Hospital · CCN 281325

BROWN COUNTY HOSPITAL

945 EAST ZERO ST, AINSWORTH, NE 69210 · Brown County

price file: ok
Billed per dollar paid, all admissions
—
$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.
3.9%
of adults in Brown County have medical debt in collections
10.0%
uninsured in the county · state 7.7%
$59K
median household income
—
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (0 in the inpatient or outpatient file)ⓘ
40.2%
obesity in the countyⓘ
13.2%
diagnosed diabetes (PLACES)
8.5%
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
Not in the Medicare inpatient file.
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2025-08-08, template 3.0.0, 2,284 rows scanned, 967 distinct code–setting items kept. 991 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Respiratory Pathogen Panel By Pcr Pspc
$1,697
$1,273
$1,612
8
clean
10021 Fine Needle Aspiration; Without Imaging Guidance
$271
$203
$230
8
clean
10040 Acne Surgery
$313
$235
$223
8
clean
10060 I & D Abcess Cyst Furuncle Paronychia Simple
$402
$302
$286
8
clean
10061 Incision And Drainage Of Abscess; Complicated Or Multiple
$577
$433
$410
8
clean
10080 I & D Of Pilonidal Cyst Simple
$386
$290
$331
8
clean
10120 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple
$304
$228
$259
8
clean
10121 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated
$707
$530
$601
8
clean
10140 Incision And Drainage Of Hematoma, Seroma Or Fluid Collection
$456
$342
$388
8
clean
10160 Puncture Aspiration Of Abscess, Hematoma, Bulla, Or Cyst
$348
$261
$296
8
clean
11000 Debridement Of Extensive Eczematous Or Infected Skin; Up To 10% Of Body Surface
$161
$121
$137
8
clean
11043 Debridement, Muscle And/or Fascia; First 20 Sq Cm Or Less
$620
$465
$527
8
clean
11055 Paring Or Cutting Of Benign Hyperkeratotic Lesion (Eg, Corn Or Callus); Single Lesion
$192
$144
$163
8
clean
11057 Paring Or Cutting Of Benign Hyperkeratotic Lesion; More Than 4 Lesions
$244
$183
$208
8
clean
11102 Tangential Biopsy Of Skin (Shave,curette); Single Lesion
$270
$203
$257
8
clean
11103 Tangential Biopsy Of Skin (Shave,curette); Each Addtl Lesion
$135
$101
$96
8
clean
11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion
$336
$252
$239
8
clean
11105 Punch Biopsy Of Skin; Each Addtl Lesion
$160
$120
$114
8
clean
11106 Incisional Biopsy Of Skin; Single Lesion
$416
$312
$354
8
clean
11200 Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions
$250
$188
$178
8
clean
11300 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion < 0.5cm
$270
$203
$192
8
clean
11301 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion 0.6 To 1.0cm
$327
$245
$232
8
clean
11302 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion 1.1 To 2.0cm
$370
$278
$263
8
clean
11306 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$331
$248
$235
8
clean
11310 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; < 0.5cm
$311
$233
$221
8
clean
11312 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1-2.0cm
$417
$313
$355
8
clean
11400 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Trunk, A
$345
$259
$294
8
clean
11401 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 0.6-1.0cm
$420
$315
$298
8
clean
11402 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 1.1-2.0cm
$462
$347
$329
8
clean
11403 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 2.1-3.0cm
$530
$398
$451
8
clean
11404 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 3.1-4.0cm
$598
$449
$509
8
clean
11406 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Trunk, A
$846
$635
$720
8
clean
11420 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Scalp, N
$343
$257
$292
8
clean
11421 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$432
$324
$367
8
clean
11422 Excision Benign Lesion On Neck 1.1 To 2.0 Cm
$482
$362
$410
8
clean
11423 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 2.1-3.0cm
$552
$414
$469
8
clean
11424 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; 3.1-4.0cm
$637
$478
$542
8
clean
11426 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genitalia; > 4.0cm
$874
$656
$743
8
clean
11440 Excision, Other Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Fa
$387
$290
$329
8
clean
11441 Excision Benigh Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips, Excised Diameter 0.
$470
$353
$400
8
clean
11442 Excision, Benign Lesion, Face, Ears, Eyelids, Nose, Lips, 1.1 To 2.0 Cm
$520
$390
$442
8
clean
11443 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; 2.1-3.0cm
$613
$460
$521
8
clean
11444 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; 3.1-4.0cm
$760
$570
$646
8
clean
11446 Rhc Simple Removal Of Lesion, Including Margins
$1,028
$771
$874
8
clean
11600 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; < 0.5cm
$529
$397
$450
8
clean
11602 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 1.1-2.0cm
$659
$494
$560
8
clean
11603 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 2.1-3.0cm
$750
$563
$638
8
clean
11604 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 3.1-4.0cm
$832
$624
$707
8
clean
11606 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; >4.0cm
$1,188
$891
$1,010
8
clean
11621 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 0.6-1.0cm
$616
$462
$524
8
clean
11622 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 1.1-2.0cm
$682
$512
$580
8
clean
11623 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; 2.1-3.0cm
$794
$596
$675
8
clean
11626 Excision Of A Malignant Skin Lesion With A Diameter Over 4.0 Cm Located On The Scalp, Neck, Ha
$1,077
$808
$916
8
clean
11640 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; < 0.5 Cm
$547
$410
$465
8
clean
11641 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; 0.6-1.0cm
$637
$478
$542
8
clean
11642 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; 1.1-2.0cm
$720
$540
$612
8
clean
11643 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; 2.1-3.0cm
$844
$633
$718
8
clean
11644 Excision Malignant Lesion Face, Ears, Eyelids, Nose, Lip 3.1cm-4.0cm
$1,039
$779
$883
8
clean
11646 Excision, Malignant Lesion Including Margins, Face, Ears, Ey
$1,340
$1,005
$1,139
8
clean
11719 Trimming Of Nondystrophic Nails, Any Number
$40
$30
$34
8
clean
11720 Debridement Of Nail(s) By Any Method(s); 1 To 5
$91
$68
$77
8
clean
11730 Avulsion Of Nail Plate, Partial Or Complete, Simple; Single
$311
$233
$221
8
clean
11732 Avulsion Of Nail Plate, Partial Or Complete, Simple; Each Additional Nail Plate
$91
$68
$77
8
clean
11740 Evacuation Of Subungual Hematoma
$158
$119
$135
8
clean
11750 Excision Of Nail And Nail Matrix, Partial Or Complete (Eg, Ingrown Or Deformed Nail), For Perm
$437
$328
$311
8
clean
11900 Injection, Intralesional; Up To And Including 7 Lesions
$156
$117
$111
8
clean
11982 Removal, Non-biodegradable Drug Delivery Implant
$295
$221
$251
8
clean
12001 Simple Repair Of Superficial Wounds Of Scalp, Neck, Axillae, External Genitalia, Trunk And/or
$251
$188
$178
8
clean
12002 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 2.6-7.5cm
$303
$227
$215
8
clean
12004 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 7.6-12.5cm
$351
$263
$298
8
clean
12005 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 12.6-20.0cm
$469
$352
$399
8
clean
12006 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 20.1-30.0cm
$540
$405
$459
8
clean
12007 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; >30.0cm
$611
$458
$519
8
clean
12011 Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Membranes
$298
$224
$212
8
clean
12013 Simple Repair Of Wounds Of Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 2.6-5.0cm
$309
$232
$263
8
clean
12014 Simple Repair Of Wounds Of Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 5.1-7.5cm
$377
$283
$321
8
clean
12015 Simple Repair Of Wounds Of Face, Ears, Eyelids, Nose, Lips, Mucous Membra;7.5-12.5cm
$454
$341
$386
8
clean
12016 Simple Repair Of Wounds Of Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 12.6cm-20.0cm
$576
$432
$490
8
clean
12020 Treatment Of Superficial Wound Dehiscence; Simple Closure
$799
$599
$679
8
clean
12021 Treatment Of Superficial Wound Dehiscence; With Packing
$473
$355
$402
8
clean
12031 Repair, Intermediate; Wounds Of Scalp, Axillae, Trunk, Extremities; <2.5cm
$705
$529
$501
8
clean
12032 Repair, Intermediate; Wounds Of Scalp, Axillae, Trunk, Extremities; 2.6-7.5cm
$817
$613
$580
8
clean
12034 Repair, Intermediate; Wounds Of Scalp, Axillae, Trunk, Extremities; 7.6-12.5cm
$896
$672
$762
8
clean
12035 Repair, Intermediate; Wounds Of Scalp, Axillae, Trunk, Extremities; 12.6-20.0cm
$1,032
$774
$877
8
clean
12041 Repair, Intermediate, Wounds Of Neck, Hands, Feet And/or External Genitalia; <2.5cm
$707
$530
$601
8
clean
12042 Repair, Intermediate, Wounds Of Neck, Hands, Feet And/or External Genitalia; 2.6-7.5cm
$832
$624
$707
8
clean
12044 Repair, Intermediate, Wounds Of Neck, Hands, Feet And/or External Genitalia; 7.6-12.5cm
$1,023
$767
$870
8
clean
12051 Intermed Repair Of Wounds; Face, Ears, Eyelids, Nose, Lips, Mucous Membra; <2.5cm
$760
$570
$646
8
clean
12052 Intermed Repair Of Wounds; Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 2.6-5.0cm
$847
$635
$720
8
clean
12053 Intermed Repair Of Wounds; Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 5.1-7.5cm
$973
$730
$827
8
clean
12054 Intermed Repair Of Wounds; Face, Ears, Eyelids, Nose, Lips, Mucous Membra; 7.6-12.5cm
$1,021
$766
$868
8
clean
13121 Repair, Complex, Scalp, Arms, And/or Legs; 2.6 Cm To 7.5 Cm
$1,139
$854
$968
8
clean
13132 Rhc Complex Closure Of Wound (2.6-7.5 Cm)
$1,262
$947
$1,073
8
clean
13151 Repair, Complex, Eyelids, Nose, Ears And/or Lips; 1.1 Cm To 2.5 Cm
$1,131
$848
$961
8
clean
16020 Dressings And/or Debridement Of Partial-thickness Burns, Initial Or Subsequent; Small
$230
$173
$196
8
clean
17000 Destruction Premalignant Lesions; First Lesion
$183
$137
$130
8
clean
17003 Destruction, Premalignant Lesions; Second Through 14 Lesions, Each
$20
$15
$14
8
clean
17004 Destruction, Premalignant Lesions, 15 Or More Lesions
$450
$338
$320
8
clean
17110 Destruction (Eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery, Surgical Curettemen
$307
$230
$218
8
clean
17111 Destruction Of Benign Lesions; 15 + Lesions
$359
$269
$255
8
clean
17250 Chemical Cauterization Of Granulation Tissue (Proud Flesh, Sinus Or Fistula)
$234
$176
$199
8
clean
17281 Destruction, Malignant Lesion, Face, Ears, Eyelids, Nose, Lips; Lesion Diameter 0.6-1.0cm
$472
$354
$401
8
clean
19000 Puncture Aspiration Of Cyst Of Breast
$269
$202
$229
8
clean
20520 Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple
$583
$437
$496
8
clean
20526 Injection, Therapeutic (Eg, Local Anesthetic, Corticosteroid), Carpal Tunnel
$321
$241
$273
8
clean
20550 Injection(s); Single Tendon Sheath, Or Ligament, Aponeurosis (Eg, Plantar Fascia)
$229
$172
$163
8
clean
20552 Injection Single/mlt Trigger Point 1/2 Muscles Techfee
$372
$279
$81
24
clean
20553 Trigger Point < 3 Charge
$459
$344
$135
16
clean
20600 Arthrocentesis, Aspiration And/or Injection, Small Joint Or Bursa (Eg, Fingers, Toes); Without
$146
$110
$104
8
clean
20605 Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa (Eg, Temporomandibula
$148
$111
$105
8
clean
20610 Arthrocentesis Aspiration/inj/drain Joint/bursa Charge
$173
$130
$123
8
clean
20612 Aspiration And/or Injection Of Ganglion Cyst(s) Any Location
$174
$131
$148
8
clean
20670 Removal Of Implant; Superficial (Buried Wire, Pin Or Rod)
$1,393
$1,045
$1,184
8
clean
20680 Removal Of Implant; Deep (Buried Wire, Pin, Screw, Metal Band, Nail, Rod Or Plate)
$2,342
$1,757
$1,991
8
clean
21930 Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous; Less Than 3 Cm
$1,330
$998
$1,131
8
clean
21931 Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous; 3 Cm Or Greater
$1,224
$918
$1,163
8
clean
23650 Clsd Tx Shoulder Dislc W/manipulation W/o Anes Profee
$1,100
$825
$935
8
clean
25565 Closed Tx Radialulnar Shaft Fractures W/manj
$1,720
$1,290
$1,462
8
clean
25605 Closed Treatment Of Distal Radial Fracture
$1,893
$1,420
$1,609
8
clean
26160 Excision Of Lesion Of Tendon Sheath Or Joint Capsule, Hand Or Finger
$2,412
$1,809
$2,050
8
clean
26700 Closed Treatment Of Metacarpophalangeal Dislocation, Single, With Manipulation; W/o Anesthesia
$1,369
$1,027
$1,164
8
clean
27040 Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial
$1,326
$995
$1,128
8
clean
27096 Si Joint Injection Techfee
$1,221
$916
$1,038
8
clean
27301 Incision And Drainage, Deep Abscess, Bursa, Or Hematoma, Thigh Or Knee Region
$2,620
$1,965
$2,227
8
clean
28001 Incision And Drainage, Bursa, Foot
$581
$436
$494
8
clean
28190 Removal Of Foreign Body, Foot; Subcutaneous
$647
$485
$550
8
clean
28315 Sesamoidectomy, First Toe
$1,286
$965
$1,094
8
clean
29105 Application Long Arm Splint Shoulder Hand
$139
$104
$123
8
clean
29125 Application Short Arm Splint Forearm-hand Static
$144
$108
$102
8
clean
29345 Application Of Long Leg Cast (Thigh To Toes);
$534
$401
$454
8
clean
29405 Application Of Short Leg Cast (Below Knee To Toes);
$320
$240
$272
8
clean
29445 Application Of Rigid Total Contact Leg Cast
$511
$383
$434
8
clean
29515 Application Lower Leg Splint
$76
$57
$74
8
clean
29540 Strapping; Ankle And/or Foot
$112
$84
$95
8
clean
29550 Strapping, Toes
$78
$59
$67
8
clean
29580-unna Boot Bilateral(go)
$504
$378
$378
24
clean
29581 Application Multilayer Compression System; Below Knee
$350
$263
$333
16
clean
Shaving of shoulder bone using endoscope
$38,861
$29,146
$36,918
8
clean
Removal of one knee cartilage using an endoscope
$16,523
$12,392
$15,697
8
clean
30000 Drainage Abscess Or Hematoma, Nasal, Internal Approach
$710
$533
$604
8
clean
30020 Drainage Abscess Or Hematoma, Nasal Septum
$723
$542
$615
8
clean
30100 Biopsy, Intranasal
$378
$284
$322
8
clean
30300 Removal Foreign Body Intranasal; Office Type Procedure
$391
$293
$332
8
clean
30901 Control Nasal Hemorrhage, Anterior, Simple (Limited Cautery And/or Packing) Any Method
$415
$311
$353
8
clean
30903 Control Nasal Hemorrhage, Anterior, Complex (Extensive Cautery And/or Packing) Any Method
$649
$487
$552
8
clean
30905 Control Nasal Hemorrhage, Posterior W/posterior Nasal Packs And/or Cautery Any Method; Initial
$930
$698
$791
8
clean
31231 Nasal Endoscopy, Diagnostic, Unilateral Or Bilateral
$502
$377
$357
8
clean
31237 Nasal/sinus Endoscopy, Surgical; With Biopsy, Polypectomy Or Debridement
$687
$515
$584
8
clean
31500 Endotracheal Intubation
$497
$373
$423
8
clean
31502 Tracheotomy Tube Change Prior To Establishment Of Fistula Tract
$93
$70
$88
8
clean
31575 Laryngoscopy, Flexible Fiberoptic; Diagnostic
$345
$259
$245
8
clean
31615 Tracheobronchoscopy Through Established Tracheostomy Incision
$461
$346
$392
8
clean
32551 Ed Pf/tech Fee Chest Tube Placement
$538
$404
$511
8
clean
32552 Removal Of Indwelling Tunneled Pleural Catheter With Cuff
$484
$363
$412
8
clean
32554 Ed Pf/tech Thoracentesis, Needle Or Catheter, Aspiration Pleural Space; W/o Imaging Guidance
$298
$224
$283
8
clean
Collection: Venous Draw
$37
$28
$10
16
clean
Blood Product Administration
$1,178
$884
$1,119
8
clean
36556 Insertion Of Central Venous Line
$796
$597
$565
8
clean
36600 Phlebotomy Arterial
$123
$92
$105
8
clean
40490 Biopsy Of Lip
$331
$248
$281
8
clean
40510 Excision Of Lip; Transverse Wedge Excision With Primary Closure
$1,314
$986
$1,117
8
clean
40800 Drainage Of Abscess, Cyst, Hematoma, Vestibule Of Mouth; Simple
$544
$408
$463
8
clean
40808 Biopsy, Vestibule Of Mouth
$454
$341
$386
8
clean
40830 Closure Of Laceration, Vestibule Of Mouth; 2.5 Cm Or Less
$600
$450
$546
8
clean
41100 Biopsy Of Tongue; Anterior Two-thirds
$504
$378
$429
8
clean
41108 Biopsy Of Floor Of Mouth
$451
$338
$383
8
clean
41110 Excision Of Lesion Of Tongue Without Closure
$616
$462
$524
8
clean
42330 Sialolithotomy; Submandibular (Submaxillary), Sublingual Or Parotid, Uncomplicated, Intraoral
$628
$471
$534
8
clean
Removal of tonsils and adenoid glands, patient younger than age 12
$8,647
$6,485
$7,350
8
clean
Diagnostic exam of esophagus, stomach or small bowel using an endoscope
$5,027
$3,770
$4,273
8
clean
Biopsy exam of esophagus, stomach or small bowel using an endoscope
$7,647
$5,735
$6,500
8
clean
Diagnostic exam of large bowel using an endoscope
$6,235
$4,676
$5,300
8
clean
Biopsy exam of large bowel using an endoscope
$6,588
$4,941
$5,600
8
clean
Removal of polyps or growths of large bowel using an endoscope
$6,832
$5,124
$5,807
8
clean
46910 Destruction Of Lesion(s), Anus, Simple; Electrodesiccation
$705
$529
$600
8
clean
46916 Destruction Of Lesion(s), Anus, Simple; Cryosurgery
$701
$526
$596
8
clean
Removal of gallbladder using an endoscope
$18,413
$13,810
$15,651
8
clean
47563 Laparoscopy, Surgical; Cholecystectomy With Cholangiography Profee
$1,845
$1,384
$1,753
8
clean
51701 Insertion Of Non-indwelling Bladder Catheter
$121
$91
$86
8
clean
51702 Tech Foley Catheter
$276
$207
$235
8
clean
51798bladder Scanmeasurement Of Post-voiding Residual Urine And/or Bladder Capacity By Ultraso
$212
$159
$180
16
clean
54056 Destruction Of Lesion(s), Penis, Simple; Cryosurgery
$392
$294
$333
8
clean
54065 Destruction Of Lesion(s), Penis, Extensive; Cryosurgery
$604
$453
$514
8
clean
56420 Incision And Drainage Of Bartholin's Gland Abscess
$500
$375
$425
8
clean
57061 Destruction Of Vaginal Lesion(s); Simple
$448
$336
$381
8
clean
58301 Removal Of Intrauterine Device (Iud)
$295
$221
$210
8
clean
59425 Antepartum Care Only; 4-6 Visits
$1,363
$1,022
$968
8
clean
62270 Lumbar Puncture, Diagnost Techfee
$849
$637
$722
8
clean
62321 Cervical Injection
$1,485
$1,114
$1,055
8
clean
Injection(s) of therapeutic substance
$2,492
$1,869
$1,308
16
clean
64450 Injection, Anesthetic Agent; Other Peripheral Nerve Or Branch
$202
$152
$172
8
clean
Injection(s) of anesthetic into lower spine using imaging guidance
$1,804
$1,353
$1,281
8
clean
64484 Addition Level X
$849
$637
$722
8
clean
64493 Injection Paravertebral Facet Jointsingle Level
$1,300
$975
$1,105
8
clean
64494 Injection Paravertebral Facet Jointsecond Level
$1,008
$756
$857
8
clean
64495 Injection Paravertebral Facet Jointthird/additional Levels
$796
$597
$677
8
clean
65205 Ed Pf/tech Removal Foreign Body External Eye
$152
$114
$129
8
clean
65210 Removal Of Foreign Body, External Eye; Conjunctival Embedded, Subconjunctival
$105
$79
$94
8
clean
65220 Removal Of Foreign Body, External Eye; Corneal, Without Slit Lamp
$163
$122
$139
8
clean
65430 Scraping Of Cornea, Diagnostic, For Smear And/or Culture
$311
$233
$264
8
clean

Showing the first 200 of 967 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
916 of 916 comparable items (100%) 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 $3,394 exceeds the gross charge $1,697
warn
mrf_stale
last updated 2025-08-08, 384 days ago; the rule requires an update at least once a year
CPT 93971/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 94640/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, max differ, so no cross-line comparison was made for this item
CPT 84145/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, max differ, so no cross-line comparison was made for this item
CPT 95115/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 73120/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 84156/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, max differ, so no cross-line comparison was made for this item
CPT 73130/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 95851/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 73223/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 96372/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, max differ, so no cross-line comparison was made for this item
CPT 20552/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 73701/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 20553/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, max differ, so no cross-line comparison was made for this item
CPT 73719/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 97112/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 85018/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 97161/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 97164/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 74177/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 74178/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 97597/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 29580/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 29581/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 97750/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 86308/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 99202/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 86334/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, max differ, so no cross-line comparison was made for this item
CPT 36415/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, max differ, so no cross-line comparison was made for this item
CPT 86762/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, max differ, so no cross-line comparison was made for this item
CPT 99304/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76882/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99305/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99306/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99307/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 77065/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 99308/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 77067/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99309/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99310/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99315/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99316/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 62323/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, max differ, so no cross-line comparison was made for this item
CPT 87210/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 66984/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 87389/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, max differ, so no cross-line comparison was made for this item
CPT 87426/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 87493/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, max differ, so no cross-line comparison was made for this item
CPT 87804/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 87807/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 87880/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 81003/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 82044/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 90620/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 90633/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 90648/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 70498/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 90677/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 90680/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 90686/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 90696/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 90700/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 90707/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 90713/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 90714/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 90715/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 90723/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 90734/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 90744/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 82627/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, max differ, so no cross-line comparison was made for this item
CPT 92610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93000/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, max differ, so no cross-line comparison was made for this item
CPT 82962/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, max differ, so no cross-line comparison was made for this item
CPT 83036/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 11642/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,440 exceeds the gross charge $720 — part of a file-wide pattern, counted once at the file level
CPT 72195/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,324 exceeds the gross charge $3,662 — part of a file-wide pattern, counted once at the file level
CPT 83835/o
info
mrf_negotiated_above_gross
highest negotiated rate $554 exceeds the gross charge $277 — part of a file-wide pattern, counted once at the file level
CPT 93930/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,570 exceeds the gross charge $1,285 — part of a file-wide pattern, counted once at the file level
CPT 11643/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,688 exceeds the gross charge $844 — part of a file-wide pattern, counted once at the file level
CPT 72196/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,886 exceeds the gross charge $3,943 — part of a file-wide pattern, counted once at the file level
CPT 83880/o
info
mrf_negotiated_above_gross
highest negotiated rate $630 exceeds the gross charge $315 — part of a file-wide pattern, counted once at the file level
CPT 93931/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,106 exceeds the gross charge $1,053 — part of a file-wide pattern, counted once at the file level
CPT 11644/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,078 exceeds the gross charge $1,039 — part of a file-wide pattern, counted once at the file level
CPT 72197/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,312 exceeds the gross charge $4,156 — part of a file-wide pattern, counted once at the file level
CPT 83935/o
info
mrf_negotiated_above_gross
highest negotiated rate $210 exceeds the gross charge $105 — part of a file-wide pattern, counted once at the file level
CPT 93970/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,164 exceeds the gross charge $1,582 — part of a file-wide pattern, counted once at the file level
CPT 11646/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,680 exceeds the gross charge $1,340 — part of a file-wide pattern, counted once at the file level
CPT 72198/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,196 exceeds the gross charge $3,098 — part of a file-wide pattern, counted once at the file level
CPT 83945/o
info
mrf_negotiated_above_gross
highest negotiated rate $294 exceeds the gross charge $147 — part of a file-wide pattern, counted once at the file level
CPT 93971/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,296 exceeds the gross charge $1,148 — part of a file-wide pattern, counted once at the file level
CPT 11719/o
info
mrf_negotiated_above_gross
highest negotiated rate $80 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 72200/o
info
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $403 — part of a file-wide pattern, counted once at the file level
CPT 83970/o
info
mrf_negotiated_above_gross
highest negotiated rate $660 exceeds the gross charge $330 — part of a file-wide pattern, counted once at the file level
CPT 11720/o
info
mrf_negotiated_above_gross
highest negotiated rate $182 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT 72220/o
info
mrf_negotiated_above_gross
highest negotiated rate $700 exceeds the gross charge $350 — part of a file-wide pattern, counted once at the file level
CPT 83993/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,124 exceeds the gross charge $562 — part of a file-wide pattern, counted once at the file level
CPT 93975/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,454 exceeds the gross charge $1,227 — part of a file-wide pattern, counted once at the file level
CPT 11730/o
info
mrf_negotiated_above_gross
highest negotiated rate $622 exceeds the gross charge $311 — part of a file-wide pattern, counted once at the file level
CPT 73000/o
info
mrf_negotiated_above_gross
highest negotiated rate $654 exceeds the gross charge $327 — part of a file-wide pattern, counted once at the file level
CPT 84075/o
info
mrf_negotiated_above_gross
highest negotiated rate $108 exceeds the gross charge $54 — part of a file-wide pattern, counted once at the file level
CPT 93976/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,456 exceeds the gross charge $728 — part of a file-wide pattern, counted once at the file level
CPT 11732/o
info
mrf_negotiated_above_gross
highest negotiated rate $182 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT 73010/o
info
mrf_negotiated_above_gross
highest negotiated rate $750 exceeds the gross charge $375 — part of a file-wide pattern, counted once at the file level
CPT 84100/o
info
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $64 — part of a file-wide pattern, counted once at the file level
CPT 93978/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,936 exceeds the gross charge $968 — part of a file-wide pattern, counted once at the file level
CPT 11740/o
info
mrf_negotiated_above_gross
highest negotiated rate $316 exceeds the gross charge $158 — part of a file-wide pattern, counted once at the file level
CPT 73020/o
info
mrf_negotiated_above_gross
highest negotiated rate $580 exceeds the gross charge $290 — part of a file-wide pattern, counted once at the file level
CPT 84105/o
info
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $75 — part of a file-wide pattern, counted once at the file level
CPT 93979/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,598 exceeds the gross charge $799 — part of a file-wide pattern, counted once at the file level
CPT 11750/o
info
mrf_negotiated_above_gross
highest negotiated rate $874 exceeds the gross charge $437 — part of a file-wide pattern, counted once at the file level
CPT 73030/o
info
mrf_negotiated_above_gross
highest negotiated rate $828 exceeds the gross charge $414 — part of a file-wide pattern, counted once at the file level
CPT 84132/o
info
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $57 — part of a file-wide pattern, counted once at the file level
CPT 93990/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,918 exceeds the gross charge $959 — part of a file-wide pattern, counted once at the file level
CPT 11900/o
info
mrf_negotiated_above_gross
highest negotiated rate $312 exceeds the gross charge $156 — part of a file-wide pattern, counted once at the file level
CPT 73050/o
info
mrf_negotiated_above_gross
highest negotiated rate $712 exceeds the gross charge $356 — part of a file-wide pattern, counted once at the file level
CPT 84133/o
info
mrf_negotiated_above_gross
highest negotiated rate $134 exceeds the gross charge $67 — part of a file-wide pattern, counted once at the file level
CPT 11982/o
info
mrf_negotiated_above_gross
highest negotiated rate $590 exceeds the gross charge $295 — part of a file-wide pattern, counted once at the file level
CPT 73060/o
info
mrf_negotiated_above_gross
highest negotiated rate $734 exceeds the gross charge $367 — part of a file-wide pattern, counted once at the file level
CPT 84134/o
info
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $144 — part of a file-wide pattern, counted once at the file level
CPT 94664/o
info
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT 12001/o
info
mrf_negotiated_above_gross
highest negotiated rate $502 exceeds the gross charge $251 — part of a file-wide pattern, counted once at the file level
CPT 73070/o
info
mrf_negotiated_above_gross
highest negotiated rate $600 exceeds the gross charge $300 — part of a file-wide pattern, counted once at the file level
CPT 84144/o
info
mrf_negotiated_above_gross
highest negotiated rate $292 exceeds the gross charge $146 — part of a file-wide pattern, counted once at the file level
CPT 95004/o
info
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT 12002/o
info
mrf_negotiated_above_gross
highest negotiated rate $606 exceeds the gross charge $303 — part of a file-wide pattern, counted once at the file level
CPT 73080/o
info
mrf_negotiated_above_gross
highest negotiated rate $764 exceeds the gross charge $382 — part of a file-wide pattern, counted once at the file level
CPT 95044/o
info
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $12 — part of a file-wide pattern, counted once at the file level
CPT 12004/o
info
mrf_negotiated_above_gross
highest negotiated rate $702 exceeds the gross charge $351 — part of a file-wide pattern, counted once at the file level
CPT 73090/o
info
mrf_negotiated_above_gross
highest negotiated rate $668 exceeds the gross charge $334 — part of a file-wide pattern, counted once at the file level
CPT 84146/o
info
mrf_negotiated_above_gross
highest negotiated rate $358 exceeds the gross charge $179 — part of a file-wide pattern, counted once at the file level
CPT 12005/o
info
mrf_negotiated_above_gross
highest negotiated rate $938 exceeds the gross charge $469 — part of a file-wide pattern, counted once at the file level
CPT 73092/o
info
mrf_negotiated_above_gross
highest negotiated rate $536 exceeds the gross charge $268 — part of a file-wide pattern, counted once at the file level
CPT 84153/o
info
mrf_negotiated_above_gross
highest negotiated rate $298 exceeds the gross charge $149 — part of a file-wide pattern, counted once at the file level
CPT 95117/o
info
mrf_negotiated_above_gross
highest negotiated rate $50 exceeds the gross charge $25 — part of a file-wide pattern, counted once at the file level
CPT 12006/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,080 exceeds the gross charge $540 — part of a file-wide pattern, counted once at the file level
CPT 73100/o
info
mrf_negotiated_above_gross
highest negotiated rate $536 exceeds the gross charge $268 — part of a file-wide pattern, counted once at the file level
CPT 84154/o
info
mrf_negotiated_above_gross
highest negotiated rate $322 exceeds the gross charge $161 — part of a file-wide pattern, counted once at the file level
CPT 95165/o
info
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $33 — part of a file-wide pattern, counted once at the file level
CPT 12007/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,222 exceeds the gross charge $611 — part of a file-wide pattern, counted once at the file level
CPT 73110/o
info
mrf_negotiated_above_gross
highest negotiated rate $752 exceeds the gross charge $376 — part of a file-wide pattern, counted once at the file level
CPT 84155/o
info
mrf_negotiated_above_gross
highest negotiated rate $152 exceeds the gross charge $76 — part of a file-wide pattern, counted once at the file level
CPT 95810/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,124 exceeds the gross charge $4,562 — part of a file-wide pattern, counted once at the file level
CPT 12011/o
info
mrf_negotiated_above_gross
highest negotiated rate $596 exceeds the gross charge $298 — part of a file-wide pattern, counted once at the file level
CPT 95811/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,760 exceeds the gross charge $4,880 — part of a file-wide pattern, counted once at the file level
CPT 12013/o
info
mrf_negotiated_above_gross
highest negotiated rate $618 exceeds the gross charge $309 — part of a file-wide pattern, counted once at the file level
CPT 84165/o
info
mrf_negotiated_above_gross
highest negotiated rate $282 exceeds the gross charge $141 — part of a file-wide pattern, counted once at the file level
CPT 12014/o
info
mrf_negotiated_above_gross
highest negotiated rate $754 exceeds the gross charge $377 — part of a file-wide pattern, counted once at the file level
CPT 73140/o
info
mrf_negotiated_above_gross
highest negotiated rate $534 exceeds the gross charge $267 — part of a file-wide pattern, counted once at the file level
CPT 84166/o
info
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $164 — part of a file-wide pattern, counted once at the file level
CPT 95852/o
info
mrf_negotiated_above_gross
highest negotiated rate $170 exceeds the gross charge $85 — part of a file-wide pattern, counted once at the file level
CPT 12015/o
info
mrf_negotiated_above_gross
highest negotiated rate $908 exceeds the gross charge $454 — part of a file-wide pattern, counted once at the file level
CPT 73200/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,632 exceeds the gross charge $2,316 — part of a file-wide pattern, counted once at the file level
CPT 84206/o
info
mrf_negotiated_above_gross
highest negotiated rate $416 exceeds the gross charge $208 — part of a file-wide pattern, counted once at the file level
CPT 96110/o
info
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $27 — part of a file-wide pattern, counted once at the file level
CPT 12016/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,152 exceeds the gross charge $576 — part of a file-wide pattern, counted once at the file level
CPT 73218/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,916 exceeds the gross charge $2,958 — part of a file-wide pattern, counted once at the file level
CPT 84207/o
info
mrf_negotiated_above_gross
highest negotiated rate $480 exceeds the gross charge $240 — part of a file-wide pattern, counted once at the file level
CPT 96127/o
info
mrf_negotiated_above_gross
highest negotiated rate $106 exceeds the gross charge $53 — part of a file-wide pattern, counted once at the file level
CPT 12020/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,598 exceeds the gross charge $799 — part of a file-wide pattern, counted once at the file level
CPT 73219/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,620 exceeds the gross charge $3,310 — part of a file-wide pattern, counted once at the file level
CPT 84244/o
info
mrf_negotiated_above_gross
highest negotiated rate $412 exceeds the gross charge $206 — part of a file-wide pattern, counted once at the file level
CPT 96360/o
info
mrf_negotiated_above_gross
highest negotiated rate $848 exceeds the gross charge $424 — part of a file-wide pattern, counted once at the file level
CPT 12021/o
info
mrf_negotiated_above_gross
highest negotiated rate $946 exceeds the gross charge $473 — part of a file-wide pattern, counted once at the file level
CPT 73220/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,042 exceeds the gross charge $3,521 — part of a file-wide pattern, counted once at the file level
CPT 84270/o
info
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $162 — part of a file-wide pattern, counted once at the file level
CPT 96361/o
info
mrf_negotiated_above_gross
highest negotiated rate $362 exceeds the gross charge $181 — part of a file-wide pattern, counted once at the file level
CPT 12031/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,410 exceeds the gross charge $705 — part of a file-wide pattern, counted once at the file level
CPT 73221/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,004 exceeds the gross charge $3,002 — part of a file-wide pattern, counted once at the file level
CPT 84295/o
info
mrf_negotiated_above_gross
highest negotiated rate $112 exceeds the gross charge $56 — part of a file-wide pattern, counted once at the file level
CPT 96365/o
info
mrf_negotiated_above_gross
highest negotiated rate $892 exceeds the gross charge $446 — part of a file-wide pattern, counted once at the file level
CPT 12032/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,634 exceeds the gross charge $817 — part of a file-wide pattern, counted once at the file level
CPT 73222/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,542 exceeds the gross charge $3,271 — part of a file-wide pattern, counted once at the file level
CPT 84300/o
info
mrf_negotiated_above_gross
highest negotiated rate $140 exceeds the gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 96366/o
info
mrf_negotiated_above_gross
highest negotiated rate $384 exceeds the gross charge $192 — part of a file-wide pattern, counted once at the file level
CPT 12034/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,792 exceeds the gross charge $896 — part of a file-wide pattern, counted once at the file level
CPT 73223/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,886 exceeds the gross charge $3,943 — part of a file-wide pattern, counted once at the file level
CPT 84402/o
info
mrf_negotiated_above_gross
highest negotiated rate $406 exceeds the gross charge $203 — part of a file-wide pattern, counted once at the file level
CPT 96367/o
info
mrf_negotiated_above_gross
highest negotiated rate $510 exceeds the gross charge $255 — part of a file-wide pattern, counted once at the file level
CPT 12035/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,064 exceeds the gross charge $1,032 — part of a file-wide pattern, counted once at the file level
CPT 84403/o
info
mrf_negotiated_above_gross
highest negotiated rate $306 exceeds the gross charge $153 — part of a file-wide pattern, counted once at the file level
CPT 96368/o
info
mrf_negotiated_above_gross
highest negotiated rate $510 exceeds the gross charge $255 — part of a file-wide pattern, counted once at the file level
CPT 12041/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,414 exceeds the gross charge $707 — part of a file-wide pattern, counted once at the file level
CPT 73225/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,916 exceeds the gross charge $2,958 — part of a file-wide pattern, counted once at the file level
CPT 84425/o
info
mrf_negotiated_above_gross
highest negotiated rate $486 exceeds the gross charge $243 — part of a file-wide pattern, counted once at the file level
CPT 12042/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,664 exceeds the gross charge $832 — part of a file-wide pattern, counted once at the file level
CPT 73501/o
info
mrf_negotiated_above_gross
highest negotiated rate $492 exceeds the gross charge $246 — part of a file-wide pattern, counted once at the file level
CPT 84432/o
info
mrf_negotiated_above_gross
highest negotiated rate $306 exceeds the gross charge $153 — part of a file-wide pattern, counted once at the file level
CPT 96374/o
info
mrf_negotiated_above_gross
highest negotiated rate $596 exceeds the gross charge $298 — part of a file-wide pattern, counted once at the file level
CPT 12044/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,046 exceeds the gross charge $1,023 — part of a file-wide pattern, counted once at the file level
CPT 73502/o
info
mrf_negotiated_above_gross
highest negotiated rate $774 exceeds the gross charge $387 — part of a file-wide pattern, counted once at the file level
CPT 84439/o
info
mrf_negotiated_above_gross
highest negotiated rate $212 exceeds the gross charge $106 — part of a file-wide pattern, counted once at the file level
CPT 96375/o
info
mrf_negotiated_above_gross
highest negotiated rate $448 exceeds the gross charge $224 — part of a file-wide pattern, counted once at the file level
CPT 12051/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,520 exceeds the gross charge $760 — part of a file-wide pattern, counted once at the file level
CPT 73503/o
info
mrf_negotiated_above_gross
highest negotiated rate $862 exceeds the gross charge $431 — part of a file-wide pattern, counted once at the file level
CPT 84443/o
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $135 — part of a file-wide pattern, counted once at the file level
CPT 96376/o
info
mrf_negotiated_above_gross
highest negotiated rate $384 exceeds the gross charge $192 — part of a file-wide pattern, counted once at the file level
CPT 12052/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,694 exceeds the gross charge $847 — part of a file-wide pattern, counted once at the file level
CPT 73521/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,094 exceeds the gross charge $547 — part of a file-wide pattern, counted once at the file level
CPT 84445/o
info
mrf_negotiated_above_gross
highest negotiated rate $898 exceeds the gross charge $449 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 991 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. · json · 3.1M bytes · fetched 2026-08-26 · sha256 c7530450f332…

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.