Hospital · CCN 310015

Morristown Medical Center

100 Madison Ave, Morristown, NJ 07960 · Morris County
Part of Atlantic Health System · 712 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

255 admission types 63 outpatient services price file: ok 5 Medicare-file findings
Billed per dollar paid, all admissions
6.24×
$1,782.5M billed against $285.4M paid across 12,307 Medicare discharges; the national figure is 5.03×.
0.8%
of adults in Morris County have medical debt in collections
5.3%
uninsured in the county · state 8.0%
$134K
median household income
6.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
22.8%
obesity in the countyⓘ
9.0%
diagnosed diabetes (PLACES)
5.1%
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
291
Heart failure and shock with mcc
628
$113,063
$13,853
8.2× st 7.6×
871
Septicemia or severe sepsis without mv >96 hours with mcc
433
$162,020
$20,288
8.0× st 6.8×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
382
$297,830
$49,225
6.1× st 5.5×
177
Respiratory infections and inflammations with mcc
348
$124,092
$16,862
7.4× st 7.3×
690
Kidney and urinary tract infections without mcc
305
$63,555
$8,440
7.5× st 7.8×
689
Kidney and urinary tract infections with mcc
292
$100,719
$12,808
7.9× st 7.5×
193
Simple pneumonia and pleurisy with mcc
251
$104,251
$13,549
7.7× st 7.6×
378
Gastrointestinal hemorrhage with cc
190
$77,415
$10,128
7.6× st 7.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
188
$88,007
$18,378
4.8× st 5.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
167
$55,276
$8,309
6.7× st 7.5×
481
Hip and femur procedures except major joint with cc
161
$98,954
$20,366
4.9× st 5.9×
309
Cardiac arrhythmia and conduction disorders with cc
154
$57,595
$7,980
7.2× st 8.0×
164
Major chest procedures with cc
152
$85,370
$26,582
3.2× st 4.3×
603
Cellulitis without mcc
151
$54,093
$9,177
5.9× st 7.0×
698
Other kidney and urinary tract diagnoses with mcc
146
$128,229
$17,750
7.2× st 6.8×
274
Percutaneous and other intracardiac procedures without mcc
143
$199,972
$31,505
6.3× st 5.8×
308
Cardiac arrhythmia and conduction disorders with mcc
134
$98,672
$13,164
7.5× st 8.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
132
$486,091
$67,560
7.2× st 6.0×
552
Medical back problems without mcc
129
$65,454
$10,805
6.1× st 6.7×
236
Coronary bypass without cardiac catheterization without mcc
124
$221,411
$44,072
5.0× st 5.1×
194
Simple pneumonia and pleurisy with cc
118
$63,304
$8,597
7.4× st 8.0×
189
Pulmonary edema and respiratory failure
115
$114,860
$13,735
8.4× st 7.7×
330
Major small and large bowel procedures with cc
114
$129,607
$26,261
4.9× st 6.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
104
$153,343
$20,031
7.7× st 6.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
104
$249,714
$32,492
7.7× st 6.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
103
$149,473
$21,005
7.1× st 7.3×
377
Gastrointestinal hemorrhage with mcc
103
$150,460
$18,668
8.1× st 7.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
100
$76,665
$10,363
7.4× st 8.5×
178
Respiratory infections and inflammations with cc
98
$79,867
$10,437
7.7× st 8.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
96
$227,716
$27,859
8.2× st 7.5×
683
Renal failure with cc
93
$72,453
$9,186
7.9× st 7.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
90
$362,298
$54,149
6.7× st 6.0×
467
Revision of hip or knee replacement with cc
89
$147,282
$31,692
4.6× st 4.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
89
$116,267
$14,237
8.2× st 7.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
84
$57,470
$7,856
7.3× st 7.8×
190
Chronic obstructive pulmonary disease with mcc
83
$84,948
$12,408
6.8× st 8.3×
312
Syncope and collapse
79
$72,046
$8,766
8.2× st 7.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
76
$44,098
$6,487
6.8× st 7.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
76
$105,843
$14,428
7.3× st 7.4×
699
Other kidney and urinary tract diagnoses with cc
74
$73,837
$10,481
7.0× st 6.6×
682
Renal failure with mcc
71
$135,176
$15,866
8.5× st 7.3×
039
Extracranial procedures without cc/mcc
70
$51,095
$12,040
4.2× st 5.5×
025
Craniotomy and endovascular intracranial procedures with mcc
70
$233,089
$49,078
4.7× st 5.8×
202
Bronchitis and asthma with cc/mcc
69
$77,149
$9,933
7.8× st 7.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
67
$107,566
$20,974
5.1× st 5.9×
389
Gastrointestinal obstruction with cc
66
$67,899
$8,764
7.7× st 7.3×
280
Acute myocardial infarction, discharged alive with mcc
65
$141,840
$16,290
8.7× st 7.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
65
$90,859
$11,870
7.7× st 6.9×
243
Permanent cardiac pacemaker implant with cc
64
$121,510
$23,114
5.3× st 6.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
63
$130,207
$14,331
9.1× st 7.2×
329
Major small and large bowel procedures with mcc
62
$309,228
$50,498
6.1× st 5.9×
314
Other circulatory system diagnoses with mcc
61
$148,683
$22,207
6.7× st 6.9×
602
Cellulitis with mcc
60
$130,760
$16,722
7.8× st 6.8×
086
Traumatic stupor and coma <1 hour with cc
59
$86,397
$18,148
4.8× st 7.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
59
$56,213
$10,279
5.5× st 6.0×
235
Coronary bypass without cardiac catheterization with mcc
58
$327,135
$70,414
4.6× st 5.0×
812
Red blood cell disorders without mcc
57
$63,642
$9,399
6.8× st 7.6×
394
Other digestive system diagnoses with cc
57
$70,910
$9,942
7.1× st 7.1×
069
Transient ischemia without thrombolytic
57
$66,507
$8,210
8.1× st 7.8×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
57
$323,680
$57,692
5.6× st 5.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
55
$344,373
$55,230
6.2× st 6.4×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
53
$554,573
$116,196
4.8× st 4.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
53
$91,712
$10,992
8.3× st 7.3×
460
Spinal fusion except cervical without mcc
51
$160,263
$40,147
4.0× st 5.0×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
51
$526,383
$82,650
6.4× st 5.1×
253
Other vascular procedures with cc
51
$165,915
$26,004
6.4× st 6.7×
270
Other major cardiovascular procedures with mcc
51
$319,635
$55,335
5.8× st 5.7×
660
Kidney and ureter procedures for non-neoplasm with cc
48
$91,982
$14,470
6.4× st 6.8×
435
Malignancy of hepatobiliary system or pancreas with mcc
48
$163,323
$20,962
7.8× st 6.8×
331
Major small and large bowel procedures without cc/mcc
48
$96,888
$18,318
5.3× st 6.1×
038
Extracranial procedures with cc
46
$59,260
$15,513
3.8× st 5.1×
057
Degenerative nervous system disorders without mcc
45
$68,157
$13,527
5.0× st 6.0×
163
Major chest procedures with mcc
45
$223,419
$48,153
4.6× st 4.7×
536
Fractures of hip and pelvis without mcc
45
$53,500
$8,529
6.3× st 6.8×
445
Disorders of the biliary tract with cc
43
$82,809
$10,585
7.8× st 7.8×
101
Seizures without mcc
42
$80,644
$9,167
8.8× st 7.0×
176
Pulmonary embolism without mcc
41
$61,065
$8,736
7.0× st 7.2×
252
Other vascular procedures with mcc
41
$228,760
$35,453
6.5× st 6.3×
217
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
41
$370,932
$73,690
5.0× st 4.6×
472
Cervical spinal fusion with cc
40
$127,603
$27,554
4.6× st 5.3×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
40
$104,510
$14,282
7.3× st 6.6×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
40
$107,260
$31,515
3.4× st 5.4×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
39
$67,877
$11,076
6.1× st 7.2×
271
Other major cardiovascular procedures with cc
39
$158,834
$33,661
4.7× st 5.5×
371
Major gastrointestinal disorders and peritoneal infections with mcc
39
$124,899
$18,028
6.9× st 6.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
39
$84,716
$12,029
7.0× st 7.4×
375
Digestive malignancy with cc
39
$84,112
$13,680
6.1× st 6.4×
315
Other circulatory system diagnoses with cc
38
$73,444
$9,713
7.6× st 7.7×
393
Other digestive system diagnoses with mcc
37
$130,598
$17,011
7.7× st 6.7×
482
Hip and femur procedures except major joint without cc/mcc
37
$72,004
$16,838
4.3× st 5.7×
480
Hip and femur procedures except major joint with mcc
37
$164,138
$28,123
5.8× st 6.3×
244
Permanent cardiac pacemaker implant without cc/mcc
37
$110,056
$17,649
6.2× st 6.4×
083
Traumatic stupor and coma >1 hour with cc
36
$89,202
$14,589
6.1× st 7.7×
229
Other cardiothoracic procedures without mcc
36
$176,611
$31,627
5.6× st 5.6×
165
Major chest procedures without cc/mcc
36
$67,900
$20,393
3.3× st 5.2×
468
Revision of hip or knee replacement without cc/mcc
36
$109,893
$25,478
4.3× st 5.2×
638
Diabetes with cc
36
$65,722
$9,626
6.8× st 7.8×
919
Complications of treatment with mcc
36
$147,079
$18,171
8.1× st 6.7×
269
Aortic and heart assist procedures except pulsation balloon without mcc
35
$208,468
$42,220
4.9× st 4.5×
082
Traumatic stupor and coma >1 hour with mcc
35
$204,724
$25,227
8.1× st 6.4×
884
Organic disturbances and intellectual disability
34
$93,887
$16,746
5.6× st 5.8×
305
Hypertension without mcc
34
$53,771
$7,915
6.8× st 7.2×
637
Diabetes with mcc
34
$107,557
$13,480
8.0× st 6.8×
551
Medical back problems with mcc
34
$114,377
$17,967
6.4× st 6.6×
100
Seizures with mcc
33
$156,383
$21,974
7.1× st 6.2×
811
Red blood cell disorders with mcc
33
$85,593
$14,396
5.9× st 7.3×
300
Peripheral vascular disorders with cc
32
$92,046
$10,823
8.5× st 6.8×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
32
$300,127
$57,344
5.2× st 5.3×
273
Percutaneous and other intracardiac procedures with mcc
32
$251,329
$37,759
6.7× st 6.4×
444
Disorders of the biliary tract with mcc
32
$107,114
$17,719
6.0× st 6.5×
092
Other disorders of nervous system with cc
31
$94,029
$10,552
8.9× st 6.9×
454
Combined anterior and posterior spinal fusion with cc
31
$247,122
$65,421
3.8× st 3.5×
242
Permanent cardiac pacemaker implant with mcc
31
$221,868
$37,223
6.0× st 5.5×
281
Acute myocardial infarction, discharged alive with cc
30
$82,429
$9,843
8.4× st 7.4×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
30
$60,149
$10,277
5.9× st 5.7×
149
Dysequilibrium
28
$58,127
$7,956
7.3× st 7.7×
948
Signs and symptoms without mcc
27
$70,177
$9,492
7.4× st 7.4×
056
Degenerative nervous system disorders with mcc
27
$141,068
$21,098
6.7× st 5.9×
418
Laparoscopic cholecystectomy without c.d.e. with cc
27
$92,473
$19,420
4.8× st 6.7×
659
Kidney and ureter procedures for non-neoplasm with mcc
27
$176,008
$27,021
6.5× st 6.6×
483
Major joint or limb reattachment procedures of upper extremities
27
$129,050
$24,009
5.4× st 6.9×
813
Coagulation disorders
26
$97,765
$15,630
6.3× st 6.5×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
26
$1,132,752
$209,373
5.4× st 4.9×
390
Gastrointestinal obstruction without cc/mcc
26
$40,597
$6,620
6.1× st 6.8×
673
Other kidney and urinary tract procedures with mcc
26
$291,655
$46,283
6.3× st 6.0×
299
Peripheral vascular disorders with mcc
26
$108,190
$16,844
6.4× st 6.7×
964
Other multiple significant trauma with cc
26
$105,736
$19,367
5.5× st 3.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
25
$68,182
$8,406
8.1× st 8.0×
864
Fever and inflammatory conditions
25
$76,129
$9,836
7.7× st 6.4×
085
Traumatic stupor and coma <1 hour with mcc
25
$182,178
$25,458
7.2× st 6.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
25
$233,113
$28,619
8.1× st 7.1×
184
Major chest trauma with cc
25
$72,245
$12,128
6.0× st 5.1×
374
Digestive malignancy with mcc
25
$161,781
$23,532
6.9× st 6.6×
167
Other respiratory system o.r. procedures with cc
24
$81,910
$18,607
4.4× st 4.4×
091
Other disorders of nervous system with mcc
24
$140,405
$19,313
7.3× st 6.5×
920
Complications of treatment with cc
24
$93,919
$11,967
7.8× st 6.8×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
24
$453,030
$84,643
5.4× st 5.1×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
24
$70,633
$9,699
7.3× st 3.6×
406
Pancreas, liver and shunt procedures with cc
23
$128,492
$31,506
4.1× st 5.5×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
23
$70,023
$13,596
5.2× st 4.3×
501
Soft tissue procedures with cc
23
$119,436
$18,382
6.5× st 6.5×
388
Gastrointestinal obstruction with mcc
23
$158,751
$15,679
10.1× st 7.5×
870
Septicemia or severe sepsis with mv >96 hours
23
$471,258
$64,050
7.4× st 5.8×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
22
$142,032
$23,250
6.1× st 6.8×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
22
$184,197
$28,875
6.4× st 5.8×
326
Stomach, esophageal and duodenal procedures with mcc
21
$243,311
$57,769
4.2× st 5.0×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
21
$228,225
$39,230
5.8× st 4.9×
264
Other circulatory system o.r. procedures
21
$207,002
$30,050
6.9× st 6.2×
432
Cirrhosis and alcoholic hepatitis with mcc
21
$159,026
$22,997
6.9× st 7.1×
462
Bilateral or multiple major joint procedures of lower extremity without mcc
20
$110,339
$31,711
3.5× st 3.5×
215
Other heart assist system implant
20
$716,751
$118,013
6.1× st 4.9×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
20
$70,584
$14,586
4.8× st 6.5×
277
Cardiac defibrillator implant without mcc
20
$233,098
$45,378
5.1× st 6.3×
313
Chest pain
20
$44,448
$7,185
6.2× st 6.5×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
20
$160,286
$21,163
7.6× st 8.3×
196
Interstitial lung disease with mcc
19
$133,830
$18,636
7.2× st 6.5×
740
Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with cc
19
$95,708
$19,873
4.8× st 4.4×
191
Chronic obstructive pulmonary disease with cc
19
$58,285
$8,619
6.8× st 7.7×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
19
$342,044
$57,403
6.0× st 5.6×
180
Respiratory neoplasms with mcc
19
$128,151
$21,181
6.1× st 6.5×
261
Cardiac pacemaker revision except device replacement with cc
19
$138,234
$18,504
7.5× st 7.5×
580
Other skin, subcutaneous tissue and breast procedures with cc
19
$160,649
$35,539
4.5× st 5.3×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
18
$100,132
$19,631
5.1× st 7.2×
644
Endocrine disorders with cc
18
$66,850
$10,120
6.6× st 7.2×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
18
$110,343
$17,481
6.3× st 6.6×
336
Peritoneal adhesiolysis with cc
18
$133,185
$20,685
6.4× st 6.1×
862
Postoperative and post-traumatic infections with mcc
18
$95,010
$16,666
5.7× st 6.6×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
18
$192,867
$23,524
8.2× st 5.9×
292
Heart failure and shock with cc
18
$80,335
$8,735
9.2× st 7.6×
554
Bone diseases and arthropathies without mcc
18
$46,648
$8,292
5.6× st 7.4×
071
Other cerebrovascular disorders with cc
18
$75,822
$10,134
7.5× st 7.8×
863
Postoperative and post-traumatic infections without mcc
17
$88,899
$12,279
7.2× st 6.9×
381
Complicated peptic ulcer with cc
17
$88,926
$10,935
8.1× st 6.9×
439
Disorders of pancreas except malignancy with cc
17
$57,453
$9,211
6.2× st 7.3×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
17
$68,558
$8,462
8.1× st 7.5×
327
Stomach, esophageal and duodenal procedures with cc
17
$114,285
$25,867
4.4× st 5.1×
054
Nervous system neoplasms with mcc
17
$155,697
$14,555
10.7× st 7.0×
917
Poisoning and toxic effects of drugs with mcc
16
$140,609
$19,287
7.3× st 6.0×
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
16
$202,474
$35,932
5.6× st 5.3×
565
Other musculoskeletal system and connective tissue diagnoses with cc
16
$91,535
$28,214
3.2× st 5.7×
521
Hip replacement with principal diagnosis of hip fracture with mcc
16
$160,649
$30,804
5.2× st 5.6×
195
Simple pneumonia and pleurisy without cc/mcc
16
$47,433
$6,445
7.4× st 8.0×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
16
$136,632
$20,512
6.7× st 6.3×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
16
$111,782
$24,280
4.6× st 6.6×
200
Pneumothorax with cc
16
$77,601
$11,692
6.6× st 5.7×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
16
$92,118
$16,018
5.8× st 5.3×
354
Hernia procedures except inguinal and femoral with cc
16
$87,143
$19,851
4.4× st 6.3×
250
Percutaneous cardiovascular procedures without intraluminal device with mcc
16
$180,428
$25,032
7.2× st 7.2×
328
Stomach, esophageal and duodenal procedures without cc/mcc
16
$74,389
$15,556
4.8× st 4.5×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
16
$1,032,968
$169,486
6.1× st 5.4×
643
Endocrine disorders with mcc
15
$144,315
$18,508
7.8× st 6.6×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
15
$174,987
$28,867
6.1× st 5.9×
405
Pancreas, liver and shunt procedures with mcc
15
$237,735
$53,170
4.5× st 5.1×
304
Hypertension with mcc
15
$105,483
$11,659
9.0× st 6.8×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
15
$114,461
$10,041
11.4× st 6.6×
448
Multiple level spinal fusion except cervical without mcc
15
$215,796
$43,681
4.9× st 4.9×
282
Acute myocardial infarction, discharged alive without cc/mcc
15
$67,001
$7,910
8.5× st 7.4×
742
Uterine and adnexa procedures for non-malignancy with cc/mcc
15
$82,266
$19,299
4.3× st 4.3×
907
Other o.r. procedures for injuries with mcc
14
$210,813
$38,154
5.5× st 6.1×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
14
$89,990
$19,136
4.7× st 4.9×
254
Other vascular procedures without cc/mcc
14
$102,370
$20,097
5.1× st 4.3×
087
Traumatic stupor and coma <1 hour without cc/mcc
14
$57,646
$9,568
6.0× st 11.7×
473
Cervical spinal fusion without cc/mcc
14
$97,663
$29,095
3.4× st 3.4×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
14
$57,328
$11,114
5.2× st 5.4×
166
Other respiratory system o.r. procedures with mcc
14
$210,601
$37,041
5.7× st 5.0×
674
Other kidney and urinary tract procedures with cc
14
$146,147
$23,072
6.3× st 6.7×
947
Signs and symptoms with mcc
14
$73,605
$11,670
6.3× st 7.8×
908
Other o.r. procedures for injuries with cc
14
$132,008
$19,211
6.9× st 6.8×
433
Cirrhosis and alcoholic hepatitis with cc
14
$72,473
$11,314
6.4× st 7.1×
355
Hernia procedures except inguinal and femoral without cc/mcc
14
$65,218
$13,206
4.9× st 6.3×
228
Other cardiothoracic procedures with mcc
14
$311,214
$52,140
6.0× st 6.0×
158
Dental and oral diseases with cc
13
$60,889
$10,484
5.8× st 5.8×
205
Other respiratory system diagnoses with mcc
13
$89,525
$21,514
4.2× st 5.3×
153
Otitis media and uri without mcc
13
$68,070
$7,476
9.1× st 8.4×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
13
$287,634
$68,778
4.2× st 5.8×
463
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
13
$406,108
$70,832
5.7× st 5.3×
036
Carotid artery stent procedures without cc/mcc
13
$76,304
$21,437
3.6× st 5.9×
519
Back and neck procedures except spinal fusion with cc
13
$92,888
$18,963
4.9× st 5.0×
386
Inflammatory bowel disease with cc
13
$95,732
$9,395
10.2× st 9.6×
379
Gastrointestinal hemorrhage without cc/mcc
13
$52,068
$6,916
7.5× st 7.9×
356
Other digestive system o.r. procedures with mcc
13
$316,014
$50,883
6.2× st 6.3×
451
Single level spinal fusion except cervical without mcc
13
$134,342
$39,076
3.4× st 3.4×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
13
$236,433
$31,944
7.4× st 5.7×
486
Knee procedures with principal diagnosis of infection with cc
13
$115,172
$19,576
5.9× st 5.9×
466
Revision of hip or knee replacement with mcc
12
$254,195
$44,701
5.7× st 5.0×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$246,214
$34,948
7.0× st 6.5×
737
Uterine and adnexa procedures for ovarian or adnexal malignancy with cc
12
$80,360
$19,252
4.2× st 4.2×
183
Major chest trauma with mcc
12
$87,257
$17,776
4.9× st 5.4×
179
Respiratory infections and inflammations without cc/mcc
12
$64,338
$7,695
8.4× st 7.6×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
12
$68,873
$14,529
4.7× st 4.7×
885
Psychoses
12
$72,328
$13,804
5.2× st 6.1×
074
Cranial and peripheral nerve disorders without mcc
12
$78,378
$10,461
7.5× st 5.8×
455
Combined anterior and posterior spinal fusion without cc/mcc
12
$207,157
$43,957
4.7× st 6.1×
868
Other infectious and parasitic diseases diagnoses with cc
12
$67,590
$10,284
6.6× st 6.6×
380
Complicated peptic ulcer with mcc
12
$237,221
$24,502
9.7× st 8.2×
275
Cardiac defibrillator implant with cardiac catheterization and mcc
12
$462,645
$86,780
5.3× st 7.0×
841
Lymphoma and non-acute leukemia with cc
12
$140,698
$15,821
8.9× st 7.8×
207
Respiratory system diagnosis with ventilator support >96 hours
12
$470,254
$71,050
6.6× st 5.8×
303
Atherosclerosis without mcc
12
$47,830
$6,220
7.7× st 8.2×
535
Fractures of hip and pelvis with mcc
11
$75,583
$12,450
6.1× st 6.1×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
11
$230,845
$39,914
5.8× st 5.6×
963
Other multiple significant trauma with mcc
11
$214,198
$32,218
6.6× st 6.3×
268
Aortic and heart assist procedures except pulsation balloon with mcc
11
$460,514
$66,278
6.9× st 5.8×
544
Pathological fractures and musculoskeletal and connective tissue malignancy without cc/m
11
$54,128
$7,710
7.0× st 8.2×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
11
$154,270
$36,639
4.2× st 4.9×
141
Major head and neck procedures with cc
11
$101,150
$26,088
3.9× st 4.4×
337
Peritoneal adhesiolysis without cc/mcc
11
$98,911
$19,413
5.1× st 5.1×
155
Other ear, nose, mouth and throat diagnoses with cc
11
$85,480
$12,251
7.0× st 8.4×
560
Aftercare, musculoskeletal system and connective tissue with cc
11
$88,453
$8,780
10.1× st 10.1×
827
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedur
11
$88,185
$25,063
3.5× st 3.5×
840
Lymphoma and non-acute leukemia with mcc
11
$210,167
$36,504
5.8× st 5.9×
001
Heart transplant or implant of heart assist system with mcc
11
$1,650,258
$335,937
4.9× st 4.3×
212
Concomitant aortic and mitral valve procedures
11
$638,805
$123,011
5.2× st 5.2×
206
Other respiratory system diagnoses without mcc
11
$60,210
$9,227
6.5× st 5.8×
988
Non-extensive o.r. procedures unrelated to principal diagnosis with cc
11
$128,129
$18,871
6.8× st 6.3×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
1,575
$29,509
$3,038
9.7×
5115
Level 5 Musculoskeletal Procedures
1,233
$57,254
$14,577
3.9×
5191
Level 1 Endovascular Procedures
823
$34,239
$3,657
9.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
721
$12,984
$1,770
7.3×
5193
Level 3 Endovascular Procedures
518
$88,457
$11,533
7.7×
5192
Level 2 Endovascular Procedures
503
$42,643
$3,990
10.7×
5114
Level 4 Musculoskeletal Procedures
428
$36,607
$7,579
4.8×
5361
Level 1 Laparoscopy and Related Services
345
$34,246
$6,415
5.3×
5183
Level 3 Vascular Procedures
343
$22,972
$3,035
7.6×
5302
Level 2 Upper GI Procedures
331
$12,373
$2,120
5.8×
5213
Level 3 Electrophysiologic Procedures
309
$197,670
$26,415
7.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
279
$20,135
$3,052
6.6×
5431
Level 1 Nerve Procedures
262
$12,181
$2,100
5.8×
5374
Level 4 Urology and Related Services
246
$20,946
$3,771
5.6×
5113
Level 3 Musculoskeletal Procedures
229
$20,619
$3,365
6.1×
5372
Level 2 Urology and Related Services
223
$6,715
$734
9.1×
5373
Level 3 Urology and Related Services
217
$14,781
$2,236
6.6×
5182
Level 2 Vascular Procedures
204
$10,330
$1,612
6.4×
5194
Level 4 Endovascular Procedures
204
$128,498
$17,663
7.3×
5112
Level 2 Musculoskeletal Procedures
193
$12,921
$1,696
7.6×
5375
Level 5 Urology and Related Services
192
$26,567
$5,724
4.6×
5116
Level 6 Musculoskeletal Procedures
162
$89,805
$20,647
4.4×
5223
Level 3 Pacemaker and Similar Procedures
155
$53,497
$12,001
4.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
154
$22,121
$3,754
5.9×
5362
Level 2 Laparoscopy and Related Services
154
$55,530
$11,407
4.9×
5154
Level 4 Airway Endoscopy
115
$26,722
$4,134
6.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
106
$23,734
$4,075
5.8×
5232
Level 2 ICD and Similar Procedures
105
$130,740
$35,599
3.7×
5414
Level 4 Gynecologic Procedures
98
$16,343
$3,353
4.9×
5313
Level 3 Lower GI Procedures
93
$18,413
$3,010
6.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
89
$33,255
$6,877
4.8×
5222
Level 2 Pacemaker and Similar Procedures
80
$29,021
$9,360
3.1×
5165
Level 5 ENT Procedures
77
$33,716
$6,522
5.2×
5153
Level 3 Airway Endoscopy
62
$15,364
$1,886
8.1×
5184
Level 4 Vascular Procedures
60
$35,024
$5,434
6.4×
5331
Complex GI Procedures
58
$29,792
$6,347
4.7×
5303
Level 3 Upper GI Procedures
47
$17,265
$4,237
4.1×
5155
Level 5 Airway Endoscopy
45
$44,819
$7,702
5.8×
5224
Level 4 Pacemaker and Similar Procedures
44
$88,836
$21,470
4.1×
5376
Level 6 Urology and Related Services
38
$38,888
$8,636
4.5×
5416
Level 6 Gynecologic Procedures
29
$39,514
$8,502
4.6×
5465
Level 5 Neurostimulator and Related Procedures
25
$153,654
$34,836
4.4×
5415
Level 5 Gynecologic Procedures
24
$26,844
$5,341
5.0×
5231
Level 1 ICD and Similar Procedures
21
$102,071
$25,270
4.0×
5464
Level 4 Neurostimulator and Related Procedures
18
$104,896
$22,100
4.7×
5164
Level 4 ENT Procedures
18
$21,817
$3,623
6.0×
5212
Level 2 Electrophysiologic Procedures
11
$49,292
$8,403
5.9×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 04/01/2026, template 3.0.0, 4,230,853 rows scanned, 10,205 distinct code–setting items kept. 4,423 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC Dna Hea 35 Ag 11 Bld Grp Whl Bld Cmn Allel
$1,041
$1,000
$724
144
clean
Liver Dis 10 Assays Serum Algorithm W/Ash
$1,376
$643
$508
145
clean
Nash-Fibrotest Liver Dis 10 Assays
$2,929
$693
$508
145
clean
Nash-Fibrotest Liver Dis 10 Assays
$530
$530
$503
214
clean
Anesthesia Salivary Glands With Biopsy
$33,706
$8,702
$7,567
82
clean
Anesthesia Cleft Lip Involving Plastic Repair
$37,358
$7,894
$6,864
82
clean
Anesthesia Eyelid Reconstructive Procedure
$23,606
$3,661
$2,122
111
clean
Anesthesia Electroconvulsive Therapy
$5,525
$709
$616
101
clean
Anesthesia External Middle & Inner Ear W/Bx Nos
$21,953
$3,819
$3,321
93
clean
Anes External Middle & Inner Ear W/Bx Otoscopy
$16,598
$2,162
$1,770
82
clean
Anes Xtrnl Mid & Inner Ear W/Bx Tympanotomy
$10,288
$1,977
$1,719
111
clean
Anesthesia Eye Not Otherwise Specified
$15,438
$3,114
$2,707
111
clean
Anesthesia Eye Lens Surgery
$17,384
$3,043
$2,646
82
clean
Anesthesia Eye Corneal Transplant
$18,965
$5,032
$4,376
83
clean
Anesthesia Eye Vitreoretinal Surgery
$29,260
$5,368
$4,668
82
clean
Anesthesia Eye Ophthalmoscopy
$9,546
$3,113
$2,707
82
clean
Adrenal Cortical Tum Biochem Assay 25 Strd Mrk
$1,741
$1,512
$1,371
129
clean
Anesthesia Nose & Accessory Sinuses Nos
$37,728
$9,237
$8,032
125
clean
Anes Nose & Accessory Sinuses Radical Surgery
$78,783
$8,242
$3,763
82
clean
Anes Nose & Accessory Sinuses Biopsy Soft Tissue
$32,768
$1,977
$1,719
93
clean
Anesthesia Intraoral With Biopsy Nos
$20,534
$311
$269
82
clean
Anes Intraoral W/Biopsy Repair Cleft Palate
$41,285
$7,894
$6,864
93
clean
Anesthesia Intraoral W/Biopsy Radical Surgery
$67,075
$5,579
$2,323
57
clean
Anesthesia Facial Bones or Skull Nos
$23,368
$1,641
$1,474
82
clean
Anes Facial Bones/Skull Rad Surg W/Prognathism
$28,030
$7,894
$6,864
93
clean
Anesthesia Intracranial Procedure Nos
$28,171
$1,641
$1,474
82
clean
Anes Intracranial Craniotomy/Craniectomy Hmtma
$22,445
$3,174
$1,981
57
clean
Anes Intracranial Burr Holes W/Ventriculography
$44,057
$2,139
$389
57
clean
Anes Intracranial/Elevation Deprsd Skull Fx Xdrl
$40,066
$2,606
$2,266
93
clean
Anes Intracranial Procedure in Sitting Position
$19,374
$2,832
$2,486
83
clean
Anes Intracranial Cerebrospinal Fluid Shunting
$56,469
$8,761
$7,431
82
clean
Glyca Nuc MR Spectroscopy Quantitative
$1,686
$179
$34
145
clean
Rx Metab Advrs Rx Rxn & Rspse Trgt Seq Alys
$829
$829
$817
113
clean
Anes Integ Musc & Nrv Head Neck&Posterior Trunk
$22,376
$3,819
$3,321
82
clean
Anes Esoph Thyrd Larynx Trach & Lymph Neck 1yr
$33,907
$7,785
$6,770
82
clean
Anes Esoph Thyrd Larx Trach & Lymph Nck Bx Thyrd
$9,092
$939
$816
82
clean
Gene Tpmt Nudt15 Common Variants
$551
$536
$466
227
clean
Tpmt Nudt15 Gene Analysis Common Variants
$2,982
$633
$471
145
clean
Anesthesia Major Vessels Neck Nos
$56,125
$3,787
$2,440
82
clean
Anesthesia Major Vessels Neck Simple Ligation
$15,511
$2,162
$1,880
93
clean
Trgt Seq Analys Sld Orgn Neo Dna 324 Genes
$4,826
$4,826
$3,500
148
clean
Anes Integ Extremities Ant Trunk & Perineum Nos
$22,821
$5,567
$4,443
82
clean
Anesthesia Reconstruction Breast
$35,560
$8,702
$7,567
111
clean
Anesthesia Radical/Modified Radical Breast
$77,186
$9,152
$7,567
82
clean
Anes Integ Sys Elec Conversion Arrhythmias
$6,121
$873
$759
80
clean
CT Anlys Cerebral Perfusion
$7,931
$7,931
$4,362
117
clean
CT Anlys Cerebral Perfusion
$16,151
$581
$383
69
clean
Anesthesia Clavicle and Scapula Nos
$31,107
$4,041
$8,289
93
clean
Anesthesia Clavicle & Scapula Biopsy Clavicle
$30,613
$2,162
$1,770
82
clean
Anesthesia Partial Rib Resection Nos
$32,362
$980
$698
82
clean
Anesthesia Partial Rib Resection Thoracoplasty
$32,693
$1,038
$632
82
clean
Anesthesia Partial Rib Resection Radical
$41,396
$4,277
$3,321
93
clean
Anesthesia Esophagus
$24,909
$2,301
$2,001
82
clean
Anesthesia Closed Chest W/Bronchoscopy Nos
$41,867
$4,920
$4,278
82
clean
Anesthesia Closed Chest Pneumocentesis
$13,433
$2,073
$1,697
82
clean
Anes Mediastinoscopy&Thoracscopy W/O 1 Lung Vntj
$26,227
$7,785
$6,770
82
clean
Anes Mediastinoscopy&Thoracoscopy W/1 Lung Vnt
$45,440
$13,892
$12,080
83
clean
Anes Permanent Transvenous Pacemaker Insertion
$56,823
$13,965
$12,143
91
clean
Anesthesia Access Central Venous Circulation
$20,124
$4,200
$3,652
82
clean
Anes Transvenous Insj/Replacement Pacing Cvdfb
$122,220
$42,782
$37,202
88
clean
Anes Cardiac Electrophysiol Stdy W/Rf Ablation
$222,495
$32,735
$28,465
83
clean
Anes Thoracotomy & Thoracoscopy Nos
$35,779
$2,447
$917
57
clean
Anes Thoracotomy & Thoracoscopy W/1 Lung Vntj
$48,687
$1,236
$982
95
clean
Anes Thoracotomy &Thoracscopy Trachea & Bronchi
$35,640
$389
$212
82
clean
Cptr-Asst Muscskel Navigj Ortho Fluor Images
$63,098
$17,415
$14,930
108
clean
Anesthesia for Sternal Debridement
$50,405
$1,064
$753
84
clean
Cptr-Asst Muscskel Navigj Ortho CT/MRI
$59,369
$17,842
$14,930
108
clean
Anes Hrt Pericardial Sac& Grt Vesls W/O Pmp Oxt
$25,736
$4,200
$3,652
93
clean
Anes Hrt Prcrd Sac & Great Vsl W/Pump Oxtj Hypth
$55,913
$3,760
$2,271
82
clean
Onc Merkel Cell Carc Detcj Antb Serum Quan
$453
$371
$326
144
clean
Anesthesia Cervical Spine & Cord Nos
$64,520
$17,169
$14,930
109
clean
Anes Cervical Spine & Cord W/Patient Sitting
$150,158
$12,886
$1,222
83
clean
Anesthesia Thoracic Spine & Cord Nos
$55,772
$28,615
$24,882
93
clean
Anes Thrc Spine & Cord Ant Appr W/O 1 Lung Ventj
$92,678
$17,384
$14,930
108
clean
Anes Thoracic Spine & Cord Ant Appr W/1 Lng Vent
$103,335
$17,384
$14,930
108
clean
Anesthesia Lumbar Region Nos
$37,004
$9,990
$8,289
96
clean
Anes Diagnostic/Therapeutic Lumbar Puncture
$14,790
$2,118
$804
93
clean
Anes Manipulate Spine/Clsd Crv Thorc/Lumbr Spine
$23,341
$2,162
$1,880
82
clean
Anesthesia Extensive Spine & Spinal Cord
$84,459
$17,290
$14,930
109
clean
Anesthesia Upper Anterior Abdominal Wall Nos
$22,947
$4,276
$3,321
82
clean
Anes Upr Ant Abdl Wall Percutaneous Liver Bx
$12,448
$2,162
$1,880
93
clean
Anesthesia Upper Posterior Abdominal Wall
$15,931
$2,162
$1,880
82
clean
Anesthesia Upper GI Endoscopic Px Nos
$8,403
$1,251
$1,088
93
clean
Anesthesia Upper GI Endoscopic Px Ercp
$19,341
$5,077
$4,414
82
clean
Anesthesia Hernia Repair Upper Abdomen Nos
$44,061
$8,784
$7,240
82
clean
Anes Hrna Rpr Upr Abd Lmbr&Ventral Hernia&Dehisc
$38,491
$8,327
$7,240
82
clean
Ig Paraprotein Qual Imprcip&Ms Bld/UR W/Isotype
$21,021
$3,733
$48
132
clean
Anes Intraperitoneal Upper Abdomen W/Laps Nos
$35,437
$7,785
$6,770
82
clean
Anes Laps Partial Hepatectomy W/Mgmt Liver Hemor
$59,026
$4,793
$2,482
57
clean
Anes Ipr Upper Abdomen Laps Gastric Rstcv Mo
$57,225
$2,246
$1,941
83
clean
Anesthesia Lower Anterior Abdominal Wall Nos
$14,126
$2,733
$2,377
82
clean
Anes Lower Ant Abdominal Wall Panniculectomy
$40,945
$9,159
$7,567
93
clean
Anesthesia Lower Intst Endoscopic Px Nos
$8,376
$1,573
$1,368
82
clean
Anesthesia Lower Intst Endoscopic Px Scr Colsc
$6,920
$1,573
$1,368
82
clean
Anesthesia Combined Upper&Lower GI Endoscopic Px
$11,974
$880
$1,368
93
clean
Anesthesia Lower Posterior Abdominal Wall
$14,884
$3,819
$3,321
82
clean
Anesthesia Hernia Repair Lower Abdomen Nos
$20,184
$4,710
$4,095
93
clean
Anes Lwr Abd Ventral & Incisional Hernia Repair
$38,003
$7,785
$6,770
82
clean
Anes Hrna Rpr Lwr Abd Nos Infts <37wk Brth/50wk
$18,647
$4,709
$4,095
82
clean
Anesthesia Intraperitoneal Lower Abd W/Laps Nos
$39,063
$13,893
$12,080
82
clean
Anes Iper Lwr Abd W/Laps Tubal Ligation/Transect
$23,068
$7,785
$6,770
82
clean
Anes Extraperitoneal Lwr Abd W/Urinary Tract Nos
$29,265
$6,587
$5,728
82
clean
Anes Xtrprtl Lower Abd UR Tract Renal Don Nfrct
$66,016
$2,056
$1,480
82
clean
Anes Xtrprtl Lwr Abd W/Urinary Tract Rad Prstect
$71,934
$14,350
$12,080
82
clean
Anes Xtrprtl Lower Abd W/Urin Tract Adrenlectomy
$57,537
$3,179
$1,271
57
clean
Anes Xtrprtl Lwr Abd W/Urin Tract Cstolithotomy
$23,585
$6,784
$5,899
82
clean
Anes Lithotrp Xtrcorp Shock Wave W/Water Bath
$20,528
$4,602
$4,002
83
clean
Anes Lithotrp Xtrcorp Shock Wave W/O Water Bath
$20,123
$4,602
$4,002
83
clean
Anesthesia Major Lower Abdominal Vessels Nos
$90,962
$23,961
$20,836
69
clean
Anesthesia Anorectal Procedure
$18,582
$3,888
$3,182
82
clean
Anesthesia Radical Perineal Procedure
$22,059
$1,994
$1,185
57
clean
Anesthesia Vulvectomy
$16,896
$4,243
$3,689
82
clean
Onc C Melanoma Mrna Gene Xprs 23 Gene Alg
$2,718
$2,718
$1,950
148
clean
Anes Transurethral W/Urethrocystoscopy Nos
$15,750
$2,733
$2,377
93
clean
Anes Transurethral Resection of Bladder Tumor
$24,263
$4,602
$4,002
82
clean
Anesthesia Transurethral Resection of Prostate
$31,143
$6,783
$5,899
82
clean
Anes Trurl Post-Trurl Resection Bleeding
$31,483
$6,783
$5,899
82
clean
Anes Trurl Fragmntj Manj&/Rmvl Ureteral Calculus
$26,712
$6,783
$5,899
82
clean
Anesthesia Male Genitalia Incl Open Urethral Px
$15,996
$4,602
$4,002
93
clean
Anes Vasectomy Uni/Bi Incl Open Urethral Px
$10,435
$1,094
$2,377
82
clean
Anes Rad Orchiectomy Ingun Incl Open Urtl Px
$26,075
$4,709
$4,095
82
clean
Anes Orchiopexy Uni/Bi Incl Open Urethral Px
$16,662
$4,710
$4,095
93
clean
Anes Insj Penile Prosth Prnl Incl Open Urtl
$95,183
$26,860
$23,356
79
clean
Anesthesia Vaginal Procedure W/Biopsy Nos
$16,564
$269
$233
82
clean
Anes Colptmy Vagnc Colprphy Incl Bx W/Opn Urtl
$37,356
$6,587
$5,728
82
clean
Anesthesia Vaginal Hysterectomy Incl Biopsy
$48,401
$9,868
$8,580
82
clean
Anesthesia Cervical Cerclage Including Biopsy
$15,094
$4,243
$3,689
80
clean
Anes Hysteroscopy&/Hysterosalpingography W/Bx
$18,037
$1,697
$3,689
93
clean
Anes Bone Marrow Aspir&/Bx Ant/Pst Iliac Crest
$21,462
$3,819
$3,321
83
clean
Anesthesia on Bony Pelvis
$26,163
$4,330
$3,765
82
clean
Anesthesia Body Cast Application or Revision
$20,354
$354
$308
82
clean
Anes Radical Tumor Pelvis Xcp Hindquarter Amp
$42,067
$4,034
$3,321
82
clean
Anes Closed Symphysis Pubis/Sacroiliac Joint
$97,308
$9,937
$21,338
79
clean
Anes Open Symphysis Pubis/Sacroiliac Joint
$20,555
$3,940
$3,321
93
clean
Cardiology Ceramides Liq Chrom Tandem Ms Plasma
$2,837
$449
$84
145
clean
Anesthesia Closed Hip Joint Procedure
$24,517
$2,136
$1,857
82
clean
Anesthesia Arthroscopic Hip Joint Procedure
$57,876
$17,170
$14,930
82
clean
Anesthesia Open Hip Joint Procedure Nos
$25,919
$4,035
$3,321
93
clean
Anesthesia Open Total Hip Arthroplasty
$58,127
$17,415
$14,930
108
clean
Anesthesia Open Revision Total Hip Arthroplasty
$77,997
$7,434
$150
108
clean
Anesthesia Closed Procedures Upper 2/3 Femur
$29,270
$9,532
$8,289
82
clean
Anesthesia Open Procedures Upper 2/3 Femur Nos
$28,882
$1,688
$1,387
83
clean
Anes Upper 2/3 Femur Radical Rescection
$39,704
$3,819
$3,321
83
clean
Anes Nerve Musc Tendon Fascia & Bursae Upper Leg
$33,303
$9,989
$8,289
93
clean
Anes Veins of Upper Leg Including Exploration
$22,085
$4,200
$3,652
82
clean
Anesthesia Arteries Upper Leg Incl Bypass Graft
$113,355
$11,605
$3,439
82
clean
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
$23,686
$9,762
$8,289
93
clean
Anesthesia Closed Procedures Lower 1/3 Femur
$23,009
$9,762
$8,289
93
clean
Anesthesia Open Procedures Lower 1/3 Femur
$31,338
$9,761
$8,289
93
clean
Anesthesia Closed Procedures Knee Joint
$12,281
$2,364
$1,857
93
clean
Anesth Diagnostic Arthroscopic Proc Knee Joint
$17,896
$4,330
$3,765
93
clean
Anes Closed Proc Upper End Tibia Fibula/Patella
$41,518
$4,330
$3,765
80
clean
Anes Open Proc Upper Ends Tibia Fibula&/Patella
$40,245
$3,904
$8,289
93
clean
Anes Open/Surg Arthroscopic Proc Knee Joint Nos
$16,974
$4,330
$3,765
93
clean
Anesth Open/Surg Arthrs Total Knee Arthroplasty
$60,335
$18,069
$14,930
108
clean
Anesthesia Veins Knee & Popliteal Area Nos
$19,548
$4,200
$3,652
82
clean
Anes Arteries of Knee & Popliteal Area Nos
$141,187
$23,961
$19,621
82
clean
Anesthesia Closed Proc Lower Leg Ankle & Foot
$14,307
$811
$1
82
clean
Anesthesia Arthroscopic Procedure Ankle & Foot
$24,756
$4,786
$3,765
96
clean
Anes Nrv/Mus/Tnd/Fasc Lower Leg/Ankle/Foot Nos
$23,675
$2,606
$2,266
82
clean
Anes Rpr Ruptured Achilles Tendon W/WO Graft
$30,381
$9,761
$8,289
93
clean
Anesthesia Gastrocnemius Recession
$26,054
$9,533
$8,289
82
clean
Anes Open Proc Bones Lower Leg/Ankle/Foot Nos
$31,566
$9,761
$8,289
96
clean
Anes Radical Resecj Incl Below Knee Amputation
$39,553
$1,928
$765
82
clean
Anes Open Osteotomy/Osteoplasty Tibia&/Fibula
$18,773
$9,761
$8,289
82
clean
Anesthesia Open Total Ankle Replacement
$150,532
$25,241
$21,338
79
clean
Anes Lower Leg Cast Application Removal/Repair
$13,160
$1,276
$712
122
clean
Anesthesia Arteries Lower Leg W/Bypass Graft Nos
$185,748
$23,961
$20,836
82
clean
Anesthesia Veins of Lower Leg Nos
$24,862
$4,200
$3,652
82
clean
Nfct Ds Dna Untrgt Ngnrj Seq
$2,250
$2,250
$1,934
148
clean
Anes Nrv Musc Tndn Fscia Bursa Shoulder & Axilla
$30,009
$7,785
$6,770
82
clean
Anes Closed Humrl H/N Strnclav Joint& Sho Joint
$8,602
$854
$1,857
93
clean
Anes Diag Arthroscopic Shoulder Joint Proc Nos
$20,499
$1,732
$3,765
93
clean
Anes Arthrs Humeral H/N Strnclav & Shoulder Nos
$40,544
$9,761
$8,289
96
clean
Anes Arthroscopic Total Shoulder Replacement
$80,193
$24,767
$21,338
108
clean
Anesthesia Arteries Shoulder & Axilla Nos
$18,888
$4,200
$3,652
82
clean
Anes Nrv Musc Tdn Fsca&Brs Upr Arm/Elbow Nos
$20,907
$1,042
$2,266
93
clean
Anesthesia Open Tenotomy Elbow to Shoulder
$20,776
$1,732
$3,765
82
clean
Anesthesia Tenoplasty Elbow to Shoulder
$30,251
$9,532
$8,289
93
clean
Anesthesia Biceps Tenodesis Rupture Long Tendon
$35,410
$9,532
$8,289
93
clean
Anesthesia Closed Procedures Humerus & Elbow
$14,276
$9,532
$8,289
82
clean
Anesthesia Elbow Joint Diagnostic Arthroscopic
$30,137
$4,330
$3,765
93
clean
Anes Open/Surg Arthroscopic Elbow Proc Nos
$27,946
$4,330
$3,765
82
clean
Anesthesia Open/Surg Arthrs Osteotomy Humerus
$29,210
$9,647
$8,289
83
clean
Anes Open/Surg Arthrs Reprs Non/Malunion Humerus
$43,991
$17,290
$14,242
93
clean
Cad Chest Concur W Interp
$101
$101
$57
118
clean
Anesthesia Open/Surg Arthrs Radical Proc Elbow
$106,122
$11,640
$8,289
79
clean
Anesth Open/Surg Arthrs Exc Cyst/Tumor Humerus
$21,126
$9,532
$8,289
93
clean
Anesth Open/Surg Arthrs Total Elbow Replacement
$79,580
$24,892
$21,338
79
clean
Anesthesia Arteries Upper Arm & Elbow Nos
$20,507
$4,200
$3,652
82
clean
Anesthesia Veins Upper Arm & Elbow Nos
$40,382
$7,213
$6,272
93
clean
Anes Nerve Muscle Tdn Fascia&Bursa Forearm Wrist
$12,524
$2,136
$1,857
93
clean
Anes Radius Ulna Wrist/Hand Bones Closed Px
$15,581
$4,330
$3,765
93
clean
Anes Arthrs/Endscpy Dstl Radius Ulna/Wrist/Hand
$26,202
$9,533
$8,289
96
clean
Anesthesia Arthrs/Endoscpic Total Wrist Replcmt
$106,536
$24,539
$21,338
79
clean
Anesthesia Arteries Forearm Wrist & Hand Nos
$24,797
$7,213
$6,272
82
clean
Anes Arteries Forearm Wrist & Hand Embolectomy
$22,968
$7,213
$5,907
82
clean
Anesthesia Vascular Shunt/Shunt Revision
$28,651
$4,200
$3,652
82
clean
Anesthesia Veins Forearm Wrist & Hand Nos
$12,119
$2,162
$1,880
82
clean
Anesthesia Diagnostic Arteriography/Venograph
$26,447
$7,213
$6,272
95
clean

Showing the first 200 of 10,205 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,406 of 9,499 comparable items (15%) 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 $88 exceeds the gross charge $60
warn
mrf_rate_without_estimate
865,396 of 865,396 percentage/algorithm rates across 8,184 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 243/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $33,809; the same hospital's average submitted charge to Medicare for this DRG is $121,510 (0.3×)
MS-DRG 253/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $50,931; the same hospital's average submitted charge to Medicare for this DRG is $165,915 (0.3×)
MS-DRG 254/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $22,447; the same hospital's average submitted charge to Medicare for this DRG is $102,370 (0.2×)
MS-DRG 466/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $71,005; the same hospital's average submitted charge to Medicare for this DRG is $254,195 (0.3×)
MS-DRG 602/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $591,862; the same hospital's average submitted charge to Medicare for this DRG is $130,760 (4.5×)
MS-DRG 603/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $657,652; the same hospital's average submitted charge to Medicare for this DRG is $54,093 (12.2×)
MS-DRG 640/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $16,225; the same hospital's average submitted charge to Medicare for this DRG is $116,267 (0.1×)
MS-DRG 660/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $23,150; the same hospital's average submitted charge to Medicare for this DRG is $91,982 (0.3×)
MS-DRG 661/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $209,510; the same hospital's average submitted charge to Medicare for this DRG is $57,328 (3.7×)
MS-DRG 690/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $674,996; the same hospital's average submitted charge to Medicare for this DRG is $63,555 (10.6×)
MS-DRG 956/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $23,757; the same hospital's average submitted charge to Medicare for this DRG is $228,225 (0.1×)
MS-DRG 082/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $54,906; the same hospital's average submitted charge to Medicare for this DRG is $204,724 (0.3×)
MS-DRG 165/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $241,945; the same hospital's average submitted charge to Medicare for this DRG is $67,900 (3.6×)
MS-DRG 175/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $359,859; the same hospital's average submitted charge to Medicare for this DRG is $105,843 (3.4×)
MS-DRG 183/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $273,319; the same hospital's average submitted charge to Medicare for this DRG is $87,257 (3.1×)
MS-DRG 207/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $50,185; the same hospital's average submitted charge to Medicare for this DRG is $470,254 (0.1×)
CPT 00176/o
info
mrf_cash_under_tenth_of_gross
cash price $5,579 is 8% of the gross charge $67,075
CPT 40525/o
info
mrf_cash_under_tenth_of_gross
cash price $4,327 is 8% of the gross charge $56,704
CPT 72195/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,469
CPT 82952/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $78
CPT 86803/o
info
mrf_cash_under_tenth_of_gross
cash price $169 is 7% of the gross charge $2,448
CPT J9316/o
info
mrf_cash_under_tenth_of_gross
cash price $4,469 is 6% of the gross charge $75,916
CPT 00190/o
info
mrf_cash_under_tenth_of_gross
cash price $1,641 is 7% of the gross charge $23,368
CPT 72197/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $6,433
CPT 82952/o
info
mrf_cash_under_tenth_of_gross
cash price $30 is 9% of the gross charge $334
CPT 86812/b
info
mrf_cash_under_tenth_of_gross
cash price $30 is 7% of the gross charge $441
CPT 00210/o
info
mrf_cash_under_tenth_of_gross
cash price $1,641 is 6% of the gross charge $28,171
CPT 40799/o
info
mrf_cash_under_tenth_of_gross
cash price $3,113 is 8% of the gross charge $41,137
CPT 72197/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $6,563
CPT 82955/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 6% of the gross charge $202
CPT 85246/o
info
mrf_cash_under_tenth_of_gross
cash price $314 is 9% of the gross charge $3,414
CPT 86812/o
info
mrf_cash_under_tenth_of_gross
cash price $481 is 10% of the gross charge $5,037
CPT 92597/b
info
mrf_cash_under_tenth_of_gross
cash price $87 is 7% of the gross charge $1,184
CPT 00214/o
info
mrf_cash_under_tenth_of_gross
cash price $2,139 is 5% of the gross charge $44,057
CPT 15240/o
info
mrf_cash_under_tenth_of_gross
cash price $2,162 is 8% of the gross charge $25,706
CPT 40812/o
info
mrf_cash_under_tenth_of_gross
cash price $1,977 is 7% of the gross charge $26,941
CPT 72202/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 7% of the gross charge $2,020
CPT 82955/o
info
mrf_cash_under_tenth_of_gross
cash price $157 is 9% of the gross charge $1,769
CPT J0870/o
info
mrf_cash_under_tenth_of_gross
cash price $15,058 is 6% of the gross charge $251,506
CPT 00215/o
info
mrf_cash_under_tenth_of_gross
cash price $2,606 is 7% of the gross charge $40,066
CPT 29046/o
info
mrf_cash_under_tenth_of_gross
cash price $354 is 2% of the gross charge $20,354
CPT 41135/o
info
mrf_cash_under_tenth_of_gross
cash price $3,787 is 7% of the gross charge $56,125
CPT 73050/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 10% of the gross charge $1,218
CPT 82962/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 10% of the gross charge $38
CPT 85247/o
info
mrf_cash_under_tenth_of_gross
cash price $336 is 10% of the gross charge $3,405
CPT 86849/o
info
mrf_cash_under_tenth_of_gross
cash price $77 is 4% of the gross charge $1,805
CPT 92601/o
info
mrf_cash_under_tenth_of_gross
cash price $84 is 2% of the gross charge $3,556
MS-DRG 934/i
info
mrf_cash_under_tenth_of_gross
cash price $25,529 is 10% of the gross charge $255,590
CPT 73092/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 7% of the gross charge $1,946
CPT 82977/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $179
CPT 86850/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 5% of the gross charge $2,453
CPT J0881/o
info
mrf_cash_under_tenth_of_gross
cash price $784 is 6% of the gross charge $12,499
CPT J9330/o
info
mrf_cash_under_tenth_of_gross
cash price $1,781 is 10% of the gross charge $18,343
CPT 73200/b
info
mrf_cash_under_tenth_of_gross
cash price $142 is 6% of the gross charge $2,367
CPT 82977/o
info
mrf_cash_under_tenth_of_gross
cash price $112 is 5% of the gross charge $2,079
CPT 85250/o
info
mrf_cash_under_tenth_of_gross
cash price $336 is 10% of the gross charge $3,405
CPT 92602/o
info
mrf_cash_under_tenth_of_gross
cash price $209 is 9% of the gross charge $2,325
CPT J0882/o
info
mrf_cash_under_tenth_of_gross
cash price $302 is 8% of the gross charge $3,927
MS-DRG 147/i
info
mrf_cash_under_tenth_of_gross
cash price $12,443 is 5% of the gross charge $267,529
CPT 59514/o
info
mrf_cash_under_tenth_of_gross
cash price $1,262 is 7% of the gross charge $16,863
CPT 73200/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 6% of the gross charge $2,367
CPT 82978/o
info
mrf_cash_under_tenth_of_gross
cash price $256 is 7% of the gross charge $3,594
CPT 41800/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 2% of the gross charge $19,021
CPT 59856/o
info
mrf_cash_under_tenth_of_gross
cash price $770 is 5% of the gross charge $15,958
CPT 73201/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $6,533
CPT 81256/o
info
mrf_cash_under_tenth_of_gross
cash price $144 is 7% of the gross charge $2,065
CPT 82985/b
info
mrf_cash_under_tenth_of_gross
cash price $19 is 5% of the gross charge $386
CPT 00350/o
info
mrf_cash_under_tenth_of_gross
cash price $3,787 is 7% of the gross charge $56,125
CPT 41899/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 2% of the gross charge $20,621
CPT 73202/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 6% of the gross charge $4,107
CPT 81257/b
info
mrf_cash_under_tenth_of_gross
cash price $118 is 10% of the gross charge $1,211
CPT 82985/o
info
mrf_cash_under_tenth_of_gross
cash price $105 is 6% of the gross charge $1,718
CPT 85270/o
info
mrf_cash_under_tenth_of_gross
cash price $325 is 10% of the gross charge $3,369
CPT 86900/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 5% of the gross charge $2,453
CPT 92610/b
info
mrf_cash_under_tenth_of_gross
cash price $84 is 8% of the gross charge $1,067
CPT 73202/o
info
mrf_cash_under_tenth_of_gross
cash price $238 is 6% of the gross charge $4,318
CPT 81257/o
info
mrf_cash_under_tenth_of_gross
cash price $233 is 8% of the gross charge $2,778
CPT 83003/o
info
mrf_cash_under_tenth_of_gross
cash price $343 is 9% of the gross charge $3,890
CPT 86901/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 5% of the gross charge $2,453
CPT 92610/o
info
mrf_cash_under_tenth_of_gross
cash price $84 is 8% of the gross charge $1,067
CPT 0042T/o
info
mrf_cash_under_tenth_of_gross
cash price $581 is 4% of the gross charge $16,151
CPT 15277/o
info
mrf_cash_under_tenth_of_gross
cash price $10,522 is 9% of the gross charge $120,387
CPT 73206/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 6% of the gross charge $4,107
CPT 83006/o
info
mrf_cash_under_tenth_of_gross
cash price $372 is 7% of the gross charge $5,144
CPT 85291/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 5% of the gross charge $194
CPT 92611/b
info
mrf_cash_under_tenth_of_gross
cash price $110 is 8% of the gross charge $1,384
CPT 00454/o
info
mrf_cash_under_tenth_of_gross
cash price $2,162 is 7% of the gross charge $30,613
CPT 42405/o
info
mrf_cash_under_tenth_of_gross
cash price $1,977 is 7% of the gross charge $28,081
CPT 59871/o
info
mrf_cash_under_tenth_of_gross
cash price $406 is 5% of the gross charge $8,674
CPT 73206/o
info
mrf_cash_under_tenth_of_gross
cash price $238 is 6% of the gross charge $4,263
CPT 83010/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 4% of the gross charge $364
CPT 85300/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 5% of the gross charge $295
CPT 92612/b
info
mrf_cash_under_tenth_of_gross
cash price $78 is 7% of the gross charge $1,184
CPT J9370/o
info
mrf_cash_under_tenth_of_gross
cash price $885 is 10% of the gross charge $8,992
CPT 00470/o
info
mrf_cash_under_tenth_of_gross
cash price $980 is 3% of the gross charge $32,362
CPT 15278/o
info
mrf_cash_under_tenth_of_gross
cash price $10,522 is 9% of the gross charge $120,387
CPT 73218/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,469
CPT 83010/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 6% of the gross charge $2,438
CPT 85301/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $295
CPT 92612/o
info
mrf_cash_under_tenth_of_gross
cash price $78 is 7% of the gross charge $1,184
CPT 00472/o
info
mrf_cash_under_tenth_of_gross
cash price $1,038 is 3% of the gross charge $32,693
CPT 15576/o
info
mrf_cash_under_tenth_of_gross
cash price $3,819 is 7% of the gross charge $58,239
CPT 73218/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,469
CPT 83015/o
info
mrf_cash_under_tenth_of_gross
cash price $28 is 7% of the gross charge $391
CPT 85302/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 1% of the gross charge $1,129
CPT J1120/o
info
mrf_cash_under_tenth_of_gross
cash price $2,248 is 4% of the gross charge $54,967
CPT 00500/o
info
mrf_cash_under_tenth_of_gross
cash price $2,301 is 9% of the gross charge $24,909
CPT 15770/o
info
mrf_cash_under_tenth_of_gross
cash price $3,386 is 8% of the gross charge $40,104
CPT 43193/o
info
mrf_cash_under_tenth_of_gross
cash price $2,531 is 10% of the gross charge $25,960
CPT 59899/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 8% of the gross charge $3,547
CPT 73220/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $6,433
CPT 83018/o
info
mrf_cash_under_tenth_of_gross
cash price $76 is 8% of the gross charge $949
CPT 85302/o
info
mrf_cash_under_tenth_of_gross
cash price $481 is 10% of the gross charge $4,942
CPT J1163/o
info
mrf_cash_under_tenth_of_gross
cash price $1,715 is 8% of the gross charge $21,509
CPT J9394/o
info
mrf_cash_under_tenth_of_gross
cash price $171 is 2% of the gross charge $8,323
CPT 00540/o
info
mrf_cash_under_tenth_of_gross
cash price $2,447 is 7% of the gross charge $35,779
CPT 15778/o
info
mrf_cash_under_tenth_of_gross
cash price $4,284 is 4% of the gross charge $96,246
CPT 73220/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $7,209
CPT 83020/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $194
CPT 85303/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 5% of the gross charge $347
CPT 87015/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $122
CPT J9395/b
info
mrf_cash_under_tenth_of_gross
cash price $80 is 1% of the gross charge $7,335
CPT 00541/o
info
mrf_cash_under_tenth_of_gross
cash price $1,236 is 3% of the gross charge $48,687
CPT 15780/o
info
mrf_cash_under_tenth_of_gross
cash price $3,819 is 10% of the gross charge $38,986
CPT 60270/o
info
mrf_cash_under_tenth_of_gross
cash price $3,705 is 6% of the gross charge $57,074
CPT 73221/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,469
CPT 83020/o
info
mrf_cash_under_tenth_of_gross
cash price $187 is 4% of the gross charge $4,619
CPT 85305/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 1% of the gross charge $1,129
CPT 99494/o
info
mrf_cash_under_tenth_of_gross
cash price $123 is 8% of the gross charge $1,584
CPT L0650/o
info
mrf_cash_under_tenth_of_gross
cash price $6,186 is 5% of the gross charge $119,109
CPT 00548/o
info
mrf_cash_under_tenth_of_gross
cash price $389 is 1% of the gross charge $35,640
CPT 15820/o
info
mrf_cash_under_tenth_of_gross
cash price $3,113 is 10% of the gross charge $31,431
CPT 43279/o
info
mrf_cash_under_tenth_of_gross
cash price $1,774 is 4% of the gross charge $45,028
CPT 60505/o
info
mrf_cash_under_tenth_of_gross
cash price $2,036 is 8% of the gross charge $25,213
CPT 73221/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,469
CPT 81273/o
info
mrf_cash_under_tenth_of_gross
cash price $223 is 10% of the gross charge $2,317
CPT 83021/o
info
mrf_cash_under_tenth_of_gross
cash price $113 is 6% of the gross charge $1,845
CPT 85305/o
info
mrf_cash_under_tenth_of_gross
cash price $427 is 9% of the gross charge $4,973
CPT 87040/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 6% of the gross charge $189
CPT A2028/o
info
mrf_cash_under_tenth_of_gross
cash price $15,248 is 10% of the gross charge $152,750
CPT 00550/o
info
mrf_cash_under_tenth_of_gross
cash price $1,064 is 2% of the gross charge $50,405
CPT 43499/o
info
mrf_cash_under_tenth_of_gross
cash price $2,301 is 9% of the gross charge $24,909
CPT 60650/o
info
mrf_cash_under_tenth_of_gross
cash price $3,179 is 6% of the gross charge $57,537
CPT 73223/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $6,433
CPT 83030/o
info
mrf_cash_under_tenth_of_gross
cash price $98 is 9% of the gross charge $1,106
CPT 85335/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $166
CPT 87045/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 4% of the gross charge $280
CPT A4100/o
info
mrf_cash_under_tenth_of_gross
cash price $8,256 is 10% of the gross charge $83,413
CPT 00563/o
info
mrf_cash_under_tenth_of_gross
cash price $3,760 is 7% of the gross charge $55,913
CPT 15838/o
info
mrf_cash_under_tenth_of_gross
cash price $1,528 is 4% of the gross charge $38,945
CPT 43644/o
info
mrf_cash_under_tenth_of_gross
cash price $7,523 is 10% of the gross charge $78,505
CPT 73223/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $7,209
CPT 83036/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 6% of the gross charge $181
CPT 85347/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $190
CPT J1230/o
info
mrf_cash_under_tenth_of_gross
cash price $2,253 is 4% of the gross charge $57,470
CPT 29305/o
info
mrf_cash_under_tenth_of_gross
cash price $354 is 2% of the gross charge $15,167
CPT 43645/o
info
mrf_cash_under_tenth_of_gross
cash price $3,461 is 6% of the gross charge $58,982
CPT 61210/o
info
mrf_cash_under_tenth_of_gross
cash price $2,139 is 5% of the gross charge $44,057
CPT 73522/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 9% of the gross charge $1,508
CPT 83036/o
info
mrf_cash_under_tenth_of_gross
cash price $103 is 6% of the gross charge $1,680
CPT 85360/o
info
mrf_cash_under_tenth_of_gross
cash price $196 is 6% of the gross charge $3,090
CPT 87070/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $328
CPT J1245/o
info
mrf_cash_under_tenth_of_gross
cash price $697 is 9% of the gross charge $7,857
CPT 00604/o
info
mrf_cash_under_tenth_of_gross
cash price $12,886 is 9% of the gross charge $150,158
CPT 73523/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 8% of the gross charge $1,888
CPT 83050/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $214
CPT 85362/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 4% of the gross charge $222
CPT 87075/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $340
CPT 00640/o
info
mrf_cash_under_tenth_of_gross
cash price $2,162 is 9% of the gross charge $23,341
CPT 15853/o
info
mrf_cash_under_tenth_of_gross
cash price $115 is 9% of the gross charge $1,271
CPT 29325/o
info
mrf_cash_under_tenth_of_gross
cash price $354 is 1% of the gross charge $27,469
CPT 61500/o
info
mrf_cash_under_tenth_of_gross
cash price $1,641 is 6% of the gross charge $27,207
CPT 73560/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 10% of the gross charge $1,232
CPT 83051/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 9% of the gross charge $92
CPT 87075/o
info
mrf_cash_under_tenth_of_gross
cash price $51 is 4% of the gross charge $1,388
CPT 73565/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 10% of the gross charge $1,232
CPT 83068/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 6% of the gross charge $189
CPT 85378/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 5% of the gross charge $222
CPT 87076/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 6% of the gross charge $158
CPT J1265/o
info
mrf_cash_under_tenth_of_gross
cash price $873 is 10% of the gross charge $9,097
CPT 00792/o
info
mrf_cash_under_tenth_of_gross
cash price $4,793 is 8% of the gross charge $59,026
CPT 61624/b
info
mrf_cash_under_tenth_of_gross
cash price $1,383 is 3% of the gross charge $39,898
CPT 73700/b
info
mrf_cash_under_tenth_of_gross
cash price $142 is 6% of the gross charge $2,367
CPT 81291/o
info
mrf_cash_under_tenth_of_gross
cash price $175 is 8% of the gross charge $2,210
CPT 83070/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $88
CPT 85378/o
info
mrf_cash_under_tenth_of_gross
cash price $72 is 6% of the gross charge $1,293
CPT 87076/o
info
mrf_cash_under_tenth_of_gross
cash price $54 is 5% of the gross charge $1,186
CPT A9517/b
info
mrf_cash_under_tenth_of_gross
cash price $27 is 5% of the gross charge $552
CPT 00797/o
info
mrf_cash_under_tenth_of_gross
cash price $2,246 is 4% of the gross charge $57,225
CPT 61624/o
info
mrf_cash_under_tenth_of_gross
cash price $25,999 is 10% of the gross charge $260,599
CPT 73700/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 6% of the gross charge $2,367
CPT 83080/o
info
mrf_cash_under_tenth_of_gross
cash price $212 is 4% of the gross charge $4,874
CPT 85379/o
info
mrf_cash_under_tenth_of_gross
cash price $174 is 5% of the gross charge $3,531
CPT 87077/o
info
mrf_cash_under_tenth_of_gross
cash price $43 is 6% of the gross charge $715
CPT 93225/o
info
mrf_cash_under_tenth_of_gross
cash price $172 is 7% of the gross charge $2,347
CPT 00813/o
info
mrf_cash_under_tenth_of_gross
cash price $880 is 7% of the gross charge $11,974
CPT 61630/o
info
mrf_cash_under_tenth_of_gross
cash price $1,630 is 1% of the gross charge $144,640
CPT 73701/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 7% of the gross charge $3,258

Showing the first 200 of 4,423 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 054
info
inp_charge_10x_payment
average charge $155,697 is 10.7× the total payment
MS-DRG 386
info
inp_charge_10x_payment
average charge $95,732 is 10.2× the total payment
MS-DRG 388
info
inp_charge_10x_payment
average charge $158,751 is 10.1× the total payment
MS-DRG 442
info
inp_charge_10x_payment
average charge $114,461 is 11.4× the total payment
MS-DRG 560
info
inp_charge_10x_payment
average charge $88,453 is 10.1× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 1,333.7M bytes · fetched 2026-08-23 · sha256 26f79f9fe4ca…

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.