Hospital · CCN 170190

Manhattan Surgical Hospital Llc

1829 College Avenue, Manhattan, KS 66502 · Riley County
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

2 admission types 42 outpatient services price file: ok
Billed per dollar paid, all admissions
4.37×
$4.1M billed against $934K paid across 71 Medicare discharges; the national figure is 5.03×.
3.7%
of adults in Riley County have medical debt in collections
10.2%
uninsured in the county · state 10.2%
$63K
median household income
3.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
26.4%
obesity in the countyⓘ
7.2%
diagnosed diabetes (PLACES)
4.3%
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
54
$54,584
$12,001
4.5× st 4.2×
468
Revision of hip or knee replacement without cc/mcc
17
$66,601
$16,842
4.0× st 4.5×
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
402
$52,309
$11,166
4.7×
5491
Level 1 Intraocular Procedures
381
$8,127
$1,984
4.1×
5114
Level 4 Musculoskeletal Procedures
149
$33,529
$6,026
5.6×
5431
Level 1 Nerve Procedures
106
$7,711
$1,648
4.7×
5113
Level 3 Musculoskeletal Procedures
101
$12,026
$2,753
4.4×
5116
Level 6 Musculoskeletal Procedures
93
$75,387
$15,784
4.8×
5112
Level 2 Musculoskeletal Procedures
65
$6,062
$1,372
4.4×
5302
Level 2 Upper GI Procedures
52
$8,640
$1,591
5.4×
5465
Level 5 Neurostimulator and Related Procedures
42
$151,492
$26,435
5.7×
5374
Level 4 Urology and Related Services
36
$12,358
$2,850
4.3×
5373
Level 3 Urology and Related Services
36
$8,279
$1,739
4.8×
5375
Level 5 Urology and Related Services
35
$20,185
$4,418
4.6×
5155
Level 5 Airway Endoscopy
28
$53,790
$5,843
9.2×
5376
Level 6 Urology and Related Services
27
$37,458
$7,660
4.9×
5464
Level 4 Neurostimulator and Related Procedures
24
$111,949
$18,633
6.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
23
$9,906
$2,426
4.1×
5493
Level 3 Intraocular Procedures
21
$20,330
$4,462
4.6×
5222
Level 2 Pacemaker and Similar Procedures
19
$34,634
$6,949
5.0×
5165
Level 5 ENT Procedures
17
$21,963
$4,905
4.5×
5183
Level 3 Vascular Procedures
16
$10,861
$2,721
4.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
13
$10,998
$2,954
3.7×
5492
Level 2 Intraocular Procedures
12
$19,008
$3,471
5.5×
5153
Level 3 Airway Endoscopy
12
$6,067
$1,449
4.2×
5414
Level 4 Gynecologic Procedures
11
$10,747
$2,669
4.0×
5361
Level 1 Laparoscopy and Related Services
11
$21,492
$4,926
4.4×
5313
Level 3 Lower GI Procedures
11
$10,994
$2,287
4.8×
5164
Level 4 ENT Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5416
Level 6 Gynecologic 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 11/12/2025, template 3.0.0, 2,075 rows scanned, 543 distinct code–setting items kept. 27 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
INJ PLATELET RICH PLASMA, ANY
$1,097
$549
$627
1
clean
WATERJET PROSTATE ABLTJ CMPL
$25,430
$12,715
$8,414
5
clean
I&D ABSCESS (EX. CARBUNCLE) SI
$546
$273
$63
1
clean
REMOVE FOREIGN BODY
$1,099
$550
$233
2
clean
DEBRIDE SUBCUTANEOUS TISS 1ST
$1,099
$550
$202
1
clean
DEBRIDE MUSCLE &/OR FASCIA 1ST
$1,683
$842
$205
1
clean
DEBRIDEMENT BONE 1ST 20 SQ CM
$4,456
$2,228
$1,378
2
clean
PUNCH BX SKIN SINGLE LESION
$1,099
$550
$89
1
clean
EXC B9 LESION TRUNK/ARM/LEG DI
$1,099
$550
$73
1
clean
EXC B9 LESION TRUNK/ARM/LEG DI
$1,935
$968
$1,845
1
clean
EXC B9 LESION TRUNK/ARM/LEG DI
$1,935
$968
$1,161
3
clean
EXC B9 LES SCLP NK H F GENIT D
$4,456
$2,228
$482
2
clean
EXC B9 LES SCALP/NCK/H/FIN/GEN
$1,935
$968
$633
5
clean
EXC B9 LES SCALP/NCK/H/FIN/GEN
$4,456
$2,228
$1,021
2
clean
EXC B9 LES SCALP/NCK/H/FIN/GEN
$4,252
$2,126
$716
2
clean
EXC B9 LES SCALP/NCK/H/FIN/GEN
$4,456
$2,228
$525
1
clean
EXC B9 LES SCALP/NCK/H/FIN/GEN
$7,871
$3,936
$4,723
1
clean
EXC OTH B9 LES FACE/EAR/NOSE/M
$1,935
$968
$446
1
clean
EXC OTH B9 LES FACE/EAR/NOSE/M
$7,871
$3,936
$1,751
1
clean
EXC SKIN SUBQ HIDRADENITIS AXI
$7,870
$3,935
$1,303
1
clean
EXC MALIG LES TRUNK/ARM/LEG DI
$4,456
$2,228
$479
1
clean
EXC MALIG LESION FACE/EAR/NOSE
$7,871
$3,936
$2,605
1
clean
AVULS NAIL PLATE PART/COMP SIM
$546
$273
$181
1
clean
EXC NAIL&NAILMATRIX PART/COMP
$1,099
$550
$365
1
clean
REMOVAL OF PILONIDAL LESION
$7,871
$3,936
$79
1
clean
EXCISION OF PILONIDAL CYST OR
$7,871
$3,936
$607
1
clean
REMOV NON-BIODEGRADBL DRUG DEL
$1,097
$549
$370
2
clean
TX SUPERFICL WOUND DEHISCENCE
$1,683
$842
$171
2
clean
REPR INTMED SCLP/AXIL/TRNK/EXT
$1,046
$523
$628
1
clean
REP INTMD FC/EAR/LID/NOS/LIP/M
$1,099
$550
$253
1
clean
INTMD RPR FACE/MM 12.6-20 CM
$1,099
$550
$245
1
clean
2ND CLOSE SURG WOUND/DEHISCENC
$5,030
$2,515
$946
2
clean
TIS XFR/ARR F/C/C/M/N/A/G/H/F
$5,030
$2,515
$2,070
1
clean
SUB GRFT F/G/H/F/D SA<100CM2 1
$4,783
$2,392
$269
1
clean
DELAY/SECTION FLAP EYELIDS/NOS
$5,030
$2,515
$788
1
clean
FOREHEAD FLAP W PRESERVJ VASCU
$10,068
$5,034
$6,192
1
clean
GRAFT AUTOLOGOUS SOFT TISS, HA
$10,068
$5,034
$1,577
4
clean
REMOV SUTURE NON-LOCAL ANES OT
$5,030
$2,515
$1,695
2
clean
DESTR B9 LES OT SKINTAGS/CUTVA
$546
$273
$190
1
clean
EXC CYST/FIBADNMA/TUMR/TISS/DU
$10,531
$5,266
$2,487
1
clean
BIOPSY BONE, OPEN, SUPERFICIAL
$7,871
$3,936
$2,605
1
clean
ARTHROCNTSIS ASPIR/INJ SM JT/B
$812
$406
$269
1
clean
ARTHROCNTSIS ASP/INJ INTMD JT/
$812
$406
$269
1
clean
ARTHROCNTSIS ASPR/INJ MAJ JT/B
$812
$406
$340
12
clean
REMOV DEEP IMPLANT WIRE/PIN/SC
$7,871
$3,936
$2,129
14
clean
EXC FACE LES SBQ 2 CM/>
$4,456
$2,228
$193
1
clean
EXCISION OF FACIAL BONE(S)
$16,268
$8,134
$5,383
1
clean
CLOSED TREATMENT NASAL FX W MA
$8,918
$4,459
$1,043
5
clean
OTX DEPRESSED ZYGOMATIC ARCH F
$16,268
$8,134
$10,005
1
clean
OTX ORB FLOOR BLOWOUT FX PERIO
$16,268
$8,134
$9,446
1
clean
EXC TUMOR TISS NECK/ANT THORAX
$7,871
$3,936
$1,444
2
clean
EXC TUMOR, SOFT NECK/ANT THORA
$4,456
$2,228
$718
3
clean
EXC TUMOR NECK/ANT THORAX SUBF
$7,871
$3,936
$1,569
2
clean
EXCISION OF CHEST WALL TUMOR I
$7,871
$3,936
$261
1
clean
EXC TUMOR SOFT TISS BACK/FLANK
$4,456
$2,228
$377
1
clean
EXC TUMOR SOFT TISS BACK/FLANK
$4,456
$2,228
$271
2
clean
EXC TUMOR SOFT BACK/FLANK SUBF
$7,871
$3,936
$407
1
clean
EXC TUMOR BACK/FLANK SUBFASCIA
$7,871
$3,936
$409
1
clean
ARTHRODESIS ANTERIOR INTERBODY
$35,384
$17,692
$5,867
3
clean
ARTHRODESIS ANT INTERBODY W/DI
$8,182
$4,091
$914
1
clean
INSERTION OF INTERBODY BIOMECH
$16,042
$8,021
$946
2
clean
EXC TUMOR SOFTIS ABD WALL SUBF
$7,871
$3,936
$1,803
2
clean
EXC TUMOR ABDOMIN WALL SUBFASC
$7,871
$3,936
$780
1
clean
CLAVICULECTOMY PARTIAL
$8,923
$4,462
$1,400
5
clean
REPR MUSCULOTENDINOUS ROTATOR
$19,645
$9,823
$2,382
2
clean
REPR MUSCULOTEND ROTATOR CUFF
$19,645
$9,823
$2,644
5
clean
TENODESIS OF LONG TENDON OF BI
$19,645
$9,823
$4,207
14
clean
ARTHROPLASTY GLENOHUMERAL JT T
$50,573
$25,287
$15,852
11
clean
REV TOT SHOULD ARTHROPLASTY HU
$35,384
$17,692
$11,223
1
clean
OPEN TREATMENT OF CLAVICULAR F
$19,645
$9,823
$2,192
5
clean
MANIP ANES SHOULD JT, APPL FIX
$4,401
$2,201
$614
3
clean
EXC TUMOR SOFT TISS UPARM/ELBO
$4,456
$2,228
$493
2
clean
EXC TUMR SOF TISS UPARM/ELBW S
$7,871
$3,936
$1,321
2
clean
EXC/CURTG BONCYST/B9 TUMR HD/N
$8,923
$4,462
$1,175
1
clean
REPAIR EA TEND/MUSC UPRARM/ELB
$19,645
$9,823
$2,070
1
clean
REINS RUPT BI/TRICEP TEND DIST
$19,645
$9,823
$3,813
3
clean
RECON MED COLLAT LIGA ELBOW W
$35,384
$17,692
$3,577
1
clean
TENOTOMY ELBOW LAT/MEDIAL DEBR
$8,923
$4,462
$5,354
1
clean
TENOTOMY ELBOW LAT/MED OPN REP
$8,923
$4,462
$2,872
3
clean
OTX HUMERL SHFT FX PLATE/SCREW
$35,384
$17,692
$6,888
2
clean
PERQ SKEL FIX SUPRA/XCONDYLAR
$19,645
$9,823
$1,679
2
clean
OTX HUMERAL EPICONDYLAR FX MED
$35,384
$17,692
$2,734
2
clean
CTX MONTEGIA FX DISLOC AT ELBO
$18,764
$9,382
$988
1
clean
OTX ULNAR FX PROX END OLECRANO
$19,645
$9,823
$4,128
3
clean
INC EXTEN TEND SHEATH WRIST DE
$4,401
$2,201
$1,456
3
clean
EXC TUMR SOFTISS FORARM/WRIST
$4,456
$2,228
$226
1
clean
EXCISION OF GANGLION WRIST
$4,401
$2,201
$1,892
6
clean
EXCISION OF RECURRENT GANGLION
$4,216
$2,108
$1,099
1
clean
RAD EXC BURSA SYNOV WRIST/4ARM
$8,923
$4,462
$798
2
clean
CARPECTOMY ONE BONE
$8,923
$4,462
$2,957
5
clean
EXC DIST ULNA PART/COMP, DARRA
$8,923
$4,462
$1,834
2
clean
REP TEND/MUS EXTENR 4ARM/WRIST
$8,923
$4,462
$1,286
1
clean
ARTHROPLASTY INTERCARP/CARPOME
$8,923
$4,462
$1,791
1
clean
ORIF SHAFT OF RADIUS
$19,645
$9,823
$2,387
1
clean
OPEN TREATMENT OF ULNAR SHAFT
$19,645
$9,823
$4,312
1
clean
CLOSED REDUCT FOREARM W MANIPU
$4,401
$2,201
$1,381
2
clean
CTX DIST RADIAL FX/EPIPHYSL SE
$4,401
$2,201
$2,070
3
clean
PERQ SKEL FIX DIST RADIAL FX/E
$8,923
$4,462
$1,345
5
clean
OTX DIST RAD EXTRA-ARTIC FX/EP
$19,645
$9,823
$2,812
7
clean
OTX DIS RAD EXTRARTI FX/EPIPHY
$19,645
$9,823
$2,913
3
clean
OTX DIST RADIAL INTRARTICULAR
$19,645
$9,823
$6,108
7
clean
OTX CARPALSCAPHOID NAVICU FX I
$19,645
$9,823
$4,128
1
clean
OPEN TREATMENT OF ULNAR STYLOI
$19,645
$9,823
$1,321
2
clean
UNLISTED PROCEDURE FOREARM WRI
$660
$330
$381
2
clean
FASCIOTMY PALMAR DUPUYTREN'S,
$8,923
$4,462
$2,953
1
clean
TRIGGER FINGER RELEASE
$4,401
$2,201
$1,456
10
clean
EXC TUMR/VASC MALFORMJ H/FIN S
$4,456
$2,228
$184
3
clean
FASCIECTOMY PALM /ZPLASTY /SKI
$8,923
$4,462
$1,227
1
clean
FASCIECTOMY PART PALM W REL SI
$8,923
$4,462
$1,261
1
clean
EXC LES TEND SHEATH/CYST/GANGL
$4,401
$2,201
$1,450
7
clean
PART EXCISN BONE OSTEOMYELITS
$8,490
$4,245
$1,236
1
clean
PART EXCISN OSTEOMYLTS DIST PH
$4,401
$2,201
$801
1
clean
MANIPULATE FINGER W ANESTH
$4,401
$2,201
$1,456
1
clean
REPR/ADV FLEXOR TEND EXCL ZONE
$8,923
$4,462
$1,009
1
clean
REPR EXTEN TEND/FING/PRIM/2ND
$4,401
$2,201
$1,094
3
clean
REPAIR/GRAFT FINGER TENDON
$8,923
$4,462
$2,953
1
clean
REALIGNMENT OF TENDONS
$8,923
$4,462
$5,221
1
clean
REPAIR HAND JOINT
$8,923
$4,462
$1,969
1
clean
CTX METACARPAL FX SINGLE W MAN
$660
$330
$371
1
clean
PERCUTANEOUS SKELETAL
$8,923
$4,462
$2,679
2
clean
OTX METACARPAL FX SNGL, INT FI
$8,923
$4,462
$2,389
4
clean
OTX CARPOMETACARPL DISLOC OT T
$8,490
$4,245
$1,035
1
clean
PERQ FIX UNSTABLE PHALANGEAL S
$8,923
$4,462
$2,448
3
clean
OPN TX IPJJT DISLOC, INC INT F
$8,923
$4,462
$1,298
1
clean
ARTHRODESISINTERPHALANGEAL JOI
$8,923
$4,462
$2,953
1
clean
AMPUTJ FIN/THMB PRIM/2ND ANY W
$8,923
$4,462
$1,509
1
clean
REMOVE FEMUR LESION BURSA
$8,923
$4,462
$3,929
4
clean
ARTHROPLSTY FEMORL PROSTH REPL
$35,384
$17,692
$11,665
15
clean
REV TOT HIP ARTHROPLSTY FEMORL
$29,894
$14,947
$4,699
2
clean
UNLISTED PROCEDURE PELVIS OR H
$660
$330
$393
2
clean
FASCIOTOMY ILIOTIBIAL TENOTOMY
$8,923
$4,462
$1,194
3
clean
ARTHROTOMY KNEE EXP/DRN/REM FB
$8,923
$4,462
$2,953
1
clean
EXC TUMOR THIGH/KNEE AR SUBFAS
$7,871
$3,936
$2,605
1
clean
EXCISION PREPATELLAR BURSA
$8,490
$4,245
$1,840
3
clean
SUTUR QUADRICEP/HAMSTRNG MUSC
$19,645
$9,823
$11,540
3
clean
SUT QUADRICEP/HAMSTRING MUSC R
$19,645
$9,823
$6,501
2
clean
OSTCHNDRL ALGRFT KNE OPN
$35,384
$17,692
$8,068
3
clean
ANT TIBIAL TUBERCLEPLASTY, MAQ
$19,645
$9,823
$3,982
4
clean
RECON DISLO PATELLA EXTEN REAL
$19,645
$9,823
$2,318
3
clean
LIGAMENTOUS RECONST KNEE EXTRA
$19,645
$9,823
$3,192
3
clean
ARTHROPLASTY KNEE CONDYLE&PLAT
$35,384
$17,692
$11,223
1
clean
ARTHROPLSTY TOT KNEE CONDYL&PL
$35,384
$17,692
$11,695
17
clean
REV TOT KNEE ARTHROPLASTY WWO
$36,746
$18,373
$2,532
1
clean
OTX PATELLAR FX W INT FIX / SO
$19,645
$9,823
$2,346
1
clean
OTX TIBIAL FX PROX PLATEAU UNI
$3,887
$1,944
$1,016
1
clean
MANIP KNEE JT INC APPL TRAXN/O
$4,401
$2,201
$1,411
8
clean
UNLISTED PROCEDURE FEMUR OR K
$660
$330
$201
3
clean
DECOMP FASCIOTMY L ANT&/LAT CO
$8,923
$4,462
$923
1
clean
EXC, TUMOR, SOFT TISS L/ANKLE
$4,456
$2,228
$1,047
1
clean
EXC TUMOR SOFT TISS L/ANKLE SU
$7,453
$3,727
$884
1
clean
EXC/CURETTAGE BONE CYST/B9 TUM
$8,923
$4,462
$1,035
3
clean
PART EXCISN BONE EG OSTEOMYELI
$8,923
$4,462
$1,217
1
clean
REPR PRIM OPN/PERQ RUPTURD ACH
$19,645
$9,823
$4,243
3
clean
REPAIR/GRAFT ACHILLES TENDON
$19,645
$9,823
$19,645
1
clean
REPAIR OF ACHILLES TENDON
$19,645
$9,823
$3,126
4
clean
REPR FLEXR TEND, L PRIM WO GRA
$8,923
$4,462
$1,831
3
clean
2ND REPR FLEXR TEND, LEG, W/WO
$19,645
$9,823
$2,216
1
clean
REPAIR OF LEG TENDON EACH
$19,645
$9,823
$1,921
1
clean
XFER/XPLANT SING TEND W MUSC R
$19,645
$9,823
$3,046
2
clean
REPR PRIM DISRUPTED LIGAMNT AN
$19,645
$9,823
$2,650
4
clean
REP 2ND LIGAMENT ANKL COLLAT W
$19,645
$9,823
$1,984
1
clean
RECONSTRUCT ANKLE JOINT
$50,573
$25,287
$16,701
1
clean
OPEN TRMT OF MEDIAL MALLEOLUS
$19,645
$9,823
$2,597
4
clean
OPN TX PROX FIBULA/SHAFT FX, I
$19,645
$9,823
$1,028
1
clean
OTX DIST FIBULAR FX LAT MALLEO
$19,645
$9,823
$4,400
7
clean
OTX BIMALLEOLAR ANKLE FX INC I
$19,645
$9,823
$2,235
3
clean
TREATMENT OF ANKLE FRACTURE
$4,401
$2,201
$937
1
clean
OTX TRIMALLEOLA ANKLE FX WO FI
$19,645
$9,823
$2,470
2
clean
OTX TRIMALLEOLA ANKLE FX W FIX
$19,645
$9,823
$6,501
1
clean
OTX FX WB ARTICUL DIST TIBIA,
$35,384
$17,692
$11,695
1
clean
OTX FX WB ARTICUL DIST TIBIA,
$34,520
$17,260
$2,075
1
clean
OTX DIST TIBIOFIBULAR JT DISRU
$19,645
$9,823
$2,291
1
clean
ARTHRODESIS ANKLE ANY METHOD
$35,384
$17,692
$12,110
2
clean
UNLISTED PROCEDURE LEG OR ANK
$660
$330
$127
1
clean
EXC INTERDIGITAL MORTON NEUROM
$4,401
$2,201
$511
2
clean
EXC LES/TEND/SHEATH/CAPSULE SY
$4,401
$2,201
$1,705
1
clean
EXC LES/TEND/SHEATH/CAPSULE SY
$4,401
$2,201
$1,681
1
clean
EXC/CUR CYST/B9 TUMOR TARSAL/M
$8,923
$4,462
$2,329
2
clean
OSTECTMY PART EXC 5TH METATARS
$8,923
$4,462
$1,383
1
clean
OSTECTMY COMP EXC METATARSAL H
$8,923
$4,462
$984
1
clean
OSTECTOMY CALCANEUS
$8,923
$4,462
$892
3
clean
PART EXC OSTEOMYEL/BOSS TALUS/
$8,923
$4,462
$2,115
2
clean
PART EXC OSTEOMYEL/BOSS TARSAL
$8,923
$4,462
$1,711
2
clean
PART EXC OSTEOMYELIT/BOSSING P
$8,923
$4,462
$2,763
3
clean
REPR TEND FLEXOR FOOT PRIM/2ND
$8,923
$4,462
$1,054
1
clean
REPAIR TEND EXTEN, FOOT PRIM/2
$8,490
$4,245
$2,070
1
clean
RECON POST TIB TEND, EXC TARS
$19,645
$9,823
$2,503
3
clean
CORR HAMMERTOE IPJFUSION P/T P
$8,923
$4,462
$871
1
clean
HALUXRIGD CORR CHEILECTMY 1STM
$8,923
$4,462
$1,370
1
clean
CORR HALLUX VALGUS W SESAMOIDE
$8,923
$4,462
$1,470
1
clean
CORR HALX VALGUS SESAMOIDECTY
$8,923
$4,462
$2,037
5
clean
CORR HALX VALGUS SESAMOIDECTY
$8,923
$4,462
$1,614
1
clean
CORR HALX VALGUS SESAMOIDECTY
$19,645
$9,823
$1,360
1
clean
CORR HALX VALGUS SESAMOIDECTY
$19,645
$9,823
$6,512
2
clean
OSTEOTOMY CALCANEUS DWYER/CHMB
$19,645
$9,823
$1,827
3
clean
OSTEOTMY TARSAL BONES OT CALCA
$18,764
$9,382
$9,566
2
clean
OSTEOTOMY WWO LEN/SHORT/ANG 1S
$19,645
$9,823
$1,203
2
clean
OSTEOTMY METATARSAL, OT 1ST ME
$8,923
$4,462
$2,218
4
clean
REPR NON/MALUNION METATARSAL W
$19,645
$9,823
$2,310
1
clean
TREAT ANKLE FRACTURE
$18,764
$9,382
$1,035
1
clean

Showing the first 200 of 543 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 27412/b
warn
mrf_negotiated_above_gross
highest negotiated rate $35,014 exceeds the gross charge $19,645
CPT 86850/b
warn
mrf_negotiated_above_gross
highest negotiated rate $60 exceeds the gross charge $11
CPT 86900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $70 exceeds the gross charge $3
CPT 88305/b
warn
mrf_negotiated_above_gross
highest negotiated rate $94 exceeds the gross charge $71
CPT J0131/b
warn
mrf_negotiated_above_gross
highest negotiated rate $29 exceeds the gross charge $23
CPT J1100/b
warn
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $7
CPT J1171/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $7
CPT J1920/b
warn
mrf_negotiated_above_gross
highest negotiated rate $29 exceeds the gross charge $13
CPT J7050/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $5
CPT 45378/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 46930/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 80053/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 81025/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 85018/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 87077/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 J0665/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 J0690/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 J1580/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 J2003/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 J2004/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 J2250/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 J2371/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 J2704/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 J2795/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 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 J3490/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7120/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

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 464K bytes · fetched 2026-08-27 · sha256 2c2e3ec48938…

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.