Hospital · CCN 150166
Pinnacle Hospital
9301 Connecticut Dr, Crown Point, IN 46307 · Lake County
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
3 admission types 29 outpatient services price file: ok 3 Medicare-file findings
Billed per dollar paid, all admissions
16.88×
$52.4M billed against $3.1M paid across 109 Medicare discharges; the national figure is 5.03×.
3.5%
of adults in Lake County have medical debt in collections
7.7%
uninsured in the county · state 8.2%
$69K
median household income
4.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
39.9%
obesity in the countyⓘ
15.1%
diagnosed diabetes (PLACES)
7.1%
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
455
Combined anterior and posterior spinal fusion without cc/mcc
44
$764,736
$46,097
16.6× st 7.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
42
$150,721
$13,043
11.6× st 6.0×
473
Cervical spinal fusion without cc/mcc
23
$541,740
$23,024
23.5× st 14.7×
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
5191
Level 1 Endovascular Procedures
41
$44,660
$3,070
14.5×
8011
Comprehensive Observation Services
30
$62,558
$2,497
25.1×
5113
Level 3 Musculoskeletal Procedures
30
$37,926
$2,638
14.4×
5193
Level 3 Endovascular Procedures
23
$150,803
$10,337
14.6×
5114
Level 4 Musculoskeletal Procedures
21
$138,576
$6,728
20.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
19
$20,736
$1,284
16.1×
5115
Level 5 Musculoskeletal Procedures
19
$183,799
$11,795
15.6×
5183
Level 3 Vascular Procedures
18
$48,650
$2,998
16.2×
5194
Level 4 Endovascular Procedures
15
$242,526
$16,457
14.7×
5302
Level 2 Upper GI Procedures
11
$31,251
$1,790
17.5×
5431
Level 1 Nerve Procedures
11
$30,821
$1,816
17.0×
5361
Level 1 Laparoscopy and Related Services
11
$51,575
$5,427
9.5×
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
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 3/9/2026, template 3.0.0, 1,629 rows scanned, 1,536 distinct code–setting items kept. 367 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Showing the first 200 of 1,536 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT 64400/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $2,656
CPT 11901/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $991
CPT 64632/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $2,413
CPT 69200/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $1,216
CPT 69949/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $1,225
CPT 71271/b
error
mrf_negotiated_above_max
a negotiated rate of $1,077 is above the file's own maximum $832
CPT 75571/b
error
mrf_negotiated_above_max
a negotiated rate of $1,077 is above the file's own maximum $832
CPT 22899/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $2,601
CPT 25660/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $1,269
CPT 26565/b
error
mrf_negotiated_above_max
a negotiated rate of $6,510 is above the file's own maximum $6,251
CPT 27780/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $2,129
CPT 29405/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $2,690
CPT 29515/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $1,537
CPT 29805/b
error
mrf_negotiated_above_max
a negotiated rate of $6,510 is above the file's own maximum $5,817
CPT 31231/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $1,321
CPT 42310/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $2,546
CPT 43762/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $2,457
CPT 44213/b
error
mrf_negotiated_above_max
a negotiated rate of $8,333 is above the file's own maximum $5,212
CPT 11055/b
error
mrf_negotiated_above_max
a negotiated rate of $2,815 is above the file's own maximum $1,811
error
mrf_negotiated_below_min_systematic
235 of 1,480 comparable items (16%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. a negotiated rate of $50 is below the file's own minimum $301
CPT 11732/b
warn
mrf_negotiated_above_gross
highest negotiated rate $824 exceeds the gross charge $528
CPT 64400/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $2,656
CPT 11901/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $991
CPT 64632/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $2,413
CPT 69200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $1,216
CPT 69949/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $1,225
CPT 71271/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,077 exceeds the gross charge $832
CPT 73202/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,779 exceeds the gross charge $1,225
CPT 20936/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,049 exceeds the gross charge $1,936
CPT 20985/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,660 exceeds the gross charge $1,509
CPT 74420/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,120 exceeds the gross charge $5,155
CPT 75571/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,077 exceeds the gross charge $832
CPT 22214/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12,899 exceeds the gross charge $11,910
CPT 22325/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22,823 exceeds the gross charge $20,989
CPT 22515/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22,823 exceeds the gross charge $10,340
CPT 76705/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,541 exceeds the gross charge $1,503
CPT 76775/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,325 exceeds the gross charge $1,503
CPT 76870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,325 exceeds the gross charge $1,503
CPT 22556/b
warn
mrf_negotiated_above_gross
highest negotiated rate $31,170 exceeds the gross charge $24,759
CPT 77003/b
warn
mrf_negotiated_above_gross
highest negotiated rate $971 exceeds the gross charge $909
CPT 77063/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,853 exceeds the gross charge $207
CPT 22610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $31,170 exceeds the gross charge $27,046
CPT 22800/b
warn
mrf_negotiated_above_gross
highest negotiated rate $31,170 exceeds the gross charge $20,418
CPT 22899/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $2,570
CPT 24140/b
warn
mrf_negotiated_above_gross
highest negotiated rate $334,287 exceeds the gross charge $29,953
CPT 97116/b
warn
mrf_negotiated_above_gross
highest negotiated rate $347 exceeds the gross charge $269
CPT 97161/b
warn
mrf_negotiated_above_gross
highest negotiated rate $512 exceeds the gross charge $257
CPT 97162/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,134 exceeds the gross charge $284
CPT 97163/b
warn
mrf_negotiated_above_gross
highest negotiated rate $512 exceeds the gross charge $312
CPT 25660/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $1,269
CPT 97164/b
warn
mrf_negotiated_above_gross
highest negotiated rate $512 exceeds the gross charge $120
CPT 97165/b
warn
mrf_negotiated_above_gross
highest negotiated rate $347 exceeds the gross charge $333
CPT 97535/b
warn
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $333
CPT 26565/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,510 exceeds the gross charge $6,251
CPT 27120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22,823 exceeds the gross charge $19,391
CPT 27125/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22,823 exceeds the gross charge $16,842
CPT 27472/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12,899 exceeds the gross charge $10,963
CPT 27486/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22,823 exceeds the gross charge $21,289
CPT 27487/b
warn
mrf_negotiated_above_gross
highest negotiated rate $31,170 exceeds the gross charge $26,924
CPT 27513/b
warn
mrf_negotiated_above_gross
highest negotiated rate $13,117 exceeds the gross charge $12,862
CPT 27540/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12,899 exceeds the gross charge $12,616
CPT 27780/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $2,129
CPT 29405/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $2,690
CPT 29515/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $1,537
CPT 29805/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,510 exceeds the gross charge $4,318
CPT 31231/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $1,321
CPT 31571/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,628 exceeds the gross charge $3,687
CPT 33967/b
warn
mrf_negotiated_above_gross
highest negotiated rate $13,705 exceeds the gross charge $11,520
CPT 36246/b
warn
mrf_negotiated_above_gross
highest negotiated rate $927 exceeds the gross charge $856
CPT 42310/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $2,546
CPT 43762/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $2,457
CPT 44213/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,333 exceeds the gross charge $5,212
CPT 11055/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,815 exceeds the gross charge $1,811
CPT 62272/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 71250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 71260/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 71270/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 71275/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 72265/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 72270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 19083/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 20605/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 73200/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 20610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 20611/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 73700/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 73720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 73721/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 73722/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 74178/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 74240/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 75989/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93459/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 93460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 23350/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 24220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 93970/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 32554/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 36569/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 36573/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 37215/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 47000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 10005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 10160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 11200/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $98 — part of a file-wide pattern, counted once at the file level
CPT 60210/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,243 — part of a file-wide pattern, counted once at the file level
CPT 11300/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $82 — part of a file-wide pattern, counted once at the file level
CPT 60260/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,140 — part of a file-wide pattern, counted once at the file level
CPT 11623/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $370 — part of a file-wide pattern, counted once at the file level
CPT 61500/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,751 — part of a file-wide pattern, counted once at the file level
CPT 11730/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $82 — part of a file-wide pattern, counted once at the file level
CPT 11732/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $55 — part of a file-wide pattern, counted once at the file level
CPT 63081/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $3,123 — part of a file-wide pattern, counted once at the file level
CPT 11760/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $121 — part of a file-wide pattern, counted once at the file level
CPT 63287/b
info
mrf_negotiated_below_min
a negotiated rate of $1,697 is below the file's own minimum $6,540 — part of a file-wide pattern, counted once at the file level
CPT 11762/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $370 — part of a file-wide pattern, counted once at the file level
CPT 63741/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $927 — part of a file-wide pattern, counted once at the file level
CPT 11765/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $121 — part of a file-wide pattern, counted once at the file level
CPT 63744/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,123 — part of a file-wide pattern, counted once at the file level
CPT 11901/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $98 — part of a file-wide pattern, counted once at the file level
CPT 12001/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $98 — part of a file-wide pattern, counted once at the file level
CPT 12004/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $98 — part of a file-wide pattern, counted once at the file level
CPT 65205/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $82 — part of a file-wide pattern, counted once at the file level
CPT 12011/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $98 — part of a file-wide pattern, counted once at the file level
CPT 69000/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $110 — part of a file-wide pattern, counted once at the file level
CPT 12013/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $98 — part of a file-wide pattern, counted once at the file level
CPT 69200/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $55 — part of a file-wide pattern, counted once at the file level
CPT 12031/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $121 — part of a file-wide pattern, counted once at the file level
CPT 12032/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $121 — part of a file-wide pattern, counted once at the file level
CPT 12041/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $121 — part of a file-wide pattern, counted once at the file level
CPT 69633/b
info
mrf_negotiated_below_min
a negotiated rate of $90 is below the file's own minimum $899 — part of a file-wide pattern, counted once at the file level
CPT 12042/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $121 — part of a file-wide pattern, counted once at the file level
CPT 69806/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,140 — part of a file-wide pattern, counted once at the file level
CPT 12051/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $121 — part of a file-wide pattern, counted once at the file level
CPT 12052/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $121 — part of a file-wide pattern, counted once at the file level
CPT 15830/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,123 — part of a file-wide pattern, counted once at the file level
CPT 70030/b
info
mrf_negotiated_below_min
a negotiated rate of $275 is below the file's own minimum $832 — part of a file-wide pattern, counted once at the file level
CPT 15832/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,123 — part of a file-wide pattern, counted once at the file level
CPT 71045/b
info
mrf_negotiated_below_min
a negotiated rate of $36 is below the file's own minimum $62 — part of a file-wide pattern, counted once at the file level
CPT 15833/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,123 — part of a file-wide pattern, counted once at the file level
CPT 15834/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,123 — part of a file-wide pattern, counted once at the file level
CPT 15835/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,123 — part of a file-wide pattern, counted once at the file level
CPT 15852/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $82 — part of a file-wide pattern, counted once at the file level
CPT 15876/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,123 — part of a file-wide pattern, counted once at the file level
CPT 15877/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,123 — part of a file-wide pattern, counted once at the file level
CPT 15879/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,123 — part of a file-wide pattern, counted once at the file level
CPT 17110/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $82 — part of a file-wide pattern, counted once at the file level
CPT 17111/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $110 — part of a file-wide pattern, counted once at the file level
CPT 19020/b
info
mrf_negotiated_below_min
a negotiated rate of $422 is below the file's own minimum $498 — part of a file-wide pattern, counted once at the file level
CPT 72275/b
info
mrf_negotiated_below_min
a negotiated rate of $725 is below the file's own minimum $2,198 — part of a file-wide pattern, counted once at the file level
CPT 73040/b
info
mrf_negotiated_below_min
a negotiated rate of $1,701 is below the file's own minimum $5,155 — part of a file-wide pattern, counted once at the file level
CPT 19302/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $1,140 — part of a file-wide pattern, counted once at the file level
CPT 73085/b
info
mrf_negotiated_below_min
a negotiated rate of $1,701 is below the file's own minimum $5,155 — part of a file-wide pattern, counted once at the file level
CPT 19316/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,213 — part of a file-wide pattern, counted once at the file level
CPT 73115/b
info
mrf_negotiated_below_min
a negotiated rate of $1,701 is below the file's own minimum $5,155 — part of a file-wide pattern, counted once at the file level
CPT 20692/b
info
mrf_negotiated_below_min
a negotiated rate of $646 is below the file's own minimum $899 — part of a file-wide pattern, counted once at the file level
CPT 20808/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $824 — part of a file-wide pattern, counted once at the file level
CPT 20936/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $824 — part of a file-wide pattern, counted once at the file level
CPT 74018/b
info
mrf_negotiated_below_min
a negotiated rate of $45 is below the file's own minimum $62 — part of a file-wide pattern, counted once at the file level
CPT 20937/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $824 — part of a file-wide pattern, counted once at the file level
CPT 74019/b
info
mrf_negotiated_below_min
a negotiated rate of $36 is below the file's own minimum $107 — part of a file-wide pattern, counted once at the file level
CPT 20938/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $824 — part of a file-wide pattern, counted once at the file level
CPT 74021/b
info
mrf_negotiated_below_min
a negotiated rate of $66 is below the file's own minimum $107 — part of a file-wide pattern, counted once at the file level
CPT 21011/b
info
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $426 — part of a file-wide pattern, counted once at the file level
CPT 22010/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,854 — part of a file-wide pattern, counted once at the file level
CPT 74280/b
info
mrf_negotiated_below_min
a negotiated rate of $91 is below the file's own minimum $121 — part of a file-wide pattern, counted once at the file level
CPT 22015/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,854 — part of a file-wide pattern, counted once at the file level
CPT 22212/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,854 — part of a file-wide pattern, counted once at the file level
CPT 22214/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,854 — part of a file-wide pattern, counted once at the file level
CPT 75820/b
info
mrf_negotiated_below_min
a negotiated rate of $36 is below the file's own minimum $63 — part of a file-wide pattern, counted once at the file level
CPT 22224/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,854 — part of a file-wide pattern, counted once at the file level
CPT 75822/b
info
mrf_negotiated_below_min
a negotiated rate of $45 is below the file's own minimum $72 — part of a file-wide pattern, counted once at the file level
CPT 22325/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 75825/b
info
mrf_negotiated_below_min
a negotiated rate of $11,642 is below the file's own minimum $35,279 — part of a file-wide pattern, counted once at the file level
CPT 22554/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,243 — part of a file-wide pattern, counted once at the file level
CPT 22556/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 77001/b
info
mrf_negotiated_below_min
a negotiated rate of $678 is below the file's own minimum $2,056 — part of a file-wide pattern, counted once at the file level
CPT 22558/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 77003/b
info
mrf_negotiated_below_min
a negotiated rate of $300 is below the file's own minimum $909 — part of a file-wide pattern, counted once at the file level
CPT 22585/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $3,123 — part of a file-wide pattern, counted once at the file level
CPT 22600/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 77049/b
info
mrf_negotiated_below_min
a negotiated rate of $905 is below the file's own minimum $3,288 — part of a file-wide pattern, counted once at the file level
CPT 22610/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 77071/b
info
mrf_negotiated_below_min
a negotiated rate of $310 is below the file's own minimum $938 — part of a file-wide pattern, counted once at the file level
CPT 22612/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,243 — part of a file-wide pattern, counted once at the file level
CPT 77072/b
info
mrf_negotiated_below_min
a negotiated rate of $496 is below the file's own minimum $1,503 — part of a file-wide pattern, counted once at the file level
CPT 22630/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 22800/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 22830/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,391 — part of a file-wide pattern, counted once at the file level
CPT 22845/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $824 — part of a file-wide pattern, counted once at the file level
CPT 22846/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $824 — part of a file-wide pattern, counted once at the file level
CPT 22849/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 22850/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 22852/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 93451/b
info
mrf_negotiated_below_min
a negotiated rate of $6,510 is below the file's own minimum $32,089 — part of a file-wide pattern, counted once at the file level
CPT 22855/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 93457/b
info
mrf_negotiated_below_min
a negotiated rate of $6,510 is below the file's own minimum $24,993 — part of a file-wide pattern, counted once at the file level
CPT 22856/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,494 — part of a file-wide pattern, counted once at the file level
CPT 93461/b
info
mrf_negotiated_below_min
a negotiated rate of $6,510 is below the file's own minimum $32,089 — part of a file-wide pattern, counted once at the file level
CPT 23472/b
info
mrf_negotiated_below_min
a negotiated rate of $798 is below the file's own minimum $1,854 — part of a file-wide pattern, counted once at the file level
Showing the first 200 of 367 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 455
info
inp_charge_10x_payment
average charge $764,736 is 16.6× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $150,721 is 11.6× the total payment
MS-DRG 473
info
inp_charge_10x_payment
average charge $541,740 is 23.5× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Pinnacle Hospital — standard charges file · IN · updated 3/9/2026· csv-wide · 709K bytes · fetched 2026-08-25 · sha256 475be399d05a…
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.