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 →
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