Hospital · CCN 310024

Robert Wood Johnson University Hospital At Rahway

865 Stone St, Rahway, NJ 07065 · Union County
Part of RWJBarnabas Health · 139 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

26 admission types 30 outpatient services price file: ok 3 Medicare-file findings
Billed per dollar paid, all admissions
7.20×
$88.3M billed against $12.3M paid across 794 Medicare discharges; the national figure is 5.03×.
1.0%
of adults in Union County have medical debt in collections
12.6%
uninsured in the county · state 8.0%
$100K
median household income
6.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
29.7%
obesity in the countyⓘ
11.6%
diagnosed diabetes (PLACES)
5.5%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
280
$120,887
$16,607
7.3× st 6.8×
291
Heart failure and shock with mcc
65
$88,592
$10,872
8.1× st 7.6×
280
Acute myocardial infarction, discharged alive with mcc
43
$100,420
$13,711
7.3× st 7.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
32
$212,387
$39,796
5.3× st 6.0×
698
Other kidney and urinary tract diagnoses with mcc
30
$98,343
$13,518
7.3× st 6.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
28
$74,585
$9,316
8.0× st 7.3×
870
Septicemia or severe sepsis with mv >96 hours
27
$280,594
$50,470
5.6× st 5.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
24
$90,231
$10,972
8.2× st 7.2×
689
Kidney and urinary tract infections with mcc
22
$83,687
$9,677
8.6× st 7.5×
682
Renal failure with mcc
21
$110,947
$12,072
9.2× st 7.3×
189
Pulmonary edema and respiratory failure
20
$81,493
$13,004
6.3× st 7.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
19
$101,748
$15,342
6.6× st 7.3×
309
Cardiac arrhythmia and conduction disorders with cc
16
$58,823
$8,621
6.8× st 8.0×
177
Respiratory infections and inflammations with mcc
16
$141,376
$13,814
10.2× st 7.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$88,447
$9,146
9.7× st 8.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$60,215
$6,627
9.1× st 7.8×
193
Simple pneumonia and pleurisy with mcc
14
$119,007
$11,085
10.7× st 7.6×
884
Organic disturbances and intellectual disability
13
$66,539
$11,997
5.5× st 5.8×
638
Diabetes with cc
12
$48,317
$6,978
6.9× st 7.8×
683
Renal failure with cc
12
$72,455
$7,524
9.6× st 7.5×
552
Medical back problems without mcc
12
$60,688
$7,852
7.7× st 6.7×
312
Syncope and collapse
12
$75,156
$7,457
10.1× st 7.8×
377
Gastrointestinal hemorrhage with mcc
11
$131,956
$13,381
9.9× st 7.2×
281
Acute myocardial infarction, discharged alive with cc
11
$69,092
$7,511
9.2× st 7.4×
190
Chronic obstructive pulmonary disease with mcc
11
$82,137
$9,120
9.0× st 8.3×
637
Diabetes with mcc
11
$70,997
$11,472
6.2× st 6.8×
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
145
$32,360
$2,804
11.5×
5373
Level 3 Urology and Related Services
67
$14,556
$2,107
6.9×
5115
Level 5 Musculoskeletal Procedures
63
$69,696
$13,564
5.1×
5491
Level 1 Intraocular Procedures
62
$19,809
$2,440
8.1×
5374
Level 4 Urology and Related Services
48
$20,083
$3,650
5.5×
5114
Level 4 Musculoskeletal Procedures
30
$44,473
$7,490
5.9×
5375
Level 5 Urology and Related Services
27
$26,757
$5,097
5.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
20
$9,555
$1,562
6.1×
5302
Level 2 Upper GI Procedures
20
$13,252
$1,992
6.7×
5113
Level 3 Musculoskeletal Procedures
19
$22,541
$3,247
6.9×
5361
Level 1 Laparoscopy and Related Services
18
$36,811
$6,041
6.1×
5183
Level 3 Vascular Procedures
14
$18,830
$3,147
6.0×
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5191
Level 1 Endovascular Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-03-04, template 3.0.0, 207,289 rows scanned, 18,784 distinct code–setting items kept. 12,442 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
FNA BX W/O IMG GDN EA ADDL
—
$4,627
$2,595
33
clean
FNA BX W/US GDN 1ST LES
$2,869
$4,627
$1,877
86
clean
FNA BX W/US GDN EA ADDL
$1,283
$4,627
$2,595
47
clean
FNA BX W/FLUOR GDN 1ST LES
$1,447
$4,627
$1,782
86
clean
FNA BX W/CT GDN 1ST LES
$1,941
$4,627
$1,877
86
clean
FNA BX W/CT GDN EA ADDL
$1,406
$4,627
$2,595
47
clean
FNA BX W/MR GDN 1ST LES
—
$4,627
$1,877
73
clean
FNA BX W/MR GDN EA ADDL
—
$4,627
$2,598
32
clean
FNA BX W/O IMG GDN 1ST LES
—
$4,627
$1,877
74
clean
HC DRN Cath Fluid Soft Tissue Img
$1,726
$4,627
$1,782
86
clean
PLMT SFT TISS LOCLZJ DEV 1ST
—
$4,627
$2,265
73
clean
PLMT SFT TISS LOCLZJ DEV EA
—
$4,627
$2,598
32
clean
ACNE SURGERY
—
$4,627
$1,877
74
clean
HC Drain Skin Abscess Simple
$973
$4,627
$1,782
82
clean
HC Drain Skin Abscess Complic
$1,869
$4,627
$1,869
82
clean
HC Drain Pilonidal Cyst Simpl
$912
$4,627
$1,877
82
clean
I&D PILONIDAL CYST COMP
—
$4,627
$1,877
74
clean
HC Remove Foreign Body Simple
$777
$4,627
$1,782
82
clean
HC Incision/Rem FB Subq Cplx
$3,041
$4,627
$3,090
82
clean
HC I&D Hematoma/Seroma/Fluid
$4,868
$4,627
$3,090
82
clean
HC Asp Absc/Hema/Cyst/Bulla
$793
$4,627
$1,402
106
clean
HC Complex Drainage, Wound
$4,014
$4,627
$3,446
82
clean
DBRDMT ECZ/INFECTED SKIN<10%
$1,117
$4,627
$1,877
82
clean
DBRDMT ECZ/INFCT SKN EA ADDL
$348
$4,627
$2,595
43
clean
DBRDMT SKIN XTRNL GENT&PER
—
$4,627
$2,595
33
clean
DBRDMT SKIN ABDOMINAL WALL
—
$4,627
$2,595
33
clean
DBRDMT SKIN XTRNL GENT PER
—
$4,627
$2,595
33
clean
RMV PRSTC MTRL/MESH ABD WALL
—
$4,627
$5,085
33
clean
DEBRIDE SKIN AT FX SITE
$2,156
$4,627
$2,265
82
clean
DEBRIDE SKIN MUSC AT FX SITE
—
$4,627
$2,265
74
clean
DEB SKIN BONE AT FX SITE
—
$4,627
$2,647
74
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
$2,053
$4,627
$2,211
82
clean
DBRDMT MUSC&/FSCA 1ST 20/<
$3,056
$4,627
$2,265
82
clean
DBRDMT BONE 1ST 20 SQ CM/<
$5,149
$4,627
$2,386
82
clean
DBRDMT SUBQ TISS EACH ADDL
$1,608
$4,627
$2,595
43
clean
DBRDMT MUSC&/FSCA EA ADDL
$1,404
$4,627
$2,595
43
clean
DBRDMT BONE EACH ADDL
$1,954
$4,627
$2,595
43
clean
HC Trim Hyperkeratotic Skin Lesion, One
$392
$4,627
$1,782
82
clean
HC Paring Lesions Benign 2-4
$432
$4,627
$1,782
82
clean
HC Paring Lesions Benign > 4
$491
$4,627
$1,782
82
clean
HC Bx Lesion Tangential Single
$683
$4,627
$1,782
82
clean
HC Bx Lesion Tangential Addl
$398
$4,627
$2,595
43
clean
HC Bx Lesion Punch Single
$1,285
$4,627
$1,782
82
clean
HC Bx Lesion Punch Addl
$442
$4,627
$2,595
43
clean
HC Bx Lesion Incisional Single
$1,284
$4,627
$1,877
82
clean
HC Bx Lesion Incisional Addl
$560
$4,627
$2,595
43
clean
HC Removal of Skin Tags, Up to 15
$298
$4,627
$1,782
82
clean
HC Remove Skin Tag Ea Addl 10
$250
$4,627
$2,595
43
clean
HC Shv Lesn Trunk/Arm <.5cm
$519
$4,627
$1,782
82
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION >2.0 CM
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION 0.5 CM/<
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION >2.0 CM
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION 0.5 CM/<
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$4,627
$1,877
74
clean
SHAVE SKIN LESION >2.0 CM
—
$4,627
$1,877
74
clean
EXC TR-EXT B9+MARG 0.5 CM<
$1,130
$4,627
$1,877
82
clean
EXC TR-EXT B9+MARG 0.6-1 CM
$1,411
$4,627
$1,782
82
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$1,543
$4,627
$1,782
86
clean
EXC TR-EXT B9+MARG 2.1-3CM
$1,950
$4,627
$1,877
86
clean
EXC TR-EXT B9+MARG 3.1-4 CM
$2,540
$4,627
$3,090
86
clean
EXC TR-EXT B9+MARG >4.0 CM
$4,176
$4,627
$3,090
82
clean
EXC H-F-NK-SP B9+MARG 0.5/<
$2,100
$4,627
$2,100
86
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$2,543
$4,627
$1,877
86
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
$4,627
$2,255
78
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
$4,627
$3,090
78
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
$4,627
$3,090
78
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
$4,627
$3,446
78
clean
EXC FACE-MM B9+MARG 0.5 CM/<
$1,515
$4,627
$1,782
86
clean
EXC FACE-MM B9+MARG 0.6-1 CM
$1,877
$4,627
$1,877
86
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
$4,627
$1,877
78
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
$4,627
$2,255
78
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
$4,627
$2,255
74
clean
EXC FACE-MM B9+MARG >4 CM
—
$4,627
$3,446
74
clean
EXC SKN HDRDNT AX SMPL/NTRM
—
$4,627
$3,446
74
clean
EXC SKN HDRDNT AX COMPLEX
—
$4,627
$3,446
74
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
$4,627
$3,446
74
clean
EXC SKN HDRDNT ING COMPLEX
—
$4,627
$3,446
74
clean
EXC SKN H/P/P/U SMPL/NTRM
—
$4,627
$3,446
78
clean
EXC SKN H/P/P/U COMPLEX
—
$4,627
$3,446
74
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
$4,627
$1,877
74
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
$4,627
$1,877
74
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
$4,627
$1,877
74
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
$4,627
$1,877
74
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
$4,627
$2,265
74
clean
EXC TR-EXT MAL+MARG >4 CM
—
$4,627
$3,090
74
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
$4,627
$2,255
74
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
$4,627
$1,877
74
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
$4,627
$1,877
74
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
$4,627
$2,255
74
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
$4,627
$3,090
74
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
$4,627
$3,446
74
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
$4,627
$1,877
74
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
$4,627
$1,877
74
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
$4,627
$1,877
74
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
$4,627
$2,255
74
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
$4,627
$3,090
74
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
$4,627
$3,446
74
clean
HC Trimming Nails Nondystrophic
$117
$4,627
$1,782
82
clean
DEBRIDE NAIL 1-5
$334
$4,627
$1,782
82
clean
DEBRIDE NAIL 6 OR MORE
$688
$4,627
$1,782
82
clean
HC Removal of Nail Plate
$597
$4,627
$1,782
82
clean
HC Avulsion Nail Plate Ea Add
$278
$4,627
$2,595
43
clean
DRAIN BLOOD FROM UNDER NAIL
$264
$4,627
$1,782
82
clean
HC Removal of Nail Bed
$1,039
$4,627
$1,782
82
clean
BIOPSY NAIL UNIT
—
$4,627
$1,877
74
clean
REPAIR OF NAIL BED
—
$4,627
$1,877
74
clean
RECONSTRUCTION OF NAIL BED
—
$4,627
$3,090
74
clean
EXCISION OF NAIL FOLD TOE
$519
$4,627
$1,782
82
clean
REMOVE PILONIDAL CYST SIMPLE
—
$4,627
$3,446
74
clean
REMOVE PILONIDAL CYST EXTEN
—
$4,627
$3,446
74
clean
REMOVE PILONIDAL CYST COMPL
—
$4,627
$3,446
74
clean
HC Inj Intralesnal <7 Lesns
$258
$4,627
$1,782
82
clean
INJECT SKIN LESIONS >7
—
$4,627
$1,877
74
clean
CORRECT SKIN COLOR 6.0 CM/<
—
$4,627
$1,877
73
clean
CORRECT SKN COLOR 6.1-20.0CM
—
$4,627
$1,877
74
clean
CORRECT SKIN COLOR EA 20.0CM
—
$4,627
$2,598
32
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
$4,627
$1,877
73
clean
HC Insert Tissue Expander
$4,744
$4,627
$4,332
82
clean
RPLCMT TISS XPNDR PERM IMPLT
—
$4,627
$5,934
74
clean
HC Remove Tissue Expander
$3,709
$4,627
$3,446
82
clean
IMPLANT HORMONE PELLET(S)
—
$4,627
$1,877
74
clean
INSERTION DRUG DLVR IMPLANT
—
$4,627
$1,877
74
clean
REMOVE DRUG IMPLANT DEVICE
—
$4,627
$1,877
74
clean
REMOVE/INSERT DRUG IMPLANT
—
$4,627
$1,877
74
clean
HC Rpr Lac Smp Scalp <2.5 Cm
$924
$4,627
$1,782
82
clean
HC Rpr Lac Smp Scalp 2.6-7.5cm
$1,214
$4,627
$1,782
82
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
—
$4,627
$1,877
74
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
—
$4,627
$2,265
74
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
—
$4,627
$2,265
74
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
—
$4,627
$2,265
74
clean
RPR F/E/E/N/L/M 2.5 CM/<
—
$4,627
$1,877
74
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
—
$4,627
$1,877
74
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
—
$4,627
$1,877
74
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
—
$4,627
$1,877
74
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
—
$4,627
$2,265
74
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
$4,627
$2,265
74
clean
RPR F/E/E/N/L/M >30.0 CM
—
$4,627
$2,265
74
clean
HC Closure Superf Wnd Dehis Simple
$1,185
$4,627
$1,877
82
clean
TX SUPFC WND DEHSN W/PACKING
—
$4,627
$1,877
74
clean
HC Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm
$503
$4,627
$1,782
82
clean
HC Layr Clos Wnd Trunk,Arm,Leg 2.6-7.5 Cm
$633
$4,627
$1,782
82
clean
HC Layr Clos Wnd Trunk,Arm,Leg 7.6-12.5 Cm
$681
$4,627
$2,211
82
clean
HC Layr Clos Wnd Trunk,Arm,Leg 12.6-20 Cm
$804
$4,627
$2,211
82
clean
INTMD RPR S/A/T/EXT 20.1-30
—
$4,627
$2,265
74
clean
INTMD RPR S/TR/EXT >30.0 CM
—
$4,627
$3,090
74
clean
HC Layr Clos Wnd Neck <2.5 Cm
$633
$4,627
$1,782
82
clean
HC Layr Clos Wnd Neck 2.6-7.5 Cm
$849
$4,627
$1,782
82
clean
HC Layr Clos Wnd Neck 7.6-12.5 Cm
$1,163
$4,627
$2,211
82
clean
INTMD RPR N-HF/GENIT12.6-20
—
$4,627
$2,265
74
clean
INTMD RPR N-HF/GENIT20.1-30
—
$4,627
$2,265
74
clean
INTMD RPR N-HF/GENIT >30.0CM
—
$4,627
$3,090
74
clean
INTMD RPR FACE/MM 2.5 CM/<
—
$4,627
$1,877
74
clean
INTMD RPR FACE/MM 2.6-5.0 CM
—
$4,627
$1,877
74
clean
INTMD RPR FACE/MM 5.1-7.5 CM
—
$4,627
$1,877
74
clean
INTMD RPR FACE/MM 7.6-12.5CM
—
$4,627
$2,265
74
clean
INTMD RPR FACE/MM 12.6-20 CM
—
$4,627
$2,265
74
clean
INTMD RPR FACE/MM 20.1-30.0
—
$4,627
$2,265
74
clean
INTMD RPR FACE/MM >30.0 CM
—
$4,627
$2,265
74
clean
CMPLX RPR TRUNK 1.1-2.5 CM
$1,397
$4,627
$2,211
86
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
$4,627
$2,595
78
clean
CMPLX RPR TRUNK ADDL 5CM/<
$851
$4,627
$2,595
43
clean
CMPLX RPR S/A/L 1.1-2.5 CM
$1,179
$4,627
$2,211
82
clean
CMPLX RPR S/A/L 2.6-7.5 CM
$1,319
$4,627
$2,211
86
clean
CMPLX RPR S/A/L ADDL 5 CM/>
—
$4,627
$2,595
33
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,000
$4,627
$2,211
82
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,245
$4,627
$2,211
86
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
$4,627
$2,595
33
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
—
$4,627
$2,595
78
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
—
$4,627
$2,595
78
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
—
$4,627
$2,595
33
clean
HC Closure Wound Cplx Secondary
$5,216
$4,627
$3,090
82
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
$4,627
$3,090
74
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
$4,627
$3,090
74
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
$4,627
$3,090
78
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
$4,627
$3,090
74
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
$4,627
$3,090
78
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
$4,627
$3,090
74
clean
HC Trnsf Tiss E/N/E/L <10cm
$3,291
$4,627
$3,090
86
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
$4,627
$3,090
74
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
$4,627
$5,532
74
clean
TIS TRNFR ADDL 30 SQ CM
—
$4,627
$2,595
33
clean
FILLETED FINGER/TOE FLAP
—
$4,627
$3,090
74
clean
HC Wound Prep, Ped, Trk/Arm/Lg 1st 100 Cm
$5,669
$4,627
$3,090
82
clean
HC Wound Prep, Ped, Trk/Arm/Lg Addl 100 Cm
$1,187
$4,627
$2,595
42
clean
HC Wnd Prep Ped, Face/Nck/Hnd/Ft/Gen 1st 100 Cm
$2,098
$4,627
$2,211
81
clean
HC Wnd Prep,Ped, Face/Nck/Hnd/Ft/Gen Add 100 Cm
$667
$4,627
$2,595
42
clean
HARVEST CULTURED SKIN GRAFT
—
$4,627
$3,090
74
clean
PINCH GRAFT UP TO 2 CM DIAM
—
$4,627
$2,265
74
clean
HC Grft Splt Trnk1st100sqcm/1%Ped
$2,893
$4,627
$3,090
82
clean
HC Grft Splt Trnk Ea100sqcm/1%Ped
$2,409
$4,627
$2,595
43
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
$2,845
$4,627
$3,090
82
clean
EPIDRM AUTOGRFT T/A/L ADD-ON
$431
$4,627
$2,595
43
clean
EPIDRM A-GRFT FACE/NCK/HF/G
$4,303
$4,627
$3,090
82
clean
EPIDRM A-GRFT F/N/HF/G ADDL
$1,026
$4,627
$2,595
43
clean
HC Grft Splt Head1st100sqcm/1%Ped
$4,744
$4,627
$4,332
82
clean

Showing the first 200 of 18,784 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_cash_above_gross_systematic
299 of 2,025 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. discounted cash price $4,627 exceeds gross charge $2,869
warn
mrf_negotiated_above_gross_systematic
961 of 2,142 comparable items (45%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $3,114 exceeds the gross charge $2,869
warn
mrf_rate_without_estimate
740,092 of 740,092 percentage/algorithm rates across 17,447 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 11406/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,176 — part of a file-wide pattern, counted once at the file level
CPT 15274/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,810 — part of a file-wide pattern, counted once at the file level
CPT 20552/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $766 — part of a file-wide pattern, counted once at the file level
CPT 51725/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $545 — part of a file-wide pattern, counted once at the file level
CPT 58340/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $666 — part of a file-wide pattern, counted once at the file level
CPT 36002/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,236 — part of a file-wide pattern, counted once at the file level
CPT 11420/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,100 — part of a file-wide pattern, counted once at the file level
CPT 33215/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,571 — part of a file-wide pattern, counted once at the file level
CPT 51726/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $853 — part of a file-wide pattern, counted once at the file level
CPT 15276/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,102 — part of a file-wide pattern, counted once at the file level
CPT 49440/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,994 — part of a file-wide pattern, counted once at the file level
CPT 36005/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $870 — part of a file-wide pattern, counted once at the file level
CPT 11421/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,543 — part of a file-wide pattern, counted once at the file level
CPT 51727/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $984 — part of a file-wide pattern, counted once at the file level
CPT 15277/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,270 — part of a file-wide pattern, counted once at the file level
CPT 20600/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $724 — part of a file-wide pattern, counted once at the file level
CPT 28899/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,118 — part of a file-wide pattern, counted once at the file level
CPT 36011/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $998 — part of a file-wide pattern, counted once at the file level
CPT 15278/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $908 — part of a file-wide pattern, counted once at the file level
CPT 20604/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,589 — part of a file-wide pattern, counted once at the file level
CPT 49450/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,216 — part of a file-wide pattern, counted once at the file level
CPT 37214/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,078 — part of a file-wide pattern, counted once at the file level
CPT 51736/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $188 — part of a file-wide pattern, counted once at the file level
CPT 36012/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $978 — part of a file-wide pattern, counted once at the file level
CPT 11440/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,515 — part of a file-wide pattern, counted once at the file level
CPT 20605/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $779 — part of a file-wide pattern, counted once at the file level
CPT 31500/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,520 — part of a file-wide pattern, counted once at the file level
CPT 43752/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $587 — part of a file-wide pattern, counted once at the file level
CPT 51741/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $404 — part of a file-wide pattern, counted once at the file level
CPT 33222/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,145 — part of a file-wide pattern, counted once at the file level
CPT 36013/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $837 — part of a file-wide pattern, counted once at the file level
CPT 49460/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,216 — part of a file-wide pattern, counted once at the file level
CPT 11441/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,877 — part of a file-wide pattern, counted once at the file level
CPT 20606/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,607 — part of a file-wide pattern, counted once at the file level
CPT 33223/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,568 — part of a file-wide pattern, counted once at the file level
CPT 49465/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $512 — part of a file-wide pattern, counted once at the file level
CPT 20610/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,483 — part of a file-wide pattern, counted once at the file level
CPT 36140/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,668 — part of a file-wide pattern, counted once at the file level
CPT 43761/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,394 — part of a file-wide pattern, counted once at the file level
CPT 51798/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $282 — part of a file-wide pattern, counted once at the file level
CPT 20611/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,565 — part of a file-wide pattern, counted once at the file level
CPT 29085/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $454 — part of a file-wide pattern, counted once at the file level
CPT 20612/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $383 — part of a file-wide pattern, counted once at the file level
CPT 33226/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,489 — part of a file-wide pattern, counted once at the file level
CPT 36200/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,382 — part of a file-wide pattern, counted once at the file level
CPT 29105/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $490 — part of a file-wide pattern, counted once at the file level
CPT 36215/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,235 — part of a file-wide pattern, counted once at the file level
CPT 64435/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,051 — part of a file-wide pattern, counted once at the file level
CPT 36216/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,981 — part of a file-wide pattern, counted once at the file level
CPT 36217/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,706 — part of a file-wide pattern, counted once at the file level
CPT 36218/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $691 — part of a file-wide pattern, counted once at the file level
CPT 64450/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,745 — part of a file-wide pattern, counted once at the file level
CPT 33967/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,721 — part of a file-wide pattern, counted once at the file level
CPT 29405/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $629 — part of a file-wide pattern, counted once at the file level
CPT 11719/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $117 — part of a file-wide pattern, counted once at the file level
CPT 28001/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,194 — part of a file-wide pattern, counted once at the file level
CPT 36245/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,559 — part of a file-wide pattern, counted once at the file level
CPT 11720/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $334 — part of a file-wide pattern, counted once at the file level
CPT 28002/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,614 — part of a file-wide pattern, counted once at the file level
CPT 29445/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,005 — part of a file-wide pattern, counted once at the file level
CPT 36246/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,476 — part of a file-wide pattern, counted once at the file level
CPT 11721/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $688 — part of a file-wide pattern, counted once at the file level
CPT 28003/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 36247/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,945 — part of a file-wide pattern, counted once at the file level
CPT 29515/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $680 — part of a file-wide pattern, counted once at the file level
CPT 11730/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $597 — part of a file-wide pattern, counted once at the file level
CPT 28005/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 36248/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $586 — part of a file-wide pattern, counted once at the file level
CPT 11732/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $278 — part of a file-wide pattern, counted once at the file level
CPT 29540/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $434 — part of a file-wide pattern, counted once at the file level
CPT 28010/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,326 — part of a file-wide pattern, counted once at the file level
CPT 11740/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $264 — part of a file-wide pattern, counted once at the file level
CPT 42400/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $950 — part of a file-wide pattern, counted once at the file level
CPT 28011/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,896 — part of a file-wide pattern, counted once at the file level
CPT 11750/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,039 — part of a file-wide pattern, counted once at the file level
CPT 37249/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,536 — part of a file-wide pattern, counted once at the file level
CPT 29700/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $470 — part of a file-wide pattern, counted once at the file level
CPT 56405/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $544 — part of a file-wide pattern, counted once at the file level
CPT 37252/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,384 — part of a file-wide pattern, counted once at the file level
CPT 29705/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $387 — part of a file-wide pattern, counted once at the file level
CPT 37253/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,375 — part of a file-wide pattern, counted once at the file level
CPT 56420/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $443 — part of a file-wide pattern, counted once at the file level
CPT 11765/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $519 — part of a file-wide pattern, counted once at the file level
CPT 56440/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,120 — part of a file-wide pattern, counted once at the file level
CPT 36430/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,027 — part of a file-wide pattern, counted once at the file level
CPT 11900/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $258 — part of a file-wide pattern, counted once at the file level
CPT 47000/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,737 — part of a file-wide pattern, counted once at the file level
CPT 56501/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,921 — part of a file-wide pattern, counted once at the file level
CPT 47001/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,963 — part of a file-wide pattern, counted once at the file level
CPT 56605/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,764 — part of a file-wide pattern, counted once at the file level
CPT 36468/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $519 — part of a file-wide pattern, counted once at the file level
CPT 15931/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,027 — part of a file-wide pattern, counted once at the file level
CPT 56606/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $567 — part of a file-wide pattern, counted once at the file level
CPT 36470/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $519 — part of a file-wide pattern, counted once at the file level
CPT 33286/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,963 — part of a file-wide pattern, counted once at the file level
CPT 11971/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,709 — part of a file-wide pattern, counted once at the file level
CPT 36471/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $727 — part of a file-wide pattern, counted once at the file level
CPT 36476/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,440 — part of a file-wide pattern, counted once at the file level
CPT 12001/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $924 — part of a file-wide pattern, counted once at the file level
CPT 59200/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $433 — part of a file-wide pattern, counted once at the file level
CPT 36478/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,122 — part of a file-wide pattern, counted once at the file level
CPT 12002/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,214 — part of a file-wide pattern, counted once at the file level
CPT 36479/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,025 — part of a file-wide pattern, counted once at the file level
CPT 56820/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $385 — part of a file-wide pattern, counted once at the file level
CPT 15999/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,228 — part of a file-wide pattern, counted once at the file level
CPT 36481/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,531 — part of a file-wide pattern, counted once at the file level
CPT 56821/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $788 — part of a file-wide pattern, counted once at the file level
CPT 62270/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $898 — part of a file-wide pattern, counted once at the file level
CPT 16020/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $464 — part of a file-wide pattern, counted once at the file level
CPT 28124/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,204 — part of a file-wide pattern, counted once at the file level
CPT 64642/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $975 — part of a file-wide pattern, counted once at the file level
CPT 62272/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,534 — part of a file-wide pattern, counted once at the file level
CPT 16025/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $590 — part of a file-wide pattern, counted once at the file level
CPT 57061/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,267 — part of a file-wide pattern, counted once at the file level
CPT 64643/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $582 — part of a file-wide pattern, counted once at the file level
CPT 10005/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,869 — part of a file-wide pattern, counted once at the file level
CPT 47531/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,573 — part of a file-wide pattern, counted once at the file level
CPT 12020/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,185 — part of a file-wide pattern, counted once at the file level
CPT 16030/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $682 — part of a file-wide pattern, counted once at the file level
CPT 28150/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 10006/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,283 — part of a file-wide pattern, counted once at the file level
CPT 62284/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,329 — part of a file-wide pattern, counted once at the file level
CPT 12031/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $503 — part of a file-wide pattern, counted once at the file level
CPT 28153/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 36555/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,078 — part of a file-wide pattern, counted once at the file level
CPT 10007/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,447 — part of a file-wide pattern, counted once at the file level
CPT 17000/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $261 — part of a file-wide pattern, counted once at the file level
CPT 38220/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,551 — part of a file-wide pattern, counted once at the file level
CPT 12032/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $633 — part of a file-wide pattern, counted once at the file level
CPT 28160/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,204 — part of a file-wide pattern, counted once at the file level
CPT 36556/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,078 — part of a file-wide pattern, counted once at the file level
CPT 62290/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,483 — part of a file-wide pattern, counted once at the file level
CPT 10008/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $869 — part of a file-wide pattern, counted once at the file level
CPT 17003/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 38221/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,934 — part of a file-wide pattern, counted once at the file level
CPT 60100/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,259 — part of a file-wide pattern, counted once at the file level
CPT 12034/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $681 — part of a file-wide pattern, counted once at the file level
CPT 62291/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,433 — part of a file-wide pattern, counted once at the file level
CPT 10009/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,941 — part of a file-wide pattern, counted once at the file level
CPT 38222/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,308 — part of a file-wide pattern, counted once at the file level
CPT 47537/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,417 — part of a file-wide pattern, counted once at the file level
CPT 12035/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $804 — part of a file-wide pattern, counted once at the file level
CPT 28190/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,066 — part of a file-wide pattern, counted once at the file level
CPT 10010/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,406 — part of a file-wide pattern, counted once at the file level
CPT 57160/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $318 — part of a file-wide pattern, counted once at the file level
CPT 62302/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,791 — part of a file-wide pattern, counted once at the file level
CPT 28192/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,758 — part of a file-wide pattern, counted once at the file level
CPT 17250/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $640 — part of a file-wide pattern, counted once at the file level
CPT 12041/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $633 — part of a file-wide pattern, counted once at the file level
CPT 57170/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $292 — part of a file-wide pattern, counted once at the file level
CPT 62303/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,433 — part of a file-wide pattern, counted once at the file level
CPT 10030/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,726 — part of a file-wide pattern, counted once at the file level
CPT 12042/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $849 — part of a file-wide pattern, counted once at the file level
CPT 62304/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,764 — part of a file-wide pattern, counted once at the file level
CPT 10060/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $973 — part of a file-wide pattern, counted once at the file level
CPT 12044/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,163 — part of a file-wide pattern, counted once at the file level
CPT 60300/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $934 — part of a file-wide pattern, counted once at the file level
CPT 62305/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,836 — part of a file-wide pattern, counted once at the file level
CPT 32400/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,100 — part of a file-wide pattern, counted once at the file level
CPT 36571/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,282 — part of a file-wide pattern, counted once at the file level
CPT 10061/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,869 — part of a file-wide pattern, counted once at the file level
CPT 32408/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,905 — part of a file-wide pattern, counted once at the file level
CPT 28232/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,498 — part of a file-wide pattern, counted once at the file level
CPT 62322/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,688 — part of a file-wide pattern, counted once at the file level
CPT 10080/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $912 — part of a file-wide pattern, counted once at the file level
CPT 44500/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,346 — part of a file-wide pattern, counted once at the file level
CPT 36575/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,539 — part of a file-wide pattern, counted once at the file level
CPT 38505/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,361 — part of a file-wide pattern, counted once at the file level
CPT 62323/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,047 — part of a file-wide pattern, counted once at the file level
CPT 28234/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,198 — part of a file-wide pattern, counted once at the file level
CPT 10120/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $777 — part of a file-wide pattern, counted once at the file level
CPT 36576/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,060 — part of a file-wide pattern, counted once at the file level
CPT 10121/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $3,041 — part of a file-wide pattern, counted once at the file level
CPT 13100/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,397 — part of a file-wide pattern, counted once at the file level
CPT 62328/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,268 — part of a file-wide pattern, counted once at the file level
CPT 36580/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,569 — part of a file-wide pattern, counted once at the file level
CPT 50688/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,146 — part of a file-wide pattern, counted once at the file level
CPT 62329/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,268 — part of a file-wide pattern, counted once at the file level
CPT 13102/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $851 — part of a file-wide pattern, counted once at the file level
CPT 36581/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,082 — part of a file-wide pattern, counted once at the file level
CPT 10160/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $793 — part of a file-wide pattern, counted once at the file level
CPT 28270/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,204 — part of a file-wide pattern, counted once at the file level
CPT 50690/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $498 — part of a file-wide pattern, counted once at the file level
CPT 17999/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $225 — part of a file-wide pattern, counted once at the file level
CPT 13120/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,179 — part of a file-wide pattern, counted once at the file level
CPT 10180/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,014 — part of a file-wide pattern, counted once at the file level
CPT 28272/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,062 — part of a file-wide pattern, counted once at the file level
CPT 61055/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,131 — part of a file-wide pattern, counted once at the file level
CPT 13121/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,319 — part of a file-wide pattern, counted once at the file level
CPT 32551/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,016 — part of a file-wide pattern, counted once at the file level
CPT 11000/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,117 — part of a file-wide pattern, counted once at the file level
CPT 36584/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,617 — part of a file-wide pattern, counted once at the file level
CPT 28285/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,204 — part of a file-wide pattern, counted once at the file level
CPT 19082/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $2,279 — part of a file-wide pattern, counted once at the file level
CPT 27600/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 32552/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $1,682 — part of a file-wide pattern, counted once at the file level
CPT 11001/o
info
mrf_cash_above_gross
discounted cash price $4,627 exceeds gross charge $348 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 12,442 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 177
info
inp_charge_10x_payment
average charge $141,376 is 10.2× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $119,007 is 10.7× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $75,156 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. · json · 373.5M bytes · fetched 2026-08-23 · sha256 0b892c8d9a53…

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.