Hospital · CCN 280061

Regional West Medical Center

4021 Ave B, Scottsbluff, NE 69361 · Sioux County
Part of Regional West Health Services · 122 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

37 admission types 55 outpatient services price file: ok
Billed per dollar paid, all admissions
4.15×
$55.4M billed against $13.3M paid across 982 Medicare discharges; the national figure is 5.03×.
—
of adults in Sioux County have medical debt in collections
6.2%
uninsured in the county · state 7.7%
$61K
median household income
4.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
42.6%
obesity in the countyⓘ
16.0%
diagnosed diabetes (PLACES)
10.9%
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
121
$69,253
$17,755
3.9× st 3.6×
291
Heart failure and shock with mcc
87
$45,089
$11,516
3.9× st 3.5×
177
Respiratory infections and inflammations with mcc
53
$59,168
$15,132
3.9× st 3.9×
190
Chronic obstructive pulmonary disease with mcc
37
$46,172
$9,856
4.7× st 4.2×
481
Hip and femur procedures except major joint with cc
36
$78,801
$19,791
4.0× st 4.3×
189
Pulmonary edema and respiratory failure
36
$45,370
$10,992
4.1× st 4.1×
193
Simple pneumonia and pleurisy with mcc
33
$47,406
$11,787
4.0× st 3.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
32
$45,930
$12,475
3.7× st 3.6×
378
Gastrointestinal hemorrhage with cc
30
$42,370
$9,385
4.5× st 3.5×
698
Other kidney and urinary tract diagnoses with mcc
30
$55,500
$14,929
3.7× st 3.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
30
$37,884
$6,991
5.4× st 3.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
29
$41,988
$9,213
4.6× st 3.7×
690
Kidney and urinary tract infections without mcc
27
$32,253
$7,166
4.5× st 3.6×
330
Major small and large bowel procedures with cc
24
$115,320
$24,556
4.7× st 3.9×
389
Gastrointestinal obstruction with cc
24
$32,369
$8,337
3.9× st 3.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
24
$36,183
$7,744
4.7× st 3.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
23
$147,129
$46,595
3.2× st 3.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
23
$48,110
$9,092
5.3× st 4.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
20
$47,928
$12,555
3.8× st 3.9×
312
Syncope and collapse
19
$35,565
$7,800
4.6× st 3.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
18
$73,314
$17,728
4.1× st 3.3×
377
Gastrointestinal hemorrhage with mcc
18
$68,969
$15,843
4.4× st 3.8×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$45,240
$10,679
4.2× st 3.4×
682
Renal failure with mcc
17
$53,041
$13,314
4.0× st 3.3×
309
Cardiac arrhythmia and conduction disorders with cc
17
$31,453
$6,643
4.7× st 3.5×
689
Kidney and urinary tract infections with mcc
16
$56,978
$11,173
5.1× st 3.4×
683
Renal failure with cc
15
$42,721
$8,028
5.3× st 3.5×
603
Cellulitis without mcc
15
$33,258
$7,888
4.2× st 3.0×
280
Acute myocardial infarction, discharged alive with mcc
15
$54,060
$14,067
3.8× st 4.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$98,817
$21,603
4.6× st 4.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
14
$49,665
$11,401
4.4× st 3.6×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$81,524
$14,552
5.6× st 4.1×
472
Cervical spinal fusion with cc
12
$122,791
$26,250
4.7× st 3.9×
390
Gastrointestinal obstruction without cc/mcc
11
$22,594
$5,723
3.9× st 3.7×
638
Diabetes with cc
11
$33,309
$8,071
4.1× st 2.9×
194
Simple pneumonia and pleurisy with cc
11
$45,871
$7,340
6.3× st 3.9×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$73,780
$12,552
5.9× st 3.8×
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
194
$21,823
$2,526
8.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
176
$10,314
$1,483
7.0×
5431
Level 1 Nerve Procedures
99
$11,502
$1,753
6.6×
5115
Level 5 Musculoskeletal Procedures
87
$77,503
$12,128
6.4×
5183
Level 3 Vascular Procedures
82
$18,875
$2,916
6.5×
5361
Level 1 Laparoscopy and Related Services
75
$40,246
$5,268
7.6×
5373
Level 3 Urology and Related Services
73
$11,081
$1,571
7.1×
5374
Level 4 Urology and Related Services
70
$26,780
$3,217
8.3×
5492
Level 2 Intraocular Procedures
66
$23,537
$3,752
6.3×
5375
Level 5 Urology and Related Services
62
$30,117
$4,775
6.3×
5114
Level 4 Musculoskeletal Procedures
58
$38,306
$6,602
5.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
57
$16,304
$3,193
5.1×
5113
Level 3 Musculoskeletal Procedures
51
$19,179
$2,987
6.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
50
$16,850
$2,622
6.4×
5112
Level 2 Musculoskeletal Procedures
33
$10,527
$1,483
7.1×
5182
Level 2 Vascular Procedures
32
$10,129
$1,432
7.1×
5362
Level 2 Laparoscopy and Related Services
31
$59,654
$9,493
6.3×
5116
Level 6 Musculoskeletal Procedures
28
$79,122
$17,160
4.6×
5302
Level 2 Upper GI Procedures
25
$7,537
$1,756
4.3×
5191
Level 1 Endovascular Procedures
22
$27,837
$3,012
9.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
20
$34,221
$3,517
9.7×
5223
Level 3 Pacemaker and Similar Procedures
20
$31,375
$9,846
3.2×
5372
Level 2 Urology and Related Services
15
$5,049
$630
8.0×
5192
Level 2 Endovascular Procedures
14
$26,535
$5,274
5.0×
5414
Level 4 Gynecologic Procedures
14
$19,611
$2,885
6.8×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
14
$54,201
$6,018
9.0×
5154
Level 4 Airway Endoscopy
13
$18,396
$3,456
5.3×
5376
Level 6 Urology and Related Services
12
$45,266
$8,499
5.3×
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
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 2026-03-17, template 3.0.0, 589,883 rows scanned, 29,291 distinct code–setting items kept. 3,843 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$756
7
clean
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$1,288
15
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$529
7
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$900
15
clean
HB NASH FIBROSURE ASSAY SENDOUT
$1,627
$976
$1,302
15
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$900
15
clean
ONCO PRST8 3 GENE UR ALG
—
—
$1,359
15
clean
ONCO PRST8 3 GENE UR ALG
—
—
$798
7
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$798
7
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$1,359
15
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$798
7
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$1,359
15
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$2,334
15
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,371
7
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$6,240
15
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,664
7
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,152
7
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$5,368
15
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$261
7
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$444
15
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$61
15
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$36
7
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,780
7
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$6,437
15
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$218
15
clean
HB JAK2 EXON 12-15 SENDOUT
$304
$182
$243
15
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$1,327
15
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$779
7
clean
HB TPMT & NUDT15 GENOTYPE SENDOUT
$1,047
$628
$838
15
clean
TPMT NUDT15 GENES
—
—
$833
15
clean
NEURO CSF PRION PRTN QUAL
—
—
$568
7
clean
NEURO CSF PRION PRTN QUAL
—
—
$967
15
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,675
7
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$6,258
15
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$18
7
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$31
15
clean
Fee Schedule
—
—
$580
8
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$18
7
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$31
15
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$27
15
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$16
7
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$27
15
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$16
7
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$4,067
7
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$6,925
15
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$6,925
15
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$4,067
7
clean
BONE SRGRY CMPTR FLUOR IMAGE
—
—
$212
15
clean
BONE SRGRY CMPTR CT/MRI IMAG
—
—
$320
15
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$339
7
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$577
15
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$339
7
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$577
15
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$26
7
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$45
15
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$56
15
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$33
7
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$19
7
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$32
15
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$150
7
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$255
15
clean
PERQ STENT/CHEST VERT ART
—
—
$949
45
clean
HB IG PARAPROTEIN QUAL
$198
$119
$49
30
clean
IG PARAPROTEIN QUAL BLD/UR
—
—
$78
15
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,696
7
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$6,294
15
clean
ONC MLNMA PRAME & LINC00518
—
—
$798
7
clean
ONC MLNMA PRAME & LINC00518
—
—
$1,359
15
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$2,048
7
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$3,487
15
clean
ESW MUSCSKEL SYS NOS
—
—
$269
7
clean
ESW MUSCSKEL SYS NOS
—
—
$332
15
clean
HERED COLON CA DO 15 GENES
—
—
$1,831
7
clean
HERED COLON CA DO 15 GENES
—
—
$2,246
15
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$998
7
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$1,699
15
clean
TOUCH QUANT SENSORY TEST
—
—
$94
12
clean
TOUCH QUANT SENSORY TEST
—
—
$41
7
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$918
7
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$1,564
15
clean
VIBRATE QUANT SENSORY TEST
—
—
$41
7
clean
VIBRATE QUANT SENSORY TEST
—
—
$55
5
clean
COOL QUANT SENSORY TEST
—
—
$64
7
clean
COOL QUANT SENSORY TEST
—
—
$55
5
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$5,198
7
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$4,868
15
clean
HEAT QUANT SENSORY TEST
—
—
$55
5
clean
HEAT QUANT SENSORY TEST
—
—
$41
7
clean
IADI 16S&18S RRNA GENES
—
—
$374
7
clean
IADI 16S&18S RRNA GENES
—
—
$637
15
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,891
7
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$4,923
15
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$88
7
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$150
15
clean
HERED BRST CA RLTD DO PANEL
—
—
$1,369
7
clean
HERED BRST CA RLTD DO PANEL
—
—
$2,146
15
clean
NFCT DS DNA UNTRGT NGNRJ SEQ
—
—
$3,802
15
clean
NFCT DS DNA UNTRGT NGNRJ SEQ
—
—
$2,233
7
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
—
$118
7
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
—
$200
15
clean
LIVER DS 10 BIOCHEM ASY SRM
—
—
$900
15
clean
LIVER DS 10 BIOCHEM ASY SRM
—
—
$529
7
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
—
$3,182
7
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
—
$5,418
15
clean
CAD CXR WITH INTERP
—
—
$72
15
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
—
$1,371
7
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
—
$2,334
15
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$1,342
15
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$6,619
7
clean
Fee Schedule
—
—
$75
1
clean
Anesthesia for Vaginal Delivery
—
—
$581
1
clean
Anes for C-Section
—
—
$777
1
clean
Neuraxial Labor Anesthesia
—
—
$900
1
clean
Anes for C-Section after Neuraxial
—
—
$398
1
clean
Epidural Drug Management
—
—
$260
2
clean
PERQ SACRAL AUGMT UNILAT INJ
—
—
$7,912
7
clean
PERQ SACRAL AUGMT UNILAT INJ
—
—
$759
15
clean
HB RADIANT-PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS
$17,859
$10,716
$14,287
15
clean
PR PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS
$4,063
$2,438
$759
15
clean
POST VERT ARTHRPLST 1 LUMBAR
—
—
$1,850
15
clean
POST VERT ARTHRPLST 1 LUMBAR
—
—
$13,998
7
clean
HB RESPIR PATHOGENS (RP2.1) 22 TRGT SARSCOV2
$1,419
$851
$1,135
15
clean
NFCT DS 22 TRGT SARS-COV-2
—
—
$745
15
clean
NEURO ALZHEIMER CELL AGGREGJ
—
—
$2,326
7
clean
NEURO ALZHEIMER CELL AGGREGJ
—
—
$3,961
15
clean
CLEAR EYELID GLAND W/HEAT
—
—
$145
7
clean
CLEAR EYELID GLAND W/HEAT
—
—
$50
15
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$914
15
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$537
7
clean
NJX PLATELET PLASMA
—
—
$487
7
clean
PR NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$530
$318
$195
15
clean
TRLUML PERIP ATHRC BRCHIOCPH
—
—
$12,587
7
clean
TRLUML PERIP ATHRC BRCHIOCPH
—
—
$758
15
clean
HB RADIANT-TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$44,892
$26,935
$28,553
15
clean
PR TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$20,261
$12,157
$783
15
clean
TRGT GEN SEQ ALYS PNL 311+
—
—
$6,108
15
clean
TRGT GEN SEQ ALYS PNL 311+
—
—
$3,675
7
clean
APC
—
—
$150
7
clean
Fee Schedule
—
—
$249
19
clean
APC
—
—
$150
7
clean
Fee Schedule
—
—
$249
19
clean
TRGT GEN SEQ ALYS PNL 55-74
—
—
$8,726
15
clean
TRGT GEN SEQ ALYS PNL 55-74
—
—
$5,250
7
clean
ONC THYR MUT ALYS 10 GEN&37
—
—
$1,329
7
clean
ONC THYR MUT ALYS 10 GEN&37
—
—
$2,264
15
clean
ONC SLD ORG NEO DNA 505 GENE
—
—
$3,066
7
clean
ONC SLD ORG NEO DNA 505 GENE
—
—
$5,221
15
clean
Fee Schedule
—
—
$508
8
clean
Fee Schedule
—
—
$266
5
clean
Fee Schedule
—
—
$138
5
clean
Fee Schedule
—
—
$138
5
clean
PR PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$2,390
$1,434
$1,873
10
clean
TEMPR
—
—
$140
7
clean
TEMPR
—
—
$22
12
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$6,925
15
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$4,067
7
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,707
7
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,345
15
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$410
7
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$699
15
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$699
15
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$410
7
clean
NFCT DS BCT QUAN ANTMCRB SC
—
—
$8
7
clean
NFCT DS BCT QUAN ANTMCRB SC
—
—
$14
15
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$1,503
15
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$883
7
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$8,925
7
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$8,808
8
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,783
7
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,746
8
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,250
7
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,181
8
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,610
7
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,563
8
clean
Tear film imaging, unilateral or bilateral, with interpretation and report
—
—
$41
7
clean
Tear film imaging, unilateral or bilateral, with interpretation and report
—
—
$27
12
clean
ONC SLD ORGN TGSA DNA 84/+
—
—
$3,675
7
clean
ONC SLD ORGN TGSA DNA 84/+
—
—
$5,606
9
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,557
7
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,523
8
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,557
7
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,523
8
clean
TRNSCTH RENAL SYMP DENRV BIL
—
—
$6,206
7
clean
TRNSCTH RENAL SYMP DENRV BIL
—
—
$2,183
8
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$1,359
15
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$798
7
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$6,420
15
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$3,770
7
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$832
7
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$821
8
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,403
7
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$2,389
15
clean
Fee Schedule
—
—
$96
2
clean
APC
—
—
$98
7
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$1,403
7
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$2,389
15
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$779
7
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$1,327
15
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$1,327
15
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$779
7
clean

Showing the first 200 of 29,291 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 75840/b
warn
mrf_negotiated_above_gross
highest negotiated rate $395 exceeds the gross charge $159
CPT J7040/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $2
CPT J7050/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5 exceeds the gross charge $1
CPT 71271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,388 exceeds the gross charge $1,030
CPT 75842/b
warn
mrf_negotiated_above_gross
highest negotiated rate $428 exceeds the gross charge $208
CPT J7120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $4
CPT 71550/b
warn
mrf_negotiated_above_gross
highest negotiated rate $668 exceeds the gross charge $179
CPT J7121/b
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $9
CPT J7296/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,382 exceeds the gross charge $1,362
CPT 71555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $870 exceeds the gross charge $250
CPT J7298/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,382 exceeds the gross charge $1,322
CPT 78290/b
warn
mrf_negotiated_above_gross
highest negotiated rate $746 exceeds the gross charge $82
CPT J7300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,234 exceeds the gross charge $1,267
CPT J7307/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,381 exceeds the gross charge $1,350
CPT 75891/b
warn
mrf_negotiated_above_gross
highest negotiated rate $396 exceeds the gross charge $154
CPT A9595/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,015 exceeds the gross charge $630
CPT J7318/b
warn
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $15
CPT 78300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $520 exceeds the gross charge $412
CPT A9606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $273 exceeds the gross charge $254
CPT J7323/b
warn
mrf_negotiated_above_gross
highest negotiated rate $445 exceeds the gross charge $189
CPT J7324/b
warn
mrf_negotiated_above_gross
highest negotiated rate $608 exceeds the gross charge $190
CPT J7325/b
warn
mrf_negotiated_above_gross
highest negotiated rate $36 exceeds the gross charge $14
CPT 75898/b
warn
mrf_negotiated_above_gross
highest negotiated rate $472 exceeds the gross charge $238
CPT 72074/b
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $32
CPT J7327/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,908 exceeds the gross charge $1,087
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,918 exceeds the gross charge $4,395
CPT 72081/o
warn
mrf_negotiated_above_gross
highest negotiated rate $246 exceeds the gross charge $131
CPT 72083/b
warn
mrf_negotiated_above_gross
highest negotiated rate $170 exceeds the gross charge $45
CPT 88329/o
warn
mrf_negotiated_above_gross
highest negotiated rate $92 exceeds the gross charge $10
CPT 75984/b
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $194
CPT 78451/b
warn
mrf_negotiated_above_gross
highest negotiated rate $769 exceeds the gross charge $626
CPT 72127/b
warn
mrf_negotiated_above_gross
highest negotiated rate $584 exceeds the gross charge $66
CPT 72142/b
warn
mrf_negotiated_above_gross
highest negotiated rate $713 exceeds the gross charge $219
CPT 76390/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $196
CPT 81208/o
warn
mrf_negotiated_above_gross
highest negotiated rate $322 exceeds the gross charge $275
CPT 10080/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,103 exceeds the gross charge $1,050
CPT 12044/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,151 exceeds the gross charge $926
CPT 78580/b
warn
mrf_negotiated_above_gross
highest negotiated rate $539 exceeds the gross charge $89
CPT 15015/b
warn
mrf_negotiated_above_gross
highest negotiated rate $687 exceeds the gross charge $409
CPT 15017/b
warn
mrf_negotiated_above_gross
highest negotiated rate $781 exceeds the gross charge $409
CPT 15842/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,214 exceeds the gross charge $159
CPT 72191/b
warn
mrf_negotiated_above_gross
highest negotiated rate $645 exceeds the gross charge $219
CPT 76512/b
warn
mrf_negotiated_above_gross
highest negotiated rate $139 exceeds the gross charge $79
CPT 15853/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $17
CPT 78598/b
warn
mrf_negotiated_above_gross
highest negotiated rate $690 exceeds the gross charge $115
CPT 19499/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,099 exceeds the gross charge $4,051
CPT 20103/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,573 exceeds the gross charge $2,213
CPT 72194/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $149
CPT 93980/b
warn
mrf_negotiated_above_gross
highest negotiated rate $307 exceeds the gross charge $154
CPT 20560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $37
CPT 20561/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $37
CPT 72196/b
warn
mrf_negotiated_above_gross
highest negotiated rate $703 exceeds the gross charge $211
CPT 78608/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,150 exceeds the gross charge $1,254
CPT 20983/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,302 exceeds the gross charge $9,758
CPT 23575/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,505 exceeds the gross charge $2,160
CPT 72198/b
warn
mrf_negotiated_above_gross
highest negotiated rate $874 exceeds the gross charge $397
CPT 23665/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,505 exceeds the gross charge $2,117
CPT 25448/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,546 exceeds the gross charge $951
CPT 25505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,505 exceeds the gross charge $2,117
CPT 78645/b
warn
mrf_negotiated_above_gross
highest negotiated rate $733 exceeds the gross charge $588
CPT 26951/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,096 exceeds the gross charge $4,262
CPT 72240/b
warn
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $126
CPT 27752/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,505 exceeds the gross charge $2,117
CPT 27762/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,505 exceeds the gross charge $2,117
CPT 72255/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $130
CPT C8937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,163 exceeds the gross charge $250
CPT 27810/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,505 exceeds the gross charge $2,117
CPT 76800/b
warn
mrf_negotiated_above_gross
highest negotiated rate $316 exceeds the gross charge $152
CPT 27818/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,505 exceeds the gross charge $2,255
CPT 72265/b
warn
mrf_negotiated_above_gross
highest negotiated rate $218 exceeds the gross charge $113
CPT 29540/o
warn
mrf_negotiated_above_gross
highest negotiated rate $253 exceeds the gross charge $234
CPT 72270/b
warn
mrf_negotiated_above_gross
highest negotiated rate $304 exceeds the gross charge $187
CPT 31624/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,772 exceeds the gross charge $589
CPT 32556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,989 exceeds the gross charge $2,636
CPT 72285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $271 exceeds the gross charge $166
CPT G0008/b
warn
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $25
CPT 33210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,890 exceeds the gross charge $12,042
CPT G0009/b
warn
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $62
CPT 33216/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,890 exceeds the gross charge $12,042
CPT 33218/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,821 exceeds the gross charge $5,030
CPT L0172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $292 exceeds the gross charge $232
CPT 94668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $207 exceeds the gross charge $205
CPT L0200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,187 exceeds the gross charge $773
CPT 36217/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,718 exceeds the gross charge $2,640
CPT 78803/b
warn
mrf_negotiated_above_gross
highest negotiated rate $770 exceeds the gross charge $574
CPT 90378/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,749 exceeds the gross charge $2,549
CPT L3702/o
warn
mrf_negotiated_above_gross
highest negotiated rate $577 exceeds the gross charge $250
CPT 90471/b
warn
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $25
CPT 36555/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,918 exceeds the gross charge $4,395
CPT L3740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,404 exceeds the gross charge $730
CPT L3763/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,471 exceeds the gross charge $404
CPT 76820/b
warn
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $91
CPT L3765/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,562 exceeds the gross charge $404
CPT 36580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,452 exceeds the gross charge $2,351
CPT 90636/b
warn
mrf_negotiated_above_gross
highest negotiated rate $259 exceeds the gross charge $174
CPT L3766/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,713 exceeds the gross charge $568
CPT 94760/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $5
CPT 36596/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,452 exceeds the gross charge $2,195
CPT L3906/o
warn
mrf_negotiated_above_gross
highest negotiated rate $889 exceeds the gross charge $269
CPT 36597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,452 exceeds the gross charge $2,195
CPT 73092/o
warn
mrf_negotiated_above_gross
highest negotiated rate $246 exceeds the gross charge $119
CPT L3913/o
warn
mrf_negotiated_above_gross
highest negotiated rate $541 exceeds the gross charge $183
CPT 36600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $207 exceeds the gross charge $159
CPT 78831/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,408 exceeds the gross charge $1,072
CPT G0168/o
warn
mrf_negotiated_above_gross
highest negotiated rate $145 exceeds the gross charge $86
CPT 36680/o
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $637
CPT L3919/o
warn
mrf_negotiated_above_gross
highest negotiated rate $541 exceeds the gross charge $129
CPT 36836/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28,553 exceeds the gross charge $18,725
CPT 90661/b
warn
mrf_negotiated_above_gross
highest negotiated rate $79 exceeds the gross charge $47
CPT L3921/o
warn
mrf_negotiated_above_gross
highest negotiated rate $642 exceeds the gross charge $241
CPT 90662/b
warn
mrf_negotiated_above_gross
highest negotiated rate $179 exceeds the gross charge $172
CPT L3933/o
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $65
CPT 0232T/b
warn
mrf_negotiated_above_gross
highest negotiated rate $569 exceeds the gross charge $530
CPT 37182/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28,553 exceeds the gross charge $25,873
CPT G0283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $211 exceeds the gross charge $128
CPT L4392/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $12
CPT 37184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28,553 exceeds the gross charge $15,659
CPT 79101/b
warn
mrf_negotiated_above_gross
highest negotiated rate $337 exceeds the gross charge $273
CPT L4394/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $12
CPT 37187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,981 exceeds the gross charge $15,659
CPT 37192/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,918 exceeds the gross charge $4,395
CPT 90678/b
warn
mrf_negotiated_above_gross
highest negotiated rate $607 exceeds the gross charge $354
CPT 37200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,667 exceeds the gross charge $7,582
CPT 90679/b
warn
mrf_negotiated_above_gross
highest negotiated rate $605 exceeds the gross charge $336
CPT 37213/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,918 exceeds the gross charge $4,395
CPT 37214/b
warn
mrf_negotiated_above_gross
highest negotiated rate $296 exceeds the gross charge $292
CPT 90681/b
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $194
CPT 37230/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,542 exceeds the gross charge $1,437
CPT G0408/b
warn
mrf_negotiated_above_gross
highest negotiated rate $208 exceeds the gross charge $185
CPT 37236/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,981 exceeds the gross charge $15,659
CPT 37238/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,981 exceeds the gross charge $15,659
CPT G0416/o
warn
mrf_negotiated_above_gross
highest negotiated rate $558 exceeds the gross charge $415
CPT 37241/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,981 exceeds the gross charge $15,659
CPT 76886/b
warn
mrf_negotiated_above_gross
highest negotiated rate $207 exceeds the gross charge $203
CPT 73225/b
warn
mrf_negotiated_above_gross
highest negotiated rate $863 exceeds the gross charge $212
CPT 37246/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,865 exceeds the gross charge $2,354
CPT 90714/b
warn
mrf_negotiated_above_gross
highest negotiated rate $94 exceeds the gross charge $76
CPT 38222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,524 exceeds the gross charge $3,930
CPT 43195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,005 exceeds the gross charge $3,588
CPT 43999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,413 exceeds the gross charge $851
CPT 76940/b
warn
mrf_negotiated_above_gross
highest negotiated rate $435 exceeds the gross charge $279
CPT 44970/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,416 exceeds the gross charge $1,333
CPT 47490/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,577 exceeds the gross charge $5,225
CPT 47531/b
warn
mrf_negotiated_above_gross
highest negotiated rate $196 exceeds the gross charge $176
CPT 90744/o
warn
mrf_negotiated_above_gross
highest negotiated rate $51 exceeds the gross charge $39
CPT 47536/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,577 exceeds the gross charge $5,225
CPT 90750/b
warn
mrf_negotiated_above_gross
highest negotiated rate $407 exceeds the gross charge $264
CPT G0481/o
warn
mrf_negotiated_above_gross
highest negotiated rate $235 exceeds the gross charge $23
CPT 49186/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,230 exceeds the gross charge $1,372
CPT 49187/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,827 exceeds the gross charge $1,740
CPT 49188/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,378 exceeds the gross charge $2,079
CPT 49189/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,928 exceeds the gross charge $2,417
CPT G0537/b
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $10
CPT 49190/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,849 exceeds the gross charge $2,984
CPT 76981/b
warn
mrf_negotiated_above_gross
highest negotiated rate $240 exceeds the gross charge $216
CPT G0538/b
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $10
CPT 49446/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,989 exceeds the gross charge $2,753
CPT 73592/b
warn
mrf_negotiated_above_gross
highest negotiated rate $64 exceeds the gross charge $22
CPT G0544/b
warn
mrf_negotiated_above_gross
highest negotiated rate $89 exceeds the gross charge $54
CPT Q4101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $194 exceeds the gross charge $140
CPT 49622/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,984 exceeds the gross charge $1,364
CPT G0559/b
warn
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $9
CPT 50593/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16,557 exceeds the gross charge $13,405
CPT G0560/b
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $48
CPT 51720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,086 exceeds the gross charge $835
CPT Q5105/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $1
CPT 51721/b
warn
mrf_negotiated_above_gross
highest negotiated rate $376 exceeds the gross charge $231
CPT Q5106/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $12
CPT 73702/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $169
CPT 77014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,388 exceeds the gross charge $2,008
CPT 84112/o
warn
mrf_negotiated_above_gross
highest negotiated rate $147 exceeds the gross charge $132
CPT J0475/b
warn
mrf_negotiated_above_gross
highest negotiated rate $374 exceeds the gross charge $262
CPT Q9969/o
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $14
CPT 53865/b
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $175
CPT 53866/b
warn
mrf_negotiated_above_gross
highest negotiated rate $143 exceeds the gross charge $88
CPT 54150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,256 exceeds the gross charge $238
CPT J0558/b
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $25
CPT J0561/b
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $31
CPT 55200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $635 exceeds the gross charge $343
CPT 55867/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,902 exceeds the gross charge $2,395
CPT 55874/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,351 exceeds the gross charge $6,798
CPT 55881/b
warn
mrf_negotiated_above_gross
highest negotiated rate $848 exceeds the gross charge $522
CPT J0585/b
warn
mrf_negotiated_above_gross
highest negotiated rate $14 exceeds the gross charge $9
CPT 55882/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,037 exceeds the gross charge $638
CPT J0586/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $12
CPT 59000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,435 exceeds the gross charge $1,038
CPT 59160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,042 exceeds the gross charge $412
CPT 95938/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,338 exceeds the gross charge $1,081
CPT 59200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $110 exceeds the gross charge $108
CPT 77073/b
warn
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $34
CPT J0696/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $1
CPT 59409/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,042 exceeds the gross charge $4,673
CPT 60660/b
warn
mrf_negotiated_above_gross
highest negotiated rate $540 exceeds the gross charge $332
CPT J0702/b
warn
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $9
CPT 60661/b
warn
mrf_negotiated_above_gross
highest negotiated rate $374 exceeds the gross charge $230
CPT J0725/b
warn
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $35
CPT 86886/o
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $180
CPT 62327/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,378 exceeds the gross charge $226
CPT J0750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $108 exceeds the gross charge $80
CPT 64467/b
warn
mrf_negotiated_above_gross
highest negotiated rate $134 exceeds the gross charge $83

Showing the first 200 of 3,843 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 134.9M bytes · fetched 2026-08-26 · sha256 5fee77ea2d07…

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.