Hospital · CCN 230302

Henry Ford Health West Bloomfield Hospital

6777 West Maple Road, West Bloomfield, MI 48322 · Oakland County
Part of Henry Ford Health · 191 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

70 admission types 60 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
3.71×
$104.4M billed against $28.1M paid across 2,358 Medicare discharges; the national figure is 5.03×.
2.8%
of adults in Oakland County have medical debt in collections
4.7%
uninsured in the county · state 5.5%
$92K
median household income
3.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (11 in the inpatient or outpatient file)ⓘ
31.3%
obesity in the countyⓘ
10.2%
diagnosed diabetes (PLACES)
5.9%
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
281
$54,189
$14,614
3.7× st 3.2×
291
Heart failure and shock with mcc
190
$37,696
$9,571
3.9× st 3.1×
177
Respiratory infections and inflammations with mcc
97
$40,055
$11,880
3.4× st 3.1×
193
Simple pneumonia and pleurisy with mcc
86
$30,785
$9,706
3.2× st 3.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
68
$31,290
$8,157
3.8× st 3.2×
280
Acute myocardial infarction, discharged alive with mcc
59
$39,856
$11,419
3.5× st 3.5×
378
Gastrointestinal hemorrhage with cc
59
$31,295
$7,723
4.1× st 3.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
57
$25,794
$6,178
4.2× st 3.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
51
$43,094
$7,807
5.5× st 3.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
51
$115,417
$35,209
3.3× st 3.2×
690
Kidney and urinary tract infections without mcc
48
$20,077
$6,080
3.3× st 3.3×
683
Renal failure with cc
46
$22,477
$6,629
3.4× st 3.2×
689
Kidney and urinary tract infections with mcc
46
$28,579
$9,096
3.1× st 3.1×
309
Cardiac arrhythmia and conduction disorders with cc
46
$22,632
$6,025
3.8× st 3.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
43
$34,446
$9,397
3.7× st 3.2×
603
Cellulitis without mcc
41
$21,231
$6,601
3.2× st 2.8×
682
Renal failure with mcc
41
$43,811
$10,490
4.2× st 3.1×
194
Simple pneumonia and pleurisy with cc
35
$23,362
$6,606
3.5× st 3.2×
481
Hip and femur procedures except major joint with cc
35
$62,264
$15,114
4.1× st 3.9×
698
Other kidney and urinary tract diagnoses with mcc
34
$39,240
$12,858
3.1× st 3.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
34
$58,273
$14,351
4.1× st 3.6×
377
Gastrointestinal hemorrhage with mcc
33
$54,252
$15,647
3.5× st 3.4×
178
Respiratory infections and inflammations with cc
32
$24,745
$7,237
3.4× st 3.2×
281
Acute myocardial infarction, discharged alive with cc
31
$32,189
$7,466
4.3× st 3.8×
552
Medical back problems without mcc
30
$23,450
$7,327
3.2× st 3.5×
190
Chronic obstructive pulmonary disease with mcc
29
$33,680
$8,135
4.1× st 3.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
28
$23,438
$6,215
3.8× st 3.4×
812
Red blood cell disorders without mcc
27
$27,637
$6,762
4.1× st 3.4×
389
Gastrointestinal obstruction with cc
26
$24,574
$6,485
3.8× st 3.2×
308
Cardiac arrhythmia and conduction disorders with mcc
26
$30,780
$9,453
3.3× st 3.6×
394
Other digestive system diagnoses with cc
25
$23,480
$7,236
3.2× st 3.3×
312
Syncope and collapse
25
$22,530
$6,428
3.5× st 3.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
24
$57,077
$15,097
3.8× st 3.9×
460
Spinal fusion except cervical without mcc
23
$106,328
$26,227
4.1× st 3.5×
455
Combined anterior and posterior spinal fusion without cc/mcc
22
$125,719
$36,131
3.5× st 3.0×
184
Major chest trauma with cc
22
$37,684
$7,514
5.0× st 3.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
21
$86,479
$13,445
6.4× st 4.7×
092
Other disorders of nervous system with cc
20
$27,995
$8,526
3.3× st 3.5×
454
Combined anterior and posterior spinal fusion with cc
20
$181,997
$48,673
3.7× st 2.9×
699
Other kidney and urinary tract diagnoses with cc
20
$27,022
$8,481
3.2× st 2.8×
393
Other digestive system diagnoses with mcc
20
$31,733
$12,757
2.5× st 3.0×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
20
$66,627
$19,041
3.5× st 3.1×
176
Pulmonary embolism without mcc
20
$32,560
$7,382
4.4× st 3.5×
472
Cervical spinal fusion with cc
19
$68,236
$27,946
2.4× st 3.4×
189
Pulmonary edema and respiratory failure
18
$31,279
$9,183
3.4× st 3.3×
101
Seizures without mcc
18
$27,729
$7,288
3.8× st 3.3×
948
Signs and symptoms without mcc
17
$25,313
$7,158
3.5× st 3.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
17
$19,370
$4,521
4.3× st 3.6×
330
Major small and large bowel procedures with cc
16
$76,206
$21,596
3.5× st 3.5×
304
Hypertension with mcc
16
$33,229
$8,637
3.8× st 3.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
16
$30,120
$7,680
3.9× st 3.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
15
$47,296
$11,162
4.2× st 3.4×
100
Seizures with mcc
15
$58,033
$14,126
4.1× st 3.4×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
14
$46,302
$10,104
4.6× st 3.3×
243
Permanent cardiac pacemaker implant with cc
13
$77,335
$16,555
4.7× st 3.8×
870
Septicemia or severe sepsis with mv >96 hours
12
$149,739
$46,866
3.2× st 3.3×
070
Other cerebrovascular disorders with mcc
12
$34,678
$12,586
2.8× st 2.8×
149
Dysequilibrium
12
$45,560
$8,762
5.2× st 4.1×
644
Endocrine disorders with cc
12
$26,463
$7,810
3.4× st 3.0×
375
Digestive malignancy with cc
12
$34,803
$8,677
4.0× st 3.1×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$54,527
$14,858
3.7× st 4.0×
183
Major chest trauma with mcc
12
$59,277
$11,526
5.1× st 3.1×
253
Other vascular procedures with cc
11
$99,574
$18,517
5.4× st 3.7×
069
Transient ischemia without thrombolytic
11
$27,279
$5,962
4.6× st 4.2×
473
Cervical spinal fusion without cc/mcc
11
$74,961
$17,734
4.2× st 3.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$50,378
$15,671
3.2× st 3.2×
480
Hip and femur procedures except major joint with mcc
11
$70,631
$23,976
2.9× st 3.8×
202
Bronchitis and asthma with cc/mcc
11
$25,061
$7,180
3.5× st 3.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$110,983
$20,588
5.4× st 3.5×
602
Cellulitis with mcc
11
$37,750
$10,607
3.6× st 2.9×
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
413
$13,671
$2,426
5.6×
5115
Level 5 Musculoskeletal Procedures
318
$41,814
$11,515
3.6×
5372
Level 2 Urology and Related Services
250
$1,664
$605
2.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
165
$5,819
$1,420
4.1×
5373
Level 3 Urology and Related Services
149
$5,561
$1,819
3.1×
5302
Level 2 Upper GI Procedures
104
$6,044
$1,691
3.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
85
$11,016
$3,031
3.6×
5114
Level 4 Musculoskeletal Procedures
85
$27,497
$6,156
4.5×
5183
Level 3 Vascular Procedures
84
$8,517
$2,846
3.0×
5374
Level 4 Urology and Related Services
81
$14,270
$3,032
4.7×
5361
Level 1 Laparoscopy and Related Services
69
$31,739
$5,018
6.3×
5116
Level 6 Musculoskeletal Procedures
63
$70,291
$16,368
4.3×
5375
Level 5 Urology and Related Services
55
$20,352
$4,553
4.5×
5313
Level 3 Lower GI Procedures
48
$7,220
$2,506
2.9×
5184
Level 4 Vascular Procedures
39
$11,829
$4,807
2.5×
5113
Level 3 Musculoskeletal Procedures
37
$14,980
$2,890
5.2×
5193
Level 3 Endovascular Procedures
37
$44,595
$9,816
4.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
37
$13,962
$3,404
4.1×
5414
Level 4 Gynecologic Procedures
36
$10,201
$2,792
3.7×
5492
Level 2 Intraocular Procedures
36
$15,455
$3,631
4.3×
5191
Level 1 Endovascular Procedures
35
$13,570
$2,855
4.8×
5153
Level 3 Airway Endoscopy
35
$4,905
$1,516
3.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
34
$10,625
$2,537
4.2×
5182
Level 2 Vascular Procedures
34
$4,891
$1,430
3.4×
5112
Level 2 Musculoskeletal Procedures
32
$8,200
$1,399
5.9×
5465
Level 5 Neurostimulator and Related Procedures
31
$97,071
$25,969
3.7×
5192
Level 2 Endovascular Procedures
26
$20,102
$5,104
3.9×
5165
Level 5 ENT Procedures
25
$23,374
$5,229
4.5×
5362
Level 2 Laparoscopy and Related Services
24
$48,349
$9,187
5.3×
5431
Level 1 Nerve Procedures
21
$9,728
$1,659
5.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
20
$26,382
$5,823
4.5×
5464
Level 4 Neurostimulator and Related Procedures
18
$69,497
$19,487
3.6×
5223
Level 3 Pacemaker and Similar Procedures
18
$37,960
$9,529
4.0×
5491
Level 1 Intraocular Procedures
17
$9,081
$2,081
4.4×
5331
Complex GI Procedures
16
$15,233
$4,771
3.2×
5163
Level 3 ENT Procedures
12
$600
$798
0.8×
5154
Level 4 Airway Endoscopy
11
$17,180
$3,344
5.1×
5194
Level 4 Endovascular Procedures
11
$57,707
$15,627
3.7×
5493
Level 3 Intraocular Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-06-28, template 3.0.0, 2,912,586 rows scanned, 21,102 distinct code–setting items kept. 19,208 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
$994
$720
27
clean
LIVER DIS 10 ASSAYS W/ASH
—
$695
$508
29
clean
LIVER DIS 10 ASSAYS W/NASH
—
$695
$508
29
clean
ONCO PRST8 3 GENE UR ALG
—
$1,049
$802
32
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ONC MRNA 5 GEN RSK URTHL CA
—
$1,049
$760
28
clean
ONC MRNA 5 GEN RECR URTHL CA
—
$1,049
$760
28
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ADRNL CORTCL TUM BCHM ASY 25
—
$1,801
$1,305
25
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ONC BLADDER MRNA 219 GEN ALG
—
$4,816
$3,490
25
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ONC THYR 10 MICRORNA SEQ ALG
—
$4,143
$3,167
32
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ONC AML DNA DETCJ/NONDETCJ
—
$343
$273
31
clean
GLYCA NUC MR SPECTRSC QUAN
—
$47
$34
28
clean
ONC THYR DNA&MRNA 112 GENES
—
$4,968
$3,798
32
clean
JAK2 GENE TRGT SEQ ALYS
—
$168
$129
32
clean
RX METAB ADVRS TRGT SEQ ALYS
—
$1,024
$742
27
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
TPMT NUDT15 GENES
—
$643
$513
31
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
HB LAB CREUTZFELDT-JAKOB DISEASE CAUSING AGENT, SO
$361
$747
$541
34
clean
TRGT GEN SEQ DNA 324 GENES
—
$4,830
$3,500
38
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
$24
$18
32
clean
CT PERFUSION W/CONTRAST CBF
—
—
$356
9
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
$24
$18
32
clean
TBRF B GRP ANTB 4 PRTN IGM
—
$21
$16
32
clean
TBRF B GRP ANTB 4 PRTN IGG
—
$21
$16
32
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ONC BRST DUX CARC IS 12 GENE
—
$5,345
$3,873
27
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ONC PRST8 MRNA 17 GENE ALG
—
$5,345
$4,086
32
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
BONE SRGRY CMPTR FLUOR IMAGE
—
—
$259
5
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
BONE SRGRY CMPTR CT/MRI IMAG
—
—
$303
5
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
HB LAB ANTI MERKEL CELL PANEL, SO
$368
$446
$323
33
clean
HB LAB ANTI MERKEL VIRAL CAPSID SCREEN, SO
$368
$446
$323
33
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
$35
$25
28
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ANTB TP TOTAL&RPR IA QUAL
—
$43
$33
32
clean
SYFLS TST NONTREPONEMAL ANTB
—
$25
$19
32
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
CANDIDA SPECIES PNL AMP PRB
—
$197
$157
31
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
HB ARTERIAL STENT, XCRANIAL VERTEBRAL/ THORACIC CAROTID, 1ST VES
$20,565
—
$4,812
43
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
IG PARAPROTEIN QUAL BLD/UR
—
$60
$43
29
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
$4,858
$3,520
28
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ONC MLNMA PRAME & LINC00518
—
$1,049
$802
32
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
$2,691
$1,950
28
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
ESW MUSCSKEL SYS NOS
—
$339
$246
29
clean
HERED COLON CA DO 15 GENES
—
$2,407
$1,744
27
clean
NEPH CKD MULT ECLIA TUM NEC
—
$1,311
$950
27
clean
TOUCH QUANT SENSORY TEST
—
$51
$37
28
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
$1,207
$874
24
clean
VIBRATE QUANT SENSORY TEST
—
$51
$37
28
clean
COOL QUANT SENSORY TEST
—
$81
$59
28
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
$6,831
$4,950
27
clean
HEAT QUANT SENSORY TEST
—
$51
$37
28
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
IADI 16S&18S RRNA GENES
—
$491
$356
27
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
Anesthesia Conversion Factor
—
—
$21
85
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
$3,799
$2,753
28
clean
CRD CERAMIDES LIQ CHROM PLSM
—
$116
$84
28
clean

Showing the first 200 of 21,102 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_cash_above_gross_systematic
295 of 2,946 comparable items (10%) 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. discounted cash price $747 exceeds gross charge $361
warn
mrf_negotiated_above_gross_systematic
4,551 of 5,964 comparable items (76%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $1,162 exceeds the gross charge $361
warn
mrf_rate_without_estimate
534,737 of 534,737 percentage/algorithm rates across 10,336 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 66988/o
info
mrf_cash_above_gross
discounted cash price $5,684 exceeds gross charge $3,490 — part of a file-wide pattern, counted once at the file level
CPT L0486/b
info
mrf_cash_above_gross
discounted cash price $3,470 exceeds gross charge $2,835 — part of a file-wide pattern, counted once at the file level
CPT 0629T/o
info
mrf_cash_above_gross
discounted cash price $17,654 exceeds gross charge $812 — part of a file-wide pattern, counted once at the file level
CPT D7270/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $592 — part of a file-wide pattern, counted once at the file level
CPT L0486/o
info
mrf_cash_above_gross
discounted cash price $3,470 exceeds gross charge $2,835 — part of a file-wide pattern, counted once at the file level
CPT 92565/o
info
mrf_cash_above_gross
discounted cash price $81 exceeds gross charge $50 — part of a file-wide pattern, counted once at the file level
CPT 82642/o
info
mrf_cash_above_gross
discounted cash price $40 exceeds gross charge $34 — part of a file-wide pattern, counted once at the file level
CPT L0627/b
info
mrf_cash_above_gross
discounted cash price $697 exceeds gross charge $525 — part of a file-wide pattern, counted once at the file level
CPT D7280/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $493 — part of a file-wide pattern, counted once at the file level
CPT 82652/o
info
mrf_cash_above_gross
discounted cash price $53 exceeds gross charge $29 — part of a file-wide pattern, counted once at the file level
CPT 84238/o
info
mrf_cash_above_gross
discounted cash price $50 exceeds gross charge $21 — part of a file-wide pattern, counted once at the file level
CPT D2975/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $335 — part of a file-wide pattern, counted once at the file level
CPT L0627/o
info
mrf_cash_above_gross
discounted cash price $697 exceeds gross charge $525 — part of a file-wide pattern, counted once at the file level
CPT 1019T/o
info
mrf_cash_above_gross
discounted cash price $9,130 exceeds gross charge $2,670 — part of a file-wide pattern, counted once at the file level
CPT 44402/o
info
mrf_cash_above_gross
discounted cash price $8,348 exceeds gross charge $7,154 — part of a file-wide pattern, counted once at the file level
CPT L0631/b
info
mrf_cash_above_gross
discounted cash price $1,741 exceeds gross charge $1,422 — part of a file-wide pattern, counted once at the file level
CPT 86965/o
info
mrf_cash_above_gross
discounted cash price $234 exceeds gross charge $118 — part of a file-wide pattern, counted once at the file level
CPT 93668/o
info
mrf_cash_above_gross
discounted cash price $81 exceeds gross charge $77 — part of a file-wide pattern, counted once at the file level
CPT C9780/o
info
mrf_cash_above_gross
discounted cash price $11,104 exceeds gross charge $364 — part of a file-wide pattern, counted once at the file level
CPT L0631/o
info
mrf_cash_above_gross
discounted cash price $1,741 exceeds gross charge $1,422 — part of a file-wide pattern, counted once at the file level
CPT 0220T/o
info
mrf_cash_above_gross
discounted cash price $17,654 exceeds gross charge $3,330 — part of a file-wide pattern, counted once at the file level
CPT 84260/o
info
mrf_cash_above_gross
discounted cash price $43 exceeds gross charge $17 — part of a file-wide pattern, counted once at the file level
CPT 53451/o
info
mrf_cash_above_gross
discounted cash price $18,141 exceeds gross charge $2,484 — part of a file-wide pattern, counted once at the file level
CPT D7310/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $339 — part of a file-wide pattern, counted once at the file level
CPT L0638/b
info
mrf_cash_above_gross
discounted cash price $2,237 exceeds gross charge $1,827 — part of a file-wide pattern, counted once at the file level
CPT 92579/o
info
mrf_cash_above_gross
discounted cash price $297 exceeds gross charge $134 — part of a file-wide pattern, counted once at the file level
CPT C9783/o
info
mrf_cash_above_gross
discounted cash price $15,874 exceeds gross charge $7,433 — part of a file-wide pattern, counted once at the file level
CPT L0638/o
info
mrf_cash_above_gross
discounted cash price $2,237 exceeds gross charge $1,827 — part of a file-wide pattern, counted once at the file level
CPT 0221T/o
info
mrf_cash_above_gross
discounted cash price $9,978 exceeds gross charge $714 — part of a file-wide pattern, counted once at the file level
CPT 53452/o
info
mrf_cash_above_gross
discounted cash price $13,017 exceeds gross charge $2,325 — part of a file-wide pattern, counted once at the file level
CPT D3220/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $300 — part of a file-wide pattern, counted once at the file level
CPT D7311/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $305 — part of a file-wide pattern, counted once at the file level
CPT 55559/o
info
mrf_cash_above_gross
discounted cash price $8,313 exceeds gross charge $960 — part of a file-wide pattern, counted once at the file level
CPT 92582/o
info
mrf_cash_above_gross
discounted cash price $177 exceeds gross charge $143 — part of a file-wide pattern, counted once at the file level
CPT 82679/o
info
mrf_cash_above_gross
discounted cash price $34 exceeds gross charge $19 — part of a file-wide pattern, counted once at the file level
CPT 53453/o
info
mrf_cash_above_gross
discounted cash price $4,847 exceeds gross charge $1,980 — part of a file-wide pattern, counted once at the file level
CPT D3221/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $327 — part of a file-wide pattern, counted once at the file level
CPT D7320/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $612 — part of a file-wide pattern, counted once at the file level
CPT 0654T/o
info
mrf_cash_above_gross
discounted cash price $5,301 exceeds gross charge $612 — part of a file-wide pattern, counted once at the file level
CPT D7321/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $318 — part of a file-wide pattern, counted once at the file level
CPT L1832/b
info
mrf_cash_above_gross
discounted cash price $1,168 exceeds gross charge $948 — part of a file-wide pattern, counted once at the file level
CPT 93792/o
info
mrf_cash_above_gross
discounted cash price $98 exceeds gross charge $78 — part of a file-wide pattern, counted once at the file level
CPT L1832/o
info
mrf_cash_above_gross
discounted cash price $1,168 exceeds gross charge $948 — part of a file-wide pattern, counted once at the file level
CPT 81412/o
info
mrf_cash_above_gross
discounted cash price $3,379 exceeds gross charge $612 — part of a file-wide pattern, counted once at the file level
CPT 84376/o
info
mrf_cash_above_gross
discounted cash price $8 exceeds gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT D7410/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $400 — part of a file-wide pattern, counted once at the file level
CPT L1930/b
info
mrf_cash_above_gross
discounted cash price $427 exceeds gross charge $349 — part of a file-wide pattern, counted once at the file level
CPT C9901/o
info
mrf_cash_above_gross
discounted cash price $14,616 exceeds gross charge $12,377 — part of a file-wide pattern, counted once at the file level
CPT 43647/o
info
mrf_cash_above_gross
discounted cash price $15,322 exceeds gross charge $4,000 — part of a file-wide pattern, counted once at the file level
CPT 86332/o
info
mrf_cash_above_gross
discounted cash price $34 exceeds gross charge $23 — part of a file-wide pattern, counted once at the file level
CPT L1930/o
info
mrf_cash_above_gross
discounted cash price $427 exceeds gross charge $349 — part of a file-wide pattern, counted once at the file level
CPT 93798/o
info
mrf_cash_above_gross
discounted cash price $177 exceeds gross charge $163 — part of a file-wide pattern, counted once at the file level
CPT D0120/o
info
mrf_cash_above_gross
discounted cash price $183 exceeds gross charge $79 — part of a file-wide pattern, counted once at the file level
CPT D3331/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $296 — part of a file-wide pattern, counted once at the file level
CPT 43648/o
info
mrf_cash_above_gross
discounted cash price $14,616 exceeds gross charge $880 — part of a file-wide pattern, counted once at the file level
CPT L1960/b
info
mrf_cash_above_gross
discounted cash price $1,051 exceeds gross charge $859 — part of a file-wide pattern, counted once at the file level
CPT 0449T/o
info
mrf_cash_above_gross
discounted cash price $7,317 exceeds gross charge $4,200 — part of a file-wide pattern, counted once at the file level
CPT D0140/o
info
mrf_cash_above_gross
discounted cash price $183 exceeds gross charge $99 — part of a file-wide pattern, counted once at the file level
CPT D3332/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $330 — part of a file-wide pattern, counted once at the file level
CPT L1960/o
info
mrf_cash_above_gross
discounted cash price $1,051 exceeds gross charge $859 — part of a file-wide pattern, counted once at the file level
CPT D0150/o
info
mrf_cash_above_gross
discounted cash price $183 exceeds gross charge $116 — part of a file-wide pattern, counted once at the file level
CPT D7450/o
info
mrf_cash_above_gross
discounted cash price $4,559 exceeds gross charge $400 — part of a file-wide pattern, counted once at the file level
CPT L2116/b
info
mrf_cash_above_gross
discounted cash price $1,307 exceeds gross charge $1,068 — part of a file-wide pattern, counted once at the file level
CPT L2116/o
info
mrf_cash_above_gross
discounted cash price $1,307 exceeds gross charge $1,068 — part of a file-wide pattern, counted once at the file level
CPT 0237T/o
info
mrf_cash_above_gross
discounted cash price $15,874 exceeds gross charge $2,905 — part of a file-wide pattern, counted once at the file level
CPT 87109/o
info
mrf_cash_above_gross
discounted cash price $21 exceeds gross charge $13 — part of a file-wide pattern, counted once at the file level
CPT D0170/o
info
mrf_cash_above_gross
discounted cash price $183 exceeds gross charge $88 — part of a file-wide pattern, counted once at the file level
CPT L2136/b
info
mrf_cash_above_gross
discounted cash price $2,139 exceeds gross charge $1,747 — part of a file-wide pattern, counted once at the file level
CPT D7471/o
info
mrf_cash_above_gross
discounted cash price $4,559 exceeds gross charge $840 — part of a file-wide pattern, counted once at the file level
CPT 15824/o
info
mrf_cash_above_gross
discounted cash price $2,837 exceeds gross charge $100 — part of a file-wide pattern, counted once at the file level
CPT L2136/o
info
mrf_cash_above_gross
discounted cash price $2,139 exceeds gross charge $1,747 — part of a file-wide pattern, counted once at the file level
CPT D0171/o
info
mrf_cash_above_gross
discounted cash price $183 exceeds gross charge $90 — part of a file-wide pattern, counted once at the file level
CPT 15825/o
info
mrf_cash_above_gross
discounted cash price $4,873 exceeds gross charge $100 — part of a file-wide pattern, counted once at the file level
CPT 96138/o
info
mrf_cash_above_gross
discounted cash price $614 exceeds gross charge $148 — part of a file-wide pattern, counted once at the file level
CPT L2180/b
info
mrf_cash_above_gross
discounted cash price $225 exceeds gross charge $184 — part of a file-wide pattern, counted once at the file level
CPT 0464T/o
info
mrf_cash_above_gross
discounted cash price $177 exceeds gross charge $115 — part of a file-wide pattern, counted once at the file level
CPT D0180/o
info
mrf_cash_above_gross
discounted cash price $183 exceeds gross charge $132 — part of a file-wide pattern, counted once at the file level
CPT D7510/o
info
mrf_cash_above_gross
discounted cash price $974 exceeds gross charge $332 — part of a file-wide pattern, counted once at the file level
CPT L2180/o
info
mrf_cash_above_gross
discounted cash price $225 exceeds gross charge $184 — part of a file-wide pattern, counted once at the file level
CPT 0699T/o
info
mrf_cash_above_gross
discounted cash price $3,173 exceeds gross charge $350 — part of a file-wide pattern, counted once at the file level
CPT 15826/o
info
mrf_cash_above_gross
discounted cash price $4,873 exceeds gross charge $100 — part of a file-wide pattern, counted once at the file level
CPT 84445/o
info
mrf_cash_above_gross
discounted cash price $70 exceeds gross charge $51 — part of a file-wide pattern, counted once at the file level
CPT D0210/o
info
mrf_cash_above_gross
discounted cash price $328 exceeds gross charge $121 — part of a file-wide pattern, counted once at the file level
CPT D7511/o
info
mrf_cash_above_gross
discounted cash price $974 exceeds gross charge $557 — part of a file-wide pattern, counted once at the file level
CPT L2624/b
info
mrf_cash_above_gross
discounted cash price $662 exceeds gross charge $541 — part of a file-wide pattern, counted once at the file level
CPT 0707T/o
info
mrf_cash_above_gross
discounted cash price $4,499 exceeds gross charge $770 — part of a file-wide pattern, counted once at the file level
CPT 15828/o
info
mrf_cash_above_gross
discounted cash price $4,873 exceeds gross charge $3,000 — part of a file-wide pattern, counted once at the file level
CPT G0463/o
info
mrf_cash_above_gross
discounted cash price $183 exceeds gross charge $67 — part of a file-wide pattern, counted once at the file level
CPT L2624/o
info
mrf_cash_above_gross
discounted cash price $662 exceeds gross charge $541 — part of a file-wide pattern, counted once at the file level
CPT D0220/o
info
mrf_cash_above_gross
discounted cash price $120 exceeds gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 15829/o
info
mrf_cash_above_gross
discounted cash price $4,873 exceeds gross charge $100 — part of a file-wide pattern, counted once at the file level
CPT D7530/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $834 — part of a file-wide pattern, counted once at the file level
CPT L2830/b
info
mrf_cash_above_gross
discounted cash price $149 exceeds gross charge $122 — part of a file-wide pattern, counted once at the file level
CPT D0240/o
info
mrf_cash_above_gross
discounted cash price $120 exceeds gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT L2830/o
info
mrf_cash_above_gross
discounted cash price $149 exceeds gross charge $122 — part of a file-wide pattern, counted once at the file level
CPT 90899/o
info
mrf_cash_above_gross
discounted cash price $52 exceeds gross charge $35 — part of a file-wide pattern, counted once at the file level
CPT L3310/b
info
mrf_cash_above_gross
discounted cash price $138 exceeds gross charge $113 — part of a file-wide pattern, counted once at the file level
CPT D0270/o
info
mrf_cash_above_gross
discounted cash price $120 exceeds gross charge $30 — part of a file-wide pattern, counted once at the file level
CPT G0482/o
info
mrf_cash_above_gross
discounted cash price $274 exceeds gross charge $112 — part of a file-wide pattern, counted once at the file level
CPT L3310/o
info
mrf_cash_above_gross
discounted cash price $138 exceeds gross charge $113 — part of a file-wide pattern, counted once at the file level
CPT D0272/o
info
mrf_cash_above_gross
discounted cash price $120 exceeds gross charge $64 — part of a file-wide pattern, counted once at the file level
CPT D3920/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $584 — part of a file-wide pattern, counted once at the file level
CPT D7922/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $50 — part of a file-wide pattern, counted once at the file level
CPT D0273/o
info
mrf_cash_above_gross
discounted cash price $328 exceeds gross charge $75 — part of a file-wide pattern, counted once at the file level
CPT L3933/o
info
mrf_cash_above_gross
discounted cash price $329 exceeds gross charge $302 — part of a file-wide pattern, counted once at the file level
CPT 44979/o
info
mrf_cash_above_gross
discounted cash price $8,313 exceeds gross charge $2,040 — part of a file-wide pattern, counted once at the file level
CPT D0274/o
info
mrf_cash_above_gross
discounted cash price $328 exceeds gross charge $87 — part of a file-wide pattern, counted once at the file level
CPT L3980/b
info
mrf_cash_above_gross
discounted cash price $597 exceeds gross charge $488 — part of a file-wide pattern, counted once at the file level
CPT D7950/o
info
mrf_cash_above_gross
discounted cash price $8,140 exceeds gross charge $2,892 — part of a file-wide pattern, counted once at the file level
CPT L3980/o
info
mrf_cash_above_gross
discounted cash price $597 exceeds gross charge $488 — part of a file-wide pattern, counted once at the file level
CPT D4211/o
info
mrf_cash_above_gross
discounted cash price $4,559 exceeds gross charge $418 — part of a file-wide pattern, counted once at the file level
CPT 94150/o
info
mrf_cash_above_gross
discounted cash price $177 exceeds gross charge $175 — part of a file-wide pattern, counted once at the file level
CPT 0779T/o
info
mrf_cash_above_gross
discounted cash price $513 exceeds gross charge $417 — part of a file-wide pattern, counted once at the file level
CPT 81503/o
info
mrf_cash_above_gross
discounted cash price $1,238 exceeds gross charge $450 — part of a file-wide pattern, counted once at the file level
CPT L5400/b
info
mrf_cash_above_gross
discounted cash price $2,711 exceeds gross charge $2,215 — part of a file-wide pattern, counted once at the file level
CPT 0035U/o
info
mrf_cash_above_gross
discounted cash price $747 exceeds gross charge $361 — part of a file-wide pattern, counted once at the file level
CPT L5400/o
info
mrf_cash_above_gross
discounted cash price $2,711 exceeds gross charge $2,215 — part of a file-wide pattern, counted once at the file level
CPT D0330/o
info
mrf_cash_above_gross
discounted cash price $328 exceeds gross charge $156 — part of a file-wide pattern, counted once at the file level
CPT D4240/o
info
mrf_cash_above_gross
discounted cash price $4,559 exceeds gross charge $1,024 — part of a file-wide pattern, counted once at the file level
CPT 86609/o
info
mrf_cash_above_gross
discounted cash price $18 exceeds gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT D4241/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $800 — part of a file-wide pattern, counted once at the file level
CPT D4245/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $695 — part of a file-wide pattern, counted once at the file level
CPT 15876/o
info
mrf_cash_above_gross
discounted cash price $4,873 exceeds gross charge $3,500 — part of a file-wide pattern, counted once at the file level
CPT 24940/o
info
mrf_cash_above_gross
discounted cash price $17,654 exceeds gross charge $1,380 — part of a file-wide pattern, counted once at the file level
CPT D4260/o
info
mrf_cash_above_gross
discounted cash price $8,140 exceeds gross charge $834 — part of a file-wide pattern, counted once at the file level
CPT 15877/o
info
mrf_cash_above_gross
discounted cash price $4,873 exceeds gross charge $3,500 — part of a file-wide pattern, counted once at the file level
CPT 64596/o
info
mrf_cash_above_gross
discounted cash price $15,322 exceeds gross charge $2,500 — part of a file-wide pattern, counted once at the file level
CPT L8420/b
info
mrf_cash_above_gross
discounted cash price $35 exceeds gross charge $29 — part of a file-wide pattern, counted once at the file level
CPT L8420/o
info
mrf_cash_above_gross
discounted cash price $35 exceeds gross charge $29 — part of a file-wide pattern, counted once at the file level
CPT 15878/o
info
mrf_cash_above_gross
discounted cash price $2,837 exceeds gross charge $1,700 — part of a file-wide pattern, counted once at the file level
CPT 86632/o
info
mrf_cash_above_gross
discounted cash price $18 exceeds gross charge $6 — part of a file-wide pattern, counted once at the file level
CPT L8460/b
info
mrf_cash_above_gross
discounted cash price $113 exceeds gross charge $59 — part of a file-wide pattern, counted once at the file level
CPT 15879/o
info
mrf_cash_above_gross
discounted cash price $4,873 exceeds gross charge $3,500 — part of a file-wide pattern, counted once at the file level
CPT 83150/o
info
mrf_cash_above_gross
discounted cash price $31 exceeds gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT D4267/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $638 — part of a file-wide pattern, counted once at the file level
CPT 0505T/o
info
mrf_cash_above_gross
discounted cash price $15,874 exceeds gross charge $1,802 — part of a file-wide pattern, counted once at the file level
CPT L8460/o
info
mrf_cash_above_gross
discounted cash price $113 exceeds gross charge $59 — part of a file-wide pattern, counted once at the file level
CPT 0058U/o
info
mrf_cash_above_gross
discounted cash price $446 exceeds gross charge $368 — part of a file-wide pattern, counted once at the file level
CPT 83491/o
info
mrf_cash_above_gross
discounted cash price $25 exceeds gross charge $15 — part of a file-wide pattern, counted once at the file level
CPT 86638/o
info
mrf_cash_above_gross
discounted cash price $17 exceeds gross charge $11 — part of a file-wide pattern, counted once at the file level
CPT A9527/o
info
mrf_cash_above_gross
discounted cash price $533 exceeds gross charge $104 — part of a file-wide pattern, counted once at the file level
CPT 0059U/o
info
mrf_cash_above_gross
discounted cash price $446 exceeds gross charge $368 — part of a file-wide pattern, counted once at the file level
CPT 0813T/o
info
mrf_cash_above_gross
discounted cash price $1,247 exceeds gross charge $730 — part of a file-wide pattern, counted once at the file level
CPT 81228/o
info
mrf_cash_above_gross
discounted cash price $1,242 exceeds gross charge $1,200 — part of a file-wide pattern, counted once at the file level
CPT 86648/o
info
mrf_cash_above_gross
discounted cash price $21 exceeds gross charge $13 — part of a file-wide pattern, counted once at the file level
CPT D4277/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $880 — part of a file-wide pattern, counted once at the file level
CPT D9951/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $248 — part of a file-wide pattern, counted once at the file level
CPT 0816T/o
info
mrf_cash_above_gross
discounted cash price $26,676 exceeds gross charge $520 — part of a file-wide pattern, counted once at the file level
CPT D0460/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $64 — part of a file-wide pattern, counted once at the file level
CPT D4322/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $254 — part of a file-wide pattern, counted once at the file level
CPT D9952/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $696 — part of a file-wide pattern, counted once at the file level
CPT 81551/o
info
mrf_cash_above_gross
discounted cash price $2,801 exceeds gross charge $2,407 — part of a file-wide pattern, counted once at the file level
CPT 0817T/o
info
mrf_cash_above_gross
discounted cash price $26,676 exceeds gross charge $520 — part of a file-wide pattern, counted once at the file level
CPT D4323/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $229 — part of a file-wide pattern, counted once at the file level
CPT 0818T/o
info
mrf_cash_above_gross
discounted cash price $4,807 exceeds gross charge $410 — part of a file-wide pattern, counted once at the file level
CPT D4341/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $331 — part of a file-wide pattern, counted once at the file level
CPT 0819T/o
info
mrf_cash_above_gross
discounted cash price $4,807 exceeds gross charge $410 — part of a file-wide pattern, counted once at the file level
CPT 61715/o
info
mrf_cash_above_gross
discounted cash price $15,322 exceeds gross charge $4,056 — part of a file-wide pattern, counted once at the file level
CPT 86666/o
info
mrf_cash_above_gross
discounted cash price $14 exceeds gross charge $10 — part of a file-wide pattern, counted once at the file level
CPT D4342/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $242 — part of a file-wide pattern, counted once at the file level
CPT 41821/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $99 — part of a file-wide pattern, counted once at the file level
CPT 96932/o
info
mrf_cash_above_gross
discounted cash price $164 exceeds gross charge $156 — part of a file-wide pattern, counted once at the file level
CPT D1110/o
info
mrf_cash_above_gross
discounted cash price $183 exceeds gross charge $125 — part of a file-wide pattern, counted once at the file level
CPT D4346/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $125 — part of a file-wide pattern, counted once at the file level
CPT 86671/o
info
mrf_cash_above_gross
discounted cash price $17 exceeds gross charge $15 — part of a file-wide pattern, counted once at the file level
CPT 96935/o
info
mrf_cash_above_gross
discounted cash price $101 exceeds gross charge $52 — part of a file-wide pattern, counted once at the file level
CPT D4355/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $250 — part of a file-wide pattern, counted once at the file level
CPT G2082/o
info
mrf_cash_above_gross
discounted cash price $1,414 exceeds gross charge $1,056 — part of a file-wide pattern, counted once at the file level
CPT D4381/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $130 — part of a file-wide pattern, counted once at the file level
CPT G2083/o
info
mrf_cash_above_gross
discounted cash price $2,221 exceeds gross charge $1,543 — part of a file-wide pattern, counted once at the file level
CPT 41850/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $75 — part of a file-wide pattern, counted once at the file level
CPT 87428/o
info
mrf_cash_above_gross
discounted cash price $97 exceeds gross charge $76 — part of a file-wide pattern, counted once at the file level
CPT D4910/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $187 — part of a file-wide pattern, counted once at the file level
CPT 41870/o
info
mrf_cash_above_gross
discounted cash price $2,133 exceeds gross charge $500 — part of a file-wide pattern, counted once at the file level
CPT 86692/o
info
mrf_cash_above_gross
discounted cash price $24 exceeds gross charge $18 — part of a file-wide pattern, counted once at the file level
CPT 38129/o
info
mrf_cash_above_gross
discounted cash price $8,313 exceeds gross charge $3,950 — part of a file-wide pattern, counted once at the file level
CPT 65785/o
info
mrf_cash_above_gross
discounted cash price $5,684 exceeds gross charge $3,578 — part of a file-wide pattern, counted once at the file level
CPT D4999/o
info
mrf_cash_above_gross
discounted cash price $326 exceeds gross charge $203 — part of a file-wide pattern, counted once at the file level
CPT 83664/o
info
mrf_cash_above_gross
discounted cash price $27 exceeds gross charge $25 — part of a file-wide pattern, counted once at the file level
CPT 81255/o
info
mrf_cash_above_gross
discounted cash price $71 exceeds gross charge $65 — part of a file-wide pattern, counted once at the file level
CPT D2140/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $190 — part of a file-wide pattern, counted once at the file level
CPT 82107/o
info
mrf_cash_above_gross
discounted cash price $89 exceeds gross charge $85 — part of a file-wide pattern, counted once at the file level
CPT 83698/o
info
mrf_cash_above_gross
discounted cash price $64 exceeds gross charge $43 — part of a file-wide pattern, counted once at the file level
CPT 38208/o
info
mrf_cash_above_gross
discounted cash price $607 exceeds gross charge $484 — part of a file-wide pattern, counted once at the file level
CPT D2150/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $234 — part of a file-wide pattern, counted once at the file level
CPT 82108/o
info
mrf_cash_above_gross
discounted cash price $35 exceeds gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT D2160/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $285 — part of a file-wide pattern, counted once at the file level
CPT 80181/o
info
mrf_cash_above_gross
discounted cash price $26 exceeds gross charge $13 — part of a file-wide pattern, counted once at the file level
CPT 81263/o
info
mrf_cash_above_gross
discounted cash price $406 exceeds gross charge $225 — part of a file-wide pattern, counted once at the file level
CPT D2161/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $335 — part of a file-wide pattern, counted once at the file level
CPT 82131/o
info
mrf_cash_above_gross
discounted cash price $32 exceeds gross charge $13 — part of a file-wide pattern, counted once at the file level
CPT D2330/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $223 — part of a file-wide pattern, counted once at the file level
CPT 83785/o
info
mrf_cash_above_gross
discounted cash price $37 exceeds gross charge $19 — part of a file-wide pattern, counted once at the file level
CPT 29799/o
info
mrf_cash_above_gross
discounted cash price $223 exceeds gross charge $177 — part of a file-wide pattern, counted once at the file level
CPT D2331/o
info
mrf_cash_above_gross
discounted cash price $889 exceeds gross charge $270 — part of a file-wide pattern, counted once at the file level
CPT 0908T/o
info
mrf_cash_above_gross
discounted cash price $42,430 exceeds gross charge $2,180 — part of a file-wide pattern, counted once at the file level
CPT 80192/o
info
mrf_cash_above_gross
discounted cash price $23 exceeds gross charge $13 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 19,208 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
APC 5163
info
out_allowed_exceeds_charge
allowed amount $798 exceeds the submitted charge $600

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 1,188.9M bytes · fetched 2026-08-23 · sha256 b501e0ad8189…

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.