Project Crossfoot
Hospital · CCN 280032

Mary Lanning Healthcare

715 N St Joseph Ave, Hastings, NE 68901 · Adams County
Part of Mary Lanning Healthcare · 97 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

14 admission types 45 outpatient services price file: ok
Billed per dollar paid, all admissions
3.99×
$13.8M billed against $3.5M paid across 320 Medicare discharges; the national figure is 5.03×.
2.0%
of adults in Adams County have medical debt in collections
8.0%
uninsured in the county · state 7.7%
$67K
median household income
4.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
41.2%
obesity in the countyⓘ
11.8%
diagnosed diabetes (PLACES)
7.1%
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
58
$51,691
$14,311
3.6× st 3.6×
291
Heart failure and shock with mcc
57
$40,159
$9,569
4.2× st 3.5×
189
Pulmonary edema and respiratory failure
47
$41,988
$10,392
4.0× st 4.1×
193
Simple pneumonia and pleurisy with mcc
21
$49,187
$11,076
4.4× st 3.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
17
$26,657
$7,455
3.6× st 3.7×
682
Renal failure with mcc
17
$37,137
$10,604
3.5× st 3.3×
177
Respiratory infections and inflammations with mcc
16
$54,196
$11,522
4.7× st 3.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
15
$38,586
$7,470
5.2× st 4.2×
309
Cardiac arrhythmia and conduction disorders with cc
14
$23,079
$5,882
3.9× st 3.5×
481
Hip and femur procedures except major joint with cc
13
$60,598
$14,895
4.1× st 4.3×
689
Kidney and urinary tract infections with mcc
12
$38,497
$8,866
4.3× st 3.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
11
$62,865
$15,133
4.2× st 4.1×
331
Major small and large bowel procedures without cc/mcc
11
$38,580
$12,311
3.1× st 3.9×
683
Renal failure with cc
11
$25,448
$6,986
3.6× st 3.5×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
140
$17,957
$2,452
7.3×
5115
Level 5 Musculoskeletal Procedures
83
$40,077
$11,530
3.5×
5191
Level 1 Endovascular Procedures
82
$31,550
$2,929
10.8×
5372
Level 2 Urology and Related Services
78
$2,532
$576
4.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
74
$6,882
$909
7.6×
5183
Level 3 Vascular Procedures
51
$13,579
$2,886
4.7×
5154
Level 4 Airway Endoscopy
39
$17,844
$3,391
5.3×
5431
Level 1 Nerve Procedures
38
$6,988
$1,748
4.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
37
$21,106
$2,197
9.6×
5492
Level 2 Intraocular Procedures
36
$15,702
$3,600
4.4×
5374
Level 4 Urology and Related Services
36
$15,911
$3,113
5.1×
5361
Level 1 Laparoscopy and Related Services
31
$18,291
$5,225
3.5×
5193
Level 3 Endovascular Procedures
31
$89,344
$9,954
9.0×
5116
Level 6 Musculoskeletal Procedures
29
$53,345
$16,839
3.2×
5114
Level 4 Musculoskeletal Procedures
29
$21,198
$6,478
3.3×
5373
Level 3 Urology and Related Services
28
$9,686
$1,844
5.3×
5113
Level 3 Musculoskeletal Procedures
26
$13,319
$2,841
4.7×
5375
Level 5 Urology and Related Services
24
$14,963
$4,685
3.2×
5223
Level 3 Pacemaker and Similar Procedures
21
$25,436
$9,662
2.6×
5194
Level 4 Endovascular Procedures
19
$75,111
$12,510
6.0×
5112
Level 2 Musculoskeletal Procedures
18
$7,744
$1,455
5.3×
5153
Level 3 Airway Endoscopy
18
$9,404
$1,469
6.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
18
$14,002
$3,133
4.5×
5302
Level 2 Upper GI Procedures
17
$7,710
$1,723
4.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
17
$22,845
$5,905
3.9×
5155
Level 5 Airway Endoscopy
15
$23,001
$5,539
4.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
13
$14,909
$3,451
4.3×
5362
Level 2 Laparoscopy and Related Services
11
$19,308
$9,316
2.1×
5493
Level 3 Intraocular Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
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 2026-07-13, template 3.0.0, 99,047 rows scanned, 4,098 distinct code–setting items kept. 1,362 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Red blood cell typing
CPT 0001U
$500
$450
$495
18
clean
Harvest and injections of platelet rich plasma using imaging guidance
CPT 0232T
$650
$585
$212
7
clean
INFECTIOUS DISEASE (VIRAL RESPIRATORY TRACT INFECTION), PATHOGEN-SPECIFIC RNA, 4 TARGETS (SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 [SARS-COV-2], INFLUENZA A, INFLUENZA B, RESPIRATORY SYNCYTIAL VIRUS [RSV]), UPPER
CPT 0241U
$271
$244
$185
6
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
CPT 10005
$357
$321
$506
36
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
CPT 10006
$1,014
$913
$837
18
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
CPT 10009
$777
$699
$735
18
clean
Fine needle aspiration biopsy of growth using CT guidance, each additional growth
CPT 10010
$896
$806
$739
18
clean
Fine needle aspiration biopsy, first growth
CPT 10021
$272
$245
$68
18
clean
Drainage of fluid collection in soft tissue using imaging guidance
CPT 10030
$1,669
$1,502
$175
18
clean
Acne surgery
CPT 10040
$306
$275
$64
18
clean
Simple or single drainage of skin abscess
CPT 10060
$347
$312
$208
36
clean
Complicated or multiple drainage of skin abscess
CPT 10061
$592
$533
$422
36
clean
Simple drainage of cyst of tailbone
CPT 10080
$722
$650
$587
36
clean
Complicated drainage of cyst of tailbone
CPT 10081
$1,013
$912
$237
18
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
CPT 10120
$424
$382
$138
18
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
CPT 10121
$738
$664
$253
18
clean
Drainage of blood or fluid accumulation
CPT 10140
$468
$421
$167
18
clean
Aspiration of abscess, blood, or cyst
CPT 10160
$354
$319
$358
36
clean
Complex drainage of wound infection after surgery
CPT 10180
$765
$689
$246
18
clean
Removal of inflamed or infected skin, up to 10% of body surface
CPT 11000
$161
$145
$37
18
clean
Removal of inflamed or infected skin, each additional 10% of body surface or less
CPT 11001
$73
$66
$19
18
clean
Removal of infected skin, tissue or muscle of genitals
CPT 11004
$1,392
$1,253
$727
18
clean
Removal of infected skin, tissue or muscle of abdomen
CPT 11005
$1,856
$1,670
$980
18
clean
Removal of infected artificial material or mesh from abdomen
CPT 11008
$652
$587
$345
18
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
CPT 11010
$1,250
$1,125
$363
18
clean
Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone
CPT 11011
$1,429
$1,286
$383
18
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
CPT 11012
$1,823
$1,641
$524
18
clean
Removal of skin and tissue, 20.0 sq cm or less
CPT 11042
$358
$322
$360
36
clean
Removal of muscle and/or tissue, 20.0 sq cm or less
CPT 11043
$641
$577
$649
36
clean
Removal of bone, 20.0 sq cm or less
CPT 11044
$857
$771
$1,192
36
clean
Removal of skin and tissue, each additional 20.0 sq cm or less
CPT 11045
$113
$102
$35
36
clean
Removal of muscle and/or tissue, each additional 20.0 sq cm or less
CPT 11046
$203
$183
$64
18
clean
Removal of bone, each additional 20.0 sq cm or less
CPT 11047
$340
$306
$112
18
clean
Removal of noncancer thickened skin growth, 1 growth
CPT 11055
$190
$171
$183
36
clean
Removal of noncancer thickened skin growth, 2-4 growths
CPT 11056
$220
$198
$198
36
clean
Removal of noncancer thickened skin growth, more than 4 growths
CPT 11057
$241
$217
$39
18
clean
Biopsy of related skin growth, first growth
CPT 11102
$259
$233
$45
18
clean
Biopsy of related skin growth, each additional growth
CPT 11103
$132
$119
$27
18
clean
Punch biopsy, first skin growth
CPT 11104
$327
$294
$346
36
clean
Punch biopsy, each additional skin growth
CPT 11105
$163
$147
$36
36
clean
Incision biopsy, first skin growth
CPT 11106
$407
$366
$69
18
clean
Incision biopsy, each additional skin growth
CPT 11107
$191
$172
$37
18
clean
Removal of skin tag, 1-15 skin tags
CPT 11200
$250
$225
$98
18
clean
Removal of skin tag, each additional 10 skin tags
CPT 11201
$50
$45
$20
18
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
CPT 11300
$261
$235
$42
18
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
CPT 11301
$315
$284
$63
18
clean
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
CPT 11302
$357
$321
$73
18
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
CPT 11303
$398
$358
$87
18
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
CPT 11305
$274
$247
$50
18
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
CPT 11306
$319
$287
$62
18
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
CPT 11307
$359
$323
$78
18
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm
CPT 11308
$381
$343
$90
18
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
CPT 11310
$301
$271
$55
18
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
CPT 11311
$358
$322
$76
18
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
CPT 11312
$407
$366
$91
18
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
CPT 11313
$478
$430
$116
18
clean
Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less
CPT 11400
$344
$310
$107
18
clean
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
CPT 11401
$417
$375
$138
18
clean
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
CPT 11402
$461
$415
$151
18
clean
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
CPT 11403
$536
$482
$195
18
clean
Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm
CPT 11404
$617
$555
$217
18
clean
Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm
CPT 11406
$888
$799
$325
18
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
CPT 11420
$337
$303
$112
18
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
CPT 11421
$430
$387
$147
18
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
CPT 11422
$484
$436
$182
18
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
CPT 11423
$562
$506
$211
18
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
CPT 11424
$653
$588
$242
18
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
CPT 11426
$908
$817
$359
18
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
CPT 11440
$383
$345
$138
18
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
CPT 11441
$467
$420
$176
18
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
CPT 11442
$523
$471
$194
18
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
CPT 11443
$619
$557
$236
18
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
CPT 11444
$774
$697
$296
18
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
CPT 11446
$1,068
$961
$417
18
clean
Removal of skin and tissue of underarms for inflamed sweat glands with simple or intermediate repair
CPT 11450
$1,225
$1,103
$341
18
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
CPT 11451
$1,521
$1,369
$438
18
clean
Removal of skin and tissue of groin for inflamed sweat glands with simple or intermediate repair
CPT 11462
$1,195
$1,076
$327
18
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
CPT 11471
$1,559
$1,403
$467
18
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
CPT 11600
$533
$480
$157
18
clean
Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm
CPT 11601
$612
$551
$191
18
clean
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
CPT 11602
$649
$584
$204
18
clean
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
CPT 11603
$745
$671
$243
18
clean
Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm
CPT 11604
$836
$752
$268
18
clean
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm
CPT 11606
$1,235
$1,112
$402
18
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
CPT 11620
$534
$481
$159
18
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
CPT 11621
$616
$554
$192
18
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
CPT 11622
$674
$607
$215
18
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
CPT 11623
$796
$716
$264
18
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
CPT 11624
$912
$821
$300
18
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
CPT 11626
$1,119
$1,007
$372
18
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
CPT 11640
$545
$491
$165
18
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
CPT 11641
$638
$574
$200
18
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
CPT 11642
$720
$648
$230
18
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
CPT 11643
$850
$765
$287
18
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
CPT 11644
$1,054
$949
$354
18
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
CPT 11646
$1,378
$1,240
$489
18
clean
Trimming of fingernails or toenails
CPT 11719
$39
$35
$10
18
clean
Removal of fingernails or toenails, 1-5 nails
CPT 11720
$89
$80
$61
36
clean
Removal of fingernails or toenails, 6 or more nails
CPT 11721
$123
$111
$61
36
clean
Simple separation of fingernail or toenail from nail bed, first nail
CPT 11730
$303
$273
$208
36
clean
Simple separation of fingernail or toenail from nail bed, each additional nail
CPT 11732
$89
$80
$23
18
clean
Removal of blood accumulation under fingernail or toenail
CPT 11740
$156
$140
$138
36
clean
Permanent removal fingernail or toenail
CPT 11750
$428
$385
$141
18
clean
Repair of fingernail or toenail bed
CPT 11760
$503
$453
$154
18
clean
Removal of skin of fingernail or toenail
CPT 11765
$442
$398
$112
18
clean
Simple removal of cyst of tailbone
CPT 11770
$1,035
$932
$251
18
clean
Extensive removal of cyst of tailbone
CPT 11771
$1,828
$1,645
$597
18
clean
Complicated removal of cyst of tailbone
CPT 11772
$2,238
$2,014
$778
18
clean
Injection into skin growth, 1-7 growths
CPT 11900
$154
$139
$36
18
clean
Injection of filling material under skin, 1.1-5.0 cc
CPT 11951
$312
$281
$90
18
clean
Insertion of tissue expander
CPT 11960
$2,524
$2,272
$1,311
18
clean
Replacement of tissue expander with permanent implant
CPT 11970
$1,469
$1,322
$755
18
clean
Removal of tissue expander
CPT 11971
$1,367
$1,230
$600
18
clean
Insertion of drug delivery implant into tissue
CPT 11981
$341
$307
$79
18
clean
Removal of drug delivery implant from tissue
CPT 11982
$378
$340
$92
18
clean
Removal with reinsertion of drug delivery implant into tissue
CPT 11983
$557
$501
$129
18
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less
CPT 12001
$303
$273
$208
36
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm
CPT 12002
$369
$332
$208
36
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 7.6-12.5 cm
CPT 12004
$428
$385
$208
36
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 12.6-20.0 cm
CPT 12005
$559
$503
$422
36
clean
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 20.1-30.0 cm
CPT 12006
$635
$572
$156
18
clean
Simple repair of surface wound to scalp, neck, underarms, trunk, arms, or legs, more than 30.0 cm
CPT 12007
$676
$608
$191
18
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
CPT 12011
$370
$333
$208
36
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
CPT 12013
$386
$347
$208
36
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm
CPT 12014
$456
$410
$102
18
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm
CPT 12015
$558
$502
$128
18
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 12.6-20.0 cm
CPT 12016
$706
$635
$174
18
clean
Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 20.1-30.0 cm
CPT 12017
$397
$357
$218
18
clean
Simple closure of surface wound reopening
CPT 12020
$847
$762
$259
18
clean
Repair of separation of wound closure with insertion of packing
CPT 12021
$495
$446
$191
18
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less
CPT 12031
$700
$630
$422
36
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
CPT 12032
$809
$728
$422
36
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm
CPT 12034
$900
$810
$266
18
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 12.6-20.0 cm
CPT 12035
$1,104
$994
$422
36
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm
CPT 12036
$1,271
$1,144
$381
18
clean
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, more than 30.0 cm
CPT 12037
$1,420
$1,278
$438
18
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less
CPT 12041
$708
$637
$422
36
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm
CPT 12042
$823
$741
$422
36
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 7.6-12.5 cm
CPT 12044
$1,041
$937
$282
18
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 12.6-20.0 cm
CPT 12045
$1,207
$1,086
$363
18
clean
Intermediate repair of wound of neck, hands, feet, or genitals, 20.1-30.0 cm
CPT 12046
$1,468
$1,321
$421
18
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
CPT 12051
$761
$685
$422
36
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
CPT 12052
$840
$756
$422
36
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm
CPT 12053
$971
$874
$278
18
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm
CPT 12054
$1,048
$943
$290
18
clean
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 12.6-20.0 cm
CPT 12055
$1,451
$1,306
$404
18
clean
Complicated repair of wound of trunk, 1.1-2.5 cm
CPT 13100
$910
$819
$255
18
clean
Complicated repair of wound of trunk, 2.6-7.5 cm
CPT 13101
$1,052
$947
$313
18
clean
Complicated repair of wound of trunk, each additional 5.0 cm or less
CPT 13102
$322
$290
$87
18
clean
Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm
CPT 13120
$946
$851
$295
18
clean
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
CPT 13121
$1,128
$1,015
$321
18
clean
Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less
CPT 13122
$344
$310
$100
18
clean
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
CPT 13131
$1,036
$932
$304
18
clean
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
CPT 13132
$1,249
$1,124
$375
18
clean
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less
CPT 13133
$453
$408
$152
18
clean
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm
CPT 13151
$1,131
$1,018
$347
18
clean
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
CPT 13152
$1,323
$1,191
$415
18
clean
Complicated repair of wound of eyelids, nose, ears, or lip, each additional 5.0 cm or less
CPT 13153
$506
$455
$167
18
clean
Extensive or complicated repair of surface wound reopening
CPT 13160
$1,966
$1,769
$1,081
18
clean
Repair of wound of trunk by transferring skin, 10.0 sq cm or less
CPT 14000
$1,780
$1,602
$681
18
clean
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm
CPT 14001
$2,279
$2,051
$877
18
clean
Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less
CPT 14020
$1,925
$1,733
$745
18
clean
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
CPT 14021
$2,370
$2,133
$917
18
clean
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
CPT 14040
$2,065
$1,859
$810
18
clean
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
CPT 14041
$2,496
$2,246
$970
18
clean
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
CPT 14060
$2,081
$1,873
$853
18
clean
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm
CPT 14061
$2,691
$2,422
$1,039
18
clean
Repair of wound by transferring skin, 30.1-60.0 sq cm
CPT 14301
$2,990
$2,691
$1,126
18
clean
Repair of wound by transferring skin, each additional 30.0 sq cm
CPT 14302
$589
$530
$266
18
clean
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less
CPT 15002
$966
$869
$287
18
clean
Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
CPT 15003
$198
$178
$57
18
clean
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
CPT 15004
$1,086
$977
$338
18
clean
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less
CPT 15005
$329
$296
$112
18
clean
Skin graft to tip of finger or toe, 2.0 cm or less
CPT 15050
$1,618
$1,456
$611
18
clean
Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less
CPT 15100
$2,447
$2,202
$959
18
clean
Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
CPT 15101
$533
$480
$144
18
clean
Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
CPT 15120
$2,333
$2,100
$901
18
clean
Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less
CPT 15220
$2,100
$1,890
$794
18
clean
Full thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm
CPT 15221
$358
$322
$84
18
clean
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less
CPT 15240
$2,521
$2,269
$1,034
18
clean
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
CPT 15260
$2,701
$2,431
$1,083
18
clean
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
CPT 15271
$424
$382
$552
36
clean
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less
CPT 15272
$69
$62
$22
18
clean
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less
CPT 15273
$857
$771
$250
18
clean
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
CPT 15274
$231
$208
$56
18
clean
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less
CPT 15275
$433
$390
$556
36
clean
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 25.0 sq cm of wound 100.0 sq cm or less
CPT 15276
$91
$82
$33
18
clean
Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
CPT 15277
$2,733
$2,460
$2,337
18
clean
Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, o
CPT 15278
$268
$241
$92
54
clean
Transfer of skin flap to eyelids, nose, ears, or lips
CPT 15630
$1,263
$1,137
$460
18
clean
Transfer of skin flap
CPT 15650
$1,571
$1,414
$543
18
clean
Creation of flap graft to head and/or neck
CPT 15733
$2,559
$2,303
$1,329
18
clean
Creation of muscle graft to trunk
CPT 15734
$3,626
$3,263
$1,920
18
clean
Creation of muscle graft to arm
CPT 15736
$2,953
$2,658
$1,602
18
clean
Creation of muscle graft to leg
CPT 15738
$3,151
$2,836
$1,667
18
clean
Creation of skin and tissue graft
CPT 15740
$2,804
$2,524
$1,103
18
clean
Creation of nerve and blood vessel skin graft
CPT 15750
$2,221
$1,999
$1,222
18
clean
Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less
CPT 15771
$1,764
$1,588
$691
18
clean
Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, each additional 50.0 cc
CPT 15772
$547
$492
$183
18
clean
Implantation of biologic implant to soft tissue
CPT 15777
$593
$534
$264
18
clean

Showing the first 200 of 4,098 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 76010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $407 exceeds the gross charge $272
CPT 76098/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,553 exceeds the gross charge $588
CPT 90681/o
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $140
CPT 90690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $109 exceeds the gross charge $66
CPT 76815/o
warn
mrf_negotiated_above_gross
highest negotiated rate $489 exceeds the gross charge $392
CPT 90697/o
warn
mrf_negotiated_above_gross
highest negotiated rate $180 exceeds the gross charge $166
CPT J1020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $10
CPT J1030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $10
CPT J1040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $16
CPT 90702/o
warn
mrf_negotiated_above_gross
highest negotiated rate $79 exceeds the gross charge $36
CPT J1094/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $5
CPT J1162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,225 exceeds the gross charge $16,614
CPT 77014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $315 exceeds the gross charge $127
CPT 77063/o
warn
mrf_negotiated_above_gross
highest negotiated rate $217 exceeds the gross charge $97
CPT 90717/o
warn
mrf_negotiated_above_gross
highest negotiated rate $247 exceeds the gross charge $147
CPT 77065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $519 exceeds the gross charge $489
CPT 77066/o
warn
mrf_negotiated_above_gross
highest negotiated rate $657 exceeds the gross charge $625
CPT 90738/o
warn
mrf_negotiated_above_gross
highest negotiated rate $306 exceeds the gross charge $115
CPT 77067/o
warn
mrf_negotiated_above_gross
highest negotiated rate $529 exceeds the gross charge $516
CPT 77072/o
warn
mrf_negotiated_above_gross
highest negotiated rate $489 exceeds the gross charge $183
CPT 90849/o
warn
mrf_negotiated_above_gross
highest negotiated rate $102 exceeds the gross charge $86
CPT 90853/o
warn
mrf_negotiated_above_gross
highest negotiated rate $102 exceeds the gross charge $66
CPT J1410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,807 exceeds the gross charge $1,407
CPT 77285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,147 exceeds the gross charge $192
CPT 90901/o
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $85
CPT 92522/o
warn
mrf_negotiated_above_gross
highest negotiated rate $484 exceeds the gross charge $393
CPT 92523/o
warn
mrf_negotiated_above_gross
highest negotiated rate $984 exceeds the gross charge $483
CPT 92524/o
warn
mrf_negotiated_above_gross
highest negotiated rate $475 exceeds the gross charge $465
CPT 92609/o
warn
mrf_negotiated_above_gross
highest negotiated rate $442 exceeds the gross charge $324
CPT 77306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $379 exceeds the gross charge $248
CPT 92652/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,009 exceeds the gross charge $655
CPT 92941/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,190 exceeds the gross charge $1,067
CPT 77316/o
warn
mrf_negotiated_above_gross
highest negotiated rate $623 exceeds the gross charge $245
CPT 77317/o
warn
mrf_negotiated_above_gross
highest negotiated rate $821 exceeds the gross charge $321
CPT 92953/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $7
CPT 77331/o
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $154
CPT 93288/o
warn
mrf_negotiated_above_gross
highest negotiated rate $174 exceeds the gross charge $122
CPT 77372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $34,416 exceeds the gross charge $15,927
CPT 0001U/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,240 exceeds the gross charge $500
CPT 93503/o
warn
mrf_negotiated_above_gross
highest negotiated rate $223 exceeds the gross charge $186
CPT 10009/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,309 exceeds the gross charge $777
CPT 93668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $276 exceeds the gross charge $246
CPT 93702/o
warn
mrf_negotiated_above_gross
highest negotiated rate $601 exceeds the gross charge $359
CPT J2001/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $5
CPT 93798/o
warn
mrf_negotiated_above_gross
highest negotiated rate $602 exceeds the gross charge $542
CPT 77761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,071 exceeds the gross charge $673
CPT J2010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $18
CPT 93978/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,115 exceeds the gross charge $855
CPT 77771/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,537 exceeds the gross charge $663
CPT 94002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,887 exceeds the gross charge $2,124
CPT 77772/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,282 exceeds the gross charge $931
CPT 94003/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,887 exceeds the gross charge $2,039
CPT 77790/o
warn
mrf_negotiated_above_gross
highest negotiated rate $100 exceeds the gross charge $43
CPT 78707/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,537 exceeds the gross charge $2,286
CPT 78830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,050 exceeds the gross charge $4,419
CPT 94644/o
warn
mrf_negotiated_above_gross
highest negotiated rate $622 exceeds the gross charge $439
CPT 94667/o
warn
mrf_negotiated_above_gross
highest negotiated rate $622 exceeds the gross charge $334
CPT 94668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $622 exceeds the gross charge $241
CPT 94669/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,023 exceeds the gross charge $234
CPT 80081/o
warn
mrf_negotiated_above_gross
highest negotiated rate $337 exceeds the gross charge $292
CPT 80143/o
warn
mrf_negotiated_above_gross
highest negotiated rate $84 exceeds the gross charge $64
CPT 94799/o
warn
mrf_negotiated_above_gross
highest negotiated rate $601 exceeds the gross charge $170
CPT 80179/o
warn
mrf_negotiated_above_gross
highest negotiated rate $84 exceeds the gross charge $64
CPT 80235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $122 exceeds the gross charge $96
CPT 80348/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $34
CPT 95721/o
warn
mrf_negotiated_above_gross
highest negotiated rate $387 exceeds the gross charge $362
CPT J2550/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $15
CPT 95723/o
warn
mrf_negotiated_above_gross
highest negotiated rate $478 exceeds the gross charge $445
CPT 95725/o
warn
mrf_negotiated_above_gross
highest negotiated rate $544 exceeds the gross charge $510
CPT 15277/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,641 exceeds the gross charge $2,733
CPT 81206/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,168 exceeds the gross charge $1,322
CPT 95805/o
warn
mrf_negotiated_above_gross
highest negotiated rate $670 exceeds the gross charge $126
CPT 81207/o
warn
mrf_negotiated_above_gross
highest negotiated rate $784 exceeds the gross charge $542
CPT J2690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,329 exceeds the gross charge $501
CPT 81210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,885 exceeds the gross charge $1,075
CPT 15877/o
warn
mrf_negotiated_above_gross
highest negotiated rate $656 exceeds the gross charge $551
CPT 81261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,132 exceeds the gross charge $572
CPT 81263/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,556 exceeds the gross charge $1,207
CPT J2790/o
warn
mrf_negotiated_above_gross
highest negotiated rate $180 exceeds the gross charge $105
CPT 81305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $887 exceeds the gross charge $506
CPT 19081/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,718 exceeds the gross charge $4,576
CPT 81403/o
warn
mrf_negotiated_above_gross
highest negotiated rate $892 exceeds the gross charge $482
CPT 19083/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,718 exceeds the gross charge $2,456
CPT 81450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $30,228 exceeds the gross charge $3,980
CPT 19283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,309 exceeds the gross charge $1,996
CPT 81515/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,183 exceeds the gross charge $158
CPT 19285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,309 exceeds the gross charge $2,520
CPT J2920/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $15
CPT J2930/o
warn
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $15
CPT 82234/o
warn
mrf_negotiated_above_gross
highest negotiated rate $580 exceeds the gross charge $450
CPT 20245/o
warn
mrf_negotiated_above_gross
highest negotiated rate $885 exceeds the gross charge $852
CPT 82261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $23
CPT J3240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,714 exceeds the gross charge $7,300
CPT J3304/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $24
CPT J3315/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,070 exceeds the gross charge $626
CPT 82657/o
warn
mrf_negotiated_above_gross
highest negotiated rate $100 exceeds the gross charge $24
CPT 96366/o
warn
mrf_negotiated_above_gross
highest negotiated rate $219 exceeds the gross charge $190
CPT 96367/o
warn
mrf_negotiated_above_gross
highest negotiated rate $336 exceeds the gross charge $271
CPT 82726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $89 exceeds the gross charge $24
CPT 96409/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,543 exceeds the gross charge $722
CPT 96416/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,543 exceeds the gross charge $1,269
CPT 83021/o
warn
mrf_negotiated_above_gross
highest negotiated rate $81 exceeds the gross charge $40
CPT J7307/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,076 exceeds the gross charge $1,214
CPT J7318/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $16
CPT J7321/o
warn
mrf_negotiated_above_gross
highest negotiated rate $181 exceeds the gross charge $106
CPT 29826/o
warn
mrf_negotiated_above_gross
highest negotiated rate $942 exceeds the gross charge $569
CPT J7323/o
warn
mrf_negotiated_above_gross
highest negotiated rate $325 exceeds the gross charge $190
CPT J7324/o
warn
mrf_negotiated_above_gross
highest negotiated rate $940 exceeds the gross charge $550
CPT J7325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $15
CPT J7326/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,411 exceeds the gross charge $825
CPT J7327/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,950 exceeds the gross charge $1,725
CPT J7328/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $2
CPT J7331/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $33
CPT 33285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38,669 exceeds the gross charge $13,647
CPT J7504/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24,970 exceeds the gross charge $6,212
CPT 84255/o
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $65
CPT 97166/o
warn
mrf_negotiated_above_gross
highest negotiated rate $435 exceeds the gross charge $345
CPT 84393/o
warn
mrf_negotiated_above_gross
highest negotiated rate $580 exceeds the gross charge $450
CPT 97167/o
warn
mrf_negotiated_above_gross
highest negotiated rate $435 exceeds the gross charge $410
CPT 84394/o
warn
mrf_negotiated_above_gross
highest negotiated rate $580 exceeds the gross charge $450
CPT 97168/o
warn
mrf_negotiated_above_gross
highest negotiated rate $295 exceeds the gross charge $218
CPT 36591/o
warn
mrf_negotiated_above_gross
highest negotiated rate $622 exceeds the gross charge $275
CPT 36592/o
warn
mrf_negotiated_above_gross
highest negotiated rate $622 exceeds the gross charge $244
CPT 36593/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,543 exceeds the gross charge $653
CPT 37195/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,543 exceeds the gross charge $1,485
CPT 49083/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,238 exceeds the gross charge $2,142
CPT J9029/o
warn
mrf_negotiated_above_gross
highest negotiated rate $289,492 exceeds the gross charge $165,200
CPT 99195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $622 exceeds the gross charge $463
CPT 49422/o
warn
mrf_negotiated_above_gross
highest negotiated rate $547 exceeds the gross charge $531
CPT 86146/o
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $97
CPT 99281/b
warn
mrf_negotiated_above_gross
highest negotiated rate $394 exceeds the gross charge $351
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $44
CPT 86258/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $46
CPT 99282/b
warn
mrf_negotiated_above_gross
highest negotiated rate $717 exceeds the gross charge $536
CPT 99282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $97
CPT 51741/o
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $41
CPT 86317/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $8
CPT 99283/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,276 exceeds the gross charge $957
CPT 86381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $53
CPT 99283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $165
CPT 86581/o
warn
mrf_negotiated_above_gross
highest negotiated rate $414 exceeds the gross charge $186
CPT 99284/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,950 exceeds the gross charge $1,664
CPT 99285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,783 exceeds the gross charge $2,015
CPT 99291/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,860 exceeds the gross charge $3,398
CPT 59025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $945 exceeds the gross charge $604
CPT J9218/o
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $28
CPT 59412/o
warn
mrf_negotiated_above_gross
highest negotiated rate $15,126 exceeds the gross charge $3,161
CPT A4369/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13 exceeds the gross charge $11
CPT A4371/o
warn
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $18
CPT 86860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $796 exceeds the gross charge $350
CPT A4406/o
warn
mrf_negotiated_above_gross
highest negotiated rate $37 exceeds the gross charge $25
CPT 62328/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,298 exceeds the gross charge $2,828
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,675 exceeds the gross charge $520
CPT A4565/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $15
CPT 86920/o
warn
mrf_negotiated_above_gross
highest negotiated rate $796 exceeds the gross charge $231
CPT A4570/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $21
CPT 86922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $796 exceeds the gross charge $268
CPT A4590/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $46
CPT 86923/o
warn
mrf_negotiated_above_gross
highest negotiated rate $796 exceeds the gross charge $167
CPT A4614/o
warn
mrf_negotiated_above_gross
highest negotiated rate $59 exceeds the gross charge $45
CPT A6021/o
warn
mrf_negotiated_above_gross
highest negotiated rate $135 exceeds the gross charge $47
CPT A6197/o
warn
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $54
CPT 87150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $66
CPT 87154/o
warn
mrf_negotiated_above_gross
highest negotiated rate $981 exceeds the gross charge $269
CPT J9357/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,612 exceeds the gross charge $4,840
CPT L0120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $91 exceeds the gross charge $53
CPT L0625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $88
CPT A6253/o
warn
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $3
CPT L1902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $215 exceeds the gross charge $126
CPT L1904/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,207 exceeds the gross charge $706
CPT 87389/o
warn
mrf_negotiated_above_gross
highest negotiated rate $108 exceeds the gross charge $92
CPT L2330/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,064 exceeds the gross charge $622
CPT 87483/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,912 exceeds the gross charge $939
CPT L3650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $103
CPT L3670/o
warn
mrf_negotiated_above_gross
highest negotiated rate $378 exceeds the gross charge $221
CPT 87494/o
warn
mrf_negotiated_above_gross
highest negotiated rate $316 exceeds the gross charge $154
CPT L3763/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,756 exceeds the gross charge $1,027
CPT 87496/o
warn
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $136
CPT A6448/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $3
CPT L3908/o
warn
mrf_negotiated_above_gross
highest negotiated rate $152 exceeds the gross charge $89
CPT 87507/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,905 exceeds the gross charge $697
CPT L4360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $708 exceeds the gross charge $414
CPT 87530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $193 exceeds the gross charge $183
CPT A6457/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $3
CPT L4386/o
warn
mrf_negotiated_above_gross
highest negotiated rate $431 exceeds the gross charge $252
CPT L8606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $597 exceeds the gross charge $349
CPT 87626/o
warn
mrf_negotiated_above_gross
highest negotiated rate $316 exceeds the gross charge $146
CPT A9548/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,355 exceeds the gross charge $1,167
CPT P9016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $832 exceeds the gross charge $808
CPT 87633/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,477 exceeds the gross charge $594
CPT P9017/o
warn
mrf_negotiated_above_gross
highest negotiated rate $387 exceeds the gross charge $323
CPT 87636/o
warn
mrf_negotiated_above_gross
highest negotiated rate $588 exceeds the gross charge $412
CPT P9035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,302 exceeds the gross charge $2,174
CPT 70260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $489 exceeds the gross charge $399
CPT C1717/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,609 exceeds the gross charge $1,212
CPT P9040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $944
CPT P9073/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,733 exceeds the gross charge $2,373
CPT 87900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $587 exceeds the gross charge $371
CPT P9612/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $15
CPT 87901/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,765 exceeds the gross charge $686

Showing the first 200 of 1,362 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    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. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    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. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    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. Mary Lanning Healthcare — standard charges file · NE · updated 2026-07-13
    · csv-tall · 32.6M bytes · fetched 2026-08-27 · sha256 42bc86aba28f…

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.