Hospital · CCN 100012
Lee Memorial Hospital
2776 Cleveland Ave, Fort Myers, FL 33901 · Lee County
Part of Lee Health · 746 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
165 admission types 60 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
5.64×
$630.9M billed against $111.8M paid across 7,560 Medicare discharges; the national figure is 5.03×.
2.6%
of adults in Lee County have medical debt in collections
17.1%
uninsured in the county · state 13.9%
$72K
median household income
6.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
30.4%
obesity in the countyⓘ
14.5%
diagnosed diabetes (PLACES)
8.9%
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
291
Heart failure and shock with mcc
580
$46,514
$10,455
4.4× st 6.3×
871
Septicemia or severe sepsis without mv >96 hours with mcc
488
$82,970
$15,509
5.4× st 7.2×
177
Respiratory infections and inflammations with mcc
254
$60,530
$12,824
4.7× st 6.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
237
$108,508
$15,156
7.2× st 9.1×
690
Kidney and urinary tract infections without mcc
181
$32,414
$6,954
4.7× st 6.6×
193
Simple pneumonia and pleurisy with mcc
167
$45,149
$10,724
4.2× st 7.2×
309
Cardiac arrhythmia and conduction disorders with cc
160
$29,520
$6,724
4.4× st 6.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
152
$34,099
$7,209
4.7× st 7.5×
189
Pulmonary edema and respiratory failure
151
$54,954
$10,105
5.4× st 6.8×
378
Gastrointestinal hemorrhage with cc
146
$42,134
$8,247
5.1× st 7.4×
683
Renal failure with cc
128
$35,354
$7,636
4.6× st 6.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
126
$22,284
$5,506
4.0× st 7.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
117
$29,139
$6,812
4.3× st 6.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
107
$113,300
$15,594
7.3× st 9.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
106
$306,213
$39,981
7.7× st 7.2×
274
Percutaneous and other intracardiac procedures without mcc
104
$173,541
$24,943
7.0× st 7.5×
308
Cardiac arrhythmia and conduction disorders with mcc
90
$43,342
$10,352
4.2× st 6.6×
603
Cellulitis without mcc
84
$25,972
$7,957
3.3× st 5.9×
689
Kidney and urinary tract infections with mcc
81
$41,892
$9,290
4.5× st 6.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
78
$42,056
$8,389
5.0× st 7.0×
312
Syncope and collapse
77
$38,156
$7,527
5.1× st 7.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
74
$154,808
$23,527
6.6× st 9.0×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
74
$83,318
$17,444
4.8× st 7.0×
698
Other kidney and urinary tract diagnoses with mcc
73
$63,620
$12,753
5.0× st 6.7×
280
Acute myocardial infarction, discharged alive with mcc
73
$80,483
$13,493
6.0× st 7.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
72
$57,149
$9,636
5.9× st 8.9×
467
Revision of hip or knee replacement with cc
71
$174,037
$26,857
6.5× st 7.7×
377
Gastrointestinal hemorrhage with mcc
70
$74,090
$15,644
4.7× st 7.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
68
$209,722
$38,509
5.4× st 7.5×
178
Respiratory infections and inflammations with cc
65
$39,611
$8,375
4.7× st 6.4×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
62
$349,640
$50,713
6.9× st 6.5×
552
Medical back problems without mcc
62
$35,692
$7,929
4.5× st 7.8×
682
Renal failure with mcc
61
$56,526
$11,991
4.7× st 7.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
57
$49,481
$10,936
4.5× st 6.7×
699
Other kidney and urinary tract diagnoses with cc
55
$34,864
$8,606
4.1× st 6.1×
314
Other circulatory system diagnoses with mcc
54
$75,679
$16,160
4.7× st 5.9×
194
Simple pneumonia and pleurisy with cc
52
$34,479
$7,240
4.8× st 6.9×
394
Other digestive system diagnoses with cc
51
$38,422
$8,081
4.8× st 7.3×
190
Chronic obstructive pulmonary disease with mcc
51
$44,827
$8,976
5.0× st 6.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
51
$54,708
$10,693
5.1× st 6.8×
389
Gastrointestinal obstruction with cc
51
$34,864
$6,996
5.0× st 7.1×
236
Coronary bypass without cardiac catheterization without mcc
49
$242,966
$31,170
7.8× st 8.9×
329
Major small and large bowel procedures with mcc
47
$214,169
$37,330
5.7× st 7.5×
057
Degenerative nervous system disorders without mcc
47
$35,731
$10,632
3.4× st 6.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
47
$118,465
$16,279
7.3× st 8.7×
481
Hip and femur procedures except major joint with cc
46
$106,472
$16,621
6.4× st 8.8×
305
Hypertension without mcc
45
$29,719
$6,735
4.4× st 7.5×
235
Coronary bypass without cardiac catheterization with mcc
45
$255,980
$47,858
5.3× st 8.1×
281
Acute myocardial infarction, discharged alive with cc
44
$49,515
$8,246
6.0× st 8.5×
812
Red blood cell disorders without mcc
44
$32,410
$7,883
4.1× st 6.3×
243
Permanent cardiac pacemaker implant with cc
43
$104,549
$18,893
5.5× st 8.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
42
$93,761
$13,341
7.0× st 9.6×
313
Chest pain
42
$30,049
$6,364
4.7× st 7.3×
372
Major gastrointestinal disorders and peritoneal infections with cc
38
$38,472
$8,586
4.5× st 6.3×
638
Diabetes with cc
38
$36,502
$7,681
4.8× st 6.5×
483
Major joint or limb reattachment procedures of upper extremities
37
$116,423
$19,166
6.1× st 9.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
37
$41,308
$8,515
4.9× st 8.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
37
$50,870
$10,943
4.6× st 6.8×
468
Revision of hip or knee replacement without cc/mcc
36
$141,513
$19,912
7.1× st 7.2×
300
Peripheral vascular disorders with cc
36
$44,875
$8,966
5.0× st 6.3×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
35
$417,893
$64,164
6.5× st 6.7×
202
Bronchitis and asthma with cc/mcc
35
$37,851
$8,163
4.6× st 6.4×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
33
$28,627
$7,469
3.8× st 7.1×
644
Endocrine disorders with cc
32
$41,038
$8,837
4.6× st 5.8×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
31
$176,743
$22,777
7.8× st 8.0×
660
Kidney and ureter procedures for non-neoplasm with cc
30
$73,175
$10,983
6.7× st 8.1×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
30
$118,100
$18,697
6.3× st 7.6×
330
Major small and large bowel procedures with cc
30
$171,627
$22,738
7.5× st 8.5×
229
Other cardiothoracic procedures without mcc
30
$133,144
$24,225
5.5× st 6.9×
315
Other circulatory system diagnoses with cc
29
$37,125
$8,085
4.6× st 6.2×
813
Coagulation disorders
29
$43,111
$14,010
3.1× st 5.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
29
$122,584
$20,084
6.1× st 7.3×
445
Disorders of the biliary tract with cc
28
$50,075
$9,373
5.3× st 7.9×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
28
$43,014
$8,824
4.9× st 6.6×
884
Organic disturbances and intellectual disability
27
$35,971
$12,890
2.8× st 5.5×
439
Disorders of pancreas except malignancy with cc
27
$37,136
$8,333
4.5× st 6.8×
432
Cirrhosis and alcoholic hepatitis with mcc
26
$67,967
$15,409
4.4× st 6.9×
602
Cellulitis with mcc
25
$51,343
$11,571
4.4× st 5.9×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
24
$250,861
$35,132
7.1× st 7.8×
270
Other major cardiovascular procedures with mcc
24
$291,491
$46,784
6.2× st 7.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
23
$183,322
$31,328
5.9× st 6.7×
176
Pulmonary embolism without mcc
23
$37,637
$7,074
5.3× st 7.2×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
23
$142,166
$19,942
7.1× st 8.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
23
$47,853
$13,719
3.5× st 7.8×
163
Major chest procedures with mcc
23
$193,096
$32,091
6.0× st 6.9×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
23
$55,242
$9,471
5.8× st 8.4×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
22
$395,305
$65,831
6.0× st 8.9×
643
Endocrine disorders with mcc
22
$52,748
$13,208
4.0× st 6.2×
444
Disorders of the biliary tract with mcc
21
$94,634
$13,172
7.2× st 7.0×
390
Gastrointestinal obstruction without cc/mcc
21
$30,152
$5,259
5.7× st 7.0×
870
Septicemia or severe sepsis with mv >96 hours
21
$228,479
$46,822
4.9× st 6.6×
164
Major chest procedures with cc
20
$166,863
$19,702
8.5× st 7.4×
271
Other major cardiovascular procedures with cc
20
$184,162
$29,684
6.2× st 7.8×
940
O.r. procedures with diagnoses of other contact with health services with cc
20
$114,282
$16,882
6.8× st 7.5×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
19
$87,541
$10,719
8.2× st 10.0×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
19
$105,206
$18,191
5.8× st 9.0×
228
Other cardiothoracic procedures with mcc
19
$184,348
$36,163
5.1× st 6.3×
574
Skin graft for skin ulcer or cellulitis with cc
19
$90,765
$24,268
3.7× st 4.9×
393
Other digestive system diagnoses with mcc
19
$51,039
$13,187
3.9× st 6.2×
056
Degenerative nervous system disorders with mcc
19
$50,665
$15,741
3.2× st 5.7×
303
Atherosclerosis without mcc
19
$32,535
$6,071
5.4× st 6.8×
242
Permanent cardiac pacemaker implant with mcc
18
$134,152
$25,899
5.2× st 7.7×
264
Other circulatory system o.r. procedures
18
$83,672
$26,483
3.2× st 6.5×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
18
$34,839
$7,941
4.4× st 7.7×
480
Hip and femur procedures except major joint with mcc
18
$132,412
$23,714
5.6× st 8.6×
299
Peripheral vascular disorders with mcc
18
$70,984
$12,154
5.8× st 6.6×
069
Transient ischemia without thrombolytic
18
$38,773
$7,021
5.5× st 10.3×
191
Chronic obstructive pulmonary disease with cc
18
$31,930
$7,245
4.4× st 7.1×
036
Carotid artery stent procedures without cc/mcc
18
$137,297
$14,438
9.5× st 8.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
17
$138,816
$20,589
6.7× st 7.7×
381
Complicated peptic ulcer with cc
17
$49,454
$10,278
4.8× st 6.6×
536
Fractures of hip and pelvis without mcc
17
$42,593
$6,876
6.2× st 7.4×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
17
$141,136
$24,296
5.8× st 6.5×
092
Other disorders of nervous system with cc
17
$36,282
$8,755
4.1× st 6.9×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
17
$341,822
$42,813
8.0× st 7.1×
919
Complications of treatment with mcc
16
$79,266
$15,046
5.3× st 5.3×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
16
$35,598
$7,957
4.5× st 6.4×
454
Combined anterior and posterior spinal fusion with cc
15
$263,410
$51,910
5.1× st 6.4×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
15
$74,894
$14,020
5.3× st 6.0×
070
Other cerebrovascular disorders with mcc
15
$76,943
$13,279
5.8× st 6.3×
273
Percutaneous and other intracardiac procedures with mcc
15
$168,988
$29,540
5.7× st 8.3×
388
Gastrointestinal obstruction with mcc
15
$62,460
$11,634
5.4× st 6.6×
269
Aortic and heart assist procedures except pulsation balloon without mcc
15
$275,168
$44,517
6.2× st 6.3×
863
Postoperative and post-traumatic infections without mcc
15
$33,180
$8,369
4.0× st 5.9×
948
Signs and symptoms without mcc
14
$30,113
$6,570
4.6× st 6.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
14
$32,687
$6,793
4.8× st 8.8×
811
Red blood cell disorders with mcc
14
$51,502
$12,152
4.2× st 7.5×
854
Infectious and parasitic diseases with o.r. procedures with cc
14
$104,959
$17,951
5.8× st 8.6×
282
Acute myocardial infarction, discharged alive without cc/mcc
14
$45,895
$6,398
7.2× st 9.0×
196
Interstitial lung disease with mcc
14
$79,822
$15,059
5.3× st 5.8×
186
Pleural effusion with mcc
14
$63,124
$12,495
5.1× st 6.1×
086
Traumatic stupor and coma <1 hour with cc
13
$61,724
$10,789
5.7× st 8.3×
460
Spinal fusion except cervical without mcc
13
$222,191
$28,294
7.9× st 7.8×
438
Disorders of pancreas except malignancy with mcc
13
$99,371
$12,509
7.9× st 5.3×
398
Appendix procedures with cc
13
$78,632
$12,246
6.4× st 7.2×
565
Other musculoskeletal system and connective tissue diagnoses with cc
13
$46,114
$8,507
5.4× st 6.8×
252
Other vascular procedures with mcc
13
$198,922
$28,107
7.1× st 7.2×
696
Kidney and urinary tract signs and symptoms without mcc
13
$21,925
$6,259
3.5× st 5.1×
195
Simple pneumonia and pleurisy without cc/mcc
13
$28,661
$5,815
4.9× st 6.0×
645
Endocrine disorders without cc/mcc
12
$29,373
$6,767
4.3× st 5.8×
435
Malignancy of hepatobiliary system or pancreas with mcc
12
$76,684
$16,270
4.7× st 6.9×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
12
$296,951
$37,647
7.9× st 7.9×
551
Medical back problems with mcc
12
$54,480
$13,481
4.0× st 7.4×
375
Digestive malignancy with cc
12
$60,504
$9,735
6.2× st 6.4×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
12
$523,976
$78,109
6.7× st 7.1×
684
Renal failure without cc/mcc
12
$27,228
$5,575
4.9× st 5.6×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
12
$79,068
$13,543
5.8× st 8.8×
455
Combined anterior and posterior spinal fusion without cc/mcc
11
$227,746
$34,176
6.7× st 6.5×
885
Psychoses
11
$73,679
$12,028
6.1× st 3.2×
307
Cardiac congenital and valvular disorders without mcc
11
$36,781
$8,187
4.5× st 5.8×
306
Cardiac congenital and valvular disorders with mcc
11
$50,169
$12,400
4.0× st 7.1×
920
Complications of treatment with cc
11
$39,972
$8,641
4.6× st 5.3×
304
Hypertension with mcc
11
$46,481
$9,619
4.8× st 6.3×
283
Acute myocardial infarction, expired with mcc
11
$63,981
$15,473
4.1× st 5.5×
276
Cardiac defibrillator implant with mcc or carotid sinus neurostimulator
11
$313,067
$46,956
6.7× st 8.2×
039
Extracranial procedures without cc/mcc
11
$113,421
$10,068
11.3× st 8.9×
558
Tendonitis, myositis and bursitis without mcc
11
$33,600
$7,475
4.5× st 5.2×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$48,800
$13,121
3.7× st 5.2×
074
Cranial and peripheral nerve disorders without mcc
11
$40,332
$8,767
4.6× st 7.1×
071
Other cerebrovascular disorders with cc
11
$46,991
$8,436
5.6× st 6.3×
292
Heart failure and shock with cc
11
$27,425
$6,888
4.0× st 4.4×
100
Seizures with mcc
11
$70,461
$13,116
5.4× st 6.7×
179
Respiratory infections and inflammations without cc/mcc
11
$40,498
$7,610
5.3× st 6.1×
149
Dysequilibrium
11
$32,952
$6,643
5.0× st 8.8×
573
Skin graft for skin ulcer or cellulitis with mcc
11
$156,126
$42,559
3.7× st 3.7×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
1,339
$22,365
$2,463
9.1×
5115
Level 5 Musculoskeletal Procedures
678
$97,453
$11,798
8.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
558
$11,921
$1,246
9.6×
5302
Level 2 Upper GI Procedures
382
$15,546
$1,642
9.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
252
$23,803
$1,777
13.4×
5114
Level 4 Musculoskeletal Procedures
245
$63,110
$6,121
10.3×
5191
Level 1 Endovascular Procedures
240
$29,137
$2,939
9.9×
5361
Level 1 Laparoscopy and Related Services
239
$53,323
$4,413
12.1×
5193
Level 3 Endovascular Procedures
232
$91,243
$9,932
9.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
207
$40,934
$2,532
16.2×
5113
Level 3 Musculoskeletal Procedures
157
$33,781
$2,495
13.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
143
$74,149
$3,974
18.7×
5183
Level 3 Vascular Procedures
138
$24,792
$2,812
8.8×
5213
Level 3 Electrophysiologic Procedures
128
$180,404
$21,304
8.5×
5182
Level 2 Vascular Procedures
126
$12,900
$1,413
9.1×
5112
Level 2 Musculoskeletal Procedures
124
$15,901
$1,407
11.3×
5431
Level 1 Nerve Procedures
123
$17,835
$1,681
10.6×
5116
Level 6 Musculoskeletal Procedures
123
$115,251
$16,106
7.2×
5373
Level 3 Urology and Related Services
112
$19,940
$1,578
12.6×
5155
Level 5 Airway Endoscopy
91
$53,755
$6,118
8.8×
5165
Level 5 ENT Procedures
85
$67,787
$5,043
13.4×
5372
Level 2 Urology and Related Services
73
$8,480
$334
25.4×
5223
Level 3 Pacemaker and Similar Procedures
73
$59,647
$9,666
6.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
72
$42,625
$2,899
14.7×
5375
Level 5 Urology and Related Services
71
$48,874
$4,093
11.9×
5313
Level 3 Lower GI Procedures
64
$19,012
$2,424
7.8×
5331
Complex GI Procedures
61
$38,455
$5,162
7.4×
5154
Level 4 Airway Endoscopy
58
$24,836
$3,322
7.5×
5303
Level 3 Upper GI Procedures
56
$24,083
$3,469
6.9×
5374
Level 4 Urology and Related Services
52
$34,714
$2,903
12.0×
5194
Level 4 Endovascular Procedures
51
$137,118
$15,666
8.8×
5153
Level 3 Airway Endoscopy
50
$12,531
$1,236
10.1×
5362
Level 2 Laparoscopy and Related Services
41
$80,360
$8,314
9.7×
5414
Level 4 Gynecologic Procedures
38
$27,316
$2,698
10.1×
5232
Level 2 ICD and Similar Procedures
37
$211,366
$29,712
7.1×
5491
Level 1 Intraocular Procedures
36
$18,441
$1,126
16.4×
5222
Level 2 Pacemaker and Similar Procedures
33
$63,520
$7,696
8.3×
5465
Level 5 Neurostimulator and Related Procedures
30
$207,332
$20,208
10.3×
5462
Level 2 Neurostimulator and Related Procedures
23
$47,134
$3,663
12.9×
5166
Cochlear Implant Procedure
23
$173,619
$26,343
6.6×
5224
Level 4 Pacemaker and Similar Procedures
23
$120,789
$17,611
6.9×
5184
Level 4 Vascular Procedures
17
$57,513
$4,978
11.6×
5163
Level 3 ENT Procedures
16
$16,844
$1,382
12.2×
5192
Level 2 Endovascular Procedures
14
$55,687
$4,734
11.8×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via leehealth.org/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-03-26, template 3.0.0, 664,541 rows scanned, 7,314 distinct code–setting items kept. 6,754 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC CT Ablation Cryo Perc Lower Extremty Peripheral Nerve-Right Inc Imaging
$14,810
$2,962
$8,979
12
clean
HC MRI Quantitative Tissue Analysis W/O Diag MRI Same Anatomy Singl Organ
$5,743
$1,149
$3,365
9
clean
HC MRI Quantitative Tissue Analysis W/ Diag MRI Same Anatomy Singl Organ
$2,587
$517
$1,526
9
clean
HC US Quantitative Tissue Analysis Non-Elastography W/ Diag US Same Anatomy
$526
$105
$315
9
clean
HC MRI Mrcp Quantitative Analysis W/ Diag MRI Same Anatomy Same Session
$2,587
$517
$1,526
9
clean
Showing the first 200 of 7,314 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
error
mrf_negotiated_above_max_systematic
1,187 of 5,257 comparable items (23%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. a negotiated rate of $431 is above the file's own maximum $425
error
mrf_negotiated_below_min_systematic
3,495 of 5,257 comparable items (66%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. a negotiated rate of $20 is below the file's own minimum $31
CPT 82441/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $49
CPT 76940/b
warn
mrf_negotiated_above_gross
highest negotiated rate $467 exceeds the gross charge $190
CPT 80325/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $7
CPT 84376/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $42
CPT 93283/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $190
MS-DRG 849/i
warn
mrf_negotiated_above_gross
highest negotiated rate $69,133 exceeds the gross charge $56,099
CPT 82465/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $52
MS-DRG 593/i
warn
mrf_negotiated_above_gross
highest negotiated rate $30,268 exceeds the gross charge $29,941
CPT 64493/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,877 exceeds the gross charge $3,644
CPT 93284/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $215
CPT 76946/b
warn
mrf_negotiated_above_gross
highest negotiated rate $596 exceeds the gross charge $90
MS-DRG 594/i
warn
mrf_negotiated_above_gross
highest negotiated rate $22,116 exceeds the gross charge $7,165
CPT 82482/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $24
CPT 84392/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $14
CPT 93285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 64517/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,877 exceeds the gross charge $2,247
CPT 82492/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $72
CPT 93286/b
warn
mrf_negotiated_above_gross
highest negotiated rate $467 exceeds the gross charge $143
MS-DRG 596/i
warn
mrf_negotiated_above_gross
highest negotiated rate $27,620 exceeds the gross charge $13,717
CPT 52005/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,170
CPT 64520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,877 exceeds the gross charge $1,451
CPT 84402/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $32
MS-DRG 326/i
warn
mrf_negotiated_above_gross
highest negotiated rate $127,254 exceeds the gross charge $120,531
CPT 93288/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 86692/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $42
CPT 52204/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,170
CPT 84410/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $31
CPT 93289/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 77011/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,735 exceeds the gross charge $1,366
CPT 80356/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $7
CPT 93290/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
MS-DRG 600/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,576 exceeds the gross charge $24,399
CPT 31237/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $3,594
MS-DRG 865/i
warn
mrf_negotiated_above_gross
highest negotiated rate $38,229 exceeds the gross charge $34,511
CPT 77013/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,735 exceeds the gross charge $585
CPT 93291/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 58555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,950 exceeds the gross charge $6,356
CPT 80361/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $7
CPT 84436/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $70
CPT 86701/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $49
CPT 52260/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,170
CPT 93293/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 80362/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $7
CPT 82552/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $23
CPT 84442/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $33
CPT 86704/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $32
CPT 93296/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 86705/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $35
MS-DRG 868/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,309 exceeds the gross charge $25,599
CPT 77051/b
warn
mrf_negotiated_above_gross
highest negotiated rate $399 exceeds the gross charge $122
CPT 84445/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $57
CPT 93298/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 52281/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,170
CPT 80368/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $7
CPT 77052/b
warn
mrf_negotiated_above_gross
highest negotiated rate $399 exceeds the gross charge $129
CPT 82585/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $24
CPT 84446/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $33
CPT 86707/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $32
CPT 64624/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,886
CPT 80372/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $7
CPT 28001/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $3,445
CPT 82595/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $57
CPT 84450/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $52
CPT 80373/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $7
CPT 86709/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $37
CPT 88274/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $34
CPT 64625/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $3,986
CPT 73501/b
warn
mrf_negotiated_above_gross
highest negotiated rate $467 exceeds the gross charge $456
CPT 82600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $45
MS-DRG 876/i
warn
mrf_negotiated_above_gross
highest negotiated rate $98,613 exceeds the gross charge $58,789
CPT 36568/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $5,339
CPT 52285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,877 exceeds the gross charge $1,406
CPT 64625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $2,090
CPT 86713/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $55
CPT 28010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $3,980
CPT 81001/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $61
CPT 82610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $54
CPT 84479/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $73
CPT 36568/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $1,208
CPT 77073/b
warn
mrf_negotiated_above_gross
highest negotiated rate $467 exceeds the gross charge $270
CPT 88285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $18
CPT 28011/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $2,914
CPT 81002/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $45
CPT 82626/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $44
CPT 52310/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,170
CPT 64630/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,877 exceeds the gross charge $3,301
CPT 86727/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $55
MS-DRG 883/i
warn
mrf_negotiated_above_gross
highest negotiated rate $50,170 exceeds the gross charge $18,707
CPT 82627/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $31
CPT 84482/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $44
CPT 88299/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $30
MS-DRG 357/i
warn
mrf_negotiated_above_gross
highest negotiated rate $112,082 exceeds the gross charge $90,072
CPT 52315/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,170
CPT 64680/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,877 exceeds the gross charge $1,658
MS-DRG 075/i
warn
mrf_negotiated_above_gross
highest negotiated rate $48,925 exceeds the gross charge $25,373
CPT 82642/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $49
CPT 84510/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $62
CPT 81050/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $33
MS-DRG 885/i
warn
mrf_negotiated_above_gross
highest negotiated rate $35,639 exceeds the gross charge $33,627
CPT 73592/b
warn
mrf_negotiated_above_gross
highest negotiated rate $467 exceeds the gross charge $439
CPT 77300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $1,061
CPT 82652/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $35
CPT 82656/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $73
CPT 84550/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $45
MS-DRG 887/i
warn
mrf_negotiated_above_gross
highest negotiated rate $27,324 exceeds the gross charge $25,520
CPT 77776/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $875
CPT 77789/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $204
CPT 82668/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $37
CPT 59000/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,877 exceeds the gross charge $514
CPT 84590/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $33
CPT 86780/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $34
CPT 77790/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $1,133
CPT 59020/b
warn
mrf_negotiated_above_gross
highest negotiated rate $683 exceeds the gross charge $530
CPT 82671/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $70
CPT 86784/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $64
CPT 78012/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $243
CPT 84597/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $54
CPT 78013/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $3,655
MS-DRG 904/i
warn
mrf_negotiated_above_gross
highest negotiated rate $93,719 exceeds the gross charge $84,623
CPT 59050/b
warn
mrf_negotiated_above_gross
highest negotiated rate $683 exceeds the gross charge $388
CPT 82681/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $41
CPT 84630/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $31
CPT 82693/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $59
CPT 0575T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $166
CPT 78070/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $772
MS-DRG 906/i
warn
mrf_negotiated_above_gross
highest negotiated rate $50,119 exceeds the gross charge $45,258
CPT 47537/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,877 exceeds the gross charge $1,798
CPT 82710/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $51
CPT 84703/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $73
CPT 0576T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 47537/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,877 exceeds the gross charge $2,237
CPT 78102/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $2,570
CPT 82725/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $34
CPT 86812/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $39
CPT 0579T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 85004/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $48
CPT 78140/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $925
CPT 0624T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $531
CPT 85007/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $42
CPT 78195/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $3,232
CPT 85008/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $38
CPT 78201/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $3,905
CPT 82747/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $34
CPT 93702/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $508
CPT 78215/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $1,014
CPT 0649T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,220 exceeds the gross charge $2,587
CPT 53000/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,170
CPT 85025/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $69
CPT 78226/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $3,105
CPT 82785/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $35
CPT 93788/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $379
CPT 0650T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
MS-DRG 919/i
warn
mrf_negotiated_above_gross
highest negotiated rate $46,713 exceeds the gross charge $45,807
CPT 53020/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,170
CPT 81241/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $62
CPT 85041/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $18
MS-DRG 121/i
warn
mrf_negotiated_above_gross
highest negotiated rate $29,682 exceeds the gross charge $22,875
CPT 0689T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $596 exceeds the gross charge $526
CPT 48102/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $2,901
CPT 78258/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $546
CPT 53020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $1,761
CPT 85044/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $46
CPT 0690T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $596 exceeds the gross charge $526
CPT 78262/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $546
CPT 31649/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,676
CPT 53025/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $4,170
CPT 85045/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $46
CPT 0697T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,220 exceeds the gross charge $1,424
CPT 82941/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $33
MS-DRG 923/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,967 exceeds the gross charge $21,625
CPT 85048/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $44
CPT 0698T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,220 exceeds the gross charge $2,436
CPT 82943/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $48
CPT 85049/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $44
CPT 88631/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $10
MS-DRG 927/i
warn
mrf_negotiated_above_gross
highest negotiated rate $544,758 exceeds the gross charge $56,880
CPT 78278/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $858
CPT 88632/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $10
CPT 82950/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $61
MS-DRG 928/i
warn
mrf_negotiated_above_gross
highest negotiated rate $183,011 exceeds the gross charge $140,894
CPT 0724T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,220 exceeds the gross charge $2,587
CPT 32400/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $2,337
CPT 49185/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,460 exceeds the gross charge $5,210
CPT 78291/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $546
CPT 78300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $560
CPT 0804T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
CPT 89055/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $45
MS-DRG 934/i
warn
mrf_negotiated_above_gross
highest negotiated rate $56,403 exceeds the gross charge $15,216
CPT 78306/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $773
CPT 0826T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $143
MS-DRG 143/i
warn
mrf_negotiated_above_gross
highest negotiated rate $95,594 exceeds the gross charge $93,398
CPT 78315/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $1,075
CPT 82985/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $31
CPT 85246/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $42
CPT 89125/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $53
MS-DRG 935/i
warn
mrf_negotiated_above_gross
highest negotiated rate $52,561 exceeds the gross charge $23,730
CPT 78428/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,013 exceeds the gross charge $2,291
CPT 89190/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $52
Showing the first 200 of 6,754 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 039
info
inp_charge_10x_payment
average charge $113,421 is 11.3× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Lee Memorial Hospital — standard charges file · FL · updated 2026-03-26found via cms-hpt.txt · csv-tall · 31.2M bytes · fetched 2026-08-22 · sha256 e20f56b3c600…
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.