Hospital · CCN 190255

Park Place Surgical Hospital

4811 Ambassador Caffery Parkway, Lafayette, LA 70508 · Lafayette Parish
Part of Franciscan Missionaries of Our Lady Health System · 10 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

1 admission types 37 outpatient services price file: ok
Billed per dollar paid, all admissions
4.89×
$1.2M billed against $250K paid across 17 Medicare discharges; the national figure is 5.03×.
8.2%
of adults in Lafayette Parish have medical debt in collections
8.7%
uninsured in the county · state 8.3%
$64K
median household income
4.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 in the inpatient or outpatient file)ⓘ
34.5%
obesity in the countyⓘ
13.0%
diagnosed diabetes (PLACES)
6.5%
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
473
Cervical spinal fusion without cc/mcc
17
$72,095
$14,730
4.9× st 5.6×
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
5113
Level 3 Musculoskeletal Procedures
196
$13,825
$2,675
5.2×
5114
Level 4 Musculoskeletal Procedures
192
$33,070
$5,869
5.6×
5115
Level 5 Musculoskeletal Procedures
169
$44,773
$10,831
4.1×
5112
Level 2 Musculoskeletal Procedures
114
$7,168
$1,327
5.4×
5431
Level 1 Nerve Procedures
103
$7,758
$1,605
4.8×
5361
Level 1 Laparoscopy and Related Services
89
$21,902
$4,739
4.6×
5374
Level 4 Urology and Related Services
78
$15,380
$2,839
5.4×
5376
Level 6 Urology and Related Services
64
$40,552
$7,554
5.4×
5375
Level 5 Urology and Related Services
61
$14,911
$4,302
3.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
56
$30,166
$5,422
5.6×
5116
Level 6 Musculoskeletal Procedures
44
$80,183
$15,464
5.2×
5183
Level 3 Vascular Procedures
43
$11,771
$2,607
4.5×
5373
Level 3 Urology and Related Services
39
$7,424
$1,614
4.6×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
33
$12,749
$3,169
4.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
32
$6,467
$1,348
4.8×
5165
Level 5 ENT Procedures
24
$20,427
$4,869
4.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
23
$10,346
$2,214
4.7×
5462
Level 2 Neurostimulator and Related Procedures
22
$33,199
$5,686
5.8×
5313
Level 3 Lower GI Procedures
13
$7,853
$2,155
3.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
12
$17,168
$2,877
6.0×
5155
Level 5 Airway Endoscopy
11
$52,891
$5,690
9.3×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye 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 6/23/2026, template 3.0.0, 112,512 rows scanned, 5,012 distinct code–setting items kept. 794 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
MUSCULOSKELETAL SURGICAL NAV IMAGE GUIDE
$8,325
$2,498
—
0
clean
NJX PLTLT PLATELET PLASMA
$2,335
$397
$397
11
clean
WATERJET PROSTATE ABLJT CMPL
$13,789
$4,137
$7,492
3
clean
IMPLTJ SYNTH ABDL WALL
$4,000
$1,200
—
0
clean
PERQ NJX ALGC FLUOR LMBR 1ST
$16,000
$11,401
$11,401
9
clean
NJX B1 SUB SBCHDRL DFCT
$7,980
$2,906
$2,906
9
clean
FINE NEEDLE ASPIRATION W/O IMG
$500
$150
$361
1
clean
FINE NEEDLE ASPIRATION W/O RADIOLOGICAL
$1,041
$361
$361
15
clean
MARSUPIALIZATION OF CYST /
$569
$178
$178
15
clean
INCISION & DRAINAGE ABCESS
$345
$178
$178
15
clean
IRRIGATE & DEBRIDE-UPPER EXTREMITY
$1,041
$361
$361
15
clean
INCISION AND DRAINAGE OF PILONIDAL CYST /
$1,988
$629
$629
15
clean
DRAINAGE OF PILONIDAL CYST2046 /
$1,988
$629
$629
15
clean
INCISION & REMOVAL FOREIGN BODY
$1,041
$361
$361
45
clean
REMOVAL FOREIGN BODY SUBCUTANEOUS /
$4,474
$1,467
$1,467
15
clean
BREAST-EVACUATION OF HEMATOMA/SEROMA
$4,474
$1,467
$1,467
15
clean
INCISION & DRAINAGE POST-OP WOUND
$6,478
$2,579
$2,579
15
clean
DEBRIDEMENT EXT/ECZEMA/INFECT/SKIN /
$1,620
$361
$361
15
clean
DEBRIDE GENITALIA & PERINEUM /
$1,050
$315
$1,451
4
clean
DEBRIDE ABDOM WALL /
$1,050
$315
$1,451
4
clean
REMOVE MESH FROM ABDOM WALL /
$1,050
$315
$1,086
4
clean
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN/
$1,988
$629
$629
15
clean
DEBRIDE OPEN FX/DIS TO MUSCLE /
$1,988
$629
$629
15
clean
DEBRIDEMENT SKIN,SUBCUTANEOUS TISSUE,MUS/
$6,478
$2,579
$2,579
15
clean
DEBRIDEMENT SKIN&SUBCUTANEOUS TISSUE /
$1,041
$361
$361
30
clean
DEBRIDEMENT;SKIN,SUBCUT TISSUE/MUSCL /
$1,620
$656
$656
15
clean
DEBRIDEMENT, BONE /
$4,474
$1,467
$1,467
30
clean
DEB SUBQ TISSUE ADD-ON /
$1,050
$315
$361
3
clean
DEB MUSC/FASCIA ADD-ON /
$1,050
$315
$603
2
clean
TANGENTIAL BIOPSY SKIN SINGLE LESION
$569
$361
$361
14
clean
PUNCH BIOPSY SKIN SINGLE LESION /
$569
$361
$361
14
clean
PUNCH BIOPSY SKIN EA SEP/ADDL LESION /
$1,050
$315
$361
1
clean
INCISIONAL BIOPSY SKIN SINGLE LESION /
$1,041
$656
$656
14
clean
EXC SKIN TAG UP TO 15 /
$569
$178
$178
15
clean
REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTA/
$1,050
$315
$231
2
clean
SHAVE DERMAL LSN, TRK O.5CM OR LESS /
$569
$361
$361
15
clean
SHAVING EPIDRML LSN 0.6 TO 1.0CM /
$569
$178
$178
15
clean
SHAVE EPIDERMAL OR DERMAL LESION 1.1-2.0/
$569
$178
$178
15
clean
SHAVING EPIDERMAL/DERMAL LESION,SINGLE,S/
$569
$178
$178
15
clean
SHAVING DERMAL LSN, 0.5 OR LESS /
$569
$178
$178
15
clean
SHAVE SKIN LESION 0.6-1.0 CM /
$569
$178
$178
15
clean
SHAVE SKIN LESION 1.1-2.0 CM /
$1,041
$361
$361
15
clean
SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >/
$1,041
$361
$361
15
clean
EXC LESION/TRUNK,ARMS,LEGS .5CM OR /
$1,988
$629
$629
15
clean
EXC LESN BENIGN .6-1CM TRNK/ARM/LEG /
$1,041
$361
$361
15
clean
EXC BENIGN LESN 1.1-2.CM TRK/ARM/LGS /
$1,988
$629
$629
15
clean
EXC LESN BENIGN 2.1-3.CM TRK/ARM/LEG /
$1,988
$629
$629
15
clean
EXC LESN BENIGN 3.1-4CM TRNK/ARM/LEG /
$4,474
$1,467
$1,467
15
clean
EXC LESN BENIGN OVR 4CM TRNK/ARM/LEG /
$4,474
$1,467
$1,467
15
clean
EXC LESN .5CM< SCLP/NCK/FT/HNDS/GNTL /
$4,474
$1,467
$1,467
15
clean
EXC LESN .6-1CM SCLP/NK/HNDS/FT/GNTL /
$1,988
$629
$629
15
clean
EXC LSN 1.1-2CM SCLP/NK/HNDS/FT/GNTL /
$4,474
$1,467
$1,467
15
clean
EXC LSN 2.1-3CM SCLP/NK/HNDS/FT/GNTL /
$4,474
$1,467
$1,467
15
clean
EXC LSN 3.1-4CM SCLP/NK/HNDS/FT/GNTL /
$4,474
$1,467
$1,467
15
clean
EXCISION-MASS POSTERIOR NECK/BACK /
$5,771
$2,579
$2,579
15
clean
EXCISION OF MULTIPLE LESIONS /
$1,988
$629
$629
15
clean
EXC LSN .6-1CM FACE/EAR/EYLD/NSE/LIP /
$1,988
$629
$629
15
clean
EXC LSN 1.1-2CM FACE/EAR/EYLD/NSE/LP /
$1,988
$629
$629
60
clean
EXCISION-MASS OF HEAD/NECK /
$4,474
$1,467
$1,467
30
clean
EXC LSN, BNGN/3.1-4.0CM
$4,474
$1,467
$1,467
15
clean
EXC LSN OVR 4CM FACE/EAR/EYLD/NSE/LP /
$6,478
$2,579
$2,579
15
clean
EXCISION-HIDRADENITIS OF AXILLA
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TIS-HIDRADENITIS,AXL,OT
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TISS-HIDRADENITIS (ING
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TISS-HIDRADENITIS,ING,O
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TIS-HIDRADENITIS,PER,UM
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TIS-HIDRADENITIS,PER,OT
$6,478
$2,579
$2,579
15
clean
EXC MLGNT LSN .5CM< TRNK/ARMS/LEGS
$1,988
$629
$629
15
clean
EXC MLGNT LSN .6-1CM TRUNK/ARMS/LEGS
$1,988
$629
$629
15
clean
EXC MLGNT LSN 1.1-2CM TRNK/ARMS/LEGS
$1,041
$361
$361
15
clean
EXC MLGNT LSN 2.1-3CM TRNK/ARMS/LEGS
$1,988
$629
$629
15
clean
EXC MLGNT LSN 3.1-4CM TRNK/ARMS/LEGS
$1,988
$629
$629
15
clean
EXCISION-MASS UPPER EXTREMITY /
$4,474
$1,467
$1,467
15
clean
EXC M LSN .5CM< SCLP/NK/HNDS/FT/GNTL
$4,474
$1,467
$1,467
15
clean
EXC M LSN .6-1CM SCLP/NK/HNDS/FT/GEN
$1,988
$629
$629
15
clean
EXC M LSN 1.1-2CM SCLP/NK/HNDS/FT/GN
$1,988
$629
$629
15
clean
EXC MALGNT LSN/2.1-3CM
$4,474
$1,467
$1,467
15
clean
EXC M LSN 3.1-4CM SCLP/NK/HNDS/FT/GN
$4,474
$1,467
$1,467
15
clean
EXC M LSN OVR 4CM SCLP/NK/HNDS/FT/GN
$6,478
$2,579
$2,579
15
clean
EXC M LSN .5CM< FACE/EAR/EYLD/NSE/LP
$1,988
$629
$629
30
clean
EXC M LSN .6-1CM FCE/EAR/EYLD/NSE/LP
$1,988
$629
$629
15
clean
EXC M LSN 1.1-2CM FCE/ER/EYLD/NSE/LP
$1,988
$629
$629
30
clean
EXC M LSN 2.1-3CM FCE/ER/EYLD/NSE/LP
$4,474
$1,467
$1,467
30
clean
EXC M LSN 3.1-4CM FCE/ER/EYLD/NSE/LP
$4,474
$1,467
$1,467
15
clean
EXC M LSN OVR 4CM FCE/ER/EYLD/NSE/LP
$6,478
$2,579
$2,579
15
clean
TRIM NAIL(S) /
$179
$52
$52
15
clean
DEBRIDEMENT NAIL ANY METHOD /
$179
$52
$52
15
clean
REMOVAL OF NAIL PLATE. /
$569
$178
$178
15
clean
RMVL INGRWN TOENAIL, ADDTL /
$1,050
$315
$231
2
clean
EXCISION OF NAIL & NAIL MATRIX, PARIALOR/
$1,041
$361
$361
15
clean
BIOPSY, NAIL UNIT /
$1,988
$629
$629
15
clean
RECONSTRUCTION/NAIL BED SIMPLE /
$1,620
$656
$656
75
clean
NAIL BED RECONSTRUCTION W/GRAFT /
$5,289
$1,832
$1,832
15
clean
EXCISION OF NAIL FOLD, TOE /
$1,041
$361
$361
15
clean
EXC PILONIDAL CYST OR SINUS SIMPLE /
$6,478
$2,579
$2,579
15
clean
EXCISION-PILONIDAL CYST /
$6,478
$2,579
$2,579
15
clean
EXC PILONIDAL CYST OR SINUS, COMP /
$6,478
$2,579
$2,579
15
clean
INJECTION, INTRALESIONAL UP TO 7 /
$569
$178
$178
15
clean
TATTOOING, INTTRADERMAL INTRODUCTION OF
$1,620
$656
$656
15
clean
SUBCUTANEOUS INJECTION OF FILLING MATERI/
$1,620
$656
$656
15
clean
INSERTION OF TISSUE EXPANDER(S
$8,317
$3,147
$3,147
15
clean
BREAST-EXPANDER REMOVAL WITH IMPLANT INS/
$12,812
$6,444
$6,444
45
clean
REMOVAL TISS EXPANDER WO/INS PROSTH /
$6,478
$2,579
$2,579
15
clean
INSERT DRUG IMPLANT DEVICE /
$355
$118
$118
15
clean
REMOVE DRUG IMPLANT DEVICE /
$1,185
$397
$397
15
clean
REMOVAL W REINSERTION NON-BIODEGRADABLE /
$1,185
$397
$397
15
clean
RPAIR SCLP/NK/TRNK/GNTL/EXTRM 2.5CM OR L/
$569
$178
$178
15
clean
RPAIR SCLP/NK/TRNK/EXTRM 2.6-7.5CM /
$569
$178
$178
15
clean
SIMPLE REPAIR, SCAR
$569
$178
$178
15
clean
SIMP REPAIR WOUNDS-SCLP,TRNK,EXT>20 /
$1,041
$361
$361
15
clean
SIMP REPAIR, WOUNDS-SCLP,TRNK,EXT>30 /
$1,041
$361
$361
15
clean
SIMP REPAIR WOUNDS-SCLP,TRNK,EXT<30C /
$569
$178
$178
15
clean
HEAD/NECK-WOUND EXPLORATION WITH CLOSURE/
$569
$178
$178
30
clean
RPAIR FACE/EAR/EYLD/NOSE/LIP 2.6-5CM /
$569
$178
$178
15
clean
REPAIR SUPERFICIAL WOUND(S)2092 /
$569
$178
$178
15
clean
SIMP REPAIR WOUNDS-FACE,EARS >20CM /
$1,041
$361
$361
15
clean
SIMP REPAIR,WOUNDS-FACE,EARS >30 CM /
$1,041
$361
$361
15
clean
SIMP REPAIR, WOUNDS-FACE,EARS <30 CM /
$569
$178
$178
15
clean
TREATMENT WOUND DEHISCENCE, SIMPLE /
$1,620
$656
$656
15
clean
TREATMENT WOUND DEHISCENCE, W/PACK /
$1,041
$361
$361
15
clean
LAYERED CLOSURE,<2.6CM
$1,041
$361
$361
15
clean
INTRM REPAIR-TRNK 2.6-7.5CM
$1,041
$361
$361
30
clean
LYR CLSRE 7.6-12.5CM SCLP/TRNK/EXTRM
$1,041
$361
$361
15
clean
LYR CLSRE 12.6-20CM SCLP/TRNK/EXTRM
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-SCLP,TRNK,EXT>30
$1,620
$656
$656
15
clean
LAYER CLOSUR,WOUNDS-SCLP,TRNK,EXT<30
$5,289
$1,832
$1,832
15
clean
LAYER CLOSURE OF WOUNDS OF NECK, HANDS,
$1,041
$361
$361
15
clean
LAYERED CLOSURE-2.6 TO 7.5CM
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-NK,HNDS,FT>12.5C
$1,620
$656
$656
15
clean
LAYER CLOSUR,WOUNDS-NCK,HND,FT >20C
$1,620
$656
$656
15
clean
LAYER CLOSUR,WOUNDS-NCK,HND,FT >30C
$1,041
$656
$656
15
clean
LAYER CLOSUR,WOUNDS-NCK,HND,FT <30C
$5,289
$1,832
$1,832
15
clean
INTERMED RPR 2.5CM OR LESS
$1,041
$361
$361
15
clean
LAYER CLOSURE OF WOUND(S)2105 2.6CM TO
$1,041
$361
$361
30
clean
LAYER CLOSURE OF WOUND(S)2106
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-FACE,EARS >12.5
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-FACE,EARS >20 CM
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-FACE,EARS >30 CM
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-FACE,EARS <30 CM
$1,041
$361
$361
15
clean
REPAIR COMPLEX TRUNK 1.1-2.5CM /
$1,620
$656
$656
15
clean
REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM /
$1,620
$656
$656
15
clean
REPAIR COMPLEX ADDITIONAL 5 CM /
$1,050
$315
$603
2
clean
RPAIR COMPLEX 1.1-2.5CM SCLP/ARM/LEG /
$1,620
$361
$361
15
clean
REPAIR,COMPLEX,SCLP,ARMS,LGS 2.6CM TO 7./
$1,620
$361
$361
30
clean
REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEG/
$1,050
$315
$603
2
clean
RPR 1.1-2.5 FORHD/CHK/CHN/GEN/HND/FT /
$1,041
$361
$361
15
clean
RPR 2.6-7.5 FRHD/CHK/CHN/GEN/HND/FT /
$1,620
$361
$361
30
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,050
$315
$361
6
clean
REPAIR,COMPLEX,LIDS,NOSE,EARS 1.1CM TO 2/
$1,620
$656
$656
15
clean
RPR 2.6-7.5CM EYLD/NOSE/EAR/LIP-COMP /
$1,620
$656
$656
15
clean
RPR COMP EYELID/NOSE/EAR/LIP ADDL 5CM/<
$1,620
$486
$603
2
clean
SEC CLOSUR WOUND/DEHISCENCE,EXT/COMP
$5,289
$3,147
$3,147
15
clean
ADJ TISS TRANSFER/REARRANGE,TRUNK 10 SQ /
$5,289
$1,832
$1,832
15
clean
ADJ TISS TRANSFER/REARRANGE,TRUNK 10.1 S/
$5,289
$1,832
$1,832
15
clean
ADJ TISS TRANS/REARRANGE,ARM,LEG 10 SQ C/
$5,289
$1,832
$1,832
15
clean
ADJ TISS TRANS/REARRANGE,ARM,LEG 10.1 SQ/
$5,289
$1,832
$1,832
15
clean
SKIN TISSUE REARRANGEMENT. /
$5,289
$1,832
$1,832
30
clean
ADJ TISS TRANS/REARRANGE,HND,FT 10.1 SQ /
$5,289
$1,832
$1,832
15
clean
ADJACENT TISSUE TRANSFER,EYELID,NOSE 10 /
$5,289
$1,832
$1,832
30
clean
ADJ TISS TRANS/REARRANGE,NSE,EARS 10.1 S/
$5,289
$1,832
$1,832
15
clean
SKIN TISSUE REARRANGEMENT /
$8,317
$3,147
$3,147
15
clean
SKIN TISSUE REARRANGE ADD-ON /
$1,050
$315
$1,873
2
clean
FILLETED FINGER OR TOE FLAP
$5,289
$1,832
$1,832
15
clean
WND PREP, CH/INF, TRK/ARM/LG, FIRST 100 /
$5,289
$656
$656
15
clean
WOUND PREP ADDL 100 CM /
$1,050
$315
$603
2
clean
Recip Prep sclp/ft 1st 100 sq cm /
$1,620
$361
$361
15
clean
WND PREP F/N/HF/G ADDL CM /
$1,050
$315
$603
2
clean
PINCH GRAFT TO 2CM DEFECT SML AREA /
$1,620
$656
$656
15
clean
SKIN GRAFT-SPLIT THICKNESS /
$5,289
$1,832
$1,832
15
clean
SPLIT GRAFT TRNK,ARMS,LEGS ADD’L 100 /
$1,050
$315
$1,671
2
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
$5,289
$1,832
$1,832
15
clean
EPIDERMAL AUTOGRAFT SCLP <= 100 SQ CM
$5,289
$1,832
$1,832
15
clean
SKIN SPLIT GRAFT PROCEDURE1183, FIRST 10/
$8,317
$3,147
$3,147
15
clean
SPLIT GRAFT FACE,LIDS,EARS ADD’L 100 /
$1,050
$315
$1,671
2
clean
DERM AUTOGRAFT FACE/NCK/HF/G /
$8,317
$3,147
$3,147
15
clean
FULL THICK GRAFT, TRUNK, 20CM OR
$5,289
$1,832
$1,832
15
clean
FULL THICK GRAFT, TRUNK, ADD’L 20CM /
$1,050
$315
$1,317
2
clean
FULL THICK SKIN GRAFT TRUNK 20 SQ CM OR /
$5,289
$1,832
$1,832
15
clean
FULL THICK GRAFT, ARM,LEGS ADD’T 20
$1,050
$315
$1,317
2
clean
FTSG FRHD/CHK/CHN/NK/GNTL/HND/FT 20 SQ
$5,289
$1,832
$1,832
15
clean
FULL THICKNESS SKIN GRAFT-UPPER EXTREMIT/
$1,050
$315
$1,671
2
clean
FULL THICKNESS SKIN GRAFT-HEAD/FACE /
$5,289
$1,832
$1,832
15
clean
FULL THICK GRFT,NOSE,EARS;EA ADDL 20 /
$1,050
$315
$1,317
2
clean
SKIN SUB GRAFT TRNK/ARM/LEG /
$5,289
$656
$656
15
clean
SKIN SUB GRAFT T/A/L ADD-ON /
$1,050
$315
$603
2
clean
SKIN SUB GRFT T/ARM/LG CHILD /
$8,317
$1,832
$1,832
15
clean
SKIN SUB GRFT T/A/L CHILD ADD /
$1,050
$315
$603
2
clean
SKIN SUB GRAFT FACE/NK/HF/G /
$5,289
$656
$656
15
clean
SKIN SUB GRAFT F/N/HF/G ADDL /
$1,050
$315
$603
2
clean
SKN SUB GRFT F/N/HF/G CHILD /
$5,289
$1,832
$1,832
15
clean
SKN SUB GRFT F/N/HF/G CH ADD /
$1,050
$315
$603
2
clean
FORM DIR PEDICLE,W-WO TRANSFER;TRUNK
$5,289
$1,832
$1,832
15
clean
FORM DIR PEDCL,W-WO TRANS;SCALP,ARMS
$8,317
$3,147
$3,147
15
clean
FORM DIR PEDCL,W-WO TRANS;FOREHD,CHK
$5,289
$1,832
$1,832
15
clean
FORM DIR PEDCL,W-WO TRANS;EYELIDS,NS
$5,289
$1,832
$1,832
15
clean
TRUNK-DELAY OF FLAP
$8,317
$3,147
$3,147
15
clean
SCALP-DELAY OF FLAP /
$5,289
$1,832
$1,832
15
clean
FOREHEAD-DELAY OF FLAP
$5,289
$1,832
$1,832
15
clean
FACE-DELAY OF FLAP /
$5,289
$1,832
$1,832
15
clean
TRANS,IMMED,ANY PED FLP,ANY LOCATION
$5,289
$1,832
$1,832
15
clean

Showing the first 200 of 5,012 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 21620/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 21740/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 21935/o
error
mrf_cash_above_gross
discounted cash price $2,579 exceeds gross charge $1,050
CPT 22325/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 22326/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 22327/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 22558/o
error
mrf_cash_above_gross
discounted cash price $24,096 exceeds gross charge $13,515
CPT 22600/o
error
mrf_cash_above_gross
discounted cash price $15,570 exceeds gross charge $6,917
CPT 63650/o
error
mrf_cash_above_gross
discounted cash price $5,659 exceeds gross charge $1
CPT 30930/o
error
mrf_cash_above_gross
discounted cash price $2,944 exceeds gross charge $1
CPT 22630/o
error
mrf_cash_above_gross
discounted cash price $24,096 exceeds gross charge $11,176
CPT 31000/o
error
mrf_cash_above_gross
discounted cash price $210 exceeds gross charge $1
CPT 64405/o
error
mrf_cash_above_gross
discounted cash price $273 exceeds gross charge $1
CPT 22633/o
error
mrf_cash_above_gross
discounted cash price $24,096 exceeds gross charge $17,866
CPT 31233/o
error
mrf_cash_above_gross
discounted cash price $347 exceeds gross charge $1
CPT 22830/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 31238/o
error
mrf_cash_above_gross
discounted cash price $1,581 exceeds gross charge $1
CPT 22855/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $3,675
CPT 23000/o
error
mrf_cash_above_gross
discounted cash price $2,579 exceeds gross charge $703
CPT 23335/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 35800/o
error
mrf_cash_above_gross
discounted cash price $4,941 exceeds gross charge $1,050
CPT 23395/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 23480/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 67912/o
error
mrf_cash_above_gross
discounted cash price $2,111 exceeds gross charge $1
CPT 23505/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 37617/o
error
mrf_cash_above_gross
discounted cash price $4,941 exceeds gross charge $1,050
CPT 23530/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $703
CPT 38562/o
error
mrf_cash_above_gross
discounted cash price $7,258 exceeds gross charge $1,050
CPT 23550/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $703
CPT 23575/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 23585/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 23605/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 23615/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 41250/o
error
mrf_cash_above_gross
discounted cash price $397 exceeds gross charge $355
CPT 23625/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 23630/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $4,417
CPT 23655/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 72285/o
error
mrf_cash_above_gross
discounted cash price $1,734 exceeds gross charge $1,702
CPT 23660/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 72295/o
error
mrf_cash_above_gross
discounted cash price $1,734 exceeds gross charge $1,702
CPT 23670/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $4,417
CPT 23680/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $4,417
CPT 75820/o
error
mrf_cash_above_gross
discounted cash price $1,398 exceeds gross charge $1,033
CPT 76080/o
error
mrf_cash_above_gross
discounted cash price $485 exceeds gross charge $452
CPT 24900/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $7,647
CPT 76098/o
error
mrf_cash_above_gross
discounted cash price $485 exceeds gross charge $170
CPT 86850/o
error
mrf_cash_above_gross
discounted cash price $46 exceeds gross charge $20
CPT 86891/o
error
mrf_cash_above_gross
discounted cash price $715 exceeds gross charge $511
CPT 25920/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 44345/o
error
mrf_cash_above_gross
discounted cash price $3,147 exceeds gross charge $1,050
CPT 86900/o
error
mrf_cash_above_gross
discounted cash price $118 exceeds gross charge $35
CPT 26055/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $1
CPT 44346/o
error
mrf_cash_above_gross
discounted cash price $3,147 exceeds gross charge $1,050
CPT 44376/o
error
mrf_cash_above_gross
discounted cash price $1,704 exceeds gross charge $1,412
CPT 88184/o
error
mrf_cash_above_gross
discounted cash price $318 exceeds gross charge $145
CPT 26992/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 88307/o
error
mrf_cash_above_gross
discounted cash price $318 exceeds gross charge $104
CPT 27005/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 88309/o
error
mrf_cash_above_gross
discounted cash price $715 exceeds gross charge $156
CPT 27025/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 88313/o
error
mrf_cash_above_gross
discounted cash price $118 exceeds gross charge $69
CPT 27030/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 46030/o
error
mrf_cash_above_gross
discounted cash price $1,063 exceeds gross charge $1,021
CPT 88331/o
error
mrf_cash_above_gross
discounted cash price $151 exceeds gross charge $64
CPT 27071/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 88333/o
error
mrf_cash_above_gross
discounted cash price $715 exceeds gross charge $98
CPT 27170/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 88342/o
error
mrf_cash_above_gross
discounted cash price $151 exceeds gross charge $139
CPT 27176/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 46945/o
error
mrf_cash_above_gross
discounted cash price $2,465 exceeds gross charge $2,048
CPT 89240/o
error
mrf_cash_above_gross
discounted cash price $46 exceeds gross charge $44
CPT 46947/o
error
mrf_cash_above_gross
discounted cash price $2,465 exceeds gross charge $1,555
CPT 93590/o
error
mrf_cash_above_gross
discounted cash price $16,279 exceeds gross charge $2,625
CPT 27226/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 46999/o
error
mrf_cash_above_gross
discounted cash price $826 exceeds gross charge $579
CPT 95990/o
error
mrf_cash_above_gross
discounted cash price $293 exceeds gross charge $260
CPT 47000/o
error
mrf_cash_above_gross
discounted cash price $1,467 exceeds gross charge $1,283
CPT 27244/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 97606/o
error
mrf_cash_above_gross
discounted cash price $361 exceeds gross charge $261
CPT 27245/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 99170/o
error
mrf_cash_above_gross
discounted cash price $180 exceeds gross charge $1
CPT C9757/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $10,000
CPT 27284/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 27303/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT J7340/o
error
mrf_cash_above_gross
discounted cash price $212 exceeds gross charge $97
CPT 27365/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 27450/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 49010/o
error
mrf_cash_above_gross
discounted cash price $5,749 exceeds gross charge $1,050
CPT 27455/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27457/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT Q4104/o
error
mrf_cash_above_gross
discounted cash price $111 exceeds gross charge $20
CPT 27472/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 49255/o
error
mrf_cash_above_gross
discounted cash price $5,749 exceeds gross charge $1,050
CPT 27487/o
error
mrf_cash_above_gross
discounted cash price $15,570 exceeds gross charge $1,050
CPT 27488/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 27495/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27511/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 27513/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 27514/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 51535/o
error
mrf_cash_above_gross
discounted cash price $3,130 exceeds gross charge $1
CPT 27519/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27535/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27536/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 15733/o
error
mrf_cash_above_gross
discounted cash price $3,147 exceeds gross charge $1,050
CPT 27540/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 51840/o
error
mrf_cash_above_gross
discounted cash price $4,442 exceeds gross charge $1,050
CPT 27598/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 15878/o
error
mrf_cash_above_gross
discounted cash price $1,832 exceeds gross charge $1,608
CPT 27646/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 52001/o
error
mrf_cash_above_gross
discounted cash price $3,130 exceeds gross charge $1,736
CPT 53447/o
error
mrf_cash_above_gross
discounted cash price $18,405 exceeds gross charge $12,112
CPT 27698/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $6,295
CPT 19316/o
error
mrf_cash_above_gross
discounted cash price $5,897 exceeds gross charge $5,460
CPT 27702/o
error
mrf_cash_above_gross
discounted cash price $24,096 exceeds gross charge $1
CPT 19325/o
error
mrf_cash_above_gross
discounted cash price $7,258 exceeds gross charge $6,825
CPT 53605/o
error
mrf_cash_above_gross
discounted cash price $3,130 exceeds gross charge $1,438
CPT 27715/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 19328/o
error
mrf_cash_above_gross
discounted cash price $3,477 exceeds gross charge $3,360
CPT 53665/o
error
mrf_cash_above_gross
discounted cash price $1,856 exceeds gross charge $1,517
CPT 27724/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27725/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 20500/o
error
mrf_cash_above_gross
discounted cash price $1,378 exceeds gross charge $662
CPT 55000/o
error
mrf_cash_above_gross
discounted cash price $629 exceeds gross charge $342
CPT 27880/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 20661/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $1,050
CPT 27886/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 20950/o
error
mrf_cash_above_gross
discounted cash price $629 exceeds gross charge $520
CPT 57289/o
error
mrf_cash_above_gross
discounted cash price $6,585 exceeds gross charge $1
CPT 20955/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 20956/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 57421/o
error
mrf_cash_above_gross
discounted cash price $818 exceeds gross charge $682
CPT 20962/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 20969/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 28304/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $5,246
CPT 20970/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 28309/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $5,368
CPT 28320/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $7,442
CPT 21343/o
error
mrf_cash_above_gross
discounted cash price $5,257 exceeds gross charge $1,050
CPT 21422/o
error
mrf_cash_above_gross
discounted cash price $5,257 exceeds gross charge $1,050
CPT 28730/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $10,257
CPT 58805/o
error
mrf_cash_above_gross
discounted cash price $2,875 exceeds gross charge $1,050
CPT 21510/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 58999/o
error
mrf_cash_above_gross
discounted cash price $180 exceeds gross charge $1
warn
mrf_negotiated_above_gross_systematic
623 of 3,841 comparable items (16%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $361 exceeds the gross charge $345
warn
mrf_rate_without_estimate
29,241 of 29,241 percentage/algorithm rates across 5,009 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 22999/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 3% of the gross charge $6,478
CPT 64999/o
info
mrf_cash_under_tenth_of_gross
cash price $273 is 9% of the gross charge $3,076
CPT 23500/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 1% of the gross charge $19,947
CPT 23525/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 5% of the gross charge $4,417
CPT 23540/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 2% of the gross charge $12,812
CPT 69420/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 3% of the gross charge $7,317
CPT 23570/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 2% of the gross charge $12,812
CPT 23600/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 2% of the gross charge $12,812
CPT 23620/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 1% of the gross charge $26,728
CPT 23650/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 2% of the gross charge $12,812
CPT 92596/o
info
mrf_cash_under_tenth_of_gross
cash price $33 is 0% of the gross charge $15,300
CPT C9363/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 7% of the gross charge $1,500
CPT J0668/o
info
mrf_cash_under_tenth_of_gross
cash price $1 is 0% of the gross charge $500
CPT J9280/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 7% of the gross charge $342
CPT Q4116/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 7% of the gross charge $1,681
CPT 51726/o
info
mrf_cash_under_tenth_of_gross
cash price $222 is 8% of the gross charge $2,733
CPT 51784/o
info
mrf_cash_under_tenth_of_gross
cash price $114 is 9% of the gross charge $1,255
CPT 51792/o
info
mrf_cash_under_tenth_of_gross
cash price $52 is 2% of the gross charge $2,648
CPT 69436/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 73050/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
CPT 73630/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
CPT 81001/o
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 86769/o
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 87088/o
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 J0666/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 20552/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 21510/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,829 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29075/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 58999/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT 29085/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 59120/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,594 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21620/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,685 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29086/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 59121/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,594 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21725/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,980 exceeds the gross charge $1,988 — part of a file-wide pattern, counted once at the file level
CPT 29105/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 59136/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29125/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 59899/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $541 — part of a file-wide pattern, counted once at the file level
CPT 21740/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,021 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29126/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 60254/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,941 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21805/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,975 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29130/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 60505/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,762 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21810/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29305/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 60512/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21820/o
info
mrf_negotiated_above_gross
highest negotiated rate $845 exceeds the gross charge $703 — part of a file-wide pattern, counted once at the file level
CPT 29325/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 61500/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,623 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21899/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $664 — part of a file-wide pattern, counted once at the file level
CPT 29345/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 61501/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29365/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 794 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 26.5M bytes · fetched 2026-08-26 · sha256 e58d1fd76a5b…

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.