Project Crossfoot
Hospital · CCN 310006

St Mary's General Hospital

350 Boulevard, Passaic, NJ 07055 · Passaic County
Part of Prime Healthcare Services · 122 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

24 admission types 41 outpatient services price file: ok
Billed per dollar paid, all admissions
3.39×
$31.5M billed against $9.3M paid across 526 Medicare discharges; the national figure is 5.03×.
2.5%
of adults in Passaic County have medical debt in collections
12.3%
uninsured in the county · state 8.0%
$82K
median household income
5.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
31.0%
obesity in the countyⓘ
12.7%
diagnosed diabetes (PLACES)
6.1%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
98
$65,607
$22,471
2.9× st 6.8×
291
Heart failure and shock with mcc
71
$53,693
$15,210
3.5× st 7.6×
280
Acute myocardial infarction, discharged alive with mcc
41
$67,998
$18,323
3.7× st 7.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
25
$33,821
$10,018
3.4× st 7.5×
177
Respiratory infections and inflammations with mcc
23
$52,185
$19,119
2.7× st 7.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
22
$193,412
$52,411
3.7× st 6.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
21
$39,768
$14,735
2.7× st 7.2×
690
Kidney and urinary tract infections without mcc
16
$31,452
$10,131
3.1× st 7.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$163,659
$31,446
5.2× st 6.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
15
$59,440
$11,907
5.0× st 6.9×
193
Simple pneumonia and pleurisy with mcc
15
$51,306
$15,794
3.2× st 7.6×
281
Acute myocardial infarction, discharged alive with cc
14
$28,554
$10,800
2.6× st 7.4×
309
Cardiac arrhythmia and conduction disorders with cc
14
$32,171
$9,397
3.4× st 8.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
14
$22,740
$9,618
2.4× st 7.8×
689
Kidney and urinary tract infections with mcc
13
$46,750
$14,255
3.3× st 7.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
13
$41,863
$12,556
3.3× st 7.3×
378
Gastrointestinal hemorrhage with cc
13
$48,021
$12,020
4.0× st 7.9×
312
Syncope and collapse
13
$33,356
$10,751
3.1× st 7.8×
389
Gastrointestinal obstruction with cc
12
$38,842
$10,380
3.7× st 7.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
12
$90,496
$25,482
3.6× st 7.5×
101
Seizures without mcc
12
$32,919
$11,091
3.0× st 7.0×
637
Diabetes with mcc
11
$49,708
$16,973
2.9× st 6.8×
603
Cellulitis without mcc
11
$43,145
$10,967
3.9× st 7.0×
305
Hypertension without mcc
11
$21,220
$9,609
2.2× st 7.2×
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
5191
Level 1 Endovascular Procedures
55
$28,274
$3,714
7.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
48
$10,608
$1,814
5.8×
8011
Comprehensive Observation Services
36
$6,293
$3,115
2.0×
5491
Level 1 Intraocular Procedures
22
$37,166
$2,468
15.1×
5113
Level 3 Musculoskeletal Procedures
17
$38,527
$3,511
11.0×
5302
Level 2 Upper GI Procedures
16
$17,098
$2,165
7.9×
5193
Level 3 Endovascular Procedures
14
$111,145
$12,501
8.9×
5414
Level 4 Gynecologic Procedures
12
$32,752
$3,321
9.9×
5223
Level 3 Pacemaker and Similar Procedures
12
$76,107
$12,134
6.3×
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
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 2026-03-17, template 3.0, 5,487 rows scanned, 3,924 distinct code–setting items kept. 619 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Hc Liver Dis 10 Assays W/Nash
CPT 0003M
$2,517
$503
$566
22
clean
Hc Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2
CPT 0202U
$2,084
$416
$417
27
clean
INJ PLSM IMGE GUIDE HRVST/PR
CPT 0232T
$27,491
$528
$811
28
clean
Hc Translum Peripheral Atherectomy Iliac Artery Ea
CPT 0238T
$18,000
$21,671
$18,000
28
clean
Hc Nfct Ds Rna 4 Targets Upper Respiratory Specimen
CPT 0241U
$713
$142
$171
22
clean
Perq lamot/lam lumbar
CPT 0275T
$15,390
$8,266
$8,266
26
clean
Hc Fine Needle Aspiration Bx W/Us Gdn 1St Lesion
CPT 10005
$3,050
$837
$1,285
28
clean
Hc Fine Needle Aspiration Bx W/Us Gdn Ea Addl
CPT 10006
$1,599
—
$1,599
6
clean
Hc Fine Needle Aspiration Bx W/Ct Gdn 1St Lesion
CPT 10009
$3,050
$837
$1,285
28
clean
Hc Fine Needle Asp Wo Img Guidance
CPT 10021
$868
$480
$738
28
clean
Hc Image-Guided Catheter Fluid Collection Drainage
CPT 10030
$2,888
$837
$1,285
28
clean
Hc Acne Surgery Of Skin Abscess
CPT 10040
$185
$237
$185
28
clean
I&D Abscess Simple/Single
CPT 10060
$17,310
$237
$364
56
clean
Hc Incision & Drain Skin Abscess Complic
CPT 10061
$1,637
$480
$738
28
clean
Hc Incision & Drain Pilonidal Cyst Simpl
CPT 10080
$2,888
$837
$1,285
56
clean
Hc Incision & Drain Pilonidal Cyst Complicated
CPT 10081
$2,159
$837
$1,285
28
clean
Inc&Rmvl Fb Subq Tiss Smpl
CPT 10120
$15,390
$480
$738
56
clean
Hc Remove Foreign Body Complex
CPT 10121
$4,379
$1,952
$2,685
28
clean
Hc Incision & Drain Of Hematoma/Fluid
CPT 10140
$6,656
$1,952
$2,685
56
clean
Hc Puncture Drainage Of Lesion
CPT 10160
$1,637
$480
$738
28
clean
Hc Complex Drainage, Wound
CPT 10180
$11,665
$3,433
$4,082
28
clean
Hc Debridement, Infected Skin, Up To 10% Bsa
CPT 11000
$3,051
$480
$738
28
clean
Dbrdmt skin abdominal wall
CPT 11005
$15,390
—
$4,020
7
clean
Hc Debride W Fb Remove, Fx/Disloc
CPT 11010
$2,000
$837
$1,285
28
clean
Hc Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc
CPT 11011
$1,951
$837
$1,285
28
clean
Deb skin bone at fx site
CPT 11012
$10,780
$3,433
$3,434
28
clean
Hc Debride Skin Sub-Q Tiss =<20 Sq Cm
CPT 11042
$1,945
$480
$738
56
clean
Hc Debride Skin Sub-Q Tiss Muscle =<20 Sq Cm
CPT 11043
$2,578
$873
$1,341
56
clean
Dbrdmt Bone 1St 20 Sq Cm/<
CPT 11044
$16,350
$1,952
$2,332
56
clean
Hc Debride Skin Sub-Q Tiss Each Add 20 Sq Cm
CPT 11045
$1,206
—
$1,206
6
clean
Hc Debride Skin Sub-Q Tiss Muscle Ea Add 20 Sq Cm
CPT 11046
$1,169
—
$1,169
6
clean
Hc Debride Skin Sub-Q Tiss Musc Bn Ea 20 Sq Cm
CPT 11047
$2,970
—
$2,332
6
clean
Hc Trim Benign Hyperkeratotic Skin Lesion, Single
CPT 11055
$822
$237
$364
28
clean
Hc Trim Benign Hyperkeratotic Skin Lesion,2-4
CPT 11056
$261
$237
$261
28
clean
Hc Trim Benign Hyperkeratotic Skin Lesion,>4
CPT 11057
$338
$237
$338
28
clean
Hc Tangential Biopsy Skin Single Lesion
CPT 11102
$993
$480
$738
28
clean
Hc Tangential Biopsy Skin Ea Sep/Additional Lesion
CPT 11103
$379
—
$379
6
clean
Hc Punch Biopsy Skin Single Lesion
CPT 11104
$1,637
$480
$738
28
clean
Hc Punch Biopsy Skin Ea Sep/Additional Lesion
CPT 11105
$582
—
$582
6
clean
Hc Incisional Biopsy Skin Single Lesion
CPT 11106
$1,598
$873
$1,341
28
clean
Hc Removal Of Skin Tags, Up To 15
CPT 11200
$1,139
$237
$364
56
clean
Hc Removal Sk Tgs Mlt Fibrq Tags Any Area Ea 10
CPT 11201
$376
—
$376
6
clean
Exc Tr-Ext B9+Marg 0.5 Cm<
CPT 11400
$15,390
$837
$1,285
28
clean
Exc Tr-Ext B9+Marg 0.6-1 Cm
CPT 11401
$15,390
$480
$738
28
clean
Exc Tr-Ext B9+Marg 1.1-2 Cm
CPT 11402
$15,390
$837
$1,285
56
clean
Exc Tr-Ext B9+Marg 2.1-3Cm
CPT 11403
$15,390
$837
$1,285
56
clean
Exc Tr-Ext B9+Marg 3.1-4 Cm
CPT 11404
$16,160
$1,952
$2,685
28
clean
Hc Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L >4.0 Cm
CPT 11406
$4,603
$1,952
$2,685
56
clean
Exc H-F-Nk-Sp B9+Marg 0.5/<
CPT 11420
$15,390
$1,952
$2,332
56
clean
Hc Exc Skin Benig 0.6-1 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11421
$2,515
$837
$1,285
56
clean
Exc H-F-Nk-Sp B9+Marg 1.1-2
CPT 11422
$15,234
$1,952
$2,332
56
clean
Exc H-F-Nk-Sp B9+Marg 2.1-3
CPT 11423
$15,940
$1,952
$2,685
56
clean
Exc H-F-Nk-Sp B9+Marg 3.1-4
CPT 11424
$15,390
$1,952
$2,685
28
clean
Hc Exc Skin Benig >4 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11426
$4,856
$3,433
$4,082
56
clean
Hc Exc Skin Benig <0.5 Cm Face/Head/Mucus
CPT 11440
$2,024
$837
$1,285
28
clean
Hc Exc Skin Benig 0.6-1 Cm Face/Head/Mucus
CPT 11441
$1,956
$837
$1,285
56
clean
Exc Face-Mm B9+Marg 1.1-2 Cm
CPT 11442
$15,390
$837
$1,285
56
clean
Hc Exc Skin Benig 2.1-3 Cm Face/Head/Mucus
CPT 11443
$2,752
$1,952
$2,332
56
clean
Exc face-mm b9+marg 3.1-4 cm
CPT 11444
$10,260
$1,952
$2,332
28
clean
Exc Skn Hdrdnt Ax Smpl/Ntrm
CPT 11450
$18,287
$3,433
$4,082
28
clean
Exc Tr-Ext Mal+Marg 1.1-2 Cm
CPT 11602
$15,390
$480
$738
28
clean
Exc tr-ext mal+marg 2.1-3 cm
CPT 11603
$15,390
$837
$1,285
28
clean
Exc tr-ext mal+marg 3.1-4 cm
CPT 11604
$11,115
$837
$1,285
28
clean
Exc tr-ext mal+marg >4 cm
CPT 11606
$7,695
$1,952
$2,685
28
clean
Exc snhfg mal+mrg 3.1-4
CPT 11624
$15,390
$1,952
$2,685
28
clean
Exc feenl mal+mrg 0.6-1
CPT 11641
$5,130
$837
$1,285
28
clean
Hc Trim Nail(S)
CPT 11719
$251
$69
$100
26
clean
Hc Debridement Of Nails, 1-5
CPT 11720
$237
$69
$107
28
clean
Hc Debridement Of Nails, 6 Or More
CPT 11721
$326
$69
$107
28
clean
Hc Removal Of Nail Plate
CPT 11730
$822
$237
$364
28
clean
Hc Removal Of Nail Plate, Simple, Ea Ad
CPT 11732
$747
—
$747
6
clean
Hc Drain Blood From Under Nail
CPT 11740
$524
$157
$241
28
clean
Hc Removal Of Nail Bed
CPT 11750
$2,183
$480
$738
56
clean
Hc Biopsy, Nail Unit (Sep Proc)
CPT 11755
$2,147
$837
$1,285
28
clean
Hc Reconstruc Of Nail Bed
CPT 11760
$2,578
$873
$1,341
56
clean
Hc Excision Of Nail Fold (Wedge), Toe
CPT 11765
$1,171
$480
$738
28
clean
Remove Pilonidal Cyst Simple
CPT 11770
$15,390
$3,433
$4,082
28
clean
Remove Pilonidal Cyst Exten
CPT 11771
$25,004
$3,433
$4,082
28
clean
Remove Pilonidal Cyst Compl
CPT 11772
$26,569
$3,433
$4,082
28
clean
Hc Inject Skin Lesions </W 7
CPT 11900
$299
$237
$299
30
clean
Hc Injection Intralesional >7 Lesions
CPT 11901
$237
$237
$237
28
clean
Hc Removal Tissue Expander W/O Insertion Implant
CPT 11971
$11,850
$3,433
$4,082
28
clean
Insertion drug dlvr implant
CPT 11981
$24,261
$157
$241
28
clean
Remove Drug Implant Device
CPT 11982
$15,390
$528
$811
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr <2.5 Cm
CPT 12001
$822
$237
$364
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr 2.6-7.5 Cm
CPT 12002
$822
$237
$364
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr 7.6-12.5 Cm
CPT 12004
$2,000
$237
$364
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr 12.6-20 Cm
CPT 12005
$1,171
$480
$738
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr 20.1-30 Cm
CPT 12006
$1,765
$480
$738
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr >30.1 Cm
CPT 12007
$658
$237
$364
28
clean
Hc Repr Wnd Smp Face 2.6-5.0 Cm
CPT 12013
$822
$237
$364
28
clean
Hc Repr Wnd Smp Face 5.1-7.5 Cm
CPT 12014
$822
$237
$364
28
clean
Hc Repr Wnd Smp Face 7.6-12.5 Cm
CPT 12015
$658
$237
$364
28
clean
Hc Repr Wnd Smp Face 12.6-20 Cm
CPT 12016
$1,171
$480
$738
28
clean
Hc Repr Wnd Smp Face 20.1-30 Cm
CPT 12017
$1,171
$480
$738
28
clean
Hc Repr Wnd Smp Face >30.1 Cm
CPT 12018
$658
$237
$364
28
clean
Tx Supfc Wnd Dehsn Smpl Clsr
CPT 12020
$17,310
$873
$1,341
56
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr <2.5 Cm
CPT 12031
$1,637
$480
$738
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 2.6-7.5 Cm
CPT 12032
$1,637
$480
$738
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 7.6-12.5 Cm
CPT 12034
$1,171
$480
$738
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 12.5-20 Cm
CPT 12035
$1,171
$480
$738
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 20.1-30 Cm
CPT 12036
$1,800
$873
$1,341
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr >30.1 Cm
CPT 12037
$5,774
$2,439
$3,354
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent <2.5 Cm
CPT 12041
$1,171
$480
$738
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 2.6-7.5 Cm
CPT 12042
$1,637
$480
$738
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 7.6-12.5 Cm
CPT 12044
$1,800
$873
$1,341
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 12.5-20 Cm
CPT 12045
$1,800
$873
$1,341
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 20.1-30 Cm
CPT 12046
$1,171
$873
$1,171
28
clean
Hc Repr Wnd Intrmd Face <2.5 Cm
CPT 12051
$1,171
$480
$738
56
clean
Hc Repr Wnd Intrmd Face 2.6-5.0 Cm
CPT 12052
$1,171
$480
$738
28
clean
Hc Repr Wnd Intrmd Face 5.1-7.5 Cm
CPT 12053
$1,637
$480
$738
28
clean
Hc Repr Wnd Intrmd Face 7.6-12.5 Cm
CPT 12054
$1,637
$480
$738
28
clean
Hc Repr Wnd Intrmd Face 12.6-20 Cm
CPT 12055
$1,171
$480
$738
28
clean
Hc Repr Wnd Intrmd Face 20.1-30 Cm
CPT 12056
$1,171
$480
$738
28
clean
Hc Repr Wnd Intrmd Face >30.1 Cm
CPT 12057
$1,171
$480
$738
28
clean
Cmplx Rpr Trunk 1.1-2.5 Cm
CPT 13100
$17,310
$873
$1,341
56
clean
Hc Repr Wnd Cplx Trnk 2.6-7.5 Cm
CPT 13101
$1,800
$873
$1,341
28
clean
Cmplx rpr trunk addl 5cm<
CPT 13102
$3,848
—
$2,332
6
clean
Hc Repr Wnd Cplx Scalp 1.1-2.5 Cm
CPT 13120
$1,800
$480
$738
28
clean
Hc Repr Wnd Cplx Scalp 2.6-7.5 Cm
CPT 13121
$2,578
$480
$738
28
clean
Hc Repr Wnd Cplx Scalp Add 5.0 Cm
CPT 13122
$1,313
—
$1,313
6
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent 1.1-2.5 Cm
CPT 13131
$1,637
$480
$738
28
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent 2.6-7.5 Cm
CPT 13132
$2,578
$480
$738
28
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent Ea Add 5.0 Cm
CPT 13133
$1,437
—
$1,437
6
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip 1.1-2.5 Cm
CPT 13151
$1,800
$873
$1,341
28
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip 2.6-7.5 Cm
CPT 13152
$1,800
$873
$1,341
28
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip Ea Add 5.0 Cm
CPT 13153
$1,506
—
$1,506
6
clean
Hc Secondary Closure Surg Wound Dehiscense Complicated
CPT 13160
$10,688
$4,189
$4,189
54
clean
Tis trnfr sal 10 sq cm<
CPT 14020
$5,343
$2,439
$3,354
28
clean
Tis Trnfr F/C/C/M/N/A/G/H/F
CPT 14040
$38,948
$2,439
$3,415
54
clean
Hc Prep Wnd Trk/Ar/Lg 100 Sqcm Or 1% Peds
CPT 15002
$2,402
$873
$1,341
28
clean
Hc Prep Wnd Head/Hnd/Ft/Gent 100 Sqcm Or 1% Peds
CPT 15004
$2,311
$480
$738
28
clean
Splt Agrft T/A/L 1St 100Sqcm
CPT 15100
$25,965
$2,439
$3,354
28
clean
Hc Epidrm Autogrft Trnk/Arm/Leg <100 Sqcm
CPT 15110
$4,743
$2,439
$3,354
28
clean
Hc Epidrm Autogrft Trnk/Arm/Leg, Each 100 Sqcm
CPT 15111
$2,630
—
$2,332
6
clean
Hc Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm
CPT 15115
$4,233
$2,439
$3,354
28
clean
Hc Epi Autogrft Face/Nck/Hnd/Ft/Gen , Ea 100 Sqcm
CPT 15116
$1,501
—
$1,501
6
clean
Skn splt a-grft facnckhfg
CPT 15120
$8,118
$4,189
$5,248
28
clean
Hc App Skn Sub Trnk/Arm/Leg Ttl 100Sqcm 1St 25 Sqcm
CPT 15271
$7,486
$873
$1,341
28
clean
Hc App Skn Sub Trnk/Arm/Leg Ttl 100Sqcm Ea Ad 25Qsqcm
CPT 15272
$2,389
—
$2,332
6
clean
Hc App Skn Sub Trnk/Arm/Leg >=100Sqcm 1St 100Sqcm
CPT 15273
$10,688
$2,439
$3,354
28
clean
Hc App Skn Sub Trnk/Arm/Leg >=100Sqcm Ea Add 100Sqcm
CPT 15274
$1,133
—
$1,133
6
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt Ttl 100Sqcm 1St 25 Sqcm
CPT 15275
$7,486
$873
$1,341
56
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt Ttl 100Sqcm Ea Ad 25Cm
CPT 15276
$2,197
—
$2,197
6
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt >=100Sqcm 1St 100Sqcm
CPT 15277
$7,486
$2,439
$3,354
28
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt >=100Sqcm Ea Ad 100Sqcm
CPT 15278
$1,066
—
$1,066
6
clean
Muscle-skin graft arm
CPT 15736
$1,559
$2,439
$1,559
28
clean
Hc Musc Myocutaneous/Fasciocutaneous Flap Lxtr
CPT 15738
$17,091
$4,189
$5,248
28
clean
Hc Graft Composite W/Primary Closure Donor Area
CPT 15760
$5,314
$2,439
$3,354
28
clean
Derma-fat-fascia graft
CPT 15770
$38,475
$4,189
$5,248
28
clean
Removal Sutr/Staple Req Anes
CPT 15851
$17,310
$2,439
$3,354
28
clean
Hc Exc Coccygeal Pr Ulc W/Coccygectomy W/Prim Sutr
CPT 15920
$736
$3,433
$736
28
clean
Hc Treat Burn 1St Degree, Initial
CPT 16000
$822
$237
$364
28
clean
Hc Dress/Debride Burn <5% Total Sm
CPT 16020
$822
$237
$364
28
clean
Hc Dress/Debride Burn 5-10% Ttl Med
CPT 16025
$822
$237
$364
28
clean
Hc Dress/Debride Burn >10% Ttl Lg
CPT 16030
$594
$480
$594
28
clean
Hc Escharotomy
CPT 16035
$1,637
$480
$738
28
clean
Hc Destruc Benign/Premal,First Lesion
CPT 17000
$213
$237
$213
28
clean
Hc Destruc Benign/Premal,2-14 Lesions
CPT 17003
$108
—
$108
6
clean
Hc Destruc Benign/Premal,15+ Lesions
CPT 17004
$108
$480
$108
28
clean
Hc Chem Cautery Granulatn Tissue
CPT 17250
$822
$237
$364
28
clean
Hc I&D Breast Lesion
CPT 19000
$2,897
$837
$1,285
28
clean
Hc I&D Breast Lesion Add On
CPT 19001
$806
—
$806
6
clean
Hc Mastotomy W Explor/Drain Absc, Deep
CPT 19020
$5,127
$1,952
$2,685
28
clean
Hc Bx Breast W Device Stereotact Guide 1St Lesion
CPT 19081
$6,878
$1,952
$2,801
26
clean
Hc Bx Breast W Device Stereotact Guide Addl Lesion
CPT 19082
$4,821
—
$2,712
4
clean
Hc Bx Breast W Device Us Guide 1St Lesion
CPT 19083
$6,656
$1,952
$2,685
28
clean
Hc Bx Breast W Device Us Guide Addl Lesion
CPT 19084
$1,405
—
$1,405
4
clean
Hc Bx Breast W Device Mri Guide 1St Lesion
CPT 19085
$806
$1,952
$806
26
clean
Hc Bx Breast W Device Mri Guide Addl Lesion
CPT 19086
$100
—
$100
4
clean
Removal Of Breast Lesion
CPT 19120
$22,976
$4,628
$4,629
28
clean
Excision Breast Lesion
CPT 19125
$32,889
$4,628
$4,629
28
clean
Hc Perq Dev Place Breast Loc 1St Les W Mammo Guid
CPT 19281
$6,656
$1,952
$2,801
26
clean
Hc Perq Device Placemt Breast Loc Ea Les W Guidnce
CPT 19282
$200
—
$200
4
clean
Hc Perq Breast Loc Dev Place Strotact Guid 1St Les
CPT 19283
$2,403
$837
$1,201
26
clean
Hc Perq Breast Loc Dev Place Strotact Guid Add Les
CPT 19284
$200
—
$200
4
clean
Hc Perq Breast Loc Dev Place Us Guide 1St Lesion
CPT 19285
$2,897
$837
$1,201
26
clean
Hc Perq Breast Loc Dev Place Us Guide Addl Lesion
CPT 19286
$1,120
—
$1,120
4
clean
Hc Perq Breast Loc Dev Place Mri Guide 1St Lesion
CPT 19287
$113
$837
$113
26
clean
Hc Perq Breast Loc Dev Place Mri Guide Addl Lesion
CPT 19288
$50
—
$50
4
clean
Partial Mastectomy
CPT 19301
$28,400
$4,628
$4,629
28
clean
Mast simple complete
CPT 19303
$28,309
$7,850
$7,850
28
clean
Hc Explore Wound,Neck
CPT 20100
$1,816
$637
$979
28
clean
Hc Explore Wound,Chest
CPT 20101
$5,774
$2,439
$3,354
28
clean
Hc Explore Wound Abdomen/Flank/Back
CPT 20102
$5,774
$2,439
$3,354
28
clean
Expl Pentrg Wound Extremity
CPT 20103
$18,287
$1,952
$2,159
56
clean
Deep Muscle Biopsy
CPT 20205
$13,674
$3,433
$3,732
28
clean
Hc Needle Biopsy,Muscle
CPT 20206
$6,863
$1,952
$2,685
28
clean
Hc Bone Bx Tr/Ndl; Superf
CPT 20220
$1,797
$1,952
$1,797
28
clean
Hc Bone Biopsy,Trocar/Needle Deep
CPT 20225
$7,035
$1,952
$2,685
28
clean
Hc Bone Biopsy,Excisional Superf
CPT 20240
$11,892
$3,433
$4,082
28
clean
Bone biopsy open deep
CPT 20245
$7,213
$3,433
$4,082
28
clean
Hc Remove Fb Musc/Tendon, Simple
CPT 20520
$5,127
$1,952
$2,332
56
clean
Hc Removal Of Foreign Body Deep/Complex
CPT 20525
$8,865
$3,433
$4,082
28
clean
Hc Inject Tendon Sheath/Ligament
CPT 20550
$1,119
$362
$557
28
clean
Hc Inject Trigger Point1-2 Muscle
CPT 20552
$922
$362
$557
28
clean
Hc Inject Trigger Points, > 3
CPT 20553
$922
$362
$557
56
clean
Hc Drain/Inject Small Joint/Bursa
CPT 20600
$1,216
$362
$557
28
clean
Hc Drain/Inject Intermediate Joint/Bursa
CPT 20605
$707
$362
$557
28
clean
Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us
CPT 20606
$3,295
$834
$1,197
26
clean

Showing the first 200 of 3,924 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 15736/o
error
mrf_cash_above_gross
discounted cash price $2,439 exceeds gross charge $1,559
CPT 15920/o
error
mrf_cash_above_gross
discounted cash price $3,433 exceeds gross charge $736
CPT 17000/o
error
mrf_cash_above_gross
discounted cash price $237 exceeds gross charge $213
CPT 17004/o
error
mrf_cash_above_gross
discounted cash price $480 exceeds gross charge $108
CPT 19085/o
error
mrf_cash_above_gross
discounted cash price $1,952 exceeds gross charge $806
CPT 19287/o
error
mrf_cash_above_gross
discounted cash price $837 exceeds gross charge $113
CPT 20220/o
error
mrf_cash_above_gross
discounted cash price $1,952 exceeds gross charge $1,797
CPT 81220/o
error
mrf_cash_above_gross
discounted cash price $556 exceeds gross charge $438
CPT 22551/o
error
mrf_cash_above_gross
discounted cash price $15,177 exceeds gross charge $5,536
CPT 22600/o
error
mrf_cash_above_gross
discounted cash price $20,728 exceeds gross charge $5,644
CPT 81443/o
error
mrf_cash_above_gross
discounted cash price $2,448 exceeds gross charge $142
CPT 22612/o
error
mrf_cash_above_gross
discounted cash price $20,728 exceeds gross charge $4,967
CPT 23552/o
error
mrf_cash_above_gross
discounted cash price $8,578 exceeds gross charge $6,817
CPT 26370/o
error
mrf_cash_above_gross
discounted cash price $3,868 exceeds gross charge $1,647
CPT 93600/o
error
mrf_cash_above_gross
discounted cash price $9,220 exceeds gross charge $7,047
CPT 93602/o
error
mrf_cash_above_gross
discounted cash price $9,220 exceeds gross charge $7,047
CPT 93610/o
error
mrf_cash_above_gross
discounted cash price $9,220 exceeds gross charge $7,047
CPT 93612/o
error
mrf_cash_above_gross
discounted cash price $9,220 exceeds gross charge $7,047
CPT 26785/o
error
mrf_cash_above_gross
discounted cash price $3,868 exceeds gross charge $3,660
CPT 94375/o
error
mrf_cash_above_gross
discounted cash price $255 exceeds gross charge $180
CPT 27418/o
error
mrf_cash_above_gross
discounted cash price $8,578 exceeds gross charge $7,212
CPT 27871/o
error
mrf_cash_above_gross
discounted cash price $15,177 exceeds gross charge $10,010
CPT 28103/o
error
mrf_cash_above_gross
discounted cash price $8,578 exceeds gross charge $8,034
CPT 28705/o
error
mrf_cash_above_gross
discounted cash price $20,728 exceeds gross charge $16,589
CPT 28715/o
error
mrf_cash_above_gross
discounted cash price $15,177 exceeds gross charge $13,833
CPT 28725/o
error
mrf_cash_above_gross
discounted cash price $15,177 exceeds gross charge $11,186
CPT 28737/o
error
mrf_cash_above_gross
discounted cash price $15,177 exceeds gross charge $13,466
CPT 28755/o
error
mrf_cash_above_gross
discounted cash price $8,578 exceeds gross charge $8,385
CPT G0245/o
error
mrf_cash_above_gross
discounted cash price $157 exceeds gross charge $152
CPT G0247/o
error
mrf_cash_above_gross
discounted cash price $237 exceeds gross charge $177
CPT 29450/o
error
mrf_cash_above_gross
discounted cash price $192 exceeds gross charge $179
CPT 29700/o
error
mrf_cash_above_gross
discounted cash price $330 exceeds gross charge $288
CPT 29889/o
error
mrf_cash_above_gross
discounted cash price $15,177 exceeds gross charge $10,740
CPT G0455/o
error
mrf_cash_above_gross
discounted cash price $1,099 exceeds gross charge $758
CPT 29907/o
error
mrf_cash_above_gross
discounted cash price $15,177 exceeds gross charge $10,945
CPT 31253/o
error
mrf_cash_above_gross
discounted cash price $8,343 exceeds gross charge $5,770
CPT 31254/o
error
mrf_cash_above_gross
discounted cash price $8,343 exceeds gross charge $4,714
CPT 31255/o
error
mrf_cash_above_gross
discounted cash price $8,343 exceeds gross charge $4,688
CPT P9011/o
error
mrf_cash_above_gross
discounted cash price $155 exceeds gross charge $102
CPT 31259/o
error
mrf_cash_above_gross
discounted cash price $8,343 exceeds gross charge $4,551
CPT 31267/o
error
mrf_cash_above_gross
discounted cash price $8,343 exceeds gross charge $4,551
CPT 31276/o
error
mrf_cash_above_gross
discounted cash price $8,343 exceeds gross charge $4,551
CPT 31287/o
error
mrf_cash_above_gross
discounted cash price $8,343 exceeds gross charge $2,473
CPT 31296/o
error
mrf_cash_above_gross
discounted cash price $8,343 exceeds gross charge $5,049
CPT 31600/o
error
mrf_cash_above_gross
discounted cash price $3,919 exceeds gross charge $3,000
CPT 31623/o
error
mrf_cash_above_gross
discounted cash price $2,104 exceeds gross charge $300
CPT 31625/o
error
mrf_cash_above_gross
discounted cash price $2,104 exceeds gross charge $400
CPT 31628/o
error
mrf_cash_above_gross
discounted cash price $4,407 exceeds gross charge $400
CPT 31629/o
error
mrf_cash_above_gross
discounted cash price $4,407 exceeds gross charge $400
CPT 31635/o
error
mrf_cash_above_gross
discounted cash price $2,104 exceeds gross charge $400
CPT 31636/o
error
mrf_cash_above_gross
discounted cash price $8,343 exceeds gross charge $500
CPT 32550/o
error
mrf_cash_above_gross
discounted cash price $4,232 exceeds gross charge $500
CPT 32560/o
error
mrf_cash_above_gross
discounted cash price $741 exceeds gross charge $180
CPT 32601/o
error
mrf_cash_above_gross
discounted cash price $7,147 exceeds gross charge $600
CPT 32604/o
error
mrf_cash_above_gross
discounted cash price $12,566 exceeds gross charge $1,000
CPT 32606/o
error
mrf_cash_above_gross
discounted cash price $7,147 exceeds gross charge $1,000
CPT 33213/o
error
mrf_cash_above_gross
discounted cash price $12,356 exceeds gross charge $800
CPT 33217/o
error
mrf_cash_above_gross
discounted cash price $9,783 exceeds gross charge $800
CPT 33241/o
error
mrf_cash_above_gross
discounted cash price $4,417 exceeds gross charge $500
CPT 33244/o
error
mrf_cash_above_gross
discounted cash price $4,417 exceeds gross charge $2,000
CPT 35207/o
error
mrf_cash_above_gross
discounted cash price $3,732 exceeds gross charge $2,608
CPT 36511/o
error
mrf_cash_above_gross
discounted cash price $1,841 exceeds gross charge $1,550
CPT 36512/o
error
mrf_cash_above_gross
discounted cash price $1,841 exceeds gross charge $1,550
CPT 36514/o
error
mrf_cash_above_gross
discounted cash price $1,841 exceeds gross charge $1,550
CPT 36516/o
error
mrf_cash_above_gross
discounted cash price $5,149 exceeds gross charge $1,550
CPT 36580/o
error
mrf_cash_above_gross
discounted cash price $1,860 exceeds gross charge $150
CPT 36581/o
error
mrf_cash_above_gross
discounted cash price $3,732 exceeds gross charge $340
CPT 36597/o
error
mrf_cash_above_gross
discounted cash price $1,860 exceeds gross charge $225
CPT 39401/o
error
mrf_cash_above_gross
discounted cash price $7,147 exceeds gross charge $1,000
CPT 41250/o
error
mrf_cash_above_gross
discounted cash price $528 exceeds gross charge $397
CPT 42400/o
error
mrf_cash_above_gross
discounted cash price $837 exceeds gross charge $79
CPT 42650/o
error
mrf_cash_above_gross
discounted cash price $1,834 exceeds gross charge $483
CPT 42800/o
error
mrf_cash_above_gross
discounted cash price $1,834 exceeds gross charge $212
CPT 42820/o
error
mrf_cash_above_gross
discounted cash price $6,998 exceeds gross charge $5,950
CPT 43753/o
error
mrf_cash_above_gross
discounted cash price $255 exceeds gross charge $216
CPT 47531/o
error
mrf_cash_above_gross
discounted cash price $4,232 exceeds gross charge $760
CPT 49084/o
error
mrf_cash_above_gross
discounted cash price $1,072 exceeds gross charge $166
CPT 49407/o
error
mrf_cash_above_gross
discounted cash price $1,952 exceeds gross charge $1,500
CPT 51700/o
error
mrf_cash_above_gross
discounted cash price $295 exceeds gross charge $92
CPT 51999/o
error
mrf_cash_above_gross
discounted cash price $7,147 exceeds gross charge $5,088
CPT 56810/o
error
mrf_cash_above_gross
discounted cash price $3,826 exceeds gross charge $316
CPT 57061/o
error
mrf_cash_above_gross
discounted cash price $3,826 exceeds gross charge $110
CPT 57511/o
error
mrf_cash_above_gross
discounted cash price $360 exceeds gross charge $98
CPT 58559/o
error
mrf_cash_above_gross
discounted cash price $5,913 exceeds gross charge $2,886
CPT 58573/o
error
mrf_cash_above_gross
discounted cash price $12,566 exceeds gross charge $10,154
CPT 59409/o
error
mrf_cash_above_gross
discounted cash price $3,826 exceeds gross charge $3,641
CPT 69020/o
error
mrf_cash_above_gross
discounted cash price $837 exceeds gross charge $131
CPT 69420/o
error
mrf_cash_above_gross
discounted cash price $280 exceeds gross charge $118
CPT 69424/o
error
mrf_cash_above_gross
discounted cash price $3,919 exceeds gross charge $105
CPT 70134/o
error
mrf_cash_above_gross
discounted cash price $645 exceeds gross charge $66
CPT 70371/o
error
mrf_cash_above_gross
discounted cash price $282 exceeds gross charge $131
CPT 86885/o
error
mrf_cash_above_gross
discounted cash price $201 exceeds gross charge $18
CPT 86891/o
error
mrf_cash_above_gross
discounted cash price $952 exceeds gross charge $661
CPT 86902/o
error
mrf_cash_above_gross
discounted cash price $423 exceeds gross charge $155
CPT 86904/o
error
mrf_cash_above_gross
discounted cash price $69 exceeds gross charge $46
CPT 86921/o
error
mrf_cash_above_gross
discounted cash price $201 exceeds gross charge $64
CPT 86930/o
error
mrf_cash_above_gross
discounted cash price $201 exceeds gross charge $73
CPT 86931/o
error
mrf_cash_above_gross
discounted cash price $201 exceeds gross charge $73
CPT 86971/o
error
mrf_cash_above_gross
discounted cash price $201 exceeds gross charge $171
CPT 86977/o
error
mrf_cash_above_gross
discounted cash price $201 exceeds gross charge $63
CPT 0238T/o
error
mrf_cash_above_gross
discounted cash price $21,671 exceeds gross charge $18,000
CPT 10040/o
error
mrf_cash_above_gross
discounted cash price $237 exceeds gross charge $185
CPT 76825/o
error
mrf_cash_above_gross
discounted cash price $645 exceeds gross charge $250
CPT 76826/o
error
mrf_cash_above_gross
discounted cash price $282 exceeds gross charge $203
CPT 78414/o
error
mrf_cash_above_gross
discounted cash price $641 exceeds gross charge $154
CPT 78761/o
error
mrf_cash_above_gross
discounted cash price $472 exceeds gross charge $201
CPT 87810/o
error
mrf_cash_above_gross
discounted cash price $35 exceeds gross charge $32
CPT 88172/o
error
mrf_cash_above_gross
discounted cash price $201 exceeds gross charge $74
CPT 88319/o
error
mrf_cash_above_gross
discounted cash price $952 exceeds gross charge $805
CPT 88365/o
error
mrf_cash_above_gross
discounted cash price $201 exceeds gross charge $194
CPT 88399/o
error
mrf_cash_above_gross
discounted cash price $61 exceeds gross charge $38
warn
mrf_rate_without_estimate
1,373 of 1,373 percentage/algorithm rates across 699 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 80177/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 4% of the gross charge $299
CPT 89325/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 3% of the gross charge $310
CPT 80178/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $116
CPT 80197/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 3% of the gross charge $486
CPT 80299/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $222
CPT 80305/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $175
CPT 90901/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 9% of the gross charge $192
CPT 80306/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 7% of the gross charge $228
CPT 81001/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 5% of the gross charge $59
CPT 81003/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 4% of the gross charge $53
CPT 81005/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 8% of the gross charge $26
CPT 81025/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $162
CPT 81273/o
info
mrf_cash_under_tenth_of_gross
cash price $124 is 6% of the gross charge $2,100
CPT 92612/o
info
mrf_cash_under_tenth_of_gross
cash price $58 is 9% of the gross charge $652
CPT 81332/o
info
mrf_cash_under_tenth_of_gross
cash price $43 is 5% of the gross charge $814
CPT 20999/o
info
mrf_cash_under_tenth_of_gross
cash price $291 is 1% of the gross charge $27,480
CPT 81400/o
info
mrf_cash_under_tenth_of_gross
cash price $63 is 6% of the gross charge $969
CPT 81410/o
info
mrf_cash_under_tenth_of_gross
cash price $504 is 4% of the gross charge $13,750
CPT 93226/o
info
mrf_cash_under_tenth_of_gross
cash price $69 is 8% of the gross charge $836
CPT 93289/o
info
mrf_cash_under_tenth_of_gross
cash price $44 is 4% of the gross charge $1,000
CPT 82010/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $131
CPT 93297/o
info
mrf_cash_under_tenth_of_gross
cash price $44 is 2% of the gross charge $2,000
CPT 22999/o
info
mrf_cash_under_tenth_of_gross
cash price $291 is 3% of the gross charge $10,260
CPT 82013/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 5% of the gross charge $219
CPT 82017/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 5% of the gross charge $303
CPT 82040/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $131
CPT 82042/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $131
CPT 82043/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $136
CPT 82139/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 3% of the gross charge $622
CPT 82150/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $74
CPT 26433/o
info
mrf_cash_under_tenth_of_gross
cash price $3,868 is 8% of the gross charge $50,018
CPT 82157/o
info
mrf_cash_under_tenth_of_gross
cash price $29 is 9% of the gross charge $320
CPT 82164/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $141
CPT 82172/o
info
mrf_cash_under_tenth_of_gross
cash price $21 is 10% of the gross charge $217
CPT 93976/o
info
mrf_cash_under_tenth_of_gross
cash price $123 is 8% of the gross charge $1,550
CPT 82232/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 9% of the gross charge $170
CPT 82247/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 5% of the gross charge $96
CPT 95851/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 10% of the gross charge $73
CPT 82248/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 9% of the gross charge $56
CPT 96415/o
info
mrf_cash_under_tenth_of_gross
cash price $85 is 9% of the gross charge $927
CPT 82270/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 1% of the gross charge $579
CPT 97018/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $132
CPT 27562/o
info
mrf_cash_under_tenth_of_gross
cash price $291 is 1% of the gross charge $34,628
CPT 82306/o
info
mrf_cash_under_tenth_of_gross
cash price $29 is 8% of the gross charge $343
CPT 97022/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 8% of the gross charge $218
CPT 27599/o
info
mrf_cash_under_tenth_of_gross
cash price $291 is 1% of the gross charge $42,166
CPT 82310/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $67
CPT 97032/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 9% of the gross charge $174
CPT 82330/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 9% of the gross charge $145
CPT 97129/o
info
mrf_cash_under_tenth_of_gross
cash price $21 is 10% of the gross charge $213
CPT 82370/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $171
CPT 27899/o
info
mrf_cash_under_tenth_of_gross
cash price $291 is 2% of the gross charge $11,729
CPT 82373/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 3% of the gross charge $525
CPT 97802/o
info
mrf_cash_under_tenth_of_gross
cash price $28 is 3% of the gross charge $833
CPT 28080/o
info
mrf_cash_under_tenth_of_gross
cash price $1,900 is 7% of the gross charge $26,932
CPT 82374/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $54
CPT 28090/o
info
mrf_cash_under_tenth_of_gross
cash price $1,900 is 9% of the gross charge $20,438
CPT 82375/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 9% of the gross charge $134
CPT 28092/o
info
mrf_cash_under_tenth_of_gross
cash price $1,900 is 6% of the gross charge $30,292
CPT 82397/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 4% of the gross charge $312
CPT C5275/o
info
mrf_cash_under_tenth_of_gross
cash price $708 is 9% of the gross charge $7,745
CPT 82465/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $100
CPT C8900/o
info
mrf_cash_under_tenth_of_gross
cash price $412 is 9% of the gross charge $4,739
CPT 28119/o
info
mrf_cash_under_tenth_of_gross
cash price $3,868 is 10% of the gross charge $38,948
CPT 82507/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 6% of the gross charge $485
CPT C8901/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 7% of the gross charge $3,834
CPT 82528/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 7% of the gross charge $315
CPT C8902/o
info
mrf_cash_under_tenth_of_gross
cash price $412 is 10% of the gross charge $4,327
CPT 82533/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 4% of the gross charge $400
CPT C8911/o
info
mrf_cash_under_tenth_of_gross
cash price $412 is 9% of the gross charge $4,495
CPT 82542/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 5% of the gross charge $480
CPT 82565/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $89
CPT 82570/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $171
CPT 82652/o
info
mrf_cash_under_tenth_of_gross
cash price $38 is 8% of the gross charge $476
CPT 82656/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $333
CPT 82657/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 3% of the gross charge $630
CPT 82670/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 9% of the gross charge $298
CPT 28899/o
info
mrf_cash_under_tenth_of_gross
cash price $291 is 4% of the gross charge $8,114
CPT 82710/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 6% of the gross charge $255
CPT 82784/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 7% of the gross charge $131
CPT G0277/o
info
mrf_cash_under_tenth_of_gross
cash price $162 is 6% of the gross charge $2,652
CPT 82945/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 4% of the gross charge $71
CPT 82947/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 3% of the gross charge $100
CPT 82950/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $145
CPT 82951/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 10% of the gross charge $122
CPT 29999/o
info
mrf_cash_under_tenth_of_gross
cash price $291 is 4% of the gross charge $7,830
CPT 82952/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 8% of the gross charge $40
CPT 31000/o
info
mrf_cash_under_tenth_of_gross
cash price $280 is 7% of the gross charge $4,057

Showing the first 200 of 619 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. St Mary's General Hospital — standard charges file · NJ · updated 2026-03-17
    · json · 28.0M bytes · fetched 2026-08-25 · sha256 fc49508cc91c…

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.