Hospital · CCN 310029

Virtua Our Lady Of Lourdes Hospital

1600 Haddon Avenue, Camden, NJ 08103 · Camden County
Part of Virtua Health · 279 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

92 admission types 43 outpatient services price file: ok 17 Medicare-file findings
Billed per dollar paid, all admissions
8.52×
$546.9M billed against $64.2M paid across 2,723 Medicare discharges; the national figure is 5.03×.
2.3%
of adults in Camden County have medical debt in collections
8.5%
uninsured in the county · state 8.0%
$83K
median household income
7.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
29.8%
obesity in the countyⓘ
11.4%
diagnosed diabetes (PLACES)
5.7%
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
256
$137,199
$19,040
7.2× st 6.8×
291
Heart failure and shock with mcc
130
$99,221
$13,148
7.5× st 7.6×
274
Percutaneous and other intracardiac procedures without mcc
126
$282,958
$30,548
9.3× st 5.8×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
101
$463,019
$46,099
10.0× st 5.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
70
$175,617
$20,083
8.7× st 7.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
69
$112,018
$11,674
9.6× st 8.5×
280
Acute myocardial infarction, discharged alive with mcc
58
$135,123
$16,637
8.1× st 7.3×
689
Kidney and urinary tract infections with mcc
54
$76,641
$11,913
6.4× st 7.5×
193
Simple pneumonia and pleurisy with mcc
52
$110,273
$13,614
8.1× st 7.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
49
$145,262
$17,693
8.2× st 6.7×
252
Other vascular procedures with mcc
49
$182,661
$31,722
5.8× st 6.3×
189
Pulmonary edema and respiratory failure
49
$107,498
$12,687
8.5× st 7.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
48
$194,698
$21,527
9.0× st 7.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
46
$83,143
$10,896
7.6× st 7.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
44
$213,658
$27,094
7.9× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
44
$372,714
$44,720
8.3× st 6.0×
698
Other kidney and urinary tract diagnoses with mcc
43
$155,735
$16,975
9.2× st 6.8×
177
Respiratory infections and inflammations with mcc
41
$141,372
$16,721
8.5× st 7.3×
281
Acute myocardial infarction, discharged alive with cc
38
$72,984
$9,672
7.5× st 7.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
37
$98,772
$13,250
7.5× st 7.2×
690
Kidney and urinary tract infections without mcc
35
$72,972
$8,777
8.3× st 7.8×
309
Cardiac arrhythmia and conduction disorders with cc
32
$86,437
$8,148
10.6× st 8.0×
683
Renal failure with cc
30
$67,644
$9,791
6.9× st 7.5×
243
Permanent cardiac pacemaker implant with cc
30
$192,300
$21,381
9.0× st 6.0×
190
Chronic obstructive pulmonary disease with mcc
29
$80,940
$11,925
6.8× st 8.3×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
29
$437,616
$50,425
8.7× st 5.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
28
$74,677
$8,419
8.9× st 7.8×
236
Coronary bypass without cardiac catheterization without mcc
28
$442,065
$43,405
10.2× st 5.1×
025
Craniotomy and endovascular intracranial procedures with mcc
28
$355,134
$39,940
8.9× st 5.8×
682
Renal failure with mcc
27
$149,097
$17,897
8.3× st 7.3×
699
Other kidney and urinary tract diagnoses with cc
26
$170,626
$16,779
10.2× st 6.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
26
$76,089
$9,150
8.3× st 7.5×
378
Gastrointestinal hemorrhage with cc
25
$103,867
$10,384
10.0× st 7.9×
603
Cellulitis without mcc
24
$76,235
$9,583
8.0× st 7.0×
308
Cardiac arrhythmia and conduction disorders with mcc
22
$122,700
$12,303
10.0× st 8.3×
235
Coronary bypass without cardiac catheterization with mcc
22
$517,326
$62,572
8.3× st 5.0×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
21
$1,337,947
$175,375
7.6× st 4.9×
870
Septicemia or severe sepsis with mv >96 hours
21
$495,925
$65,679
7.6× st 5.8×
083
Traumatic stupor and coma >1 hour with cc
21
$66,823
$13,831
4.8× st 7.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
21
$187,108
$24,776
7.6× st 7.1×
432
Cirrhosis and alcoholic hepatitis with mcc
20
$232,445
$19,866
11.7× st 7.1×
445
Disorders of the biliary tract with cc
20
$116,592
$11,684
10.0× st 7.8×
314
Other circulatory system diagnoses with mcc
19
$122,481
$29,123
4.2× st 6.9×
092
Other disorders of nervous system with cc
19
$101,175
$11,758
8.6× st 6.9×
269
Aortic and heart assist procedures except pulsation balloon without mcc
19
$374,922
$37,412
10.0× st 4.5×
811
Red blood cell disorders with mcc
19
$169,825
$17,254
9.8× st 7.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
18
$661,227
$65,435
10.1× st 6.0×
637
Diabetes with mcc
18
$160,962
$16,804
9.6× st 6.8×
101
Seizures without mcc
18
$101,988
$10,006
10.2× st 7.0×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
18
$103,947
$10,458
9.9× st 6.6×
054
Nervous system neoplasms with mcc
18
$70,261
$12,800
5.5× st 7.0×
444
Disorders of the biliary tract with mcc
18
$125,137
$17,222
7.3× st 6.5×
652
Kidney transplant
17
$525,721
$31,144
16.9× st 6.3×
812
Red blood cell disorders without mcc
17
$77,073
$10,034
7.7× st 7.6×
650
Kidney transplant with hemodialysis with mcc
17
$700,762
$47,711
14.7× st 7.2×
253
Other vascular procedures with cc
17
$205,438
$28,417
7.2× st 6.7×
435
Malignancy of hepatobiliary system or pancreas with mcc
17
$159,274
$21,244
7.5× st 6.8×
100
Seizures with mcc
17
$142,428
$18,615
7.7× st 6.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
16
$86,598
$12,752
6.8× st 7.2×
242
Permanent cardiac pacemaker implant with mcc
16
$305,112
$30,303
10.1× st 5.5×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
16
$597,950
$85,256
7.0× st 5.1×
271
Other major cardiovascular procedures with cc
16
$289,338
$29,722
9.7× st 5.5×
273
Percutaneous and other intracardiac procedures with mcc
16
$269,044
$39,502
6.8× st 6.4×
194
Simple pneumonia and pleurisy with cc
16
$72,131
$8,851
8.1× st 8.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
16
$88,006
$12,747
6.9× st 6.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
16
$107,074
$14,158
7.6× st 7.4×
300
Peripheral vascular disorders with cc
16
$64,673
$10,288
6.3× st 6.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
16
$80,849
$7,539
10.7× st 7.8×
305
Hypertension without mcc
15
$85,323
$8,372
10.2× st 7.2×
036
Carotid artery stent procedures without cc/mcc
15
$138,525
$17,228
8.0× st 5.9×
270
Other major cardiovascular procedures with mcc
15
$344,145
$47,801
7.2× st 5.7×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
14
$718,352
$76,528
9.4× st 5.1×
312
Syncope and collapse
14
$57,762
$9,073
6.4× st 7.8×
552
Medical back problems without mcc
14
$78,635
$10,159
7.7× st 6.7×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
14
$480,995
$41,557
11.6× st 5.2×
283
Acute myocardial infarction, expired with mcc
13
$108,756
$18,488
5.9× st 4.6×
082
Traumatic stupor and coma >1 hour with mcc
13
$137,180
$20,593
6.7× st 6.4×
039
Extracranial procedures without cc/mcc
13
$105,454
$12,613
8.4× st 5.5×
228
Other cardiothoracic procedures with mcc
13
$427,518
$48,372
8.8× st 6.0×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$336,903
$38,256
8.8× st 6.4×
244
Permanent cardiac pacemaker implant without cc/mcc
13
$157,387
$15,813
10.0× st 6.4×
275
Cardiac defibrillator implant with cardiac catheterization and mcc
13
$593,267
$66,173
9.0× st 7.0×
264
Other circulatory system o.r. procedures
13
$193,040
$29,328
6.6× st 6.2×
917
Poisoning and toxic effects of drugs with mcc
12
$101,167
$15,790
6.4× st 6.0×
377
Gastrointestinal hemorrhage with mcc
12
$167,053
$19,476
8.6× st 7.2×
086
Traumatic stupor and coma <1 hour with cc
12
$68,386
$12,813
5.3× st 7.3×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
12
$123,232
$17,913
6.9× st 6.3×
071
Other cerebrovascular disorders with cc
11
$132,077
$11,367
11.6× st 7.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$245,468
$23,475
10.5× st 6.3×
393
Other digestive system diagnoses with mcc
11
$128,056
$17,753
7.2× st 6.7×
035
Carotid artery stent procedures with cc
11
$219,401
$22,275
9.9× st 5.5×
069
Transient ischemia without thrombolytic
11
$81,692
$8,218
9.9× st 7.8×
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
5191
Level 1 Endovascular Procedures
349
$35,114
$3,403
10.3×
5213
Level 3 Electrophysiologic Procedures
301
$227,612
$24,532
9.3×
8011
Comprehensive Observation Services
258
$42,657
$2,796
15.3×
5184
Level 4 Vascular Procedures
216
$66,208
$5,732
11.6×
5302
Level 2 Upper GI Procedures
186
$23,253
$1,968
11.8×
5193
Level 3 Endovascular Procedures
132
$107,256
$11,353
9.4×
5223
Level 3 Pacemaker and Similar Procedures
111
$111,516
$11,082
10.1×
5232
Level 2 ICD and Similar Procedures
74
$328,474
$33,920
9.7×
5183
Level 3 Vascular Procedures
62
$39,566
$3,337
11.9×
5375
Level 5 Urology and Related Services
51
$43,833
$5,332
8.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
49
$22,429
$1,697
13.2×
5303
Level 3 Upper GI Procedures
47
$34,781
$4,009
8.7×
5222
Level 2 Pacemaker and Similar Procedures
45
$79,173
$8,891
8.9×
5192
Level 2 Endovascular Procedures
45
$52,372
$5,984
8.8×
5224
Level 4 Pacemaker and Similar Procedures
43
$188,959
$20,349
9.3×
5194
Level 4 Endovascular Procedures
38
$149,621
$17,904
8.4×
5374
Level 4 Urology and Related Services
34
$33,726
$3,564
9.5×
5361
Level 1 Laparoscopy and Related Services
30
$71,883
$6,041
11.9×
5331
Complex GI Procedures
28
$55,172
$5,967
9.2×
5362
Level 2 Laparoscopy and Related Services
28
$132,490
$10,765
12.3×
5313
Level 3 Lower GI Procedures
24
$30,261
$2,939
10.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
22
$52,953
$3,491
15.2×
5373
Level 3 Urology and Related Services
20
$25,191
$2,132
11.8×
5114
Level 4 Musculoskeletal Procedures
13
$66,593
$7,490
8.9×
5231
Level 1 ICD and Similar Procedures
13
$229,111
$24,609
9.3×
5212
Level 2 Electrophysiologic Procedures
13
$93,041
$7,818
11.9×
5414
Level 4 Gynecologic Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 4/1/2026, template v3.0, 63,135 rows scanned, 3,708 distinct code–setting items kept. 2,621 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC CT Brain Perfusion
$3,195
$320
$350
1
clean
HC Brachiocephalic Artherectomy
$18,936
$1,894
$12,394
39
clean
HC Infectious Disease Viral Respiratory Tract Pathogen Specific Rna 3 Targets Sars 2 / Flu a / Flu B Upper Respiratory Specimen Each Pathogen - in House
$262
$26
$143
48
clean
HC Viral Respiratory Tract Rna 4 Targets Sars Cov-2 / Flu / Rsv
$242
$24
$145
47
clean
HC Insert / Replace Cardiac Contractility Modulator Pulse Generator W Transvenous Electrodes
$71,208
$7,121
$16,391
39
clean
HC Evaluate W Analysis Cardiac Contractility Modulator
$463
$46
$71
35
clean
HC Myocardial Perfusion Contrast Echo Rest / Stress Ischemia / Vialbility
$596
$60
$1,213
2
clean
HC Ablation Nerve Plexus/Truncal Nerve
$17,178
$1,718
$8,084
39
clean
HC Tmvi Implant / Replace Transcatheter Mitral Valve W Prostetic Valve W Transseptal Puncture Percutaneous
$90,297
$9,030
$8,367
21
clean
HC Fem Pop W Stent Graft Placement Percutaneous / Open W Image Guidance
$391
$39
$12,394
39
clean
HC Intraprocedural Coronary Ffp W/3d Funcjl Mapping
$250
$25
$11,106
6
clean
HC Transcatheter Tricuspid Valve Repair, Percutaneous Approach; Initial Prosthesis
$55,122
$5,512
$8,367
21
clean
HC Transcatheter Tricuspid Valve Repair, Percutaneous Approach; Each Additional Prosthesis During Same Session
$45,934
$4,593
$8,367
21
clean
HC Insert / Replace Implantable Cardioverter Defibrilator W Substernal Electrode
$107,585
$10,759
$35,039
35
clean
HC Transcatheter Removal / Debulking Intracardiac Mass via Suction Percutaneous W Intraoperative Reinfusion Aspirated Blood W Imaging
$17,321
$1,732
$6,574
28
clean
HC Device Evaluation Remote Cardiac Rhythm Monitor System W Device Testing / Adjustment / Permanent Programming Values W Analysis
$112
$11
$42
27
clean
HC Body Surface Mapping Pacemaker / Pacing Cardioverter-Defibrillator Leads During Follow Up Interrogation / Device Evaluation
$121
$12
$42
24
clean
HC Transcatheter Insertion of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance and Device Evaluation, When Performed
$54,816
$5,482
$20,842
35
clean
HC Transcatheter Insertion of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance (Eg, Fluoroscopy, Venous Ultrasound, Right Atrial Angiography, Right Ventriculography, Fe
$57,308
$5,731
$16,391
39
clean
HC Transcatheter Insertion of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance and Device Evaluation, When Performed; Right Ventricular Pacemaker Component
$54,816
$5,482
$16,391
39
clean
HC Transcatheter Insertion of Permanent Single-Chamber Leadless Pacemaker, Right Atrial, Including Imaging Guidance and Device Evaluation (Eg, Interrogation or Progr
$54,816
$5,482
$16,391
39
clean
HC Aspiration Fine Needle Bx W/O Imaging - Each Add Lesion
$754
$75
$10,937
15
clean
HC Aspiration Fine Needle Bx W/US Guide - First Lesion
$1,352
$135
$1,346
33
clean
HC Aspiration Fine Needle Bx W/US Guide- Each Add Lesion
$773
$77
$10,937
15
clean
HC Aspiration Fine Needle Bx W/Fluoro - First Lesion
$1,321
$132
$1,346
33
clean
HC Aspiration Fine Needle Bx W/CT Guide - First Lesion
$1,352
$135
$1,346
33
clean
HC Aspiration Fine Needle Bx W/CT Guide - Each Add Lesion
$754
$75
$10,937
15
clean
HC Aspiration Fine Needle Bx W/MR Guide - First Lesion
$1,321
$132
$1,346
33
clean
HC Aspiration Fine Needle Bx W/MR Guide - Each Add Lesion
$754
$75
$10,937
15
clean
HC Aspiration Fine Needle Bx W/O Imaging - First Lesion
$946
$95
$764
33
clean
HC Drainage Soft Tissue Percutaneous W/ Image
$1,358
$136
$1,346
33
clean
HC Placement of Soft Tissue Localization Device(S) (Eg, Clip, Metallic Pellet, Wire/Needle, Radioactive Seeds), Percutaneous, Including Imaging Guidance; First Lesion
$4,037
$404
$1,346
33
clean
HC Placement of Soft Tissue Localization Device(S) (Eg, Clip, Metallic Pellet, Wire/Needle, Radioactive Seeds), Percutaneous, Including Imaging Guidance; Each Additional Lesion
$250
$25
$10,937
15
clean
HC Acne Surgery
$307
$31
$224
24
clean
HC Incision and Drainage Abscess - Simple / Single
$1,198
$120
$380
33
clean
HC Incision & Drainage Abscess-Complicated / Multiple
$884
$88
$450
25
clean
HC Incision & Removal Foreign Body-Sq Tissue Simple
$633
$63
$450
25
clean
HC Incision & Drainage Hematoma-Seroma/Fluid
$1,873
$187
$2,693
33
clean
HC Aspiration Puncture Abscess / Hematoma / Cyst
$641
$64
$764
33
clean
HC Debride Infected Skin-10% Body Surface
$757
$76
$689
25
clean
HC Debride Infected Skin- Each Add 10% Body Surface
$1,211
$121
$676
6
clean
HC Debridement of Skin Subcutaneous Tissue Muscle and Fascia for Necrotizing Soft Tissue Infection External Genitalia and Perineum
$276
$28
$10,937
15
clean
HC Removal of Foreign Body Subcutaneous
$1,240
$124
$792
22
clean
HC Debridement W Foreign Body Removal Subq Tissue & Muscle
$1,211
$121
$792
25
clean
HC Debridement W Foreign Body Removal Subq Tissue/Muscle/Bone
$1,211
$121
$3,222
25
clean
HC Debridement, Subcutaneous Tissue (Includes Epidermis and Dermis, if Performed); First 20 Sq Cm or Less
$1,106
$111
$764
33
clean
HC Debridement Muscle First 20cm2
$1,943
$194
$689
25
clean
HC Debridement Bone First 20cm2
$2,979
$298
$1,824
25
clean
HC Debridement Tissue Each Add 20cm2
$1,683
$168
$1,788
6
clean
HC Debridement Muscle Each Add 20cm2
$1,782
$178
$3,961
3
clean
HC Debridement Bone Each Add 20cm2
$2,797
$280
$3,961
3
clean
HC Remove Benign Lesion 1 Lesion
$405
$41
$224
22
clean
HC Remove Benign Lesion 2-4 Lesions
$455
$46
$224
25
clean
HC Remove Benign Lesion > 5 Lesions
$476
$48
$224
25
clean
HC Tangential Biopsy of Skin (Eg, Shave, Scoop, Saucerize, Curette); Single Lesion
$1,140
$114
$380
33
clean
HC Tangential Biopsy Each Additional Lesion
$316
$32
$219
6
clean
HC Punch Skin Biopsy Single Lesion
$2,342
$234
$764
33
clean
HC Punch Skin Biopsy Each Additional Lesion
$323
$32
$3,961
3
clean
HC Incisional Skin Biopsy Single Lesion
$2,184
$218
$689
22
clean
HC Incisional Skin Each Additional Lesion
$316
$32
$676
6
clean
HC Excision Skin Lesion Up to 15 Lesions
$378
$38
$224
24
clean
HC Excision Skin Lesion Each Add 10 Lesions
$161
$16
$3,961
2
clean
HC Shave Skin Lesion Single Trunk, Arm, Leg < 0.5cm
$371
$37
$450
24
clean
HC Shaving of Epidermal or Dermal Lesion, Single Lesion, Scalp, Neck, Hands, Feet, Genitalia; Lesion Diameter 0.5 Cm or Less
$1,140
$114
$380
33
clean
HC Shave Single Lesion Feet 0.6-1.0cm
$371
$37
$224
22
clean
HC Shave Single Lesion Feet 1.1-2.0cm
$371
$37
$224
25
clean
HC Shave Single Lesion Feet >2.0cm
$371
$37
$450
25
clean
HC Excision Benign Lesion Including Margins Except Skin Tag Trunk, Arms or Legs; Excised Diameter 1.1 to 2.0 Cm
$4,131
$413
$792
25
clean
HC Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.5 Cm or Less
$4,657
$466
$2,693
33
clean
HC Excision Skin Lesion 0.6cm1.0cm
$1,079
$108
$792
24
clean
HC Excision Skin Lesion > 4.0cm
$8,357
$836
$3,378
33
clean
HC Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm
$4,131
$413
$792
25
clean
HC Trim Nondystrophic Nails Any Number
$375
$38
$67
24
clean
HC Debride Nails 15 Nails
$405
$41
$67
25
clean
HC Debride Nails > 6 Nails
$443
$44
$114
33
clean
HC Avulsion of Nail Plate, Partial or Complete, Simple; Single
$1,140
$114
$380
33
clean
HC Avulse Nail Plate - Each Add Plate
$292
$29
$66
6
clean
HC Drain Hematoma/Blood Nail Bed
$267
$27
$145
22
clean
HC Excision Nail / Nail Matrix
$1,590
$159
$450
25
clean
HC Excise Nail Fold Skin / Ingrown Toenail
$615
$62
$450
25
clean
HC Injection, Intralesional; Up to and Including 7 Lesions
$1,175
$118
$224
25
clean
HC Nexplanon Insertion
$353
$35
$145
24
clean
HC Nexplanon Removal
$403
$40
$449
24
clean
HC Nexplanon Removal W/ Reinsertion
$463
$46
$449
24
clean
HC Repair Simple Superficial Wound Scalp / Neck / Axillae / Genitalia / Trunk Extremity 2.5cm or Less
$616
$62
$380
33
clean
HC Wound Repair Simple Scalp/Neck/Genetilia/Trunk/Extremities 2.6-7.5cm
$1,198
$120
$380
33
clean
HC Wound Repair Simple Scalp/Neck/Genetilia/Trunk/Extremities 7.6-12.5cm
$1,198
$120
$380
33
clean
HC Wound Repair Simple Face/Ears/Mucous Membrane < 2.5cm
$1,198
$120
$380
33
clean
HC Wound Repair Simple Face/Ears/Mucous Membrane 2.6-5.0cm
$1,198
$120
$380
33
clean
HC Treat Wound Rupture - Simple Closure
$2,185
$219
$1,171
33
clean
HC Wound Repair Intermediate Scalp/Neck/Genitalia/Trunk/Extremities 7.6-12.5cm
$2,318
$232
$764
33
clean
HC Repair, Intermediate, Wounds of Neck, Hands, Feet and/or External Genitalia; 2.5 Cm or Less
$2,267
$227
$764
33
clean
HC Wound Repair Complex 1.1-2.5cm
$1,567
$157
$450
25
clean
HC Repair Complex Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands and/or Ft 2.6 Cm to 7.5 Cm
$3,688
$369
$689
25
clean
HC Secondary Closure of Surgical Wound or Dehiscence, Extensive or Complicated
$5,348
$535
$2,059
25
clean
HC Epidermal Autograft Trunk Arms Legs First 100 Sq Cm or Less or 1% of Body Area of Infants and Children
$5,897
$590
$2,059
25
clean
HC Epidermal Autograft Trunk Arms Legs Each Additional 100 Sq Cm or Each Additional 1% of Body Area of Infants and Children
$2,948
$295
$2,019
6
clean
HC Epidermal Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet and/or Multiple Digits First 100 Sq Cm or Less or 1% of Body Area of Infants and Children
$5,897
$590
$2,059
22
clean
HC Epidermal Autograft Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet and/or Multiple Digits; Each Add'l 100 Sq Cm, or Each Additional 1% of Body Area of Infants and Child
$2,948
$295
$2,019
6
clean
HC Apply Graft Trunk/Arms/Legs <100cm2 Init 25cm2
$7,421
$742
$2,059
22
clean
HC Apply Graft Trunk/Arms/Legs <100cm2 Add 25cm2
$1,938
$194
$2,019
6
clean
HC Apply Graft Trunk/Arms/Legs >100cm2 Init 25cm2
$9,895
$990
$4,121
22
clean
HC Apply Graft Trunk/Arms/Legs >100cm2 Add 25cm2
$2,648
$265
$3,981
6
clean
HC Apply Graft Face/H&S/Feet <100cm2 Init 25cm2
$7,421
$742
$2,059
22
clean
HC Apply Graft Face/H&S/Feet <100cm2 Add 25cm2
$1,938
$194
$2,019
6
clean
HC Apply Graft Face/Hand/Feet >100cm2 Initial 100cm
$7,248
$725
$2,059
22
clean
HC Apply Graft Face/Hand/Feet >100cm2 Add 100cm
$1,938
$194
$2,019
6
clean
HC Excise Sacral Pressure Ulcer W Suture
$7,113
$711
$3,222
22
clean
HC Debride Partial Thick Burn Small <5% Body Surface
$1,533
$153
$224
25
clean
HC Debride Partial Thick Burn Medium 5-10% Body Surface
$1,799
$180
$224
25
clean
HC Debride Partial Thick Burn Large >10% Body Surface
$2,292
$229
$450
25
clean
HC Destruct Benign Lesion up to 14 Lesions
$378
$38
$224
25
clean
HC Destruction Benign Lesion > 15 Lesions
$638
$64
$224
25
clean
HC Chemical Cauterization of Granulation Tissue (Ie, Proud Flesh)
$1,140
$114
$380
33
clean
HC Aspiration Breast Cyst
$1,156
$116
$1,346
33
clean
HC Aspiration Breast Cyst - Each Additional Cyst
$725
$73
$10,937
15
clean
HC Injection Ductogram / Galactogram
$929
$93
$10,937
15
clean
HC Biopsy Breast Stereotactic First Lesion
$5,481
$548
$2,693
33
clean
HC Biopsy Breast Stereotactic Each Add Lesion
$1,981
$198
$10,937
15
clean
HC Biopsy Breast US Guide First Lesion
$3,653
$365
$2,693
33
clean
HC Biopsy Breast US Guide Each Add Lesion
$2,029
$203
$10,937
15
clean
HC Biopsy Breast W/ Clip Place & MR Guide - 1st Lesion
$2,897
$290
$2,693
33
clean
HC Biopsy Breast Perc Needle Core wo Imaging
$588
$59
$1,824
25
clean
HC Breast Loc Place W/ Mammo First Lesion
$4,474
$447
$2,693
33
clean
HC Breast Loc Place W/ Mammo Each Add Lesion
$579
$58
$10,937
15
clean
HC Breast Loc Place W/ US Guide First Lesion
$1,410
$141
$1,346
33
clean
HC Breast LOC Place w/ US Guide Each Add Lesion
$579
$58
$10,937
15
clean
HC Explore Penetrating Wound Extremity
$1,613
$161
$1,824
25
clean
HC Biopsy Muscle Superficial
$6,547
$655
$2,693
33
clean
HC Biopsy Muscle Deep
$6,547
$655
$3,378
33
clean
HC Biopsy Muscle Percutaneous
$4,895
$490
$2,693
33
clean
HC Biopsy Bone Superficial
$1,989
$199
$2,693
33
clean
HC Biopsy Bone Deep
$10,084
$1,008
$2,693
33
clean
HC Biopsy Bone Open Deep
$4,590
$459
$3,222
25
clean
HC Inject Sinus Tract Therapeutic
$1,705
$171
$2,693
33
clean
HC Inject Sinus Tract Diagnostic
$1,066
$107
$10,937
15
clean
HC Inject Tendon Sheath / Ligament
$1,684
$168
$565
33
clean
HC Injection Tendon Origin / Insertion
$1,684
$168
$565
33
clean
HC Inject Trigger Point 1 / 2 Muscles
$711
$71
$565
33
clean
HC Inject Trigger Point 3 / 4 Muscles
$860
$86
$565
33
clean
HC Needle Insertion W/O Injection 1 or 2 Muscles
$60
$6
$28
32
clean
HC Inject Small Joint / Bursa
$931
$93
$565
33
clean
HC Arthrocentesis Small Joint / Bursa W/ US Guide
$1,762
$176
$565
33
clean
HC Arthrocentesis Inter Joint / Bursa W/O US Guide
$1,432
$143
$565
33
clean
HC Arthrocentesis Inter Joint / Bursa W/ US Guide
$2,220
$222
$1,324
33
clean
HC Arthrocentesis Major Joint / Bursa W/O US Guide
$1,709
$171
$565
33
clean
HC Arthrocentesis Major Joint / Bursa W/ US Guide
$2,610
$261
$565
33
clean
HC Aspiration Injection Ganglion Cyst
$1,739
$174
$332
25
clean
HC Removal of Implant Superficial (Eg, Buried Wire, Pin or Rod) (Separate Procedure)
$4,646
$465
$1,824
25
clean
HC Removal of Implant; Deep (Eg, Buried Wire, Pin, Screw, Metal Band, Nail, Rod or Plate)
$8,226
$823
$3,222
25
clean
HC Monitoring of Interstitial Fluid Pressure (Includes Insertion of Device, Eg, Wick Catheter Technique, Needle Manometer Technique) in Detection of Muscle Compartment Syndrome
$4,037
$404
$1,346
33
clean
HC Temotomy Elbow Lateral/Medial Perc
$11,948
$1,195
$14,062
33
clean
HC Ablation Percutaneous Tumor Bone
$20,813
$2,081
$8,041
33
clean
HC Injection Tmj Arthrogram
$366
$37
$10,937
15
clean
HC Incision / Drain Deep Abscess / Hemotoma Neck / Thorax
$8,673
$867
$3,378
33
clean
HC Treat Wound Rupture - Simple Closure
$6,658
$666
$2,693
33
clean
HC Biopsy, Soft Tissue of Back or Flank; Superficial
$9,518
$952
$2,693
33
clean
HC Vertebroplasty W/ Imaging 1 Body Cervicothoracic
$11,724
$1,172
$3,830
33
clean
HC Vertebroplasty W/ Imaging 1 Body Lumbosacral
$20,372
$2,037
$3,830
33
clean
HC Verteproplasty W/ Imaging Each Add Body
$3,302
$330
$10,937
15
clean
HC Vertebral Augment Perc W/ Image 1 Body Thoracic
$28,527
$2,853
$8,041
33
clean
HC Vertebral Augment Perc W/ Image 1 Body Lumbar
$29,211
$2,921
$8,041
33
clean
HC Vertebral Augment Perc W/ Imageeach Add Body
$14,293
$1,429
$10,937
15
clean
HC Spinal Fixation Posterior Segment 3 -6 Vertebra
$2,199
$220
$10,937
15
clean
HC Unlisted Procedure Abdomen Musculoskeletal System
$288
$29
$459
33
clean
HC Inject Shoulder Arthrogram
$887
$89
$10,416
17
clean
HC Tenotomy Shoulder Single Tendon
$13,526
$1,353
$7,963
39
clean
HC Tenotomy Shoulder Tendons Multiple Same Incision
$21,009
$2,101
$8,041
35
clean
HC Incision and Drainage Upper Arm or Elbow Area Bursa
$9,518
$952
$1,912
39
clean
HC Biopsy Soft Tissue Upper Arm/Elbow Superficial
$2,670
$267
$1,824
25
clean
HC Biopsy Soft Tissue Upper Arm/Elbow Deep
$2,670
$267
$3,222
25
clean
HC Excision Olecranon Bone Partial
$3,524
$352
$3,961
35
clean
HC Injection Elbow Arthrogram
$872
$87
$8,367
21
clean
HC Tenotomy Elbow Lateral / Medial Percutaneous
$6,347
$635
$3,961
35
clean
HC Closed Treatment of Humeral Shaft Fracture W/O Manipulation
$1,385
$139
$792
39
clean
HC Injection Wrist Arthrogram
$999
$100
$10,416
17
clean
HC Treatment Ulnar Shaft Fracture Closed WO Manipulation
$1,380
$138
$459
39
clean
HC Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj
$1,385
$139
$792
39
clean
HC Closed Rx Dist Rad/Ulna Fx Manipulation
$9,089
$909
$1,889
39
clean
HC Drainage of Finger Abscess Simple
$1,117
$112
$380
35
clean
HC Closed Treatment of Phalangeal Shaft Fracture, Proximal or Middle Phalanx, Finger or Thumb; Without Manipulation, Each
$1,385
$139
$459
39
clean
HC Tenotomy Hip Adductor Percutaneous
$9,020
$902
$3,061
39
clean
HC Temotomy Hip Abductors / Extensors Open
$9,512
$951
$3,830
39
clean
HC Inject Hip Arthrogram W/O Anesthesia
$902
$90
$10,416
17
clean
HC Inject Hip Arthrogram W/ Anesthesia
$798
$80
$8,367
21
clean
HC Inject Sacroiliac Joint W/ Imaging & Arthrogram
$3,040
$304
$8,367
21
clean
HC Treatment Post Hip Arthroscopy Dislocation Closed WO Anesthesia
$1,380
$138
$459
39
clean
HC Closed Treatment of Post Hip Arthroplasty Dislocation Requiring Regional or General Anesthesia
$4,445
$445
$1,889
39
clean
HC Unlisted Procedure Pelvis / Hip Joint
$888
$89
$1,824
39
clean
HC Tenotomy Thigh Tendon Single
$8,810
$881
$4,973
39
clean
HC Temotomy Adductor / Hamstring Tendon Multiple
$9,512
$951
$3,830
39
clean
HC Injection Contrast Knee Arthrography / Contrast Enhanced CT / MRI Knee Arthrography
$1,170
$117
$8,367
21
clean
HC Closed Treatment of Patellar Dislocation; Without Anesthesia
$1,385
$139
$459
39
clean
HC Tenotomy Achilles Tendon
$9,266
$927
$1,889
39
clean
HC Biopsy Soft Tissue Upper Leg or Ankle Superficial
$3,125
$313
$1,824
25
clean
HC Biopsy Soft Tissue Upper Leg/Ankle Deep
$7,908
$791
$3,222
25
clean
HC Injection Ankle Arthrogram
$974
$97
$8,367
21
clean
HC Cltx Tibial Shaft Fx W/O Manipulation
$1,385
$139
$459
39
clean
HC Closed Treatment of Distal Fibular Fracture (Lateral Malleolus); With Manipulation
$1,385
$139
$459
39
clean
HC Cltx Trimalleolar Ankle Fx W/Manipulation
$4,600
$460
$1,889
39
clean

Showing the first 200 of 3,708 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 89230/o
error
mrf_negotiated_above_max
a negotiated rate of $252 is above the file's own maximum $50
CPT 20560/o
error
mrf_negotiated_above_max
a negotiated rate of $668 is above the file's own maximum $176
CPT 90673/o
error
mrf_negotiated_above_max
a negotiated rate of $487 is above the file's own maximum $332
CPT 36415/o
error
mrf_negotiated_above_max
a negotiated rate of $30 is above the file's own maximum $0
CPT 90746/o
error
mrf_negotiated_above_max
a negotiated rate of $375 is above the file's own maximum $297
CPT J1162/o
error
mrf_negotiated_above_max
a negotiated rate of $2 is above the file's own maximum $0
MS-DRG 017/i
error
mrf_negotiated_above_max
a negotiated rate of $122,729 is above the file's own maximum $115,538
MS-DRG 019/i
error
mrf_negotiated_above_max
a negotiated rate of $160,894 is above the file's own maximum $152,249
MS-DRG 399/i
error
mrf_negotiated_above_max
a negotiated rate of $26,603 is above the file's own maximum $26,298
MS-DRG 461/i
error
mrf_negotiated_above_max
a negotiated rate of $124,762 is above the file's own maximum $123,151
MS-DRG 714/i
error
mrf_negotiated_above_max
a negotiated rate of $24,645 is above the file's own maximum $24,292
MS-DRG 730/i
error
mrf_negotiated_above_max
a negotiated rate of $16,005 is above the file's own maximum $15,438
CPT A9510/o
error
mrf_negotiated_above_max
a negotiated rate of $65 is above the file's own maximum $16
MS-DRG 756/i
error
mrf_negotiated_above_max
a negotiated rate of $22,473 is above the file's own maximum $22,066
MS-DRG 760/i
error
mrf_negotiated_above_max
a negotiated rate of $23,527 is above the file's own maximum $23,146
MS-DRG 795/i
error
mrf_negotiated_above_max
a negotiated rate of $5,418 is above the file's own maximum $5,048
MS-DRG 797/i
error
mrf_negotiated_above_max
a negotiated rate of $23,367 is above the file's own maximum $22,983
MS-DRG 880/i
error
mrf_negotiated_above_max
a negotiated rate of $22,466 is above the file's own maximum $22,059
MS-DRG 881/i
error
mrf_negotiated_above_max
a negotiated rate of $22,033 is above the file's own maximum $21,616
MS-DRG 882/i
error
mrf_negotiated_above_max
a negotiated rate of $25,013 is above the file's own maximum $24,669
MS-DRG 894/i
error
mrf_negotiated_above_max
a negotiated rate of $14,769 is above the file's own maximum $14,172
MS-DRG 897/i
error
mrf_negotiated_above_max
a negotiated rate of $20,731 is above the file's own maximum $20,281
MS-DRG 923/i
error
mrf_negotiated_above_max
a negotiated rate of $23,755 is above the file's own maximum $23,380
CPT A9548/o
error
mrf_negotiated_above_max
a negotiated rate of $3,740 is above the file's own maximum $2,345
CPT A9550/o
error
mrf_negotiated_above_max
a negotiated rate of $611 is above the file's own maximum $0
CPT J2212/o
error
mrf_negotiated_above_max
a negotiated rate of $3 is above the file's own maximum $0
CPT 86999/o
error
mrf_negotiated_above_max
a negotiated rate of $120 is above the file's own maximum $0
CPT 90396/o
error
mrf_negotiated_below_min
a negotiated rate of $131 is below the file's own minimum $133
CPT 20560/o
error
mrf_negotiated_below_min
a negotiated rate of $12 is below the file's own minimum $20
CPT A9521/o
error
mrf_negotiated_below_min
a negotiated rate of $611 is below the file's own minimum $1,324
warn
mrf_negotiated_above_gross_systematic
1,173 of 2,520 comparable items (47%) 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 $16,391 exceeds the gross charge $3,929
warn
mrf_rate_without_estimate
1,191,321 of 1,191,321 percentage/algorithm rates across 3,708 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 15277/o
info
mrf_cash_under_tenth_of_gross
cash price $725 is 10% of the gross charge $7,248
CPT 78459/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 84207/o
info
mrf_cash_under_tenth_of_gross
cash price $56 is 10% of the gross charge $564
CPT 94761/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 10% of the gross charge $92
CPT 47555/o
info
mrf_cash_under_tenth_of_gross
cash price $450 is 10% of the gross charge $4,502
CPT 70130/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 10% of the gross charge $1,173
CPT 84210/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $202
CPT 87906/o
info
mrf_cash_under_tenth_of_gross
cash price $460 is 10% of the gross charge $4,602
CPT G0219/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 70140/o
info
mrf_cash_under_tenth_of_gross
cash price $88 is 10% of the gross charge $876
CPT 78469/o
info
mrf_cash_under_tenth_of_gross
cash price $244 is 10% of the gross charge $2,441
CPT G0235/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 15931/o
info
mrf_cash_under_tenth_of_gross
cash price $711 is 10% of the gross charge $7,113
CPT 70150/o
info
mrf_cash_under_tenth_of_gross
cash price $185 is 10% of the gross charge $1,852
CPT 78473/o
info
mrf_cash_under_tenth_of_gross
cash price $342 is 10% of the gross charge $3,419
CPT 87912/o
info
mrf_cash_under_tenth_of_gross
cash price $112 is 10% of the gross charge $1,123
CPT 95117/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 10% of the gross charge $63
CPT 47801/o
info
mrf_cash_under_tenth_of_gross
cash price $42 is 10% of the gross charge $424
CPT 70160/o
info
mrf_cash_under_tenth_of_gross
cash price $133 is 10% of the gross charge $1,327
CPT 95700/o
info
mrf_cash_under_tenth_of_gross
cash price $189 is 10% of the gross charge $1,891
CPT 35321/o
info
mrf_cash_under_tenth_of_gross
cash price $1,517 is 10% of the gross charge $15,173
CPT 70190/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 10% of the gross charge $1,173
CPT 78580/o
info
mrf_cash_under_tenth_of_gross
cash price $370 is 10% of the gross charge $3,697
CPT 84255/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $162
CPT 88108/o
info
mrf_cash_under_tenth_of_gross
cash price $45 is 10% of the gross charge $454
CPT 95711/o
info
mrf_cash_under_tenth_of_gross
cash price $194 is 10% of the gross charge $1,936
CPT 48102/o
info
mrf_cash_under_tenth_of_gross
cash price $447 is 10% of the gross charge $4,474
CPT 70210/o
info
mrf_cash_under_tenth_of_gross
cash price $134 is 10% of the gross charge $1,341
CPT 84260/o
info
mrf_cash_under_tenth_of_gross
cash price $67 is 10% of the gross charge $671
CPT 95713/o
info
mrf_cash_under_tenth_of_gross
cash price $324 is 10% of the gross charge $3,237
CPT G0239/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 10% of the gross charge $242
CPT 16030/o
info
mrf_cash_under_tenth_of_gross
cash price $229 is 10% of the gross charge $2,292
CPT 70250/o
info
mrf_cash_under_tenth_of_gross
cash price $130 is 10% of the gross charge $1,301
CPT 88112/o
info
mrf_cash_under_tenth_of_gross
cash price $82 is 10% of the gross charge $821
CPT 95714/o
info
mrf_cash_under_tenth_of_gross
cash price $357 is 10% of the gross charge $3,572
CPT G0252/o
info
mrf_cash_under_tenth_of_gross
cash price $651 is 10% of the gross charge $6,514
CPT J9034/o
info
mrf_cash_under_tenth_of_gross
cash price $3,319 is 10% of the gross charge $33,186
CPT 35875/o
info
mrf_cash_under_tenth_of_gross
cash price $1,334 is 10% of the gross charge $13,336
CPT 70332/o
info
mrf_cash_under_tenth_of_gross
cash price $149 is 10% of the gross charge $1,486
CPT 78608/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 95715/o
info
mrf_cash_under_tenth_of_gross
cash price $324 is 10% of the gross charge $3,237
CPT 17110/o
info
mrf_cash_under_tenth_of_gross
cash price $38 is 10% of the gross charge $378
CPT 70371/o
info
mrf_cash_under_tenth_of_gross
cash price $124 is 10% of the gross charge $1,238
CPT 78630/o
info
mrf_cash_under_tenth_of_gross
cash price $891 is 10% of the gross charge $8,913
CPT 84392/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 10% of the gross charge $48
CPT 95716/o
info
mrf_cash_under_tenth_of_gross
cash price $631 is 10% of the gross charge $6,314
CPT G0283/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 10% of the gross charge $187
CPT 36000/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $162
CPT 70480/o
info
mrf_cash_under_tenth_of_gross
cash price $284 is 10% of the gross charge $2,837
CPT 78650/o
info
mrf_cash_under_tenth_of_gross
cash price $651 is 10% of the gross charge $6,514
CPT 17111/o
info
mrf_cash_under_tenth_of_gross
cash price $64 is 10% of the gross charge $638
CPT 49084/o
info
mrf_cash_under_tenth_of_gross
cash price $261 is 10% of the gross charge $2,607
CPT 70481/o
info
mrf_cash_under_tenth_of_gross
cash price $329 is 10% of the gross charge $3,289
CPT 84402/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 10% of the gross charge $184
CPT 88188/o
info
mrf_cash_under_tenth_of_gross
cash price $29 is 10% of the gross charge $292
CPT 95783/o
info
mrf_cash_under_tenth_of_gross
cash price $435 is 10% of the gross charge $4,349
CPT G0338/o
info
mrf_cash_under_tenth_of_gross
cash price $1,616 is 10% of the gross charge $16,158
CPT 70487/o
info
mrf_cash_under_tenth_of_gross
cash price $327 is 10% of the gross charge $3,269
CPT 78740/o
info
mrf_cash_under_tenth_of_gross
cash price $393 is 10% of the gross charge $3,932
CPT 84403/o
info
mrf_cash_under_tenth_of_gross
cash price $54 is 10% of the gross charge $538
CPT J9043/o
info
mrf_cash_under_tenth_of_gross
cash price $14,723 is 10% of the gross charge $147,233
CPT 49180/o
info
mrf_cash_under_tenth_of_gross
cash price $204 is 10% of the gross charge $2,036
CPT 70490/o
info
mrf_cash_under_tenth_of_gross
cash price $525 is 10% of the gross charge $5,249
CPT 78800/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 10% of the gross charge $3,104
CPT 88230/o
info
mrf_cash_under_tenth_of_gross
cash price $62 is 10% of the gross charge $619
CPT G0339/o
info
mrf_cash_under_tenth_of_gross
cash price $1,616 is 10% of the gross charge $16,158
CPT 19000/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 10% of the gross charge $1,156
CPT 70498/o
info
mrf_cash_under_tenth_of_gross
cash price $758 is 10% of the gross charge $7,584
CPT 84433/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 10% of the gross charge $1,106
CPT 95805/o
info
mrf_cash_under_tenth_of_gross
cash price $441 is 10% of the gross charge $4,407
CPT 36011/o
info
mrf_cash_under_tenth_of_gross
cash price $204 is 10% of the gross charge $2,037
CPT 49185/o
info
mrf_cash_under_tenth_of_gross
cash price $626 is 10% of the gross charge $6,263
CPT 70540/o
info
mrf_cash_under_tenth_of_gross
cash price $1,036 is 10% of the gross charge $10,356
CPT 84442/o
info
mrf_cash_under_tenth_of_gross
cash price $31 is 10% of the gross charge $309
CPT 88233/o
info
mrf_cash_under_tenth_of_gross
cash price $100 is 10% of the gross charge $1,001
CPT 70542/o
info
mrf_cash_under_tenth_of_gross
cash price $1,164 is 10% of the gross charge $11,638
CPT 78806/o
info
mrf_cash_under_tenth_of_gross
cash price $691 is 10% of the gross charge $6,908
CPT 84443/o
info
mrf_cash_under_tenth_of_gross
cash price $37 is 10% of the gross charge $369
CPT J9065/o
info
mrf_cash_under_tenth_of_gross
cash price $584 is 10% of the gross charge $5,836
CPT 36012/o
info
mrf_cash_under_tenth_of_gross
cash price $59 is 10% of the gross charge $593
CPT 70543/o
info
mrf_cash_under_tenth_of_gross
cash price $1,251 is 10% of the gross charge $12,513
CPT 95808/o
info
mrf_cash_under_tenth_of_gross
cash price $170 is 10% of the gross charge $1,697
CPT 49405/o
info
mrf_cash_under_tenth_of_gross
cash price $812 is 10% of the gross charge $8,118
CPT 70545/o
info
mrf_cash_under_tenth_of_gross
cash price $1,023 is 10% of the gross charge $10,233
CPT 78808/o
info
mrf_cash_under_tenth_of_gross
cash price $106 is 10% of the gross charge $1,058
CPT 84446/o
info
mrf_cash_under_tenth_of_gross
cash price $28 is 10% of the gross charge $282
CPT 88275/o
info
mrf_cash_under_tenth_of_gross
cash price $37 is 10% of the gross charge $368
CPT 19082/o
info
mrf_cash_under_tenth_of_gross
cash price $198 is 10% of the gross charge $1,981
CPT 70547/o
info
mrf_cash_under_tenth_of_gross
cash price $467 is 10% of the gross charge $4,669
CPT 84450/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $142
CPT 95819/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 10% of the gross charge $1,726
CPT G0423/o
info
mrf_cash_under_tenth_of_gross
cash price $85 is 10% of the gross charge $853
CPT J9130/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 10% of the gross charge $220
CPT 36014/o
info
mrf_cash_under_tenth_of_gross
cash price $59 is 10% of the gross charge $594
CPT 49406/o
info
mrf_cash_under_tenth_of_gross
cash price $812 is 10% of the gross charge $8,118
CPT 70552/o
info
mrf_cash_under_tenth_of_gross
cash price $1,076 is 10% of the gross charge $10,761
CPT 84460/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $142
CPT 88304/o
info
mrf_cash_under_tenth_of_gross
cash price $91 is 10% of the gross charge $913
CPT 95824/o
info
mrf_cash_under_tenth_of_gross
cash price $275 is 10% of the gross charge $2,752
CPT 70553/o
info
mrf_cash_under_tenth_of_gross
cash price $1,237 is 10% of the gross charge $12,368
CPT 84466/o
info
mrf_cash_under_tenth_of_gross
cash price $33 is 10% of the gross charge $334
CPT 88305/o
info
mrf_cash_under_tenth_of_gross
cash price $140 is 10% of the gross charge $1,402
CPT G0438/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $137
CPT 49407/o
info
mrf_cash_under_tenth_of_gross
cash price $523 is 10% of the gross charge $5,228
CPT 71045/o
info
mrf_cash_under_tenth_of_gross
cash price $99 is 10% of the gross charge $988
CPT 84478/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $202
CPT 88307/o
info
mrf_cash_under_tenth_of_gross
cash price $333 is 10% of the gross charge $3,334
CPT G0439/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 10% of the gross charge $92
CPT 19085/o
info
mrf_cash_under_tenth_of_gross
cash price $290 is 10% of the gross charge $2,897
CPT 71046/o
info
mrf_cash_under_tenth_of_gross
cash price $158 is 10% of the gross charge $1,576
CPT 78814/o
info
mrf_cash_under_tenth_of_gross
cash price $620 is 10% of the gross charge $6,204
CPT 88309/o
info
mrf_cash_under_tenth_of_gross
cash price $496 is 10% of the gross charge $4,964
CPT 95951/o
info
mrf_cash_under_tenth_of_gross
cash price $531 is 10% of the gross charge $5,314
CPT 36160/o
info
mrf_cash_under_tenth_of_gross
cash price $48 is 10% of the gross charge $484
CPT 71047/o
info
mrf_cash_under_tenth_of_gross
cash price $96 is 10% of the gross charge $956
CPT 84479/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $156
CPT 96105/o
info
mrf_cash_under_tenth_of_gross
cash price $67 is 10% of the gross charge $668
CPT J9208/o
info
mrf_cash_under_tenth_of_gross
cash price $78 is 10% of the gross charge $779
CPT 19100/o
info
mrf_cash_under_tenth_of_gross
cash price $59 is 10% of the gross charge $588
CPT 49418/o
info
mrf_cash_under_tenth_of_gross
cash price $1,151 is 10% of the gross charge $11,506
CPT 71111/o
info
mrf_cash_under_tenth_of_gross
cash price $120 is 10% of the gross charge $1,196
CPT 78815/o
info
mrf_cash_under_tenth_of_gross
cash price $635 is 10% of the gross charge $6,353
CPT 96360/o
info
mrf_cash_under_tenth_of_gross
cash price $134 is 10% of the gross charge $1,336
CPT J9209/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 10% of the gross charge $268
CPT 36200/o
info
mrf_cash_under_tenth_of_gross
cash price $61 is 10% of the gross charge $608
CPT 71120/o
info
mrf_cash_under_tenth_of_gross
cash price $135 is 10% of the gross charge $1,346
CPT 84484/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $204
CPT 88342/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 10% of the gross charge $1,471
CPT G2010/o
info
mrf_cash_under_tenth_of_gross
cash price $1,143 is 10% of the gross charge $11,433
CPT J9211/o
info
mrf_cash_under_tenth_of_gross
cash price $71 is 10% of the gross charge $712
CPT 19281/o
info
mrf_cash_under_tenth_of_gross
cash price $447 is 10% of the gross charge $4,474
CPT 78816/o
info
mrf_cash_under_tenth_of_gross
cash price $635 is 10% of the gross charge $6,353
CPT 84550/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 10% of the gross charge $187
CPT 88346/o
info
mrf_cash_under_tenth_of_gross
cash price $374 is 10% of the gross charge $3,742
CPT 96361/o
info
mrf_cash_under_tenth_of_gross
cash price $84 is 10% of the gross charge $838
CPT 49421/o
info
mrf_cash_under_tenth_of_gross
cash price $882 is 10% of the gross charge $8,818
CPT 71271/o
info
mrf_cash_under_tenth_of_gross
cash price $126 is 10% of the gross charge $1,263
CPT 84560/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 10% of the gross charge $116
CPT 88360/o
info
mrf_cash_under_tenth_of_gross
cash price $155 is 10% of the gross charge $1,551
CPT G2061/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 10% of the gross charge $97
CPT 19282/o
info
mrf_cash_under_tenth_of_gross
cash price $58 is 10% of the gross charge $579
CPT 71275/o
info
mrf_cash_under_tenth_of_gross
cash price $894 is 10% of the gross charge $8,939
CPT 78999/o
info
mrf_cash_under_tenth_of_gross
cash price $68 is 10% of the gross charge $681
CPT 84588/o
info
mrf_cash_under_tenth_of_gross
cash price $69 is 10% of the gross charge $691
CPT G2063/o
info
mrf_cash_under_tenth_of_gross
cash price $32 is 10% of the gross charge $319
CPT J9228/o
info
mrf_cash_under_tenth_of_gross
cash price $39,658 is 10% of the gross charge $396,576
CPT 49422/o
info
mrf_cash_under_tenth_of_gross
cash price $823 is 10% of the gross charge $8,233
CPT 72050/o
info
mrf_cash_under_tenth_of_gross
cash price $206 is 10% of the gross charge $2,057
CPT 79005/o
info
mrf_cash_under_tenth_of_gross
cash price $1,213 is 10% of the gross charge $12,128
CPT 96368/o
info
mrf_cash_under_tenth_of_gross
cash price $84 is 10% of the gross charge $838
CPT 36218/o
info
mrf_cash_under_tenth_of_gross
cash price $40 is 10% of the gross charge $404
CPT 72052/o
info
mrf_cash_under_tenth_of_gross
cash price $283 is 10% of the gross charge $2,834
CPT 84591/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 10% of the gross charge $227
CPT 88720/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $164
CPT J9262/o
info
mrf_cash_under_tenth_of_gross
cash price $1,342 is 10% of the gross charge $13,416
CPT 19286/o
info
mrf_cash_under_tenth_of_gross
cash price $58 is 10% of the gross charge $579
CPT 49423/o
info
mrf_cash_under_tenth_of_gross
cash price $465 is 10% of the gross charge $4,652
CPT 72072/o
info
mrf_cash_under_tenth_of_gross
cash price $139 is 10% of the gross charge $1,391
CPT 79101/o
info
mrf_cash_under_tenth_of_gross
cash price $163 is 10% of the gross charge $1,632
CPT 84681/o
info
mrf_cash_under_tenth_of_gross
cash price $42 is 10% of the gross charge $424
CPT 72100/o
info
mrf_cash_under_tenth_of_gross
cash price $183 is 10% of the gross charge $1,826
CPT 79403/o
info
mrf_cash_under_tenth_of_gross
cash price $397 is 10% of the gross charge $3,969
CPT 84703/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 10% of the gross charge $247
CPT 96373/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 10% of the gross charge $187
CPT 49424/o
info
mrf_cash_under_tenth_of_gross
cash price $155 is 10% of the gross charge $1,546
CPT 72128/o
info
mrf_cash_under_tenth_of_gross
cash price $442 is 10% of the gross charge $4,422
CPT 89230/o
info
mrf_cash_under_tenth_of_gross
cash price $61 is 10% of the gross charge $613
CPT 72129/o
info
mrf_cash_under_tenth_of_gross
cash price $551 is 10% of the gross charge $5,514

Showing the first 200 of 2,621 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 071
info
inp_charge_10x_payment
average charge $132,077 is 11.6× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $101,988 is 10.2× the total payment
MS-DRG 220
info
inp_charge_10x_payment
average charge $480,995 is 11.6× the total payment
MS-DRG 236
info
inp_charge_10x_payment
average charge $442,065 is 10.2× the total payment
MS-DRG 242
info
inp_charge_10x_payment
average charge $305,112 is 10.1× the total payment
MS-DRG 266
info
inp_charge_10x_payment
average charge $661,227 is 10.1× the total payment
MS-DRG 267
info
inp_charge_10x_payment
average charge $463,019 is 10.0× the total payment
MS-DRG 269
info
inp_charge_10x_payment
average charge $374,922 is 10.0× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $85,323 is 10.2× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $86,437 is 10.6× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $80,849 is 10.7× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $103,867 is 10.0× the total payment
MS-DRG 432
info
inp_charge_10x_payment
average charge $232,445 is 11.7× the total payment
MS-DRG 650
info
inp_charge_10x_payment
average charge $700,762 is 14.7× the total payment
MS-DRG 652
info
inp_charge_10x_payment
average charge $525,721 is 16.9× the total payment
MS-DRG 699
info
inp_charge_10x_payment
average charge $170,626 is 10.2× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $245,468 is 10.5× 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-wide · 313.3M bytes · fetched 2026-08-23 · sha256 8eabe546617e…

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.