Hospital · CCN 230230

University Of Michigan Health-Sparrow Lansing

1215 E Michigan Avenue, Lansing, MI 48912 · Ingham County
Part of University of Michigan Health System · 425 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

78 admission types 52 outpatient services price file: ok
Billed per dollar paid, all admissions
4.14×
$190.3M billed against $46.0M paid across 2,679 Medicare discharges; the national figure is 5.03×.
2.4%
of adults in Ingham County have medical debt in collections
5.8%
uninsured in the county · state 5.5%
$63K
median household income
3.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
34.5%
obesity in the countyⓘ
10.2%
diagnosed diabetes (PLACES)
5.6%
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
349
$75,956
$17,344
4.4× st 3.2×
291
Heart failure and shock with mcc
163
$52,650
$11,929
4.4× st 3.1×
193
Simple pneumonia and pleurisy with mcc
101
$47,076
$12,071
3.9× st 3.1×
177
Respiratory infections and inflammations with mcc
98
$62,799
$14,787
4.2× st 3.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
66
$167,497
$42,066
4.0× st 3.2×
190
Chronic obstructive pulmonary disease with mcc
61
$44,120
$9,745
4.5× st 3.4×
309
Cardiac arrhythmia and conduction disorders with cc
57
$25,862
$7,424
3.5× st 3.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
57
$48,349
$11,463
4.2× st 3.2×
698
Other kidney and urinary tract diagnoses with mcc
55
$56,506
$14,902
3.8× st 3.1×
280
Acute myocardial infarction, discharged alive with mcc
50
$58,087
$14,192
4.1× st 3.5×
682
Renal failure with mcc
48
$50,903
$13,398
3.8× st 3.1×
481
Hip and femur procedures except major joint with cc
47
$70,212
$17,771
4.0× st 3.9×
274
Percutaneous and other intracardiac procedures without mcc
42
$79,874
$25,559
3.1× st 3.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
42
$74,732
$17,465
4.3× st 3.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
41
$20,625
$6,138
3.4× st 3.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
40
$39,968
$9,663
4.1× st 3.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
40
$39,916
$10,326
3.9× st 3.9×
377
Gastrointestinal hemorrhage with mcc
38
$63,097
$16,387
3.9× st 3.4×
689
Kidney and urinary tract infections with mcc
37
$34,880
$9,896
3.5× st 3.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
35
$77,885
$19,782
3.9× st 3.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
35
$121,068
$27,561
4.4× st 4.3×
683
Renal failure with cc
34
$30,278
$8,434
3.6× st 3.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
33
$37,712
$12,288
3.1× st 3.4×
101
Seizures without mcc
32
$33,621
$8,357
4.0× st 3.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
32
$41,329
$7,528
5.5× st 3.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
31
$183,077
$38,203
4.8× st 3.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
31
$82,564
$16,960
4.9× st 4.7×
870
Septicemia or severe sepsis with mv >96 hours
30
$236,210
$54,015
4.4× st 3.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
29
$72,907
$17,555
4.2× st 3.9×
638
Diabetes with cc
28
$43,278
$8,596
5.0× st 3.2×
378
Gastrointestinal hemorrhage with cc
28
$39,423
$9,572
4.1× st 3.6×
281
Acute myocardial infarction, discharged alive with cc
28
$37,420
$8,499
4.4× st 3.8×
330
Major small and large bowel procedures with cc
27
$74,374
$23,289
3.2× st 3.5×
329
Major small and large bowel procedures with mcc
27
$108,581
$34,732
3.1× st 3.4×
314
Other circulatory system diagnoses with mcc
27
$79,723
$17,057
4.7× st 3.1×
308
Cardiac arrhythmia and conduction disorders with mcc
26
$59,266
$11,072
5.4× st 3.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
26
$37,816
$11,616
3.3× st 4.0×
243
Permanent cardiac pacemaker implant with cc
26
$98,565
$18,485
5.3× st 3.8×
812
Red blood cell disorders without mcc
25
$46,641
$9,130
5.1× st 3.4×
603
Cellulitis without mcc
25
$26,628
$8,272
3.2× st 2.8×
025
Craniotomy and endovascular intracranial procedures with mcc
25
$147,293
$35,473
4.2× st 3.5×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
24
$79,655
$15,557
5.1× st 4.1×
690
Kidney and urinary tract infections without mcc
24
$28,170
$7,432
3.8× st 3.3×
552
Medical back problems without mcc
24
$42,240
$9,690
4.4× st 3.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
24
$34,082
$8,258
4.1× st 3.5×
660
Kidney and ureter procedures for non-neoplasm with cc
23
$35,780
$11,469
3.1× st 3.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
23
$112,821
$22,864
4.9× st 3.5×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
23
$44,943
$11,281
4.0× st 3.4×
194
Simple pneumonia and pleurisy with cc
21
$30,294
$7,885
3.8× st 3.2×
189
Pulmonary edema and respiratory failure
21
$54,808
$10,570
5.2× st 3.3×
100
Seizures with mcc
20
$67,046
$16,415
4.1× st 3.4×
637
Diabetes with mcc
20
$50,498
$13,791
3.7× st 3.1×
086
Traumatic stupor and coma <1 hour with cc
19
$42,760
$10,951
3.9× st 3.4×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
18
$296,498
$88,810
3.3× st 3.3×
394
Other digestive system diagnoses with cc
18
$38,404
$9,000
4.3× st 3.3×
699
Other kidney and urinary tract diagnoses with cc
17
$29,967
$9,112
3.3× st 2.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
16
$47,302
$11,590
4.1× st 3.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
16
$203,483
$48,299
4.2× st 3.7×
480
Hip and femur procedures except major joint with mcc
16
$90,325
$24,226
3.7× st 3.8×
300
Peripheral vascular disorders with cc
16
$38,989
$10,054
3.9× st 3.0×
242
Permanent cardiac pacemaker implant with mcc
15
$135,206
$28,549
4.7× st 4.0×
252
Other vascular procedures with mcc
15
$149,363
$31,267
4.8× st 3.4×
393
Other digestive system diagnoses with mcc
15
$56,267
$14,023
4.0× st 3.0×
389
Gastrointestinal obstruction with cc
14
$26,758
$7,060
3.8× st 3.2×
253
Other vascular procedures with cc
13
$84,363
$21,271
4.0× st 3.7×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
13
$27,604
$9,916
2.8× st 3.3×
207
Respiratory system diagnosis with ventilator support >96 hours
13
$214,020
$54,556
3.9× st 3.1×
917
Poisoning and toxic effects of drugs with mcc
12
$86,508
$16,748
5.2× st 3.0×
659
Kidney and ureter procedures for non-neoplasm with mcc
12
$87,691
$21,683
4.0× st 3.3×
460
Spinal fusion except cervical without mcc
12
$129,987
$28,841
4.5× st 3.5×
057
Degenerative nervous system disorders without mcc
12
$44,236
$11,739
3.8× st 2.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$81,047
$15,540
5.2× st 3.2×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
11
$53,007
$16,305
3.3× st 3.5×
083
Traumatic stupor and coma >1 hour with cc
11
$52,174
$12,542
4.2× st 3.5×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
11
$299,194
$65,712
4.6× st 3.0×
602
Cellulitis with mcc
11
$46,095
$12,389
3.7× st 2.9×
673
Other kidney and urinary tract procedures with mcc
11
$134,431
$33,661
4.0× st 3.3×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
11
$225,809
$44,683
5.1× st 3.4×
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
455
$22,604
$2,305
9.8×
5372
Level 2 Urology and Related Services
282
$1,367
$595
2.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
211
$8,105
$1,357
6.0×
5373
Level 3 Urology and Related Services
200
$7,797
$1,760
4.4×
5431
Level 1 Nerve Procedures
178
$12,184
$1,669
7.3×
5191
Level 1 Endovascular Procedures
175
$15,562
$2,800
5.6×
5183
Level 3 Vascular Procedures
129
$12,867
$2,760
4.7×
5375
Level 5 Urology and Related Services
129
$16,789
$4,480
3.7×
5115
Level 5 Musculoskeletal Procedures
124
$42,791
$11,372
3.8×
5114
Level 4 Musculoskeletal Procedures
119
$28,870
$5,940
4.9×
5374
Level 4 Urology and Related Services
95
$14,390
$3,012
4.8×
5361
Level 1 Laparoscopy and Related Services
77
$30,411
$4,923
6.2×
5222
Level 2 Pacemaker and Similar Procedures
65
$39,678
$7,311
5.4×
5113
Level 3 Musculoskeletal Procedures
64
$14,478
$2,715
5.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
58
$14,609
$2,450
6.0×
5155
Level 5 Airway Endoscopy
55
$18,376
$5,790
3.2×
5213
Level 3 Electrophysiologic Procedures
54
$107,028
$19,949
5.4×
5362
Level 2 Laparoscopy and Related Services
52
$49,062
$8,722
5.6×
5193
Level 3 Endovascular Procedures
52
$57,009
$9,578
6.0×
5223
Level 3 Pacemaker and Similar Procedures
49
$59,395
$9,297
6.4×
5182
Level 2 Vascular Procedures
48
$7,324
$1,349
5.4×
5302
Level 2 Upper GI Procedures
46
$8,914
$1,629
5.5×
5414
Level 4 Gynecologic Procedures
45
$12,673
$2,566
4.9×
5184
Level 4 Vascular Procedures
39
$28,637
$4,690
6.1×
5154
Level 4 Airway Endoscopy
37
$17,807
$2,991
6.0×
5112
Level 2 Musculoskeletal Procedures
35
$9,696
$1,281
7.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
33
$24,359
$2,941
8.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
29
$22,938
$3,047
7.5×
5192
Level 2 Endovascular Procedures
28
$30,659
$4,979
6.2×
5232
Level 2 ICD and Similar Procedures
26
$221,957
$26,504
8.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
24
$50,483
$5,681
8.9×
5415
Level 5 Gynecologic Procedures
23
$28,002
$4,183
6.7×
5313
Level 3 Lower GI Procedures
19
$15,794
$2,446
6.5×
5231
Level 1 ICD and Similar Procedures
17
$149,924
$20,484
7.3×
5194
Level 4 Endovascular Procedures
17
$69,454
$14,350
4.8×
5153
Level 3 Airway Endoscopy
15
$8,182
$1,322
6.2×
5165
Level 5 ENT Procedures
15
$47,237
$4,831
9.8×
5224
Level 4 Pacemaker and Similar Procedures
12
$101,521
$16,939
6.0×
5416
Level 6 Gynecologic Procedures
11
$28,045
$6,583
4.3×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT 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-wide, last updated 4/1/2026, template 4.2, 44,056 rows scanned, 10,119 distinct code–setting items kept. 7,488 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HB Nonalcoholic Steatohepatitis (Nash)-Fibrotest, S and P
$3,111
$778
$1,848
11
clean
HB Tpmt and Nudt15 Genotype
$382
$95
$227
11
clean
HB T-Tau Protein
$3,343
$836
$1,986
11
clean
HB CT Perfusion W/Contrast Cbf
$994
$249
$590
11
clean
PR CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$293
$147
$235
3
clean
PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
$286
$143
$123
2
clean
PR TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$8,703
$4,352
$1,393
9
clean
HB IR Cartoid Intervention
$10,068
$2,517
$5,980
11
clean
PR ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS
$60
$30
—
0
clean
HB Njx Platelet Plasma
$595
$149
$399
28
clean
PR NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$499
$250
$399
3
clean
HB Trluml Perip Athrc Brchiocph
$22,370
$5,593
$11,341
28
clean
PR TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$22,446
$11,223
$1,912
5
clean
HB Transluminal Peripheral Atherectomy, Iliac Artery, Each
$34,250
$8,563
$17,957
28
clean
PR PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$8,930
$4,465
$7,144
3
clean
HB Perq Lamot/Lam Lumbar
$18,695
$4,674
$7,144
56
clean
PR INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$40,077
$20,039
$32,062
3
clean
HB Insj/Rplc Cardiac Modulj Sys
$84,446
$21,112
$32,863
28
clean
PR PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM
$47
$24
$37
2
clean
HB Prgrmg Eval Cardiac Modulj
$157
$39
$39
28
clean
HB Interro Eval Cardiac Modulj
$157
$39
$39
28
clean
PR INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM
$47
$24
$37
3
clean
PR IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL
$474
$237
$286
1
clean
PR TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$3,416
$1,708
$1,204
1
clean
HB Ev Fempop Artl Revsc
$27,466
$6,867
$11,341
28
clean
HB Ntrapx C Ffr W/3d Funcjl Map
$9,645
$2,411
$5,729
11
clean
HB Insj/Rplcmt Icds Ss Eltrd
$78,533
$19,633
$32,062
28
clean
PR INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$40,077
$20,039
$32,062
2
clean
HB Ncntc R-T Fluor Wnd Img 1st
$915
$229
$325
28
clean
HB Ncntc R-T Fluor Wnd Img Ea
$915
$229
$544
11
clean
HB Ire Abltj 1+Tum Organ Perq
$25,132
$6,283
$10,411
28
clean
HB Ire Abltj 1+Tumors Open
$25,132
$6,283
$10,411
28
clean
HB Rem Oct RTA Techl Sprt Min 8
$125
$31
$74
11
clean
HB Rem Mntr Pulm Flu Mntr Setup
$398
$100
$236
11
clean
HB Rem Mntr Pulm Flu Mntr Alys
$125
$31
$74
11
clean
HB Auto Quantification C Plaque
$975
$244
$579
11
clean
HB Auto Quan C Plaq Data Prep
$975
$244
$579
11
clean
HB Auto Quan C Plaq Cptr Alys
$975
$244
$741
28
clean
HB Perq Njx Algc Fluor Lmbr 1st
$33,368
$8,342
$13,157
28
clean
HB Perq Njx Algc Fluor Lmbr Ea
$33,368
$8,342
$19,821
11
clean
HB Perq Njx Algc CT Lmbr 1st
$33,368
$8,342
$13,157
28
clean
HB CT Breast W/3d Bi C-/C+
$1,101
$275
$375
28
clean
HB Tcat Rmvl/Dblk Icar Mas Perq
$13,544
$3,386
$5,702
28
clean
PR TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
$7,127
$3,564
$5,702
3
clean
PR TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH
$3,518
$1,759
$1,201
1
clean
HB Ttvi/Rplcmt W/Prstc Vlv Perq
$19,405
$4,851
$11,527
11
clean
HB Insj Gtube Perq Mag Gastrpxy
$5,182
$1,296
$1,944
28
clean
PR INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY
$2,371
$1,186
$1,897
2
clean
HB Egd Flexible Transnasal W/Insj Intral Tube/Cath
$11,090
$2,773
$3,949
28
clean
HB Instlj Fecal Microbiota Ssp
$376
$94
$134
28
clean
HB Fna Bx W/O Img Gdn Ea Addl
$1,286
$322
$764
11
clean
PR FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL
$84
$42
$51
5
clean
HB Fna Bx W/US Gdn 1st Les
$1,939
$485
$721
28
clean
PR FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
$209
$105
$91
5
clean
PR FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL
$95
$48
$57
5
clean
HB Fna Bx W/US Gdn Ea Addl
$1,914
$479
$1,137
11
clean
HB Fna Bx W/Fluor Gdn 1st Les
$2,373
$593
$739
28
clean
PR FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION
$477
$239
$194
5
clean
HB Fna Bx W/CT Gdn 1st Les
$1,914
$479
$721
28
clean
PR FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION
$658
$329
$267
5
clean
PR FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION
$159
$80
$69
5
clean
HB Fine Needle Asp;W/O Imaging Guidance
$1,037
$259
$409
28
clean
PR IMG-GUIDED FLU COLLJ DRG CATH SOFT TISS PERQ
$1,236
$618
$395
5
clean
HB Guide Cathet Fluid Drainage
$609
$152
$463
28
clean
PR PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION
$700
$350
$224
5
clean
PR ACNE SURGERY
$183
$92
$74
5
clean
HB Acne Surgery of Skin Abscess
$252
$63
$192
28
clean
HB I&D Absc; Smpl or Sgl
$550
$138
$199
56
clean
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
$202
$101
$118
5
clean
HB I&D Absc; Compl or Multi
$977
$244
$400
56
clean
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
$338
$169
$199
5
clean
PR INCISION & DRAINAGE PILONIDAL CYST SIMPLE
$387
$194
$157
5
clean
HB I&D Pilonid Cys; Smpl
$2,205
$551
$739
28
clean
HB I&D Pilonid Cyst; Cplx
$5,025
$1,256
$739
28
clean
PR INCISION & DRAINAGE PILONIDAL CYST COMPLICATED
$533
$267
$218
5
clean
HB Remove Foreign Body Simple
$970
$243
$400
56
clean
PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$303
$152
$139
5
clean
PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMP
$529
$265
$245
5
clean
HB Remove Foreign Body
$3,886
$972
$1,620
28
clean
HB Drainage of Hematoma/Fluid
$4,188
$1,047
$1,620
56
clean
PR I&D HEMATOMA SEROMA/FLUID COLLECTION
$267
$134
$151
5
clean
HB Puncture Drainage of Lesion
$956
$239
$400
28
clean
PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST
$205
$103
$120
5
clean
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
$527
$264
$244
5
clean
HB Complex Drainage, Wound
$7,240
$1,810
$2,890
28
clean
HB Debr Exz/Inf Skin; 10% BS
$1,468
$367
$612
28
clean
PR DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10% BDY SURF
$92
$46
$37
5
clean
PR DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10%
$43
$22
$18
5
clean
PR DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT&PER
$1,126
$563
$724
4
clean
PR DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL
$1,533
$767
$987
4
clean
PR DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER&ABDL
$1,391
$696
$895
4
clean
PR RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION
$540
$270
$348
4
clean
HB Debride Skin at Fx Site
$1,407
$352
$704
28
clean
PR DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS
$884
$442
$410
5
clean
PR DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC
$996
$498
$463
5
clean
HB Debride Skin Musc at Fx Site
$1,980
$495
$721
28
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$1,290
$323
$2,862
56
clean
PR DBRDMT FX&/DISLC SUBQ T/M/F BONE
$1,290
$645
$602
5
clean
PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<
$258
$129
$97
5
clean
Debridement Subcutaneous Tissue 1st 20 Sq Cm/<
$258
$65
$400
56
clean
Debridement Muscle &/Fascia 1st 20 Sq Cm/<
$464
$116
$612
56
clean
PR DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<
$464
$232
$217
5
clean
HB Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=
$4,188
$1,047
$1,654
28
clean
PR DEBRIDEMENT BONE 1ST 20 SQ CM/<
$620
$310
$292
5
clean
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
$79
$40
$37
5
clean
Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm
$79
$20
$166
22
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$145
$36
$235
22
clean
PR DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM
$145
$73
$69
5
clean
HB Deb Bone Add-on =<20 Sq Cm
$2,380
$595
$1,414
11
clean
PR DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM
$242
$121
$115
5
clean
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1
$140
$70
$45
5
clean
HB Pare Benign Les; Sgl
$538
$135
$199
56
clean
HB Trim Benign Hyperkeratotic Skin Lesion,2-4
$538
$135
$204
28
clean
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4
$162
$81
$52
5
clean
HB Trim Skin Lesions Over 4
$538
$135
$204
28
clean
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4
$177
$89
$57
5
clean
PR TANGENTIAL BIOPSY SKIN SINGLE LESION
$155
$78
$63
5
clean
HB Tangntl Bx Skin Single Les
$538
$135
$199
56
clean
HB Tangntl Bx Skin Ea Sep/Addl
$667
$167
$396
11
clean
PR TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
$78
$39
$32
5
clean
HB Punch Bx Skin Single Lesion
$538
$135
$289
56
clean
PR PUNCH BIOPSY SKIN SINGLE LESION
$194
$97
$79
5
clean
PR PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION
$93
$47
$38
5
clean
HB Punch Bx Skin Ea Sep/Addl
$667
$167
$155
22
clean
HB Incal Bx Skn Single Les
$956
$239
$612
28
clean
PR INCISIONAL BIOPSY SKIN SINGLE LESION
$241
$121
$98
5
clean
HB Incal Bx Skn Ea Sep/Addl
$831
$208
$494
11
clean
PR INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
$110
$55
$45
5
clean
HB Removal of Skin Tags, Up to 15
$193
$48
$118
56
clean
PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15
$146
$73
$85
5
clean
PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10
$29
$15
$17
5
clean
HB Remove Skin Tags Add-on =<10 Lesions
$286
$72
$170
11
clean
HB Shav Skin Les < 0.5 Cm Trunk,Arm,Leg
$244
$61
$214
56
clean
PR SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<
$155
$78
$63
5
clean
HB Shav Skin Les 0.6-1.0 Cm Trunk,Arm,Leg
$244
$61
$152
56
clean
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
$188
$94
$76
5
clean
PR SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM
$214
$107
$87
5
clean
HB Shav Skin Les 1.1-2.0 Cm Trunk,Arm,Leg
$244
$61
$168
56
clean
HB Shav Skin Les >2.1 Cm Trunk,Arm,Leg
$431
$108
$328
28
clean
PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM
$237
$119
$96
5
clean
HB Shav Skin Les
$244
$61
$185
28
clean
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<
$163
$82
$66
5
clean
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM
$190
$95
$77
5
clean
HB Shav Skin Les 0.6-1.0 Cm Remainder Body
$244
$61
$185
28
clean
HB Shav Skin Les 1.1-2.0 Cm Remainder Body
$244
$61
$185
28
clean
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM
$214
$107
$87
5
clean
HB Shav Skin Les >2.1 Cm Remainder Body
$244
$61
$214
28
clean
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM
$226
$113
$92
5
clean
HB Shav Skin Les
$244
$61
$145
56
clean
PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<
$179
$90
$73
5
clean
PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM
$214
$107
$87
5
clean
HB Shav Skin Les 0.6-1.0 Cm Face,Facial
$244
$61
$168
56
clean
HB Shav Skin Les 1.1-2.0 Cm Face,Facial
$244
$61
$214
28
clean
PR SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM
$243
$122
$99
5
clean
HB Shav Skin Les >2.1 Cm Face,Facial
$244
$61
$214
28
clean
PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM
$283
$142
$120
5
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<
$202
$101
$108
5
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<
$202
$51
$390
56
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.6-1.0 Cm
$245
$61
$318
56
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM
$245
$123
$135
5
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 1.1-2.0 Cm
$271
$68
$404
56
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM
$271
$136
$147
5
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM
$313
$157
$184
5
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm
$313
$78
$704
56
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm
$355
$89
$1,620
56
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM
$355
$178
$209
5
clean
HB Exc Skin Benig >4 Cm Trunk,Arm,Leg
$4,880
$1,220
$1,701
28
clean
PR EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM
$506
$253
$300
5
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<
$200
$100
$105
5
clean
HB Exc Skin Benig
$3,607
$902
$1,620
28
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.6-1.0cm
$251
$63
$704
56
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM
$251
$126
$139
5
clean
HB Exc Skin Benig 1.1-2 Cm Remaindr Body
$2,346
$587
$1,620
28
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM
$283
$142
$165
5
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM
$326
$163
$191
5
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0cm
$326
$82
$1,620
56
clean
HB Exc Skin Benig 3.1-4 Cm Remaindr Body
$4,871
$1,218
$1,701
28
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM
$378
$189
$223
5
clean
HB Exc Skin Benig >4 Cm Remaindr Body
$6,514
$1,629
$2,862
28
clean
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM
$522
$261
$310
5
clean
HB Exc Face-Mm B9+Marg 0.5cm/<
$1,213
$303
$704
28
clean
PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<
$224
$112
$130
5
clean
PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM
$273
$137
$159
5
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.6-1.0cm
$273
$68
$643
56
clean
HB Exc Face-Mm B9+Marg 1.1-2 Cm
$2,284
$571
$739
28
clean
PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM
$305
$153
$178
5
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 2.1-3.0cm
$361
$90
$1,227
56
clean
PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM
$361
$181
$212
5
clean
PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM
$450
$225
$266
5
clean
HB Exc Face-Mm B9+Marg 3.1-4 Cm
$2,284
$571
$1,620
28
clean
HB Exc Face-Mm B9+Marg > 4 Cm
$6,514
$1,629
$2,862
28
clean
PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM
$611
$306
$363
5
clean
HB Exc Hidrad Axil; S/I Rep
$3,292
$823
$2,502
28
clean
PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR
$856
$428
$394
5
clean
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
$1,051
$526
$486
5
clean
HB Removal Sweat Gland Lesion
$3,292
$823
$2,502
28
clean
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
$841
$421
$386
5
clean
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
$1,051
$526
$485
5
clean
HB Exc Hidrad Umbil; S/I Rep
$3,292
$823
$2,502
28
clean
PR EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR
$907
$454
$419
5
clean

Showing the first 200 of 10,119 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT G2011/o
error
mrf_negotiated_above_max
a negotiated rate of $26 is above the file's own maximum $24
CPT 11976/o
error
mrf_negotiated_above_max
a negotiated rate of $739 is above the file's own maximum $704
CPT 19303/o
error
mrf_negotiated_above_max
a negotiated rate of $6,848 is above the file's own maximum $6,521
CPT 26145/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 58970/o
error
mrf_negotiated_above_max
a negotiated rate of $914 is above the file's own maximum $871
CPT 26160/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 57170/o
error
mrf_negotiated_above_max
a negotiated rate of $211 is above the file's own maximum $201
CPT 26170/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 29710/o
error
mrf_negotiated_above_max
a negotiated rate of $279 is above the file's own maximum $268
CPT 92201/o
error
mrf_negotiated_above_max
a negotiated rate of $62 is above the file's own maximum $59
CPT 26180/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 0042T/b
error
mrf_negotiated_above_max
a negotiated rate of $292 is above the file's own maximum $235
CPT 49591/o
error
mrf_negotiated_above_max
a negotiated rate of $3,706 is above the file's own maximum $3,529
CPT 46604/o
error
mrf_negotiated_above_max
a negotiated rate of $1,238 is above the file's own maximum $1,179
CPT 49592/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 92552/o
error
mrf_negotiated_above_max
a negotiated rate of $135 is above the file's own maximum $129
CPT 42809/o
error
mrf_negotiated_above_max
a negotiated rate of $419 is above the file's own maximum $399
CPT 37195/b
error
mrf_negotiated_above_max
a negotiated rate of $407 is above the file's own maximum $332
CPT 76080/o
error
mrf_negotiated_above_max
a negotiated rate of $576 is above the file's own maximum $548
CPT 27328/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 24655/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 49594/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 22900/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 12016/o
error
mrf_negotiated_above_max
a negotiated rate of $420 is above the file's own maximum $400
CPT 92651/o
error
mrf_negotiated_above_max
a negotiated rate of $327 is above the file's own maximum $313
CPT 22901/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 22902/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 32551/o
error
mrf_negotiated_above_max
a negotiated rate of $1,631 is above the file's own maximum $1,553
CPT 59300/o
error
mrf_negotiated_above_max
a negotiated rate of $3,339 is above the file's own maximum $3,180
CPT 22903/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 32552/o
error
mrf_negotiated_above_max
a negotiated rate of $649 is above the file's own maximum $618
CPT 86485/b
error
mrf_negotiated_above_max
a negotiated rate of $12 is above the file's own maximum $7
CPT 27337/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 49614/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 27768/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 96136/o
error
mrf_negotiated_above_max
a negotiated rate of $135 is above the file's own maximum $129
CPT 12036/o
error
mrf_negotiated_above_max
a negotiated rate of $643 is above the file's own maximum $612
CPT 32556/o
error
mrf_negotiated_above_max
a negotiated rate of $1,992 is above the file's own maximum $1,897
CPT 12037/o
error
mrf_negotiated_above_max
a negotiated rate of $1,921 is above the file's own maximum $1,829
CPT 23030/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 96138/o
error
mrf_negotiated_above_max
a negotiated rate of $419 is above the file's own maximum $399
CPT J7504/o
error
mrf_negotiated_above_max
a negotiated rate of $10,270 is above the file's own maximum $10,088
CPT 12044/o
error
mrf_negotiated_above_max
a negotiated rate of $643 is above the file's own maximum $612
CPT 49650/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 69000/o
error
mrf_negotiated_above_max
a negotiated rate of $739 is above the file's own maximum $709
CPT 96158/o
error
mrf_negotiated_above_max
a negotiated rate of $169 is above the file's own maximum $161
CPT 27792/o
error
mrf_negotiated_above_max
a negotiated rate of $7,501 is above the file's own maximum $7,144
CPT 23071/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 69005/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT J0597/o
error
mrf_negotiated_above_max
a negotiated rate of $7,586 is above the file's own maximum $4,197
CPT 86905/o
error
mrf_negotiated_above_max
a negotiated rate of $378 is above the file's own maximum $360
CPT 0418T/b
error
mrf_negotiated_above_max
a negotiated rate of $49 is above the file's own maximum $37
CPT 25065/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 0625T/o
error
mrf_negotiated_above_max
a negotiated rate of $998 is above the file's own maximum $950
CPT 57415/o
error
mrf_negotiated_above_max
a negotiated rate of $3,339 is above the file's own maximum $3,180
CPT 76825/o
error
mrf_negotiated_above_max
a negotiated rate of $576 is above the file's own maximum $548
CPT 25071/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 96373/o
error
mrf_negotiated_above_max
a negotiated rate of $221 is above the file's own maximum $211
CPT 13131/o
error
mrf_negotiated_above_max
a negotiated rate of $420 is above the file's own maximum $400
CPT 25075/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 13132/o
error
mrf_negotiated_above_max
a negotiated rate of $643 is above the file's own maximum $612
CPT 25076/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 49659/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 54055/o
error
mrf_negotiated_above_max
a negotiated rate of $1,921 is above the file's own maximum $1,829
CPT 20606/o
error
mrf_negotiated_above_max
a negotiated rate of $727 is above the file's own maximum $693
CPT 54060/o
error
mrf_negotiated_above_max
a negotiated rate of $1,921 is above the file's own maximum $1,829
CPT 25109/o
error
mrf_negotiated_above_max
a negotiated rate of $3,407 is above the file's own maximum $3,245
CPT 54065/o
error
mrf_negotiated_above_max
a negotiated rate of $1,921 is above the file's own maximum $1,829
CPT 57460/o
error
mrf_negotiated_above_max
a negotiated rate of $3,339 is above the file's own maximum $3,180
CPT 76936/o
error
mrf_negotiated_above_max
a negotiated rate of $327 is above the file's own maximum $311
CPT 57505/o
error
mrf_negotiated_above_max
a negotiated rate of $914 is above the file's own maximum $905
CPT J0742/o
error
mrf_negotiated_above_max
a negotiated rate of $3,259 is above the file's own maximum $1,191
CPT 37609/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 25115/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 26645/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 14301/o
error
mrf_negotiated_above_max
a negotiated rate of $3,844 is above the file's own maximum $3,661
CPT 47562/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 59871/o
error
mrf_negotiated_above_max
a negotiated rate of $3,339 is above the file's own maximum $3,180
CPT 15050/o
error
mrf_negotiated_above_max
a negotiated rate of $643 is above the file's own maximum $612
CPT 77053/o
error
mrf_negotiated_above_max
a negotiated rate of $254 is above the file's own maximum $242
CPT 15200/o
error
mrf_negotiated_above_max
a negotiated rate of $1,921 is above the file's own maximum $1,829
CPT 20950/o
error
mrf_negotiated_above_max
a negotiated rate of $739 is above the file's own maximum $704
CPT 58120/o
error
mrf_negotiated_above_max
a negotiated rate of $3,339 is above the file's own maximum $3,180
CPT 38220/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 38221/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 78650/o
error
mrf_negotiated_above_max
a negotiated rate of $1,371 is above the file's own maximum $1,305
CPT J1290/o
error
mrf_negotiated_above_max
a negotiated rate of $11,599 is above the file's own maximum $7,057
CPT 30100/o
error
mrf_negotiated_above_max
a negotiated rate of $1,555 is above the file's own maximum $1,481
CPT 78814/b
error
mrf_negotiated_above_max
a negotiated rate of $1,425 is above the file's own maximum $845
CPT 25310/o
error
mrf_negotiated_above_max
a negotiated rate of $3,407 is above the file's own maximum $3,245
CPT 38500/o
error
mrf_negotiated_above_max
a negotiated rate of $4,021 is above the file's own maximum $3,829
CPT 21315/o
error
mrf_negotiated_above_max
a negotiated rate of $1,555 is above the file's own maximum $1,481
CPT 88346/o
error
mrf_negotiated_above_max
a negotiated rate of $180 is above the file's own maximum $171
CPT 23575/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 43281/o
error
mrf_negotiated_above_max
a negotiated rate of $10,932 is above the file's own maximum $10,411
CPT J1460/o
error
mrf_negotiated_above_max
a negotiated rate of $981 is above the file's own maximum $967
CPT 28193/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 38531/o
error
mrf_negotiated_above_max
a negotiated rate of $4,021 is above the file's own maximum $3,829
CPT 11300/o
error
mrf_negotiated_above_max
a negotiated rate of $420 is above the file's own maximum $400
CPT 30999/o
error
mrf_negotiated_above_max
a negotiated rate of $244 is above the file's own maximum $232
CPT 11301/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 72240/o
error
mrf_negotiated_above_max
a negotiated rate of $830 is above the file's own maximum $790
CPT 58356/o
error
mrf_negotiated_above_max
a negotiated rate of $5,183 is above the file's own maximum $4,936
CPT 11302/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 11303/o
error
mrf_negotiated_above_max
a negotiated rate of $420 is above the file's own maximum $400
CPT 11305/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 11306/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 11307/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 49185/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 27043/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 73085/o
error
mrf_negotiated_above_max
a negotiated rate of $375 is above the file's own maximum $357
CPT 11308/o
error
mrf_negotiated_above_max
a negotiated rate of $420 is above the file's own maximum $400
CPT 58543/o
error
mrf_negotiated_above_max
a negotiated rate of $10,932 is above the file's own maximum $10,411
CPT 15852/o
error
mrf_negotiated_above_max
a negotiated rate of $643 is above the file's own maximum $612
CPT 11310/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 44970/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 25520/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 38745/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 11312/o
error
mrf_negotiated_above_max
a negotiated rate of $420 is above the file's own maximum $400
CPT 24071/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 11313/o
error
mrf_negotiated_above_max
a negotiated rate of $420 is above the file's own maximum $400
CPT 21555/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 90662/o
error
mrf_negotiated_above_max
a negotiated rate of $196 is above the file's own maximum $73
CPT 49320/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 55535/o
error
mrf_negotiated_above_max
a negotiated rate of $6,552 is above the file's own maximum $6,240
CPT 73525/o
error
mrf_negotiated_above_max
a negotiated rate of $375 is above the file's own maximum $357
CPT 94681/o
error
mrf_negotiated_above_max
a negotiated rate of $327 is above the file's own maximum $311
CPT 49329/o
error
mrf_negotiated_above_max
a negotiated rate of $6,126 is above the file's own maximum $5,834
CPT 25609/o
error
mrf_negotiated_above_max
a negotiated rate of $7,501 is above the file's own maximum $7,144
CPT 43648/o
error
mrf_negotiated_above_max
a negotiated rate of $10,932 is above the file's own maximum $10,541
CPT 94728/o
error
mrf_negotiated_above_max
a negotiated rate of $164 is above the file's own maximum $156
CPT 34847/b
error
mrf_negotiated_above_max
a negotiated rate of $2,744 is above the file's own maximum $2,612
CPT 36555/o
error
mrf_negotiated_above_max
a negotiated rate of $3,305 is above the file's own maximum $3,148
CPT 64718/o
error
mrf_negotiated_above_max
a negotiated rate of $2,050 is above the file's own maximum $1,953
CPT 17260/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 36556/o
error
mrf_negotiated_above_max
a negotiated rate of $3,305 is above the file's own maximum $3,148
CPT 95117/o
error
mrf_negotiated_above_max
a negotiated rate of $48 is above the file's own maximum $46
CPT 17261/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 51710/o
error
mrf_negotiated_above_max
a negotiated rate of $701 is above the file's own maximum $667
CPT 11450/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 17270/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 64722/o
error
mrf_negotiated_above_max
a negotiated rate of $2,050 is above the file's own maximum $1,953
CPT 74328/b
error
mrf_negotiated_above_max
a negotiated rate of $173 is above the file's own maximum $103
CPT 95710/b
error
mrf_negotiated_above_max
a negotiated rate of $795 is above the file's own maximum $531
CPT 21931/o
error
mrf_negotiated_above_max
a negotiated rate of $1,701 is above the file's own maximum $1,620
CPT 11462/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 64772/o
error
mrf_negotiated_above_max
a negotiated rate of $2,050 is above the file's own maximum $1,953
CPT 11470/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 21932/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 56620/o
error
mrf_negotiated_above_max
a negotiated rate of $3,339 is above the file's own maximum $3,180
CPT 17281/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 11471/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 21933/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 31630/o
error
mrf_negotiated_above_max
a negotiated rate of $3,871 is above the file's own maximum $3,687
CPT 45380/o
error
mrf_negotiated_above_max
a negotiated rate of $1,238 is above the file's own maximum $1,179
CPT 17999/o
error
mrf_negotiated_above_max
a negotiated rate of $209 is above the file's own maximum $199
CPT 27197/o
error
mrf_negotiated_above_max
a negotiated rate of $252 is above the file's own maximum $240
CPT 45381/o
error
mrf_negotiated_above_max
a negotiated rate of $1,238 is above the file's own maximum $1,179
CPT 51792/o
error
mrf_negotiated_above_max
a negotiated rate of $62 is above the file's own maximum $59
CPT 90839/o
error
mrf_negotiated_above_max
a negotiated rate of $169 is above the file's own maximum $161
CPT 40801/o
error
mrf_negotiated_above_max
a negotiated rate of $535 is above the file's own maximum $514
CPT 27200/o
error
mrf_negotiated_above_max
a negotiated rate of $252 is above the file's own maximum $240
CPT G0397/o
error
mrf_negotiated_above_max
a negotiated rate of $169 is above the file's own maximum $161
CPT 40808/o
error
mrf_negotiated_above_max
a negotiated rate of $535 is above the file's own maximum $509
CPT 75625/o
error
mrf_negotiated_above_max
a negotiated rate of $3,305 is above the file's own maximum $3,148
CPT J2690/o
error
mrf_negotiated_above_max
a negotiated rate of $589 is above the file's own maximum $386
CPT 41007/o
error
mrf_negotiated_above_max
a negotiated rate of $1,555 is above the file's own maximum $1,481
CPT 36595/o
error
mrf_negotiated_above_max
a negotiated rate of $3,305 is above the file's own maximum $3,148
CPT 36597/o
error
mrf_negotiated_above_max
a negotiated rate of $1,631 is above the file's own maximum $1,553
CPT 19120/o
error
mrf_negotiated_above_max
a negotiated rate of $4,021 is above the file's own maximum $3,829
CPT 49507/o
error
mrf_negotiated_above_max
a negotiated rate of $3,706 is above the file's own maximum $3,529
CPT 41105/o
error
mrf_negotiated_above_max
a negotiated rate of $3,405 is above the file's own maximum $3,243
CPT 65210/o
error
mrf_negotiated_above_max
a negotiated rate of $419 is above the file's own maximum $399
CPT 52234/o
error
mrf_negotiated_above_max
a negotiated rate of $3,621 is above the file's own maximum $3,449
CPT 95867/o
error
mrf_negotiated_above_max
a negotiated rate of $327 is above the file's own maximum $311
CPT 91065/o
error
mrf_negotiated_above_max
a negotiated rate of $164 is above the file's own maximum $156
CPT 27238/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT 65220/o
error
mrf_negotiated_above_max
a negotiated rate of $419 is above the file's own maximum $399
CPT 95869/o
error
mrf_negotiated_above_max
a negotiated rate of $327 is above the file's own maximum $311
CPT 91304/o
error
mrf_negotiated_above_max
a negotiated rate of $384 is above the file's own maximum $139
CPT 57061/o
error
mrf_negotiated_above_max
a negotiated rate of $3,339 is above the file's own maximum $3,180
CPT 75820/o
error
mrf_negotiated_above_max
a negotiated rate of $1,631 is above the file's own maximum $1,553
CPT 11771/o
error
mrf_negotiated_above_max
a negotiated rate of $3,005 is above the file's own maximum $2,862
CPT 49553/o
error
mrf_negotiated_above_max
a negotiated rate of $3,706 is above the file's own maximum $3,529
CPT 75822/o
error
mrf_negotiated_above_max
a negotiated rate of $1,631 is above the file's own maximum $1,553
CPT 91321/o
error
mrf_negotiated_above_max
a negotiated rate of $294 is above the file's own maximum $137
CPT 57105/o
error
mrf_negotiated_above_max
a negotiated rate of $3,339 is above the file's own maximum $3,180
CPT 46030/o
error
mrf_negotiated_above_max
a negotiated rate of $1,238 is above the file's own maximum $1,179
CPT 42104/o
error
mrf_negotiated_above_max
a negotiated rate of $3,405 is above the file's own maximum $3,243
CPT 95907/o
error
mrf_negotiated_above_max
a negotiated rate of $164 is above the file's own maximum $156
CPT 19301/o
error
mrf_negotiated_above_max
a negotiated rate of $4,021 is above the file's own maximum $3,829
CPT 24535/o
error
mrf_negotiated_above_max
a negotiated rate of $1,680 is above the file's own maximum $1,600
CPT J3316/o
error
mrf_negotiated_above_max
a negotiated rate of $45,807 is above the file's own maximum $3,817
error
mrf_negotiated_below_min_systematic
2,414 of 7,355 comparable items (33%) 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. a negotiated rate of $210 is below the file's own minimum $399
MS-DRG 495/i
warn
mrf_negotiated_above_gross
highest negotiated rate $59,858 exceeds the gross charge $51,877
CPT J3360/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $3
MS-DRG 500/i
warn
mrf_negotiated_above_gross
highest negotiated rate $71,017 exceeds the gross charge $65,663
MS-DRG 503/i
warn
mrf_negotiated_above_gross
highest negotiated rate $42,570 exceeds the gross charge $41,702
CPT 19303/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,848 exceeds the gross charge $1,935
CPT 26145/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,680 exceeds the gross charge $1,065

Showing the first 200 of 7,488 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-wide · 65.9M bytes · fetched 2026-08-26 · sha256 65f61461c9c0…

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.