Hospital · CCN 150024

Eskenazi Health

720 Eskenazi Avenue, Indianapolis, IN 46202 · Marion County
Part of Eskenazi Health · 314 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

25 admission types 46 outpatient services price file: ok
Billed per dollar paid, all admissions
2.96×
$39.8M billed against $13.4M paid across 584 Medicare discharges; the national figure is 5.03×.
5.1%
of adults in Marion County have medical debt in collections
9.8%
uninsured in the county · state 8.2%
$67K
median household income
4.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (10 in the inpatient or outpatient file)ⓘ
38.3%
obesity in the countyⓘ
13.0%
diagnosed diabetes (PLACES)
5.9%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
117
$78,695
$25,186
3.1× st 4.1×
291
Heart failure and shock with mcc
68
$50,677
$18,566
2.7× st 4.0×
189
Pulmonary edema and respiratory failure
47
$51,528
$17,193
3.0× st 4.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
33
$38,779
$18,990
2.0× st 4.1×
812
Red blood cell disorders without mcc
32
$25,364
$15,688
1.6× st 4.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
21
$192,040
$54,952
3.5× st 4.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
19
$118,117
$32,895
3.6× st 4.4×
193
Simple pneumonia and pleurisy with mcc
18
$46,383
$17,916
2.6× st 4.1×
280
Acute myocardial infarction, discharged alive with mcc
17
$63,901
$19,884
3.2× st 4.5×
682
Renal failure with mcc
17
$45,696
$21,043
2.2× st 3.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$42,133
$14,881
2.8× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$27,260
$14,369
1.9× st 4.2×
870
Septicemia or severe sepsis with mv >96 hours
14
$375,112
$88,851
4.2× st 4.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
14
$33,293
$16,443
2.0× st 4.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
14
$37,096
$14,918
2.5× st 4.5×
177
Respiratory infections and inflammations with mcc
14
$62,275
$19,887
3.1× st 4.0×
603
Cellulitis without mcc
13
$31,364
$14,897
2.1× st 3.7×
092
Other disorders of nervous system with cc
12
$39,930
$16,962
2.4× st 4.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
12
$76,059
$25,615
3.0× st 4.2×
683
Renal failure with cc
12
$33,678
$15,972
2.1× st 4.1×
190
Chronic obstructive pulmonary disease with mcc
12
$67,503
$17,834
3.8× st 4.6×
481
Hip and femur procedures except major joint with cc
12
$93,612
$26,457
3.5× st 5.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$38,056
$20,427
1.9× st 4.5×
071
Other cerebrovascular disorders with cc
11
$40,624
$17,579
2.3× st 4.1×
811
Red blood cell disorders with mcc
11
$38,073
$19,477
2.0× st 4.7×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
295
$22,077
$2,469
8.9×
5491
Level 1 Intraocular Procedures
86
$16,043
$2,105
7.6×
5372
Level 2 Urology and Related Services
50
$3,151
$617
5.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
50
$12,136
$1,441
8.4×
5183
Level 3 Vascular Procedures
30
$25,630
$2,831
9.1×
5373
Level 3 Urology and Related Services
26
$14,307
$1,840
7.8×
5492
Level 2 Intraocular Procedures
26
$27,245
$3,672
7.4×
5191
Level 1 Endovascular Procedures
20
$33,163
$2,948
11.3×
5115
Level 5 Musculoskeletal Procedures
17
$74,248
$11,872
6.3×
5375
Level 5 Urology and Related Services
14
$37,086
$4,674
7.9×
5114
Level 4 Musculoskeletal Procedures
13
$54,928
$6,066
9.1×
5192
Level 2 Endovascular Procedures
13
$33,823
$5,163
6.6×
5184
Level 4 Vascular Procedures
11
$59,161
$4,964
11.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
11
$24,185
$3,125
7.7×
5302
Level 2 Upper GI Procedures
11
$10,987
$1,719
6.4×
5376
Level 6 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via eskenazihealth.edu/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 3/1/2026, template 3.0.0, 37,640 rows scanned, 2,899 distinct code–setting items kept. 266 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Nfct Ds 22 Trgt Sars-Cov-2
$1,274
$1,147
$584
2
clean
HC Nfct Ds Vir Resp Rna 4 Trgt
$1,152
$1,037
$140
6
clean
HC Nfct Ds Vir Resp Rna 4 Trgt
$357
$321
$152
2
clean
HC Fxjl Abl Lsr 1st 100 Sq Cm
$19,666
$17,700
$781
5
clean
HC Fxjl Abl Lsr 1st 100 Sq Cm
$1,628
$1,465
$781
7
clean
HC Fxjl Abl Lsr Ea Addl 100sqcm
$1,628
$1,465
$872
1
clean
HC Fxjl Abl Lsr Ea Addl 100sqcm
$15,634
$14,070
$781
1
clean
HC Fna Bx/US Gdn 1st Les
$4,587
$4,129
$2,273
25
clean
HC Fna Bx/US Gdn 1st Les
$2,871
$2,584
$2,273
27
clean
HC Fna Bx W/US Gdn Ea Addl
$1,170
$1,053
$445
1
clean
HC Fine Needle Aspir W/O Imaging
$3,487
$3,138
$430
1
clean
HC Fine Needle Aspir W/O Imaging
$1,034
$930
$430
1
clean
HC Guide Cath Fluid Drainage
$5,000
$4,500
$1,905
4
clean
HC Guide Cath Fluid Drainage
$3,887
$3,498
$1,905
4
clean
HC I&D Abscess Simple/Single
$1,288
$1,159
$381
11
clean
HC I&D Abscess Simple/Single
$1,953
$1,758
$381
11
clean
HC I&D Complex/Multiple Abscess
$1,853
$1,668
$1,044
4
clean
HC I&D Complex/Multiple Abscess
$1,610
$1,449
$1,044
4
clean
HC I&D Pilonidal Cyst Compl
$3,235
$2,912
$1,044
1
clean
HC Foreign Body Removal Sq/Simple
$1,625
$1,463
$381
12
clean
HC Foreign Body Removal Sq/Simple
$15,242
$13,718
$381
12
clean
Incision & Removal Foreign Body Subq Tiss Comp
$42,046
$37,842
$1,044
1
clean
HC I& Rem Foreign Body Compl \
$5,688
$5,119
$1,044
1
clean
HC I&D Hematoma/Seroma/Fluid Co
$28,836
$25,952
$1,064
4
clean
HC I&D Hematoma/Seroma/Fluid Co
$5,711
$5,140
$1,064
4
clean
HC Punct Asp Absc/Hema/Bulla/Cyst
$1,034
$930
$381
6
clean
HC Punct Asp Absc/Hema/Bulla/Cyst
$1,319
$1,187
$381
6
clean
HC I&D Post OP Wound Inf Complex
$10,379
$9,341
$1,728
3
clean
HC Debride Open Fx SkinMuscleBone
$5,543
$4,989
$3,121
9
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$63,776
$57,398
$3,121
8
clean
HC Debride Skin to Sq Tissue 20cm<
$22,458
$20,212
$1,728
1
clean
HC Debride Skin to Sq Tissue 20cm<
$1,413
$1,272
$1,728
1
clean
Debridement Muscle &/Fascia 1st 20 Sq Cm/<
$35,688
$32,120
$1,728
5
clean
HC Debride Skin to Muscle/Fascia<20c
$1,903
$1,713
$1,728
5
clean
HC Debride Skin to Bone 20cm or Less
$4,328
$3,895
$1,728
4
clean
HC Debride Skin to Bone 20cm or Less
$37,830
$34,047
$1,728
4
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$35,688
$32,120
$648
4
clean
HC Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$952
$857
$648
4
clean
Debridement Bone Each Additional 20 Sq Cm
$27,372
$24,635
$2,273
1
clean
HC Debridement Bone Each Additional 20 Sq Cm
$2,164
$1,948
$2,273
1
clean
HC Paring/Cutting of Benign Lesion
$490
$441
$1,242
1
clean
HC Paring/Cutting of Benign Lesion
$31,989
$28,790
$1,242
1
clean
HC Tangntl Bx Skin Single Les
$1,830
$1,647
$1,905
27
clean
HC Tangntl Bx Skin Single Les
$519
$467
$1,905
27
clean
HC Tangntl Bx Skin Ea Sep/Addl
$3,068
$2,761
$430
1
clean
HC Tangntl Bx Skin Ea Sep/Addl
$318
$286
$121
1
clean
HC Punch Bx Skin Single Lesion
$1,034
$930
$648
25
clean
HC Punch Bx Skin Single Lesion
$3,204
$2,884
$648
23
clean
HC Incal Bx Skn Single Les
$3,611
$3,250
$1,044
3
clean
HC Incal Bx Skn Single Les
$1,628
$1,465
$1,044
3
clean
HC Remove Skin Tags<=15 Lesions
$905
$815
$261
6
clean
HC Remove Skin Tags<=15 Lesions
$708
$637
$324
8
clean
HC Exc Tr-Ext Ben Les W/Marg 0.5cm<
$21,013
$18,912
$381
3
clean
HC Exc Tr-Ext Ben Les W/Marg 0.5cm<
$2,496
$2,246
$381
3
clean
HC Be Trunk/Arms/Legs 0.6-1.0 Cm
$2,447
$2,202
$648
8
clean
HC Be Trunk/Arms/Legs 0.6-1.0 Cm
$4,816
$4,334
$648
8
clean
HC Be Trunk/Arms/Legs 1.1-2.0 Cm
$7,042
$6,338
$648
14
clean
HC Be Trunk/Arms/Legs 1.1-2.0 Cm
$3,750
$3,375
$648
15
clean
HC Be Trunk/Arms/Legs 2.1-3.0 Cm
$9,507
$8,556
$1,044
7
clean
HC Be Trunk/Arms/Legs 2.1-3.0 Cm
$3,286
$2,957
$1,044
8
clean
HC Excision Benign Les T/a/L 3.1-4.0
$5,828
$5,245
$1,747
3
clean
HC Excision Benign Les T/a/L 3.1-4.0
$11,462
$10,315
$1,747
3
clean
HC Excision Benign Les T/a/L >4cm
$25,052
$22,547
$1,728
7
clean
HC Excision Benign Les T/a/L >4cm
$5,973
$5,376
$1,728
7
clean
HC Exc Ben Lesn SNHFG0.5cm Or<
$4,400
$3,960
$381
2
clean
HC Exc Ben Lesn SNHFG0.5cm Or<
$4,203
$3,782
$381
2
clean
HC Be S/N/H/F/G 0.6-1.0 Cm
$2,397
$2,157
$648
6
clean
HC Be S/N/H/F/G 0.6-1.0 Cm
$4,418
$3,976
$648
6
clean
HC Be S/N/H/F/G 1.1-2.0 Cm
$10,130
$9,117
$648
9
clean
HC Be S/N/H/F/G 1.1-2.0 Cm
$5,903
$5,313
$648
9
clean
HC Be S/N/H/F/G 2.1-3.0 Cm
$12,235
$11,012
$1,044
5
clean
HC Be S/N/H/F/G 2.1-3.0 Cm
$4,977
$4,479
$1,044
5
clean
HC Exc Benign Lesion S/N/G 3.1-4.0cm
$5,973
$5,376
$1,738
4
clean
HC Exc Benign Lesion S/N/G 3.1-4.0cm
$8,124
$7,311
$1,728
3
clean
HC Excise Benign Lesion Snhfg>4.0cm
$30,501
$27,451
$1,728
1
clean
HC Excise Benign Lesion Snhfg>4.0cm
$7,366
$6,629
$1,728
1
clean
HC Be F/E/E/N/L <0.5 Cm
$7,555
$6,799
$381
2
clean
HC Be F/E/E/N/L <0.5 Cm
$1,824
$1,641
$381
2
clean
HC Excise Keloid Face 0.6-1.0cm
$5,247
$4,722
$749
5
clean
HC Excise Keloid Face 0.6-1.0cm
$7,555
$6,799
$699
4
clean
HC Be F/E/E/N/L 1.1-2.0 Cm
$5,731
$5,158
$648
15
clean
HC Be F/E/E/N/L 1.1-2.0 Cm
$3,125
$2,813
$648
15
clean
HC Be F/E/E/N/L 2.1-3.0 Cm
$6,732
$6,059
$1,044
5
clean
HC Be F/E/E/N/L 2.1-3.0 Cm
$4,203
$3,782
$1,044
10
clean
HC Exc Benign Face Lesions 3.1-4.0cm
$8,736
$7,863
$1,242
3
clean
HC Exc Benign Face Lesions 3.1-4.0cm
$5,194
$4,675
$1,242
3
clean
HC Excision Benign 4.0cm-Face Lesion
$7,366
$6,629
$1,728
1
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M > 4.0cm
$30,149
$27,134
$1,728
1
clean
Excision Hidradenitis Axillary Complex Repair
$39,054
$35,149
$1,728
1
clean
HC Removal Sweat Gland Lesion
$7,366
$6,629
$1,728
1
clean
HC Excision of Skin & Subcutaneious Tissue for Hidradentitis Inguinal
$28,264
$25,438
$3,073
1
clean
HC Excision of Skin & Subcutaneious Tissue for Hidradentitis Inguinal
$7,366
$6,629
$3,073
1
clean
HC Ex Malignant LesionT/a/L.6-1.0
$1,824
$1,641
$1,044
1
clean
HC Ex Malignant LesionT/a/L.6-1.0
$6,220
$5,598
$1,044
1
clean
HC Me Trunk/Arms/Legs 1.1-2.0 Cm
$3,832
$3,449
$430
5
clean
HC Me Trunk/Arms/Legs 1.1-2.0 Cm
$1,558
$1,402
$430
5
clean
HC Me Trunk/Arms/Legs 2.1-3.0 Cm
$4,199
$3,779
$749
5
clean
HC Me Trunk/Arms/Legs 2.1-3.0 Cm
$1,907
$1,716
$749
5
clean
HC Exc Tr-Ext Mal+Marg 3.1-4cm
$2,193
$1,974
$749
1
clean
HC Exc Tr-Ext Mal+Marg 3.1-4cm
$5,021
$4,519
$749
1
clean
Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm
$63,125
$56,812
$1,728
2
clean
HC Excision Mles T/a/L >4.0cm
$4,328
$3,895
$1,728
2
clean
HC Exc H-F-Nk-Sp Mal+Marg 0.5/<
$4,203
$3,782
$648
1
clean
Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm
$38,454
$34,608
$749
1
clean
HC Me S/N/H/F/G 1.1-2.0 Cm
$2,543
$2,289
$749
1
clean
HC Me S/N/H/F/G 2.1-3.0 Cm
$25,512
$22,961
$3,424
2
clean
HC Me S/N/H/F/G 2.1-3.0 Cm
$4,328
$3,895
$1,747
2
clean
HC Exc Mal Tumor S/N/H/F/G>4.0cm
$7,366
$6,629
$1,728
1
clean
Excision Malignant Lesion S/N/H/F/G >4.0 Cm
$31,311
$28,180
$1,728
1
clean
HC Trimming of Nondystrophic Nails
$158,346
$142,511
$190
7
clean
HC Trimming of Nondystrophic Nails
$233
$210
$190
8
clean
HC Biopsy Nail Unit
$2,648
$2,383
$749
1
clean
HC Biopsy Nail Unit
$1,824
$1,641
$749
1
clean
HC Remove Pilonidal Cyst Simple
$7,366
$6,629
$1,905
1
clean
Excision Pilonidal Cyst/Sinus Simple
$29,303
$26,373
$1,905
1
clean
Excision Pilonidal Cyst/Sinus Extensive
$28,662
$25,796
$1,905
1
clean
Excision Pilonidal Cyst/Sinus Complicated
$30,822
$27,740
$1,905
1
clean
HC Injection of 1-7 Lesions
$750
$675
$285
24
clean
HC Injection of 1-7 Lesions
$519
$467
$285
27
clean
HC Injection of 8 or More Lesions
$750
$675
$381
4
clean
HC Injection of 8 or More Lesions
$519
$467
$381
4
clean
HC Insertion Tissue Expander Incl Sbsq Xpnsj
$13,854
$12,469
$1,728
1
clean
Insertion Tissue Expander Incl Sbsq Xpnsj
$55,662
$50,096
$1,728
1
clean
HC Implant Hormone Pellet(S)
$5,358
$4,822
$427
4
clean
HC Implant Hormone Pellet(S)
$1,033
$930
$393
5
clean
HC Insert Drug Implant
$4,579
$4,121
$85
7
clean
HC Insert Drug Implant
$1,656
$1,490
$85
7
clean
HC Remove Drug Implant Device
$1,033
$930
$85
12
clean
HC Remove Drug Implant Device
$2,217
$1,995
$85
10
clean
HC Remove W/Insertion Drug Implant
$3,090
$2,781
$85
1
clean
HC Remove W/Insertion Drug Implant
$1,053
$948
$85
3
clean
HC Sim Lc 2.6-7.5 Body Scalp Ext
$1,209
$1,088
$648
1
clean
HC Sim Lac 20.1-30 BodyScalpExt
$800
$720
$1,728
1
clean
HC Simple Repair F/E/E/N/L/M 2.5cm/< Sp
$352
$352
$381
2
clean
HC IR Scalp/Axilla/Trunk/Ext<2.5c
$5,968
$5,371
$648
9
clean
HC IR Scalp/Axilla/Trunk/Ext<2.5c
$1,625
$1,463
$648
9
clean
HC IR Sclp/Axla/Trnk/Ext2.6-7.5cm
$1,755
$1,580
$1,044
15
clean
HC IR Sclp/Axla/Trnk/Ext2.6-7.5cm
$7,414
$6,672
$1,044
14
clean
HC Intmd Repair-S/Tr/Ext 7.6-12.5cm
$6,220
$5,598
$1,728
9
clean
HC Intmd Repair-S/Tr/Ext 7.6-12.5cm
$1,773
$1,596
$1,728
9
clean
HC Int Lac 12.6-20 Cm BodyScalp
$33,317
$29,985
$1,728
1
clean
HC Int Lac 12.6-20 Cm BodyScalp
$3,092
$2,783
$1,728
1
clean
HC IR Nk/Hnd/Ft/Genitalia<2.5cm
$1,475
$1,328
$648
7
clean
HC IR Nk/Hnd/Ft/Genitalia<2.5cm
$10,130
$9,117
$648
7
clean
HC IR Nk/Hnd/Ft/Genital 2.6-7.5cm
$12,235
$11,012
$1,044
1
clean
HC IR Nk/Hnd/Ft/Genital 2.6-7.5cm
$1,355
$1,220
$1,044
1
clean
HC IR Face Ear Eyelid Nose<2.5cm
$6,176
$5,558
$648
9
clean
HC IR Face Ear Eyelid Nose<2.5cm
$2,048
$1,843
$648
10
clean
HC Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm
$7,081
$6,373
$1,044
3
clean
HC Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm
$1,526
$1,373
$1,044
4
clean
HC Int Lac 12.6-20 FaceEarsNose
$1,488
$1,339
$1,728
1
clean
HC Int Lac 12.6-20 FaceEarsNose
$42,108
$37,897
$1,728
1
clean
HC Complex Repair Trunk 2.6-7.5cm
$4,138
$3,724
$1,905
3
clean
HC Complex Repair Trunk 2.6-7.5cm
$1,824
$1,642
$1,905
6
clean
HC Complex Repair S/a/L 2.6-7.5cm
$31,661
$28,495
$1,905
3
clean
HC Complex Repair S/a/L 2.6-7.5cm
$2,188
$1,969
$1,905
3
clean
HC Rep Cpx Sca/Arm/Leg Eaq Addtl 5<
$867
$780
$1,905
2
clean
HC Rep Cpx Sca/Arm/Leg Eaq Addtl 5<
$31,661
$28,495
$1,905
2
clean
HC Compl Rep Wnd E/N/E/L 2.6-7.5cm
$34,847
$31,363
$1,905
2
clean
HC Compl Rep Wnd E/N/E/L 2.6-7.5cm
$1,736
$1,562
$1,905
2
clean
Secondary Closure Surg Wound/Dehsn Xtnsv/Comp
$26,930
$24,237
$2,739
6
clean
HC Late Closure of Wound
$4,727
$4,254
$2,739
6
clean
HC Tis Trnfr S/a/L 10 Sq Cm/<
$4,727
$4,254
$1,905
1
clean
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/<
$31,145
$28,031
$1,905
1
clean
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm
$43,245
$38,920
$2,182
1
clean
HC Tis Trnfr S/a/L 10.1-30 Sqcm
$4,727
$4,254
$2,182
1
clean
HC Tis Trnfr F/C/C/M/N/a/G/H/F
$25,429
$22,886
$1,728
9
clean
HC Tis Trnfr F/C/C/M/N/a/G/H/F
$4,727
$4,254
$1,728
18
clean
HC Tis Trnfr F/C/C/M/N/a/G/H/F
$4,727
$4,254
$1,905
6
clean
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm
$60,906
$54,815
$1,905
6
clean
HC Att E/N/E/L Defect 10 Sq Cm
$36,228
$32,605
$1,905
6
clean
HC Att E/N/E/L Defect 10 Sq Cm
$5,144
$4,630
$1,905
12
clean
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm
$31,403
$28,263
$1,905
1
clean
HC Tis Trnfr E/N/E/L10.1-30sqcm
$4,727
$4,254
$1,905
1
clean
HC Skin Tissue Rearr 30.1-60.0 Sq Cm
$9,300
$8,370
$2,273
24
clean
Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm
$53,028
$47,725
$2,273
12
clean
Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm
$46,050
$41,445
$2,273
6
clean
HC Tis Trnfr Addl 30 Sq Cm
$2,819
$2,537
$2,273
6
clean
Prep Site Trunk/Arm/Leg 1st 100 Sq Cm/1pct
$41,247
$37,122
$1,728
14
clean
HC Wound Prep Trk/Arm/Leg
$6,484
$5,835
$1,728
15
clean
Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct
$47,312
$42,581
$1,728
2
clean
HC Wound Prep Addl 100 Cm
$2,042
$1,838
$1,728
2
clean
HC Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct
$4,804
$4,324
$1,728
10
clean
HC Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct
$42,046
$37,842
$1,728
10
clean
Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct
$46,647
$41,982
$1,728
1
clean
HC Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct
$2,042
$1,838
$1,728
1
clean
Splt Agrft T/a/L 1st 100 Sqcm/</1% Bdy Inft/Chld
$38,084
$34,275
$1,728
14
clean
Splt Agrft T/a/L Ea Add 100 Sqcm/Ea 1% Inft/Chld
$41,593
$37,434
$1,905
2
clean
Splt Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/</1%
$42,471
$38,224
$1,728
5
clean
Splt Agrft F/S/N/H/F/G/M/Dgt Ea 100 Sqcm/Ea 1%
$40,276
$36,249
$1,905
1
clean
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/<
$58,625
$52,763
$2,182
2
clean
HC Skin Full Graft Trunk
$4,727
$4,254
$2,182
2
clean
HC Skin Full Graft Sclp/Arm/Leg
$37,048
$33,343
$2,182
2
clean
HC Skin Full Graft Sclp/Arm/Leg
$4,729
$4,256
$2,182
3
clean
HC Skin Full GraftF/G/H/F20sqcm
$3,928
$3,535
$1,905
18
clean
HC Skin Full GraftF/G/H/F20sqcm
$43,245
$38,920
$1,905
9
clean
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F Ea Addl
$43,245
$38,920
$1,905
5
clean
HC Skin Full Graft E/E/N&Lips<20cm
$4,727
$4,254
$2,182
2
clean
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<
$30,481
$27,433
$2,182
2
clean
App Skn Subgrft T/a/L Area/100sq Cm 1st 100sq Cm
$65,690
$59,121
$2,182
1
clean

Showing the first 200 of 2,899 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
MS-DRG 682/i
error
mrf_min_above_max
de-identified minimum $11,143 exceeds maximum $8,563
CPT 17108/o
error
mrf_min_above_max
de-identified minimum $2,182 exceeds maximum $1,354
MS-DRG 557/i
error
mrf_negotiated_above_max
a negotiated rate of $25,500 is above the file's own maximum $23,382
MS-DRG 592/i
error
mrf_negotiated_above_max
a negotiated rate of $26,343 is above the file's own maximum $24,208
MS-DRG 606/i
error
mrf_negotiated_above_max
a negotiated rate of $25,782 is above the file's own maximum $24,512
MS-DRG 682/i
error
mrf_negotiated_above_max
a negotiated rate of $25,437 is above the file's own maximum $8,563
MS-DRG 684/i
error
mrf_negotiated_above_max
a negotiated rate of $15,984 is above the file's own maximum $12,918
CPT 11042/b
error
mrf_negotiated_above_max
a negotiated rate of $1,728 is above the file's own maximum $1,413
MS-DRG 694/i
error
mrf_negotiated_above_max
a negotiated rate of $17,931 is above the file's own maximum $16,235
CPT 11047/b
error
mrf_negotiated_above_max
a negotiated rate of $2,273 is above the file's own maximum $2,164
MS-DRG 793/i
error
mrf_negotiated_above_max
a negotiated rate of $65,058 is above the file's own maximum $18,335
CPT 11055/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $490
MS-DRG 814/i
error
mrf_negotiated_above_max
a negotiated rate of $32,367 is above the file's own maximum $28,265
CPT 11102/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $519
MS-DRG 846/i
error
mrf_negotiated_above_max
a negotiated rate of $37,366 is above the file's own maximum $32,702
CPT 11102/o
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $1,830
CPT 11900/b
error
mrf_negotiated_above_max
a negotiated rate of $560 is above the file's own maximum $519
CPT 11980/b
error
mrf_negotiated_above_max
a negotiated rate of $1,247 is above the file's own maximum $1,033
CPT 11982/b
error
mrf_negotiated_above_max
a negotiated rate of $1,247 is above the file's own maximum $1,033
CPT 12006/b
error
mrf_negotiated_above_max
a negotiated rate of $1,728 is above the file's own maximum $800
CPT 12055/b
error
mrf_negotiated_above_max
a negotiated rate of $1,728 is above the file's own maximum $1,488
CPT 13122/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $867
CPT 13152/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $1,736
CPT 15777/b
error
mrf_negotiated_above_max
a negotiated rate of $4,315 is above the file's own maximum $2,133
CPT 17108/o
error
mrf_negotiated_above_max
a negotiated rate of $4,211 is above the file's own maximum $1,354
CPT 23500/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $699
CPT 23500/o
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $896
CPT 23570/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $999
CPT 24500/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $974
CPT 24530/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $974
CPT 24650/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $699
CPT 24650/o
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $1,205
CPT 25530/b
error
mrf_negotiated_above_max
a negotiated rate of $1,044 is above the file's own maximum $699
CPT 25560/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $839
CPT 25600/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $1,199
CPT 26720/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $699
CPT 26720/o
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $1,267
CPT 27096/b
error
mrf_negotiated_above_max
a negotiated rate of $285 is above the file's own maximum $183
CPT 27501/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $999
CPT 27786/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $699
CPT 27808/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $800
CPT 28400/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $742
CPT 28450/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $999
CPT 28470/b
error
mrf_negotiated_above_max
a negotiated rate of $1,044 is above the file's own maximum $742
CPT 30905/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $974
CPT 31231/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $1,211
CPT 32408/b
error
mrf_negotiated_above_max
a negotiated rate of $4,315 is above the file's own maximum $4,203
CPT 33229/b
error
mrf_negotiated_above_max
a negotiated rate of $20,379 is above the file's own maximum $19,851
CPT 33286/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $1,692
CPT 33286/o
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $1,838
CPT 37182/b
error
mrf_negotiated_above_max
a negotiated rate of $26,103 is above the file's own maximum $10,843
CPT 41800/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $974
CPT 46600/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $476
CPT 46600/o
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $673
CPT 51600/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $667
CPT 51610/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $456
CPT 51784/b
error
mrf_negotiated_above_max
a negotiated rate of $648 is above the file's own maximum $469
CPT 58558/b
error
mrf_negotiated_above_max
a negotiated rate of $9,036 is above the file's own maximum $8,104
CPT 59812/b
error
mrf_negotiated_above_max
a negotiated rate of $9,036 is above the file's own maximum $8,104
CPT 61624/b
error
mrf_negotiated_above_max
a negotiated rate of $26,103 is above the file's own maximum $14,265
CPT 62302/b
error
mrf_negotiated_above_max
a negotiated rate of $2,273 is above the file's own maximum $2,107
CPT 62328/b
error
mrf_negotiated_above_max
a negotiated rate of $1,970 is above the file's own maximum $1,804
CPT 64494/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $1,026
CPT 64566/b
error
mrf_negotiated_above_max
a negotiated rate of $856 is above the file's own maximum $768
CPT 64566/o
error
mrf_negotiated_above_max
a negotiated rate of $856 is above the file's own maximum $768
CPT 64642/b
error
mrf_negotiated_above_max
a negotiated rate of $1,970 is above the file's own maximum $1,793
CPT 64999/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $768
CPT 66761/b
error
mrf_negotiated_above_max
a negotiated rate of $3,121 is above the file's own maximum $1,817
CPT 66761/o
error
mrf_negotiated_above_max
a negotiated rate of $3,121 is above the file's own maximum $2,095
CPT 67820/b
error
mrf_negotiated_above_max
a negotiated rate of $381 is above the file's own maximum $331
CPT 70355/b
error
mrf_negotiated_above_max
a negotiated rate of $242 is above the file's own maximum $201
CPT 86900/b
error
mrf_negotiated_above_max
a negotiated rate of $371 is above the file's own maximum $237
CPT 90471/b
error
mrf_negotiated_above_max
a negotiated rate of $200 is above the file's own maximum $191
CPT 90791/b
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $345
CPT 90791/o
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $345
CPT 90792/b
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $368
CPT 90832/b
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $327
CPT 90837/b
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $393
CPT 90837/o
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $393
CPT 92587/b
error
mrf_negotiated_above_max
a negotiated rate of $602 is above the file's own maximum $448
CPT 93620/b
error
mrf_negotiated_above_max
a negotiated rate of $13,051 is above the file's own maximum $11,095
CPT 94664/b
error
mrf_negotiated_above_max
a negotiated rate of $611 is above the file's own maximum $535
CPT 96127/b
error
mrf_negotiated_above_max
a negotiated rate of $104 is above the file's own maximum $95
CPT 99406/b
error
mrf_negotiated_above_max
a negotiated rate of $104 is above the file's own maximum $80
MS-DRG 068/i
error
mrf_negotiated_above_max
a negotiated rate of $18,819 is above the file's own maximum $18,405
MS-DRG 157/i
error
mrf_negotiated_above_max
a negotiated rate of $27,967 is above the file's own maximum $26,133
MS-DRG 264/i
error
mrf_negotiated_above_max
a negotiated rate of $45,395 is above the file's own maximum $44,116
MS-DRG 379/i
error
mrf_negotiated_above_max
a negotiated rate of $16,307 is above the file's own maximum $14,688
MS-DRG 420/i
error
mrf_negotiated_above_max
a negotiated rate of $46,109 is above the file's own maximum $38,224
MS-DRG 539/i
error
mrf_negotiated_above_max
a negotiated rate of $30,682 is above the file's own maximum $19,036
MS-DRG 556/i
error
mrf_negotiated_above_max
a negotiated rate of $18,456 is above the file's own maximum $10,168
CPT J0585/b
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $13
MS-DRG 557/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,500 exceeds the gross charge $23,382
MS-DRG 592/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,343 exceeds the gross charge $24,208
MS-DRG 606/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,782 exceeds the gross charge $24,512
MS-DRG 682/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,437 exceeds the gross charge $8,563
MS-DRG 684/i
warn
mrf_negotiated_above_gross
highest negotiated rate $15,984 exceeds the gross charge $12,918
CPT 11042/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,728 exceeds the gross charge $1,413
MS-DRG 694/i
warn
mrf_negotiated_above_gross
highest negotiated rate $17,931 exceeds the gross charge $16,235
CPT 11047/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,273 exceeds the gross charge $2,164
MS-DRG 793/i
warn
mrf_negotiated_above_gross
highest negotiated rate $65,058 exceeds the gross charge $18,335
CPT 11055/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $490
MS-DRG 814/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,367 exceeds the gross charge $28,265
CPT 11102/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $519
MS-DRG 846/i
warn
mrf_negotiated_above_gross
highest negotiated rate $37,366 exceeds the gross charge $32,702
CPT 11102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $1,830
CPT 11900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $560 exceeds the gross charge $519
CPT 11980/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,247 exceeds the gross charge $1,033
CPT 11982/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,247 exceeds the gross charge $1,033
CPT 12006/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,728 exceeds the gross charge $800
CPT 12055/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,728 exceeds the gross charge $1,488
CPT 13122/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $867
CPT 13152/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $1,736
CPT 15777/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,315 exceeds the gross charge $2,133
CPT 17108/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,211 exceeds the gross charge $1,354
CPT 23500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $699
CPT 23500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $896
CPT 23570/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $999
CPT 24500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $974
CPT 24530/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $974
CPT 24650/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $699
CPT 24650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $1,205
CPT 25530/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,044 exceeds the gross charge $699
CPT 25560/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $839
CPT 25600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $1,199
CPT 26720/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $699
CPT 26720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $1,267
CPT 27096/b
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $183
CPT 27501/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $999
CPT 27786/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $699
CPT 27808/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $800
CPT 28400/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $742
CPT 28450/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $999
CPT 28470/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,044 exceeds the gross charge $742
CPT 30905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $974
CPT 31231/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $1,211
CPT 32408/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,315 exceeds the gross charge $4,203
CPT 33229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $20,379 exceeds the gross charge $19,851
CPT 33286/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $1,692
CPT 33286/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $1,838
CPT 37182/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26,103 exceeds the gross charge $10,843
CPT 41800/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $974
CPT 46600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $476
CPT 46600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $673
CPT 51600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $667
CPT 51610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $456
CPT 51784/b
warn
mrf_negotiated_above_gross
highest negotiated rate $648 exceeds the gross charge $469
CPT 58558/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,036 exceeds the gross charge $8,104
CPT 59812/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,036 exceeds the gross charge $8,104
CPT 61624/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26,103 exceeds the gross charge $14,265
CPT 62302/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,273 exceeds the gross charge $2,107
CPT 62328/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,970 exceeds the gross charge $1,804
CPT 64494/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $1,026
CPT 64566/b
warn
mrf_negotiated_above_gross
highest negotiated rate $856 exceeds the gross charge $768
CPT 64566/o
warn
mrf_negotiated_above_gross
highest negotiated rate $856 exceeds the gross charge $768
CPT 64642/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,970 exceeds the gross charge $1,793
CPT 64999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $768
CPT 66761/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,121 exceeds the gross charge $1,817
CPT 66761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,121 exceeds the gross charge $2,095
CPT 67820/b
warn
mrf_negotiated_above_gross
highest negotiated rate $381 exceeds the gross charge $331
CPT 70355/b
warn
mrf_negotiated_above_gross
highest negotiated rate $242 exceeds the gross charge $201
CPT 86900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $371 exceeds the gross charge $237
CPT 90471/b
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $191
CPT 90791/b
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $345
CPT 90791/o
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $345
CPT 90792/b
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $368
CPT 90832/b
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $327
CPT 90837/b
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $393
CPT 90837/o
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $393
CPT 92587/b
warn
mrf_negotiated_above_gross
highest negotiated rate $602 exceeds the gross charge $448
CPT 93620/b
warn
mrf_negotiated_above_gross
highest negotiated rate $13,051 exceeds the gross charge $11,095
CPT 94664/b
warn
mrf_negotiated_above_gross
highest negotiated rate $611 exceeds the gross charge $535
CPT 96127/b
warn
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $95
CPT 99406/b
warn
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $80
MS-DRG 068/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,819 exceeds the gross charge $18,405
MS-DRG 157/i
warn
mrf_negotiated_above_gross
highest negotiated rate $27,967 exceeds the gross charge $26,133
MS-DRG 264/i
warn
mrf_negotiated_above_gross
highest negotiated rate $45,395 exceeds the gross charge $44,116
MS-DRG 379/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,307 exceeds the gross charge $14,688
MS-DRG 420/i
warn
mrf_negotiated_above_gross
highest negotiated rate $46,109 exceeds the gross charge $38,224
MS-DRG 539/i
warn
mrf_negotiated_above_gross
highest negotiated rate $30,682 exceeds the gross charge $19,036
MS-DRG 556/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,456 exceeds the gross charge $10,168
MS-DRG 682/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $8,563; the same hospital's average submitted charge to Medicare for this DRG is $45,696 (0.2×)
CPT 11443/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12011/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 13101/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 15240/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17003/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17004/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17108/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17111/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17261/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17262/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17263/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17264/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 266 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. found via cms-hpt.txt · csv-tall · 23.8M bytes · fetched 2026-08-21 · sha256 4156ddbdd3b6…

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.