Hospital · CCN 170086
Stormont Vail Hospital
1500 Sw 10th Avenue, Topeka, KS 66604 · Shawnee County
Part of Stormont Vail Health · 442 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
143 admission types 55 outpatient services price file: ok
Billed per dollar paid, all admissions
4.72×
$352.5M billed against $74.6M paid across 5,600 Medicare discharges; the national figure is 5.03×.
8.3%
of adults in Shawnee County have medical debt in collections
10.1%
uninsured in the county · state 10.2%
$64K
median household income
4.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
38.3%
obesity in the countyⓘ
12.5%
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
871
Septicemia or severe sepsis without mv >96 hours with mcc
645
$64,792
$13,735
4.7× st 5.5×
274
Percutaneous and other intracardiac procedures without mcc
256
$79,659
$21,938
3.6× st 5.3×
291
Heart failure and shock with mcc
237
$45,527
$9,114
5.0× st 5.2×
885
Psychoses
189
$16,330
$9,594
1.7× st 3.0×
189
Pulmonary edema and respiratory failure
184
$41,453
$9,212
4.5× st 5.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
125
$37,929
$7,627
5.0× st 5.6×
177
Respiratory infections and inflammations with mcc
124
$55,370
$11,907
4.7× st 5.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
99
$165,738
$35,934
4.6× st 6.1×
378
Gastrointestinal hemorrhage with cc
88
$33,512
$7,050
4.8× st 6.1×
690
Kidney and urinary tract infections without mcc
85
$34,843
$5,924
5.9× st 6.6×
193
Simple pneumonia and pleurisy with mcc
83
$49,052
$10,322
4.8× st 5.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
80
$46,767
$7,252
6.4× st 8.2×
280
Acute myocardial infarction, discharged alive with mcc
77
$70,048
$12,723
5.5× st 5.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
76
$69,148
$13,669
5.1× st 7.4×
481
Hip and femur procedures except major joint with cc
74
$66,601
$14,449
4.6× st 5.5×
689
Kidney and urinary tract infections with mcc
71
$44,044
$8,358
5.3× st 5.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
66
$35,969
$6,420
5.6× st 6.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
64
$49,562
$9,558
5.2× st 5.9×
552
Medical back problems without mcc
62
$35,362
$6,867
5.2× st 7.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
59
$35,624
$5,718
6.2× st 6.9×
309
Cardiac arrhythmia and conduction disorders with cc
55
$32,751
$5,721
5.7× st 5.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
53
$70,571
$14,574
4.8× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
53
$118,708
$13,115
9.1× st 7.3×
308
Cardiac arrhythmia and conduction disorders with mcc
50
$39,382
$8,733
4.5× st 6.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
49
$48,573
$8,041
6.0× st 7.7×
377
Gastrointestinal hemorrhage with mcc
49
$61,789
$11,994
5.2× st 6.4×
682
Renal failure with mcc
49
$44,732
$10,965
4.1× st 6.1×
683
Renal failure with cc
47
$28,830
$6,402
4.5× st 5.5×
603
Cellulitis without mcc
42
$30,304
$7,704
3.9× st 5.9×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
41
$63,996
$14,043
4.6× st 5.9×
698
Other kidney and urinary tract diagnoses with mcc
41
$60,386
$11,400
5.3× st 5.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
41
$48,519
$9,744
5.0× st 6.4×
329
Major small and large bowel procedures with mcc
41
$149,716
$31,258
4.8× st 6.4×
389
Gastrointestinal obstruction with cc
38
$32,163
$6,347
5.1× st 6.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
38
$155,829
$22,010
7.1× st 7.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
37
$111,893
$34,395
3.3× st 5.1×
638
Diabetes with cc
37
$29,760
$7,103
4.2× st 5.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
36
$67,304
$15,106
4.5× st 4.2×
467
Revision of hip or knee replacement with cc
36
$121,811
$25,917
4.7× st 6.0×
330
Major small and large bowel procedures with cc
35
$79,922
$18,388
4.3× st 6.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
34
$83,671
$18,346
4.6× st 7.1×
194
Simple pneumonia and pleurisy with cc
34
$36,222
$5,804
6.2× st 5.7×
100
Seizures with mcc
34
$67,791
$13,520
5.0× st 7.3×
086
Traumatic stupor and coma <1 hour with cc
33
$47,631
$9,121
5.2× st 8.1×
312
Syncope and collapse
33
$38,489
$6,313
6.1× st 8.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
33
$71,921
$15,923
4.5× st 6.3×
480
Hip and femur procedures except major joint with mcc
33
$84,294
$19,204
4.4× st 6.2×
884
Organic disturbances and intellectual disability
33
$44,847
$10,769
4.2× st 5.1×
178
Respiratory infections and inflammations with cc
33
$42,315
$7,490
5.6× st 6.7×
180
Respiratory neoplasms with mcc
33
$73,146
$12,178
6.0× st 7.9×
101
Seizures without mcc
31
$33,756
$6,579
5.1× st 6.4×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
30
$76,358
$16,238
4.7× st 6.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
30
$65,710
$16,243
4.0× st 6.1×
637
Diabetes with mcc
29
$51,396
$10,392
4.9× st 5.5×
418
Laparoscopic cholecystectomy without c.d.e. with cc
28
$57,845
$12,185
4.7× st 7.9×
281
Acute myocardial infarction, discharged alive with cc
27
$38,830
$6,580
5.9× st 7.2×
870
Septicemia or severe sepsis with mv >96 hours
27
$234,556
$54,454
4.3× st 7.4×
468
Revision of hip or knee replacement without cc/mcc
26
$85,414
$19,548
4.4× st 4.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
26
$44,430
$10,344
4.3× st 6.0×
242
Permanent cardiac pacemaker implant with mcc
26
$114,234
$23,064
5.0× st 6.3×
057
Degenerative nervous system disorders without mcc
26
$39,932
$9,407
4.2× st 6.9×
243
Permanent cardiac pacemaker implant with cc
26
$87,316
$16,782
5.2× st 5.9×
039
Extracranial procedures without cc/mcc
25
$54,689
$8,738
6.3× st 3.9×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
25
$78,357
$16,728
4.7× st 5.7×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
25
$69,799
$12,753
5.5× st 4.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
24
$32,955
$4,362
7.6× st 5.5×
394
Other digestive system diagnoses with cc
23
$30,517
$8,055
3.8× st 6.6×
812
Red blood cell disorders without mcc
23
$36,813
$6,486
5.7× st 7.1×
305
Hypertension without mcc
23
$36,603
$6,004
6.1× st 7.9×
699
Other kidney and urinary tract diagnoses with cc
23
$38,109
$7,750
4.9× st 6.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
22
$42,514
$6,419
6.6× st 7.8×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
22
$83,346
$19,436
4.3× st 5.3×
917
Poisoning and toxic effects of drugs with mcc
22
$57,873
$11,518
5.0× st 6.4×
176
Pulmonary embolism without mcc
22
$35,620
$5,800
6.1× st 8.1×
025
Craniotomy and endovascular intracranial procedures with mcc
22
$125,956
$27,868
4.5× st 6.4×
460
Spinal fusion except cervical without mcc
21
$113,652
$24,204
4.7× st 4.9×
388
Gastrointestinal obstruction with mcc
21
$55,852
$9,777
5.7× st 6.9×
091
Other disorders of nervous system with mcc
21
$71,629
$15,010
4.8× st 7.4×
269
Aortic and heart assist procedures except pulsation balloon without mcc
21
$128,349
$34,418
3.7× st 3.9×
445
Disorders of the biliary tract with cc
20
$37,514
$8,263
4.5× st 7.6×
163
Major chest procedures with mcc
19
$120,648
$30,553
3.9× st 5.8×
483
Major joint or limb reattachment procedures of upper extremities
19
$93,890
$17,209
5.5× st 3.3×
372
Major gastrointestinal disorders and peritoneal infections with cc
19
$34,690
$8,240
4.2× st 5.6×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
19
$37,230
$6,259
5.9× st 6.2×
056
Degenerative nervous system disorders with mcc
19
$77,622
$15,155
5.1× st 6.5×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
19
$40,096
$8,610
4.7× st 6.0×
444
Disorders of the biliary tract with mcc
18
$56,303
$11,567
4.9× st 5.1×
085
Traumatic stupor and coma <1 hour with mcc
18
$76,054
$14,771
5.1× st 7.6×
315
Other circulatory system diagnoses with cc
17
$29,834
$7,062
4.2× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
17
$36,856
$8,472
4.4× st 5.3×
300
Peripheral vascular disorders with cc
17
$40,856
$7,406
5.5× st 7.0×
082
Traumatic stupor and coma >1 hour with mcc
17
$76,305
$15,748
4.8× st 6.6×
811
Red blood cell disorders with mcc
17
$65,021
$9,802
6.6× st 7.3×
069
Transient ischemia without thrombolytic
17
$41,379
$5,785
7.2× st 10.5×
164
Major chest procedures with cc
16
$83,651
$17,599
4.8× st 5.9×
236
Coronary bypass without cardiac catheterization without mcc
16
$206,257
$30,821
6.7× st 8.0×
919
Complications of treatment with mcc
16
$56,443
$13,570
4.2× st 6.4×
551
Medical back problems with mcc
16
$53,957
$11,741
4.6× st 7.3×
393
Other digestive system diagnoses with mcc
16
$43,286
$11,267
3.8× st 5.6×
660
Kidney and ureter procedures for non-neoplasm with cc
16
$49,863
$9,128
5.5× st 6.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
16
$121,454
$30,404
4.0× st 5.7×
482
Hip and femur procedures except major joint without cc/mcc
16
$47,375
$12,430
3.8× st 7.6×
432
Cirrhosis and alcoholic hepatitis with mcc
15
$55,352
$14,452
3.8× st 6.6×
071
Other cerebrovascular disorders with cc
15
$46,939
$7,433
6.3× st 7.0×
536
Fractures of hip and pelvis without mcc
15
$33,974
$5,848
5.8× st 8.1×
908
Other o.r. procedures for injuries with cc
15
$54,721
$13,265
4.1× st 7.5×
038
Extracranial procedures with cc
15
$60,102
$11,160
5.4× st 4.6×
092
Other disorders of nervous system with cc
15
$45,618
$7,418
6.2× st 6.8×
314
Other circulatory system diagnoses with mcc
15
$73,022
$14,423
5.1× st 6.3×
863
Postoperative and post-traumatic infections without mcc
15
$39,771
$6,790
5.9× st 6.2×
270
Other major cardiovascular procedures with mcc
15
$156,765
$34,321
4.6× st 6.7×
083
Traumatic stupor and coma >1 hour with cc
15
$51,139
$9,622
5.3× st 8.0×
515
Other musculoskeletal system and connective tissue o.r. procedures with mcc
15
$87,600
$24,293
3.6× st 6.4×
602
Cellulitis with mcc
15
$43,291
$9,725
4.5× st 5.1×
454
Combined anterior and posterior spinal fusion with cc
14
$213,774
$41,773
5.1× st 4.7×
435
Malignancy of hepatobiliary system or pancreas with mcc
14
$74,514
$20,512
3.6× st 7.0×
521
Hip replacement with principal diagnosis of hip fracture with mcc
14
$88,313
$19,827
4.5× st 5.8×
074
Cranial and peripheral nerve disorders without mcc
14
$44,473
$7,280
6.1× st 8.6×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
14
$51,773
$9,197
5.6× st 12.7×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
14
$106,208
$25,064
4.2× st 4.2×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
14
$40,244
$6,782
5.9× st 8.5×
439
Disorders of pancreas except malignancy with cc
14
$46,041
$6,171
7.5× st 6.7×
184
Major chest trauma with cc
13
$50,331
$7,898
6.4× st 10.2×
948
Signs and symptoms without mcc
13
$51,537
$5,815
8.9× st 5.9×
054
Nervous system neoplasms with mcc
12
$65,854
$10,012
6.6× st 6.9×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
12
$102,670
$27,182
3.8× st 9.6×
988
Non-extensive o.r. procedures unrelated to principal diagnosis with cc
12
$70,282
$11,766
6.0× st 6.0×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
12
$71,328
$14,163
5.0× st 5.3×
554
Bone diseases and arthropathies without mcc
12
$32,069
$5,993
5.4× st 5.6×
199
Pneumothorax with mcc
12
$50,782
$12,227
4.2× st 5.8×
304
Hypertension with mcc
12
$42,092
$9,331
4.5× st 8.8×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
12
$77,432
$16,172
4.8× st 8.1×
472
Cervical spinal fusion with cc
12
$135,350
$22,046
6.1× st 5.4×
673
Other kidney and urinary tract procedures with mcc
12
$124,317
$25,682
4.8× st 6.5×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
12
$228,606
$45,973
5.0× st 3.0×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
11
$87,907
$19,287
4.6× st 4.8×
299
Peripheral vascular disorders with mcc
11
$47,870
$10,321
4.6× st 4.7×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
11
$54,471
$12,775
4.3× st 8.2×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
11
$387,460
$71,277
5.4× st 7.1×
200
Pneumothorax with cc
11
$47,943
$8,767
5.5× st 8.3×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
11
$112,050
$23,236
4.8× st 4.1×
374
Digestive malignancy with mcc
11
$62,761
$13,613
4.6× st 7.2×
375
Digestive malignancy with cc
11
$55,016
$10,087
5.5× st 5.9×
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
5115
Level 5 Musculoskeletal Procedures
632
$48,350
$11,340
4.3×
8011
Comprehensive Observation Services
520
$24,840
$2,372
10.5×
5213
Level 3 Electrophysiologic Procedures
262
$121,294
$20,545
5.9×
5191
Level 1 Endovascular Procedures
236
$23,324
$2,824
8.3×
5114
Level 4 Musculoskeletal Procedures
236
$27,625
$6,082
4.5×
5183
Level 3 Vascular Procedures
230
$17,295
$2,765
6.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
229
$9,752
$1,406
6.9×
5431
Level 1 Nerve Procedures
227
$7,270
$1,657
4.4×
5375
Level 5 Urology and Related Services
208
$28,431
$4,484
6.3×
5374
Level 4 Urology and Related Services
193
$23,406
$2,996
7.8×
5113
Level 3 Musculoskeletal Procedures
180
$15,867
$2,752
5.8×
5491
Level 1 Intraocular Procedures
175
$11,671
$2,007
5.8×
5116
Level 6 Musculoskeletal Procedures
175
$55,958
$15,824
3.5×
5361
Level 1 Laparoscopy and Related Services
153
$24,799
$4,987
5.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
142
$14,110
$2,432
5.8×
5302
Level 2 Upper GI Procedures
136
$6,390
$1,656
3.9×
5193
Level 3 Endovascular Procedures
133
$81,523
$9,423
8.7×
5223
Level 3 Pacemaker and Similar Procedures
121
$56,075
$9,320
6.0×
5184
Level 4 Vascular Procedures
115
$13,627
$4,799
2.8×
5154
Level 4 Airway Endoscopy
110
$13,917
$3,247
4.3×
5112
Level 2 Musculoskeletal Procedures
105
$10,848
$1,378
7.9×
5222
Level 2 Pacemaker and Similar Procedures
96
$30,878
$7,419
4.2×
5155
Level 5 Airway Endoscopy
72
$24,205
$5,977
4.1×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
71
$18,356
$2,954
6.2×
5373
Level 3 Urology and Related Services
64
$14,289
$1,779
8.0×
5192
Level 2 Endovascular Procedures
59
$47,326
$4,924
9.6×
5182
Level 2 Vascular Procedures
56
$5,600
$1,312
4.3×
5194
Level 4 Endovascular Procedures
53
$98,648
$14,161
7.0×
5165
Level 5 ENT Procedures
52
$16,109
$4,958
3.2×
5493
Level 3 Intraocular Procedures
52
$22,403
$4,564
4.9×
5153
Level 3 Airway Endoscopy
51
$6,030
$1,459
4.1×
5414
Level 4 Gynecologic Procedures
48
$13,324
$2,730
4.9×
5232
Level 2 ICD and Similar Procedures
42
$130,014
$28,007
4.6×
5212
Level 2 Electrophysiologic Procedures
40
$31,893
$6,522
4.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
40
$17,367
$3,329
5.2×
5465
Level 5 Neurostimulator and Related Procedures
34
$117,830
$26,293
4.5×
5164
Level 4 ENT Procedures
33
$12,189
$2,727
4.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
31
$28,337
$5,695
5.0×
5362
Level 2 Laparoscopy and Related Services
30
$29,866
$8,795
3.4×
5200
Implantation Wireless PA Pressure Monitor
25
$74,325
$25,312
2.9×
5224
Level 4 Pacemaker and Similar Procedures
21
$74,140
$16,980
4.4×
5492
Level 2 Intraocular Procedures
20
$18,793
$3,419
5.5×
5313
Level 3 Lower GI Procedures
17
$11,459
$2,451
4.7×
5415
Level 5 Gynecologic Procedures
17
$19,715
$4,344
4.5×
5303
Level 3 Upper GI Procedures
12
$16,623
$3,345
5.0×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via stormontvail.org/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 12/19/2025, template 3.0.0, 85,870 rows scanned, 7,154 distinct code–setting items kept. 1,423 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC TANGENTIAL BIOPSY OF SKIN (E.G., SHAVE, SCOOP, SAUCERIZE, CURETTE) SINGLE LESION
$283
—
$183
8
clean
HC TANGENTIAL BIOPSY OF SKIN (E.G., SHAVE, SCOOP, SAUCERIZE, CURETTE) SINGLE LESION
$283
—
—
0
clean
Showing the first 200 of 7,154 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT 67715/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,147 exceeds the gross charge $520
CPT 69005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,491 exceeds the gross charge $1,426
CPT 69020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $648 exceeds the gross charge $629
CPT 69209/o
warn
mrf_negotiated_above_gross
highest negotiated rate $204 exceeds the gross charge $82
CPT J9055/o
warn
mrf_negotiated_above_gross
highest negotiated rate $85 exceeds the gross charge $55
CPT 72270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,343 exceeds the gross charge $992
CPT 75571/o
warn
mrf_negotiated_above_gross
highest negotiated rate $613 exceeds the gross charge $100
CPT 86316/o
warn
mrf_negotiated_above_gross
highest negotiated rate $283 exceeds the gross charge $246
CPT 75605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,757 exceeds the gross charge $3,983
CPT 75705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,976 exceeds the gross charge $3,805
CPT 75726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,976 exceeds the gross charge $4,371
CPT 75746/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,897 exceeds the gross charge $2,233
CPT 75822/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,942 exceeds the gross charge $1,658
CPT 75825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,897 exceeds the gross charge $2,067
CPT 75831/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,897 exceeds the gross charge $1,658
CPT 75833/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,897 exceeds the gross charge $1,549
CPT J9150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $130 exceeds the gross charge $95
CPT 75885/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,897 exceeds the gross charge $1,558
CPT 75893/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,976 exceeds the gross charge $4,528
CPT 76098/o
warn
mrf_negotiated_above_gross
highest negotiated rate $505 exceeds the gross charge $418
CPT J9172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $63
CPT 10008/o
warn
mrf_negotiated_above_gross
highest negotiated rate $721 exceeds the gross charge $386
CPT C9600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $60,225 exceeds the gross charge $42,724
CPT 11000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $563 exceeds the gross charge $473
CPT 11102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $478 exceeds the gross charge $283
CPT 11104/o
warn
mrf_negotiated_above_gross
highest negotiated rate $478 exceeds the gross charge $331
CPT J2182/o
warn
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $13
CPT J0208/o
warn
mrf_negotiated_above_gross
highest negotiated rate $111 exceeds the gross charge $13
CPT J0225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,795 exceeds the gross charge $13
CPT 11760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,066 exceeds the gross charge $969
CPT 11765/o
warn
mrf_negotiated_above_gross
highest negotiated rate $573 exceeds the gross charge $473
CPT 12006/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,370 exceeds the gross charge $1,606
CPT 77077/o
warn
mrf_negotiated_above_gross
highest negotiated rate $133 exceeds the gross charge $79
CPT 12007/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,370 exceeds the gross charge $1,846
CPT 86900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $117
CPT 12017/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,370 exceeds the gross charge $1,927
CPT 86902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $211
CPT 12018/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,370 exceeds the gross charge $2,310
CPT 78012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $370 exceeds the gross charge $363
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $185
CPT 86923/o
warn
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $117
CPT 12036/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,370 exceeds the gross charge $1,954
CPT 12037/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,370 exceeds the gross charge $2,269
CPT 86985/o
warn
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $155
CPT 12046/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,370 exceeds the gross charge $2,054
CPT J0287/o
warn
mrf_negotiated_above_gross
highest negotiated rate $31 exceeds the gross charge $26
CPT 12047/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,370 exceeds the gross charge $2,261
CPT 15271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,684 exceeds the gross charge $1,362
CPT 15275/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,684 exceeds the gross charge $1,397
CPT J0360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $23
CPT J9266/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,277 exceeds the gross charge $13,421
CPT 20101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,684 exceeds the gross charge $1,449
CPT J2360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $13
CPT J9293/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61 exceeds the gross charge $56
CPT 87335/o
warn
mrf_negotiated_above_gross
highest negotiated rate $47 exceeds the gross charge $45
CPT 20240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,634 exceeds the gross charge $2,003
CPT 80331/o
warn
mrf_negotiated_above_gross
highest negotiated rate $75 exceeds the gross charge $13
CPT 80334/o
warn
mrf_negotiated_above_gross
highest negotiated rate $159 exceeds the gross charge $13
CPT J9302/o
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $13
CPT J0476/o
warn
mrf_negotiated_above_gross
highest negotiated rate $108 exceeds the gross charge $95
CPT 20610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,765 exceeds the gross charge $1,438
CPT 87641/o
warn
mrf_negotiated_above_gross
highest negotiated rate $468 exceeds the gross charge $128
CPT 80341/o
warn
mrf_negotiated_above_gross
highest negotiated rate $77 exceeds the gross charge $13
CPT 80344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $81 exceeds the gross charge $13
CPT 23620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $1,623
CPT 23675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,473 exceeds the gross charge $1,152
CPT 23931/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,491 exceeds the gross charge $1,312
CPT 24505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $1,724
CPT 24530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $2,168
CPT 24535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $985
CPT 24640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,246 exceeds the gross charge $926
CPT 87999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,785 exceeds the gross charge $860
CPT 24650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,246 exceeds the gross charge $658
CPT 88172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $111
CPT 24675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $777
CPT 25600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $955
CPT 25624/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $1,943
CPT 80355/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $13
CPT 88235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $675 exceeds the gross charge $651
CPT 25650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $731
CPT 80357/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $13
CPT 26540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,515 exceeds the gross charge $3,312
CPT 26720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,246 exceeds the gross charge $1,121
CPT 88267/o
warn
mrf_negotiated_above_gross
highest negotiated rate $675 exceeds the gross charge $651
CPT 26740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,246 exceeds the gross charge $426
CPT 26765/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,227 exceeds the gross charge $2,777
CPT 26951/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,227 exceeds the gross charge $2,321
CPT 27323/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,491 exceeds the gross charge $1,438
CPT 27516/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $1,221
CPT 88333/o
warn
mrf_negotiated_above_gross
highest negotiated rate $752 exceeds the gross charge $311
CPT 27520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $764
CPT 28435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,491 exceeds the gross charge $2,092
CPT 28475/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,491 exceeds the gross charge $796
CPT 88348/o
warn
mrf_negotiated_above_gross
highest negotiated rate $810 exceeds the gross charge $411
CPT 28490/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $475
CPT 28495/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,491 exceeds the gross charge $923
CPT L1906/o
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $151
CPT 28540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,246 exceeds the gross charge $845
CPT L3807/o
warn
mrf_negotiated_above_gross
highest negotiated rate $297 exceeds the gross charge $291
CPT 28570/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,246 exceeds the gross charge $523
CPT L3927/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $43
CPT 28630/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,246 exceeds the gross charge $803
CPT 28660/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,246 exceeds the gross charge $709
CPT 29065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $666 exceeds the gross charge $486
CPT 80368/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $13
CPT 29075/o
warn
mrf_negotiated_above_gross
highest negotiated rate $666 exceeds the gross charge $473
CPT 80370/o
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $13
CPT 29240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $428 exceeds the gross charge $315
CPT 80371/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $13
CPT 29260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $428 exceeds the gross charge $257
CPT 29520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $428 exceeds the gross charge $271
CPT 90647/o
warn
mrf_negotiated_above_gross
highest negotiated rate $40 exceeds the gross charge $13
CPT 31575/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,093 exceeds the gross charge $560
CPT 90648/o
warn
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $46
CPT 31577/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,093 exceeds the gross charge $1,134
CPT 90670/o
warn
mrf_negotiated_above_gross
highest negotiated rate $406 exceeds the gross charge $13
CPT 31628/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,394 exceeds the gross charge $2,203
CPT 31629/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,394 exceeds the gross charge $3,288
CPT Q0247/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,466 exceeds the gross charge $669
CPT 90677/o
warn
mrf_negotiated_above_gross
highest negotiated rate $344 exceeds the gross charge $13
CPT 31654/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,688 exceeds the gross charge $3,002
CPT 81220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,770 exceeds the gross charge $1,498
CPT Q2043/o
warn
mrf_negotiated_above_gross
highest negotiated rate $57,793 exceeds the gross charge $639
CPT 31720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $478 exceeds the gross charge $219
CPT 81324/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,532 exceeds the gross charge $855
CPT 90691/o
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $13
CPT 81372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $968 exceeds the gross charge $774
CPT 90698/o
warn
mrf_negotiated_above_gross
highest negotiated rate $143 exceeds the gross charge $13
CPT 90707/o
warn
mrf_negotiated_above_gross
highest negotiated rate $113 exceeds the gross charge $13
CPT 90714/o
warn
mrf_negotiated_above_gross
highest negotiated rate $98 exceeds the gross charge $13
CPT 33213/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27,516 exceeds the gross charge $18,019
CPT 90732/o
warn
mrf_negotiated_above_gross
highest negotiated rate $228 exceeds the gross charge $13
CPT 33214/o
warn
mrf_negotiated_above_gross
highest negotiated rate $62,670 exceeds the gross charge $24,976
CPT 33221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27,516 exceeds the gross charge $21,761
CPT J0740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,431 exceeds the gross charge $507
CPT 33224/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27,516 exceeds the gross charge $24,976
CPT 33226/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27,516 exceeds the gross charge $681
CPT 33249/o
warn
mrf_negotiated_above_gross
highest negotiated rate $82,907 exceeds the gross charge $77,564
CPT 33262/o
warn
mrf_negotiated_above_gross
highest negotiated rate $62,670 exceeds the gross charge $55,177
CPT 33263/o
warn
mrf_negotiated_above_gross
highest negotiated rate $76,587 exceeds the gross charge $55,177
CPT J3105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $17
CPT 36410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $428 exceeds the gross charge $417
CPT J0780/o
warn
mrf_negotiated_above_gross
highest negotiated rate $68 exceeds the gross charge $20
CPT 82136/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $123
CPT 91034/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,080 exceeds the gross charge $1,895
CPT 92953/o
warn
mrf_negotiated_above_gross
highest negotiated rate $602 exceeds the gross charge $100
CPT J3304/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $13
CPT 93505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,986 exceeds the gross charge $3,957
CPT 93653/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42,073 exceeds the gross charge $41,078
CPT 36575/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,035 exceeds the gross charge $895
CPT 93656/o
warn
mrf_negotiated_above_gross
highest negotiated rate $68,248 exceeds the gross charge $62,171
CPT 93657/o
warn
mrf_negotiated_above_gross
highest negotiated rate $82,282 exceeds the gross charge $10,812
CPT 95004/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,272 exceeds the gross charge $84
CPT 95869/o
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $229
CPT 37184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,528 exceeds the gross charge $8,453
CPT 95886/o
warn
mrf_negotiated_above_gross
highest negotiated rate $451 exceeds the gross charge $131
CPT 37187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,438 exceeds the gross charge $8,453
CPT 95887/o
warn
mrf_negotiated_above_gross
highest negotiated rate $294 exceeds the gross charge $273
CPT 37200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,127 exceeds the gross charge $5,278
CPT 95908/o
warn
mrf_negotiated_above_gross
highest negotiated rate $392 exceeds the gross charge $366
CPT 95909/o
warn
mrf_negotiated_above_gross
highest negotiated rate $588 exceeds the gross charge $311
CPT 95910/o
warn
mrf_negotiated_above_gross
highest negotiated rate $784 exceeds the gross charge $409
CPT J1096/o
warn
mrf_negotiated_above_gross
highest negotiated rate $280 exceeds the gross charge $13
CPT 95911/o
warn
mrf_negotiated_above_gross
highest negotiated rate $980 exceeds the gross charge $496
CPT 95912/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,176 exceeds the gross charge $582
CPT 95913/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,372 exceeds the gross charge $675
CPT 95937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $144 exceeds the gross charge $53
CPT 38792/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,206 exceeds the gross charge $1,017
CPT 40800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $879 exceeds the gross charge $861
CPT 41520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,985 exceeds the gross charge $195
CPT 41899/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $844
CPT 45388/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,241 exceeds the gross charge $1,939
CPT 46050/o
warn
mrf_negotiated_above_gross
highest negotiated rate $839 exceeds the gross charge $616
CPT 46221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,280 exceeds the gross charge $1,201
CPT 46600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,245 exceeds the gross charge $248
CPT 46608/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,245 exceeds the gross charge $596
CPT 47531/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,248 exceeds the gross charge $1,516
CPT J1306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $13
CPT 47556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,583 exceeds the gross charge $4,118
CPT 49082/o
warn
mrf_negotiated_above_gross
highest negotiated rate $863 exceeds the gross charge $680
CPT J7504/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,135 exceeds the gross charge $2,544
CPT 50436/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,175 exceeds the gross charge $2,608
CPT J1459/o
warn
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $61
CPT 52310/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,051 exceeds the gross charge $2,140
CPT 54150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,886 exceeds the gross charge $560
CPT 54700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,886 exceeds the gross charge $1,593
CPT J1568/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $37
CPT 55100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,491 exceeds the gross charge $1,179
CPT 57022/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,634 exceeds the gross charge $1,854
CPT 62302/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,772 exceeds the gross charge $3,571
CPT 62303/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,772 exceeds the gross charge $3,571
CPT 62304/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,772 exceeds the gross charge $3,571
CPT 62305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,772 exceeds the gross charge $4,036
CPT A9547/o
warn
mrf_negotiated_above_gross
highest negotiated rate $773 exceeds the gross charge $273
CPT 85597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $129 exceeds the gross charge $62
CPT A9556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $119
CPT A9558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $241
CPT 64450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $637 exceeds the gross charge $584
warn
mrf_rate_without_estimate
14,524 of 14,524 percentage/algorithm rates across 2,739 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 67229/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
Showing the first 200 of 1,423 findings, errors first — every finding as JSON →
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)
- Stormont Vail Hospital — standard charges file · KS · updated 12/19/2025found via cms-hpt.txt · csv-tall · 12.5M bytes · fetched 2026-08-21 · sha256 7fe47d21176b…
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.