Hospital · CCN 131323

ST LUKE'S WOOD RIVER MEDICAL CENTER

100 HOSPITAL DRIVE, KETCHUM, ID 83340 · Blaine County
Part of Saint Lukes · 25 beds · 1

price file: ok
Billed per dollar paid, all admissions
—
$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.
1.7%
of adults in Blaine County have medical debt in collections
14.5%
uninsured in the county · state 9.8%
$94K
median household income
—
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (0 in the inpatient or outpatient file)ⓘ
23.1%
obesity in the countyⓘ
10.2%
diagnosed diabetes (PLACES)
6.6%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
Not in the Medicare inpatient file.
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 3/25/2026, template 3.0.0, 98,675 rows scanned, 14,041 distinct code–setting items kept. 2,276 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Case Western Reserve Univ Panel Neuro CSF Prion Prtn Qual
$252
$252
$225
36
clean
Insertion of stents into vertebral artery via catheter, open or accessed through the skin including radiologic supervision and interpretation, initial vessel
$21,581
$21,581
$19,207
36
clean
HC Karius Nfct Ds Mcrb Cll Fr Dna Untrgt Next Genrj Seq
$2,500
$2,500
$2,225
36
clean
Removal of rectal tumor using an endoscope
$10,986
$10,986
$9,668
39
clean
Injections of one side of sacrum for enlargement, 1 or more needles, accessed through the skin
$14,738
$14,738
$13,117
36
clean
Injections of both sides of sacrum for enlargement, 2 or more needles, accessed through the skin
$14,738
$14,738
$13,117
36
clean
Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2
$1,855
$1,855
$1,632
39
clean
Harvest and injections of platelet rich plasma using imaging guidance
$1,025
$1,025
$887
32
clean
Catheter removal of plaque from upper arm artery, accessed through the skin or open procedure including radiological supervision and interpretation
$28,020
$28,020
$24,938
36
clean
Catheter removal of plaque from upper arm artery, accessed through the skin or open procedure including radiological supervision and interpretation
$28,020
$28,020
$14,615
3
clean
Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation
$33,500
$33,500
$18,716
3
clean
Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation
$33,500
$33,500
$29,815
36
clean
Destruction of nerves of arteries of one kidney accessed through the skin with fluoroscopy and radiological supervision and interpretation
$11,004
$11,004
$9,684
39
clean
Freezing destruction of nerve in leg, accessed through the skin, using imaging guidance
$5,383
$5,383
$4,791
36
clean
Freezing destruction of nerve plexus, accessed through the skin, using imaging guidance
$13,137
$13,137
$11,561
39
clean
Creation of skin pocket and insertion of glucose sensor, with patient training
$12,520
$12,520
$10,830
32
clean
Removal of glucose sensor from skin pocket
$69
$69
$60
32
clean
Removal of glucose sensor from skin pocket with creation of new skin pocket and insertion of new glucose sensor
$11,677
$11,677
$10,101
32
clean
Insertion of artificial valve between left heart chambers, accessed through the skin
$29,508
$29,508
$26,262
36
clean
HC Ttvr Percutaneous Approach Initial Prosthesis
$29,508
$29,508
$26,262
36
clean
HC Ttvr Percutaneous Approach Each Addl Prosthesis
$29,508
$29,508
$26,262
36
clean
HC Ablation Mal Brst Tumor Perq Crtx Unilateral
$10,392
$10,392
$9,249
36
clean
Removal or reduction of mass within heart by suction through catheter
$11,004
$11,004
$9,684
39
clean
HC Ttvi/Rplcmt Prostc Vlv Perq W/R Hrt Cath&Angrph
$29,508
$29,508
$26,262
36
clean
Remote programming device evaluation of subcutaneous (under skin) heart rhythm monitor system
$186
$186
$166
36
clean
Laser destruction of benign growth of thyroid using imaging guidance
$4,347
$4,347
$3,869
36
clean
Body surface-activation mapping of cardiac resynchronization therapy device, with review, and report, at time of follow-up device evaluation
$186
$186
$166
36
clean
Injection of bone-substitute material into defect of bone using imaging guidance and endoscope
$8,372
$8,372
$7,451
36
clean
HC Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys
$20,158
$20,158
$17,739
39
clean
HC Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt
$20,158
$20,158
$17,739
39
clean
HC Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt
$20,158
$20,158
$17,739
39
clean
HC Prgrmg Dev Eval Ldls Pm Sys 2chmbr in Person
$104
$104
$92
39
clean
HC Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial
$20,158
$20,158
$17,941
36
clean
HC Prgrmg Dev Eval Ldls Pm Single Car Chamber IP
$104
$104
$93
36
clean
Fine needle aspiration biopsy, each additional growth
$1,117
$1,117
$966
32
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
$1,783
$1,783
—
0
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
$1,783
$1,783
$1,516
31
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
$1,783
$1,783
$1,587
36
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
$1,783
$1,783
$1,159
3
clean
Fine needle aspiration biopsy using fluoroscopic guidance, first growth
$1,783
$1,783
—
0
clean
Fine needle aspiration biopsy using fluoroscopic guidance, first growth
$1,783
$1,783
$1,569
35
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
$1,783
$1,783
—
0
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
$1,783
$1,783
$1,569
35
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
$1,783
$1,783
$1,569
35
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
$1,783
$1,783
—
0
clean
Fine needle aspiration biopsy, first growth
$1,117
$1,117
—
0
clean
Fine needle aspiration biopsy, first growth
$1,117
$1,117
$949
31
clean
Drainage of fluid collection in soft tissue using imaging guidance
$1,783
$1,783
—
0
clean
Drainage of fluid collection in soft tissue using imaging guidance
$1,783
$1,783
$1,569
35
clean
Placement of soft tissue locating device using X-ray, first growth
$1,783
$1,783
$1,569
35
clean
Placement of soft tissue locating device using X-ray, first growth
$1,783
$1,783
—
0
clean
Placement of soft tissue locating device using X-ray, each additional growth
$1,783
$1,783
$1,587
36
clean
Placement of soft tissue locating device using X-ray, each additional growth
$1,783
$1,783
—
0
clean
Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)
$556
$556
—
0
clean
Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)
$556
$556
$473
31
clean
Simple or single drainage of skin abscess
$556
$556
—
0
clean
Simple or single drainage of skin abscess
$556
$556
$473
31
clean
Complicated or multiple drainage of skin abscess
$1,117
$1,117
$949
31
clean
Complicated or multiple drainage of skin abscess
$1,117
$1,117
—
0
clean
Simple drainage of cyst of tailbone
$1,783
$1,783
—
0
clean
Simple drainage of cyst of tailbone
$1,783
$1,783
$1,516
31
clean
Complicated drainage of cyst of tailbone
$1,783
$1,783
—
0
clean
Complicated drainage of cyst of tailbone
$1,783
$1,783
$1,569
35
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$1,117
$1,117
$949
31
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$1,117
$1,117
—
0
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$4,347
$4,347
—
0
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$4,347
$4,347
$3,825
35
clean
Drainage of blood or fluid accumulation
$4,347
$4,347
—
0
clean
Drainage of blood or fluid accumulation
$4,347
$4,347
$3,695
31
clean
Aspiration of abscess, blood, or cyst
$1,117
$1,117
$949
31
clean
Aspiration of abscess, blood, or cyst
$1,117
$1,117
—
0
clean
Complex drainage of wound infection after surgery
$7,765
$7,765
—
0
clean
Complex drainage of wound infection after surgery
$7,765
$7,765
$6,600
31
clean
Removal of inflamed or infected skin, up to 10% of body surface
$1,686
$1,686
—
0
clean
Removal of inflamed or infected skin, up to 10% of body surface
$1,686
$1,686
$1,433
31
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
$1,783
$1,783
$1,569
35
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
$1,783
$1,783
—
0
clean
Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone
$1,783
$1,783
—
0
clean
Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone
$1,783
$1,783
$1,569
35
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
$7,765
$7,765
—
0
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue, 20.0 sq cm or less
$1,117
$1,117
$949
31
clean
Removal of skin and tissue, 20.0 sq cm or less
$1,117
$1,117
—
0
clean
Removal of muscle and/or tissue, 20.0 sq cm or less
$1,686
$1,686
$1,484
35
clean
Removal of muscle and/or tissue, 20.0 sq cm or less
$1,686
$1,686
—
0
clean
Removal of bone, 20.0 sq cm or less
$4,347
$4,347
—
0
clean
Removal of bone, 20.0 sq cm or less
$4,347
$4,347
$3,695
31
clean
Removal of skin and tissue, each additional 20.0 sq cm or less
$1,117
$1,117
$966
32
clean
Removal of muscle and/or tissue, each additional 20.0 sq cm or less
$1,686
$1,686
$1,458
32
clean
Removal of bone, each additional 20.0 sq cm or less
$4,347
$4,347
$3,869
36
clean
Removal of bone, each additional 20.0 sq cm or less
$4,347
$4,347
$2,260
3
clean
Removal of noncancer thickened skin growth, 1 growth
$556
$556
—
0
clean
Removal of noncancer thickened skin growth, 1 growth
$556
$556
$473
31
clean
Removal of noncancer thickened skin growth, 2-4 growths
$556
$556
—
0
clean
Removal of noncancer thickened skin growth, 2-4 growths
$556
$556
$473
31
clean
Removal of noncancer thickened skin growth, more than 4 growths
$556
$556
$473
31
clean
Removal of noncancer thickened skin growth, more than 4 growths
$556
$556
—
0
clean
Biopsy of related skin growth, first growth
$556
$556
—
0
clean
Biopsy of related skin growth, first growth
$556
$556
$473
31
clean
Biopsy of related skin growth, each additional growth
$556
$556
$481
32
clean
Punch biopsy, first skin growth
$1,117
$1,117
—
0
clean
Punch biopsy, first skin growth
$1,117
$1,117
$949
31
clean
Punch biopsy, each additional skin growth
$1,117
$1,117
$966
32
clean
Incision biopsy, first skin growth
$1,686
$1,686
—
0
clean
Incision biopsy, first skin growth
$1,686
$1,686
$1,433
31
clean
Incision biopsy, each additional skin growth
$1,686
$1,686
$1,458
32
clean
Removal of skin tag, 1-15 skin tags
$556
$556
—
0
clean
Removal of skin tag, 1-15 skin tags
$556
$556
$473
31
clean
Removal of skin tag, each additional 10 skin tags
$373
$373
$323
32
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
$1,117
$1,117
—
0
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
$1,117
$1,117
$949
31
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
$556
$556
—
0
clean
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
$556
$556
—
0
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
$1,117
$1,117
—
0
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
$1,117
$1,117
$949
31
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$556
$556
—
0
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$556
$556
$473
31
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$556
$556
—
0
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$556
$556
—
0
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm
$1,117
$1,117
—
0
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm
$1,117
$1,117
$949
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$556
$556
$473
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$556
$556
—
0
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$556
$556
—
0
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,117
$1,117
—
0
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,117
$1,117
$949
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
$1,117
$1,117
$949
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
$1,117
$1,117
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,117
$1,117
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,117
$1,117
$949
31
clean
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
$4,347
$4,347
$3,825
35
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
$7,765
$7,765
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
$7,765
$7,765
$6,600
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
$7,765
$7,765
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of underarms for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of underarms for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
$7,765
$7,765
$6,600
31
clean
Removal of skin and tissue of groin for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of groin for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
$7,765
$7,765
$6,833
35
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,117
$1,117
—
0
clean
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,117
$1,117
$949
31
clean
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
—
0
clean
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
—
0
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
$3,825
35
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$4,347
$4,347
—
0
clean

Showing the first 200 of 14,041 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
MS-DRG 157/i
warn
mrf_negotiated_above_gross
highest negotiated rate $42,438 exceeds the gross charge $34,129
CPT 96366/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $161
MS-DRG 166/i
warn
mrf_negotiated_above_gross
highest negotiated rate $129,666 exceeds the gross charge $110,553
MS-DRG 175/i
warn
mrf_negotiated_above_gross
highest negotiated rate $31,453 exceeds the gross charge $19,775
CPT 96367/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $249
CPT C9606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $36,216 exceeds the gross charge $28,020
MS-DRG 176/i
warn
mrf_negotiated_above_gross
highest negotiated rate $20,924 exceeds the gross charge $16,830
MS-DRG 177/i
warn
mrf_negotiated_above_gross
highest negotiated rate $52,833 exceeds the gross charge $25,487
CPT 84202/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $25
CPT 96368/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $161
CPT E0114/o
warn
mrf_negotiated_above_gross
highest negotiated rate $148 exceeds the gross charge $67
MS-DRG 178/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,288 exceeds the gross charge $40,145
CPT 84206/o
warn
mrf_negotiated_above_gross
highest negotiated rate $100 exceeds the gross charge $41
MS-DRG 179/i
warn
mrf_negotiated_above_gross
highest negotiated rate $27,353 exceeds the gross charge $23,659
CPT 80369/o
warn
mrf_negotiated_above_gross
highest negotiated rate $109 exceeds the gross charge $94
CPT 84207/o
warn
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $19
CPT 96372/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $249
MS-DRG 182/i
warn
mrf_negotiated_above_gross
highest negotiated rate $29,302 exceeds the gross charge $27,396
CPT 84210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $36
CPT E0484/o
warn
mrf_negotiated_above_gross
highest negotiated rate $64 exceeds the gross charge $58
MS-DRG 183/i
warn
mrf_negotiated_above_gross
highest negotiated rate $35,893 exceeds the gross charge $32,598
CPT 80428/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $83
CPT 96375/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $161
MS-DRG 187/i
warn
mrf_negotiated_above_gross
highest negotiated rate $31,585 exceeds the gross charge $28,392
CPT 81162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,387 exceeds the gross charge $2,512
MS-DRG 189/i
warn
mrf_negotiated_above_gross
highest negotiated rate $50,844 exceeds the gross charge $25,501
CPT 84252/o
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $57
CPT 96376/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $337
CPT E1800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $360
MS-DRG 190/i
warn
mrf_negotiated_above_gross
highest negotiated rate $30,644 exceeds the gross charge $26,454
CPT 84255/o
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $19
CPT E1825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,195 exceeds the gross charge $198
MS-DRG 193/i
warn
mrf_negotiated_above_gross
highest negotiated rate $33,901 exceeds the gross charge $24,727
CPT 84260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $116 exceeds the gross charge $43
MS-DRG 197/i
warn
mrf_negotiated_above_gross
highest negotiated rate $34,909 exceeds the gross charge $21,477
CPT 97169/o
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $57
MS-DRG 202/i
warn
mrf_negotiated_above_gross
highest negotiated rate $24,212 exceeds the gross charge $14,392
CPT 97170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $90
CPT L4398/o
warn
mrf_negotiated_above_gross
highest negotiated rate $148 exceeds the gross charge $100
MS-DRG 203/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,266 exceeds the gross charge $16,376
CPT 84295/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $37
CPT 97171/o
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $104
CPT L6676/o
warn
mrf_negotiated_above_gross
highest negotiated rate $294 exceeds the gross charge $199
MS-DRG 215/i
warn
mrf_negotiated_above_gross
highest negotiated rate $452,975 exceeds the gross charge $353,283
CPT 81220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,948 exceeds the gross charge $238
CPT 86972/o
warn
mrf_negotiated_above_gross
highest negotiated rate $598 exceeds the gross charge $193
CPT 97172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $99 exceeds the gross charge $72
CPT L7368/o
warn
mrf_negotiated_above_gross
highest negotiated rate $984 exceeds the gross charge $340
MS-DRG 228/i
warn
mrf_negotiated_above_gross
highest negotiated rate $180,980 exceeds the gross charge $148,258
CPT 81223/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,747 exceeds the gross charge $833
CPT 86976/o
warn
mrf_negotiated_above_gross
highest negotiated rate $86 exceeds the gross charge $49
CPT L8047/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,781 exceeds the gross charge $1,047
MS-DRG 229/i
warn
mrf_negotiated_above_gross
highest negotiated rate $122,199 exceeds the gross charge $119,475
CPT 97811/o
warn
mrf_negotiated_above_gross
highest negotiated rate $109 exceeds the gross charge $65
CPT G0101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $25
CPT L8501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $240 exceeds the gross charge $163
MS-DRG 239/i
warn
mrf_negotiated_above_gross
highest negotiated rate $145,857 exceeds the gross charge $125,850
CPT 84302/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $17
CPT 97814/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $65
CPT G0102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $31
MS-DRG 243/i
warn
mrf_negotiated_above_gross
highest negotiated rate $78,013 exceeds the gross charge $72,986
CPT 84305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $80 exceeds the gross charge $25
MS-DRG 244/i
warn
mrf_negotiated_above_gross
highest negotiated rate $64,587 exceeds the gross charge $57,915
CPT 81235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,136 exceeds the gross charge $388
CPT G0129/o
warn
mrf_negotiated_above_gross
highest negotiated rate $999 exceeds the gross charge $268
MS-DRG 245/i
warn
mrf_negotiated_above_gross
highest negotiated rate $125,462 exceeds the gross charge $74,227
CPT 81240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $230 exceeds the gross charge $81
CPT G0176/o
warn
mrf_negotiated_above_gross
highest negotiated rate $999 exceeds the gross charge $278
MS-DRG 256/i
warn
mrf_negotiated_above_gross
highest negotiated rate $48,225 exceeds the gross charge $45,973
CPT 81241/o
warn
mrf_negotiated_above_gross
highest negotiated rate $257 exceeds the gross charge $60
CPT G0177/o
warn
mrf_negotiated_above_gross
highest negotiated rate $946 exceeds the gross charge $253
MS-DRG 259/i
warn
mrf_negotiated_above_gross
highest negotiated rate $48,341 exceeds the gross charge $38,337
CPT 81243/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $119
CPT 99401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $141 exceeds the gross charge $84
CPT G0283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $31
MS-DRG 260/i
warn
mrf_negotiated_above_gross
highest negotiated rate $91,964 exceeds the gross charge $86,848
CPT 99403/o
warn
mrf_negotiated_above_gross
highest negotiated rate $335 exceeds the gross charge $196
CPT G0400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $925 exceeds the gross charge $743
MS-DRG 261/i
warn
mrf_negotiated_above_gross
highest negotiated rate $52,695 exceeds the gross charge $45,641
CPT 99404/o
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $252
CPT G0404/o
warn
mrf_negotiated_above_gross
highest negotiated rate $146 exceeds the gross charge $13
MS-DRG 265/i
warn
mrf_negotiated_above_gross
highest negotiated rate $80,299 exceeds the gross charge $42,603
MS-DRG 266/i
warn
mrf_negotiated_above_gross
highest negotiated rate $254,181 exceeds the gross charge $177,192
CPT 81256/o
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $119
CPT 87110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $33
MS-DRG 267/i
warn
mrf_negotiated_above_gross
highest negotiated rate $177,583 exceeds the gross charge $107,942
CPT 81261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $693 exceeds the gross charge $262
CPT 84425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $80 exceeds the gross charge $35
CPT L8609/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,051 exceeds the gross charge $933
MS-DRG 273/i
warn
mrf_negotiated_above_gross
highest negotiated rate $94,986 exceeds the gross charge $89,551
MS-DRG 274/i
warn
mrf_negotiated_above_gross
highest negotiated rate $69,485 exceeds the gross charge $68,760
MS-DRG 276/i
warn
mrf_negotiated_above_gross
highest negotiated rate $189,753 exceeds the gross charge $149,936
MS-DRG 277/i
warn
mrf_negotiated_above_gross
highest negotiated rate $146,126 exceeds the gross charge $125,276
CPT 81270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $321 exceeds the gross charge $171
CPT 84442/o
warn
mrf_negotiated_above_gross
highest negotiated rate $55 exceeds the gross charge $21
MS-DRG 288/i
warn
mrf_negotiated_above_gross
highest negotiated rate $90,244 exceeds the gross charge $37,379
CPT 81275/o
warn
mrf_negotiated_above_gross
highest negotiated rate $676 exceeds the gross charge $544
CPT 84445/o
warn
mrf_negotiated_above_gross
highest negotiated rate $191 exceeds the gross charge $51
MS-DRG 291/i
warn
mrf_negotiated_above_gross
highest negotiated rate $42,404 exceeds the gross charge $24,958
CPT 84446/o
warn
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $16
CPT 87153/o
warn
mrf_negotiated_above_gross
highest negotiated rate $433 exceeds the gross charge $225
MS-DRG 312/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,079 exceeds the gross charge $18,702
CPT 81291/o
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $101
CPT 87177/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $19
MS-DRG 317/i
warn
mrf_negotiated_above_gross
highest negotiated rate $189,025 exceeds the gross charge $164,481
CPT 81301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,220 exceeds the gross charge $362
CPT A0425/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $37
MS-DRG 320/i
warn
mrf_negotiated_above_gross
highest negotiated rate $71,734 exceeds the gross charge $40,621
MS-DRG 329/i
warn
mrf_negotiated_above_gross
highest negotiated rate $143,269 exceeds the gross charge $113,153
CPT 87209/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $19
MS-DRG 344/i
warn
mrf_negotiated_above_gross
highest negotiated rate $85,166 exceeds the gross charge $46,020
CPT 84466/o
warn
mrf_negotiated_above_gross
highest negotiated rate $48 exceeds the gross charge $10
CPT A0435/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $95
MS-DRG 371/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,407 exceeds the gross charge $27,600
CPT A0436/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $180
MS-DRG 374/i
warn
mrf_negotiated_above_gross
highest negotiated rate $62,739 exceeds the gross charge $57,614
CPT 81332/o
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $126
CPT 84479/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $9
CPT A0999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $97
MS-DRG 378/i
warn
mrf_negotiated_above_gross
highest negotiated rate $20,603 exceeds the gross charge $11,857
CPT 81374/o
warn
mrf_negotiated_above_gross
highest negotiated rate $260 exceeds the gross charge $32
MS-DRG 382/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,230 exceeds the gross charge $19,585
CPT 84482/o
warn
mrf_negotiated_above_gross
highest negotiated rate $59 exceeds the gross charge $25
CPT 87255/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $31
MS-DRG 383/i
warn
mrf_negotiated_above_gross
highest negotiated rate $36,855 exceeds the gross charge $32,353
CPT 87278/o
warn
mrf_negotiated_above_gross
highest negotiated rate $59 exceeds the gross charge $47
MS-DRG 389/i
warn
mrf_negotiated_above_gross
highest negotiated rate $22,629 exceeds the gross charge $13,892
CPT 81401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $480 exceeds the gross charge $228
CPT 87327/o
warn
mrf_negotiated_above_gross
highest negotiated rate $50 exceeds the gross charge $30
MS-DRG 390/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,133 exceeds the gross charge $13,111
CPT 87329/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $20
MS-DRG 392/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,198 exceeds the gross charge $17,742
MS-DRG 393/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,209 exceeds the gross charge $36,090
CPT 84585/o
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $22
MS-DRG 394/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,873 exceeds the gross charge $23,172
CPT 84588/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $58
MS-DRG 395/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,888 exceeds the gross charge $18,310
CPT 84590/o
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $14
CPT 87350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $20
CPT A4344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $31 exceeds the gross charge $23
MS-DRG 421/i
warn
mrf_negotiated_above_gross
highest negotiated rate $58,675 exceeds the gross charge $30,748
CPT A4356/o
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $66
MS-DRG 424/i
warn
mrf_negotiated_above_gross
highest negotiated rate $66,139 exceeds the gross charge $50,159
CPT 81406/o
warn
mrf_negotiated_above_gross
highest negotiated rate $990 exceeds the gross charge $908
CPT 87476/o
warn
mrf_negotiated_above_gross
highest negotiated rate $132 exceeds the gross charge $118
CPT A4371/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $2
MS-DRG 437/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,229 exceeds the gross charge $14,020
CPT 81420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $797 exceeds the gross charge $469
CPT 84681/o
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $12
CPT A4414/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $1
MS-DRG 438/i
warn
mrf_negotiated_above_gross
highest negotiated rate $53,847 exceeds the gross charge $49,492
CPT A4432/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $4
CPT J0225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,005 exceeds the gross charge $5,729
MS-DRG 439/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,271 exceeds the gross charge $21,163
CPT A4461/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $5
MS-DRG 441/i
warn
mrf_negotiated_above_gross
highest negotiated rate $92,820 exceeds the gross charge $48,346
CPT 82024/o
warn
mrf_negotiated_above_gross
highest negotiated rate $145 exceeds the gross charge $28
MS-DRG 463/i
warn
mrf_negotiated_above_gross
highest negotiated rate $167,493 exceeds the gross charge $126,829
CPT 85014/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $18
MS-DRG 495/i
warn
mrf_negotiated_above_gross
highest negotiated rate $78,096 exceeds the gross charge $63,118
CPT 87496/o
warn
mrf_negotiated_above_gross
highest negotiated rate $132 exceeds the gross charge $118
MS-DRG 533/i
warn
mrf_negotiated_above_gross
highest negotiated rate $39,709 exceeds the gross charge $37,831
MS-DRG 536/i
warn
mrf_negotiated_above_gross
highest negotiated rate $22,547 exceeds the gross charge $16,866
CPT 85060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $101 exceeds the gross charge $90
MS-DRG 539/i
warn
mrf_negotiated_above_gross
highest negotiated rate $115,779 exceeds the gross charge $74,517
CPT 82085/o
warn
mrf_negotiated_above_gross
highest negotiated rate $36 exceeds the gross charge $8
CPT 85220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $31
MS-DRG 541/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,482 exceeds the gross charge $22,646
CPT P9012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $83
MS-DRG 542/i
warn
mrf_negotiated_above_gross
highest negotiated rate $101,103 exceeds the gross charge $49,611
CPT 85230/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $38
MS-DRG 545/i
warn
mrf_negotiated_above_gross
highest negotiated rate $81,780 exceeds the gross charge $69,300
MS-DRG 549/i
warn
mrf_negotiated_above_gross
highest negotiated rate $34,964 exceeds the gross charge $23,600
CPT 85247/o
warn
mrf_negotiated_above_gross
highest negotiated rate $86 exceeds the gross charge $85
CPT P9021/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $329
MS-DRG 559/i
warn
mrf_negotiated_above_gross
highest negotiated rate $97,709 exceeds the gross charge $61,084
CPT 85270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $62
CPT J9226/o
warn
mrf_negotiated_above_gross
highest negotiated rate $85,539 exceeds the gross charge $60,218
CPT P9035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $974 exceeds the gross charge $842
MS-DRG 561/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,527 exceeds the gross charge $14,337
CPT 85280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $73 exceeds the gross charge $59
CPT P9039/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,307 exceeds the gross charge $755
MS-DRG 566/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,965 exceeds the gross charge $15,175
CPT P9040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $512 exceeds the gross charge $336
MS-DRG 570/i
warn
mrf_negotiated_above_gross
highest negotiated rate $125,569 exceeds the gross charge $94,966
MS-DRG 573/i
warn
mrf_negotiated_above_gross
highest negotiated rate $145,686 exceeds the gross charge $138,176
CPT 82106/o
warn
mrf_negotiated_above_gross
highest negotiated rate $64 exceeds the gross charge $34
MS-DRG 594/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,155 exceeds the gross charge $17,811
CPT 82127/o
warn
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $29
CPT 85301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $29
MS-DRG 595/i
warn
mrf_negotiated_above_gross
highest negotiated rate $57,046 exceeds the gross charge $45,529
CPT 85302/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $19
MS-DRG 596/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,705 exceeds the gross charge $24,024
CPT A5063/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $4
CPT P9052/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,822 exceeds the gross charge $1,319
MS-DRG 597/i
warn
mrf_negotiated_above_gross
highest negotiated rate $51,125 exceeds the gross charge $43,304
CPT 85305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $29
CPT A6010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $73
CPT P9059/o
warn
mrf_negotiated_above_gross
highest negotiated rate $142 exceeds the gross charge $65
MS-DRG 603/i
warn
mrf_negotiated_above_gross
highest negotiated rate $20,628 exceeds the gross charge $15,869

Showing the first 200 of 2,276 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 390.6M bytes · fetched 2026-08-23 · sha256 9e40f2fb0933…

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.