Hospital · CCN 100299

Lakewood Ranch Medical Center

8330 Lakewood Ranch Blvd, Bradenton, FL 34202 · Manatee County
Part of Universal Health Services · 120 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

64 admission types 47 outpatient services price file: ok 56 Medicare-file findings
Billed per dollar paid, all admissions
11.87×
$234.7M billed against $19.8M paid across 1,798 Medicare discharges; the national figure is 5.03×.
3.8%
of adults in Manatee County have medical debt in collections
15.8%
uninsured in the county · state 13.9%
$79K
median household income
10.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
32.1%
obesity in the countyⓘ
14.0%
diagnosed diabetes (PLACES)
8.8%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
206
$129,862
$12,750
10.2× st 7.2×
291
Heart failure and shock with mcc
112
$85,362
$8,393
10.2× st 6.3×
177
Respiratory infections and inflammations with mcc
65
$113,158
$11,025
10.3× st 6.5×
193
Simple pneumonia and pleurisy with mcc
59
$84,057
$8,588
9.8× st 7.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
52
$76,731
$5,405
14.2× st 7.5×
682
Renal failure with mcc
49
$87,180
$9,554
9.1× st 7.0×
683
Renal failure with cc
44
$68,960
$6,107
11.3× st 6.7×
698
Other kidney and urinary tract diagnoses with mcc
43
$104,758
$10,747
9.7× st 6.7×
280
Acute myocardial infarction, discharged alive with mcc
42
$117,483
$10,338
11.4× st 7.3×
378
Gastrointestinal hemorrhage with cc
41
$83,533
$6,308
13.2× st 7.4×
690
Kidney and urinary tract infections without mcc
39
$67,098
$5,288
12.7× st 6.6×
481
Hip and femur procedures except major joint with cc
38
$167,030
$14,174
11.8× st 8.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
37
$322,831
$29,766
10.8× st 7.5×
689
Kidney and urinary tract infections with mcc
36
$84,725
$7,997
10.6× st 6.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
32
$218,606
$13,537
16.1× st 9.7×
377
Gastrointestinal hemorrhage with mcc
32
$139,210
$11,663
11.9× st 7.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
32
$192,000
$13,988
13.7× st 8.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
31
$99,380
$7,207
13.8× st 8.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
30
$85,954
$8,587
10.0× st 6.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
29
$101,207
$6,799
14.9× st 7.0×
603
Cellulitis without mcc
29
$73,876
$6,108
12.1× st 5.9×
552
Medical back problems without mcc
28
$79,264
$6,325
12.5× st 7.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
27
$132,630
$12,875
10.3× st 7.8×
330
Major small and large bowel procedures with cc
26
$193,634
$15,062
12.9× st 8.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
24
$225,284
$12,484
18.0× st 9.1×
069
Transient ischemia without thrombolytic
23
$96,085
$5,353
18.0× st 10.3×
190
Chronic obstructive pulmonary disease with mcc
22
$83,402
$7,063
11.8× st 6.5×
454
Combined anterior and posterior spinal fusion with cc
22
$635,849
$52,270
12.2× st 6.4×
309
Cardiac arrhythmia and conduction disorders with cc
22
$55,982
$4,896
11.4× st 6.9×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
21
$303,884
$19,214
15.8× st 9.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
21
$68,089
$5,081
13.4× st 6.9×
813
Coagulation disorders
20
$86,179
$11,095
7.8× st 5.7×
281
Acute myocardial infarction, discharged alive with cc
20
$87,404
$5,944
14.7× st 8.5×
643
Endocrine disorders with mcc
19
$92,842
$10,439
8.9× st 6.2×
329
Major small and large bowel procedures with mcc
19
$314,994
$26,236
12.0× st 7.5×
194
Simple pneumonia and pleurisy with cc
19
$62,458
$5,861
10.7× st 6.9×
394
Other digestive system diagnoses with cc
18
$116,414
$6,346
18.3× st 7.3×
189
Pulmonary edema and respiratory failure
18
$79,691
$8,344
9.6× st 6.8×
699
Other kidney and urinary tract diagnoses with cc
18
$85,641
$6,476
13.2× st 6.1×
308
Cardiac arrhythmia and conduction disorders with mcc
18
$102,185
$8,633
11.8× st 6.6×
455
Combined anterior and posterior spinal fusion without cc/mcc
17
$512,789
$36,050
14.2× st 6.5×
178
Respiratory infections and inflammations with cc
16
$69,909
$6,528
10.7× st 6.4×
432
Cirrhosis and alcoholic hepatitis with mcc
16
$123,283
$14,152
8.7× st 6.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$112,418
$8,554
13.1× st 6.8×
305
Hypertension without mcc
15
$83,773
$5,005
16.7× st 7.5×
389
Gastrointestinal obstruction with cc
15
$71,069
$5,292
13.4× st 7.1×
480
Hip and femur procedures except major joint with mcc
14
$195,117
$18,715
10.4× st 8.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$48,858
$3,696
13.2× st 7.1×
439
Disorders of pancreas except malignancy with cc
14
$87,362
$5,719
15.3× st 6.8×
884
Organic disturbances and intellectual disability
13
$81,077
$10,557
7.7× st 5.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
13
$112,855
$7,261
15.5× st 8.9×
418
Laparoscopic cholecystectomy without c.d.e. with cc
13
$206,950
$11,721
17.7× st 9.6×
521
Hip replacement with principal diagnosis of hip fracture with mcc
13
$257,177
$18,684
13.8× st 7.7×
482
Hip and femur procedures except major joint without cc/mcc
13
$131,972
$10,754
12.3× st 8.1×
638
Diabetes with cc
12
$68,309
$6,076
11.2× st 6.5×
242
Permanent cardiac pacemaker implant with mcc
12
$285,807
$21,221
13.5× st 7.7×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$132,157
$9,064
14.6× st 8.1×
312
Syncope and collapse
12
$71,520
$5,787
12.4× st 7.6×
176
Pulmonary embolism without mcc
11
$54,579
$5,438
10.0× st 7.2×
331
Major small and large bowel procedures without cc/mcc
11
$169,899
$11,153
15.2× st 8.7×
393
Other digestive system diagnoses with mcc
11
$111,027
$10,787
10.3× st 6.2×
433
Cirrhosis and alcoholic hepatitis with cc
11
$84,367
$6,874
12.3× st 6.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
11
$153,143
$14,585
10.5× st 7.0×
483
Major joint or limb reattachment procedures of upper extremities
11
$297,236
$16,544
18.0× st 9.4×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
167
$40,848
$2,456
16.6×
5361
Level 1 Laparoscopy and Related Services
104
$110,818
$5,227
21.2×
5191
Level 1 Endovascular Procedures
86
$80,414
$2,932
27.4×
5375
Level 5 Urology and Related Services
82
$54,465
$4,646
11.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
79
$16,878
$1,469
11.5×
5114
Level 4 Musculoskeletal Procedures
70
$108,724
$6,480
16.8×
5376
Level 6 Urology and Related Services
67
$106,700
$8,343
12.8×
5115
Level 5 Musculoskeletal Procedures
66
$176,905
$11,906
14.9×
5193
Level 3 Endovascular Procedures
61
$169,318
$9,957
17.0×
5302
Level 2 Upper GI Procedures
61
$16,231
$1,724
9.4×
5374
Level 4 Urology and Related Services
49
$46,897
$3,107
15.1×
5362
Level 2 Laparoscopy and Related Services
46
$175,112
$9,167
19.1×
5116
Level 6 Musculoskeletal Procedures
42
$241,820
$16,845
14.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
41
$94,363
$3,134
30.1×
5223
Level 3 Pacemaker and Similar Procedures
35
$118,501
$9,666
12.3×
5222
Level 2 Pacemaker and Similar Procedures
34
$57,372
$7,696
7.5×
5194
Level 4 Endovascular Procedures
30
$279,324
$15,852
17.6×
5182
Level 2 Vascular Procedures
26
$25,664
$1,451
17.7×
5113
Level 3 Musculoskeletal Procedures
25
$53,594
$2,932
18.3×
5313
Level 3 Lower GI Procedures
25
$36,043
$2,543
14.2×
5112
Level 2 Musculoskeletal Procedures
23
$22,457
$1,456
15.4×
5183
Level 3 Vascular Procedures
22
$44,551
$2,887
15.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
15
$105,693
$5,907
17.9×
5373
Level 3 Urology and Related Services
14
$27,126
$1,845
14.7×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
14
$129,874
$8,537
15.2×
5464
Level 4 Neurostimulator and Related Procedures
13
$134,575
$19,767
6.8×
5414
Level 4 Gynecologic Procedures
12
$56,962
$2,832
20.1×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
12
$53,879
$2,574
20.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5192
Level 2 Endovascular 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-wide, last updated 1/1/2026, template 3.0.0, 156,020 rows scanned, 9,463 distinct code–setting items kept. 3,264 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT PERFUSION W/CON CBF/VOLUME
$8,350
$3,340
$1,127
11
clean
CAROTID STENT PLCMT INTL-IP
$96,311
$38,524
$2,456
13
clean
NFCT DS DNA UNTRGT NGNRJ SEQ
$1,524
$610
$869
13
clean
PERC SACROPLASTY UNILAT 1>NDLE
$39,705
$15,882
$5,057
26
clean
INFECT DISEAS 22 TRGT SARSCOV2
$684
$274
$390
13
clean
ATHERECTOMY TRANSL BRACHIOCEPH
$41,732
$16,693
$2,352
13
clean
ATHERECTOMY TRANSLUM ILIAC-59
$8,267
$3,307
$2,008
52
clean
NFCT DS VIR RESP RNA 4 TRGT
$334
$134
$190
13
clean
IMPLNT/REP CARTD BAROREFLX SYS
$195,957
$78,383
$23,411
26
clean
IMPLT/RPL CRTD SNS DEV GEN
$195,957
$78,383
$23,411
13
clean
INTERROGATE CRTD SNS DEV
$930
$372
$530
11
clean
INTERROGATE CRTD SNS W/PGRMG
$930
$372
$530
11
clean
TMVI PERCUTANEOUS APPROACH IP
$99,118
$39,647
$2,456
13
clean
NTRAPX C FFR W/3D FUNCJL MAP
$17,278
$6,911
$1,418
13
clean
INST/REPLACEMENT COMPLETE IIMS
$61,356
$24,542
$4,910
13
clean
PRGRMG DEVICE EVAL IN PERSON
$220
$88
$125
11
clean
INTERROGATION DEVICE EVAL IIMS
$220
$88
$125
11
clean
TTVR PERQ APPR 1ST PROSTH IP
$99,118
$39,647
$2,456
13
clean
TTVR PERQ EA ADDL PROSTH
$49,558
$19,823
$2,456
13
clean
TRANSCATH RMV INTRACARD MASS
$30,625
$12,250
$6,738
13
clean
TTVI/RPLCMT W/PRSTC VLV PERQ
$99,118
$39,647
$2,456
13
clean
TCAT INS 2CHAMBR LDLS PM COMP
$89,686
$35,874
$11,538
13
clean
TCAT INS 2CHMBR LDLS PM RV
$89,686
$35,874
$11,538
13
clean
FNA W/O GUIDANCE ADDL LES
$2,606
$1,042
$1,127
13
clean
FNA W/IMAGING GUIDANCE
$2,755
$1,102
$1,675
52
clean
FNA W/US GUIDE EA ADDL
$1,374
$550
$1,018
26
clean
FNA W/FLUORO GUIDANCE
$2,031
$812
$1,675
65
clean
FNA W/IMAGING GUIDANCE
$4,568
$1,827
$1,861
52
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
—
—
$1,885
9
clean
Fine needle aspiration biopsy of growth using MRI guidance, each additional growth
—
—
$1,230
9
clean
FNA W/O IMAGING GUIDANCE
$1,088
$435
$1,418
39
clean
US DRAIN ABSC HEMAT/CYST
$2,953
$1,181
$1,861
39
clean
Acne surgery
—
—
$1,418
7
clean
I&D ABSCESS SIMPLE
$2,068
$827
$1,365
39
clean
I&D ABSCESS CMPLX
$1,008
$403
$1,418
26
clean
I&D PILONIDAL ABSC 450
$2,031
$812
$1,675
13
clean
I&D PILONIDAL ABSC COMP 450
$3,183
$1,273
$1,814
13
clean
INCISION/REMOV FB SUBQ SIMPLE
$1,555
$622
$1,418
26
clean
FB REM SUBQ COMP 450
$14,537
$5,815
$3,198
13
clean
I AND D HEMATOMA
$10,531
$4,212
$3,016
52
clean
PUNCT/ASP ABCESS HEMAT CYST
$1,008
$403
$1,418
39
clean
I&D POSTOP INFECTION CMPLX
$17,799
$7,120
$3,766
39
clean
DEBR INFCTD SKIN UP TO 10% 450
$1,654
$662
$1,418
13
clean
DEBR INFCTD SKIN EA ADDL 10%
$480
$192
$1,018
13
clean
Removal of infected skin, tissue or muscle of genitals
—
—
$13,589
7
clean
Removal of infected skin, tissue or muscle of abdomen
—
—
$13,589
7
clean
Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen
—
—
$13,589
7
clean
Removal of infected artificial material or mesh from abdomen
—
—
$13,589
7
clean
DEBRIDE SUBQ TISSUE<=20CM
$1,889
$756
$1,817
39
clean
DEBRIDE MUSCLE/FASCIA<=20CM
$4,787
$1,915
$1,979
26
clean
DEBRIDE BONE<=20CM
$10,670
$4,268
$3,016
13
clean
DEBRIDE SUBQ TIS EA ADDL 20CM
$2,186
$874
$1,127
26
clean
DEBRIDE MUSC/FASC EA ADDL 20CM
$3,486
$1,394
$1,220
13
clean
DEBRIDE BONE EA ADDL 20CM
$5,579
$2,232
$1,230
13
clean
PARING BENIGN LES SNGL
$1,291
$516
$1,365
13
clean
PARING BENIGN LES 2-4
$606
$242
$1,365
13
clean
PARING BENIGN LES >4
$590
$236
$1,365
13
clean
TANGENTIAL BX 1 LESION
$1,026
$410
$1,365
13
clean
TANGENTIAL BX ADDL/SEP LESION
$216
$86
$1,018
13
clean
PUNCH BX 1 LESION
$1,386
$554
$1,418
13
clean
PUNCH BX ADDL/SEP LESION
$208
$83
$1,018
13
clean
INCISIONAL BX 1 LESION
$989
$396
$1,675
26
clean
INCISIONAL BX ADDL/SEP LESION
$55
$22
$1,018
13
clean
REM OF SKIN TAG UP TO 15 450
$831
$332
$1,365
13
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
—
—
$1,817
7
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
—
—
$1,418
7
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
—
—
$1,817
7
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
—
—
$1,418
7
clean
SHAVE LESION S/NK/H/FT/G <2CM
$531
$212
$1,276
13
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
—
—
$1,418
7
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
—
—
$1,418
7
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
—
—
$1,817
7
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
—
—
$1,817
7
clean
EXC BEN LES TRK/EXT <=.5CM 450
$1,489
$596
$1,675
13
clean
EXC BEN LES TRK/EXT.6-1.0CM450
$1,652
$661
$1,418
13
clean
EXC BEN LES SC/HND/FT<=0.5CM
$4,219
$1,688
$2,084
13
clean
EXC BEN LES SC/HD/FT 2.1-3CM
$11,176
$4,470
$3,016
13
clean
EXC BEN LES FACE <=0.5CM 450
$3,911
$1,564
$1,885
13
clean
EXC BEN LES FACE 2.1-3.0CM 450
$8,847
$3,539
$3,016
13
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
—
—
$3,766
9
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
—
—
$3,766
9
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
—
—
$3,766
9
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
—
—
$3,766
9
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
—
—
$1,885
9
clean
EXC MAL TRNK/ARM/LEG 0.6-1CM
$2,032
$813
$1,675
13
clean
EXC MAL LESION 1.1-2 CM
$2,420
$968
$1,418
13
clean
EXC MALIGNT T/A/L 2.1-3CM
$4,849
$1,940
$1,861
13
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
—
—
$3,016
9
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
—
—
$3,766
9
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
—
—
$3,016
9
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
—
—
$3,766
9
clean
TRIM NONDYSTROPH NAILS
$558
$223
$1,019
13
clean
DEBR NAIL 1-5
$571
$228
$1,276
26
clean
DEBR NAIL 6 OR MORE
$563
$225
$1,276
13
clean
REMOVE NAIL PLT SNGL
$1,045
$418
$1,365
26
clean
REMOVE NAIL PLT EA ADDL
$590
$236
$1,018
26
clean
I&D SUBUNGUAL HEMA 450
$1,054
$422
$1,276
13
clean
EXC NAIL AND MATRIX PERM
$3,120
$1,248
$1,477
26
clean
REPAIR NAIL SIMPLE 450
$1,822
$729
$1,418
13
clean
Repair of fingernail or toenail bed with graft
—
—
$3,016
9
clean
WDGE EXC OF SKN OF NAIL FLD450
$1,064
$426
$1,418
13
clean
Injection into skin growth, more than 7 growths
—
—
$1,418
9
clean
Tattooing of skin to correct color issue, 6.0 sq cm or less
—
—
$1,817
9
clean
Tattooing of skin to correct color issue, 6.1-20.0 sq cm
—
—
$1,817
9
clean
Tattooing of skin to correct color issue, each additional 20.0 sq cm
—
—
$1,230
9
clean
Injection of filling material under skin, 1.1-5.0 cc
—
—
$1,817
7
clean
Replacement of tissue expander with permanent implant
—
—
$10,101
9
clean
Placement of hormone pellet under skin
—
—
$1,817
9
clean
INSERT DRUG DELIVERY IMPLANT
$609
$244
$1,276
13
clean
REMOVE DRUG IMPLANT DEVICE
$1,983
$793
$1,418
26
clean
REMOVE/REINSERT DRUG IMPLANT
$1,983
$793
$1,418
13
clean
LAC REP SIM TRK/EXT < 2.6CM
$597
$239
$1,365
26
clean
LAC REP SIM TRK/EXT 2.6-7.5CM
$1,196
$478
$1,276
26
clean
LAC REP SIM TRUNK 7.6-12.5 450
$2,117
$847
$1,365
13
clean
LAC REP SIM TRUNK 12.6-20 450
$3,379
$1,352
$1,817
13
clean
LAC REP SIM TRUNK 20.1-30 450
$3,736
$1,494
$1,817
13
clean
LAC REP SIM TRUNK > 30 450
$3,922
$1,569
$1,487
13
clean
LAC REP SIM FACE EAR <2.6 450
$1,983
$793
$1,276
13
clean
LAC REP SIM FACE EAR 2.6-5 450
$2,082
$833
$1,276
13
clean
LAC REP SIM FACE EAR5.1-7.5450
$2,143
$857
$1,365
13
clean
LAC REP SIM FACE ER7.6-12.5450
$2,250
$900
$1,365
13
clean
LAC REP SIM FACE EAR12.6-20450
$3,736
$1,494
$1,817
13
clean
LAC REP SIM FACE EAR20.1-30450
$4,001
$1,600
$1,817
13
clean
LAC REP SIM FACE EAR >30 450
$3,531
$1,412
$1,487
13
clean
SIMP CLOSE WOUND DEHISCENCE
$3,460
$1,384
$1,535
39
clean
WOUND DEHISCENCE W PACKING 450
$2,703
$1,081
$1,535
13
clean
LAC REP INT SCALP TK<2.6 450
$1,748
$699
$1,418
13
clean
CLSR SCLP AXIL TRNK EXT2.6-7.5
$1,212
$485
$1,418
26
clean
LAC REP INT SCALP T7.6-12.5450
$3,431
$1,372
$1,817
13
clean
LAC REP INT SCALP TK12.6-20450
$3,557
$1,423
$1,817
13
clean
LAC REP INT SCALP TK20.1-30450
$3,531
$1,412
$1,817
13
clean
LAC REP INT SCALP TK >30 450
$9,566
$3,826
$3,016
13
clean
LAC REP INT FEET HAND<2.6 450
$3,281
$1,312
$1,535
13
clean
LAC REP INT FEET HAN2.6-7.5450
$3,445
$1,378
$1,535
13
clean
LAC REP INT FEET HAN7.6-12.450
$3,617
$1,447
$1,817
13
clean
LAC REP INT FEET HAN12.6-20450
$3,531
$1,412
$1,817
13
clean
LAC REP INT FEET HAN20.1-30450
$3,531
$1,412
$1,861
13
clean
LAC REP INT FEET HAN >30 450
$9,566
$3,826
$3,016
13
clean
LAC REP INT FACE EAR <2.6 450
$1,959
$784
$1,418
13
clean
LAC REP INT FACE EAR2.6-5 450
$2,155
$862
$1,418
13
clean
LAC REP INT FACE EAR5.1-7.5450
$1,504
$602
$1,418
13
clean
LAC REP INT FACE EA7.6-12.5450
$3,431
$1,372
$1,817
13
clean
LAC REP INT FACE EAR12.6-20450
$3,531
$1,412
$1,817
13
clean
LAC REP INT FACE EAR20.1-30450
$3,531
$1,412
$1,817
13
clean
LAC REP INT FACE EAR >30 450
$9,566
$3,826
$2,084
13
clean
LAC REP COMP TRUNK 1.1-2.5 450
$3,495
$1,398
$1,817
13
clean
LAC REP COMP TRUNK 2.6-7.5 450
$5,586
$2,234
$1,979
13
clean
LAC REP TRNK EA AD 5CM OR< 450
$5,586
$2,234
$1,230
13
clean
LAC REP COM SCLP ARM1.1-2.5
$3,675
$1,470
$1,817
13
clean
LAC REP COM SCALP TK2.6-7.5450
$3,925
$1,570
$1,979
13
clean
LAC REP COM SCALP TK + 5CM 450
$474
$190
$1,018
13
clean
LAC REP COM FT HAND 1.1-2.5450
$8,555
$3,422
$1,979
13
clean
LAC REP COM FT HAND 2.6-7.5450
$3,729
$1,492
$1,979
13
clean
LAC REP COM FT HAND EA ADDL5CM
$436
$174
$1,018
13
clean
LAC REP COM FACE EAR1.1-2.5450
$10,037
$4,015
$2,208
13
clean
LAC REP COM FACE EAR2.6-7.5450
$4,750
$1,900
$1,979
13
clean
LAC REP COM FACE EAR E+5CM 450
$2,767
$1,107
$1,127
13
clean
LATE CLOSURE OF WOUND COMP 450
$4,151
$1,660
$2,366
13
clean
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm
—
—
$3,016
9
clean
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
—
—
$3,016
9
clean
AJ TIS TH/CH DEF M 10SQCM
$9,653
$3,861
$3,016
13
clean
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
—
—
$3,016
9
clean
Repair of wound by transferring skin, 30.1-60.0 sq cm
—
—
$10,101
9
clean
Repair of wound by transferring skin, each additional 30.0 sq cm
—
—
$1,230
9
clean
Repair of tissue loss of finger or toe
—
—
$3,016
9
clean
SURG PREP HD/H/FT/GEN 100SQCM
$12,444
$4,978
$2,514
13
clean
Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$1,230
9
clean
EPIDM AUTOGRF T/ARMLEG <=100CM
$12,975
$5,190
$3,016
13
clean
EPIDM AUTOGRF FC/NK 1ST100SQCM
$11,267
$4,507
$3,016
13
clean
Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
—
—
$10,101
9
clean
Partial thickness self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$1,230
9
clean
Deep layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$3,016
9
clean
Deep layer self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area of infants and children, or less
—
—
$1,230
9
clean
Deep layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$10,101
9
clean
Tissue self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less
—
—
$10,101
9
clean
Full thickness skin graft to trunk, 20.0 sq cm or less
—
—
$3,016
9
clean
Full thickness skin graft to trunk, each additional 20.0 sq cm
—
—
$1,230
9
clean
Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less
—
—
$3,016
9
clean
Full thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm
—
—
$1,230
9
clean
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 20.0 sq cm
—
—
$1,230
9
clean
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
—
—
$3,016
9
clean
Full thickness skin graft to nose, ears, eyelids, or lips, each additional 20.0 sq cm
—
—
$1,230
9
clean
SKIN SUB GRAFT T/ARMLEG 25CM
$5,735
$2,294
$2,456
13
clean
SKIN SUB GRAFT T/ARMLEG ADD25
$749
$300
$1,018
13
clean
SKIN SUB GRFT T/ARMLEG1ST100CM
$2,032
$813
$4,551
13
clean
SKIN SUB GRFT T/ARMLEG ADD100
$749
$300
$1,018
13
clean
SKN SUB GRFT F/N/HF/G 25CM
$8,238
$3,295
$2,883
13
clean
SKN SUB GRFT F/N/HF/G ADD25CM
$749
$300
$1,018
13
clean
SKN SUB GRFT F/N/HF/G 1ST100CM
$3,095
$1,238
$2,210
13
clean
SKN SUB GRFT F/N/HF/G ADD100CM
$2,032
$813
$1,127
13
clean
Creation of flap graft to trunk
—
—
$3,016
9
clean
Creation of flap graft to scalp, arms, or legs
—
—
$10,101
9
clean
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet
—
—
$3,016
9
clean
Creation of flap graft to eyelids, nose, ears, lips, or mouth
—
—
$3,016
9
clean
Transfer of skin flap to trunk
—
—
$10,101
9
clean
Transfer of skin flap to scalp, arms, or legs
—
—
$3,016
9
clean
Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet
—
—
$3,016
9
clean
Transfer of skin flap to eyelids, nose, ears, or lips
—
—
$3,016
9
clean
Transfer of skin flap
—
—
$3,016
9
clean
Creation of flap graft to midface
—
—
$10,101
9
clean

Showing the first 200 of 9,463 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 0659T/b
error
mrf_negotiated_above_max
a negotiated rate of $33,784 is above the file's own maximum $20,745
CPT 71045/b
error
mrf_negotiated_above_max
a negotiated rate of $1,474 is above the file's own maximum $1,230
CPT J1742/b
error
mrf_negotiated_above_max
a negotiated rate of $1,469 is above the file's own maximum $1,230
CPT 0695T/b
error
mrf_negotiated_above_max
a negotiated rate of $3,449 is above the file's own maximum $2,118
CPT L0627/b
error
mrf_negotiated_above_max
a negotiated rate of $4,854 is above the file's own maximum $2,980
CPT 0795T/b
error
mrf_negotiated_above_max
a negotiated rate of $51,121 is above the file's own maximum $31,390
CPT 37236/b
error
mrf_negotiated_above_max
a negotiated rate of $52,978 is above the file's own maximum $42,283
CPT C2626/b
error
mrf_negotiated_above_max
a negotiated rate of $1,411 is above the file's own maximum $1,321
CPT J1745/b
error
mrf_negotiated_above_max
a negotiated rate of $3,533 is above the file's own maximum $2,170
CPT L0810/b
error
mrf_negotiated_above_max
a negotiated rate of $24,711 is above the file's own maximum $15,174
CPT 0797T/b
error
mrf_negotiated_above_max
a negotiated rate of $51,121 is above the file's own maximum $31,390
CPT 71047/b
error
mrf_negotiated_above_max
a negotiated rate of $1,271 is above the file's own maximum $1,230
CPT L0859/b
error
mrf_negotiated_above_max
a negotiated rate of $14,537 is above the file's own maximum $8,926
CPT 71048/b
error
mrf_negotiated_above_max
a negotiated rate of $1,337 is above the file's own maximum $1,230
CPT 77003/b
error
mrf_negotiated_above_max
a negotiated rate of $1,522 is above the file's own maximum $1,230
CPT J1786/b
error
mrf_negotiated_above_max
a negotiated rate of $6,165 is above the file's own maximum $3,785
CPT L1832/b
error
mrf_negotiated_above_max
a negotiated rate of $3,620 is above the file's own maximum $2,223
CPT 37241/b
error
mrf_negotiated_above_max
a negotiated rate of $35,794 is above the file's own maximum $21,979
CPT 77011/b
error
mrf_negotiated_above_max
a negotiated rate of $2,513 is above the file's own maximum $1,543
CPT L1845/b
error
mrf_negotiated_above_max
a negotiated rate of $6,792 is above the file's own maximum $4,170
CPT 86813/b
error
mrf_negotiated_above_max
a negotiated rate of $1,652 is above the file's own maximum $1,230
CPT L1850/b
error
mrf_negotiated_above_max
a negotiated rate of $1,845 is above the file's own maximum $1,230
CPT 37243/b
error
mrf_negotiated_above_max
a negotiated rate of $23,852 is above the file's own maximum $17,712
CPT J1805/b
error
mrf_negotiated_above_max
a negotiated rate of $1,881 is above the file's own maximum $1,230
CPT L1851/b
error
mrf_negotiated_above_max
a negotiated rate of $4,637 is above the file's own maximum $2,847
CPT 77021/b
error
mrf_negotiated_above_max
a negotiated rate of $7,292 is above the file's own maximum $4,478
CPT 77046/b
error
mrf_negotiated_above_max
a negotiated rate of $4,443 is above the file's own maximum $2,728
CPT L1930/b
error
mrf_negotiated_above_max
a negotiated rate of $2,063 is above the file's own maximum $1,267
CPT 77047/b
error
mrf_negotiated_above_max
a negotiated rate of $6,660 is above the file's own maximum $4,090
CPT 95925/b
error
mrf_negotiated_above_max
a negotiated rate of $1,605 is above the file's own maximum $1,230
CPT L1940/b
error
mrf_negotiated_above_max
a negotiated rate of $3,478 is above the file's own maximum $2,135
CPT 95926/b
error
mrf_negotiated_above_max
a negotiated rate of $1,647 is above the file's own maximum $1,230
CPT C2642/b
error
mrf_negotiated_above_max
a negotiated rate of $1,261 is above the file's own maximum $1,230
CPT L1960/b
error
mrf_negotiated_above_max
a negotiated rate of $6,359 is above the file's own maximum $3,905
CPT L1970/b
error
mrf_negotiated_above_max
a negotiated rate of $3,052 is above the file's own maximum $1,874
CPT J1931/b
error
mrf_negotiated_above_max
a negotiated rate of $3,695 is above the file's own maximum $2,269
CPT L2550/b
error
mrf_negotiated_above_max
a negotiated rate of $3,806 is above the file's own maximum $2,337
CPT 10121/b
error
mrf_negotiated_above_max
a negotiated rate of $8,286 is above the file's own maximum $5,290
CPT 37252/b
error
mrf_negotiated_above_max
a negotiated rate of $9,200 is above the file's own maximum $5,649
CPT 72050/b
error
mrf_negotiated_above_max
a negotiated rate of $1,291 is above the file's own maximum $1,230
CPT 95930/b
error
mrf_negotiated_above_max
a negotiated rate of $1,547 is above the file's own maximum $1,230
CPT L2820/b
error
mrf_negotiated_above_max
a negotiated rate of $12,930 is above the file's own maximum $7,939
CPT 10140/b
error
mrf_negotiated_above_max
a negotiated rate of $6,003 is above the file's own maximum $5,290
CPT 37253/b
error
mrf_negotiated_above_max
a negotiated rate of $8,878 is above the file's own maximum $5,452
CPT 72052/b
error
mrf_negotiated_above_max
a negotiated rate of $1,370 is above the file's own maximum $1,230
CPT 95955/b
error
mrf_negotiated_above_max
a negotiated rate of $2,405 is above the file's own maximum $1,477
CPT J1945/b
error
mrf_negotiated_above_max
a negotiated rate of $2,277 is above the file's own maximum $1,398
CPT L3649/b
error
mrf_negotiated_above_max
a negotiated rate of $2,119 is above the file's own maximum $1,301
CPT 72110/b
error
mrf_negotiated_above_max
a negotiated rate of $1,663 is above the file's own maximum $1,230
CPT 10180/b
error
mrf_negotiated_above_max
a negotiated rate of $10,145 is above the file's own maximum $6,607
CPT 77075/b
error
mrf_negotiated_above_max
a negotiated rate of $1,252 is above the file's own maximum $1,230
CPT C8900/b
error
mrf_negotiated_above_max
a negotiated rate of $5,946 is above the file's own maximum $3,651
CPT 72127/b
error
mrf_negotiated_above_max
a negotiated rate of $6,208 is above the file's own maximum $3,812
CPT 90620/b
error
mrf_negotiated_above_max
a negotiated rate of $1,295 is above the file's own maximum $1,230
CPT 38222/b
error
mrf_negotiated_above_max
a negotiated rate of $8,377 is above the file's own maximum $6,607
CPT 90621/b
error
mrf_negotiated_above_max
a negotiated rate of $1,284 is above the file's own maximum $1,230
CPT 31605/b
error
mrf_negotiated_above_max
a negotiated rate of $7,896 is above the file's own maximum $4,848
CPT 77084/b
error
mrf_negotiated_above_max
a negotiated rate of $5,441 is above the file's own maximum $3,341
CPT C8903/b
error
mrf_negotiated_above_max
a negotiated rate of $4,443 is above the file's own maximum $2,728
CPT 31622/b
error
mrf_negotiated_above_max
a negotiated rate of $6,614 is above the file's own maximum $5,290
CPT 72130/b
error
mrf_negotiated_above_max
a negotiated rate of $3,205 is above the file's own maximum $1,968
CPT 11044/b
error
mrf_negotiated_above_max
a negotiated rate of $6,082 is above the file's own maximum $5,290
CPT C8906/b
error
mrf_negotiated_above_max
a negotiated rate of $6,994 is above the file's own maximum $4,295
CPT 11045/b
error
mrf_negotiated_above_max
a negotiated rate of $1,744 is above the file's own maximum $1,535
CPT 77285/b
error
mrf_negotiated_above_max
a negotiated rate of $1,363 is above the file's own maximum $1,230
CPT 72133/b
error
mrf_negotiated_above_max
a negotiated rate of $5,598 is above the file's own maximum $3,437
CPT 77290/b
error
mrf_negotiated_above_max
a negotiated rate of $1,350 is above the file's own maximum $1,230
CPT C8909/b
error
mrf_negotiated_above_max
a negotiated rate of $3,874 is above the file's own maximum $2,379
CPT 11046/b
error
mrf_negotiated_above_max
a negotiated rate of $1,987 is above the file's own maximum $1,535
CPT 41115/b
error
mrf_negotiated_above_max
a negotiated rate of $9,054 is above the file's own maximum $5,560
CPT 77295/b
error
mrf_negotiated_above_max
a negotiated rate of $5,266 is above the file's own maximum $3,234
CPT C8910/b
error
mrf_negotiated_above_max
a negotiated rate of $3,422 is above the file's own maximum $2,101
CPT 11047/b
error
mrf_negotiated_above_max
a negotiated rate of $3,180 is above the file's own maximum $1,953
CPT C8911/b
error
mrf_negotiated_above_max
a negotiated rate of $5,847 is above the file's own maximum $3,590
CPT C8912/b
error
mrf_negotiated_above_max
a negotiated rate of $5,304 is above the file's own maximum $3,257
CPT 77307/b
error
mrf_negotiated_above_max
a negotiated rate of $1,449 is above the file's own maximum $1,230
CPT 77316/b
error
mrf_negotiated_above_max
a negotiated rate of $1,449 is above the file's own maximum $1,230
CPT L4360/b
error
mrf_negotiated_above_max
a negotiated rate of $1,663 is above the file's own maximum $1,230
CPT 77317/b
error
mrf_negotiated_above_max
a negotiated rate of $1,628 is above the file's own maximum $1,230
CPT C8918/b
error
mrf_negotiated_above_max
a negotiated rate of $4,443 is above the file's own maximum $2,728
CPT 77318/b
error
mrf_negotiated_above_max
a negotiated rate of $1,709 is above the file's own maximum $1,230
CPT 32999/b
error
mrf_negotiated_above_max
a negotiated rate of $4,283 is above the file's own maximum $3,185
CPT 77321/b
error
mrf_negotiated_above_max
a negotiated rate of $1,449 is above the file's own maximum $1,230
CPT J2260/b
error
mrf_negotiated_above_max
a negotiated rate of $1,336 is above the file's own maximum $1,230
CPT L5986/b
error
mrf_negotiated_above_max
a negotiated rate of $8,936 is above the file's own maximum $5,487
CPT C8923/b
error
mrf_negotiated_above_max
a negotiated rate of $1,860 is above the file's own maximum $1,230
CPT 72159/b
error
mrf_negotiated_above_max
a negotiated rate of $4,004 is above the file's own maximum $2,459
CPT C8924/b
error
mrf_negotiated_above_max
a negotiated rate of $1,656 is above the file's own maximum $1,230
CPT 77470/b
error
mrf_negotiated_above_max
a negotiated rate of $1,767 is above the file's own maximum $1,311
CPT C8928/b
error
mrf_negotiated_above_max
a negotiated rate of $3,126 is above the file's own maximum $1,919
CPT J2274/b
error
mrf_negotiated_above_max
a negotiated rate of $1,499 is above the file's own maximum $1,230
CPT 77761/b
error
mrf_negotiated_above_max
a negotiated rate of $1,945 is above the file's own maximum $1,311
CPT C8929/b
error
mrf_negotiated_above_max
a negotiated rate of $3,674 is above the file's own maximum $2,256
CPT L8604/b
error
mrf_negotiated_above_max
a negotiated rate of $8,860 is above the file's own maximum $5,440
CPT 90723/b
error
mrf_negotiated_above_max
a negotiated rate of $1,342 is above the file's own maximum $1,230
CPT C8937/b
error
mrf_negotiated_above_max
a negotiated rate of $4,709 is above the file's own maximum $2,892
CPT 72194/b
error
mrf_negotiated_above_max
a negotiated rate of $7,429 is above the file's own maximum $4,562
CPT L8610/b
error
mrf_negotiated_above_max
a negotiated rate of $5,510 is above the file's own maximum $3,383
CPT 78012/b
error
mrf_negotiated_above_max
a negotiated rate of $1,379 is above the file's own maximum $1,230
CPT 11423/b
error
mrf_negotiated_above_max
a negotiated rate of $6,370 is above the file's own maximum $5,290
CPT 33215/b
error
mrf_negotiated_above_max
a negotiated rate of $10,726 is above the file's own maximum $8,807
CPT 78013/b
error
mrf_negotiated_above_max
a negotiated rate of $1,244 is above the file's own maximum $1,230
CPT L8630/b
error
mrf_negotiated_above_max
a negotiated rate of $8,689 is above the file's own maximum $5,335
CPT 78014/b
error
mrf_negotiated_above_max
a negotiated rate of $1,899 is above the file's own maximum $1,230
CPT J2323/b
error
mrf_negotiated_above_max
a negotiated rate of $10,741 is above the file's own maximum $6,595
CPT L8690/b
error
mrf_negotiated_above_max
a negotiated rate of $7,752 is above the file's own maximum $4,760
CPT 78070/b
error
mrf_negotiated_above_max
a negotiated rate of $2,967 is above the file's own maximum $1,822
CPT 90935/b
error
mrf_negotiated_above_max
a negotiated rate of $1,571 is above the file's own maximum $1,230
CPT J2325/b
error
mrf_negotiated_above_max
a negotiated rate of $2,086 is above the file's own maximum $1,281
CPT 33222/b
error
mrf_negotiated_above_max
a negotiated rate of $9,488 is above the file's own maximum $5,826
CPT 78071/b
error
mrf_negotiated_above_max
a negotiated rate of $3,123 is above the file's own maximum $1,918
CPT C9356/b
error
mrf_negotiated_above_max
a negotiated rate of $17,186 is above the file's own maximum $10,553
CPT J2353/b
error
mrf_negotiated_above_max
a negotiated rate of $11,144 is above the file's own maximum $6,843
CPT 72240/b
error
mrf_negotiated_above_max
a negotiated rate of $2,161 is above the file's own maximum $1,783
CPT 78102/b
error
mrf_negotiated_above_max
a negotiated rate of $1,352 is above the file's own maximum $1,230
CPT 72255/b
error
mrf_negotiated_above_max
a negotiated rate of $2,399 is above the file's own maximum $1,783
CPT 78104/b
error
mrf_negotiated_above_max
a negotiated rate of $1,352 is above the file's own maximum $1,230
CPT C9359/b
error
mrf_negotiated_above_max
a negotiated rate of $1,459 is above the file's own maximum $1,230
CPT J2355/b
error
mrf_negotiated_above_max
a negotiated rate of $1,528 is above the file's own maximum $1,230
CPT 72265/b
error
mrf_negotiated_above_max
a negotiated rate of $2,241 is above the file's own maximum $1,783
CPT J2357/b
error
mrf_negotiated_above_max
a negotiated rate of $3,033 is above the file's own maximum $1,862
CPT 72270/b
error
mrf_negotiated_above_max
a negotiated rate of $2,619 is above the file's own maximum $1,783
CPT 78215/b
error
mrf_negotiated_above_max
a negotiated rate of $2,276 is above the file's own maximum $1,398
CPT P9012/b
error
mrf_negotiated_above_max
a negotiated rate of $1,353 is above the file's own maximum $1,230
CPT 78216/b
error
mrf_negotiated_above_max
a negotiated rate of $2,153 is above the file's own maximum $1,322
CPT 78226/b
error
mrf_negotiated_above_max
a negotiated rate of $2,497 is above the file's own maximum $1,533
CPT C9460/b
error
mrf_negotiated_above_max
a negotiated rate of $1,295 is above the file's own maximum $1,230
CPT 33270/b
error
mrf_negotiated_above_max
a negotiated rate of $77,502 is above the file's own maximum $57,799
CPT 47382/b
error
mrf_negotiated_above_max
a negotiated rate of $28,806 is above the file's own maximum $17,712
CPT 78230/b
error
mrf_negotiated_above_max
a negotiated rate of $3,011 is above the file's own maximum $1,849
CPT 47383/b
error
mrf_negotiated_above_max
a negotiated rate of $28,806 is above the file's own maximum $17,712
CPT 73040/b
error
mrf_negotiated_above_max
a negotiated rate of $1,775 is above the file's own maximum $1,230
CPT 78264/b
error
mrf_negotiated_above_max
a negotiated rate of $2,491 is above the file's own maximum $1,530
CPT J2406/b
error
mrf_negotiated_above_max
a negotiated rate of $7,265 is above the file's own maximum $4,461
CPT 78267/b
error
mrf_negotiated_above_max
a negotiated rate of $1,663 is above the file's own maximum $1,230
CPT 33274/b
error
mrf_negotiated_above_max
a negotiated rate of $74,630 is above the file's own maximum $45,825
CPT 78278/b
error
mrf_negotiated_above_max
a negotiated rate of $1,939 is above the file's own maximum $1,230
CPT 78291/b
error
mrf_negotiated_above_max
a negotiated rate of $2,352 is above the file's own maximum $1,444
CPT P9034/b
error
mrf_negotiated_above_max
a negotiated rate of $1,773 is above the file's own maximum $1,230
CPT 78300/b
error
mrf_negotiated_above_max
a negotiated rate of $2,230 is above the file's own maximum $1,369
CPT C9760/b
error
mrf_negotiated_above_max
a negotiated rate of $45,157 is above the file's own maximum $36,125
CPT J2469/b
error
mrf_negotiated_above_max
a negotiated rate of $1,732 is above the file's own maximum $1,230
CPT P9035/b
error
mrf_negotiated_above_max
a negotiated rate of $2,007 is above the file's own maximum $1,232
CPT 33361/b
error
mrf_negotiated_above_max
a negotiated rate of $56,497 is above the file's own maximum $34,691
CPT 78305/b
error
mrf_negotiated_above_max
a negotiated rate of $2,087 is above the file's own maximum $1,282
CPT C9762/b
error
mrf_negotiated_above_max
a negotiated rate of $1,625 is above the file's own maximum $1,230
CPT P9036/b
error
mrf_negotiated_above_max
a negotiated rate of $2,771 is above the file's own maximum $1,702
CPT 33362/b
error
mrf_negotiated_above_max
a negotiated rate of $56,497 is above the file's own maximum $34,691
CPT 78306/b
error
mrf_negotiated_above_max
a negotiated rate of $3,190 is above the file's own maximum $1,959
CPT C9763/b
error
mrf_negotiated_above_max
a negotiated rate of $1,625 is above the file's own maximum $1,230
CPT P9037/b
error
mrf_negotiated_above_max
a negotiated rate of $2,477 is above the file's own maximum $1,521
CPT 33363/b
error
mrf_negotiated_above_max
a negotiated rate of $56,497 is above the file's own maximum $34,691
CPT 78315/b
error
mrf_negotiated_above_max
a negotiated rate of $3,661 is above the file's own maximum $2,248
CPT C9764/b
error
mrf_negotiated_above_max
a negotiated rate of $35,994 is above the file's own maximum $22,101
CPT 33365/b
error
mrf_negotiated_above_max
a negotiated rate of $56,497 is above the file's own maximum $34,691
CPT P9041/b
error
mrf_negotiated_above_max
a negotiated rate of $1,244 is above the file's own maximum $1,230
CPT 78454/b
error
mrf_negotiated_above_max
a negotiated rate of $5,063 is above the file's own maximum $3,162
CPT C9766/b
error
mrf_negotiated_above_max
a negotiated rate of $57,573 is above the file's own maximum $35,352
CPT 33370/b
error
mrf_negotiated_above_max
a negotiated rate of $14,125 is above the file's own maximum $8,673
CPT 47540/b
error
mrf_negotiated_above_max
a negotiated rate of $19,355 is above the file's own maximum $17,712
CPT 78458/b
error
mrf_negotiated_above_max
a negotiated rate of $1,891 is above the file's own maximum $1,230
CPT 12037/b
error
mrf_negotiated_above_max
a negotiated rate of $5,453 is above the file's own maximum $5,290
CPT 47542/b
error
mrf_negotiated_above_max
a negotiated rate of $1,595 is above the file's own maximum $1,535
CPT 78459/b
error
mrf_negotiated_above_max
a negotiated rate of $7,929 is above the file's own maximum $4,869
CPT C9772/b
error
mrf_negotiated_above_max
a negotiated rate of $35,994 is above the file's own maximum $22,101
CPT 12047/b
error
mrf_negotiated_above_max
a negotiated rate of $5,453 is above the file's own maximum $5,290
CPT 47544/b
error
mrf_negotiated_above_max
a negotiated rate of $12,327 is above the file's own maximum $7,569
CPT 78466/b
error
mrf_negotiated_above_max
a negotiated rate of $2,613 is above the file's own maximum $1,604
CPT C9773/b
error
mrf_negotiated_above_max
a negotiated rate of $57,573 is above the file's own maximum $35,352
CPT 33477/b
error
mrf_negotiated_above_max
a negotiated rate of $43,578 is above the file's own maximum $26,758
CPT C9774/b
error
mrf_negotiated_above_max
a negotiated rate of $57,573 is above the file's own maximum $35,352
CPT J2562/b
error
mrf_negotiated_above_max
a negotiated rate of $25,508 is above the file's own maximum $15,663
CPT 78472/b
error
mrf_negotiated_above_max
a negotiated rate of $3,384 is above the file's own maximum $2,078
CPT C9775/b
error
mrf_negotiated_above_max
a negotiated rate of $57,573 is above the file's own maximum $35,352
CPT P9052/b
error
mrf_negotiated_above_max
a negotiated rate of $3,124 is above the file's own maximum $1,918
CPT 78473/b
error
mrf_negotiated_above_max
a negotiated rate of $2,882 is above the file's own maximum $1,770
CPT P9053/b
error
mrf_negotiated_above_max
a negotiated rate of $2,443 is above the file's own maximum $1,500
CPT 12057/b
error
mrf_negotiated_above_max
a negotiated rate of $5,453 is above the file's own maximum $3,348
CPT 73219/b
error
mrf_negotiated_above_max
a negotiated rate of $7,110 is above the file's own maximum $4,366
CPT 78481/b
error
mrf_negotiated_above_max
a negotiated rate of $3,136 is above the file's own maximum $1,926
CPT P9054/b
error
mrf_negotiated_above_max
a negotiated rate of $1,883 is above the file's own maximum $1,230
CPT 13102/b
error
mrf_negotiated_above_max
a negotiated rate of $3,184 is above the file's own maximum $1,955
CPT 78483/b
error
mrf_negotiated_above_max
a negotiated rate of $3,262 is above the file's own maximum $2,003
CPT P9055/b
error
mrf_negotiated_above_max
a negotiated rate of $2,461 is above the file's own maximum $1,511
CPT 78579/b
error
mrf_negotiated_above_max
a negotiated rate of $2,751 is above the file's own maximum $1,689
CPT P9057/b
error
mrf_negotiated_above_max
a negotiated rate of $1,675 is above the file's own maximum $1,230
CPT 13131/b
error
mrf_negotiated_above_max
a negotiated rate of $4,876 is above the file's own maximum $3,185
CPT 73222/b
error
mrf_negotiated_above_max
a negotiated rate of $6,138 is above the file's own maximum $3,769
CPT 78582/b
error
mrf_negotiated_above_max
a negotiated rate of $2,888 is above the file's own maximum $1,773
CPT 92960/b
error
mrf_negotiated_above_max
a negotiated rate of $2,181 is above the file's own maximum $1,861
CPT P9073/b
error
mrf_negotiated_above_max
a negotiated rate of $5,696 is above the file's own maximum $3,498
CPT 13151/b
error
mrf_negotiated_above_max
a negotiated rate of $5,721 is above the file's own maximum $3,513
CPT 73501/b
error
mrf_negotiated_above_max
a negotiated rate of $1,315 is above the file's own maximum $1,230
CPT 78597/b
error
mrf_negotiated_above_max
a negotiated rate of $2,390 is above the file's own maximum $1,468
CPT 78598/b
error
mrf_negotiated_above_max
a negotiated rate of $2,390 is above the file's own maximum $1,468
CPT 14040/b
error
mrf_negotiated_above_max
a negotiated rate of $5,502 is above the file's own maximum $5,290
CPT 73522/b
error
mrf_negotiated_above_max
a negotiated rate of $2,735 is above the file's own maximum $1,680
CPT 78606/b
error
mrf_negotiated_above_max
a negotiated rate of $2,224 is above the file's own maximum $1,365
CPT Q0138/b
error
mrf_negotiated_above_max
a negotiated rate of $1,866 is above the file's own maximum $1,230
CPT 15004/b
error
mrf_negotiated_above_max
a negotiated rate of $7,093 is above the file's own maximum $4,355

Showing the first 200 of 3,264 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 064
info
inp_charge_10x_payment
average charge $132,630 is 10.3× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $99,380 is 13.8× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $96,085 is 18.0× the total payment
MS-DRG 176
info
inp_charge_10x_payment
average charge $54,579 is 10.0× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $113,158 is 10.3× the total payment
MS-DRG 178
info
inp_charge_10x_payment
average charge $69,908 is 10.7× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $83,402 is 11.8× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $62,458 is 10.7× the total payment
MS-DRG 242
info
inp_charge_10x_payment
average charge $285,807 is 13.5× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $117,483 is 11.4× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $87,404 is 14.7× the total payment
MS-DRG 286
info
inp_charge_10x_payment
average charge $153,143 is 10.5× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $112,855 is 15.5× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $85,362 is 10.2× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $83,773 is 16.7× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $102,185 is 11.8× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $55,982 is 11.4× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $48,858 is 13.2× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $71,520 is 12.4× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $303,884 is 15.8× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $218,606 is 16.1× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $314,994 is 12.0× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $193,634 is 12.9× the total payment
MS-DRG 331
info
inp_charge_10x_payment
average charge $169,899 is 15.2× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $139,210 is 11.9× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $83,533 is 13.2× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $71,069 is 13.4× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $112,418 is 13.1× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $76,731 is 14.2× the total payment
MS-DRG 393
info
inp_charge_10x_payment
average charge $111,027 is 10.3× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $116,414 is 18.3× the total payment
MS-DRG 418
info
inp_charge_10x_payment
average charge $206,950 is 17.7× the total payment
MS-DRG 433
info
inp_charge_10x_payment
average charge $84,367 is 12.3× the total payment
MS-DRG 439
info
inp_charge_10x_payment
average charge $87,362 is 15.3× the total payment
MS-DRG 454
info
inp_charge_10x_payment
average charge $635,849 is 12.2× the total payment
MS-DRG 455
info
inp_charge_10x_payment
average charge $512,789 is 14.2× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $225,284 is 18.0× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $195,117 is 10.4× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $167,030 is 11.8× the total payment
MS-DRG 482
info
inp_charge_10x_payment
average charge $131,972 is 12.3× the total payment
MS-DRG 483
info
inp_charge_10x_payment
average charge $297,236 is 18.0× the total payment
MS-DRG 521
info
inp_charge_10x_payment
average charge $257,177 is 13.8× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $192,000 is 13.7× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $79,264 is 12.5× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $73,876 is 12.1× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $68,309 is 11.2× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $85,954 is 10.0× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $68,089 is 13.4× the total payment
MS-DRG 660
info
inp_charge_10x_payment
average charge $132,156 is 14.6× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $68,960 is 11.3× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $84,725 is 10.6× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $67,098 is 12.7× the total payment
MS-DRG 699
info
inp_charge_10x_payment
average charge $85,641 is 13.2× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $322,831 is 10.8× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $129,862 is 10.2× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $101,207 is 14.9× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 127.1M bytes · fetched 2026-08-26 · sha256 d7ae9c81abac…

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.