Hospital · CCN 230132

Hurley Medical Center

One Hurley Plaza, Flint, MI 48503 · Genesee County
Part of Hurley Medical Center · 369 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

48 admission types 49 outpatient services price file: ok
Billed per dollar paid, all admissions
3.57×
$61.0M billed against $17.1M paid across 1,080 Medicare discharges; the national figure is 5.03×.
3.7%
of adults in Genesee County have medical debt in collections
5.2%
uninsured in the county · state 5.5%
$60K
median household income
3.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
40.6%
obesity in the countyⓘ
13.2%
diagnosed diabetes (PLACES)
7.8%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
95
$71,284
$18,766
3.8× st 3.2×
291
Heart failure and shock with mcc
81
$42,011
$12,511
3.4× st 3.1×
193
Simple pneumonia and pleurisy with mcc
63
$55,241
$13,240
4.2× st 3.1×
177
Respiratory infections and inflammations with mcc
48
$54,360
$14,927
3.6× st 3.1×
189
Pulmonary edema and respiratory failure
48
$55,146
$11,980
4.6× st 3.3×
280
Acute myocardial infarction, discharged alive with mcc
35
$48,480
$14,367
3.4× st 3.5×
683
Renal failure with cc
34
$28,514
$9,023
3.2× st 3.2×
689
Kidney and urinary tract infections with mcc
28
$35,212
$11,331
3.1× st 3.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
26
$23,604
$7,969
3.0× st 3.5×
603
Cellulitis without mcc
26
$19,054
$8,401
2.3× st 2.8×
312
Syncope and collapse
25
$26,007
$8,601
3.0× st 3.5×
682
Renal failure with mcc
25
$48,154
$14,960
3.2× st 3.1×
377
Gastrointestinal hemorrhage with mcc
24
$53,556
$16,674
3.2× st 3.4×
690
Kidney and urinary tract infections without mcc
24
$20,194
$8,148
2.5× st 3.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
22
$241,650
$57,580
4.2× st 3.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
21
$92,214
$22,751
4.1× st 3.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
20
$30,380
$10,400
2.9× st 3.9×
190
Chronic obstructive pulmonary disease with mcc
20
$37,795
$10,245
3.7× st 3.4×
070
Other cerebrovascular disorders with mcc
20
$46,829
$15,915
2.9× st 2.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$32,997
$12,696
2.6× st 3.2×
309
Cardiac arrhythmia and conduction disorders with cc
19
$21,750
$7,577
2.9× st 3.5×
100
Seizures with mcc
16
$40,223
$17,384
2.3× st 3.4×
101
Seizures without mcc
16
$32,847
$9,344
3.5× st 3.3×
698
Other kidney and urinary tract diagnoses with mcc
16
$54,482
$13,037
4.2× st 3.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
16
$46,173
$17,934
2.6× st 3.6×
917
Poisoning and toxic effects of drugs with mcc
15
$58,745
$15,717
3.7× st 3.0×
552
Medical back problems without mcc
15
$35,475
$9,751
3.6× st 3.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
15
$97,263
$19,181
5.1× st 3.9×
194
Simple pneumonia and pleurisy with cc
15
$33,762
$9,112
3.7× st 3.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$81,644
$24,199
3.4× st 4.3×
481
Hip and femur procedures except major joint with cc
14
$82,098
$19,121
4.3× st 3.9×
378
Gastrointestinal hemorrhage with cc
14
$26,705
$9,712
2.8× st 3.6×
330
Major small and large bowel procedures with cc
14
$87,378
$23,006
3.8× st 3.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$26,734
$8,041
3.3× st 3.4×
884
Organic disturbances and intellectual disability
13
$26,130
$16,160
1.6× st 2.4×
329
Major small and large bowel procedures with mcc
13
$171,716
$40,037
4.3× st 3.4×
948
Signs and symptoms without mcc
12
$25,121
$8,116
3.1× st 3.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$33,612
$10,155
3.3× st 4.0×
091
Other disorders of nervous system with mcc
12
$53,560
$17,547
3.1× st 3.1×
314
Other circulatory system diagnoses with mcc
12
$63,247
$18,714
3.4× st 3.1×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
12
$290,374
$89,810
3.2× st 3.3×
252
Other vascular procedures with mcc
12
$135,632
$30,050
4.5× st 3.4×
069
Transient ischemia without thrombolytic
11
$34,131
$8,209
4.2× st 4.2×
071
Other cerebrovascular disorders with cc
11
$28,078
$10,643
2.6× st 3.1×
602
Cellulitis with mcc
11
$57,189
$16,311
3.5× st 2.9×
394
Other digestive system diagnoses with cc
11
$25,420
$9,406
2.7× st 3.3×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
11
$78,038
$16,977
4.6× st 3.9×
637
Diabetes with mcc
11
$44,617
$13,789
3.2× st 3.1×
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
8011
Comprehensive Observation Services
354
$13,695
$2,521
5.4×
5191
Level 1 Endovascular Procedures
61
$14,477
$2,949
4.9×
5361
Level 1 Laparoscopy and Related Services
43
$37,987
$5,388
7.1×
5183
Level 3 Vascular Procedures
37
$18,464
$2,978
6.2×
5115
Level 5 Musculoskeletal Procedures
37
$67,626
$12,005
5.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
31
$13,994
$1,518
9.2×
5375
Level 5 Urology and Related Services
25
$21,182
$4,560
4.6×
5302
Level 2 Upper GI Procedures
24
$8,738
$1,774
4.9×
5193
Level 3 Endovascular Procedures
21
$28,153
$10,287
2.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
20
$24,096
$3,206
7.5×
5114
Level 4 Musculoskeletal Procedures
16
$46,814
$6,667
7.0×
5232
Level 2 ICD and Similar Procedures
15
$71,001
$28,813
2.5×
5374
Level 4 Urology and Related Services
13
$15,296
$3,262
4.7×
5223
Level 3 Pacemaker and Similar Procedures
13
$29,449
$10,023
2.9×
5154
Level 4 Airway Endoscopy
13
$16,855
$3,504
4.8×
5113
Level 3 Musculoskeletal Procedures
11
$27,272
$3,019
9.0×
5224
Level 4 Pacemaker and Similar Procedures
11
$54,826
$18,219
3.0×
5112
Level 2 Musculoskeletal Procedures
11
$17,102
$1,503
11.4×
5164
Level 4 ENT Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via www.hurleymc.com/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 03/23/2026, template 3.0.0, 7,537,258 rows scanned, 12,585 distinct code–setting items kept. 4,009 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HB Hea Licensed RBC Panel, Arc
$416
$416
$416
207
clean
Nash Fibrosure, Labcorp
$402
$402
$402
286
clean
HB Creutsfeldt Jakob Disease Agent Rt Quic
$541
$541
$352
414
clean
Cerebral Perfusion Analys CT W/Blood Flow&Volume
$288
$288
$175
822
clean
Tcat Plmt Xtrc Vrt Crtd Stent Rs&I Prq 1st Vsl
$800
$800
$744
227
clean
Rectal Tumor Excision Transanal Endoscopic
$1,504
$1,504
$1,128
227
clean
Nfct Dc Rna 4 Trgt Up Resp
$456
$456
$190
316
clean
Fine Needle Aspiration Bx W/O Img Gdn Ea Addl
$80
$80
$55
242
clean
Fine Needle Aspiration Bx W/US Gdn 1st Lesion
$187
$187
$232
497
clean
Fine Needle Aspiration Bx W/US Gdn Ea Addl
$91
$91
$68
395
clean
Fine Needle Aspiration Bx W/Fluor Gdn 1st Lesion
$416
$416
$362
497
clean
Fine Needle Aspiration Bx W/CT Gdn 1st Lesion
$683
$683
$512
562
clean
Fine Needle Aspiration Bx W/CT Gdn Ea Addl
$411
$411
$308
399
clean
Fine Needle Aspiration Bx W/MR Gdn 1st Lesion
$683
$683
$512
214
clean
Fine Needle Aspiration Bx W/MR Gdn Ea Addl
$411
$411
$249
214
clean
Fine Needle Aspiration Bx W/O Img Gdn 1st Lesion
$6,510
$6,510
$213
372
clean
Fine Needle Aspiration Bx W/O Img Gdn 1st Lesion
$213
$213
$388
604
clean
HB Image Guided Catheter Fluid Collection Drainage
$7,012
$7,012
$709
188
clean
HB Image Guided Catheter Fluid Collection Drainage
$781
$781
$273
562
clean
Perq Sft Tiss Loc Device Plmt 1st Les W/Gdnce
$837
$837
$118
242
clean
Perq Sft Tiss Loc Device Plmt Add Les W/Gdnce
$634
$634
$61
242
clean
Extraction
$139
$139
$104
743
clean
HB Sebaceous Cyst Inc and Drain
$219
$219
$201
960
clean
HB Sebaceous Cyst Inc and Drain
$13,377
$13,377
$125
521
clean
HB Incision and Drainage of Skin Abscess
$10,090
$10,090
$213
436
clean
HB Drainage of Skin Abscess
$427
$427
$277
860
clean
HB Pilonidal Cyst Incision and Drain
$13,165
$13,165
$203
529
clean
HB Pilonidal Cyst Incision and Drain
$744
$744
$484
763
clean
HB Drain Pilonidal Cyst Complic
$787
$787
$709
516
clean
Incision & Drainage Pilonidal Cyst Complicated
$528
$528
$236
242
clean
HB Foreign Body Remov Subqu Tissu Simple
$13,208
$13,208
$213
529
clean
HB Foreign Body Remov Subqu Tissu Simple
$427
$427
$405
960
clean
HB Subcu Tiss Foreign Body Remov Complic
$11,699
$11,699
$285
466
clean
HB Subcu Tiss Foreign Body Remov Complic
$1,956
$1,956
$1,272
860
clean
HB Hematoma Incision and Drainage
$1,706
$1,706
$1,109
835
clean
HB Hematoma Incision and Drainage
$19,033
$19,033
$181
472
clean
HB Soft Tissue Puncture Aspiration
$9,797
$9,797
$137
472
clean
HB Puncture Aspiration of Abscess, Hematoma, Bulla, or Cyst
$501
$501
$377
1,020
clean
Incision & Drainage Complex Po Wound Infection
$353
$353
$123
3
clean
HB Complex Wound Drainage
$2,623
$2,623
$774
498
clean
Dbrdmt Extensv Eczema/Infect Skn Up 10% Bdy Surf
$96
$96
$213
760
clean
Dbrdmt Extnsve Eczema/Infect Skn Ea 10% Bdy Surf
$33
$33
$25
411
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Gent&PR
$1,109
$1,109
$832
239
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Gent&PR
$1,109
$1,109
$354
3
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Abdl Wall
$1,504
$1,504
$1,109
242
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Gent/Abdl
$1,349
$1,349
$1,000
242
clean
Removal Prosthetic Matrl Abdl Wall for Infection
$528
$528
$99
6
clean
Removal Prosthetic Matrl Abdl Wall for Infection
$528
$528
$127
478
clean
Dbrdmt W/Rmvl Fm Fx&/Dislc Skin&Subq Tissus
$544
$544
$506
471
clean
Dbrdmt W/Rmvl Fm Fx&/Dislc Skin&Subq Tissus
$544
$544
$175
3
clean
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc
$68,483
$68,483
$824
180
clean
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc
$581
$581
$436
242
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$127,327
$127,327
$759
372
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$816
$816
$612
86
clean
Debridement Subcutaneous Tissue 20 Sq Cm/<
$219
$219
$407
191
clean
Debridement Subcutaneous Tissue 20 Sq Cm/<
$219
$219
$204
734
clean
Debridement Muscle & Fascia 20 Sq Cm/<
$304
$304
$740
1,046
clean
Debridement Muscle & Fascia 20 Sq Cm/<
$304
$304
$199
446
clean
Debridement Bone Muscle &/Fascia 20 Sq Cm/<
$453
$453
$1,653
219
clean
Debridement Bone Muscle &/Fascia 20 Sq Cm/<
$453
$453
$1,653
1,014
clean
Dbrdmt Subcutaneous Tissue Ea Addl 20 Sq Cm
$41,787
$41,787
$383
183
clean
Dbrdmt Subcutaneous Tissue Ea Addl 20 Sq Cm
$53
$53
$74
746
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$113
$113
$85
734
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$113
$113
$740
191
clean
Debridement Bone Each Additional 20 Sq Cm
$19,901
$19,901
$1,190
183
clean
Debridement Bone Each Additional 20 Sq Cm
$193
$193
$166
734
clean
HB Trim Skin Lesions, 1 Lesion
$609
$609
$87
345
clean
HB Trim Skin Lesions, 1 Lesion
$609
$609
$201
729
clean
HB Trim Skin Lesions 2 to 4
$609
$609
$193
882
clean
HB Trim Skin Lesions 2 to 4
$887
$887
$133
192
clean
Paring/Cutting Benign Hyperkeratotic Lesion >4
$59
$59
$42
242
clean
HB Tangential Biopsy Skin Single Lesion
$240
$240
$135
492
clean
HB Tangential Biopsy Skin Single Lesion
$14,763
$14,763
$50
528
clean
Tangential Biopsy Skin Ea Sep/Additional Lesion
$14,763
$14,763
$2,908
216
clean
HB Tangential Biopsy Skin Ea Sep/Additional Lesion
$203
$203
$60
641
clean
HB Skin Punch Biopsy Single Lesion
$12,401
$12,401
$407
219
clean
HB Skin Punch Biopsy Single Lesion
$1,172
$1,172
$372
1,199
clean
HB Skin Punch Biopsy Each Additl Lesion
$177
$177
$92
392
clean
Punch Biopsy Skin Ea Sep/Additional Lesion
$91
$91
$30
156
clean
Incisional Biopsy Skin Single Lesion
$113,354
$113,354
$12,263
186
clean
HB HB Incisional Biopsy Skin Single Lesion
$427
$427
$164
737
clean
Incisional Biopsy Skin Ea Sep/Additional Lesion
$107
$107
$18
6
clean
HB Incisional Biopsy Skin Ea Sep/Additional Lesion
$267
$267
$80
635
clean
HB Skin Tags Removal Up to 15 Lesions
$213
$213
$135
604
clean
Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15
$14,540
$14,540
$113
344
clean
HB Remove Skin Tags Ea Add 10
$69
$69
$25
411
clean
HB Shaving; Trunk, Arms, Legs; 0.5 Cm or Less
$1,172
$1,172
$129
501
clean
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm
$86
$86
$80
501
clean
HB Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm
$213
$213
$89
501
clean
HB Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm
$404
$404
$119
501
clean
HB Shaving; Scalp, Neck, Hands; 0.5 Cm or Less
$211
$211
$109
501
clean
HB Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm
$213
$213
$74
501
clean
HB Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm
$213
$213
$94
501
clean
HB Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm
$404
$404
$135
501
clean
HB Shaving; Face, Ears, Nose; 0.5 Cm or Less
$213
$213
$125
501
clean
HB Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm
$213
$213
$94
501
clean
HB Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm
$404
$404
$119
501
clean
HB Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm
$404
$404
$184
501
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<
$181
$181
$388
345
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<
$26,542
$26,542
$552
372
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.6-1.0 Cm
$160
$160
$120
737
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.6-1.0 Cm
$12,675
$12,675
$407
216
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 1.1-2.0 Cm
$18,659
$18,659
$709
219
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 1.1-2.0 Cm
$267
$267
$248
498
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm
$14,213
$14,213
$709
213
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm
$288
$288
$268
498
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm
$320
$320
$548
498
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm
$15,405
$15,405
$1,653
219
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L >4.0 Cm
$18,059
$18,059
$865
366
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L >4.0 Cm
$480
$480
$966
345
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<
$176
$176
$1,653
213
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<
$176
$176
$887
879
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.6-1.0cm
$171
$171
$484
879
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.6-1.0cm
$171
$171
$709
213
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 1.1-2.0cm
$208
$208
$1,653
213
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 1.1-2.0cm
$208
$208
$887
879
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0cm
$17,791
$17,791
$1,653
219
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0cm
$310
$310
$865
757
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0cm
$353
$353
$492
577
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0cm
$15,088
$15,088
$3,240
213
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G > 4.0cm
$18,285
$18,285
$2,908
213
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G > 4.0cm
$533
$533
$1,010
757
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<
$9,544
$9,544
$709
210
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<
$198
$198
$220
501
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0cm
$203
$203
$220
501
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0cm
$11,574
$11,574
$709
210
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0cm
$14,380
$14,380
$709
210
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0cm
$288
$288
$268
501
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0cm
$13,626
$13,626
$1,653
216
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0cm
$353
$353
$503
501
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 3.1-4.0cm
$443
$443
$503
501
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 3.1-4.0cm
$13,071
$13,071
$1,653
210
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M > 4.0cm
$629
$629
$875
498
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M > 4.0cm
$15,803
$15,803
$2,908
213
clean
Excision Hidradenitis Axillary Smpl/Intrm Rpr
$30,827
$30,827
$2,908
210
clean
Excision Hidradenitis Axillary Smpl/Intrm Rpr
$496
$496
$372
242
clean
Excision Hidradenitis Axillary Complex Repair
$48,705
$48,705
$2,908
219
clean
Excision Hidradenitis Axillary Complex Repair
$629
$629
$472
239
clean
Excision Hidradenitis Inguinal Smpl/Intrm Rpr
$475
$475
$356
242
clean
Excision Hidradenitis Inguinal Smpl/Intrm Rpr
$14,219
$14,219
$2,908
216
clean
Excision Hidradenitis Inguinal Complex Repair
$14,973
$14,973
$2,908
210
clean
Excision Hidradenitis Inguinal Complex Repair
$629
$629
$472
242
clean
Excision H/P/P/U Simple/Intermediate Repair
$18,923
$18,923
$2,908
216
clean
Excision H/P/P/U Simple/Intermediate Repair
$549
$549
$412
242
clean
Excision H/P/P/U Complex Repair
$683
$683
$512
86
clean
Excision H/P/P/U Complex Repair
$21,450
$21,450
$1,521
366
clean
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<
$235
$235
$221
501
clean
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm
$230
$230
$219
501
clean
Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm
$16,232
$16,232
$407
210
clean
Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm
$251
$251
$233
501
clean
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm
$379
$379
$371
501
clean
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm
$16,532
$16,532
$371
366
clean
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm
$421
$421
$430
345
clean
Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm
$619
$619
$966
345
clean
Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm
$13,351
$13,351
$865
366
clean
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/<
$12,968
$12,968
$1,653
210
clean
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/<
$240
$240
$191
411
clean
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm
$293
$293
$228
411
clean
Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm
$16,596
$16,596
$709
210
clean
Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm
$336
$336
$312
501
clean
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm
$25,184
$25,184
$1,653
219
clean
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm
$416
$416
$387
498
clean
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm
$469
$469
$548
501
clean
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm
$17,955
$17,955
$1,653
216
clean
Excision Malignant Lesion S/N/H/F/G >4.0 Cm
$571
$571
$1,521
501
clean
Excision Malignant Lesion S/N/H/F/G >4.0 Cm
$39,784
$39,784
$2,908
216
clean
Excision Malignant Lesion F/E/E/N/L 0.5 Cm/<
$193
$193
$232
501
clean
Excision Malignant Lesion F/E/E/N/L 0.6-1.0 Cm
$240
$240
$262
501
clean
Excision Malignant Lesion F/E/E/N/L 1.1-2.0 Cm
$48,159
$48,159
$709
216
clean
Excision Malignant Lesion F/E/E/N/L 1.1-2.0 Cm
$363
$363
$371
501
clean
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm
$453
$453
$863
501
clean
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm
$23,362
$23,362
$1,653
210
clean
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm
$555
$555
$548
501
clean
Excision Malignant Lesion F/E/E/N/L >4.0 Cm
$768
$768
$1,521
501
clean
Excision Malignant Lesion F/E/E/N/L >4.0 Cm
$48,073
$48,073
$5,926
216
clean
HB Trimming of Nails Any Number
$180
$180
$31
967
clean
Debridement Nail Any Method 1-5
$33
$33
$59
603
clean
Debridement Nail Any Method 1-5
$33
$33
$29
256
clean
Debridement Nail Any Method 6/>
$38
$38
$36
760
clean
Avulsion Nail Plate Partial/Complete Simple 1
$213
$213
$201
750
clean
Avulsion Nail Plate Partial/Complete Simple 1
$75
$75
$70
422
clean
Avulsion Nail Plate Partial/Comp Simple Ea Addl
$33
$33
$31
411
clean
HB Drain Blood From Under Nail
$375
$375
$133
491
clean
Evacuation Subungual Hematoma
$80
$80
$60
341
clean
Excision Nail Matrix Permanent Removal
$267
$267
$213
430
clean
HB Excision Nail Matrix Permanent Removal
$1,171
$1,171
$516
491
clean
Biopsy Nail Unit Separate Procedure
$123
$123
$83
242
clean
HB Nail Bed Repair
$21,877
$21,877
$225
430
clean
HB Nail Bed Repair
$1,844
$1,844
$740
232
clean
Reconstruction Nail Bed W/Graft
$21,793
$21,793
$3,275
188
clean
Reconstruction Nail Bed W/Graft
$363
$363
$272
242
clean
HB Wedge Exc of Skin of Nail Ingrown Toenail
$1,171
$1,171
$129
743
clean
Wedge Excision Skin Nail Fold
$7,569
$7,569
$407
188
clean
Excision Pilonidal Cyst/Sinus Simple
$22,052
$22,052
$1,521
366
clean
Excision Pilonidal Cyst/Sinus Simple
$363
$363
$272
86
clean
Excision Pilonidal Cyst/Sinus Extensive
$18,119
$18,119
$2,908
213
clean
Excision Pilonidal Cyst/Sinus Extensive
$843
$843
$632
239
clean
Excision Pilonidal Cyst/Sinus Complicated
$18,658
$18,658
$2,908
219
clean
Excision Pilonidal Cyst/Sinus Complicated
$1,125
$1,125
$844
239
clean
HB Injection; Lesion <=7
$608
$608
$105
501
clean

Showing the first 200 of 12,585 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 36225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,925 exceeds the gross charge $11,988
CPT G0339/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,263 exceeds the gross charge $896
CPT L8430/b
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $23
MS-DRG 883/i
warn
mrf_negotiated_above_gross
highest negotiated rate $43,730 exceeds the gross charge $17,855
CPT 36226/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,925 exceeds the gross charge $12,043
CPT 81226/b
warn
mrf_negotiated_above_gross
highest negotiated rate $655 exceeds the gross charge $226
CPT G0340/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,679 exceeds the gross charge $896
CPT L8460/b
warn
mrf_negotiated_above_gross
highest negotiated rate $204 exceeds the gross charge $147
MS-DRG 884/i
warn
mrf_negotiated_above_gross
highest negotiated rate $36,078 exceeds the gross charge $27,069
CPT 36228/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,925 exceeds the gross charge $11,035
CPT 81228/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,287 exceeds the gross charge $1,197
MS-DRG 894/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,838 exceeds the gross charge $13,119
CPT 81229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,900 exceeds the gross charge $181
CPT G0378/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,123 exceeds the gross charge $101
MS-DRG 897/i
warn
mrf_negotiated_above_gross
highest negotiated rate $20,532 exceeds the gross charge $18,673
CPT 11971/b
warn
mrf_negotiated_above_gross
highest negotiated rate $646 exceeds the gross charge $634
CPT 87520/b
warn
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $27
CPT G0379/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,123 exceeds the gross charge $720
MS-DRG 901/i
warn
mrf_negotiated_above_gross
highest negotiated rate $93,350 exceeds the gross charge $89,200
CPT 23700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,024 exceeds the gross charge $3,060
MS-DRG 902/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,786 exceeds the gross charge $46,931
CPT 81241/b
warn
mrf_negotiated_above_gross
highest negotiated rate $183 exceeds the gross charge $181
MS-DRG 906/i
warn
mrf_negotiated_above_gross
highest negotiated rate $44,579 exceeds the gross charge $39,924
CPT 81243/b
warn
mrf_negotiated_above_gross
highest negotiated rate $242 exceeds the gross charge $170
CPT 87525/b
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $27
CPT P7001/b
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $11
MS-DRG 913/i
warn
mrf_negotiated_above_gross
highest negotiated rate $37,376 exceeds the gross charge $26,422
CPT 24160/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,670 exceeds the gross charge $1,173
CPT 56420/b
warn
mrf_negotiated_above_gross
highest negotiated rate $506 exceeds the gross charge $360
CPT G0411/b
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $65
CPT P9012/b
warn
mrf_negotiated_above_gross
highest negotiated rate $180 exceeds the gross charge $170
MS-DRG 916/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,220 exceeds the gross charge $8,920
MS-DRG 917/i
warn
mrf_negotiated_above_gross
highest negotiated rate $35,211 exceeds the gross charge $34,610
CPT 11982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,118 exceeds the gross charge $480
CPT 81246/b
warn
mrf_negotiated_above_gross
highest negotiated rate $241 exceeds the gross charge $166
CPT 87531/b
warn
mrf_negotiated_above_gross
highest negotiated rate $55 exceeds the gross charge $27
CPT 92533/b
warn
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $16
MS-DRG 918/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,981 exceeds the gross charge $18,935
CPT P9603/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $1
MS-DRG 919/i
warn
mrf_negotiated_above_gross
highest negotiated rate $41,662 exceeds the gross charge $29,788
CPT 11983/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,118 exceeds the gross charge $480
CPT 83698/b
warn
mrf_negotiated_above_gross
highest negotiated rate $116 exceeds the gross charge $52
CPT Q0114/b
warn
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $10
MS-DRG 921/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,703 exceeds the gross charge $13,415
CPT 81259/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,500 exceeds the gross charge $739
MS-DRG 922/i
warn
mrf_negotiated_above_gross
highest negotiated rate $83,592 exceeds the gross charge $67,170
CPT 81263/b
warn
mrf_negotiated_above_gross
highest negotiated rate $428 exceeds the gross charge $405
CPT G0452/b
warn
mrf_negotiated_above_gross
highest negotiated rate $47 exceeds the gross charge $38
CPT Q0163/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $6
MS-DRG 927/i
warn
mrf_negotiated_above_gross
highest negotiated rate $670,944 exceeds the gross charge $631,986
CPT G0461/b
warn
mrf_negotiated_above_gross
highest negotiated rate $513 exceeds the gross charge $141
CPT Q0166/b
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $8
MS-DRG 934/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,887 exceeds the gross charge $37,653
CPT 24940/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,448 exceeds the gross charge $1,264
CPT 87539/b
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $53
CPT G0475/b
warn
mrf_negotiated_above_gross
highest negotiated rate $60 exceeds the gross charge $50
MS-DRG 935/i
warn
mrf_negotiated_above_gross
highest negotiated rate $46,670 exceeds the gross charge $43,710
CPT 12004/b
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $213
CPT 81275/b
warn
mrf_negotiated_above_gross
highest negotiated rate $281 exceeds the gross charge $181
CPT Q2035/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $20
MS-DRG 939/i
warn
mrf_negotiated_above_gross
highest negotiated rate $80,938 exceeds the gross charge $64,346
CPT 12005/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $405
CPT 25073/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,159 exceeds the gross charge $15,725
CPT 36558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,902 exceeds the gross charge $7,627
CPT 81276/b
warn
mrf_negotiated_above_gross
highest negotiated rate $281 exceeds the gross charge $54
CPT G0481/b
warn
mrf_negotiated_above_gross
highest negotiated rate $227 exceeds the gross charge $162
CPT Q2037/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $16
MS-DRG 948/i
warn
mrf_negotiated_above_gross
highest negotiated rate $38,083 exceeds the gross charge $35,831
CPT 81277/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,659 exceeds the gross charge $938
CPT 96372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $48
CPT G0482/b
warn
mrf_negotiated_above_gross
highest negotiated rate $289 exceeds the gross charge $168
CPT Q2038/b
warn
mrf_negotiated_above_gross
highest negotiated rate $51 exceeds the gross charge $27
MS-DRG 950/i
warn
mrf_negotiated_above_gross
highest negotiated rate $30,176 exceeds the gross charge $21,968
CPT 12007/b
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $213
CPT G0483/b
warn
mrf_negotiated_above_gross
highest negotiated rate $359 exceeds the gross charge $299
CPT Q4002/b
warn
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $171
MS-DRG 951/i
warn
mrf_negotiated_above_gross
highest negotiated rate $13,811 exceeds the gross charge $8,908
CPT 12011/b
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $213
CPT 81288/b
warn
mrf_negotiated_above_gross
highest negotiated rate $900 exceeds the gross charge $155
CPT Q4004/b
warn
mrf_negotiated_above_gross
highest negotiated rate $116 exceeds the gross charge $113
MS-DRG 981/i
warn
mrf_negotiated_above_gross
highest negotiated rate $120,238 exceeds the gross charge $113,525
CPT 12013/b
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $213
CPT 81292/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,191 exceeds the gross charge $832
CPT 87563/b
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $65
CPT Q4030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $72 exceeds the gross charge $70
CPT 12013/o
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $123
CPT 36584/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,939 exceeds the gross charge $3,845
CPT 81294/b
warn
mrf_negotiated_above_gross
highest negotiated rate $635 exceeds the gross charge $245
CPT Q4038/b
warn
mrf_negotiated_above_gross
highest negotiated rate $39 exceeds the gross charge $38
CPT 12014/b
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $213
CPT 81295/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,068 exceeds the gross charge $195
CPT J0168/b
warn
mrf_negotiated_above_gross
highest negotiated rate $77 exceeds the gross charge $50
CPT 12015/b
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $213
CPT 36589/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,570 exceeds the gross charge $739
CPT 81297/b
warn
mrf_negotiated_above_gross
highest negotiated rate $563 exceeds the gross charge $195
CPT 87582/b
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $53
CPT 92921/b
warn
mrf_negotiated_above_gross
highest negotiated rate $301 exceeds the gross charge $283
CPT 12016/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $362
CPT 81298/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,513 exceeds the gross charge $370
CPT 92929/b
warn
mrf_negotiated_above_gross
highest negotiated rate $353 exceeds the gross charge $315
CPT 81300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $346 exceeds the gross charge $208
CPT 92944/b
warn
mrf_negotiated_above_gross
highest negotiated rate $604 exceeds the gross charge $353
CPT 77085/b
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $129
CPT 83876/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48 exceeds the gross charge $43
CPT 87594/b
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $44
CPT 77086/b
warn
mrf_negotiated_above_gross
highest negotiated rate $125 exceeds the gross charge $91
CPT 81302/b
warn
mrf_negotiated_above_gross
highest negotiated rate $767 exceeds the gross charge $548
CPT J0300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $183 exceeds the gross charge $10
CPT Q4107/b
warn
mrf_negotiated_above_gross
highest negotiated rate $136 exceeds the gross charge $133
CPT 81305/b
warn
mrf_negotiated_above_gross
highest negotiated rate $438 exceeds the gross charge $388
CPT 86367/b
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $48
CPT 93000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $38
CPT 81306/b
warn
mrf_negotiated_above_gross
highest negotiated rate $728 exceeds the gross charge $188
CPT 12031/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $405
CPT 81310/b
warn
mrf_negotiated_above_gross
highest negotiated rate $358 exceeds the gross charge $339
CPT 93005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $22
CPT 77293/b
warn
mrf_negotiated_above_gross
highest negotiated rate $952 exceeds the gross charge $512
CPT 81311/b
warn
mrf_negotiated_above_gross
highest negotiated rate $430 exceeds the gross charge $321
CPT 93010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $16
CPT Q4113/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,998 exceeds the gross charge $518
CPT 12032/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $405
CPT 36903/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28,889 exceeds the gross charge $27,312
CPT 81319/b
warn
mrf_negotiated_above_gross
highest negotiated rate $296 exceeds the gross charge $285
CPT 96999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $230 exceeds the gross charge $198
CPT J0461/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $25
CPT 26011/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,364 exceeds the gross charge $1,867
CPT 36905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28,889 exceeds the gross charge $22,449
CPT 81321/b
warn
mrf_negotiated_above_gross
highest negotiated rate $972 exceeds the gross charge $702
CPT 12034/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $405
CPT 26011/o
warn
mrf_negotiated_above_gross
highest negotiated rate $473 exceeds the gross charge $363
CPT 36906/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45,875 exceeds the gross charge $38,880
CPT 81324/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,473 exceeds the gross charge $535
CPT 37195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,149 exceeds the gross charge $544
CPT 77306/b
warn
mrf_negotiated_above_gross
highest negotiated rate $536 exceeds the gross charge $440
CPT 81330/b
warn
mrf_negotiated_above_gross
highest negotiated rate $219 exceeds the gross charge $181
CPT Q4127/b
warn
mrf_negotiated_above_gross
highest negotiated rate $68 exceeds the gross charge $22
CPT 12035/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $405
CPT 37236/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28,889 exceeds the gross charge $22,230
CPT 86485/b
warn
mrf_negotiated_above_gross
highest negotiated rate $17 exceeds the gross charge $11
CPT 37241/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28,889 exceeds the gross charge $22,424
CPT 57415/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,101 exceeds the gross charge $3,391
CPT 81342/b
warn
mrf_negotiated_above_gross
highest negotiated rate $504 exceeds the gross charge $338
CPT 86490/b
warn
mrf_negotiated_above_gross
highest negotiated rate $68 exceeds the gross charge $11
CPT J0561/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $35
CPT 37242/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45,875 exceeds the gross charge $20,626
CPT J0570/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,275 exceeds the gross charge $53
CPT 12042/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $405
CPT 37243/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28,889 exceeds the gross charge $20,606
CPT 81372/b
warn
mrf_negotiated_above_gross
highest negotiated rate $784 exceeds the gross charge $170
CPT 86581/b
warn
mrf_negotiated_above_gross
highest negotiated rate $230 exceeds the gross charge $110
CPT J0584/b
warn
mrf_negotiated_above_gross
highest negotiated rate $484 exceeds the gross charge $47
CPT 37246/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,243 exceeds the gross charge $12,125
CPT 57420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $763 exceeds the gross charge $726
CPT 87804/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $22
CPT 12044/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,058 exceeds the gross charge $629
CPT 37248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,243 exceeds the gross charge $13,794
CPT 83993/b
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $24
CPT 87809/b
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $16
CPT 37249/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,243 exceeds the gross charge $13,794
CPT 81376/b
warn
mrf_negotiated_above_gross
highest negotiated rate $306 exceeds the gross charge $170
CPT 87810/b
warn
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $16
CPT 12045/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,058 exceeds the gross charge $629
CPT 37269/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45,875 exceeds the gross charge $40,870
CPT 77371/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,030 exceeds the gross charge $1,919
CPT 81379/b
warn
mrf_negotiated_above_gross
highest negotiated rate $740 exceeds the gross charge $569
CPT 87850/b
warn
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $16
CPT 81381/b
warn
mrf_negotiated_above_gross
highest negotiated rate $425 exceeds the gross charge $181
CPT 87880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $22
CPT 97129/b
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $30
CPT 12051/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $426
CPT Q9953/b
warn
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $22
CPT 77401/b
warn
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $43
CPT 97130/b
warn
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $29
CPT 12052/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $405
CPT 12053/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $405
CPT 12054/b
warn
mrf_negotiated_above_gross
highest negotiated rate $582 exceeds the gross charge $405
CPT 97164/b
warn
mrf_negotiated_above_gross
highest negotiated rate $151 exceeds the gross charge $69
CPT 84119/b
warn
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $11
CPT 97168/b
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $65
CPT J0698/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $5
CPT R0070/b
warn
mrf_negotiated_above_gross
highest negotiated rate $219 exceeds the gross charge $171
CPT R0075/b
warn
mrf_negotiated_above_gross
highest negotiated rate $239 exceeds the gross charge $27
CPT 81412/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,556 exceeds the gross charge $655
CPT R0076/b
warn
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $16
CPT S2118/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,970 exceeds the gross charge $2,884
CPT 40800/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,014 exceeds the gross charge $786
CPT 88120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,170 exceeds the gross charge $200
CPT S2411/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,901 exceeds the gross charge $4,126
CPT 81455/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,299 exceeds the gross charge $2,132
CPT S2900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $318 exceeds the gross charge $70
CPT 81503/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,242 exceeds the gross charge $480
CPT 88147/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48 exceeds the gross charge $16
CPT J0800/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,933 exceeds the gross charge $11
CPT S4011/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,987 exceeds the gross charge $2,020
CPT 81507/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,447 exceeds the gross charge $1,695
CPT 88152/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $16
CPT S4016/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,243 exceeds the gross charge $2,735
CPT 26700/b
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $278
CPT 88153/b
warn
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $16
CPT 97610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $198

Showing the first 200 of 4,009 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. found via cms-hpt.txt · csv-tall · 3,638.7M bytes · fetched 2026-08-22 · sha256 279465d11f26…

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.