Hospital · CCN 310017

Chilton Medical Center

97 West Parkway, Pompton Plains, NJ 07444 · Morris County
Part of Atlantic Health System · 180 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

81 admission types 46 outpatient services price file: ok 15 Medicare-file findings
Billed per dollar paid, all admissions
8.60×
$324.8M billed against $37.8M paid across 3,109 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
871
Septicemia or severe sepsis without mv >96 hours with mcc
404
$149,464
$16,245
9.2× st 6.8×
291
Heart failure and shock with mcc
187
$99,523
$10,545
9.4× st 7.6×
177
Respiratory infections and inflammations with mcc
118
$114,977
$14,214
8.1× st 7.3×
193
Simple pneumonia and pleurisy with mcc
94
$105,020
$12,120
8.7× st 7.6×
690
Kidney and urinary tract infections without mcc
83
$59,681
$6,766
8.8× st 7.8×
689
Kidney and urinary tract infections with mcc
83
$78,282
$9,614
8.1× st 7.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
78
$59,597
$6,663
8.9× st 7.5×
189
Pulmonary edema and respiratory failure
76
$118,074
$10,451
11.3× st 7.7×
603
Cellulitis without mcc
75
$68,455
$7,443
9.2× st 7.0×
552
Medical back problems without mcc
73
$69,800
$8,039
8.7× st 6.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
66
$69,413
$6,598
10.5× st 7.8×
698
Other kidney and urinary tract diagnoses with mcc
64
$108,018
$13,750
7.9× st 6.8×
194
Simple pneumonia and pleurisy with cc
64
$68,997
$7,368
9.4× st 8.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
60
$261,573
$40,075
6.5× st 6.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
59
$96,771
$10,522
9.2× st 7.2×
682
Renal failure with mcc
56
$114,620
$12,931
8.9× st 7.3×
378
Gastrointestinal hemorrhage with cc
55
$75,934
$8,978
8.5× st 7.9×
683
Renal failure with cc
51
$85,870
$7,398
11.6× st 7.5×
309
Cardiac arrhythmia and conduction disorders with cc
47
$72,183
$6,214
11.6× st 8.0×
481
Hip and femur procedures except major joint with cc
45
$91,979
$17,890
5.1× st 5.9×
308
Cardiac arrhythmia and conduction disorders with mcc
43
$95,163
$10,056
9.5× st 8.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
39
$55,423
$7,497
7.4× st 6.0×
178
Respiratory infections and inflammations with cc
38
$76,328
$8,793
8.7× st 8.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
38
$92,908
$9,847
9.4× st 7.3×
202
Bronchitis and asthma with cc/mcc
37
$85,127
$8,540
10.0× st 7.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
36
$96,605
$8,414
11.5× st 8.5×
191
Chronic obstructive pulmonary disease with cc
36
$62,377
$7,024
8.9× st 7.7×
377
Gastrointestinal hemorrhage with mcc
36
$143,568
$15,087
9.5× st 7.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
34
$132,100
$16,733
7.9× st 7.3×
190
Chronic obstructive pulmonary disease with mcc
32
$109,335
$9,555
11.4× st 8.3×
312
Syncope and collapse
32
$72,424
$7,224
10.0× st 7.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
30
$106,306
$17,079
6.2× st 5.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
29
$102,298
$10,653
9.6× st 7.2×
057
Degenerative nervous system disorders without mcc
28
$66,446
$10,547
6.3× st 6.0×
280
Acute myocardial infarction, discharged alive with mcc
28
$120,854
$12,424
9.7× st 7.3×
699
Other kidney and urinary tract diagnoses with cc
28
$81,860
$9,413
8.7× st 6.6×
812
Red blood cell disorders without mcc
28
$81,886
$7,936
10.3× st 7.6×
536
Fractures of hip and pelvis without mcc
27
$57,910
$6,486
8.9× st 6.8×
394
Other digestive system diagnoses with cc
26
$64,579
$7,740
8.3× st 7.1×
101
Seizures without mcc
26
$80,560
$7,626
10.6× st 7.0×
389
Gastrointestinal obstruction with cc
22
$71,198
$6,571
10.8× st 7.3×
660
Kidney and ureter procedures for non-neoplasm with cc
21
$90,862
$11,212
8.1× st 6.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
20
$142,236
$15,159
9.4× st 6.7×
439
Disorders of pancreas except malignancy with cc
20
$91,341
$7,634
12.0× st 7.3×
638
Diabetes with cc
20
$82,643
$8,242
10.0× st 7.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
19
$157,118
$22,289
7.0× st 7.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
19
$105,730
$11,599
9.1× st 7.4×
069
Transient ischemia without thrombolytic
19
$61,604
$6,691
9.2× st 7.8×
870
Septicemia or severe sepsis with mv >96 hours
18
$340,716
$52,559
6.5× st 5.8×
813
Coagulation disorders
17
$88,601
$12,629
7.0× st 6.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
17
$71,943
$8,711
8.3× st 7.4×
637
Diabetes with mcc
17
$101,028
$11,866
8.5× st 6.8×
305
Hypertension without mcc
17
$55,370
$6,274
8.8× st 7.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
17
$87,077
$9,090
9.6× st 6.9×
329
Major small and large bowel procedures with mcc
16
$307,301
$37,228
8.3× st 5.9×
811
Red blood cell disorders with mcc
16
$98,308
$11,719
8.4× st 7.3×
482
Hip and femur procedures except major joint without cc/mcc
16
$84,717
$12,925
6.6× st 5.7×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
15
$61,936
$9,015
6.9× st 7.2×
300
Peripheral vascular disorders with cc
15
$72,002
$9,527
7.6× st 6.8×
314
Other circulatory system diagnoses with mcc
15
$148,003
$16,814
8.8× st 6.9×
554
Bone diseases and arthropathies without mcc
15
$54,318
$6,902
7.9× st 7.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$51,399
$5,247
9.8× st 7.8×
252
Other vascular procedures with mcc
14
$220,824
$30,592
7.2× st 6.3×
374
Digestive malignancy with mcc
14
$118,010
$16,780
7.0× st 6.6×
602
Cellulitis with mcc
14
$101,453
$11,931
8.5× st 6.8×
388
Gastrointestinal obstruction with mcc
13
$97,928
$11,327
8.6× st 7.5×
884
Organic disturbances and intellectual disability
13
$60,170
$12,829
4.7× st 5.8×
092
Other disorders of nervous system with cc
13
$77,436
$8,418
9.2× st 6.9×
100
Seizures with mcc
13
$173,896
$16,408
10.6× st 6.2×
176
Pulmonary embolism without mcc
13
$59,926
$7,641
7.8× st 7.2×
086
Traumatic stupor and coma <1 hour with cc
12
$70,707
$10,776
6.6× st 7.3×
149
Dysequilibrium
12
$73,035
$6,970
10.5× st 7.7×
673
Other kidney and urinary tract procedures with mcc
12
$265,649
$32,136
8.3× st 6.0×
371
Major gastrointestinal disorders and peritoneal infections with mcc
12
$97,431
$14,811
6.6× st 6.5×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$105,787
$13,693
7.7× st 6.7×
445
Disorders of the biliary tract with cc
12
$63,197
$9,095
6.9× st 7.8×
480
Hip and femur procedures except major joint with mcc
12
$134,105
$23,578
5.7× st 6.3×
299
Peripheral vascular disorders with mcc
11
$92,149
$12,339
7.5× st 6.7×
393
Other digestive system diagnoses with mcc
11
$107,037
$13,191
8.1× st 6.7×
083
Traumatic stupor and coma >1 hour with cc
11
$113,631
$11,374
10.0× st 7.7×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
11
$77,411
$7,117
10.9× st 3.6×
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
567
$35,575
$3,015
11.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
243
$17,592
$1,807
9.7×
5375
Level 5 Urology and Related Services
121
$24,906
$5,785
4.3×
5361
Level 1 Laparoscopy and Related Services
102
$47,556
$6,455
7.4×
5191
Level 1 Endovascular Procedures
89
$42,791
$3,643
11.7×
5115
Level 5 Musculoskeletal Procedures
81
$79,657
$14,766
5.4×
5183
Level 3 Vascular Procedures
72
$25,111
$3,498
7.2×
5114
Level 4 Musculoskeletal Procedures
72
$42,244
$7,939
5.3×
5431
Level 1 Nerve Procedures
71
$15,117
$2,149
7.0×
5374
Level 4 Urology and Related Services
66
$21,814
$3,923
5.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
61
$19,299
$3,114
6.2×
5373
Level 3 Urology and Related Services
57
$18,670
$2,244
8.3×
5113
Level 3 Musculoskeletal Procedures
52
$19,918
$3,587
5.6×
5302
Level 2 Upper GI Procedures
48
$14,598
$2,111
6.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
40
$22,982
$4,290
5.4×
5182
Level 2 Vascular Procedures
36
$15,161
$1,803
8.4×
5112
Level 2 Musculoskeletal Procedures
35
$12,888
$1,809
7.1×
5193
Level 3 Endovascular Procedures
32
$97,339
$12,363
7.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
29
$35,206
$3,786
9.3×
5414
Level 4 Gynecologic Procedures
25
$19,556
$3,518
5.6×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
18
$40,530
$7,339
5.5×
5222
Level 2 Pacemaker and Similar Procedures
16
$45,267
$9,555
4.7×
5362
Level 2 Laparoscopy and Related Services
12
$57,669
$11,570
5.0×
5303
Level 3 Upper GI Procedures
11
$19,588
$4,310
4.5×
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 04/01/2026, template 3.0.0, 3,564,187 rows scanned, 9,381 distinct code–setting items kept. 3,833 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
$720
125
clean
Liver Dis 10 Assays Serum Algorithm W/Ash
$1,376
$643
$503
126
clean
Nash-Fibrotest Liver Dis 10 Assays
$1,918
$750
$503
126
clean
Nash-Fibrotest Liver Dis 10 Assays
$530
$530
$503
191
clean
Anesthesia Salivary Glands With Biopsy
$34,451
$7,894
$6,864
64
clean
Anesthesia Cleft Lip Involving Plastic Repair
$37,358
$7,894
$6,864
64
clean
Anesthesia Eyelid Reconstructive Procedure
$28,210
$2,441
$2,122
64
clean
Anesthesia Electroconvulsive Therapy
$6,062
$709
$616
81
clean
Anesthesia External Middle & Inner Ear W/Bx Nos
$26,281
$4,327
$3,763
93
clean
Anes External Middle & Inner Ear W/Bx Otoscopy
$16,598
$2,036
$1,770
64
clean
Anes Xtrnl Mid & Inner Ear W/Bx Tympanotomy
$14,208
$4,327
$3,763
93
clean
Anesthesia Eye Not Otherwise Specified
$15,445
$3,113
$2,707
64
clean
Anesthesia Eye Lens Surgery
$17,384
$3,043
$2,646
64
clean
Anesthesia Eye Corneal Transplant
$18,965
$5,032
$4,376
65
clean
Anesthesia Eye Vitreoretinal Surgery
$29,260
$5,368
$4,668
64
clean
Anesthesia Eye Ophthalmoscopy
$9,546
$3,113
$2,707
64
clean
Adrenal Cortical Tum Biochem Assay 25 Strd Mrk
$1,741
$1,512
$1,312
110
clean
Anesthesia Nose & Accessory Sinuses Nos
$29,121
$4,327
$3,763
104
clean
Anes Nose & Accessory Sinuses Radical Surgery
$78,783
$10,009
$3,763
64
clean
Anes Nose & Accessory Sinuses Biopsy Soft Tissue
$32,768
$4,185
$1,719
75
clean
Anesthesia Intraoral With Biopsy Nos
$19,551
$2,386
$254
64
clean
Anes Intraoral W/Biopsy Repair Cleft Palate
$41,285
$7,894
$6,864
75
clean
Anesthesia Intraoral W/Biopsy Radical Surgery
$67,075
$8,437
$2,323
57
clean
Anesthesia Facial Bones or Skull Nos
$23,368
$1,641
$1,403
64
clean
Anes Facial Bones/Skull Rad Surg W/Prognathism
$28,030
$7,894
$6,864
75
clean
Anesthesia Intracranial Procedure Nos
$27,207
$1,641
$1,403
65
clean
Anes Intracranial Craniotomy/Craniectomy Hmtma
$22,445
$3,019
$1,981
55
clean
Anes Intracranial Burr Holes W/Ventriculography
$44,057
$5,357
$389
57
clean
Anes Intracranial/Elevation Deprsd Skull Fx Xdrl
$40,066
$5,141
$2,266
75
clean
Anes Intracranial Procedure in Sitting Position
$19,374
$2,824
$2,368
63
clean
Anes Intracranial Cerebrospinal Fluid Shunting
$56,469
$8,761
$7,431
64
clean
Glyca Nuc MR Spectroscopy Quantitative
$1,686
$177
$34
126
clean
Rx Metab Advrs Rx Rxn & Rspse Trgt Seq Alys
$829
$829
$768
94
clean
Anes Integ Musc & Nrv Head Neck&Posterior Trunk
$25,121
$3,819
$3,321
75
clean
Anes Esoph Thyrd Larynx Trach & Lymph Neck 1yr
$28,238
$7,785
$6,770
64
clean
Anes Esoph Thyrd Larx Trach & Lymph Nck Bx Thyrd
$9,092
$939
$816
64
clean
Tpmt Nudt15 Gene Analysis Common Variants
$2,982
$633
$466
126
clean
Gene Tpmt Nudt15 Common Variants
$551
$536
$466
204
clean
Anesthesia Major Vessels Neck Nos
$56,125
$6,578
$2,323
64
clean
Anesthesia Major Vessels Neck Simple Ligation
$15,511
$2,162
$1,880
75
clean
Trgt Seq Analys Sld Orgn Neo Dna 324 Genes
$4,826
$4,826
$3,500
144
clean
Anes Integ Extremities Ant Trunk & Perineum Nos
$26,445
$5,110
$4,443
64
clean
Anesthesia Reconstruction Breast
$37,125
$9,159
$7,567
104
clean
Anesthesia Radical/Modified Radical Breast
$77,186
$10,445
$7,567
64
clean
Anes Integ Sys Elec Conversion Arrhythmias
$6,121
$873
$759
61
clean
CT Anlys Cerebral Perfusion
$16,151
$581
$383
69
clean
CT Anlys Cerebral Perfusion
$7,931
$7,931
$4,283
113
clean
Anesthesia Clavicle and Scapula Nos
$37,479
$9,762
$8,289
75
clean
Anesthesia Clavicle & Scapula Biopsy Clavicle
$30,613
$3,933
$1,770
64
clean
Anesthesia Partial Rib Resection Nos
$32,362
$980
$664
64
clean
Anesthesia Partial Rib Resection Thoracoplasty
$32,693
$3,392
$602
64
clean
Anesthesia Partial Rib Resection Radical
$41,396
$5,612
$3,321
75
clean
Anesthesia Esophagus
$24,909
$2,301
$2,001
64
clean
Anesthesia Closed Chest W/Bronchoscopy Nos
$11,813
$2,301
$2,001
64
clean
Anesthesia Closed Chest Pneumocentesis
$13,433
$1,952
$1,697
64
clean
Anes Mediastinoscopy&Thoracscopy W/O 1 Lung Vntj
$26,227
$7,785
$6,770
64
clean
Anes Mediastinoscopy&Thoracoscopy W/1 Lung Vnt
$45,440
$13,892
$12,080
65
clean
Anes Permanent Transvenous Pacemaker Insertion
$56,823
$13,965
$12,143
73
clean
Anesthesia Access Central Venous Circulation
$18,426
$4,200
$3,652
64
clean
Anes Transvenous Insj/Replacement Pacing Cvdfb
$122,220
$42,782
$37,202
70
clean
Anes Cardiac Electrophysiol Stdy W/Rf Ablation
$222,495
$32,735
$28,465
64
clean
Anes Thoracotomy & Thoracoscopy Nos
$35,779
$2,332
$917
57
clean
Anes Thoracotomy & Thoracoscopy W/1 Lung Vntj
$48,687
$4,942
$924
77
clean
Anes Thoracotomy &Thoracscopy Trachea & Bronchi
$35,640
$2,696
$212
64
clean
Cptr-Asst Muscskel Navigj Ortho Fluor Images
$63,098
$17,415
$14,930
90
clean
Anesthesia for Sternal Debridement
$50,405
$3,646
$718
64
clean
Cptr-Asst Muscskel Navigj Ortho CT/MRI
$80,621
$17,871
$14,930
90
clean
Anes Hrt Pericardial Sac& Grt Vesls W/O Pmp Oxt
$25,736
$4,200
$3,652
75
clean
Anes Hrt Prcrd Sac & Great Vsl W/Pump Oxtj Hypth
$55,913
$3,760
$2,163
62
clean
Onc Merkel Cell Carc Detcj Antb Serum Quan
$453
$371
$323
125
clean
Anesthesia Cervical Spine & Cord Nos
$64,520
$17,169
$14,930
91
clean
Anes Cervical Spine & Cord W/Patient Sitting
$150,158
$19,699
$1,427
83
clean
Anesthesia Thoracic Spine & Cord Nos
$179,031
$41,120
$35,359
61
clean
Anes Thrc Spine & Cord Ant Appr W/O 1 Lung Ventj
$92,678
$17,384
$14,930
90
clean
Anes Thoracic Spine & Cord Ant Appr W/1 Lng Vent
$103,335
$17,384
$14,930
90
clean
Anesthesia Lumbar Region Nos
$46,542
$8,757
$7,615
72
clean
Anes Diagnostic/Therapeutic Lumbar Puncture
$14,790
$2,117
$804
75
clean
Anes Manipulate Spine/Clsd Crv Thorc/Lumbr Spine
$23,341
$2,162
$1,880
64
clean
Anesthesia Extensive Spine & Spinal Cord
$65,840
$17,169
$14,930
90
clean
Anesthesia Upper Anterior Abdominal Wall Nos
$22,500
$3,819
$3,321
64
clean
Anes Upr Ant Abdl Wall Percutaneous Liver Bx
$12,448
$2,162
$1,880
75
clean
Anesthesia Upper Posterior Abdominal Wall
$15,931
$2,162
$1,880
64
clean
Anesthesia Upper GI Endoscopic Px Nos
$11,500
$1,251
$1,088
75
clean
Anesthesia Upper GI Endoscopic Px Ercp
$18,182
$5,077
$4,414
75
clean
Anesthesia Hernia Repair Upper Abdomen Nos
$46,556
$6,363
$4,095
64
clean
Anes Hrna Rpr Upr Abd Lmbr&Ventral Hernia&Dehisc
$46,889
$6,403
$4,095
64
clean
Ig Paraprotein Qual Imprcip&Ms Bld/UR W/Isotype
$21,021
$3,733
$48
113
clean
Anes Intraperitoneal Upper Abdomen W/Laps Nos
$41,646
$7,786
$6,770
64
clean
Anes Laps Partial Hepatectomy W/Mgmt Liver Hemor
$59,026
$8,665
$2,482
57
clean
Anes Ipr Upper Abdomen Laps Gastric Rstcv Mo
$43,507
$6,384
$1,163
65
clean
Anesthesia Lower Anterior Abdominal Wall Nos
$14,126
$2,733
$2,377
64
clean
Anes Lower Ant Abdominal Wall Panniculectomy
$34,068
$8,702
$7,567
104
clean
Anesthesia Lower Intst Endoscopic Px Nos
$10,318
$1,573
$1,368
64
clean
Anesthesia Lower Intst Endoscopic Px Scr Colsc
$9,492
$1,573
$1,368
64
clean
Anesthesia Combined Upper&Lower GI Endoscopic Px
$13,240
$2,199
$1,368
75
clean
Anesthesia Lower Posterior Abdominal Wall
$14,884
$3,819
$3,321
64
clean
Anesthesia Hernia Repair Lower Abdomen Nos
$45,651
$8,776
$7,240
64
clean
Anes Lwr Abd Ventral & Incisional Hernia Repair
$45,615
$8,776
$7,240
64
clean
Anes Hrna Rpr Lwr Abd Nos Infts <37wk Brth/50wk
$18,647
$4,709
$4,095
64
clean
Anesthesia Intraperitoneal Lower Abd W/Laps Nos
$44,381
$7,786
$6,770
64
clean
Anes Iper Lwr Abd W/Laps Tubal Ligation/Transect
$23,068
$7,785
$6,770
64
clean
Anes Extraperitoneal Lwr Abd W/Urinary Tract Nos
$48,382
$7,785
$6,770
93
clean
Anes Xtrprtl Lower Abd UR Tract Renal Don Nfrct
$58,917
$13,893
$12,080
75
clean
Anes Xtrprtl Lwr Abd W/Urinary Tract Rad Prstect
$61,453
$13,892
$12,080
64
clean
Anes Xtrprtl Lower Abd W/Urin Tract Adrenlectomy
$57,537
$6,555
$1,271
57
clean
Anes Xtrprtl Lwr Abd W/Urin Tract Cstolithotomy
$23,585
$6,784
$5,899
64
clean
Anes Lithotrp Xtrcorp Shock Wave W/Water Bath
$20,528
$4,602
$4,002
65
clean
Anes Lithotrp Xtrcorp Shock Wave W/O Water Bath
$20,123
$4,602
$4,002
65
clean
Anesthesia Major Lower Abdominal Vessels Nos
$90,962
$23,961
$20,836
63
clean
Anesthesia Anorectal Procedure
$20,534
$4,116
$3,182
64
clean
Anesthesia Radical Perineal Procedure
$22,059
$1,951
$1,185
57
clean
Anesthesia Vulvectomy
$17,127
$4,243
$3,689
64
clean
Onc C Melanoma Mrna Gene Xprs 23 Gene Alg
$2,718
$2,718
$1,950
144
clean
Anes Transurethral W/Urethrocystoscopy Nos
$19,680
$4,602
$4,002
75
clean
Anes Transurethral Resection of Bladder Tumor
$18,854
$4,602
$4,002
64
clean
Anesthesia Transurethral Resection of Prostate
$30,928
$6,783
$5,899
64
clean
Anes Trurl Post-Trurl Resection Bleeding
$31,483
$6,783
$5,899
64
clean
Anes Trurl Fragmntj Manj&/Rmvl Ureteral Calculus
$24,847
$6,784
$5,899
64
clean
Anesthesia Male Genitalia Incl Open Urethral Px
$19,235
$2,734
$2,377
64
clean
Anes Vasectomy Uni/Bi Incl Open Urethral Px
$15,628
$2,733
$2,377
64
clean
Anes Rad Orchiectomy Ingun Incl Open Urtl Px
$28,236
$4,709
$4,095
64
clean
Anes Orchiopexy Uni/Bi Incl Open Urethral Px
$16,763
$4,710
$4,095
75
clean
Anes Insj Penile Prosth Prnl Incl Open Urtl
$87,989
$26,859
$23,356
61
clean
Anesthesia Vaginal Procedure W/Biopsy Nos
$16,998
$4,243
$3,689
64
clean
Anes Colptmy Vagnc Colprphy Incl Bx W/Opn Urtl
$34,332
$6,587
$5,728
64
clean
Anesthesia Vaginal Hysterectomy Incl Biopsy
$39,069
$13,892
$12,080
64
clean
Anesthesia Cervical Cerclage Including Biopsy
$15,094
$4,243
$3,689
61
clean
Anes Hysteroscopy&/Hysterosalpingography W/Bx
$21,772
$4,243
$3,689
75
clean
Anes Bone Marrow Aspir&/Bx Ant/Pst Iliac Crest
$26,135
$3,596
$3,127
64
clean
Anesthesia on Bony Pelvis
$26,163
$4,330
$3,765
64
clean
Anesthesia Body Cast Application or Revision
$20,354
$2,490
$308
64
clean
Anes Radical Tumor Pelvis Xcp Hindquarter Amp
$42,067
$5,543
$3,321
64
clean
Anes Closed Symphysis Pubis/Sacroiliac Joint
$97,308
$9,937
$21,338
61
clean
Anes Open Symphysis Pubis/Sacroiliac Joint
$20,555
$3,940
$3,321
75
clean
Cardiology Ceramides Liq Chrom Tandem Ms Plasma
$2,837
$449
$84
126
clean
Anesthesia Closed Hip Joint Procedure
$24,340
$1,354
$1,011
64
clean
Anesthesia Arthroscopic Hip Joint Procedure
$53,680
$9,761
$8,289
64
clean
Anesthesia Open Hip Joint Procedure Nos
$25,744
$4,047
$3,321
104
clean
Anesthesia Open Total Hip Arthroplasty
$77,880
$17,871
$14,930
90
clean
Anesthesia Open Revision Total Hip Arthroplasty
$77,997
$8,651
$1,781
90
clean
Anesthesia Closed Procedures Upper 2/3 Femur
$29,270
$9,532
$8,289
64
clean
Anesthesia Open Procedures Upper 2/3 Femur Nos
$28,882
$1,688
$1,323
65
clean
Anes Upper 2/3 Femur Radical Rescection
$39,704
$5,249
$3,321
65
clean
Anes Nerve Musc Tendon Fascia & Bursae Upper Leg
$26,574
$5,110
$4,443
64
clean
Anes Veins of Upper Leg Including Exploration
$24,814
$3,093
$779
64
clean
Anesthesia Arteries Upper Leg Incl Bypass Graft
$113,355
$14,117
$3,439
62
clean
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
$38,817
$9,532
$8,289
62
clean
Anesthesia Closed Procedures Lower 1/3 Femur
$23,009
$9,762
$8,289
75
clean
Anesthesia Open Procedures Lower 1/3 Femur
$31,338
$9,761
$8,289
75
clean
Anesthesia Closed Procedures Knee Joint
$12,636
$2,136
$1,857
75
clean
Anesth Diagnostic Arthroscopic Proc Knee Joint
$17,896
$4,330
$3,765
75
clean
Anes Closed Proc Upper End Tibia Fibula/Patella
$41,518
$5,531
$3,765
61
clean
Anes Open Proc Upper Ends Tibia Fibula&/Patella
$36,100
$9,532
$8,289
75
clean
Anes Open/Surg Arthroscopic Proc Knee Joint Nos
$23,105
$4,330
$3,765
75
clean
Anesth Open/Surg Arthrs Total Knee Arthroplasty
$80,882
$17,843
$14,930
90
clean
Anesthesia Veins Knee & Popliteal Area Nos
$19,548
$4,200
$3,652
64
clean
Anes Arteries of Knee & Popliteal Area Nos
$141,187
$22,565
$19,621
64
clean
Anesthesia Closed Proc Lower Leg Ankle & Foot
$16,340
$4,330
$3,765
75
clean
Anesthesia Arthroscopic Procedure Ankle & Foot
$16,852
$4,330
$3,765
64
clean
Anes Nrv/Mus/Tnd/Fasc Lower Leg/Ankle/Foot Nos
$25,245
$4,330
$3,765
64
clean
Anes Rpr Ruptured Achilles Tendon W/WO Graft
$30,822
$9,532
$8,289
75
clean
Anesthesia Gastrocnemius Recession
$18,757
$4,558
$3,765
64
clean
Anes Open Proc Bones Lower Leg/Ankle/Foot Nos
$38,026
$9,532
$8,289
64
clean
Anes Radical Resecj Incl Below Knee Amputation
$39,553
$4,169
$765
64
clean
Anes Open Osteotomy/Osteoplasty Tibia&/Fibula
$18,773
$9,761
$8,289
64
clean
Anesthesia Open Total Ankle Replacement
$150,532
$25,241
$21,338
61
clean
Anes Lower Leg Cast Application Removal/Repair
$13,160
$1,276
$691
104
clean
Anesthesia Arteries Lower Leg W/Bypass Graft Nos
$185,748
$25,317
$20,836
64
clean
Anesthesia Veins of Lower Leg Nos
$22,429
$4,200
$3,652
64
clean
Nfct Ds Dna Untrgt Ngnrj Seq
$2,250
$2,250
$1,913
144
clean
Anes Nrv Musc Tndn Fscia Bursa Shoulder & Axilla
$21,814
$5,110
$4,443
64
clean
Anes Closed Humrl H/N Strnclav Joint& Sho Joint
$8,602
$854
$1,857
75
clean
Anes Diag Arthroscopic Shoulder Joint Proc Nos
$20,499
$1,732
$3,765
75
clean
Anes Arthrs Humeral H/N Strnclav & Shoulder Nos
$49,903
$9,533
$8,289
75
clean
Anes Arthroscopic Total Shoulder Replacement
$107,369
$24,764
$21,338
89
clean
Anesthesia Arteries Shoulder & Axilla Nos
$18,888
$4,200
$3,652
64
clean
Anes Nrv Musc Tdn Fsca&Brs Upr Arm/Elbow Nos
$33,067
$9,533
$8,289
75
clean
Anesthesia Open Tenotomy Elbow to Shoulder
$21,416
$4,330
$3,765
64
clean
Anesthesia Tenoplasty Elbow to Shoulder
$34,627
$9,532
$8,289
75
clean
Anesthesia Biceps Tenodesis Rupture Long Tendon
$43,600
$9,761
$8,289
78
clean
Anesthesia Closed Procedures Humerus & Elbow
$14,392
$3,813
$8,289
65
clean
Anesthesia Elbow Joint Diagnostic Arthroscopic
$30,137
$4,330
$3,765
75
clean
Anes Open/Surg Arthroscopic Elbow Proc Nos
$36,895
$9,761
$8,289
64
clean
Anesthesia Open/Surg Arthrs Osteotomy Humerus
$29,210
$9,647
$8,289
65
clean
Anes Open/Surg Arthrs Reprs Non/Malunion Humerus
$43,991
$16,499
$14,242
75
clean
Anesthesia Open/Surg Arthrs Radical Proc Elbow
$106,122
$13,986
$8,289
61
clean
Anesth Open/Surg Arthrs Exc Cyst/Tumor Humerus
$21,126
$9,532
$8,289
75
clean
Anesth Open/Surg Arthrs Total Elbow Replacement
$79,580
$24,892
$21,338
61
clean
Anesthesia Arteries Upper Arm & Elbow Nos
$20,507
$4,200
$3,652
64
clean
Anesthesia Veins Upper Arm & Elbow Nos
$40,382
$7,213
$6,272
75
clean
Anes Nerve Muscle Tdn Fascia&Bursa Forearm Wrist
$19,968
$2,136
$1,857
64
clean
Anes Radius Ulna Wrist/Hand Bones Closed Px
$16,029
$322
$278
64
clean
Anes Arthrs/Endscpy Dstl Radius Ulna/Wrist/Hand
$32,904
$9,532
$8,289
64
clean
Anesthesia Arthrs/Endoscpic Total Wrist Replcmt
$106,536
$24,539
$21,338
61
clean
Anesthesia Arteries Forearm Wrist & Hand Nos
$24,797
$7,213
$6,272
64
clean
Anes Arteries Forearm Wrist & Hand Embolectomy
$22,968
$6,793
$5,907
64
clean
Anesthesia Vascular Shunt/Shunt Revision
$27,508
$7,213
$6,272
64
clean
Anesthesia Veins Forearm Wrist & Hand Nos
$12,119
$2,162
$1,880
64
clean
Anesthesia Diagnostic Arteriography/Venograph
$125,315
$15,961
$6,272
77
clean
Anes C-Cathj W/C Angiography & Ventriculography
$36,676
$4,944
$3,732
82
clean

Showing the first 200 of 9,381 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,319 of 8,740 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
806,199 of 806,199 percentage/algorithm rates across 7,652 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
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 $101,453 (5.8×)
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 $68,455 (9.6×)
MS-DRG 640/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $28,582; the same hospital's average submitted charge to Medicare for this DRG is $96,771 (0.3×)
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 $90,862 (0.3×)
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 $59,681 (11.3×)
CPT 20700/o
info
mrf_cash_under_tenth_of_gross
cash price $2,011 is 8% of the gross charge $23,759
CPT 36216/o
info
mrf_cash_under_tenth_of_gross
cash price $3,043 is 6% of the gross charge $50,891
CPT 51900/o
info
mrf_cash_under_tenth_of_gross
cash price $1,193 is 3% of the gross charge $46,475
CPT 70551/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 6% of the gross charge $5,161
CPT 80081/o
info
mrf_cash_under_tenth_of_gross
cash price $122 is 7% of the gross charge $1,685
CPT 85046/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $87
CPT 87276/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 7% of the gross charge $3,683
CPT 95713/o
info
mrf_cash_under_tenth_of_gross
cash price $917 is 6% of the gross charge $15,128
CPT C8908/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 4% of the gross charge $12,552
CPT J7301/o
info
mrf_cash_under_tenth_of_gross
cash price $936 is 10% of the gross charge $9,636
CPT 20702/o
info
mrf_cash_under_tenth_of_gross
cash price $3,813 is 8% of the gross charge $50,468
CPT 70552/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $6,784
CPT 80143/o
info
mrf_cash_under_tenth_of_gross
cash price $172 is 6% of the gross charge $2,673
CPT 82627/o
info
mrf_cash_under_tenth_of_gross
cash price $269 is 9% of the gross charge $2,903
CPT 85046/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 7% of the gross charge $2,014
CPT 87285/o
info
mrf_cash_under_tenth_of_gross
cash price $189 is 8% of the gross charge $2,288
CPT 95714/b
info
mrf_cash_under_tenth_of_gross
cash price $708 is 9% of the gross charge $7,627
CPT C8908/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 4% of the gross charge $13,204
CPT 21230/o
info
mrf_cash_under_tenth_of_gross
cash price $3,386 is 8% of the gross charge $40,104
CPT 52000/o
info
mrf_cash_under_tenth_of_gross
cash price $356 is 4% of the gross charge $9,824
CPT 70552/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 8% of the gross charge $5,745
CPT 80145/o
info
mrf_cash_under_tenth_of_gross
cash price $103 is 6% of the gross charge $1,746
CPT 85048/b
info
mrf_cash_under_tenth_of_gross
cash price $3 is 4% of the gross charge $80
CPT 87305/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 6% of the gross charge $234
CPT 95714/o
info
mrf_cash_under_tenth_of_gross
cash price $1,824 is 4% of the gross charge $45,836
CPT C8910/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 10% of the gross charge $3,359
CPT 21299/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 2% of the gross charge $18,099
CPT 36218/o
info
mrf_cash_under_tenth_of_gross
cash price $6,360 is 5% of the gross charge $124,398
CPT 70553/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $6,920
CPT 80151/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 7% of the gross charge $313
CPT 85048/o
info
mrf_cash_under_tenth_of_gross
cash price $44 is 5% of the gross charge $826
CPT 87329/o
info
mrf_cash_under_tenth_of_gross
cash price $84 is 6% of the gross charge $1,400
CPT 95715/b
info
mrf_cash_under_tenth_of_gross
cash price $708 is 7% of the gross charge $9,551
CPT C8910/o
info
mrf_cash_under_tenth_of_gross
cash price $721 is 5% of the gross charge $14,103
CPT 70553/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 6% of the gross charge $7,572
CPT 80151/o
info
mrf_cash_under_tenth_of_gross
cash price $101 is 6% of the gross charge $1,705
CPT 82656/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $167
CPT 85049/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $70
CPT 87340/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 9% of the gross charge $2,511
CPT 95715/o
info
mrf_cash_under_tenth_of_gross
cash price $1,332 is 3% of the gross charge $40,487
CPT C8911/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 10% of the gross charge $4,841
CPT 52441/o
info
mrf_cash_under_tenth_of_gross
cash price $657 is 3% of the gross charge $24,216
CPT 71045/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 6% of the gross charge $2,002
CPT 80156/o
info
mrf_cash_under_tenth_of_gross
cash price $48 is 7% of the gross charge $662
CPT 82657/b
info
mrf_cash_under_tenth_of_gross
cash price $26 is 8% of the gross charge $316
CPT 85060/o
info
mrf_cash_under_tenth_of_gross
cash price $203 is 3% of the gross charge $6,555
CPT 87341/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 5% of the gross charge $217
CPT C8911/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 10% of the gross charge $4,950
CPT 52442/o
info
mrf_cash_under_tenth_of_gross
cash price $657 is 3% of the gross charge $24,216
CPT 71100/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 7% of the gross charge $1,601
CPT 80159/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 7% of the gross charge $313
CPT 87341/o
info
mrf_cash_under_tenth_of_gross
cash price $213 is 9% of the gross charge $2,244
CPT C8913/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 10% of the gross charge $3,359
CPT 71110/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 9% of the gross charge $1,638
CPT 80159/o
info
mrf_cash_under_tenth_of_gross
cash price $43 is 9% of the gross charge $479
CPT 85130/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 4% of the gross charge $309
CPT 87350/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $185
CPT 95805/b
info
mrf_cash_under_tenth_of_gross
cash price $708 is 8% of the gross charge $9,189
CPT C8913/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 8% of the gross charge $3,797
CPT J7510/o
info
mrf_cash_under_tenth_of_gross
cash price $282 is 2% of the gross charge $13,175
CPT 21550/o
info
mrf_cash_under_tenth_of_gross
cash price $2,036 is 9% of the gross charge $23,390
CPT 53415/o
info
mrf_cash_under_tenth_of_gross
cash price $1,827 is 6% of the gross charge $28,789
CPT 71120/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 9% of the gross charge $1,303
CPT 80162/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $228
CPT 82664/o
info
mrf_cash_under_tenth_of_gross
cash price $847 is 9% of the gross charge $9,512
CPT 87350/o
info
mrf_cash_under_tenth_of_gross
cash price $140 is 10% of the gross charge $1,445
CPT C8914/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 10% of the gross charge $4,841
CPT 21615/o
info
mrf_cash_under_tenth_of_gross
cash price $980 is 3% of the gross charge $32,362
CPT 71250/b
info
mrf_cash_under_tenth_of_gross
cash price $142 is 4% of the gross charge $3,518
CPT 80162/o
info
mrf_cash_under_tenth_of_gross
cash price $83 is 8% of the gross charge $1,072
CPT 82668/o
info
mrf_cash_under_tenth_of_gross
cash price $194 is 8% of the gross charge $2,571
CPT 87385/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 4% of the gross charge $391
CPT C8914/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 9% of the gross charge $5,462
CPT J7512/o
info
mrf_cash_under_tenth_of_gross
cash price $5,599 is 9% of the gross charge $64,082
CPT 21750/o
info
mrf_cash_under_tenth_of_gross
cash price $3,646 is 7% of the gross charge $50,405
CPT 71250/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 4% of the gross charge $3,518
CPT 80164/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 5% of the gross charge $322
CPT 82670/o
info
mrf_cash_under_tenth_of_gross
cash price $183 is 8% of the gross charge $2,305
CPT 85245/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 8% of the gross charge $1,542
CPT C8919/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 10% of the gross charge $3,359
CPT J7515/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 1% of the gross charge $18,087
CPT 54056/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 1% of the gross charge $18,515
CPT 71260/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 6% of the gross charge $4,261
CPT 80164/o
info
mrf_cash_under_tenth_of_gross
cash price $47 is 5% of the gross charge $858
CPT C8919/o
info
mrf_cash_under_tenth_of_gross
cash price $721 is 9% of the gross charge $7,594
CPT 36416/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 9% of the gross charge $294
CPT 71260/o
info
mrf_cash_under_tenth_of_gross
cash price $581 is 4% of the gross charge $12,908
CPT 80167/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 7% of the gross charge $313
CPT 82672/b
info
mrf_cash_under_tenth_of_gross
cash price $25 is 9% of the gross charge $270
CPT C8920/b
info
mrf_cash_under_tenth_of_gross
cash price $449 is 9% of the gross charge $4,841
CPT 21930/o
info
mrf_cash_under_tenth_of_gross
cash price $865 is 9% of the gross charge $9,698
CPT 71270/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 5% of the gross charge $4,710
CPT 80167/o
info
mrf_cash_under_tenth_of_gross
cash price $57 is 9% of the gross charge $603
CPT 87449/o
info
mrf_cash_under_tenth_of_gross
cash price $168 is 9% of the gross charge $1,780
CPT C8920/o
info
mrf_cash_under_tenth_of_gross
cash price $1,141 is 10% of the gross charge $11,440
MS-DRG 147/i
info
mrf_cash_under_tenth_of_gross
cash price $12,443 is 5% of the gross charge $267,529
CPT 21931/o
info
mrf_cash_under_tenth_of_gross
cash price $865 is 6% of the gross charge $14,584
CPT 71270/o
info
mrf_cash_under_tenth_of_gross
cash price $238 is 5% of the gross charge $5,161
CPT 80168/b
info
mrf_cash_under_tenth_of_gross
cash price $19 is 9% of the gross charge $205
CPT 82710/o
info
mrf_cash_under_tenth_of_gross
cash price $43 is 3% of the gross charge $1,501
CPT 85291/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $155
CPT 87471/o
info
mrf_cash_under_tenth_of_gross
cash price $246 is 8% of the gross charge $3,094
CPT C8935/o
info
mrf_cash_under_tenth_of_gross
cash price $721 is 9% of the gross charge $8,266
CPT 22849/o
info
mrf_cash_under_tenth_of_gross
cash price $2,753 is 7% of the gross charge $37,582
CPT 71271/b
info
mrf_cash_under_tenth_of_gross
cash price $142 is 7% of the gross charge $2,133
CPT 80168/o
info
mrf_cash_under_tenth_of_gross
cash price $120 is 10% of the gross charge $1,246
CPT 82715/o
info
mrf_cash_under_tenth_of_gross
cash price $188 is 6% of the gross charge $3,239
CPT 85301/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 5% of the gross charge $263
CPT 87476/o
info
mrf_cash_under_tenth_of_gross
cash price $89 is 4% of the gross charge $2,529
CPT C8936/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 9% of the gross charge $5,462
CPT J9025/o
info
mrf_cash_under_tenth_of_gross
cash price $95 is 6% of the gross charge $1,533
CPT 22850/o
info
mrf_cash_under_tenth_of_gross
cash price $3,642 is 6% of the gross charge $58,870
CPT 71271/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 7% of the gross charge $2,133
CPT 80169/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 7% of the gross charge $221
CPT 82726/o
info
mrf_cash_under_tenth_of_gross
cash price $307 is 7% of the gross charge $4,161
CPT 85302/o
info
mrf_cash_under_tenth_of_gross
cash price $307 is 6% of the gross charge $4,777
CPT 87480/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 7% of the gross charge $331
CPT J9034/o
info
mrf_cash_under_tenth_of_gross
cash price $4,298 is 10% of the gross charge $43,001
CPT 55821/o
info
mrf_cash_under_tenth_of_gross
cash price $1,481 is 4% of the gross charge $32,959
CPT 71275/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 9% of the gross charge $2,618
CPT 80169/o
info
mrf_cash_under_tenth_of_gross
cash price $76 is 7% of the gross charge $1,116
CPT 82728/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 4% of the gross charge $380
CPT 85303/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 8% of the gross charge $212
CPT C8937/o
info
mrf_cash_under_tenth_of_gross
cash price $449 is 6% of the gross charge $7,327
CPT 71275/o
info
mrf_cash_under_tenth_of_gross
cash price $238 is 9% of the gross charge $2,749
CPT 80171/o
info
mrf_cash_under_tenth_of_gross
cash price $153 is 9% of the gross charge $1,713
CPT 82728/o
info
mrf_cash_under_tenth_of_gross
cash price $148 is 7% of the gross charge $2,273
CPT 85305/o
info
mrf_cash_under_tenth_of_gross
cash price $481 is 10% of the gross charge $4,942
CPT C9254/o
info
mrf_cash_under_tenth_of_gross
cash price $12,868 is 8% of the gross charge $153,429
CPT 71550/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 6% of the gross charge $5,161
CPT 80175/o
info
mrf_cash_under_tenth_of_gross
cash price $70 is 9% of the gross charge $813
CPT 82731/b
info
mrf_cash_under_tenth_of_gross
cash price $74 is 5% of the gross charge $1,461
CPT 85306/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $302
CPT J9041/o
info
mrf_cash_under_tenth_of_gross
cash price $95 is 7% of the gross charge $1,363
CPT 36558/o
info
mrf_cash_under_tenth_of_gross
cash price $1,680 is 8% of the gross charge $21,964
CPT 71550/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,469
CPT 80178/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $160
CPT 82731/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 3% of the gross charge $4,647
CPT 85335/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $166
CPT 71552/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 8% of the gross charge $6,088
CPT 80178/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 7% of the gross charge $383
CPT 82746/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 6% of the gross charge $273
CPT 85347/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 8% of the gross charge $65
CPT 87496/o
info
mrf_cash_under_tenth_of_gross
cash price $443 is 6% of the gross charge $7,176
CPT 10080/o
info
mrf_cash_under_tenth_of_gross
cash price $558 is 4% of the gross charge $14,105
CPT 56605/o
info
mrf_cash_under_tenth_of_gross
cash price $1,162 is 7% of the gross charge $16,090
CPT 71552/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $6,740
CPT 80179/o
info
mrf_cash_under_tenth_of_gross
cash price $153 is 5% of the gross charge $3,227
CPT 82746/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 5% of the gross charge $2,601
CPT 85360/o
info
mrf_cash_under_tenth_of_gross
cash price $196 is 6% of the gross charge $3,090
CPT 87497/b
info
mrf_cash_under_tenth_of_gross
cash price $49 is 10% of the gross charge $507
CPT C9399/o
info
mrf_cash_under_tenth_of_gross
cash price $1,098 is 10% of the gross charge $11,553
CPT 56606/o
info
mrf_cash_under_tenth_of_gross
cash price $1,391 is 9% of the gross charge $15,227
CPT 72020/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 10% of the gross charge $1,462
CPT 80180/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 8% of the gross charge $273
CPT 85362/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 4% of the gross charge $197
CPT 87497/o
info
mrf_cash_under_tenth_of_gross
cash price $121 is 8% of the gross charge $1,522
CPT C9482/o
info
mrf_cash_under_tenth_of_gross
cash price $2,672 is 7% of the gross charge $36,928
CPT 23620/o
info
mrf_cash_under_tenth_of_gross
cash price $320 is 3% of the gross charge $11,098
CPT 72040/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 7% of the gross charge $1,949
CPT 80180/o
info
mrf_cash_under_tenth_of_gross
cash price $103 is 6% of the gross charge $1,675
CPT 95965/o
info
mrf_cash_under_tenth_of_gross
cash price $1,773 is 6% of the gross charge $28,571
CPT 56820/o
info
mrf_cash_under_tenth_of_gross
cash price $1,355 is 6% of the gross charge $22,223
CPT 72070/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 7% of the gross charge $2,027
CPT 80181/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 7% of the gross charge $313
CPT 82785/b
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $229
CPT 85366/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 4% of the gross charge $4,011
CPT 87498/o
info
mrf_cash_under_tenth_of_gross
cash price $248 is 8% of the gross charge $3,149
CPT 57100/o
info
mrf_cash_under_tenth_of_gross
cash price $1,163 is 7% of the gross charge $17,305
CPT 72074/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 10% of the gross charge $1,462
CPT 80181/o
info
mrf_cash_under_tenth_of_gross
cash price $90 is 6% of the gross charge $1,548
CPT 85378/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 6% of the gross charge $198
CPT J9071/o
info
mrf_cash_under_tenth_of_gross
cash price $1,742 is 5% of the gross charge $36,733
CPT 72081/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 7% of the gross charge $1,899
CPT 80183/o
info
mrf_cash_under_tenth_of_gross
cash price $79 is 8% of the gross charge $997
CPT 82787/o
info
mrf_cash_under_tenth_of_gross
cash price $124 is 8% of the gross charge $1,608
CPT 85378/o
info
mrf_cash_under_tenth_of_gross
cash price $93 is 7% of the gross charge $1,337
CPT 95972/b
info
mrf_cash_under_tenth_of_gross
cash price $122 is 2% of the gross charge $5,802
CPT J9073/o
info
mrf_cash_under_tenth_of_gross
cash price $1,672 is 2% of the gross charge $75,793
CPT 23700/o
info
mrf_cash_under_tenth_of_gross
cash price $854 is 10% of the gross charge $8,958
CPT 72083/b
info
mrf_cash_under_tenth_of_gross
cash price $142 is 10% of the gross charge $1,431
CPT 80184/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $217
CPT 85420/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 3% of the gross charge $281
CPT G0103/o
info
mrf_cash_under_tenth_of_gross
cash price $90 is 5% of the gross charge $1,629
CPT 57308/o
info
mrf_cash_under_tenth_of_gross
cash price $1,375 is 7% of the gross charge $19,035
CPT 72084/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 8% of the gross charge $1,888
CPT 80184/o
info
mrf_cash_under_tenth_of_gross
cash price $92 is 8% of the gross charge $1,224
CPT 82941/o
info
mrf_cash_under_tenth_of_gross
cash price $83 is 5% of the gross charge $1,560
CPT 85460/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 2% of the gross charge $466
CPT 87510/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 7% of the gross charge $331
CPT J9075/o
info
mrf_cash_under_tenth_of_gross
cash price $1,705 is 4% of the gross charge $38,049
CPT 24065/o
info
mrf_cash_under_tenth_of_gross
cash price $2,162 is 9% of the gross charge $24,685
CPT 72100/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 8% of the gross charge $1,547

Showing the first 200 of 3,833 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $96,605 is 11.5× the total payment
MS-DRG 100
info
inp_charge_10x_payment
average charge $173,896 is 10.6× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $80,560 is 10.6× the total payment
MS-DRG 149
info
inp_charge_10x_payment
average charge $73,035 is 10.5× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $118,074 is 11.3× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $109,335 is 11.4× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $72,183 is 11.6× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $72,424 is 10.0× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $71,198 is 10.8× the total payment
MS-DRG 439
info
inp_charge_10x_payment
average charge $91,341 is 12.0× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $82,643 is 10.0× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $69,413 is 10.5× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $85,870 is 11.6× the total payment
MS-DRG 812
info
inp_charge_10x_payment
average charge $81,886 is 10.3× the total payment
MS-DRG 897
info
inp_charge_10x_payment
average charge $77,411 is 10.9× 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 · 1,121.0M bytes · fetched 2026-08-23 · sha256 b0259d86bf79…

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.