charge $170
CPT 72132/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 8% of the gross charge $5,802
CPT 86140/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 2% of the gross charge $216
CPT 72133/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,027
CPT 86141/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $173
CPT 72141/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 5% of the gross charge $6,198
CPT 86160/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $156
CPT 72142/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 7% of the gross charge $6,092
CPT 86171/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 4% of the gross charge $224
CPT 72146/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 5% of the gross charge $6,198
CPT 86225/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 9% of the gross charge $145
CPT 72148/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 5% of the gross charge $6,379
CPT 86226/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $155
CPT 72156/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 7% of the gross charge $6,821
CPT 86235/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 9% of the gross charge $182
CPT 72157/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 7% of the gross charge $6,606
CPT 86255/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 9% of the gross charge $127
CPT 72158/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 5% of the gross charge $8,360
CPT 86256/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 6% of the gross charge $211
CPT 72191/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,614
CPT 86300/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 6% of the gross charge $350
CPT 72192/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 2% of the gross charge $5,618
CPT 86301/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 8% of the gross charge $250
CPT 72193/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 5% of the gross charge $4,824
CPT 86304/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 4% of the gross charge $489
CPT 72194/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $5,764
CPT 86308/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 2% of the gross charge $232
CPT 72195/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 7% of the gross charge $4,612
CPT 86316/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 9% of the gross charge $230
CPT 72196/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 8% of the gross charge $5,889
CPT 86376/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $211
CPT 72197/o
info
mrf_cash_under_tenth_of_gross
cash price $446 is 5% of the gross charge $8,270
CPT 86403/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 6% of the gross charge $171
CPT 73110/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 10% of the gross charge $1,124
CPT 86430/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 3% of the gross charge $217
CPT 73200/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 3% of the gross charge $5,310
CPT 86431/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $150

Showing the first 200 of 466 findings, errors first — every finding as JSON →

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 · 28.2M bytes · fetched 2026-08-25 · sha256 c4f7b8df1a03…

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.