Hospital · CCN 170187

Salina Surgical Hospital

401 South Santa Fe Avenue, Salina, KS 67401 · Saline County
Part of Salina Regional Health Center · 16 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

2 admission types 38 outpatient services price file: ok

Billed per dollar paid, all admissions

2.08×

$11.0M billed against $5.3M paid across 357 Medicare discharges; the national figure is 5.03×.

2.2%

of adults in Saline County have medical debt in collections

9.9%

uninsured in the county · state 10.2%

$64K

median household income

3.5×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ

41.1%

obesity in the countyⓘ

12.1%

diagnosed diabetes (PLACES)

7.3%

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

470

Major hip and knee joint replacement or reattachment of lower extremity without mcc

326

$30,063

$14,458

2.1× st 4.2×

483

Major joint or limb reattachment procedures of upper extremities

$39,279

$19,124

2.1× st 3.3×

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

5491

Level 1 Intraocular Procedures

614

$3,977

$1,989

2.0×

5374

Level 4 Urology and Related Services

157

$7,489

$2,961

2.5×

5302

Level 2 Upper GI Procedures

144

$2,976

$1,620

1.8×

5375

Level 5 Urology and Related Services

120

$13,766

$4,418

3.1×

5431

Level 1 Nerve Procedures

117

$4,132

$1,630

2.5×

5112

Level 2 Musculoskeletal Procedures

105

$2,930

$1,372

2.1×

5114

Level 4 Musculoskeletal Procedures

104

$21,007

$6,076

3.5×

5113

Level 3 Musculoskeletal Procedures

$5,944

$2,673

2.2×

5376

Level 6 Urology and Related Services

$21,355

$7,865

2.7×

5493

Level 3 Intraocular Procedures

$11,381

$4,462

2.6×

5492

Level 2 Intraocular Procedures

$9,962

$3,471

2.9×

5373

Level 3 Urology and Related Services

$5,199

$1,739

3.0×

5183

Level 3 Vascular Procedures

$5,236

$2,721

1.9×

5503

Level 3 Extraocular, Repair, and Plastic Eye Procedures

$3,111

$1,938

1.6×

5361

Level 1 Laparoscopy and Related Services

$10,887

$4,844

2.2×

5415

Level 5 Gynecologic Procedures

$11,673

$4,246

2.7×

5116

Level 6 Musculoskeletal Procedures

$48,947

$15,878

3.1×

5464

Level 4 Neurostimulator and Related Procedures

$67,297

$18,633

3.6×

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

$13,322

$5,567

2.4×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

$7,653

$2,954

2.6×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$3,755

$1,384

2.7×

5165

Level 5 ENT Procedures

$10,868

$5,000

2.2×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5115

Level 5 Musculoskeletal Procedures

—

5153

Level 3 Airway Endoscopy

—

5462

Level 2 Neurostimulator and Related Procedures

—

5461

Level 1 Neurostimulator and Related Procedures

—

5163

Level 3 ENT Procedures

—

5416

Level 6 Gynecologic Procedures

—

5164

Level 4 ENT Procedures

—

5414

Level 4 Gynecologic Procedures

—

5184

Level 4 Vascular Procedures

—

5303

Level 3 Upper GI Procedures

—

5313

Level 3 Lower GI Procedures

—

5372

Level 2 Urology and Related Services

—

5362

Level 2 Laparoscopy and Related Services

—

5331

Complex GI 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-tall, last updated 2026-01-15, template 3.0.0, 27,080 rows scanned, 593 distinct code–setting items kept. 116 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

OR 0421T WATERJET PROSTATE ABLTJ CMPL

CPT 0421T

$8,910

$6,237

$8,401

clean

OR 10035 Placement of soft tissue localization device(s), percutaneous, including imaging guidance;

CPT 10035

$721

$505

$258

clean

OR 10060 I&D ABSCESS SIMPLE SINGLE

CPT 10060

$338

$237

$119

clean

OR 10120 I&R FRGN BODY SUBCU TISS SIMPLE

CPT 10120

$439

$308

$226

clean

OR 10140 I&D HEMATOMA/FLUID

CPT 10140

$1,561

$1,093

$205

clean

OR 10180 INCIS & DRAIN WOUND COMP POSTOP

CPT 10180

$2,758

$1,930

$1,244

clean

OR 11012 DEBRIDMENT SKIN BONE AT FX SITE

CPT 11012

$4,649

$3,255

$205

clean

OR 11043 DEBRIDEMENT SKIN SUB TISS/MUSCLE

CPT 11043

$590

$413

$205

clean

OR 11044 DEBRIDE BONE 20 SQ CM/<

CPT 11044

$1,561

$1,093

$205

clean

OR 11200 REMOVAL OF SKIN TAGS UP TO 15

CPT 11200

$220

$154

$26

clean

OR 11403 EXCIS BEN LESION TAL 2.1-3.0CM Charge

CPT 11403

$1,046

$732

$184

clean

OR 11406 EXCIS BEN LES TAL OVER 4.0CM Charge

CPT 11406

$1,561

$1,093

$1,515

clean

OR 11420 EXCIS BEN LES SHF 0.5CM OR LESS

CPT 11420

$1,561

$1,093

$1,041

clean

OR 11421 EXCIS BEN LES SHF 0.6-1.0CM

CPT 11421

$970

$679

$182

clean

OR 11422 EXC H/F/NK/SP B9+MARG 1.1-2

CPT 11422

$1,561

$1,093

$1,115

clean

OR 11423 EXCIS BEN LES SHF 2.1 TO 3.0CM Charge

CPT 11423

$1,561

$1,093

$1,473

clean

OR 11424 EXCIS BEN LES SHF 3.1 TO 4.0CM

CPT 11424

$1,561

$1,093

$1,027

clean

OR 11426 EXC H/F/NK/SP BENIGN > 4CM

CPT 11426

$2,758

$1,930

$1,528

clean

OR 11470 REMOVAL SWEAT GLAND LESION ANUS OR NAVEL

CPT 11470

$2,758

$1,930

$2,267

clean

OR 11606 EXCIS MALIG LES TAL > 4.0CM

CPT 11606

$1,561

$1,093

$544

clean

OR 11624 EXC SNHFG MALIG+MARGIN 3.1-4.0CM

CPT 11624

$1,561

$1,093

$764

clean

OR 11626 EXC LES S/N/H/F/G MAL+MRG >4.0CM

CPT 11626

$2,758

$1,930

$2,605

clean

OR 11643 EXC F/E/E/N/L MAL+MRG 2.1-3

CPT 11643

$1,561

$1,093

$117

clean

OR 11646 EXCIS MAL LES FEL OVER 4.0 CM

CPT 11646

$2,758

$1,930

$628

clean

OR 11750 TOENAIL EXCISION

CPT 11750

$385

$269

$274

clean

OR 11760 REPAIR OF NAIL BED

CPT 11760

$976

$683

$126

clean

OR 11771 REMOVE PILONIDAL CYST EXTEN

CPT 11771

$2,758

$1,930

$741

clean

OR 11772 EXCISE PILONIDAL CYST/SINUS COMP

CPT 11772

$2,758

$1,930

$1,025

clean

OR 11982 REMOVE DRUG IMPLANT DEVICE

CPT 11982

$385

$269

$72

clean

OR 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<

CPT 12001

$220

$154

$221

clean

OR 12020 TRMT SUPERFICIAL DEHISCENCE SIMP

CPT 12020

$590

$413

$557

clean

OR 12032 INTMD RPR S/A/T/EXT 2.6-7.5

CPT 12032

$385

$269

$141

clean

OR 12034 INTRMD RPR SATE 7.6CM-12.5CM

CPT 12034

$578

$405

$46

clean

OR 12035 REPAIR INTER SAT 12.6 TO 20CM

CPT 12035

$578

$405

$47

clean

OR 12042 INTMD RPR N-HF/GENIT2.6-7.5

CPT 12042

$385

$269

$67

clean

OR 12056 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM

CPT 12056

$1,096

$767

$107

clean

OR 13121 REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM

CPT 13121

$590

$413

$38

clean

OR 13122 REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<

CPT 13122

$100

$70

clean

OR 13160 SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC

CPT 13160

$1,763

$1,234

$274

clean

OR 14001 ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM

CPT 14001

$1,763

$1,234

$222

clean

OR 14040 TISSUE TRANS FGHF 10SQ.CM OR <

CPT 14040

$3,137

$2,196

$347

clean

OR 14060 TISSUE TRANS ENEL 10 SQ CM< Charge

CPT 14060

$1,763

$1,234

$1,665

clean

OR 14061 ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM

CPT 14061

$1,763

$1,234

$1,557

clean

OR 15220 SKIN FULL GRAFT SCLP/ARM/LEG 20 CM/<

CPT 15220

$1,763

$1,234

$253

clean

OR 15240 SKIN FULL GRFT FACE/GENIT/HANDS/FEET 20 CM/<

CPT 15240

$1,763

$1,234

$250

clean

OR 15241 FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/<

CPT 15241

$100

$70

clean

OR 15822 REVISION OF UPPER EYELID Charge

CPT 15822

$1,763

$1,234

$1,557

clean

OR 15823 BLEPHAROPLASTY

CPT 15823

$2,744

$1,921

$1,248

clean

OR 19101 BIOPSY BREAST OPEN INCISIONAL Charge

CPT 19101

$3,690

$2,583

$3,485

clean

OR 19120 REMOVAL OF BREAST LESION

CPT 19120

$3,690

$2,583

$3,088

clean

OR 19301 MASTECTOMY PARTIAL

CPT 19301

$3,690

$2,583

$3,174

clean

OR 19303 MASTECTOMY SIMPLE COMPLETE

CPT 19303

$6,284

$4,399

$1,128

clean

OR 20550 INJ TENDON SHEATH/LIGAMENT

CPT 20550

$284

$199

$105

clean

OR 20610 BILAT DRAIN/INJ JOINT/BURSA WO US

CPT 20610

$632

$442

$147

clean

OR 20680 REMOVAL OF SUPPORT IMPLANT

CPT 20680

$4,650

$3,255

$2,426

clean

OR 20690 APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM

CPT 20690

$6,884

$4,819

$2,283

clean

OR 21196 RECONSTRUCT LOWER JAW W/FIXATION

CPT 21196

$5,700

$3,990

$11,069

clean

OR 21556 EXC NECK TUM DEEP < 5 CM

CPT 21556

$2,758

$1,930

$921

clean

OR 23073 EXCISION TUMOR SHOULDER SUBQ >5CM

CPT 23073

$2,758

$1,930

$2,451

clean

OR 23120 CLAVICULECTOMY PARTIAL

CPT 23120

$3,126

$2,189

$2,953

clean

OR 23130 REMOVE SHOULDER BONE PARTIAL

CPT 23130

$3,569

$2,498

$300

clean

OR 23410 REPAIR ROTATOR CUFF ACUTE Charge

CPT 23410

$11,213

$7,849

$3,925

clean

OR 23412 REPAIR ROTATOR CUFF CHRONIC

CPT 23412

$11,213

$7,849

$4,510

clean

OR 23430 TENODESIS LONG TENDON BICEPS

CPT 23430

$11,212

$7,848

$6,847

clean

OR 23470 ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY

CPT 23470

$12,398

$8,679

$22,430

clean

OR 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER

CPT 23472

$17,720

$12,404

$16,535

clean

OR 23515 OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION

CPT 23515

$11,212

$7,848

$1,420

clean

OR 23550 OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC

CPT 23550

$6,884

$4,819

$950

clean

OR 23615 OPEN TREATMENT PROXIMAL HUMERAL FRACTURE

CPT 23615

$12,398

$8,679

$11,459

clean

OR 23680 OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ

CPT 23680

$12,398

$8,679

$11,223

clean

OR 23700 FIXATION OF SHOULDER Charge

CPT 23700

$2,700

$1,890

$591

clean

OR 24071 EXC ARM/ELBOW LES SC 3 CM/> Charge

CPT 24071

$2,758

$1,930

$1,137

clean

OR 24341 REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA

CPT 24341

$6,884

$4,819

$6,108

clean

OR 24342 RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF

CPT 24342

$11,212

$7,848

$5,844

clean

OR 24346 RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF

CPT 24346

$12,398

$8,679

$2,333

clean

OR 24515 OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE

CPT 24515

$12,398

$8,679

$4,251

clean

OR 24538 PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX

CPT 24538

$6,884

$4,819

$1,536

clean

OR 24575 OPEN TX HUMERAL EPICONDYLAR FRACTURE

CPT 24575

$12,398

$8,679

$8,914

clean

OR 24579 OPEN TREATMENT HUMERAL CONDYLAR FRACTURE

CPT 24579

$12,398

$8,679

$2,037

clean

OR 24685 OPEN TREATMENT ULNAR FRACTURE PROXIMAL END

CPT 24685

$6,884

$4,819

$6,108

clean

OR 25000 INCISION OF TENDON SHEATH Charge

CPT 25000

$1,760

$1,232

$892

clean

OR 25071 EXC FOREARM LES SC 3 CM/>

CPT 25071

$1,561

$1,093

$270

clean

25111 OR EXCIS GANGLION CYSTECTOMY BILAT Charge

CPT 25111

$1,326

$928

$1,456

clean

OR 25116 RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS

CPT 25116

$3,126

$2,189

$2,953

clean

OR 25125 Excision or curettage of bone cyst or benign tumor of radius or ulna; with autograft

CPT 25125

$1,542

$1,079

$256

clean

OR 25210 CARPECTOMY 1 BONE

CPT 25210

$3,126

$2,189

$2,070

clean

OR 25215 CARPECTOMY ALL BONES PROXIMAL ROW

CPT 25215

$3,126

$2,189

$2,763

clean

OR 25260 RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MU

CPT 25260

$3,126

$2,189

$1,049

clean

OR 25290 TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA

CPT 25290

$3,126

$2,189

$265

clean

OR 25295 TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA

CPT 25295

$3,126

$2,189

$3,264

clean

OR 25310 TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN

CPT 25310

$3,126

$2,189

$1,334

clean

OR 25320 CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS

CPT 25320

$6,884

$4,819

$6,108

clean

OR 25400 RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT

CPT 25400

$6,884

$4,819

$6,108

clean

OR 25447 ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS

CPT 25447

$3,126

$2,189

$3,133

clean

OR 25515 OPEN TREATMENT RADIAL SHAFT FRACTURE

CPT 25515

$6,884

$4,819

$6,108

clean

OR 25565 CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANIP

CPT 25565

$1,542

$1,079

$1,065

clean

OR 25575 OPEN TX RADIAL & ULNAR SHAFT FX W/FIX RADIUS & ULNA

CPT 25575

$6,884

$4,819

$1,992

clean

OR 25605 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANIP WHEN PERF

CPT 25605

$1,542

$1,079

$793

clean

OR 25606 PERQ SKEL FIX DISTAL RADIAL FX/EPIPHYSL SEP

CPT 25606

$3,126

$2,189

$1,531

clean

OR 25607 OPEN TX DSTL RADL X-ARTIC FX/EPIPHYSL SEP

CPT 25607

$11,212

$7,848

$1,885

clean

OR 25608 OPEN TX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG

CPT 25608

$11,212

$7,848

$6,099

clean

OR 25609 OPEN TX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG

CPT 25609

$11,212

$7,848

$6,501

clean

OR 25628 OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE

CPT 25628

$6,884

$4,819

$2,238

clean

OR 25645 OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA

CPT 25645

$3,126

$2,189

$1,801

clean

OR 25651 PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE

CPT 25651

$3,126

$2,189

$1,125

clean

OR 26055 INCISE FINGER TENDON SHEATH

CPT 26055

$2,700

$1,890

$1,372

clean

OR 26115 EXCIS TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM

CPT 26115

$2,696

$1,887

$1,474

clean

OR 26121 FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT

CPT 26121

$3,126

$2,189

$1,450

clean

OR 26123 FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR

CPT 26123

$3,126

$2,189

$2,830

clean

OR 26125 FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR

CPT 26125

$383

$268

$69

clean

OR 26145 SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN

CPT 26145

$1,542

$1,079

$857

clean

OR 26160 REMOVE TENDON SHEATH LESION

CPT 26160

$2,700

$1,890

$1,453

clean

OR 26210 EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER

CPT 26210

$1,542

$1,079

$1,456

clean

OR 26235 PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER

CPT 26235

$1,542

$1,079

$1,004

clean

OR 26236 PARTIAL EXCISION DISTAL PHALANX FINGER

CPT 26236

$2,700

$1,890

$846

clean

OR 26350 RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON

CPT 26350

$5,290

$3,703

$2,763

clean

OR 26356 RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON

CPT 26356

$5,290

$3,703

$2,350

clean

OR 26357 RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON

CPT 26357

$3,126

$2,189

$395

clean

OR 26410 REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH

CPT 26410

$1,542

$1,079

$1,450

clean

OR 26418 REPAIR EXTENSOR TENDON FINGER

CPT 26418

$2,700

$1,890

$1,450

clean

OR 26437 REALIGNMENT EXTENSOR TENDON HAND EACH TENDON

CPT 26437

$3,126

$2,189

$2,953

clean

OR 26440 TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON

CPT 26440

$2,700

$1,890

$1,920

clean

OR 26455 TENOTOMY FLEXOR FINGER OPEN EACH TENDON

CPT 26455

$1,542

$1,079

$831

clean

OR 26530 ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH

CPT 26530

$6,884

$4,819

$343

clean

OR 26615 OPEN TX METACARPAL FRACTURE SINGLE EA BONE

CPT 26615

$5,290

$3,703

$4,433

clean

OR 26650 PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB

CPT 26650

$3,126

$2,189

$1,666

clean

OR 26676 PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT

CPT 26676

$3,126

$2,189

$2,570

clean

OR 26727 PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T

CPT 26727

$5,290

$3,703

$3,733

clean

OR 26756 PRQ SKEL FIX DSTL PHLNGL FX FNGR/THMB EA

CPT 26756

$3,126

$2,189

$589

clean

OR 26765 OPEN TX DISTAL PHALANGEAL FRACTURE EACH

CPT 26765

$5,290

$3,703

$1,410

clean

OR 26785 OPEN TX INTERPHALANGEAL JOINT DISLOCATION

CPT 26785

$3,126

$2,189

$2,763

clean

OR 26850 ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIX

CPT 26850

$6,884

$4,819

$4,257

clean

OR 26860 ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIX

CPT 26860

$3,126

$2,189

$2,802

clean

OR 26910 AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER

CPT 26910

$3,126

$2,189

$2,947

clean

OR 27062 EXCISION TROCHANTERIC BURSA/CALCIFICATION

CPT 27062

$3,126

$2,189

$2,953

clean

OR 27098 TRANSFER ADDUCTOR ISCHIUM

CPT 27098

$2,952

$2,066

$4,465

clean

OR 27130 TOTAL HIP ARTHROPLASTY Charge

CPT 27130

$18,000

$12,600

$11,670

clean

OR 27236 Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic rep

CPT 27236

$10,722

$7,506

$1,711

clean

OR 27266 CLSD TX POST HIP ARTHRP DISLC REQ ANES

CPT 27266

$1,542

$1,079

$1,372

clean

OR 27275 MANIPULATION HIP JOINT GENERAL ANESTHESIA

CPT 27275

$1,542

$1,079

$1,372

clean

OR 27305 FASCIOTOMY ILIOTIBIAL OPEN

CPT 27305

$3,126

$2,189

$2,712

clean

OR 27310 ARTHRT KNE W/EXPL DRG/RMVL FB

CPT 27310

$3,126

$2,189

$2,100

clean

OR 27337 EXC THIGH/KNEE LES SC 3 CM/>

CPT 27337

$2,758

$1,930

$2,605

clean

OR 27339 EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>

CPT 27339

$2,758

$1,930

$733

clean

OR 27340 EXCISION PREPATELLAR BURSA

CPT 27340

$3,126

$2,189

$1,221

clean

OR 27350 PATELLECTOMY/HEMIPATELLECTOMY

CPT 27350

$6,884

$4,819

$4,283

clean

OR 27355 REMOVE FEMUR LESION

CPT 27355

$3,126

$2,189

$788

clean

OR 27360 PRTL EXC BONE FEMUR PROX TIBIA&/FIBULA

CPT 27360

$3,126

$2,189

$1,049

clean

OR 27385 SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY

CPT 27385

$6,884

$4,819

$1,440

clean

OR 27407 Repair, primary, torn ligament and/or capsule, knee; cruciate

CPT 27407

$6,884

$4,819

$2,063

clean

OR 27427 LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR

CPT 27427

$6,884

$4,819

$3,992

clean

OR 27447 TOTAL KNEE ARTHROPLASTY

CPT 27447

$12,398

$8,679

$11,668

clean

OR 27524 OPEN TX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR

CPT 27524

$11,212

$7,848

$8,842

clean

OR 27535 OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR

CPT 27535

$5,841

$4,089

$1,540

clean

OR 27566 OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY

CPT 27566

$6,884

$4,819

$1,732

clean

OR 27570 FIXATION OF KNEE JOINT

CPT 27570

$1,542

$1,079

$561

clean

OR 27599 UNLISTED PROCEDURE FEMUR/KNEE

CPT 27599

$231

$162

$148

clean

OR 27630 EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK

CPT 27630

$3,126

$2,189

$1,726

clean

OR 27632 EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>

CPT 27632

$2,758

$1,930

$226

clean

OR 27650 REPAIR ACHILLES TENDON

CPT 27650

$6,884

$4,819

$4,787

clean

OR 27652 Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft

CPT 27652

$6,884

$4,819

$6,108

clean

OR 27654 REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT

CPT 27654

$6,884

$4,819

$2,010

clean

OR 27659 RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH

CPT 27659

$6,884

$4,819

$1,994

clean

OR 27676 REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT

CPT 27676

$6,524

$4,567

$4,281

clean

OR 27680 TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH

CPT 27680

$3,126

$2,189

$193

clean

OR 27691 TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP

CPT 27691

$6,884

$4,819

$6,433

clean

OR 27702 ARTHROPLASTY ANKLE W/IMPLANT

CPT 27702

$17,720

$12,404

$13,993

clean

OR 27766 OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE

CPT 27766

$6,884

$4,819

$5,992

clean

OR 27792 OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS

CPT 27792

$11,212

$7,848

$6,948

clean

OR 27814 OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE

CPT 27814

$6,884

$4,819

$4,039

clean

OR 27822 OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP

CPT 27822

$11,212

$7,848

$10,056

clean

OR 27829 OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION

CPT 27829

$11,212

$7,848

$3,010

clean

OR 27870 ARTHRODESIS ANKLE OPEN

CPT 27870

$12,398

$8,679

$11,695

clean

OR 27871 ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL

CPT 27871

$12,002

$8,402

$11,223

clean

OR 28090 EXCISION FOOT LESION

CPT 28090

$2,042

$1,429

$2,100

clean

OR 28092 EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA

CPT 28092

$2,042

$1,429

$1,456

clean

OR 28104 EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL

CPT 28104

$3,126

$2,189

$2,100

clean

OR 28118 OSTECTOMY CALCANEUS

CPT 28118

$3,126

$2,189

$1,802

clean

OR 28119 OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS

CPT 28119

$3,126

$2,189

$580

clean

OR 28122 PRTL EXC B1 TARSAL/METAR BONE EXCEPT TALUS/CALCANEUS

CPT 28122

$3,126

$2,189

$1,582

clean

OR 28124 PARTIAL REMOVAL OF TOE

CPT 28124

$3,126

$2,189

$1,538

clean

OR 28200 RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON

CPT 28200

$3,126

$2,189

$2,135

clean

OR 28285 CORRECTION HAMMERTOE

CPT 28285

$3,126

$2,189

$2,170

clean

OR 28289 CORRJ HALUX RIGDUS W/O IMPLT

CPT 28289

$3,126

$2,189

$1,334

clean

OR 28292 CORRECTION HALLUX VALGUS

CPT 28292

$3,126

$2,189

$2,947

clean

OR 28295 CORRECT HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT

CPT 28295

$3,126

$2,189

$2,763

clean

OR 28296 CORRECTION HALLUX VALGUS

CPT 28296

$3,126

$2,189

$2,003

clean

OR 28300 OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION

CPT 28300

$6,884

$4,819

$7,293

clean

OR 28322 RPR NON/MALUNION METARSAL W/WO BONE GRAFT

CPT 28322

$6,884

$4,819

$5,659

clean

OR 28445 Open treatment of talus fracture, includes internal fixation, when performed

CPT 28445

$6,884

$4,819

$1,380

clean

OR 28485 OPEN TREATMENT METATARSAL FRACTURE EACH

CPT 28485

$6,884

$4,819

$6,501

clean

OR 28730 ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS

CPT 28730

$12,398

$8,679

$1,529

clean

OR 28750 ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT

CPT 28750

$6,884

$4,819

$6,501

clean

OR 28810 AMPUTATION METATARSAL W/TOE SINGLE

CPT 28810

$3,126

$2,189

$2,763

clean

OR 29365 APPLICATION CYLINDER CAST THIGH ANKLE

CPT 29365

$256

$179

$171

clean

OR 29806 SHOULDER ARTHROSCOPY/SURGERY Charge

CPT 29806

$11,212

$7,848

$3,986

clean

OR 29807 SHOULDER ARTHROSCOPY/SURGERY Charge

CPT 29807

$11,212

$7,848

$4,409

clean

OR 29819 SHOULDER ARTHROSCOPY/SURGERY Charge

CPT 29819

$5,290

$3,703

$1,335

clean

OR 29822 Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures

CPT 29822

$5,290

$3,703

$3,868

clean

OR 29823 Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures

CPT 29823

$5,290

$3,703

$2,763

clean

Showing the first 200 of 593 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_negotiated_above_gross_systematic

84 of 564 comparable items (15%) 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. highest negotiated rate $14,759 exceeds the gross charge $8,910

CPT 43274/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 76937/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 differ, so no cross-line comparison was made for this item

CPT 80053/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 85730/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 differ, so no cross-line comparison was made for this item

CPT 86480/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 differ, so no cross-line comparison was made for this item

CPT 89051/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 differ, so no cross-line comparison was made for this item

CPT 97530/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT C1713/b

info

mrf_item_fields_vary

this code and setting cover at least 695 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1750/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 differ, so no cross-line comparison was made for this item

CPT C1758/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 differ, so no cross-line comparison was made for this item

CPT C1762/b

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1763/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1769/b

info

mrf_item_fields_vary

this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1771/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1776/b

info

mrf_item_fields_vary

this code and setting cover at least 232 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1781/b

info

mrf_item_fields_vary

this code and setting cover at least 36 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1783/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1889/b

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C2617/b

info

mrf_item_fields_vary

this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C2625/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT G0463/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 differ, so no cross-line comparison was made for this item

CPT J3010/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 differ, so no cross-line comparison was made for this item

CPT J7040/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 differ, so no cross-line comparison was made for this item

CPT L8631/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 differ, so no cross-line comparison was made for this item

CPT Q9968/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 differ, so no cross-line comparison was made for this item

CPT V2632/b

info

mrf_item_fields_vary

this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT V2787/b

info

mrf_item_fields_vary

this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT V2788/b

info

mrf_item_fields_vary

this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

MS-DRG 470/i

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

MS-DRG 661/i

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 25111/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 differ, so no cross-line comparison was made for this item

CPT 42826/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,807 exceeds the gross charge $3,125 — part of a file-wide pattern, counted once at the file level

CPT 42830/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,456 exceeds the gross charge $3,125 — part of a file-wide pattern, counted once at the file level

CPT 43245/b

info

mrf_negotiated_above_gross

highest negotiated rate $2,135 exceeds the gross charge $1,762 — part of a file-wide pattern, counted once at the file level

CPT 43255/b

info

mrf_negotiated_above_gross

highest negotiated rate $1,869 exceeds the gross charge $1,762 — part of a file-wide pattern, counted once at the file level

CPT 43262/b

info

mrf_negotiated_above_gross

highest negotiated rate $4,546 exceeds the gross charge $3,666 — part of a file-wide pattern, counted once at the file level

CPT 45378/b

info

mrf_negotiated_above_gross

highest negotiated rate $1,046 exceeds the gross charge $957 — part of a file-wide pattern, counted once at the file level

CPT 45385/b

info

mrf_negotiated_above_gross

highest negotiated rate $1,938 exceeds the gross charge $1,178 — part of a file-wide pattern, counted once at the file level

CPT 45390/b

info

mrf_negotiated_above_gross

highest negotiated rate $8,999 exceeds the gross charge $2,548 — part of a file-wide pattern, counted once at the file level

CPT 46040/b

info

mrf_negotiated_above_gross

highest negotiated rate $1,311 exceeds the gross charge $1,275 — part of a file-wide pattern, counted once at the file level

CPT 46288/b

info

mrf_negotiated_above_gross

highest negotiated rate $4,655 exceeds the gross charge $2,643 — part of a file-wide pattern, counted once at the file level

CPT 46707/b

info

mrf_negotiated_above_gross

highest negotiated rate $4,354 exceeds the gross charge $2,643 — part of a file-wide pattern, counted once at the file level

CPT 47563/b

info

mrf_negotiated_above_gross

highest negotiated rate $8,975 exceeds the gross charge $6,418 — part of a file-wide pattern, counted once at the file level

CPT 49591/b

info

mrf_negotiated_above_gross

highest negotiated rate $4,222 exceeds the gross charge $3,401 — part of a file-wide pattern, counted once at the file level

CPT 49659/b

info

mrf_negotiated_above_gross

highest negotiated rate $5,790 exceeds the gross charge $5,622 — part of a file-wide pattern, counted once at the file level

CPT 50590/b

info

mrf_negotiated_above_gross

highest negotiated rate $5,016 exceeds the gross charge $4,152 — part of a file-wide pattern, counted once at the file level

CPT 52000/b

info

mrf_negotiated_above_gross

highest negotiated rate $918 exceeds the gross charge $893 — part of a file-wide pattern, counted once at the file level

CPT 52005/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,441 exceeds the gross charge $1,974 — part of a file-wide pattern, counted once at the file level

CPT 52234/b

info

mrf_negotiated_above_gross

highest negotiated rate $5,309 exceeds the gross charge $3,794 — part of a file-wide pattern, counted once at the file level

CPT 52260/b

info

mrf_negotiated_above_gross

highest negotiated rate $2,545 exceeds the gross charge $2,086 — part of a file-wide pattern, counted once at the file level

CPT 52281/b

info

mrf_negotiated_above_gross

highest negotiated rate $2,753 exceeds the gross charge $1,974 — part of a file-wide pattern, counted once at the file level

CPT 52310/b

info

mrf_negotiated_above_gross

highest negotiated rate $2,504 exceeds the gross charge $1,974 — part of a file-wide pattern, counted once at the file level

CPT 52352/b

info

mrf_negotiated_above_gross

highest negotiated rate $4,832 exceeds the gross charge $4,311 — part of a file-wide pattern, counted once at the file level

CPT 52356/b

info

mrf_negotiated_above_gross

highest negotiated rate $11,827 exceeds the gross charge $7,625 — part of a file-wide pattern, counted once at the file level

CPT 52402/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,586 exceeds the gross charge $3,323 — part of a file-wide pattern, counted once at the file level

CPT 52601/b

info

mrf_negotiated_above_gross

highest negotiated rate $5,791 exceeds the gross charge $5,592 — part of a file-wide pattern, counted once at the file level

CPT 54057/b

info

mrf_negotiated_above_gross

highest negotiated rate $1,878 exceeds the gross charge $1,763 — part of a file-wide pattern, counted once at the file level

CPT 55040/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,933 exceeds the gross charge $3,401 — part of a file-wide pattern, counted once at the file level

CPT 55041/b

info

mrf_negotiated_above_gross

highest negotiated rate $4,573 exceeds the gross charge $3,401 — part of a file-wide pattern, counted once at the file level

CPT 55530/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,651 exceeds the gross charge $3,323 — part of a file-wide pattern, counted once at the file level

CPT 56420/b

info

mrf_negotiated_above_gross

highest negotiated rate $475 exceeds the gross charge $194 — part of a file-wide pattern, counted once at the file level

CPT 56700/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,448 exceeds the gross charge $3,064 — part of a file-wide pattern, counted once at the file level

CPT 57288/b

info

mrf_negotiated_above_gross

highest negotiated rate $8,116 exceeds the gross charge $7,404 — part of a file-wide pattern, counted once at the file level

CPT 58150/b

info

mrf_negotiated_above_gross

highest negotiated rate $9,376 exceeds the gross charge $4,500 — part of a file-wide pattern, counted once at the file level

CPT 58262/b

info

mrf_negotiated_above_gross

highest negotiated rate $8,302 exceeds the gross charge $7,404 — part of a file-wide pattern, counted once at the file level

CPT 58552/b

info

mrf_negotiated_above_gross

highest negotiated rate $18,641 exceeds the gross charge $10,032 — part of a file-wide pattern, counted once at the file level

CPT 58554/b

info

mrf_negotiated_above_gross

highest negotiated rate $12,551 exceeds the gross charge $10,032 — part of a file-wide pattern, counted once at the file level

CPT 58558/b

info

mrf_negotiated_above_gross

highest negotiated rate $6,366 exceeds the gross charge $3,497 — part of a file-wide pattern, counted once at the file level

CPT 58563/b

info

mrf_negotiated_above_gross

highest negotiated rate $6,554 exceeds the gross charge $4,757 — part of a file-wide pattern, counted once at the file level

CPT 58571/b

info

mrf_negotiated_above_gross

highest negotiated rate $12,477 exceeds the gross charge $10,032 — part of a file-wide pattern, counted once at the file level

CPT 58661/b

info

mrf_negotiated_above_gross

highest negotiated rate $8,358 exceeds the gross charge $6,418 — part of a file-wide pattern, counted once at the file level

CPT 58662/b

info

mrf_negotiated_above_gross

highest negotiated rate $7,917 exceeds the gross charge $6,418 — part of a file-wide pattern, counted once at the file level

CPT 59820/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,665 exceeds the gross charge $3,064 — part of a file-wide pattern, counted once at the file level

CPT 65820/b

info

mrf_negotiated_above_gross

highest negotiated rate $4,817 exceeds the gross charge $3,876 — part of a file-wide pattern, counted once at the file level

CPT 66982/b

info

mrf_negotiated_above_gross

highest negotiated rate $2,434 exceeds the gross charge $2,198 — part of a file-wide pattern, counted once at the file level

CPT 66984/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,639 exceeds the gross charge $2,198 — part of a file-wide pattern, counted once at the file level

CPT 80047/b

info

mrf_negotiated_above_gross

highest negotiated rate $400 exceeds the gross charge $13 — part of a file-wide pattern, counted once at the file level

CPT 81002/b

info

mrf_negotiated_above_gross

highest negotiated rate $400 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level

CPT 81025/b

info

mrf_negotiated_above_gross

highest negotiated rate $28 exceeds the gross charge $18 — part of a file-wide pattern, counted once at the file level

CPT 84132/b

info

mrf_negotiated_above_gross

highest negotiated rate $300 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level

CPT 86922/b

info

mrf_negotiated_above_gross

highest negotiated rate $223 exceeds the gross charge $159 — part of a file-wide pattern, counted once at the file level

CPT 88332/b

info

mrf_negotiated_above_gross

highest negotiated rate $270 exceeds the gross charge $90 — part of a file-wide pattern, counted once at the file level

CPT 91010/b

info

mrf_negotiated_above_gross

highest negotiated rate $927 exceeds the gross charge $796 — part of a file-wide pattern, counted once at the file level

CPT 91035/b

info

mrf_negotiated_above_gross

highest negotiated rate $1,665 exceeds the gross charge $1,210 — part of a file-wide pattern, counted once at the file level

CPT 97116/b

info

mrf_negotiated_above_gross

highest negotiated rate $98 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level

CPT 97530/b

info

mrf_negotiated_above_gross

highest negotiated rate $400 exceeds the gross charge $90 — part of a file-wide pattern, counted once at the file level

CPT 97535/b

info

mrf_negotiated_above_gross

highest negotiated rate $494 exceeds the gross charge $80 — part of a file-wide pattern, counted once at the file level

CPT 99211/b

info

mrf_negotiated_above_gross

highest negotiated rate $281 exceeds the gross charge $183 — part of a file-wide pattern, counted once at the file level

CPT J0690/b

info

mrf_negotiated_above_gross

highest negotiated rate $105 exceeds the gross charge $50 — part of a file-wide pattern, counted once at the file level

CPT J2405/b

info

mrf_negotiated_above_gross

highest negotiated rate $4 exceeds the gross charge $3 — part of a file-wide pattern, counted once at the file level

CPT J3370/b

info

mrf_negotiated_above_gross

highest negotiated rate $49 exceeds the gross charge $36 — part of a file-wide pattern, counted once at the file level

CPT J7120/b

info

mrf_negotiated_above_gross

highest negotiated rate $189 exceeds the gross charge $135 — part of a file-wide pattern, counted once at the file level

CPT 0421T/b

info

mrf_negotiated_above_gross

highest negotiated rate $14,759 exceeds the gross charge $8,910 — part of a file-wide pattern, counted once at the file level

CPT 19301/b

info

mrf_negotiated_above_gross

highest negotiated rate $5,567 exceeds the gross charge $3,690 — part of a file-wide pattern, counted once at the file level

CPT 21196/b

info

mrf_negotiated_above_gross

highest negotiated rate $11,069 exceeds the gross charge $5,700 — part of a file-wide pattern, counted once at the file level

CPT 23470/b

info

mrf_negotiated_above_gross

highest negotiated rate $22,430 exceeds the gross charge $12,398 — part of a file-wide pattern, counted once at the file level

CPT 25295/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,264 exceeds the gross charge $3,126 — part of a file-wide pattern, counted once at the file level

CPT 25447/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,317 exceeds the gross charge $3,126 — part of a file-wide pattern, counted once at the file level

CPT 26615/b

info

mrf_negotiated_above_gross

highest negotiated rate $5,713 exceeds the gross charge $5,290 — part of a file-wide pattern, counted once at the file level

CPT 27098/b

info

mrf_negotiated_above_gross

highest negotiated rate $4,465 exceeds the gross charge $2,952 — part of a file-wide pattern, counted once at the file level

CPT 27447/b

info

mrf_negotiated_above_gross

highest negotiated rate $13,537 exceeds the gross charge $12,398 — part of a file-wide pattern, counted once at the file level

CPT 27524/b

info

mrf_negotiated_above_gross

highest negotiated rate $19,574 exceeds the gross charge $11,212 — part of a file-wide pattern, counted once at the file level

CPT 27766/b

info

mrf_negotiated_above_gross

highest negotiated rate $7,412 exceeds the gross charge $6,884 — part of a file-wide pattern, counted once at the file level

CPT 28090/b

info

mrf_negotiated_above_gross

highest negotiated rate $2,100 exceeds the gross charge $2,042 — part of a file-wide pattern, counted once at the file level

CPT 28300/b

info

mrf_negotiated_above_gross

highest negotiated rate $7,293 exceeds the gross charge $6,884 — part of a file-wide pattern, counted once at the file level

CPT 29822/b

info

mrf_negotiated_above_gross

highest negotiated rate $5,989 exceeds the gross charge $5,290 — part of a file-wide pattern, counted once at the file level

CPT 29823/b

info

mrf_negotiated_above_gross

highest negotiated rate $5,873 exceeds the gross charge $5,290 — part of a file-wide pattern, counted once at the file level

CPT 29827/b

info

mrf_negotiated_above_gross

highest negotiated rate $14,584 exceeds the gross charge $11,212 — part of a file-wide pattern, counted once at the file level

CPT 29848/b

info

mrf_negotiated_above_gross

highest negotiated rate $2,079 exceeds the gross charge $1,542 — part of a file-wide pattern, counted once at the file level

CPT 29875/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,369 exceeds the gross charge $3,126 — part of a file-wide pattern, counted once at the file level

CPT 29876/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,197 exceeds the gross charge $3,126 — part of a file-wide pattern, counted once at the file level

CPT 29877/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,655 exceeds the gross charge $3,126 — part of a file-wide pattern, counted once at the file level

CPT 29879/b

info

mrf_negotiated_above_gross

highest negotiated rate $3,655 exceeds the gross charge $3,126 — part of a file-wide pattern, counted once at the file level

CPT 38525/b

info

mrf_negotiated_above_gross

highest negotiated rate $5,935 exceeds the gross charge $3,690 — part of a file-wide pattern, counted once at the file level

CPT 40806/b

info

mrf_negotiated_above_gross

highest negotiated rate $826 exceeds the gross charge $491 — part of a file-wide pattern, counted once at the file level

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
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)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
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 · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Salina Surgical Hospital — standard charges file · KS · updated 2026-01-15
· csv-tall · 6.4M bytes · fetched 2026-08-26 · sha256 c90e53970695…

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.