Project Crossfoot
Hospital · CCN 310050

Saint Clare's Hospital

25 Pocono Road, Denville, NJ 07834 · Morris County
Part of Prime Healthcare Services · 242 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

78 admission types 43 outpatient services price file: ok
Billed per dollar paid, all admissions
4.23×
$170.2M billed against $40.2M paid across 2,868 Medicare discharges; the national figure is 5.03×.
0.8%
of adults in Morris County have medical debt in collections
5.3%
uninsured in the county · state 8.0%
$134K
median household income
6.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
22.8%
obesity in the countyⓘ
9.0%
diagnosed diabetes (PLACES)
5.1%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
351
$82,035
$18,662
4.4× st 6.8×
291
Heart failure and shock with mcc
198
$46,113
$12,500
3.7× st 7.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
100
$48,503
$13,801
3.5× st 7.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
97
$27,192
$7,857
3.5× st 7.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
94
$27,351
$7,914
3.5× st 7.5×
189
Pulmonary edema and respiratory failure
76
$55,996
$11,951
4.7× st 7.7×
177
Respiratory infections and inflammations with mcc
71
$59,260
$16,044
3.7× st 7.3×
193
Simple pneumonia and pleurisy with mcc
67
$60,127
$12,916
4.7× st 7.6×
069
Transient ischemia without thrombolytic
66
$30,093
$8,005
3.8× st 7.8×
689
Kidney and urinary tract infections with mcc
64
$38,330
$11,404
3.4× st 7.5×
603
Cellulitis without mcc
62
$34,285
$8,820
3.9× st 7.0×
698
Other kidney and urinary tract diagnoses with mcc
57
$54,384
$15,779
3.4× st 6.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
57
$234,412
$44,776
5.2× st 6.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
50
$62,470
$11,295
5.5× st 7.3×
690
Kidney and urinary tract infections without mcc
50
$34,501
$8,192
4.2× st 7.8×
309
Cardiac arrhythmia and conduction disorders with cc
49
$23,441
$7,641
3.1× st 8.0×
312
Syncope and collapse
47
$22,184
$8,495
2.6× st 7.8×
280
Acute myocardial infarction, discharged alive with mcc
47
$60,361
$14,912
4.0× st 7.3×
377
Gastrointestinal hemorrhage with mcc
47
$83,567
$17,126
4.9× st 7.2×
074
Cranial and peripheral nerve disorders without mcc
42
$27,938
$10,176
2.7× st 5.8×
313
Chest pain
41
$20,756
$7,038
2.9× st 6.5×
305
Hypertension without mcc
40
$23,016
$7,541
3.1× st 7.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
39
$28,149
$9,021
3.1× st 6.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
39
$155,729
$17,719
8.8× st 5.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
37
$45,206
$12,605
3.6× st 7.2×
378
Gastrointestinal hemorrhage with cc
36
$46,562
$9,721
4.8× st 7.9×
682
Renal failure with mcc
36
$66,851
$14,752
4.5× st 7.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
36
$45,012
$10,049
4.5× st 8.5×
552
Medical back problems without mcc
32
$33,412
$9,588
3.5× st 6.7×
895
Alcohol, drug abuse or dependence with rehabilitation therapy
29
$23,296
$15,013
1.6× st 4.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
28
$169,907
$27,612
6.2× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
25
$46,124
$11,109
4.2× st 8.3×
149
Dysequilibrium
24
$25,467
$7,721
3.3× st 7.7×
481
Hip and femur procedures except major joint with cc
24
$115,764
$18,677
6.2× st 5.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
24
$77,273
$19,460
4.0× st 7.3×
683
Renal failure with cc
24
$47,387
$8,947
5.3× st 7.5×
178
Respiratory infections and inflammations with cc
23
$30,230
$9,757
3.1× st 8.1×
308
Cardiac arrhythmia and conduction disorders with mcc
23
$60,366
$12,036
5.0× st 8.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
22
$74,263
$24,046
3.1× st 7.1×
637
Diabetes with mcc
21
$44,152
$14,393
3.1× st 6.8×
101
Seizures without mcc
21
$31,250
$9,122
3.4× st 7.0×
100
Seizures with mcc
21
$52,373
$18,474
2.8× st 6.2×
699
Other kidney and urinary tract diagnoses with cc
20
$34,701
$9,466
3.7× st 6.6×
281
Acute myocardial infarction, discharged alive with cc
19
$32,573
$9,099
3.6× st 7.4×
536
Fractures of hip and pelvis without mcc
19
$26,220
$7,750
3.4× st 6.8×
194
Simple pneumonia and pleurisy with cc
19
$24,378
$8,639
2.8× st 8.0×
394
Other digestive system diagnoses with cc
19
$30,711
$9,564
3.2× st 7.1×
811
Red blood cell disorders with mcc
19
$76,103
$14,032
5.4× st 7.3×
202
Bronchitis and asthma with cc/mcc
18
$45,937
$9,593
4.8× st 7.6×
300
Peripheral vascular disorders with cc
18
$32,623
$10,173
3.2× st 6.8×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
17
$40,312
$15,189
2.7× st 6.4×
813
Coagulation disorders
16
$71,927
$15,861
4.5× st 6.5×
870
Septicemia or severe sepsis with mv >96 hours
16
$266,427
$62,428
4.3× st 5.8×
917
Poisoning and toxic effects of drugs with mcc
16
$37,342
$15,141
2.5× st 6.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
16
$132,714
$19,830
6.7× st 5.9×
070
Other cerebrovascular disorders with mcc
16
$57,658
$17,004
3.4× st 6.3×
304
Hypertension with mcc
15
$29,644
$11,276
2.6× st 6.8×
812
Red blood cell disorders without mcc
15
$28,310
$8,930
3.2× st 7.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
15
$109,880
$19,404
5.7× st 6.3×
602
Cellulitis with mcc
15
$43,064
$14,310
3.0× st 6.8×
480
Hip and femur procedures except major joint with mcc
15
$140,633
$26,085
5.4× st 6.3×
660
Kidney and ureter procedures for non-neoplasm with cc
14
$62,679
$12,939
4.8× st 6.8×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
14
$43,640
$10,076
4.3× st 5.4×
393
Other digestive system diagnoses with mcc
14
$44,913
$15,628
2.9× st 6.7×
071
Other cerebrovascular disorders with cc
14
$36,479
$10,165
3.6× st 7.8×
073
Cranial and peripheral nerve disorders with mcc
14
$53,197
$14,953
3.6× st 3.8×
371
Major gastrointestinal disorders and peritoneal infections with mcc
13
$84,658
$17,133
4.9× st 6.5×
389
Gastrointestinal obstruction with cc
13
$37,229
$8,216
4.5× st 7.3×
643
Endocrine disorders with mcc
12
$42,270
$15,307
2.8× st 6.6×
252
Other vascular procedures with mcc
12
$166,609
$32,008
5.2× st 6.3×
092
Other disorders of nervous system with cc
11
$38,574
$10,385
3.7× st 6.9×
644
Endocrine disorders with cc
11
$46,070
$10,455
4.4× st 7.2×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
11
$32,362
$9,159
3.5× st 5.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$25,773
$5,737
4.5× st 7.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
11
$139,072
$18,639
7.5× st 6.7×
551
Medical back problems with mcc
11
$55,694
$15,553
3.6× st 6.6×
329
Major small and large bowel procedures with mcc
11
$247,285
$38,455
6.4× st 5.9×
948
Signs and symptoms without mcc
11
$27,538
$8,040
3.4× st 7.4×
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
5373
Level 3 Urology and Related Services
173
$23,261
$2,263
10.3×
5374
Level 4 Urology and Related Services
145
$24,204
$3,904
6.2×
5375
Level 5 Urology and Related Services
95
$40,312
$5,774
7.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
72
$12,982
$1,825
7.1×
5115
Level 5 Musculoskeletal Procedures
53
$136,178
$14,784
9.2×
5361
Level 1 Laparoscopy and Related Services
50
$63,405
$6,286
10.1×
8011
Comprehensive Observation Services
50
$11,311
$3,080
3.7×
5491
Level 1 Intraocular Procedures
40
$36,379
$2,623
13.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
36
$41,620
$3,807
10.9×
5113
Level 3 Musculoskeletal Procedures
35
$30,805
$3,560
8.7×
5114
Level 4 Musculoskeletal Procedures
35
$72,164
$7,868
9.2×
5191
Level 1 Endovascular Procedures
27
$20,914
$3,576
5.8×
5376
Level 6 Urology and Related Services
21
$69,338
$10,358
6.7×
5116
Level 6 Musculoskeletal Procedures
18
$145,925
$20,920
7.0×
5223
Level 3 Pacemaker and Similar Procedures
15
$65,481
$12,001
5.5×
5302
Level 2 Upper GI Procedures
15
$11,772
$2,141
5.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
12
$29,159
$3,001
9.7×
5414
Level 4 Gynecologic Procedures
11
$21,424
$3,263
6.6×
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5431
Level 1 Nerve 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 2026-03-17, template 3.0, 5,657 rows scanned, 3,852 distinct code–setting items kept. 698 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Hc Liver Dis 10 Assays W/Nash
CPT 0003M
$2,517
$503
$604
23
clean
Hc Cerbral Perfusion Study, Ct W/ Contrast
CPT 0042T
$3,131
—
$597
1
clean
Hc Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2
CPT 0202U
$2,084
$416
$417
28
clean
INJ PLSM IMGE GUIDE HRVST/PR
CPT 0232T
$12,983
$518
$801
27
clean
Hc Translum Peripherl Atherectomy Brachiocephal Ea
CPT 0237T
$36,041
$13,387
$13,388
27
clean
Hc Translum Peripheral Atherectomy Iliac Artery Ea
CPT 0238T
$57,233
$21,259
$21,259
27
clean
Hc Nfct Ds Rna 4 Targets Upper Respiratory Specimen
CPT 0241U
$713
$142
$171
22
clean
Hc Waterjet Prostate Abltj Cmpl
CPT 0421T
$42,144
$10,496
$10,759
24
clean
Hc Tcat Rmvl/Debulk Icar Mass Suction Device Perq
CPT 0644T
$28,508
$6,600
$7,324
26
clean
Njx b1 sub mtrl sbchdrl dfct
CPT 0707T
$14,607
$3,794
$4,553
26
clean
Hc Fine Needle Aspiration Bx W/O Img Gdn Ea Addl
CPT 10004
$5,819
—
$1,906
4
clean
Hc Fine Needle Aspiration Bx W/Us Gdn 1St Lesion
CPT 10005
$3,380
$821
$1,209
26
clean
Hc Fine Needle Aspiration Bx W/Us Gdn Ea Addl
CPT 10006
$963
—
$963
4
clean
Hc Fine Needle Aspiration Bx W/Fluor Gdn 1St Lesion
CPT 10007
$973
$821
$973
26
clean
Hc Fine Needle Aspiration Bx W/Ct Gdn 1St Lesion
CPT 10009
$2,291
$821
$1,209
26
clean
Hc Fine Needle Aspiration Bx W/Ct Gdn Ea Addl
CPT 10010
$385
—
$385
4
clean
Hc Fine Needle Aspiration Bx W/Mr Gdn 1St Lesion
CPT 10011
$300
$821
$300
26
clean
Hc Fine Needle Aspiration Bx W/Mr Gdn Ea Addl
CPT 10012
$500
—
$500
4
clean
Hc Image-Guided Catheter Fluid Collection Drainage
CPT 10030
$2,897
$821
$1,224
27
clean
Hc Perq Sft Tiss Loc Device Plmt 1St Les W/Gdnce
CPT 10035
$3,110
$821
$1,224
27
clean
Hc Acne Surgery Of Skin Abscess
CPT 10040
$954
$232
$360
27
clean
Hc Incision & Drain Skin Abscess Simple
CPT 10060
$962
$232
$360
54
clean
Hc Incision & Drain Skin Abscess Complic
CPT 10061
$1,915
$471
$729
54
clean
Hc Incision & Drain Pilonidal Cyst Simpl
CPT 10080
$3,380
$821
$1,224
54
clean
Hc Incision & Drain Pilonidal Cyst Complicated
CPT 10081
$2,897
$821
$1,224
27
clean
Hc Remove Foreign Body Simple
CPT 10120
$1,915
$471
$729
54
clean
Hc Remove Foreign Body Complex
CPT 10121
$7,788
$1,915
$2,217
27
clean
Hc Incision & Drain Of Hematoma/Fluid
CPT 10140
$7,788
$1,915
$2,217
54
clean
Hc Puncture Drainage Of Lesion
CPT 10160
$1,915
$471
$729
27
clean
Hc Complex Drainage, Wound
CPT 10180
$11,850
$3,368
$3,537
27
clean
Hc Debridement, Infected Skin, Up To 10% Bsa
CPT 11000
$2,674
$471
$729
27
clean
Hc Debride W Fb Remove, Fx/Disloc
CPT 11010
$2,897
$821
$1,224
27
clean
Deb Skin Bone At Fx Site
CPT 11012
$19,238
$3,368
$3,369
27
clean
Dbrdmt Subq Tis 1St 20Sqcm/<
CPT 11042
$46,170
$471
$729
54
clean
Dbrdmt Musc&/Fsca 1St 20/<
CPT 11043
$20,678
$857
$1,224
54
clean
Dbrdmt Bone 1St 20 Sq Cm/<
CPT 11044
$20,198
$1,915
$2,011
54
clean
Hc Debride Skin Sub-Q Tiss Each Add 20 Sq Cm
CPT 11045
$1,075
—
$1,075
5
clean
Hc Debride Skin Sub-Q Tiss Muscle Ea Add 20 Sq Cm
CPT 11046
$1,234
—
$1,234
5
clean
Hc Debride Skin Sub-Q Tiss Musc Bn Ea 20 Sq Cm
CPT 11047
$2,310
—
$1,438
5
clean
Hc Trim Benign Hyperkeratotic Skin Lesion, Single
CPT 11055
$962
$232
$360
27
clean
Hc Trim Benign Hyperkeratotic Skin Lesion,2-4
CPT 11056
$962
$232
$360
27
clean
Hc Trim Benign Hyperkeratotic Skin Lesion,>4
CPT 11057
$882
$232
$360
27
clean
Hc Tangential Biopsy Skin Single Lesion
CPT 11102
$882
$471
$694
26
clean
Hc Tangential Biopsy Skin Ea Sep/Additional Lesion
CPT 11103
$658
—
$658
4
clean
Hc Punch Biopsy Skin Single Lesion
CPT 11104
$1,915
$471
$694
26
clean
Hc Punch Biopsy Skin Ea Sep/Additional Lesion
CPT 11105
$422
—
$422
4
clean
Hc Incisional Biopsy Skin Single Lesion
CPT 11106
$1,570
$857
$1,262
26
clean
Hc Incisional Biopsy Skin Ea Sep/Additional Lesion
CPT 11107
$1,171
—
$1,171
4
clean
Rmvl Skin Tags Up To&Inc 15
CPT 11200
$18,595
$232
$360
27
clean
Exc tr-ext b9+marg 0.5 cm<
CPT 11400
$9,619
$821
$1,224
27
clean
Exc tr-ext b9+marg 0.6-1 cm
CPT 11401
$12,443
$471
$729
27
clean
Exc Tr-Ext B9+Marg 1.1-2 Cm
CPT 11402
$15,390
$821
$1,224
27
clean
Exc tr-ext b9+marg 2.1-3cm
CPT 11403
$8,817
$821
$1,224
27
clean
Exc Tr-Ext B9+Marg 3.1-4 Cm
CPT 11404
$15,390
$1,915
$2,217
27
clean
Exc Tr-Ext B9+Marg >4.0 Cm
CPT 11406
$15,390
$1,915
$2,217
27
clean
Exc h-f-nk-sp b9+marg 0.5<
CPT 11420
$17,793
$1,915
$2,011
27
clean
Exc H-F-Nk-Sp B9+Marg 0.6-1
CPT 11421
$15,390
$821
$1,224
27
clean
Exc H-F-Nk-Sp B9+Marg 1.1-2
CPT 11422
$14,818
$1,915
$2,011
54
clean
Exc H-F-Nk-Sp B9+Marg 2.1-3
CPT 11423
$15,390
$1,915
$2,217
27
clean
Exc h-f-nk-sp b9+marg >4 cm
CPT 11426
$20,520
$3,368
$3,537
27
clean
Exc face-mm b9+marg 0.5 cm<
CPT 11440
$15,390
$821
$1,224
27
clean
Exc face-mm b9+marg 1.1-2 cm
CPT 11442
$10,260
$821
$1,224
27
clean
Exc Face-Mm B9+Marg 2.1-3 Cm
CPT 11443
$19,238
$1,915
$2,011
27
clean
Exc Skn H/P/P/U Smpl/Ntrm
CPT 11470
$17,310
$3,368
$3,537
27
clean
Exc S/N/H/F/G Mal+Mrg 1.1-2
CPT 11622
$19,238
$821
$1,224
27
clean
Hc Trim Nail(S)
CPT 11719
$280
$68
$123
30
clean
Hc Debridement Of Nails, 1-5
CPT 11720
$280
$68
$106
27
clean
Hc Debridement Of Nails, 6 Or More
CPT 11721
$294
$68
$106
27
clean
Hc Removal Of Nail Plate
CPT 11730
$962
$232
$360
54
clean
Hc Removal Of Nail Plate, Simple, Ea Ad
CPT 11732
$854
—
$854
5
clean
Hc Drain Blood From Under Nail
CPT 11740
$614
$154
$238
27
clean
Hc Removal Of Nail Bed
CPT 11750
$1,915
$471
$729
54
clean
Hc Reconstruc Of Nail Bed
CPT 11760
$2,414
$857
$1,224
27
clean
Hc Excision Of Nail Fold (Wedge), Toe
CPT 11765
$1,570
$471
$729
27
clean
Remove Pilonidal Cyst Simple
CPT 11770
$19,238
$3,368
$3,537
27
clean
Remove Pilonidal Cyst Exten
CPT 11771
$26,933
$3,368
$3,537
27
clean
Remove Pilonidal Cyst Compl
CPT 11772
$19,474
$3,368
$3,537
27
clean
Hc Inject Skin Lesions </W 7
CPT 11900
$882
$232
$372
29
clean
Rplcmt tiss xpndr perm implt
CPT 11970
$25,965
$8,415
$8,415
27
clean
Insertion drug dlvr implant
CPT 11981
$6,733
$154
$238
27
clean
Remove drug implant device
CPT 11982
$46,170
$518
$801
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr <2.5 Cm
CPT 12001
$962
$232
$360
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr 2.6-7.5 Cm
CPT 12002
$962
$232
$360
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr 7.6-12.5 Cm
CPT 12004
$962
$232
$360
54
clean
Hc Repr Wnd Smp Body/Scalp/Extr 12.6-20 Cm
CPT 12005
$1,915
$471
$729
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr 20.1-30 Cm
CPT 12006
$1,915
$471
$729
27
clean
Hc Repr Wnd Smp Body/Scalp/Extr >30.1 Cm
CPT 12007
$882
$232
$360
27
clean
Rpr F/E/E/N/L/M 2.5 Cm/<
CPT 12011
$882
$232
$360
27
clean
Hc Repr Wnd Smp Face 2.6-5.0 Cm
CPT 12013
$962
$232
$360
27
clean
Hc Repr Wnd Smp Face 5.1-7.5 Cm
CPT 12014
$962
$232
$360
27
clean
Hc Repr Wnd Smp Face 7.6-12.5 Cm
CPT 12015
$962
$232
$360
27
clean
Hc Repr Wnd Smp Face 12.6-20 Cm
CPT 12016
$1,570
$471
$729
27
clean
Hc Repr Wnd Smp Face 20.1-30 Cm
CPT 12017
$1,570
$471
$729
27
clean
Hc Repr Wnd Smp Face >30.1 Cm
CPT 12018
$882
$232
$360
27
clean
Hc Treat Wnd Dehiscence, Simple Closure
CPT 12020
$2,414
$857
$1,224
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr <2.5 Cm
CPT 12031
$1,915
$471
$729
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 2.6-7.5 Cm
CPT 12032
$1,915
$471
$729
54
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 7.6-12.5 Cm
CPT 12034
$1,915
$471
$729
54
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 12.5-20 Cm
CPT 12035
$1,915
$471
$729
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 20.1-30 Cm
CPT 12036
$3,017
$857
$1,224
27
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr >30.1 Cm
CPT 12037
$7,745
$2,392
$3,230
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent <2.5 Cm
CPT 12041
$1,915
$471
$729
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 2.6-7.5 Cm
CPT 12042
$1,915
$471
$729
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 7.6-12.5 Cm
CPT 12044
$2,414
$857
$1,224
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 12.5-20 Cm
CPT 12045
$2,414
$857
$1,224
27
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 20.1-30 Cm
CPT 12046
$1,570
$857
$1,224
27
clean
Hc Repr Wnd Intrmd Face <2.5 Cm
CPT 12051
$1,915
$471
$729
27
clean
Hc Repr Wnd Intrmd Face 2.6-5.0 Cm
CPT 12052
$1,915
$471
$729
27
clean
Hc Repr Wnd Intrmd Face 5.1-7.5 Cm
CPT 12053
$1,915
$471
$729
27
clean
Hc Repr Wnd Intrmd Face 7.6-12.5 Cm
CPT 12054
$1,570
$471
$729
27
clean
Hc Repr Wnd Intrmd Face 12.6-20 Cm
CPT 12055
$1,570
$471
$729
27
clean
Hc Repr Wnd Intrmd Face 20.1-30 Cm
CPT 12056
$1,570
$471
$729
27
clean
Hc Repr Wnd Intrmd Face >30.1 Cm
CPT 12057
$1,570
$471
$729
27
clean
Hc Repr Wnd Cplx Trunk 1.1-2.5 Cm
CPT 13100
$2,414
$857
$1,224
27
clean
Hc Repr Wnd Cplx Trnk 2.6-7.5 Cm
CPT 13101
$2,414
$857
$1,224
27
clean
Cmplx rpr trunk addl 5cm<
CPT 13102
$10,100
—
$1,438
5
clean
Hc Repr Wnd Cplx Scalp 1.1-2.5 Cm
CPT 13120
$2,414
$471
$729
27
clean
Hc Repr Wnd Cplx Scalp 2.6-7.5 Cm
CPT 13121
$3,017
$471
$729
27
clean
Hc Repr Wnd Cplx Scalp Add 5.0 Cm
CPT 13122
$1,313
—
$1,313
5
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent 1.1-2.5 Cm
CPT 13131
$1,570
$471
$729
27
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent 2.6-7.5 Cm
CPT 13132
$2,414
$471
$729
27
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent Ea Add 5.0 Cm
CPT 13133
$1,437
—
$1,437
5
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip 1.1-2.5 Cm
CPT 13151
$2,414
$857
$1,224
27
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip 2.6-7.5 Cm
CPT 13152
$2,414
$857
$1,224
27
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip Ea Add 5.0 Cm
CPT 13153
$1,506
—
$1,438
5
clean
Hc Secondary Closure Surg Wound Dehiscense Complicated
CPT 13160
$7,745
$4,109
$4,315
27
clean
Hc Adjacent Tissue Trns/Reargmt F/C/C/M/N/A/G/H/F 10Sqcm/&Lt
CPT 14040
$7,745
$2,392
$2,512
27
clean
Hc Adjt Tis Trnsfr/Rearrgmt E/N/E/L Dfct 10 Sq Cm/<
CPT 14060
$10,174
$2,392
$2,512
54
clean
Tis trnfr any 30.1-60 sq cm
CPT 14301
$7,748
$4,109
$4,315
27
clean
Tis trnfr addl 30 sq cm
CPT 14302
$7,748
—
$1,438
5
clean
Wound prep fnhfg
CPT 15004
$15,868
$471
$729
27
clean
Hc Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/<
CPT 15240
$8,629
$2,392
$2,512
27
clean
Hc App Skn Sub Trnk/Arm/Leg Ttl 100Sqcm 1St 25 Sqcm
CPT 15271
$8,760
$857
$1,325
27
clean
Hc App Skn Sub Trnk/Arm/Leg Ttl 100Sqcm Ea Ad 25Qsqcm
CPT 15272
$1,440
—
$1,438
5
clean
Hc App Skn Sub Trnk/Arm/Leg >=100Sqcm 1St 100Sqcm
CPT 15273
$13,831
$2,392
$3,441
27
clean
Hc App Skn Sub Trnk/Arm/Leg >=100Sqcm Ea Add 100Sqcm
CPT 15274
$3,197
—
$1,438
5
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt Ttl 100Sqcm 1St 25 Sqcm
CPT 15275
$8,760
$857
$1,325
27
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt Ttl 100Sqcm Ea Ad 25Cm
CPT 15276
$1,440
—
$1,438
5
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt >=100Sqcm 1St 100Sqcm
CPT 15277
$7,745
$2,392
$2,512
27
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt >=100Sqcm Ea Ad 100Sqcm
CPT 15278
$3,197
—
$1,438
5
clean
Muscle-skin graft trunk
CPT 15734
$18,787
$4,109
$4,315
27
clean
Hc Graft Composite W/Primary Closure Donor Area
CPT 15760
$5,314
$2,392
$2,512
27
clean
Acellular derm matrix implt
CPT 15777
$23,291
—
$1,438
5
clean
Removal sutrstaple req anes
CPT 15851
$19,238
$2,392
$2,512
27
clean
Dressing Change Not For Burn
CPT 15852
$17,310
$857
$1,224
27
clean
Hc Treat Burn 1St Degree, Initial
CPT 16000
$962
$232
$360
27
clean
Hc Dress/Debride Burn <5% Total Sm
CPT 16020
$962
$232
$360
27
clean
Hc Dress/Debride Burn 5-10% Ttl Med
CPT 16025
$882
$232
$360
27
clean
Hc Dress/Debride Burn >10% Ttl Lg
CPT 16030
$1,570
$471
$729
27
clean
Destruct B9 Lesion 1-14
CPT 17110
$15,870
$232
$360
27
clean
Hc Chem Cautery Granulatn Tissue
CPT 17250
$962
$232
$360
27
clean
Hc I&D Breast Lesion
CPT 19000
$2,897
$821
$1,224
27
clean
Hc I&D Breast Lesion Add On
CPT 19001
$677
—
$677
5
clean
Hc Mastotomy W Explor/Drain Absc, Deep
CPT 19020
$6,878
$1,915
$2,586
27
clean
Hc Inject Ductogram/Galactogram
CPT 19030
$677
—
$677
5
clean
Hc Bx Breast W Device Stereotact Guide 1St Lesion
CPT 19081
$7,788
$1,915
$2,217
27
clean
Hc Bx Breast W Device Stereotact Guide Addl Lesion
CPT 19082
$2,625
—
$1,438
5
clean
Hc Bx Breast W Device Us Guide 1St Lesion
CPT 19083
$7,788
$1,915
$2,217
27
clean
Hc Bx Breast W Device Us Guide Addl Lesion
CPT 19084
$2,625
—
$1,438
5
clean
Hc Bx Breast W Device Mri Guide 1St Lesion
CPT 19085
$6,878
$1,915
$2,217
27
clean
Hc Bx Breast W Device Mri Guide Addl Lesion
CPT 19086
$223
—
$223
5
clean
Removal Of Breast Lesion
CPT 19120
$23,801
$4,540
$4,751
27
clean
Excision Breast Lesion
CPT 19125
$27,103
$4,540
$4,751
27
clean
Hc Perq Dev Place Breast Loc 1St Les W Mammo Guid
CPT 19281
$2,897
$1,915
$2,217
27
clean
Hc Perq Device Placemt Breast Loc Ea Les W Guidnce
CPT 19282
$614
—
$614
5
clean
Hc Perq Breast Loc Dev Place Strotact Guid 1St Les
CPT 19283
$2,159
$821
$1,224
27
clean
Hc Perq Breast Loc Dev Place Us Guide 1St Lesion
CPT 19285
$2,897
$821
$1,224
27
clean
Hc Perq Breast Loc Dev Place Us Guide Addl Lesion
CPT 19286
$614
—
$614
5
clean
Hc Perq Breast Loc Dev Place Mri Guide 1St Lesion
CPT 19287
$2,897
$821
$1,224
27
clean
Hc Perq Breast Loc Dev Place Mri Guide Addl Lesion
CPT 19288
$614
—
$614
5
clean
Hc Plmt Expandable Cath Brst Following Prtl Mast
CPT 19296
$37,244
$9,478
$9,479
27
clean
Partial Mastectomy
CPT 19301
$31,735
$4,540
$4,751
27
clean
P-mastectomy wln removal
CPT 19302
$32,697
$7,700
$7,701
27
clean
Mast mod rad
CPT 19307
$14,425
$7,700
$7,701
27
clean
Tiss xpndr plmt brst rcnstj
CPT 19357
$14,425
$15,981
$14,425
27
clean
Peri-implt capslc brst compl
CPT 19371
$12,983
$4,540
$4,768
27
clean
Revj reconstructed breast
CPT 19380
$12,983
$7,700
$7,701
27
clean
Hc Explore Wound,Neck
CPT 20100
$2,436
$625
$967
27
clean
Hc Explore Wound,Chest
CPT 20101
$7,745
$2,392
$2,512
27
clean
Hc Explore Wound Abdomen/Flank/Back
CPT 20102
$7,745
$2,392
$2,512
27
clean
Hc Explore Wound Extremity
CPT 20103
$2,897
$1,915
$2,011
27
clean
Hc Needle Biopsy,Muscle
CPT 20206
$7,788
$1,915
$2,217
27
clean
Hc Bone Bx Tr/Ndl; Superf
CPT 20220
$7,788
$1,915
$2,011
27
clean
Hc Bone Biopsy,Trocar/Needle Deep
CPT 20225
$7,788
$1,915
$2,217
27
clean
Bone biopsy open superficial
CPT 20240
$17,473
$3,368
$3,537
27
clean
Hc Inject Sinus Tract For Dx W Xray
CPT 20501
$371
—
$371
5
clean
Hc Remove Fb Musc/Tendon, Simple
CPT 20520
$6,878
$1,915
$2,011
27
clean
Hc Removal Of Foreign Body Deep/Complex
CPT 20525
$11,892
$3,368
$3,537
27
clean
Hc Inject Tendon Sheath/Ligament
CPT 20550
$1,237
$355
$550
27
clean
Hc Inject Tendon Origin/Insert
CPT 20551
$1,306
$355
$550
27
clean
Hc Inject Trigger Point1-2 Muscle
CPT 20552
$1,237
$355
$550
27
clean
Hc Inject Trigger Points, > 3
CPT 20553
$1,237
$355
$550
27
clean
Hc Drain/Inject Small Joint/Bursa
CPT 20600
$1,237
$355
$550
27
clean
Hc Drain/Inject Intermediate Joint/Bursa
CPT 20605
$1,423
$355
$550
27
clean
Drain/Inj Joint/Bursa W/O Us
CPT 20610
$14,962
$355
$550
54
clean
Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us
CPT 20611
$1,423
$355
$550
27
clean
Hc Aspirat/Injection Ganglion Cyst(S)
CPT 20612
$1,334
$355
$550
27
clean
Hc Removal Of Implant, Superficial
CPT 20670
$7,724
$1,915
$2,217
27
clean
Removal Of Implant Deep
CPT 20680
$22,116
$3,368
$3,537
27
clean
Rmvl Ext Fixj Sys Under Anes
CPT 20694
$28,129
$1,864
$2,217
27
clean

Showing the first 200 of 3,852 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 28309/o
error
mrf_cash_above_gross
discounted cash price $8,415 exceeds gross charge $3,606
CPT 28310/o
error
mrf_cash_above_gross
discounted cash price $8,415 exceeds gross charge $7,573
CPT 28715/o
error
mrf_cash_above_gross
discounted cash price $14,888 exceeds gross charge $14,488
CPT 29855/o
error
mrf_cash_above_gross
discounted cash price $8,415 exceeds gross charge $7,304
CPT 30465/o
error
mrf_cash_above_gross
discounted cash price $6,865 exceeds gross charge $4,328
CPT 30468/o
error
mrf_cash_above_gross
discounted cash price $6,865 exceeds gross charge $5,611
CPT 30930/o
error
mrf_cash_above_gross
discounted cash price $3,844 exceeds gross charge $3,727
CPT 31030/o
error
mrf_cash_above_gross
discounted cash price $6,865 exceeds gross charge $5,049
CPT 31255/o
error
mrf_cash_above_gross
discounted cash price $8,184 exceeds gross charge $5,864
CPT 31257/o
error
mrf_cash_above_gross
discounted cash price $8,184 exceeds gross charge $6,491
CPT 31267/o
error
mrf_cash_above_gross
discounted cash price $8,184 exceeds gross charge $6,322
CPT 31276/o
error
mrf_cash_above_gross
discounted cash price $8,184 exceeds gross charge $5,950
CPT 31287/o
error
mrf_cash_above_gross
discounted cash price $8,184 exceeds gross charge $5,409
CPT 42650/o
error
mrf_cash_above_gross
discounted cash price $1,799 exceeds gross charge $483
CPT 43282/o
error
mrf_cash_above_gross
discounted cash price $12,327 exceeds gross charge $11,902
CPT 49595/o
error
mrf_cash_above_gross
discounted cash price $7,507 exceeds gross charge $7,212
CPT 50576/o
error
mrf_cash_above_gross
discounted cash price $10,978 exceeds gross charge $9,738
CPT 88333/o
error
mrf_cash_above_gross
discounted cash price $934 exceeds gross charge $817
CPT 61624/o
error
mrf_cash_above_gross
discounted cash price $21,259 exceeds gross charge $17,769
CPT 64590/o
error
mrf_cash_above_gross
discounted cash price $22,498 exceeds gross charge $17,310
CPT 93618/o
error
mrf_cash_above_gross
discounted cash price $1,411 exceeds gross charge $1,138
CPT 84410/o
error
mrf_cash_above_gross
discounted cash price $51 exceeds gross charge $33
CPT M0220/o
error
mrf_cash_above_gross
discounted cash price $170 exceeds gross charge $150
CPT 86001/o
error
mrf_cash_above_gross
discounted cash price $7 exceeds gross charge $3
CPT 10011/o
error
mrf_cash_above_gross
discounted cash price $821 exceeds gross charge $300
CPT 19357/o
error
mrf_cash_above_gross
discounted cash price $15,981 exceeds gross charge $14,425
CPT 20696/o
error
mrf_cash_above_gross
discounted cash price $31,467 exceeds gross charge $30,780
CPT 22551/o
error
mrf_cash_above_gross
discounted cash price $14,888 exceeds gross charge $9,010
CPT 22558/o
error
mrf_cash_above_gross
discounted cash price $31,467 exceeds gross charge $10,560
CPT 23470/o
error
mrf_cash_above_gross
discounted cash price $14,888 exceeds gross charge $12,984
CPT 24366/o
error
mrf_cash_above_gross
discounted cash price $14,888 exceeds gross charge $11,540
CPT 24582/o
error
mrf_cash_above_gross
discounted cash price $8,415 exceeds gross charge $7,934
warn
mrf_rate_without_estimate
1,383 of 1,383 percentage/algorithm rates across 595 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 82952/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 1% of the gross charge $300
CPT 86777/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 6% of the gross charge $237
CPT 82955/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $226
CPT 86778/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 4% of the gross charge $337
CPT 82977/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 6% of the gross charge $116
CPT 86787/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 10% of the gross charge $125
CPT 28415/o
info
mrf_cash_under_tenth_of_gross
cash price $8,415 is 9% of the gross charge $92,511
CPT 82985/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 2% of the gross charge $704
CPT 86790/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 2% of the gross charge $557
CPT 28476/o
info
mrf_cash_under_tenth_of_gross
cash price $3,794 is 9% of the gross charge $41,040
CPT 83001/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $320
CPT 86793/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $203
CPT 28505/o
info
mrf_cash_under_tenth_of_gross
cash price $3,794 is 9% of the gross charge $40,970
CPT 83002/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $301
CPT 86800/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 10% of the gross charge $155
CPT 83003/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 7% of the gross charge $226
CPT 86812/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 7% of the gross charge $337
CPT 28899/o
info
mrf_cash_under_tenth_of_gross
cash price $286 is 3% of the gross charge $10,884
CPT 83010/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 5% of the gross charge $237
CPT 86813/o
info
mrf_cash_under_tenth_of_gross
cash price $58 is 6% of the gross charge $927
CPT 83015/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 4% of the gross charge $513
CPT 86817/o
info
mrf_cash_under_tenth_of_gross
cash price $106 is 8% of the gross charge $1,272
CPT 29882/o
info
mrf_cash_under_tenth_of_gross
cash price $3,794 is 10% of the gross charge $38,952
CPT 83020/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 6% of the gross charge $196
CPT 29891/o
info
mrf_cash_under_tenth_of_gross
cash price $3,794 is 10% of the gross charge $39,277
CPT 83021/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $240
CPT 29999/o
info
mrf_cash_under_tenth_of_gross
cash price $286 is 3% of the gross charge $9,738
CPT 83051/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 3% of the gross charge $209
CPT 30020/o
info
mrf_cash_under_tenth_of_gross
cash price $625 is 2% of the gross charge $30,780
CPT 83069/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 1% of the gross charge $243
CPT 83070/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $83
CPT 87015/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 1% of the gross charge $541
CPT 83090/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 5% of the gross charge $327
CPT 87040/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $142
CPT 30802/o
info
mrf_cash_under_tenth_of_gross
cash price $1,799 is 8% of the gross charge $23,085
CPT 83498/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 7% of the gross charge $398
CPT 87045/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 3% of the gross charge $301
CPT 83500/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $240
CPT 87075/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 3% of the gross charge $267
CPT 30999/o
info
mrf_cash_under_tenth_of_gross
cash price $274 is 5% of the gross charge $5,470
CPT 83516/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 1% of the gross charge $788
CPT 87077/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 3% of the gross charge $234
CPT 83519/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 1% of the gross charge $2,868
CPT 87081/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 1% of the gross charge $1,056
CPT 83520/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 1% of the gross charge $1,385
CPT 87088/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $146
CPT 83525/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 9% of the gross charge $116
CPT 87102/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 3% of the gross charge $252
CPT 83529/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 6% of the gross charge $270
CPT 87106/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 5% of the gross charge $188
CPT 83540/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $76
CPT 87109/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 3% of the gross charge $598
CPT 83586/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 10% of the gross charge $125
CPT 87110/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $345
CPT 83593/o
info
mrf_cash_under_tenth_of_gross
cash price $28 is 4% of the gross charge $632
CPT 87116/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 4% of the gross charge $261
CPT 83615/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $128
CPT 87118/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $212
CPT 83625/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 6% of the gross charge $195
CPT 87147/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 2% of the gross charge $284
CPT 83632/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 2% of the gross charge $972
CPT 87168/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 1% of the gross charge $323
CPT 83655/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $145
CPT 87172/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $195
CPT 83661/o
info
mrf_cash_under_tenth_of_gross
cash price $21 is 4% of the gross charge $471
CPT 87176/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $195
CPT 83690/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 4% of the gross charge $160
CPT 87177/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 3% of the gross charge $288
CPT 83700/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 4% of the gross charge $267
CPT 87181/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 1% of the gross charge $433
CPT 83701/o
info
mrf_cash_under_tenth_of_gross
cash price $33 is 8% of the gross charge $417
CPT 87186/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 1% of the gross charge $918
CPT 36832/o
info
mrf_cash_under_tenth_of_gross
cash price $6,453 is 9% of the gross charge $75,470
CPT 83718/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $143
CPT 87197/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $191
CPT 83719/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 1% of the gross charge $1,257
CPT 87205/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $139
CPT 83721/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $143
CPT 87206/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 1% of the gross charge $399
CPT 37609/o
info
mrf_cash_under_tenth_of_gross
cash price $1,915 is 9% of the gross charge $21,638
CPT 83735/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $112
CPT 87207/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 1% of the gross charge $393
CPT 40806/o
info
mrf_cash_under_tenth_of_gross
cash price $625 is 5% of the gross charge $11,540
CPT 83785/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 5% of the gross charge $576
CPT 87210/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $142
CPT 41899/o
info
mrf_cash_under_tenth_of_gross
cash price $274 is 1% of the gross charge $25,965
CPT 83789/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 4% of the gross charge $542
CPT 87220/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $116
CPT 83825/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 5% of the gross charge $316
CPT 87230/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 4% of the gross charge $503
CPT 42836/o
info
mrf_cash_under_tenth_of_gross
cash price $3,844 is 9% of the gross charge $43,275
CPT 83835/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 3% of the gross charge $574
CPT 87252/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 6% of the gross charge $418
CPT 42960/o
info
mrf_cash_under_tenth_of_gross
cash price $625 is 4% of the gross charge $17,310
CPT 83864/o
info
mrf_cash_under_tenth_of_gross
cash price $28 is 8% of the gross charge $371
CPT 87272/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 4% of the gross charge $261
CPT 83872/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $134
CPT 87290/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 9% of the gross charge $139
CPT 83873/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 5% of the gross charge $334
CPT 87320/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $169
CPT 83874/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 3% of the gross charge $356
CPT 87324/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 4% of the gross charge $281
CPT 83883/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 2% of the gross charge $702
CPT 87338/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 3% of the gross charge $488
CPT 83915/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 9% of the gross charge $116
CPT 87341/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 8% of the gross charge $130
CPT 83918/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 2% of the gross charge $1,045
CPT 87350/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 10% of the gross charge $112
CPT 83935/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 1% of the gross charge $602
CPT 87380/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 2% of the gross charge $1,074
CPT 83970/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 7% of the gross charge $577
CPT 87390/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 8% of the gross charge $315
CPT 45379/o
info
mrf_cash_under_tenth_of_gross
cash price $1,387 is 6% of the gross charge $23,085
CPT 83986/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 1% of the gross charge $331
CPT 87425/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 7% of the gross charge $169
CPT 83992/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 4% of the gross charge $522
CPT 87449/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $383
CPT 84030/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $147
CPT 87469/o
info
mrf_cash_under_tenth_of_gross
cash price $35 is 8% of the gross charge $425
CPT 84066/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $217
CPT 87476/o
info
mrf_cash_under_tenth_of_gross
cash price $35 is 4% of the gross charge $847
CPT 84075/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $142
CPT 87496/o
info
mrf_cash_under_tenth_of_gross
cash price $35 is 6% of the gross charge $560
CPT 84080/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $206
CPT 87517/o
info
mrf_cash_under_tenth_of_gross
cash price $42 is 5% of the gross charge $845
CPT 49507/o
info
mrf_cash_under_tenth_of_gross
cash price $4,152 is 10% of the gross charge $42,370
CPT 84100/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $127
CPT 87521/o
info
mrf_cash_under_tenth_of_gross
cash price $35 is 1% of the gross charge $2,894
CPT 84105/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $72
CPT 87535/o
info
mrf_cash_under_tenth_of_gross
cash price $35 is 3% of the gross charge $1,257
CPT 84110/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 10% of the gross charge $82
CPT 87556/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 6% of the gross charge $704
CPT 84119/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $224
CPT 87623/o
info
mrf_cash_under_tenth_of_gross
cash price $35 is 3% of the gross charge $1,308
CPT 84120/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 3% of the gross charge $484
CPT 87641/o
info
mrf_cash_under_tenth_of_gross
cash price $35 is 6% of the gross charge $618
CPT 84126/o
info
mrf_cash_under_tenth_of_gross
cash price $39 is 6% of the gross charge $632
CPT 87798/o
info
mrf_cash_under_tenth_of_gross
cash price $35 is 4% of the gross charge $847
CPT 84132/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $265
CPT 88130/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 4% of the gross charge $461
CPT 84133/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $58
CPT 88142/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 6% of the gross charge $358
CPT 84134/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 6% of the gross charge $254
CPT 88230/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 9% of the gross charge $1,243
CPT 84135/o
info
mrf_cash_under_tenth_of_gross
cash price $21 is 2% of the gross charge $1,045
CPT 88233/o
info
mrf_cash_under_tenth_of_gross
cash price $140 is 7% of the gross charge $1,986
CPT 84143/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 3% of the gross charge $836
CPT 88235/o
info
mrf_cash_under_tenth_of_gross
cash price $150 is 7% of the gross charge $2,237
CPT 84144/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 6% of the gross charge $320
CPT 88237/o
info
mrf_cash_under_tenth_of_gross
cash price $143 is 10% of the gross charge $1,492
CPT 84146/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $301
CPT 88239/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 7% of the gross charge $2,237
CPT 84150/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 7% of the gross charge $568
CPT 88248/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 6% of the gross charge $2,973
CPT 84153/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $327
CPT 88262/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 5% of the gross charge $2,479
CPT 84155/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 3% of the gross charge $116
CPT 88267/o
info
mrf_cash_under_tenth_of_gross
cash price $188 is 8% of the gross charge $2,479
CPT 54840/o
info
mrf_cash_under_tenth_of_gross
cash price $2,424 is 7% of the gross charge $34,083
CPT 84156/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 6% of the gross charge $48
CPT 84157/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 3% of the gross charge $116
CPT 89050/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $101
CPT 57180/o
info
mrf_cash_under_tenth_of_gross
cash price $234 is 2% of the gross charge $13,674
CPT 84182/o
info
mrf_cash_under_tenth_of_gross
cash price $29 is 3% of the gross charge $917
CPT 89051/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 2% of the gross charge $218
CPT 84202/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 4% of the gross charge $358
CPT 89060/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 3% of the gross charge $228

Showing the first 200 of 698 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    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. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    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. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    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. Saint Clare's Hospital — standard charges file · NJ · updated 2026-03-17
    · json · 28.2M bytes · fetched 2026-08-26 · sha256 340cea79ec69…

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.