Hospital · CCN 070022

Yale-New Haven Hospital

20 York St, New Haven, CT 06504
Part of Yale New Haven Health System · 1,340 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

228 admission types 66 outpatient services price file: ok
Billed per dollar paid, all admissions
3.12×
$942.7M billed against $302.2M paid across 9,784 Medicare discharges; the national figure is 5.03×.
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
836
$94,359
$27,205
3.5× st 3.3×
177
Respiratory infections and inflammations with mcc
424
$65,792
$21,521
3.1× st 3.2×
291
Heart failure and shock with mcc
423
$58,301
$16,927
3.4× st 3.7×
193
Simple pneumonia and pleurisy with mcc
231
$52,528
$17,336
3.0× st 3.4×
698
Other kidney and urinary tract diagnoses with mcc
146
$73,573
$22,223
3.3× st 3.1×
683
Renal failure with cc
130
$37,448
$13,308
2.8× st 3.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
129
$243,076
$73,200
3.3× st 3.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
128
$126,495
$28,519
4.4× st 3.9×
682
Renal failure with mcc
127
$71,953
$21,725
3.3× st 3.5×
189
Pulmonary edema and respiratory failure
126
$52,378
$16,254
3.2× st 3.7×
689
Kidney and urinary tract infections with mcc
111
$49,024
$15,834
3.1× st 3.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
103
$68,104
$19,375
3.5× st 3.5×
280
Acute myocardial infarction, discharged alive with mcc
99
$83,422
$26,951
3.1× st 3.7×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
95
$192,249
$74,011
2.6× st 2.7×
309
Cardiac arrhythmia and conduction disorders with cc
93
$30,650
$10,670
2.9× st 3.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
91
$32,986
$11,271
2.9× st 3.7×
603
Cellulitis without mcc
89
$33,707
$11,893
2.8× st 3.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
88
$41,570
$15,529
2.7× st 3.4×
481
Hip and femur procedures except major joint with cc
88
$72,760
$24,875
2.9× st 3.4×
690
Kidney and urinary tract infections without mcc
87
$32,801
$11,544
2.8× st 3.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
86
$110,611
$31,854
3.5× st 4.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
85
$49,836
$14,280
3.5× st 3.9×
025
Craniotomy and endovascular intracranial procedures with mcc
82
$138,949
$54,352
2.6× st 3.3×
377
Gastrointestinal hemorrhage with mcc
76
$96,035
$27,841
3.4× st 3.5×
274
Percutaneous and other intracardiac procedures without mcc
76
$99,511
$43,653
2.3× st 2.7×
699
Other kidney and urinary tract diagnoses with cc
72
$49,902
$14,803
3.4× st 3.4×
330
Major small and large bowel procedures with cc
71
$69,666
$33,202
2.1× st 3.4×
314
Other circulatory system diagnoses with mcc
70
$85,499
$29,532
2.9× st 3.2×
378
Gastrointestinal hemorrhage with cc
70
$44,345
$13,452
3.3× st 3.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
68
$49,955
$17,594
2.8× st 3.4×
884
Organic disturbances and intellectual disability
68
$105,321
$26,374
4.0× st 3.5×
178
Respiratory infections and inflammations with cc
68
$49,006
$13,929
3.5× st 3.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
68
$81,671
$25,264
3.2× st 4.0×
312
Syncope and collapse
68
$43,865
$11,374
3.9× st 4.1×
552
Medical back problems without mcc
63
$45,573
$14,112
3.2× st 3.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
62
$137,629
$40,087
3.4× st 3.9×
164
Major chest procedures with cc
62
$77,038
$31,379
2.5× st 2.7×
393
Other digestive system diagnoses with mcc
61
$64,425
$23,129
2.8× st 3.1×
480
Hip and femur procedures except major joint with mcc
59
$107,161
$37,859
2.8× st 3.4×
870
Septicemia or severe sepsis with mv >96 hours
58
$304,791
$92,603
3.3× st 3.6×
057
Degenerative nervous system disorders without mcc
58
$69,154
$17,788
3.9× st 3.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
58
$160,920
$40,131
4.0× st 4.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
56
$54,763
$17,767
3.1× st 3.5×
100
Seizures with mcc
56
$92,115
$29,863
3.1× st 3.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
56
$207,306
$63,659
3.3× st 3.3×
394
Other digestive system diagnoses with cc
56
$44,088
$13,656
3.2× st 3.8×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
56
$259,130
$102,402
2.5× st 2.5×
389
Gastrointestinal obstruction with cc
55
$31,160
$11,898
2.6× st 3.5×
308
Cardiac arrhythmia and conduction disorders with mcc
55
$47,197
$16,243
2.9× st 3.7×
101
Seizures without mcc
55
$44,369
$12,484
3.6× st 3.7×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
54
$33,658
$11,600
2.9× st 3.6×
194
Simple pneumonia and pleurisy with cc
54
$33,754
$11,998
2.8× st 3.5×
638
Diabetes with cc
51
$44,711
$12,292
3.6× st 3.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
51
$37,156
$15,106
2.5× st 3.5×
329
Major small and large bowel procedures with mcc
50
$181,874
$63,716
2.9× st 3.2×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
49
$259,974
$84,104
3.1× st 3.1×
637
Diabetes with mcc
48
$73,992
$21,503
3.4× st 3.8×
374
Digestive malignancy with mcc
47
$102,709
$32,467
3.2× st 3.3×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
46
$42,931
$18,647
2.3× st 2.3×
270
Other major cardiovascular procedures with mcc
45
$251,637
$70,693
3.6× st 3.6×
917
Poisoning and toxic effects of drugs with mcc
45
$113,388
$32,299
3.5× st 3.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
45
$32,975
$10,242
3.2× st 3.8×
919
Complications of treatment with mcc
44
$117,544
$34,284
3.4× st 3.3×
300
Peripheral vascular disorders with cc
43
$37,415
$13,933
2.7× st 3.1×
811
Red blood cell disorders with mcc
43
$79,745
$22,940
3.5× st 3.2×
091
Other disorders of nervous system with mcc
43
$114,320
$27,062
4.2× st 3.9×
812
Red blood cell disorders without mcc
43
$50,612
$14,136
3.6× st 3.4×
643
Endocrine disorders with mcc
42
$71,145
$19,852
3.6× st 3.1×
056
Degenerative nervous system disorders with mcc
42
$108,386
$36,511
3.0× st 3.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
42
$71,563
$27,277
2.6× st 3.4×
444
Disorders of the biliary tract with mcc
41
$53,141
$21,530
2.5× st 3.1×
602
Cellulitis with mcc
41
$72,557
$19,363
3.7× st 3.5×
180
Respiratory neoplasms with mcc
41
$74,259
$23,104
3.2× st 3.7×
813
Coagulation disorders
40
$71,966
$22,857
3.1× st 3.4×
840
Lymphoma and non-acute leukemia with mcc
39
$137,182
$53,325
2.6× st 2.8×
920
Complications of treatment with cc
38
$46,646
$13,734
3.4× st 3.5×
660
Kidney and ureter procedures for non-neoplasm with cc
38
$38,165
$18,150
2.1× st 3.0×
070
Other cerebrovascular disorders with mcc
38
$81,453
$26,151
3.1× st 3.4×
467
Revision of hip or knee replacement with cc
38
$110,845
$46,077
2.4× st 2.9×
435
Malignancy of hepatobiliary system or pancreas with mcc
38
$67,174
$22,791
2.9× st 3.3×
205
Other respiratory system diagnoses with mcc
38
$73,989
$26,239
2.8× st 2.8×
253
Other vascular procedures with cc
37
$110,521
$36,127
3.1× st 3.9×
082
Traumatic stupor and coma >1 hour with mcc
37
$96,892
$29,440
3.3× st 3.1×
834
Acute leukemia with mcc
36
$275,670
$93,126
3.0× st 3.0×
299
Peripheral vascular disorders with mcc
36
$86,651
$20,700
4.2× st 4.0×
190
Chronic obstructive pulmonary disease with mcc
36
$48,398
$14,872
3.3× st 3.9×
252
Other vascular procedures with mcc
36
$204,763
$44,242
4.6× st 3.9×
445
Disorders of the biliary tract with cc
36
$38,100
$14,371
2.7× st 3.6×
163
Major chest procedures with mcc
35
$144,661
$56,261
2.6× st 2.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
34
$67,280
$29,400
2.3× st 3.3×
243
Permanent cardiac pacemaker implant with cc
33
$62,657
$27,727
2.3× st 3.0×
885
Psychoses
32
$71,366
$19,476
3.7× st 3.8×
315
Other circulatory system diagnoses with cc
32
$39,619
$15,632
2.5× st 3.2×
521
Hip replacement with principal diagnosis of hip fracture with mcc
32
$116,567
$39,481
3.0× st 3.2×
026
Craniotomy and endovascular intracranial procedures with cc
32
$95,238
$40,697
2.3× st 2.3×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
31
$907,628
$255,200
3.6× st 4.0×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
30
$219,900
$68,843
3.2× st 2.4×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
30
$47,078
$23,623
2.0× st 2.7×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
30
$92,081
$24,539
3.8× st 3.7×
176
Pulmonary embolism without mcc
29
$29,926
$12,400
2.4× st 3.3×
432
Cirrhosis and alcoholic hepatitis with mcc
29
$80,233
$24,966
3.2× st 3.6×
652
Kidney transplant
29
$191,263
$41,991
4.6× st 5.7×
460
Spinal fusion except cervical without mcc
28
$122,998
$46,182
2.7× st 3.0×
281
Acute myocardial infarction, discharged alive with cc
28
$35,749
$12,339
2.9× st 4.0×
054
Nervous system neoplasms with mcc
28
$66,306
$20,586
3.2× st 3.5×
235
Coronary bypass without cardiac catheterization with mcc
27
$196,892
$82,974
2.4× st 2.7×
841
Lymphoma and non-acute leukemia with cc
27
$80,376
$23,667
3.4× st 3.4×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
27
$80,720
$28,876
2.8× st 3.3×
551
Medical back problems with mcc
27
$68,816
$20,399
3.4× st 3.4×
375
Digestive malignancy with cc
26
$58,873
$16,425
3.6× st 3.9×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
26
$53,825
$17,771
3.0× st 3.4×
183
Major chest trauma with mcc
26
$65,189
$20,415
3.2× st 3.5×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
25
$180,073
$73,525
2.4× st 2.5×
644
Endocrine disorders with cc
25
$55,467
$14,410
3.8× st 3.3×
092
Other disorders of nervous system with cc
25
$62,647
$14,461
4.3× st 4.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
24
$25,173
$8,585
2.9× st 3.9×
371
Major gastrointestinal disorders and peritoneal infections with mcc
24
$76,932
$28,469
2.7× st 3.1×
014
Allogeneic bone marrow transplant
24
$210,679
$142,717
1.5× st 1.5×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
23
$42,393
$15,628
2.7× st 3.0×
545
Connective tissue disorders with mcc
23
$104,010
$30,376
3.4× st 3.7×
865
Viral illness with mcc
23
$52,113
$20,606
2.5× st 2.5×
388
Gastrointestinal obstruction with mcc
23
$59,834
$18,560
3.2× st 3.2×
184
Major chest trauma with cc
23
$44,710
$13,996
3.2× st 3.3×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
23
$78,024
$30,785
2.5× st 3.0×
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
23
$64,518
$29,371
2.2× st 2.2×
207
Respiratory system diagnosis with ventilator support >96 hours
22
$423,378
$98,966
4.3× st 4.0×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
22
$141,096
$46,750
3.0× st 3.0×
242
Permanent cardiac pacemaker implant with mcc
22
$144,019
$44,828
3.2× st 3.3×
074
Cranial and peripheral nerve disorders without mcc
22
$63,347
$13,206
4.8× st 4.3×
356
Other digestive system o.r. procedures with mcc
22
$299,477
$74,487
4.0× st 4.0×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
22
$218,314
$85,865
2.5× st 2.7×
331
Major small and large bowel procedures without cc/mcc
21
$50,245
$23,860
2.1× st 3.0×
083
Traumatic stupor and coma >1 hour with cc
21
$48,456
$17,089
2.8× st 3.0×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
21
$38,396
$11,802
3.3× st 3.8×
304
Hypertension with mcc
21
$49,526
$15,553
3.2× st 4.0×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
20
$76,060
$28,498
2.7× st 2.7×
202
Bronchitis and asthma with cc/mcc
20
$38,829
$12,115
3.2× st 3.5×
535
Fractures of hip and pelvis with mcc
20
$55,041
$16,990
3.2× st 3.5×
196
Interstitial lung disease with mcc
20
$76,500
$25,284
3.0× st 3.3×
866
Viral illness without mcc
19
$45,893
$13,840
3.3× st 3.3×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
19
$28,666
$14,457
2.0× st 2.0×
948
Signs and symptoms without mcc
19
$35,550
$11,954
3.0× st 3.4×
326
Stomach, esophageal and duodenal procedures with mcc
19
$196,557
$77,582
2.5× st 2.7×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
19
$93,331
$24,183
3.9× st 3.9×
271
Other major cardiovascular procedures with cc
19
$151,542
$48,679
3.1× st 3.2×
085
Traumatic stupor and coma <1 hour with mcc
19
$99,411
$26,788
3.7× st 3.4×
018
Chimeric antigen receptor (car) t-cell and other immunotherapies
18
$2,063,949
$529,554
3.9× st 3.9×
454
Combined anterior and posterior spinal fusion with cc
18
$147,783
$92,513
1.6× st 2.4×
907
Other o.r. procedures for injuries with mcc
18
$199,312
$66,714
3.0× st 3.0×
228
Other cardiothoracic procedures with mcc
18
$159,724
$60,032
2.7× st 3.1×
191
Chronic obstructive pulmonary disease with cc
17
$37,668
$11,392
3.3× st 3.7×
554
Bone diseases and arthropathies without mcc
17
$47,924
$11,318
4.2× st 4.6×
141
Major head and neck procedures with cc
17
$85,151
$29,018
2.9× st 2.9×
327
Stomach, esophageal and duodenal procedures with cc
17
$100,414
$36,062
2.8× st 3.2×
273
Percutaneous and other intracardiac procedures with mcc
17
$147,686
$54,705
2.7× st 2.7×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
17
$833,835
$245,355
3.4× st 3.8×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
17
$82,258
$30,587
2.7× st 2.9×
837
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy a
17
$124,043
$59,126
2.1× st 2.1×
372
Major gastrointestinal disorders and peritoneal infections with cc
16
$51,080
$15,803
3.2× st 3.4×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
16
$33,776
$12,852
2.6× st 3.1×
880
Acute adjustment reaction and psychosocial dysfunction
16
$47,471
$18,666
2.5× st 2.5×
264
Other circulatory system o.r. procedures
16
$189,964
$55,691
3.4× st 4.1×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
16
$98,452
$29,029
3.4× st 3.7×
438
Disorders of pancreas except malignancy with mcc
16
$60,330
$24,240
2.5× st 3.5×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
15
$155,378
$68,236
2.3× st 2.5×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
15
$89,481
$27,702
3.2× st 3.2×
742
Uterine and adnexa procedures for non-malignancy with cc/mcc
15
$54,709
$22,248
2.5× st 2.5×
206
Other respiratory system diagnoses without mcc
15
$43,201
$12,149
3.6× st 3.6×
405
Pancreas, liver and shunt procedures with mcc
15
$193,547
$71,570
2.7× st 2.7×
863
Postoperative and post-traumatic infections without mcc
15
$39,746
$16,863
2.4× st 2.4×
406
Pancreas, liver and shunt procedures with cc
15
$93,096
$43,980
2.1× st 2.8×
607
Minor skin disorders without mcc
15
$31,700
$11,345
2.8× st 2.8×
276
Cardiac defibrillator implant with mcc or carotid sinus neurostimulator
15
$157,428
$79,678
2.0× st 2.0×
478
Biopsies of musculoskeletal system and connective tissue with cc
15
$114,714
$36,624
3.1× st 3.1×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
15
$126,876
$44,322
2.9× st 2.7×
439
Disorders of pancreas except malignancy with cc
14
$30,556
$11,233
2.7× st 4.2×
838
Chemotherapy with acute leukemia as secondary diagnosis with cc or high dose chemotherap
14
$75,095
$30,225
2.5× st 2.5×
244
Permanent cardiac pacemaker implant without cc/mcc
14
$53,251
$25,134
2.1× st 2.5×
165
Major chest procedures without cc/mcc
14
$48,938
$22,349
2.2× st 2.3×
069
Transient ischemia without thrombolytic
14
$33,965
$11,273
3.0× st 4.1×
673
Other kidney and urinary tract procedures with mcc
14
$164,049
$48,823
3.4× st 3.4×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
14
$106,588
$30,807
3.5× st 4.2×
157
Dental and oral diseases with mcc
14
$87,816
$28,111
3.1× st 3.1×
650
Kidney transplant with hemodialysis with mcc
14
$296,585
$60,205
4.9× st 5.5×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
14
$32,082
$12,437
2.6× st 3.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
14
$82,972
$30,592
2.7× st 3.1×
186
Pleural effusion with mcc
14
$87,217
$21,654
4.0× st 3.8×
864
Fever and inflammatory conditions
14
$33,036
$11,858
2.8× st 2.8×
020
Intracranial vascular procedures with principal diagnosis hemorrhage with mcc
13
$411,850
$112,126
3.7× st 3.7×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$272,430
$66,034
4.1× st 3.3×
947
Signs and symptoms with mcc
13
$65,325
$20,454
3.2× st 3.2×
862
Postoperative and post-traumatic infections with mcc
13
$89,139
$21,056
4.2× st 3.7×
167
Other respiratory system o.r. procedures with cc
13
$52,335
$22,458
2.3× st 2.9×
154
Other ear, nose, mouth and throat diagnoses with mcc
13
$55,569
$21,838
2.5× st 2.5×
657
Kidney and ureter procedures for neoplasm with cc
13
$65,426
$28,040
2.3× st 2.3×
659
Kidney and ureter procedures for non-neoplasm with mcc
13
$142,782
$38,536
3.7× st 3.7×
033
Ventricular shunt procedures without cc/mcc
13
$48,723
$19,552
2.5× st 2.5×
125
Other disorders of the eye without mcc
13
$36,178
$13,154
2.8× st 2.8×
166
Other respiratory system o.r. procedures with mcc
13
$95,467
$53,223
1.8× st 2.5×
737
Uterine and adnexa procedures for ovarian or adnexal malignancy with cc
13
$91,714
$29,663
3.1× st 3.1×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
13
$352,905
$123,252
2.9× st 2.9×
466
Revision of hip or knee replacement with mcc
13
$196,636
$62,193
3.2× st 3.2×
016
Autologous bone marrow transplant with cc/mcc
12
$140,110
$86,951
1.6× st 1.6×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$73,669
$19,129
3.9× st 4.0×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
12
$184,074
$59,613
3.1× st 3.3×
867
Other infectious and parasitic diseases diagnoses with mcc
12
$88,774
$25,972
3.4× st 3.4×
674
Other kidney and urinary tract procedures with cc
12
$115,668
$39,870
2.9× st 2.9×
814
Reticuloendothelial and immunity disorders with mcc
12
$84,152
$29,495
2.9× st 2.9×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$33,703
$8,987
3.8× st 3.9×
073
Cranial and peripheral nerve disorders with mcc
12
$112,077
$19,421
5.8× st 5.8×
086
Traumatic stupor and coma <1 hour with cc
12
$74,677
$18,383
4.1× st 3.7×
539
Osteomyelitis with mcc
12
$63,356
$24,269
2.6× st 2.6×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
12
$99,726
$31,976
3.1× st 3.1×
390
Gastrointestinal obstruction without cc/mcc
11
$18,327
$7,561
2.4× st 3.6×
303
Atherosclerosis without mcc
11
$50,221
$12,160
4.1× st 4.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
11
$104,216
$53,097
2.0× st 2.4×
305
Hypertension without mcc
11
$58,395
$11,183
5.2× st 4.1×
354
Hernia procedures except inguinal and femoral with cc
11
$48,387
$24,766
2.0× st 3.2×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
11
$283,689
$99,430
2.9× st 3.4×
031
Ventricular shunt procedures with mcc
11
$100,543
$49,457
2.0× st 2.0×
032
Ventricular shunt procedures with cc
11
$76,931
$30,638
2.5× st 2.5×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
11
$144,939
$49,879
2.9× st 2.9×
477
Biopsies of musculoskeletal system and connective tissue with mcc
11
$158,913
$42,840
3.7× st 3.7×
071
Other cerebrovascular disorders with cc
11
$33,372
$12,809
2.6× st 3.8×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
11
$82,132
$26,302
3.1× st 3.1×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
11
$38,205
$19,273
2.0× st 3.3×
565
Other musculoskeletal system and connective tissue diagnoses with cc
11
$30,718
$12,850
2.4× st 2.4×
061
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
11
$115,531
$38,049
3.0× st 3.0×
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
8011
Comprehensive Observation Services
2,601
$29,760
$3,054
9.7×
5372
Level 2 Urology and Related Services
1,771
$2,604
$766
3.4×
5373
Level 3 Urology and Related Services
596
$9,267
$2,266
4.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
590
$9,987
$1,810
5.5×
5302
Level 2 Upper GI Procedures
557
$9,467
$2,117
4.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
433
$20,201
$3,186
6.3×
5191
Level 1 Endovascular Procedures
416
$13,622
$3,616
3.8×
5491
Level 1 Intraocular Procedures
405
$10,155
$2,577
3.9×
5183
Level 3 Vascular Procedures
383
$13,832
$3,543
3.9×
5375
Level 5 Urology and Related Services
268
$17,240
$5,771
3.0×
5193
Level 3 Endovascular Procedures
222
$51,639
$12,212
4.2×
5361
Level 1 Laparoscopy and Related Services
214
$23,960
$6,445
3.7×
5374
Level 4 Urology and Related Services
213
$11,680
$3,909
3.0×
5154
Level 4 Airway Endoscopy
189
$12,782
$4,127
3.1×
5115
Level 5 Musculoskeletal Procedures
174
$40,003
$14,487
2.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
172
$14,781
$3,841
3.8×
5213
Level 3 Electrophysiologic Procedures
152
$80,811
$26,652
3.0×
5331
Complex GI Procedures
145
$15,250
$6,381
2.4×
5155
Level 5 Airway Endoscopy
142
$19,569
$7,659
2.6×
5362
Level 2 Laparoscopy and Related Services
131
$39,646
$11,570
3.4×
5182
Level 2 Vascular Procedures
122
$9,906
$1,795
5.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
121
$16,170
$4,290
3.8×
5192
Level 2 Endovascular Procedures
116
$23,576
$6,344
3.7×
5431
Level 1 Nerve Procedures
110
$8,161
$2,163
3.8×
5165
Level 5 ENT Procedures
107
$24,978
$6,590
3.8×
5414
Level 4 Gynecologic Procedures
99
$12,275
$3,492
3.5×
5113
Level 3 Musculoskeletal Procedures
95
$14,701
$3,612
4.1×
5153
Level 3 Airway Endoscopy
94
$7,333
$1,910
3.8×
5112
Level 2 Musculoskeletal Procedures
92
$7,601
$1,809
4.2×
5223
Level 3 Pacemaker and Similar Procedures
88
$31,991
$11,994
2.7×
5184
Level 4 Vascular Procedures
86
$27,082
$5,998
4.5×
5114
Level 4 Musculoskeletal Procedures
86
$26,183
$7,829
3.3×
5493
Level 3 Intraocular Procedures
82
$19,437
$5,882
3.3×
5627
Level 7 Radiation Therapy
78
$79,477
$8,761
9.1×
5303
Level 3 Upper GI Procedures
75
$10,198
$3,793
2.7×
5164
Level 4 ENT Procedures
73
$18,168
$3,544
5.1×
5462
Level 2 Neurostimulator and Related Procedures
66
$21,782
$7,627
2.9×
5492
Level 2 Intraocular Procedures
63
$16,411
$4,402
3.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
63
$27,875
$7,246
3.8×
5232
Level 2 ICD and Similar Procedures
62
$86,604
$35,768
2.4×
5222
Level 2 Pacemaker and Similar Procedures
57
$23,841
$9,555
2.5×
5194
Level 4 Endovascular Procedures
55
$74,961
$18,970
4.0×
5313
Level 3 Lower GI Procedures
46
$11,030
$3,160
3.5×
5116
Level 6 Musculoskeletal Procedures
45
$55,112
$20,491
2.7×
5415
Level 5 Gynecologic Procedures
36
$21,416
$5,598
3.8×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
36
$11,010
$2,630
4.2×
5465
Level 5 Neurostimulator and Related Procedures
32
$89,803
$34,836
2.6×
5224
Level 4 Pacemaker and Similar Procedures
29
$69,681
$21,872
3.2×
5464
Level 4 Neurostimulator and Related Procedures
25
$61,234
$24,551
2.5×
5376
Level 6 Urology and Related Services
24
$30,215
$10,358
2.9×
5416
Level 6 Gynecologic Procedures
20
$30,501
$8,502
3.6×
5166
Cochlear Implant Procedure
15
$85,343
$36,447
2.3×
5163
Level 3 ENT Procedures
12
$9,168
$1,716
5.3×
5432
Level 2 Nerve Procedures
12
$22,133
$7,497
3.0×
5378
Level 8 Urology and Related Services
12
$79,701
$22,641
3.5×
5471
Implantation of Drug Infusion Device
12
$55,060
$18,639
3.0×
5231
Level 1 ICD and Similar Procedures
11
$55,842
$26,452
2.1×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5463
Level 3 Neurostimulator 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 csv-tall, last updated 1/1/2026, template 3.0.0, 1,008,576 rows scanned, 5,271 distinct code–setting items kept. 489 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC ANTIGEN GENE ANALYSIS 35 ANTIGENS
$2,559
$1,510
$886
23
clean
HC ADRNL CORTCL BIOCHEM ASSAY (MAYO# ACC)
$7,832
$4,621
$2,711
23
clean
HC JAK2 SEQ EXONS 12-15 (MAYO JAKXB/JAKXM)
$731
$432
$253
23
clean
HC TPMT/NUDT 15 GENOTYPING (MAYO TPNUQ)
$1,657
$977
$573
23
clean
HC 14-3-3 PROTEIN TAU/THETA, CSF (QUEST #37989)
$2,015
$1,189
$697
46
clean
HC TRGT GEN SEQ DNA 324 GENES-FOUNDTNONE
$21,000
$12,390
$7,268
23
clean
HC ANES ARRHYTHMIA CONVERSION
$27
$16
$13
23
clean
HC CT CEREBRAL PERFUSION ANALYSIS
$2,037
$1,202
$1,020
23
clean
HC ONC MERKEL CELL C SERUM QUAN
$1,938
$1,143
$671
23
clean
HC ONC MERKEL CELL CARC SRM (+/-)
$1,938
$1,143
$671
23
clean
HC MONOCLONAL PROTEIN STUDIES, 24 HOUR URINE
$261
$154
$90
23
clean
HC ANES ANORECTAL
$28
$17
$13
23
clean
HC MI-HEART CERAMIDES PLASMA (MAYO ONLY)
$503
$297
$174
23
clean
HC INF NGS >1,000 PATHOGENS 3PB (KARIUS DC0001)
$2,190
$1,292
$758
46
clean
HC ANES DELIVERY VAGINAL
$1,993
$1,176
$930
23
clean
HC ANES DELIVERY C-SECTION
$2,465
$1,454
$1,151
23
clean
HC PERC SACRAL AUGMT UNILATERAL INJ
$7,155
$4,221
$3,341
23
clean
HC PERC SACRAL AUGMT BILATERAL INJ
$9,803
$5,784
$4,577
23
clean
HC NFCT DS 22 TRGT SARSCOV2 - BIOFIRE
$2,501
$1,475
$865
23
clean
HC INJ PLSM IMAGE GUIDE HRVST/ PR
$1,595
$941
$745
23
clean
HC TRLUML PERIP ATHRC ILIAC ART
$22,696
$13,391
$8,398
23
clean
HC FOUNDATIONONE LIQUID CDX 3PB(FOUNDATION F1LCDX)
$10,274
$6,062
$3,556
23
clean
HC COVID-19 + FLU A/B - CEPHEID
$856
$505
$296
23
clean
HC COVID-19 + FLU A/B + RSV - CEPHEID
$856
$505
$296
23
clean
HC PERQ LAMOT/LAM LUMBAR
$15,734
$9,283
$7,346
23
clean
HC QUEST AD-DETECT BETA AMYLD 42/40 (QUEST #11786)
$600
$354
$208
23
clean
HC NEURO ALYS BETA-AMYL (MAYO AMYR)
$1,563
$922
$541
23
clean
HC NEURFLMNT LT CHN DIG IA QUAN (MAYO)
$823
$485
$285
23
clean
HC ALPHA-SYNUCLEIN PROTEIN AGGREG CSF (MAYO ASYNC)
$3,246
$1,915
$1,123
23
clean
HC GLYCINE RECEPTOR 1 (MAYO ID SPPC OR SPPS)
$124
$73
$43
23
clean
HC KLHL11 ANTB SR/CSF ASY QUAL
$124
$73
$43
23
clean
HC ABLTJ PERC LXTR/PERPH NRV
$8,513
$5,023
$3,975
23
clean
HC ABLTJ PERC PLEX/TRNCL NRV
$11,041
$6,514
$5,155
23
clean
HC MOTOR NEUROPATHY (NFL) (UNIV OF WASH ST LOUIS)
$58
$34
$20
23
clean
HC TMVI PERCUTANEOUS APPROACH
$8,615
$5,083
$3,188
23
clean
HC TMVI W/PROSTH VALVE TRANSTHOR EXPOSURE
$8,615
$5,083
$3,188
23
clean
HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$8,284
$4,888
$3,065
23
clean
HC TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$8,284
$4,888
$3,065
23
clean
HC INTERROG DEV EVAL ICDS SS IP
$151
$89
$70
23
clean
HC IRE ABLTJ 1+TUM ORGAN PERQ
$12,800
$7,552
$5,976
23
clean
HC EVASC VEN ARTLZ TIBL/PRNL VN
$14,837
$8,754
$6,927
23
clean
HC AUTO QUAN C PLAQ DATA PREP
$3,922
$2,314
$1,965
23
clean
HC AUTO QUAN C PLAQ CPTR ALYS
$3,922
$2,314
$1,965
23
clean
HC TTVI/RPLC PROSTC VLV PERQ W/R HRT CATH&ANGR
$12,911
$7,618
$4,777
23
clean
HC QUAN MR ALYS TISS COMPJ W/O MRI SAME SESS 1ORGN
$3,993
$2,356
$2,000
23
clean
HC QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN
$3,993
$2,356
$2,000
23
clean
HC SCALP COOL PLMT MNTR RMVL
$330
$195
$154
23
clean
HC ABLTJ B9 THYR NDUL PERQ LASR
$5,585
$3,295
$2,607
23
clean
HC HISTOTRIPSY MAL HEPATCEL TIS
$8,858
$5,226
$4,136
23
clean
HC QUAN US TIS CHARAC W/DX US
$776
$458
$362
23
clean
HC DGTZ GLS MCRSCP SLD LEVEL II
$52
$30
$18
23
clean
HC DGTZ GLS MCRSCP SLD LVL III
$72
$42
$25
23
clean
HC DGTZ GLS MCRSCP SLD LEVEL IV
$77
$45
$26
23
clean
HC DGTZ GLS MCRSCP SLD LEVEL V
$333
$196
$115
23
clean
HC DGTZ GLS MCRSCP SLD SPC GRPI
$111
$65
$38
23
clean
HC DGTZ GLS MCRSCP SL SPC GRPII
$87
$51
$30
23
clean
HC DGTZ GLS MCRSCP SL IMM 1ST
$333
$196
$115
23
clean
HC DGTZ GLS MCRSCP SL IMM EA 1
$240
$141
$83
23
clean
HC DGTZ GLS MCRSCP SL IMM EA M
$333
$196
$115
23
clean
HC DGTZ GLS MCRSCP MPHMTRC ALYS
$333
$196
$115
23
clean
HC TCAT INS 2CHMBR LDLS PM CMPL
$23,483
$13,855
$8,689
23
clean
HC TCAT INS 2CHMBR LDLS PM RA
$23,483
$13,855
$8,689
23
clean
HC TCAT INS 2CHMBR LDLS PM RV
$70,886
$41,823
$26,228
23
clean
HC PRGRMG EVL LDLS PM 2CHMBR IP
$144
$85
$53
23
clean
HC TCAT INS 1CHMBR LDLS PM RA
$77,997
$46,018
$28,859
23
clean
HC PRGRMG EVL LDLS PM 1CHMBR IP
$151
$89
$56
23
clean
HC LOW NTSTY ESWT CORPUS CVRNSM
$989
$584
$462
23
clean
HC QUAN MRI ALYS BRN W/DX MRI
$981
$579
$491
23
clean
HC FNA BX W/O IMG GDN EA ADDL
$347
$205
$162
23
clean
HC FNA BX W/US GDN 1ST LES
$2,697
$1,591
$1,259
23
clean
HC FNA BX W/US GDN EA ADDL
$1,349
$796
$630
23
clean
HC FNA BX W/FLUOR GDN 1ST LES
$2,697
$1,591
$1,259
23
clean
HC FNA BX W/CT GDN 1ST LES
$2,697
$1,591
$1,259
23
clean
HC FNA BX W/CT GDN EA ADDL
$1,349
$796
$630
23
clean
HC FNA BX W/MR GDN 1ST LES
$2,697
$1,591
$1,259
23
clean
HC FNA BX W/MR GDN EA ADDL
$1,349
$796
$630
23
clean
HC ASP FINE NDL W/O IMAG GUIDANCE, 1ST LESION
$1,498
$884
$699
23
clean
HC GUIDE CATHET FLUID DRAINAGE
$1,967
$1,161
$918
23
clean
HC PERQ DEV SOFT TISS 1ST IMAG
$1,967
$1,161
$918
23
clean
HC PERQ DEV SOFT TISS ADD IMAG
$842
$497
$393
23
clean
HC DERM ACNE SURG
$563
$332
$263
23
clean
HC I&D ABSC SMPL
$563
$332
$263
23
clean
HC I&D ABSC CMPLX
$1,076
$635
$502
23
clean
HC I&D CYST PILONIDAL SMPL
$2,678
$1,580
$1,250
23
clean
HC I&D PILONIDAL CYST CMPLC
$2,678
$1,580
$1,250
23
clean
HC INCISION/REM FOREIGN BODY SC SMPL
$1,076
$635
$502
23
clean
HC INCISION/REM FOREIGN BODY SC CMPLX
$4,447
$2,624
$2,076
23
clean
HC I&D HEMATOMA/SEROMA/FLUID
$4,447
$2,624
$2,076
23
clean
HC ASP ABSC/HEMATOMA/BULLA/CYST
$1,498
$884
$699
23
clean
HC I&D WOUND POST OP CMPLX
$7,815
$4,611
$3,649
23
clean
HC DEBR SKIN 10% BODY SURFACE
$1,664
$982
$777
23
clean
HC DBRDMT SKIN XTRNL GENT&PER
$10,490
$6,189
$4,897
23
clean
HC DEBR SKIN/SC/MSCL NECROTIZ ABD WALL
$15,056
$8,883
$7,030
23
clean
HC DEBR/REM FB OPEN SKIN/SC
$1,967
$1,161
$918
23
clean
HC DEBR SKIN/SC TISS 1ST 20 SQCM
$1,414
$834
$660
23
clean
HC DEBR SKIN/SC TISS/MSCL 1ST 20 SQCM
$2,143
$1,264
$1,001
23
clean
HC DEBR SKIN/SC TISS/MSCL/B0NE <= 20 SQCM
$5,757
$3,397
$2,688
23
clean
HC DEBR SKIN/SC TISS EA ADD 20 SQCM
$707
$417
$330
23
clean
HC DEBR MSCL AND/OR FASCIA EA ADD 20 SQCM
$1,132
$668
$528
23
clean
HC DEBR BONE EA ADD 20 SQCM
$2,879
$1,698
$1,344
23
clean
HC PARING/CUTTING LESN BGN 1
$801
$473
$374
23
clean
HC PARING/CUTTING LESN BGN 2-4
$801
$473
$374
23
clean
HC PARING/CUTTING LESN BGN SKIN > 4
$801
$473
$374
23
clean
HC TANGNTL BX SKIN SINGLE LES
$778
$459
$363
23
clean
HC TANGNTL BX SKIN EA SEP/ADDL
$389
$230
$182
23
clean
HC PUNCH BX SKIN SINGLE LESION
$1,498
$884
$699
23
clean
HC PUNCH BX SKIN EA SEP/ADDL
$749
$442
$350
23
clean
HC INCAL BX SKN SINGLE LES
$2,270
$1,339
$1,060
23
clean
HC INCAL BX SKN EA SEP/ADDL
$1,135
$670
$530
23
clean
HC REM SKIN TAG <15
$778
$459
$363
23
clean
HC SHAVE LESN SKIN TRUNK/ARM/LEG <0.5CM
$150
$88
$70
23
clean
HC SHAVE LESN SKIN TRUNK/ARM/LEG 0.6-1.0CM
$157
$93
$73
23
clean
HC SHAVE LESN SKIN TRUNK/ARM/LEG 1.1-2.0CM
$162
$96
$76
23
clean
HC SHAVE LESN TRUNK/ARM/LEG > 2.0CM
$667
$393
$311
23
clean
HC SHAVE LESN SKIN SCLP/HND/FT/GEN <0.5CM
$154
$91
$72
23
clean
HC SHAVE LESN SKIN SCLP/HND/FT/GEN 0.6-1CM
$563
$332
$263
23
clean
HC SHAVE LESN SKIN SCLP/HND/FT/GEN 1.1-2CM
$471
$278
$220
23
clean
HC SHAVE LESN SCLP/HND/GEN > 2.0CM
$1,596
$942
$745
23
clean
HC SHAVE LESN SKIN FACE/EAR/LIP <0.5CM
$563
$332
$263
23
clean
HC SHAVE LESN SKIN FACE/EAR/LIP 0.6-1.0CM
$563
$332
$263
23
clean
HC SHAVE LESN FACE/EAR/LIP 1.1-2.0CM
$726
$429
$339
23
clean
HC EXC LESN BGN TRUNK/ARM/LEG <0.5CM
$2,678
$1,580
$1,250
23
clean
HC EXC LESN BGN TRUNK/ARM/LEG 0.6-1.0CM
$1,540
$908
$719
23
clean
HC EXC LESN BGN TRUNK/ARM/LEG 1.1-2.0CM
$2,678
$1,580
$1,250
23
clean
HC EXC LESN BGN TRUNK/ARM/LEG 2.1-3.0CM
$2,678
$1,580
$1,250
23
clean
HC EXC LESN BGN TRUNK/ARM /LEG 3.1-4.0CM
$6,188
$3,651
$2,889
23
clean
HC EXC LESN BGN TRUNK/ARM >4.0CM
$6,188
$3,651
$2,889
23
clean
HC EXC LESN BGN SCALP/HAND/FT/GEN <0.5CM
$3,590
$2,118
$1,676
23
clean
HC EXC LESN BGN SCALP/HAND/FT/GEN 0.6-1.0CM
$1,967
$1,161
$918
23
clean
HC EXC LESN BGN SCALP/HAND/FT/GEN 1.1-2.0CM
$4,447
$2,624
$2,076
23
clean
HC EXC LESN BGN SCALP/HAND/FT/GEN 2.1-3.0CM
$4,447
$2,624
$2,076
23
clean
HC EXC LESN BGN SCALP/HND 3.1-4.0
$5,757
$3,397
$2,688
23
clean
HC EXC LESN BGN SCALP/HAND/FT/GEN >4.0CM
$9,200
$5,428
$4,295
23
clean
HC EXC LESN BGN FACE/EAR/LIP <= 0.5CM
$1,967
$1,161
$918
23
clean
HC EXC LESN BGN FACE/EAR/LIP 0.6-1.0CM
$1,967
$1,161
$918
23
clean
HC EXC LESN BGN FACE/EAR/LIP 1.1-2.0CM
$1,967
$1,161
$918
23
clean
HC EXC LESN BGN FACE/EAR 2.1-3.0
$4,447
$2,624
$2,076
23
clean
HC EXC LESN BGN FACE/EAR 3.1-4.0
$3,684
$2,174
$1,720
23
clean
HC EXC LESION BENIGN FACE/EAR/LIP >4.0CM
$9,200
$5,428
$4,295
23
clean
HC EXC LESN MALIG TRUNK/ARM/LEG <0.5CM
$1,967
$1,161
$918
23
clean
HC EXC LESN MALIG TRUNK/ARM/LEG 0.6-1.0CM
$1,967
$1,161
$918
23
clean
HC EXC LESN MAL TRUNK/ARM 1.1-2.0
$1,076
$635
$502
23
clean
HC EXC LESN MAL TRUNK/ARM 2.1-3.0
$1,967
$1,161
$918
23
clean
HC EXC LESN MAL TRUNK/ARM 3.1-4.0
$1,967
$1,161
$918
23
clean
HC EXC LESN MALIG TRUNK/ARM/LEG >4.0CM
$6,098
$3,598
$2,847
23
clean
HC EXC LESN MALIG SCALP/HAND/FT/GEN <= 0.5 CM
$2,707
$1,597
$1,264
23
clean
HC EXC LESN MALIG SCALP/HAND/FT/GEN 0.6 - 1.0 CM
$2,697
$1,591
$1,259
23
clean
HC EXC LESN MALIG SCALP/HAND/FT/GEN 1.1 - 2.0 CM
$2,697
$1,591
$1,259
23
clean
HC EXC LESN MALIG SCALP/HAND/FT/GEN 2.1 - 3.0 CM
$4,447
$2,624
$2,076
23
clean
HC EXC LESN MALIG SCALP/HAND/FT/GEN 3.1 - 4.0 CM
$4,447
$2,624
$2,076
23
clean
HC EXC LESN MALIG FACE/EAR/LIP < 0.5 CM
$1,967
$1,161
$918
23
clean
HC EXC LESN MALIG FACE/EAR/LIP 0.6 - 1.0 CM
$1,967
$1,161
$918
23
clean
HC EXC LESN MALIG FACE/EAR/LIP 1.1 -2.0 CM
$1,967
$1,161
$918
23
clean
HC EXC LESN MALIG FACE/EAR/LIP 2.1 - 3.0 CM
$5,757
$3,397
$2,688
23
clean
HC EXC LESN MALIG FACE/EAR/LIP > 4 CM
$11,374
$6,711
$5,310
23
clean
HC TRIMMING NAILS NONDYSTROPHIC
$245
$144
$114
23
clean
HC DEBR NAIL(S) UP TO 5
$245
$144
$114
23
clean
HC DEBR NAIL(S) 6 OR MORE
$245
$144
$114
23
clean
HC AVULSION NAIL PLATE SNGL
$505
$298
$236
23
clean
HC AVULSION NAIL PLATE EA ADDL
$147
$87
$69
23
clean
HC EVAC HEMATOMA SUBUNGAL
$201
$118
$94
23
clean
HC EXC NAIL & MATRIX
$1,596
$942
$745
23
clean
HC BIOPSY NAIL UNIT
$1,967
$1,161
$918
23
clean
HC RPR NAIL BED
$1,305
$770
$609
23
clean
HC EXC WEDGE SKIN NAIL FOLD
$507
$299
$236
23
clean
HC EXC CYST PILONIDAL SMPL
$7,815
$4,611
$3,649
23
clean
HC EXCISION CYST PILONIDAL COMPLEX
$9,568
$5,645
$4,467
23
clean
HC INJ INTRALESNAL UP TO/INCLUDING 7 LESNS
$745
$440
$348
23
clean
HC INJ INTRALESNAL > 7 LESNS
$563
$332
$263
23
clean
HC INSERT TISSUE EXPANDER INCL SBSQ XPNSJ
$10,122
$5,972
$4,726
23
clean
HC IMPLANT PELLET HORMONE SUBQ
$1,176
$694
$549
23
clean
HC INS IMPL DRUG DEL NON-BIODEGRADABLE
$479
$283
$224
23
clean
HC REM IMPL DRUG DEL NON-BIODEGRADABLE
$1,558
$919
$727
23
clean
HC REM/REINS DRUG DEL NON-BIODEGRADABLE
$1,558
$919
$727
23
clean
HC RPR LAC SMPL SCLP/HND/FT/GEN <2.5CM
$563
$332
$263
23
clean
HC RPR LAC SMPL SCLP/HND/FT/GEN 2.6-7.5CM
$563
$332
$263
23
clean
HC RPR LAC SMPL SCLP/HND/FT/GEN 7.6-12.5CM
$778
$459
$363
23
clean
HC RPR LAC SMPL SCLP/HND/FT/GEN 12.6-20.0CM
$1,076
$635
$502
23
clean
HC RPR LAC SMPL SCLP/HND/FT/GEN 20.1-30.0CM
$1,076
$635
$502
23
clean
HC RPR LAC SMPL SCLP/HND/FT/GEN > 30 CM
$563
$332
$263
23
clean
HC RPR LAC SMPL FACE/EAR/LIPS <=2.5CM
$563
$332
$263
23
clean
HC RPR LAC SMPL FACE/EAR/LIPS 2.6-5.0CM
$563
$332
$263
23
clean
HC RPR LAC SMPL FACE/EAR/LIPS 5.1-7.5CM
$563
$332
$263
23
clean
HC RPR LAC SMPL FACE/EAR/LIPS 7.6-12.5CM
$563
$332
$263
23
clean
HC RPR LAC SMPL FACE/EAR/LIPS 12.6-20.0CM
$563
$332
$263
23
clean
HC CLOSE SMPL WOUND DEHISCENCE SUPERFICIAL
$2,270
$1,339
$1,060
23
clean
HC PACKING WOUND DEHISCENCE SUPERFICIAL
$1,076
$635
$502
23
clean
HC RPR LAC INTMD SCLP/AXIL/TRUNK <= 2.5CM
$1,076
$635
$502
23
clean
HC RPR LAC INTMD SCLP/AXIL/TRUNK 2.6-7.5CM
$1,076
$635
$502
23
clean
HC RPR LAC INTMD SCLP/AXIL/TRUNK 7.6-12.5CM
$1,076
$635
$502
23
clean
HC RPR LAC INTMD SCLP/AXIL/TRUNK 12.6-20CM
$1,076
$635
$502
23
clean
HC RPR LAC INTMD SCLP/AXIL/TRUNK 20.1-30CM
$1,664
$982
$777
23
clean
HC RPR LAC INTMD SCLP/AXIL/TRUNK > 30CM
$7,008
$4,135
$3,272
23
clean
HC RPR LAC INTMD NCK/HND/FT/GEN <= 2.5CM
$980
$578
$457
23
clean
HC RPR LAC INTMD NCK/HND/FT/GEN 2.6-7.5CM
$1,498
$884
$699
23
clean
HC RPR LAC INTMD NCK/HND/FT/GEN 7.6-12.5CM
$1,358
$801
$634
23
clean
HC RPR LAC INTMD NCK/HND/FT/GEN 12.6-20CM
$1,664
$982
$777
23
clean
HC RPR LAC INTMD FACE/EAR/LIPS <=2.5CM
$563
$332
$263
23
clean
HC RPR LAC INTMD FACE/EAR/LIPS 2.6-5.0CM
$1,076
$635
$502
23
clean
HC RPR LAC INTMD FACE/EAR/LIPS 5.1-7.5CM
$1,076
$635
$502
23
clean

Showing the first 200 of 5,271 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 97545/o
error
mrf_min_above_max
de-identified minimum $1,540 exceeds maximum $72
CPT 97546/o
error
mrf_min_above_max
de-identified minimum $614 exceeds maximum $29
CPT 97750/o
error
mrf_min_above_max
de-identified minimum $244 exceeds maximum $11
CPT 97755/o
error
mrf_min_above_max
de-identified minimum $127 exceeds maximum $6
CPT 97760/o
error
mrf_min_above_max
de-identified minimum $182 exceeds maximum $9
CPT 97763/o
error
mrf_min_above_max
de-identified minimum $232 exceeds maximum $11
CPT 98978/o
error
mrf_min_above_max
de-identified minimum $130 exceeds maximum $6
CPT 92507/o
error
mrf_min_above_max
de-identified minimum $429 exceeds maximum $20
CPT 92508/o
error
mrf_min_above_max
de-identified minimum $247 exceeds maximum $12
CPT 92521/o
error
mrf_min_above_max
de-identified minimum $346 exceeds maximum $16
CPT 92522/o
error
mrf_min_above_max
de-identified minimum $580 exceeds maximum $27
CPT 92523/o
error
mrf_min_above_max
de-identified minimum $1,176 exceeds maximum $55
CPT 92524/o
error
mrf_min_above_max
de-identified minimum $946 exceeds maximum $44
CPT 92526/o
error
mrf_min_above_max
de-identified minimum $707 exceeds maximum $33
CPT 92597/o
error
mrf_min_above_max
de-identified minimum $616 exceeds maximum $29
CPT 92607/o
error
mrf_min_above_max
de-identified minimum $1,032 exceeds maximum $48
CPT 92608/o
error
mrf_min_above_max
de-identified minimum $307 exceeds maximum $14
CPT 92609/o
error
mrf_min_above_max
de-identified minimum $493 exceeds maximum $23
CPT 92610/o
error
mrf_min_above_max
de-identified minimum $817 exceeds maximum $38
CPT 92611/o
error
mrf_min_above_max
de-identified minimum $639 exceeds maximum $30
CPT 92612/o
error
mrf_min_above_max
de-identified minimum $893 exceeds maximum $42
CPT 92613/o
error
mrf_min_above_max
de-identified minimum $256 exceeds maximum $12
CPT 92626/o
error
mrf_min_above_max
de-identified minimum $273 exceeds maximum $13
CPT 92627/o
error
mrf_min_above_max
de-identified minimum $105 exceeds maximum $5
CPT 95851/o
error
mrf_min_above_max
de-identified minimum $59 exceeds maximum $3
CPT 95992/o
error
mrf_min_above_max
de-identified minimum $284 exceeds maximum $13
CPT 96105/o
error
mrf_min_above_max
de-identified minimum $740 exceeds maximum $35
CPT S8948/o
error
mrf_min_above_max
de-identified minimum $154 exceeds maximum $7
CPT 96125/o
error
mrf_min_above_max
de-identified minimum $899 exceeds maximum $42
CPT 97010/o
error
mrf_min_above_max
de-identified minimum $46 exceeds maximum $2
CPT 97012/o
error
mrf_min_above_max
de-identified minimum $286 exceeds maximum $13
CPT 97014/o
error
mrf_min_above_max
de-identified minimum $160 exceeds maximum $7
CPT 97016/o
error
mrf_min_above_max
de-identified minimum $128 exceeds maximum $6
CPT 97018/o
error
mrf_min_above_max
de-identified minimum $171 exceeds maximum $8
CPT 97022/o
error
mrf_min_above_max
de-identified minimum $276 exceeds maximum $13
CPT 97032/o
error
mrf_min_above_max
de-identified minimum $178 exceeds maximum $8
CPT 97033/o
error
mrf_min_above_max
de-identified minimum $158 exceeds maximum $7
CPT 0778T/o
error
mrf_min_above_max
de-identified minimum $540 exceeds maximum $25
CPT 97034/o
error
mrf_min_above_max
de-identified minimum $719 exceeds maximum $34
CPT 97035/o
error
mrf_min_above_max
de-identified minimum $179 exceeds maximum $8
CPT 97039/o
error
mrf_min_above_max
de-identified minimum $119 exceeds maximum $6
CPT 97110/o
error
mrf_min_above_max
de-identified minimum $294 exceeds maximum $14
CPT 97112/o
error
mrf_min_above_max
de-identified minimum $336 exceeds maximum $16
CPT 97113/o
error
mrf_min_above_max
de-identified minimum $191 exceeds maximum $9
CPT 97116/o
error
mrf_min_above_max
de-identified minimum $235 exceeds maximum $11
CPT 97124/o
error
mrf_min_above_max
de-identified minimum $189 exceeds maximum $9
CPT 97129/o
error
mrf_min_above_max
de-identified minimum $222 exceeds maximum $10
CPT 97130/o
error
mrf_min_above_max
de-identified minimum $222 exceeds maximum $10
CPT 97140/o
error
mrf_min_above_max
de-identified minimum $225 exceeds maximum $11
CPT 97150/o
error
mrf_min_above_max
de-identified minimum $182 exceeds maximum $9
CPT 97161/o
error
mrf_min_above_max
de-identified minimum $641 exceeds maximum $30
CPT 97162/o
error
mrf_min_above_max
de-identified minimum $641 exceeds maximum $30
CPT 97163/o
error
mrf_min_above_max
de-identified minimum $641 exceeds maximum $30
CPT 97164/o
error
mrf_min_above_max
de-identified minimum $418 exceeds maximum $20
CPT 97165/o
error
mrf_min_above_max
de-identified minimum $641 exceeds maximum $30
CPT 97166/o
error
mrf_min_above_max
de-identified minimum $641 exceeds maximum $30
CPT 97167/o
error
mrf_min_above_max
de-identified minimum $641 exceeds maximum $30
CPT 97168/o
error
mrf_min_above_max
de-identified minimum $418 exceeds maximum $20
CPT 97530/o
error
mrf_min_above_max
de-identified minimum $344 exceeds maximum $16
CPT 97533/o
error
mrf_min_above_max
de-identified minimum $222 exceeds maximum $10
CPT 97535/o
error
mrf_min_above_max
de-identified minimum $339 exceeds maximum $16
CPT 97537/o
error
mrf_min_above_max
de-identified minimum $208 exceeds maximum $10
CPT 97542/o
error
mrf_min_above_max
de-identified minimum $202 exceeds maximum $9
CPT 97542/o
error
mrf_negotiated_above_max
a negotiated rate of $202 is above the file's own maximum $9
CPT 97545/o
error
mrf_negotiated_above_max
a negotiated rate of $1,540 is above the file's own maximum $72
CPT 97546/o
error
mrf_negotiated_above_max
a negotiated rate of $614 is above the file's own maximum $29
CPT 97750/o
error
mrf_negotiated_above_max
a negotiated rate of $244 is above the file's own maximum $11
CPT 97755/o
error
mrf_negotiated_above_max
a negotiated rate of $127 is above the file's own maximum $6
CPT 97760/o
error
mrf_negotiated_above_max
a negotiated rate of $182 is above the file's own maximum $9
CPT 97763/o
error
mrf_negotiated_above_max
a negotiated rate of $232 is above the file's own maximum $11
CPT 98978/o
error
mrf_negotiated_above_max
a negotiated rate of $130 is above the file's own maximum $6
CPT 92507/o
error
mrf_negotiated_above_max
a negotiated rate of $429 is above the file's own maximum $20
CPT 92508/o
error
mrf_negotiated_above_max
a negotiated rate of $247 is above the file's own maximum $12
CPT 92521/o
error
mrf_negotiated_above_max
a negotiated rate of $346 is above the file's own maximum $16
CPT 92522/o
error
mrf_negotiated_above_max
a negotiated rate of $580 is above the file's own maximum $27
CPT 92523/o
error
mrf_negotiated_above_max
a negotiated rate of $1,176 is above the file's own maximum $55
CPT 92524/o
error
mrf_negotiated_above_max
a negotiated rate of $946 is above the file's own maximum $44
CPT 92526/o
error
mrf_negotiated_above_max
a negotiated rate of $707 is above the file's own maximum $33
CPT 92597/o
error
mrf_negotiated_above_max
a negotiated rate of $616 is above the file's own maximum $29
CPT 92607/o
error
mrf_negotiated_above_max
a negotiated rate of $1,032 is above the file's own maximum $48
CPT 92608/o
error
mrf_negotiated_above_max
a negotiated rate of $307 is above the file's own maximum $14
CPT 92609/o
error
mrf_negotiated_above_max
a negotiated rate of $493 is above the file's own maximum $23
CPT 92610/o
error
mrf_negotiated_above_max
a negotiated rate of $817 is above the file's own maximum $38
CPT 92611/o
error
mrf_negotiated_above_max
a negotiated rate of $639 is above the file's own maximum $30
CPT 92612/o
error
mrf_negotiated_above_max
a negotiated rate of $893 is above the file's own maximum $42
CPT 92613/o
error
mrf_negotiated_above_max
a negotiated rate of $256 is above the file's own maximum $12
CPT 92626/o
error
mrf_negotiated_above_max
a negotiated rate of $273 is above the file's own maximum $13
CPT 92627/o
error
mrf_negotiated_above_max
a negotiated rate of $105 is above the file's own maximum $5
CPT 95851/o
error
mrf_negotiated_above_max
a negotiated rate of $59 is above the file's own maximum $3
CPT 95992/o
error
mrf_negotiated_above_max
a negotiated rate of $284 is above the file's own maximum $13
CPT 96105/o
error
mrf_negotiated_above_max
a negotiated rate of $740 is above the file's own maximum $35
CPT S8948/o
error
mrf_negotiated_above_max
a negotiated rate of $154 is above the file's own maximum $7
CPT 96125/o
error
mrf_negotiated_above_max
a negotiated rate of $899 is above the file's own maximum $42
CPT 97010/o
error
mrf_negotiated_above_max
a negotiated rate of $46 is above the file's own maximum $2
CPT 97012/o
error
mrf_negotiated_above_max
a negotiated rate of $286 is above the file's own maximum $13
CPT 97014/o
error
mrf_negotiated_above_max
a negotiated rate of $160 is above the file's own maximum $7
CPT 97016/o
error
mrf_negotiated_above_max
a negotiated rate of $128 is above the file's own maximum $6
CPT 97018/o
error
mrf_negotiated_above_max
a negotiated rate of $171 is above the file's own maximum $8
CPT 97022/o
error
mrf_negotiated_above_max
a negotiated rate of $276 is above the file's own maximum $13
CPT 97032/o
error
mrf_negotiated_above_max
a negotiated rate of $178 is above the file's own maximum $8
CPT 97033/o
error
mrf_negotiated_above_max
a negotiated rate of $158 is above the file's own maximum $7
CPT 0778T/o
error
mrf_negotiated_above_max
a negotiated rate of $540 is above the file's own maximum $25
CPT 97034/o
error
mrf_negotiated_above_max
a negotiated rate of $719 is above the file's own maximum $34
CPT 97035/o
error
mrf_negotiated_above_max
a negotiated rate of $179 is above the file's own maximum $8
CPT 97039/o
error
mrf_negotiated_above_max
a negotiated rate of $119 is above the file's own maximum $6
CPT 97110/o
error
mrf_negotiated_above_max
a negotiated rate of $294 is above the file's own maximum $14
CPT 97112/o
error
mrf_negotiated_above_max
a negotiated rate of $336 is above the file's own maximum $16
CPT 97113/o
error
mrf_negotiated_above_max
a negotiated rate of $191 is above the file's own maximum $9
CPT 97116/o
error
mrf_negotiated_above_max
a negotiated rate of $235 is above the file's own maximum $11
CPT 97124/o
error
mrf_negotiated_above_max
a negotiated rate of $189 is above the file's own maximum $9
CPT 97129/o
error
mrf_negotiated_above_max
a negotiated rate of $222 is above the file's own maximum $10
CPT 97130/o
error
mrf_negotiated_above_max
a negotiated rate of $222 is above the file's own maximum $10
CPT 97140/o
error
mrf_negotiated_above_max
a negotiated rate of $225 is above the file's own maximum $11
CPT 97150/o
error
mrf_negotiated_above_max
a negotiated rate of $182 is above the file's own maximum $9
CPT 97161/o
error
mrf_negotiated_above_max
a negotiated rate of $641 is above the file's own maximum $30
CPT 97162/o
error
mrf_negotiated_above_max
a negotiated rate of $641 is above the file's own maximum $30
CPT 97163/o
error
mrf_negotiated_above_max
a negotiated rate of $641 is above the file's own maximum $30
CPT 97164/o
error
mrf_negotiated_above_max
a negotiated rate of $418 is above the file's own maximum $20
CPT 97165/o
error
mrf_negotiated_above_max
a negotiated rate of $641 is above the file's own maximum $30
CPT 97166/o
error
mrf_negotiated_above_max
a negotiated rate of $641 is above the file's own maximum $30
CPT 97167/o
error
mrf_negotiated_above_max
a negotiated rate of $641 is above the file's own maximum $30
CPT 97168/o
error
mrf_negotiated_above_max
a negotiated rate of $418 is above the file's own maximum $20
CPT 97530/o
error
mrf_negotiated_above_max
a negotiated rate of $344 is above the file's own maximum $16
CPT 97533/o
error
mrf_negotiated_above_max
a negotiated rate of $222 is above the file's own maximum $10
CPT 97535/o
error
mrf_negotiated_above_max
a negotiated rate of $339 is above the file's own maximum $16
CPT 97537/o
error
mrf_negotiated_above_max
a negotiated rate of $208 is above the file's own maximum $10
CPT 97542/o
error
mrf_negotiated_below_min
a negotiated rate of $9 is below the file's own minimum $202
CPT 97545/o
error
mrf_negotiated_below_min
a negotiated rate of $72 is below the file's own minimum $1,540
CPT 97546/o
error
mrf_negotiated_below_min
a negotiated rate of $29 is below the file's own minimum $614
CPT 97750/o
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $244
CPT 97755/o
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $127
CPT 97760/o
error
mrf_negotiated_below_min
a negotiated rate of $9 is below the file's own minimum $182
CPT 97763/o
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $232
CPT 98978/o
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $130
CPT 92507/o
error
mrf_negotiated_below_min
a negotiated rate of $20 is below the file's own minimum $429
CPT 92508/o
error
mrf_negotiated_below_min
a negotiated rate of $12 is below the file's own minimum $247
CPT 92521/o
error
mrf_negotiated_below_min
a negotiated rate of $16 is below the file's own minimum $346
CPT 92522/o
error
mrf_negotiated_below_min
a negotiated rate of $27 is below the file's own minimum $580
CPT 92523/o
error
mrf_negotiated_below_min
a negotiated rate of $55 is below the file's own minimum $1,176
CPT 92524/o
error
mrf_negotiated_below_min
a negotiated rate of $44 is below the file's own minimum $946
CPT 92526/o
error
mrf_negotiated_below_min
a negotiated rate of $33 is below the file's own minimum $707
CPT 92597/o
error
mrf_negotiated_below_min
a negotiated rate of $29 is below the file's own minimum $616
CPT 92607/o
error
mrf_negotiated_below_min
a negotiated rate of $48 is below the file's own minimum $1,032
CPT 92608/o
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $307
CPT 92609/o
error
mrf_negotiated_below_min
a negotiated rate of $23 is below the file's own minimum $493
CPT 92610/o
error
mrf_negotiated_below_min
a negotiated rate of $38 is below the file's own minimum $817
CPT 92611/o
error
mrf_negotiated_below_min
a negotiated rate of $30 is below the file's own minimum $639
CPT 92612/o
error
mrf_negotiated_below_min
a negotiated rate of $42 is below the file's own minimum $893
CPT 92613/o
error
mrf_negotiated_below_min
a negotiated rate of $12 is below the file's own minimum $256
CPT 92626/o
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $273
CPT 92627/o
error
mrf_negotiated_below_min
a negotiated rate of $5 is below the file's own minimum $105
CPT 95851/o
error
mrf_negotiated_below_min
a negotiated rate of $3 is below the file's own minimum $59
CPT 95992/o
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $284
CPT 96105/o
error
mrf_negotiated_below_min
a negotiated rate of $35 is below the file's own minimum $740
CPT S8948/o
error
mrf_negotiated_below_min
a negotiated rate of $7 is below the file's own minimum $154
CPT 96125/o
error
mrf_negotiated_below_min
a negotiated rate of $42 is below the file's own minimum $899
CPT 97010/o
error
mrf_negotiated_below_min
a negotiated rate of $2 is below the file's own minimum $46
CPT 97012/o
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $286
CPT 97014/o
error
mrf_negotiated_below_min
a negotiated rate of $7 is below the file's own minimum $160
CPT 97016/o
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $128
CPT 97018/o
error
mrf_negotiated_below_min
a negotiated rate of $8 is below the file's own minimum $171
CPT 97022/o
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $276
CPT 97032/o
error
mrf_negotiated_below_min
a negotiated rate of $8 is below the file's own minimum $178
CPT 97033/o
error
mrf_negotiated_below_min
a negotiated rate of $7 is below the file's own minimum $158
CPT 0778T/o
error
mrf_negotiated_below_min
a negotiated rate of $25 is below the file's own minimum $540
CPT 97034/o
error
mrf_negotiated_below_min
a negotiated rate of $34 is below the file's own minimum $719
CPT 97035/o
error
mrf_negotiated_below_min
a negotiated rate of $8 is below the file's own minimum $179
CPT 97039/o
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $119
CPT 97110/o
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $294
CPT 97112/o
error
mrf_negotiated_below_min
a negotiated rate of $16 is below the file's own minimum $336
CPT 97113/o
error
mrf_negotiated_below_min
a negotiated rate of $9 is below the file's own minimum $191
CPT 97116/o
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $235
CPT 97124/o
error
mrf_negotiated_below_min
a negotiated rate of $9 is below the file's own minimum $189
CPT 97129/o
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $222
CPT 97130/o
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $222
CPT 97140/o
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $225
CPT 97150/o
error
mrf_negotiated_below_min
a negotiated rate of $9 is below the file's own minimum $182
CPT 97161/o
error
mrf_negotiated_below_min
a negotiated rate of $30 is below the file's own minimum $641
CPT 97162/o
error
mrf_negotiated_below_min
a negotiated rate of $30 is below the file's own minimum $641
CPT 97163/o
error
mrf_negotiated_below_min
a negotiated rate of $30 is below the file's own minimum $641
CPT 97164/o
error
mrf_negotiated_below_min
a negotiated rate of $20 is below the file's own minimum $418
CPT 97165/o
error
mrf_negotiated_below_min
a negotiated rate of $30 is below the file's own minimum $641
CPT 97166/o
error
mrf_negotiated_below_min
a negotiated rate of $30 is below the file's own minimum $641
CPT 97167/o
error
mrf_negotiated_below_min
a negotiated rate of $30 is below the file's own minimum $641
CPT 97168/o
error
mrf_negotiated_below_min
a negotiated rate of $20 is below the file's own minimum $418
CPT 97530/o
error
mrf_negotiated_below_min
a negotiated rate of $16 is below the file's own minimum $344
CPT 97533/o
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $222
CPT 97535/o
error
mrf_negotiated_below_min
a negotiated rate of $16 is below the file's own minimum $339
CPT 97537/o
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $208
CPT 82465/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82507/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82528/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82533/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82540/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82542/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82565/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82570/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82575/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82657/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82725/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 489 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. · csv-tall · 129.6M bytes · fetched 2026-08-22 · sha256 55a4eb106f23…

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.