Hospital · CCN 280127

Lincoln Surgical Hospital

1710 South 70th Street, Lincoln, NE 68506 · Lancaster County
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

2 admission types 34 outpatient services price file: ok
Billed per dollar paid, all admissions
2.70×
$1.6M billed against $585K paid across 38 Medicare discharges; the national figure is 5.03×.
1.3%
of adults in Lancaster County have medical debt in collections
7.3%
uninsured in the county · state 7.7%
$71K
median household income
3.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
34.4%
obesity in the countyⓘ
9.6%
diagnosed diabetes (PLACES)
5.5%
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
483
Major joint or limb reattachment procedures of upper extremities
23
$42,537
$16,877
2.5× st 3.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
15
$40,200
$13,129
3.1× st 4.4×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5491
Level 1 Intraocular Procedures
2,109
$4,946
$2,068
2.4×
5115
Level 5 Musculoskeletal Procedures
949
$33,172
$11,652
2.8×
5116
Level 6 Musculoskeletal Procedures
197
$38,808
$16,455
2.4×
5114
Level 4 Musculoskeletal Procedures
196
$20,182
$6,310
3.2×
5492
Level 2 Intraocular Procedures
135
$10,277
$3,631
2.8×
5493
Level 3 Intraocular Procedures
98
$11,341
$4,667
2.4×
5375
Level 5 Urology and Related Services
98
$11,971
$4,620
2.6×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
95
$5,753
$2,087
2.8×
5113
Level 3 Musculoskeletal Procedures
73
$9,540
$2,827
3.4×
5361
Level 1 Laparoscopy and Related Services
69
$15,126
$5,152
2.9×
5374
Level 4 Urology and Related Services
62
$7,503
$3,113
2.4×
5362
Level 2 Laparoscopy and Related Services
57
$25,070
$9,187
2.7×
5378
Level 8 Urology and Related Services
22
$32,275
$17,972
1.8×
5373
Level 3 Urology and Related Services
18
$6,021
$1,819
3.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
17
$10,329
$3,090
3.3×
5431
Level 1 Nerve Procedures
13
$4,605
$1,724
2.7×
5432
Level 2 Nerve Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 1/1/2026, template 3.0.0, 2,391 rows scanned, 582 distinct code–setting items kept. 171 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
INCISION & DRAINAGE ABSCESS SI
$2,110
$2,110
$205
17
clean
INCISION AND DRAINAGE OF ABSCE
$2,835
$2,835
$415
17
clean
INCISION, HEMATOMA, SEROMA
$3,435
$3,435
$1,687
17
clean
INCISION & DRAINAGE CMPLX POST
$6,070
$6,070
$2,968
17
clean
DEBRID W/ RMV FRGN MTL W/OPN F
—
—
$2,968
16
clean
DEBRIDE SKIN & SUBCUT TISS
$1,390
$1,390
$415
17
clean
EXCISION, BENIGN LESION INCLUD
$3,765
$3,765
$723
17
clean
EXC LSN BENIGN .6-1CM TRNK/ARM
$1,390
$1,390
$415
17
clean
EXCISION, BENIGN LESION INCLUD
$3,715
$3,715
$723
17
clean
EXC LESN BENIGN 2.1-3.CM TRK/A
$3,805
$3,805
$723
17
clean
EXC LESN BENIGN 3.1-4CM TRNK/A
$3,440
$3,440
$1,687
17
clean
EXC LSN BENIGN OVR 4CM TRNK/AR
$6,190
$6,190
$1,687
17
clean
EXC BENIGN LSN .6-1CM SCLP/NK/
$3,505
$3,505
$723
17
clean
EXC BENIGN LSN 1.1-2CM SCLP/NK
$3,960
$3,960
$1,687
17
clean
EXC BENIGN LSN 3.1-4.0CM SCLP/
$3,980
$3,980
$1,687
17
clean
EXCISION BENIGN LESION
$5,945
$5,945
$2,968
17
clean
INGUINAL-EXC SKN/SUBQ-HIDRADEN
—
—
$2,968
16
clean
EXC SK/SQ HIDRAD PERIANAL/PERI
$6,070
$6,070
$2,968
17
clean
EXC MLGNT LSN 1.1-2CM TRNK/ARM
$2,600
$2,600
$415
17
clean
REPAIR OF NAIL BED, MX
—
—
$755
16
clean
EXC PILONIDAL CYST OR SINUS SI
$6,070
$6,070
$2,968
17
clean
EXC PILONIDAL CYST/SINUS COMP
$6,240
$6,240
$2,968
17
clean
REPLACE TIS EXPANDER W/PERM PR
$15,155
$15,155
$7,413
17
clean
REMOVAL, DRUG DELIVERY IMPLANT
$2,280
$2,280
$456
17
clean
TREATMENT WOUND DEHISCENCE, SI
$1,570
$1,570
$755
17
clean
LAYER CLOSURE OF WOUNDS OF SCA
$1,180
$1,180
$415
17
clean
SEC CLOSUR WOUND/DEHISCENCE,EX
$5,020
$5,020
$3,620
17
clean
FULL THICKNESS GRAFT
$4,630
$4,630
$2,108
17
clean
UPPER,BLEPHAROPLASTY
$5,455
$5,455
$2,108
17
clean
UPPER,BLEPHAROPLASTY W/EXC SKI
$4,105
$4,105
$2,108
17
clean
ABD,EXC EXCESSIVE SKIN & SUBCU
$13,840
$13,840
$6,784
17
clean
OTHER AREA,EXC SKIN+LIPECTOMY
$6,070
$6,070
$2,968
17
clean
ABD,EXC EXCESS SKIN,UMBILICAL
$3,560
$3,560
$4,084
9
clean
SUCTION LIPECTOMY TRUNK
$7,765
$7,765
$3,620
17
clean
EXC BREAST CYST/FIBROADEN/TUMO
$8,125
$8,125
$4,000
17
clean
EX BREAST LESION,ID BY PREOP M
$8,125
$8,125
$4,000
17
clean
PERQ DEVICE BREAST 1ST IMAG
—
—
$1,687
16
clean
MASTECTOMY,GYNECOMASTIA BIL
$8,125
$8,125
$4,000
17
clean
MASTECTOMY, PARTIAL
$8,125
$8,125
$4,000
17
clean
P-MASTECTOMY W/LN REMOVAL
$13,840
$13,840
$6,784
17
clean
MASTECTOMY,SIMPLE,COMPLETE
$13,840
$13,840
$6,784
17
clean
BREAST REDUCTION MAMMAPLASTY
$13,840
$13,840
$6,784
17
clean
INSERT-BRST PROSTHESIS IMMEDIA
$13,840
$13,840
$6,920
17
clean
DELAYED INSERTION BREAST PROST
$8,530
$8,530
$6,485
17
clean
BREAST,CAPSULOTOMY,PERIPROSTHE
$8,125
$8,125
$4,000
17
clean
REVISION OF RECONSTRUCTED BREA
$13,840
$13,840
$6,784
17
clean
WOUND EXPLORATION TRAUMA EXTRE
$3,435
$3,435
$1,687
17
clean
INJECTION, SMALL JOINT
$1,860
$1,860
$314
17
clean
INJ INTERMEDIATE JOINT W/O U/S
—
—
$314
16
clean
INJECT MAJOR JOINT W/O U/S
$1,165
$1,165
$314
17
clean
INSERT WIRE/PIN W/TRACTION INC
—
—
$3,343
16
clean
REMV IMPLNT DEEP - WIRE/PIN/SC
$6,070
$6,070
$2,968
17
clean
APPLICATION OF A UNIPLANE (PIN
—
—
$6,486
16
clean
REMOVAL, UNDER ANESTHESIA, OF
—
—
$1,854
16
clean
BONE GRAFT, ANY DONOR AREA; MI
$15,155
$15,155
$7,413
17
clean
GRAFT BONE MAJOR/LARGE
—
—
$5,827
16
clean
TENDON GRAFT, FROM A DISTANCE
$15,155
$15,155
$7,413
17
clean
ALLOGRAFT FOR SPINE SURGERY
—
—
$8,204
8
clean
CLOSED TX NASAL BONE FRX W/STA
$6,880
$6,880
$3,387
17
clean
EXCISION TUMOR, NECK, SUBQ
$6,225
$6,225
$2,968
17
clean
EXCISION TUMOR, NECK, SUBQ
$6,105
$6,105
$1,854
17
clean
CERVICAL,ARTHRODESIS,DISCECTMY
$36,875
$36,875
$13,117
17
clean
CERVICAL,ARTHRODESIS,EACH ADDI
—
—
$8,204
8
clean
ARTHRODESIS, COMBINED LUMBAR
$39,020
$39,020
$26,354
17
clean
ARTHRODESIS, LUMBAR ADDN'L SEG
—
—
$8,204
8
clean
EXPLORATION OF SPINAL FUSION
$6,415
$6,415
$6,938
16
clean
POSTERIOR INSTRUMENTATION
—
—
$12,332
8
clean
POSTERIOR SEG. INSTRUMENTATION
—
—
$8,204
8
clean
ANTERIOR INSTRUMENTATION
—
—
$8,204
8
clean
ANTERIOR INSTRUMENTATION
—
—
$12,831
8
clean
INSERT, MECH DEVICE CAGE/MESH
—
—
$8,204
8
clean
REM, ANTERIOR INSTRUMENTATION
$4,590
$4,590
$6,938
16
clean
CERVICAL ARTIFICIAL DISCECTOM
$39,020
$39,020
$17,914
17
clean
SECOND LEVEL,CERVICAL
—
—
$12,332
8
clean
EXCISION,ABDOMINAL WALL TUMOR
$6,185
$6,185
$2,968
17
clean
EXC ABD LES SC > 3CM
$6,070
$6,070
$2,968
17
clean
SHOULDER,CLAVICULECTOMY,PARTIA
$9,495
$9,495
$3,759
17
clean
PARTIAL EXCISION BONE,SCAPULA
$15,155
$15,155
$7,413
17
clean
SHOULDER,REPAIR ROT CUFF,ACUTE
$15,155
$15,155
$7,413
17
clean
SHOULDER,REPAIR ROT CUFF,CHRON
$15,155
$15,155
$7,413
17
clean
SHOULDER,TENODESIS,BICEPS
$15,155
$15,155
$7,413
17
clean
CAPSULORRHAPHY ANT, CORACOID
$15,975
$15,975
$7,413
17
clean
HEMI-ARTHROPLASTY, SHOULDER
$27,300
$27,300
$13,117
17
clean
TOTAL SHOULDER REPLACEMENT
$24,560
$24,560
$17,914
17
clean
OPEN TREATMENT CLAVICLE FX, W/
$15,155
$15,155
$7,413
17
clean
OPEN TX, CLAVICLE DISLOCATION
$15,155
$15,155
$7,413
17
clean
OPEN TX OF SCAPULAR FRACTURE
$15,100
$15,100
$7,413
17
clean
OPN TRT CLSD/OPN HUMERAL FX,W-
$14,940
$14,940
$8,576
17
clean
OPEN TX GRT TUBEROS HUMERUS FX
$15,155
$15,155
$7,413
17
clean
SHOULDER,OPEN TX ACTUE DISLOCA
$15,155
$15,155
$7,413
17
clean
TREATMENT DISLOACTION/FRACTURE
$14,510
$14,510
$8,576
17
clean
UNLISTED PROCEDURE, SHOULDER
$7,385
$7,385
$368
17
clean
UPPER ARM/ELBOW,EXCISION,TUMOR
$3,435
$3,435
$1,687
17
clean
EXC OLECRANON BURSA
$6,885
$6,885
$3,343
17
clean
RADIUS/OLECRAN,EXC BONE TUMOR
—
—
$3,343
16
clean
UPP ARM/ELBOW,RPR MUSCL/TENDN
$15,155
$15,155
$7,413
17
clean
DISTAL,REINSER BICEP/TRIC TEND
$15,155
$15,155
$7,413
17
clean
ELBOW,RECONSTRUCT LIG,LAT COLL
$14,730
$14,730
$7,413
17
clean
ELBOW,REPAIR MEDIAL COLLAT LIG
$15,155
$15,155
$7,413
17
clean
ELBOW,RECON MED COLL LIG,W/GR
$27,300
$27,300
$13,117
17
clean
TENOTOMY, ELBOW, W/DEBRIDE/REP
$6,965
$6,965
$3,343
17
clean
ARTHROPLASTY RADIAL HEAD;W/IMP
$27,300
$27,300
$13,117
17
clean
HUMERAL FX,OPEN TRTMENT SUPRAC
$14,200
$14,200
$8,576
17
clean
HUMERAL/EPICONDYLAR,FX OPEN TX
$27,300
$27,300
$13,117
17
clean
RADIAL HEAD/NECK FX,OPEN TX
$15,155
$15,155
$7,413
17
clean
ULNAR FX,PROX,OPN TX W/FIXATIO
$15,155
$15,155
$7,413
17
clean
WRIST,INC,EXTENSOR TNDN SHEATH
$4,490
$4,490
$1,643
17
clean
WRIST,EXCISION GANGLION PRIMAR
$4,220
$4,220
$1,643
17
clean
WRIST,CARPECTOMY;ALL BONES,PRO
$6,885
$6,885
$3,343
17
clean
WRIST,EXCISION DISTAL ULNA
$6,885
$6,885
$3,343
17
clean
WRIST/F'ARM,L/SHRT,FLX/EXT TEN
—
—
$3,343
16
clean
WRIST/F'ARM,TENOTMY,FLX/EXT TE
—
—
$3,343
16
clean
WRIST/F'ARM,TENDON TRANSFER
$7,595
$7,595
$3,343
17
clean
RAD/ULNA,REP NON-MALUNION FX
$15,510
$15,510
$7,413
17
clean
WRIST,REP NONUN SCAPHOID W-WO
$15,155
$15,155
$7,413
17
clean
HAND ARTHROPLSTY,IC/CMC JOINTS
$7,450
$7,450
$3,343
17
clean
TREAT FRACTURE OF RADIUS
$3,395
$3,395
$1,643
17
clean
F'ARM,OPEN TX ULNAR SHAFT FX
$15,155
$15,155
$7,413
17
clean
F'ARM,CLOSD TX RAD&ULNR FX,MAN
$3,395
$3,395
$1,643
17
clean
WRIST,CLOSD DIST RADIAL FX,W/M
$3,990
$3,990
$1,643
17
clean
WRIST,PERC FIXATION,RADIAL FX
$8,450
$8,450
$4,224
17
clean
WRIST,OPEN TX DISTAL RADIAL FX
$15,155
$15,155
$7,413
17
clean
WRIST,OPEN TX DISTAL RADIAL FX
$15,155
$15,155
$7,413
17
clean
WRIST,OPEN TX DISTAL RADIAL FX
$15,155
$15,155
$7,413
17
clean
WRIST,OPEN TX RADIOULNAR DIS
—
—
$7,413
16
clean
WRIST,ARTHRODESIS,W/AUTOGRAFT
$27,300
$27,300
$13,117
17
clean
FUSION RADIOULNAR JNT/ULNA
$15,415
$15,415
$7,413
17
clean
HAND/FINGER,INC TENDON SHEATH
$3,360
$3,360
$1,643
17
clean
EXC HAND LES SC > 1.5 CM
$4,355
$4,355
$1,687
17
clean
PALM,FASCIECTOMY,W/O ZPLASTY
$6,885
$6,885
$3,343
17
clean
PALM,FASCIECTOMY,W/REL 1 DIGT
$6,885
$6,885
$3,343
17
clean
PALM,FASCIECTMY,EA ADDTL DIGIT
—
—
$4,377
8
clean
HAND/FINGER,EXC LES,TEN SHEATH
$4,330
$4,330
$1,643
17
clean
FINGER,MANIP JOINT,W/ANES,EACH
$3,395
$3,395
$1,643
17
clean
HAND,REP FLEX TNDN,EA,ZONE 2,P
$6,885
$6,885
$3,343
17
clean
HAND,REP PROFUNDUS TENDON,EA,P
$6,885
$6,885
$3,343
17
clean
FINGER,REPR EXTNSR TENDN,W/O,E
$3,375
$3,375
$1,643
17
clean
FINGER,TENODESIS PRXML IP JT,E
—
—
$3,217
16
clean
HAND,FUSION OF KNUCKLE JOINT
$6,885
$6,885
$3,343
17
clean
FINGER,RPR COLATRAL LIG,MCP/IP
$6,885
$6,885
$3,343
17
clean
FINGER,REP&RECONSTRUCT IP JT
$6,730
$6,730
$3,343
17
clean
HAND,PERC PINNING,MC FX EACH
$6,885
$6,885
$4,224
17
clean
HAND,OPEN TX MC FX,SINGLE
$8,800
$8,800
$4,224
17
clean
HAND,PERC PINNING CMC,EACH
$6,885
$6,885
$4,224
17
clean
FINGER,PERC PINNING PHALANX FX
$8,740
$8,740
$4,224
17
clean
FINGER,CLSD TX MCP/IP FX WITH
$3,395
$3,395
$1,643
17
clean
FINGER,OPEN TX DSTL PHAL FX,EA
$8,445
$8,445
$4,224
17
clean
FINGER,ARTHRODESIS,MCP JT
$15,155
$15,155
$7,413
17
clean
PELVIS/HIP,I&D JNT,DEEP ABS/HE
$6,885
$6,885
$3,343
17
clean
TOTAL HIP ARTHROPLASTY
$27,300
$27,300
$13,117
17
clean
HIP,CONVERS TO TOTAL ARTHROPLA
$23,915
$23,915
$13,117
16
clean
FEMORAL FX,PERC FIX,PROXIMAL
$15,155
$15,155
$7,413
17
clean
UNLISTED PROC, PELVIS/HIP JNT
$18,590
$18,590
$368
17
clean
ILIOTIBIAL FASCIOTOMY OPEN
$6,885
$6,885
$3,343
17
clean
KNEE,ARTHRTMY,W/EXP/DRNG/REMOV
$7,850
$7,850
$3,343
17
clean
KNEE,EXC PREPATELLAR BURSA
$6,885
$6,885
$3,343
17
clean
KNEE,EXC MENISCAL CYST/GANGLIO
$6,885
$6,885
$3,343
17
clean
KNEE,PATELLECTOMY OR HEMI-PATE
$15,155
$15,155
$7,413
17
clean
FEMUR,EXC BONE CYST/TUMOR
$6,885
$6,885
$3,343
17
clean
KNEE,SUTURE INFRAPATELLAR TEND
$15,155
$15,155
$7,413
17
clean
THIGH,QUADRICPS/HAMSTRG REPAIR
$15,155
$15,155
$7,413
17
clean
KNEE,REP COLLATERAL LIG/CAPSUL
$15,155
$15,155
$7,413
17
clean
KNEE,OSTEOCHONDRAL ALLOGRAFT
$27,300
$27,300
$13,117
17
clean
KNEE,ANT TIBIAL TUBERCLEPLASTY
$15,155
$15,155
$7,413
17
clean
KNEE,RECONST PATELLA,DISL W/EX
$15,155
$15,155
$7,413
17
clean
KNEE,LATER RETINACULAR RELE,OP
$6,885
$6,885
$3,343
17
clean
KNEE,LIGAMENTOUS RECONS,EXTRA
$16,400
$16,400
$7,413
17
clean
KNEE,ARTHROPLSTY,MEDIAL OR LAT
$27,300
$27,300
$13,117
17
clean
KNEE,ARTHROPLSTY,MEDIAL & LAT
$27,370
$27,370
$13,117
17
clean
KNEE,OPEN TX PATELLAR FX,W/FIX
$15,155
$15,155
$7,413
17
clean
KNEE,MANIP W/GENERL ANESTHESIA
$3,395
$3,395
$1,643
17
clean
FEMUR/KNEE,UNLISTED PROCEDURE
$8,400
$8,400
$368
17
clean
ANKLE,ARTHRTMY,JNT EXPL, W/WO
$6,910
$6,910
$3,343
17
clean
TIBIA/FIBU,EXC BONE CYST/TUMOR
$6,735
$6,735
$3,343
17
clean
ACHILLES,RPR TENDON PRIM,RUPTU
$15,155
$15,155
$7,413
17
clean
REPAIR/GRAFT ACHILLES TENDON
$15,155
$15,155
$7,413
17
clean
ACHILLES,RPR TENDON SECON,RUPT
$15,155
$15,155
$7,413
17
clean
LEG/ANKLE,RELEASE TENDON
$7,225
$7,225
$3,343
17
clean
LEG/ANKLE,LNGTH/SHORT TENDON,S
$6,885
$6,885
$3,343
17
clean
LOW LEG,GASTROCNEMIUS RECESSN
$6,735
$6,735
$3,343
17
clean
LEG/TIBIAL,TRNSFER TENDON,DEEP
$15,155
$15,155
$7,413
17
clean
ANKLE,RPR PRIM DISTRUPTED LIG
$15,155
$15,155
$7,413
17
clean
ANKLE,RPR 2NDRY DISRPTD LIG
$15,155
$15,155
$7,413
17
clean
ANKLE,TOTAL ARTHROPLASTY,W/IMP
$24,855
$24,855
$26,250
17
clean
OSTEOTOMY,TIBIA
$15,155
$15,155
$7,413
17
clean
TIBIA,REPAIR NON/MALUNION W/O
$15,155
$15,155
$7,413
17
clean
FIBULA,OPEN TX PROX/SHFT FX
$15,155
$15,155
$7,413
17
clean
FIBULA,CLOSED TX DISTAL FX,W/M
—
—
$368
16
clean
FIBULA,OPEN TX DISTAL FX,W/FIX
$15,155
$15,155
$7,413
17
clean
ANKLE,OPEN TX BIMALLEOLAR FX
$15,155
$15,155
$7,413
17
clean
ANKLE,OPN TX TRIMALLEOLAR,LIP
$15,155
$15,155
$7,413
17
clean
TIBIA,OPEN TX DIST FX,WT BEARI
$14,605
$14,605
$8,576
17
clean
TIBIOFIBULAR,OPN TX DIST FX JT
$15,155
$15,155
$7,413
17
clean
ANKLE,ARTHRODESIS OPEN
$27,300
$27,300
$13,117
17
clean
LEG/ANKLE,UNLISTED PROCEDURE
$10,055
$10,055
$368
17
clean
FOOT/TOE,FASCIOTOMY
$6,885
$6,885
$3,343
17
clean
TOE,ARTHROTOMY,INCL FB REMOVE
$6,885
$6,885
$3,343
17
clean
EXCISION TUMOR, FOOT >1.5CM
$6,070
$6,070
$2,968
17
clean
TOE,EXC MORTONS NEUROMA,SINGLE
$5,550
$5,550
$1,711
17
clean
EXC FOOT LESION,TENDON,SYNOV
$5,415
$5,415
$1,711
17
clean

Showing the first 200 of 582 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
158 of 517 comparable items (31%) 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 $2,709 exceeds the gross charge $1,390
CPT C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 26 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 34 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1813/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9290/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9359/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8600/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8612/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11042/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,709 exceeds the gross charge $1,390 — part of a file-wide pattern, counted once at the file level
CPT 11401/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,560 exceeds the gross charge $1,390 — part of a file-wide pattern, counted once at the file level
CPT 11404/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,587 exceeds the gross charge $3,440 — part of a file-wide pattern, counted once at the file level
CPT 12034/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,709 exceeds the gross charge $1,180 — part of a file-wide pattern, counted once at the file level
CPT 13160/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,883 exceeds the gross charge $5,020 — part of a file-wide pattern, counted once at the file level
CPT 15823/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,344 exceeds the gross charge $4,105 — part of a file-wide pattern, counted once at the file level
CPT 15847/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,344 exceeds the gross charge $3,560 — part of a file-wide pattern, counted once at the file level
CPT 19342/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,138 exceeds the gross charge $8,530 — part of a file-wide pattern, counted once at the file level
CPT 20610/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,506 exceeds the gross charge $1,165 — part of a file-wide pattern, counted once at the file level
CPT 22633/o
info
mrf_negotiated_above_gross
highest negotiated rate $45,048 exceeds the gross charge $39,020 — part of a file-wide pattern, counted once at the file level
CPT 22830/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,047 exceeds the gross charge $6,415 — part of a file-wide pattern, counted once at the file level
CPT 22855/o
info
mrf_negotiated_above_gross
highest negotiated rate $12,047 exceeds the gross charge $4,590 — part of a file-wide pattern, counted once at the file level
CPT 23472/o
info
mrf_negotiated_above_gross
highest negotiated rate $36,780 exceeds the gross charge $24,560 — part of a file-wide pattern, counted once at the file level
CPT 23615/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,734 exceeds the gross charge $14,940 — part of a file-wide pattern, counted once at the file level
CPT 23680/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,734 exceeds the gross charge $14,510 — part of a file-wide pattern, counted once at the file level
CPT 24075/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,831 exceeds the gross charge $3,435 — part of a file-wide pattern, counted once at the file level
CPT 24545/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,734 exceeds the gross charge $14,200 — part of a file-wide pattern, counted once at the file level
CPT 25447/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,855 exceeds the gross charge $7,450 — part of a file-wide pattern, counted once at the file level
CPT 25520/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,511 exceeds the gross charge $3,395 — part of a file-wide pattern, counted once at the file level
CPT 25565/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,511 exceeds the gross charge $3,395 — part of a file-wide pattern, counted once at the file level
CPT 25605/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,084 exceeds the gross charge $3,990 — part of a file-wide pattern, counted once at the file level
CPT 25606/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,576 exceeds the gross charge $8,450 — part of a file-wide pattern, counted once at the file level
CPT 26418/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,241 exceeds the gross charge $3,375 — part of a file-wide pattern, counted once at the file level
CPT 26608/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,576 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 26676/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,576 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 26742/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,511 exceeds the gross charge $3,395 — part of a file-wide pattern, counted once at the file level
CPT 26765/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,576 exceeds the gross charge $8,445 — part of a file-wide pattern, counted once at the file level
CPT 26990/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,286 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 27132/o
info
mrf_negotiated_above_gross
highest negotiated rate $26,250 exceeds the gross charge $23,915 — part of a file-wide pattern, counted once at the file level
CPT 27305/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,286 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 27340/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,340 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 27347/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,340 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 27355/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,286 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 27425/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,340 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 27620/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,340 exceeds the gross charge $6,910 — part of a file-wide pattern, counted once at the file level
CPT 27635/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,340 exceeds the gross charge $6,735 — part of a file-wide pattern, counted once at the file level
CPT 27680/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,340 exceeds the gross charge $7,225 — part of a file-wide pattern, counted once at the file level
CPT 27685/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,340 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 27687/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,340 exceeds the gross charge $6,735 — part of a file-wide pattern, counted once at the file level
CPT 27702/o
info
mrf_negotiated_above_gross
highest negotiated rate $45,048 exceeds the gross charge $24,855 — part of a file-wide pattern, counted once at the file level
CPT 27827/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,734 exceeds the gross charge $14,605 — part of a file-wide pattern, counted once at the file level
CPT 28110/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,764 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 28122/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,764 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 28292/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,764 exceeds the gross charge $6,885 — part of a file-wide pattern, counted once at the file level
CPT 28296/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,764 exceeds the gross charge $6,860 — part of a file-wide pattern, counted once at the file level
CPT 28297/o
info
mrf_negotiated_above_gross
highest negotiated rate $25,734 exceeds the gross charge $7,780 — part of a file-wide pattern, counted once at the file level
CPT 28496/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,576 exceeds the gross charge $8,415 — part of a file-wide pattern, counted once at the file level
CPT 30901/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,506 exceeds the gross charge $1,395 — part of a file-wide pattern, counted once at the file level
CPT 33249/o
info
mrf_negotiated_above_gross
highest negotiated rate $64,123 exceeds the gross charge $17,810 — part of a file-wide pattern, counted once at the file level
CPT 36430/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,506 exceeds the gross charge $1,430 — part of a file-wide pattern, counted once at the file level
CPT 49505/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,215 exceeds the gross charge $7,490 — part of a file-wide pattern, counted once at the file level
CPT 49553/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,215 exceeds the gross charge $7,490 — part of a file-wide pattern, counted once at the file level
CPT 49591/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,155 exceeds the gross charge $7,490 — part of a file-wide pattern, counted once at the file level
CPT 52441/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,243 exceeds the gross charge $3,915 — part of a file-wide pattern, counted once at the file level
CPT 52442/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,062 exceeds the gross charge $1,335 — part of a file-wide pattern, counted once at the file level
CPT 54057/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,846 exceeds the gross charge $3,885 — part of a file-wide pattern, counted once at the file level
CPT 54405/o
info
mrf_negotiated_above_gross
highest negotiated rate $40,257 exceeds the gross charge $13,335 — part of a file-wide pattern, counted once at the file level
CPT 55899/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,239 exceeds the gross charge $3,090 — part of a file-wide pattern, counted once at the file level
CPT 56606/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,681 exceeds the gross charge $565 — part of a file-wide pattern, counted once at the file level
CPT 58300/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,686 exceeds the gross charge $1,540 — part of a file-wide pattern, counted once at the file level
CPT 59870/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,244 exceeds the gross charge $7,000 — part of a file-wide pattern, counted once at the file level
CPT 63030/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,287 exceeds the gross charge $12,405 — part of a file-wide pattern, counted once at the file level
CPT 63042/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,287 exceeds the gross charge $11,370 — part of a file-wide pattern, counted once at the file level
CPT 63045/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,287 exceeds the gross charge $11,270 — part of a file-wide pattern, counted once at the file level
CPT 63047/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,287 exceeds the gross charge $11,085 — part of a file-wide pattern, counted once at the file level
CPT 63056/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,287 exceeds the gross charge $11,450 — part of a file-wide pattern, counted once at the file level
CPT 63267/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,287 exceeds the gross charge $11,045 — part of a file-wide pattern, counted once at the file level
CPT 64415/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,212 exceeds the gross charge $2,165 — part of a file-wide pattern, counted once at the file level
CPT 64445/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,506 exceeds the gross charge $1,345 — part of a file-wide pattern, counted once at the file level
CPT 64447/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,212 exceeds the gross charge $1,315 — part of a file-wide pattern, counted once at the file level
CPT 64488/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,212 exceeds the gross charge $2,165 — part of a file-wide pattern, counted once at the file level
CPT 64561/o
info
mrf_negotiated_above_gross
highest negotiated rate $15,745 exceeds the gross charge $8,180 — part of a file-wide pattern, counted once at the file level
CPT 64581/o
info
mrf_negotiated_above_gross
highest negotiated rate $15,745 exceeds the gross charge $9,255 — part of a file-wide pattern, counted once at the file level
CPT 64590/o
info
mrf_negotiated_above_gross
highest negotiated rate $42,889 exceeds the gross charge $19,805 — part of a file-wide pattern, counted once at the file level
CPT 65426/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,309 exceeds the gross charge $4,965 — part of a file-wide pattern, counted once at the file level
CPT 65800/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,561 exceeds the gross charge $4,430 — part of a file-wide pattern, counted once at the file level
CPT 65920/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,417 exceeds the gross charge $5,310 — part of a file-wide pattern, counted once at the file level
CPT 66020/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,561 exceeds the gross charge $4,345 — part of a file-wide pattern, counted once at the file level
CPT 66170/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,172 exceeds the gross charge $5,155 — part of a file-wide pattern, counted once at the file level
CPT 66172/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,172 exceeds the gross charge $5,375 — part of a file-wide pattern, counted once at the file level
CPT 66250/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,666 exceeds the gross charge $4,085 — part of a file-wide pattern, counted once at the file level
CPT 66710/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,666 exceeds the gross charge $3,980 — part of a file-wide pattern, counted once at the file level
CPT 66821/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,709 exceeds the gross charge $1,165 — part of a file-wide pattern, counted once at the file level
CPT 66991/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,319 exceeds the gross charge $8,920 — part of a file-wide pattern, counted once at the file level
CPT 67031/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,381 exceeds the gross charge $1,200 — part of a file-wide pattern, counted once at the file level
CPT 67105/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,571 exceeds the gross charge $4,050 — part of a file-wide pattern, counted once at the file level
CPT 67113/o
info
mrf_negotiated_above_gross
highest negotiated rate $10,319 exceeds the gross charge $9,885 — part of a file-wide pattern, counted once at the file level
CPT 67145/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,381 exceeds the gross charge $1,395 — part of a file-wide pattern, counted once at the file level
CPT 67311/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,958 exceeds the gross charge $5,020 — part of a file-wide pattern, counted once at the file level
CPT 67312/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,958 exceeds the gross charge $5,395 — part of a file-wide pattern, counted once at the file level
CPT 67314/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,958 exceeds the gross charge $5,060 — part of a file-wide pattern, counted once at the file level
CPT 67332/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,958 exceeds the gross charge $3,485 — part of a file-wide pattern, counted once at the file level
CPT 67400/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,542 exceeds the gross charge $5,610 — part of a file-wide pattern, counted once at the file level
CPT 67840/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,825 exceeds the gross charge $4,025 — part of a file-wide pattern, counted once at the file level
CPT 67904/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,349 exceeds the gross charge $4,280 — part of a file-wide pattern, counted once at the file level
CPT 67917/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,349 exceeds the gross charge $5,250 — part of a file-wide pattern, counted once at the file level
CPT 67924/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,349 exceeds the gross charge $4,435 — part of a file-wide pattern, counted once at the file level
CPT 68100/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,825 exceeds the gross charge $4,415 — part of a file-wide pattern, counted once at the file level
CPT 68110/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,666 exceeds the gross charge $3,770 — part of a file-wide pattern, counted once at the file level
CPT 68320/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,825 exceeds the gross charge $4,690 — part of a file-wide pattern, counted once at the file level
CPT 68326/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,542 exceeds the gross charge $5,600 — part of a file-wide pattern, counted once at the file level
CPT 68510/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,349 exceeds the gross charge $2,890 — part of a file-wide pattern, counted once at the file level
CPT 68720/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,542 exceeds the gross charge $5,460 — part of a file-wide pattern, counted once at the file level
CPT 68811/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,825 exceeds the gross charge $4,330 — part of a file-wide pattern, counted once at the file level
CPT 68815/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,825 exceeds the gross charge $4,225 — part of a file-wide pattern, counted once at the file level
CPT 69424/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,486 exceeds the gross charge $3,565 — part of a file-wide pattern, counted once at the file level
CPT 69436/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,084 exceeds the gross charge $3,285 — part of a file-wide pattern, counted once at the file level
CPT 69610/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,084 exceeds the gross charge $3,255 — part of a file-wide pattern, counted once at the file level
CPT 71045/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $150 — part of a file-wide pattern, counted once at the file level
CPT 72040/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $165 — part of a file-wide pattern, counted once at the file level
CPT 72170/o
info
mrf_negotiated_above_gross
highest negotiated rate $213 exceeds the gross charge $160 — part of a file-wide pattern, counted once at the file level
CPT 73020/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $150 — part of a file-wide pattern, counted once at the file level
CPT 73030/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $155 — part of a file-wide pattern, counted once at the file level
CPT 73501/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $150 — part of a file-wide pattern, counted once at the file level
CPT 73502/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $150 — part of a file-wide pattern, counted once at the file level
CPT 73560/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $150 — part of a file-wide pattern, counted once at the file level
CPT 74300/o
info
mrf_negotiated_above_gross
highest negotiated rate $497 exceeds the gross charge $480 — part of a file-wide pattern, counted once at the file level
CPT 76000/o
info
mrf_negotiated_above_gross
highest negotiated rate $483 exceeds the gross charge $270 — part of a file-wide pattern, counted once at the file level
CPT 76942/o
info
mrf_negotiated_above_gross
highest negotiated rate $301 exceeds the gross charge $235 — part of a file-wide pattern, counted once at the file level
CPT 77001/o
info
mrf_negotiated_above_gross
highest negotiated rate $497 exceeds the gross charge $305 — part of a file-wide pattern, counted once at the file level
CPT 81001/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT 81003/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT 81015/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT 82962/o
info
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $15 — part of a file-wide pattern, counted once at the file level
CPT 85610/o
info
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $25 — part of a file-wide pattern, counted once at the file level
CPT 86140/o
info
mrf_negotiated_above_gross
highest negotiated rate $32 exceeds the gross charge $30 — part of a file-wide pattern, counted once at the file level
CPT 86850/o
info
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 86900/o
info
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $105 — part of a file-wide pattern, counted once at the file level
CPT 86923/o
info
mrf_negotiated_above_gross
highest negotiated rate $434 exceeds the gross charge $160 — part of a file-wide pattern, counted once at the file level
CPT 88112/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 88300/o
info
mrf_negotiated_above_gross
highest negotiated rate $91 exceeds the gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT 88302/o
info
mrf_negotiated_above_gross
highest negotiated rate $91 exceeds the gross charge $75 — part of a file-wide pattern, counted once at the file level
CPT 88304/o
info
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 88307/o
info
mrf_negotiated_above_gross
highest negotiated rate $719 exceeds the gross charge $260 — part of a file-wide pattern, counted once at the file level
CPT 88309/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,634 exceeds the gross charge $515 — part of a file-wide pattern, counted once at the file level
CPT 88311/o
info
mrf_negotiated_above_gross
highest negotiated rate $91 exceeds the gross charge $35 — part of a file-wide pattern, counted once at the file level
CPT 88313/o
info
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $100 — part of a file-wide pattern, counted once at the file level
CPT 88331/o
info
mrf_negotiated_above_gross
highest negotiated rate $343 exceeds the gross charge $90 — part of a file-wide pattern, counted once at the file level
CPT 88332/o
info
mrf_negotiated_above_gross
highest negotiated rate $97 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 88342/o
info
mrf_negotiated_above_gross
highest negotiated rate $343 exceeds the gross charge $125 — part of a file-wide pattern, counted once at the file level
CPT 88344/o
info
mrf_negotiated_above_gross
highest negotiated rate $719 exceeds the gross charge $230 — part of a file-wide pattern, counted once at the file level
CPT 88361/o
info
mrf_negotiated_above_gross
highest negotiated rate $719 exceeds the gross charge $135 — part of a file-wide pattern, counted once at the file level
CPT 92960/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,811 exceeds the gross charge $1,660 — part of a file-wide pattern, counted once at the file level
CPT 93005/o
info
mrf_negotiated_above_gross
highest negotiated rate $139 exceeds the gross charge $115 — part of a file-wide pattern, counted once at the file level
CPT 93041/o
info
mrf_negotiated_above_gross
highest negotiated rate $139 exceeds the gross charge $115 — part of a file-wide pattern, counted once at the file level
CPT 93320/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,275 exceeds the gross charge $630 — part of a file-wide pattern, counted once at the file level
CPT 93325/o
info
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $210 — part of a file-wide pattern, counted once at the file level
CPT 94660/o
info
mrf_negotiated_above_gross
highest negotiated rate $565 exceeds the gross charge $120 — part of a file-wide pattern, counted once at the file level
CPT 94664/o
info
mrf_negotiated_above_gross
highest negotiated rate $407 exceeds the gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 97110/o
info
mrf_negotiated_above_gross
highest negotiated rate $243 exceeds the gross charge $115 — part of a file-wide pattern, counted once at the file level
CPT 97116/o
info
mrf_negotiated_above_gross
highest negotiated rate $118 exceeds the gross charge $115 — part of a file-wide pattern, counted once at the file level
CPT 97161/o
info
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $145 — part of a file-wide pattern, counted once at the file level
CPT 97162/o
info
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $145 — part of a file-wide pattern, counted once at the file level
CPT 97163/o
info
mrf_negotiated_above_gross
highest negotiated rate $234 exceeds the gross charge $145 — part of a file-wide pattern, counted once at the file level
CPT 97165/o
info
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $155 — part of a file-wide pattern, counted once at the file level
CPT 97166/o
info
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $155 — part of a file-wide pattern, counted once at the file level
CPT 97530/o
info
mrf_negotiated_above_gross
highest negotiated rate $243 exceeds the gross charge $115 — part of a file-wide pattern, counted once at the file level
CPT 97535/o
info
mrf_negotiated_above_gross
highest negotiated rate $118 exceeds the gross charge $115 — part of a file-wide pattern, counted once at the file level

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 1.1M bytes · fetched 2026-08-26 · sha256 4549ab453e69…

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.