Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC Dna Hea 35 Ag 11 Bld Grp Whl Bld Cmn Allel
$1,041
$1,000
$720
124
clean
Liver Dis 10 Assays Serum Algorithm W/Ash
$1,376
$643
$503
125
clean
Nash-Fibrotest Liver Dis 10 Assays
$10,647
$1,239
$503
125
clean
Nash-Fibrotest Liver Dis 10 Assays
$530
$530
$473
192
clean
Anesthesia Salivary Glands With Biopsy
$34,451
$7,894
$6,864
65
clean
Anesthesia Cleft Lip Involving Plastic Repair
$37,358
$7,894
$6,864
65
clean
Anesthesia Eyelid Reconstructive Procedure
$14,020
$3,114
$2,707
94
clean
Anesthesia Electroconvulsive Therapy
$6,103
$711
$616
94
clean
Anesthesia External Middle & Inner Ear W/Bx Nos
$31,830
$7,894
$6,864
65
clean
Anes External Middle & Inner Ear W/Bx Otoscopy
$16,598
$2,162
$1,770
65
clean
Anes Xtrnl Mid & Inner Ear W/Bx Tympanotomy
$10,107
$1,977
$1,719
65
clean
Anesthesia Eye Not Otherwise Specified
$12,450
$3,114
$2,707
65
clean
Anesthesia Eye Lens Surgery
$17,384
$3,043
$2,646
65
clean
Anesthesia Eye Corneal Transplant
$18,965
$5,032
$4,376
66
clean
Anesthesia Eye Vitreoretinal Surgery
$29,260
$5,368
$4,668
65
clean
Anesthesia Eye Ophthalmoscopy
$9,546
$3,113
$2,707
65
clean
Adrenal Cortical Tum Biochem Assay 25 Strd Mrk
$1,741
$1,512
$1,318
109
clean
Anesthesia Nose & Accessory Sinuses Nos
$24,987
$9,237
$8,032
108
clean
Anes Nose & Accessory Sinuses Radical Surgery
$78,783
$8,287
$3,763
65
clean
Anes Nose & Accessory Sinuses Biopsy Soft Tissue
$32,768
$1,977
$1,719
76
clean
Anesthesia Intraoral With Biopsy Nos
$17,600
$4,327
$3,763
65
clean
Anes Intraoral W/Biopsy Repair Cleft Palate
$41,285
$7,894
$6,864
76
clean
Anesthesia Intraoral W/Biopsy Radical Surgery
$67,075
$5,535
$2,323
57
clean
Anesthesia Facial Bones or Skull Nos
$23,368
$1,641
$1,403
65
clean
Anes Facial Bones/Skull Rad Surg W/Prognathism
$28,030
$7,894
$6,864
76
clean
Anesthesia Intracranial Procedure Nos
$27,207
$1,641
$1,410
66
clean
Anes Intracranial Craniotomy/Craniectomy Hmtma
$22,445
$3,151
$1,981
57
clean
Anes Intracranial Burr Holes W/Ventriculography
$44,057
$2,108
$389
57
clean
Anes Intracranial/Elevation Deprsd Skull Fx Xdrl
$40,066
$2,606
$2,266
76
clean
Anes Intracranial Procedure in Sitting Position
$19,374
$2,832
$2,380
66
clean
Anes Intracranial Cerebrospinal Fluid Shunting
$56,469
$8,761
$7,431
64
clean
Glyca Nuc MR Spectroscopy Quantitative
$1,686
$179
$34
125
clean
Rx Metab Advrs Rx Rxn & Rspse Trgt Seq Alys
$829
$829
$779
93
clean
Anes Integ Musc & Nrv Head Neck&Posterior Trunk
$18,648
$3,820
$3,321
65
clean
Anes Esoph Thyrd Larynx Trach & Lymph Neck 1yr
$26,874
$7,894
$6,864
65
clean
Anes Esoph Thyrd Larx Trach & Lymph Nck Bx Thyrd
$9,092
$939
$816
65
clean
Tpmt Nudt15 Gene Analysis Common Variants
$2,982
$633
$466
125
clean
Gene Tpmt Nudt15 Common Variants
$551
$536
$466
205
clean
Anesthesia Major Vessels Neck Nos
$56,125
$3,787
$2,323
65
clean
Anesthesia Major Vessels Neck Simple Ligation
$15,511
$2,162
$1,880
76
clean
Trgt Seq Analys Sld Orgn Neo Dna 324 Genes
$4,826
$4,826
$3,500
144
clean
Anes Integ Extremities Ant Trunk & Perineum Nos
$21,819
$5,110
$4,443
76
clean
Anesthesia Reconstruction Breast
$33,887
$12,769
$11,103
94
clean
Anesthesia Radical/Modified Radical Breast
$77,186
$9,152
$7,567
65
clean
Anes Integ Sys Elec Conversion Arrhythmias
$6,121
$873
$759
62
clean
CT Anlys Cerebral Perfusion
$12,653
$355
$218
132
clean
CT Anlys Cerebral Perfusion
$7,931
$7,931
$3,966
115
clean
Anesthesia Clavicle and Scapula Nos
$37,861
$9,761
$8,289
65
clean
Anesthesia Clavicle & Scapula Biopsy Clavicle
$30,613
$2,162
$1,770
65
clean
Anesthesia Partial Rib Resection Nos
$32,362
$980
$664
65
clean
Anesthesia Partial Rib Resection Thoracoplasty
$32,693
$1,032
$602
65
clean
Anesthesia Partial Rib Resection Radical
$41,396
$4,277
$3,321
76
clean
Anesthesia Esophagus
$24,909
$2,301
$2,001
65
clean
Anesthesia Closed Chest W/Bronchoscopy Nos
$44,433
$4,920
$4,278
76
clean
Anesthesia Closed Chest Pneumocentesis
$13,433
$2,073
$1,697
65
clean
Anes Mediastinoscopy&Thoracscopy W/O 1 Lung Vntj
$26,227
$7,785
$6,770
65
clean
Anes Mediastinoscopy&Thoracoscopy W/1 Lung Vnt
$45,440
$13,892
$12,080
66
clean
Anes Permanent Transvenous Pacemaker Insertion
$56,823
$13,965
$12,143
72
clean
Anesthesia Access Central Venous Circulation
$16,883
$4,200
$3,652
65
clean
Anes Transvenous Insj/Replacement Pacing Cvdfb
$122,220
$42,782
$37,202
69
clean
Anes Cardiac Electrophysiol Stdy W/Rf Ablation
$222,495
$32,735
$28,465
65
clean
Anes Thoracotomy & Thoracoscopy Nos
$35,779
$2,429
$917
57
clean
Anes Thoracotomy & Thoracoscopy W/1 Lung Vntj
$48,687
$1,236
$930
78
clean
Anes Thoracotomy &Thoracscopy Trachea & Bronchi
$35,640
$389
$212
65
clean
Cptr-Asst Muscskel Navigj Ortho Fluor Images
$63,098
$17,415
$14,930
89
clean
Anesthesia for Sternal Debridement
$50,405
$1,064
$721
66
clean
Cptr-Asst Muscskel Navigj Ortho CT/MRI
$68,027
$17,640
$14,930
89
clean
Anes Hrt Pericardial Sac& Grt Vesls W/O Pmp Oxt
$25,736
$4,200
$3,652
76
clean
Anes Hrt Prcrd Sac & Great Vsl W/Pump Oxtj Hypth
$55,913
$3,760
$2,163
65
clean
Onc Merkel Cell Carc Detcj Antb Serum Quan
$453
$371
$323
124
clean
Anesthesia Cervical Spine & Cord Nos
$110,893
$12,220
$8,289
76
clean
Anes Cervical Spine & Cord W/Patient Sitting
$150,158
$12,891
$1,427
81
clean
Anesthesia Thoracic Spine & Cord Nos
$181,327
$40,663
$35,359
62
clean
Anes Thrc Spine & Cord Ant Appr W/O 1 Lung Ventj
$92,678
$17,384
$14,930
89
clean
Anes Thoracic Spine & Cord Ant Appr W/1 Lng Vent
$103,335
$17,384
$14,930
89
clean
Anesthesia Lumbar Region Nos
$32,829
$9,761
$8,289
65
clean
Anes Diagnostic/Therapeutic Lumbar Puncture
$14,790
$2,118
$804
76
clean
Anes Manipulate Spine/Clsd Crv Thorc/Lumbr Spine
$23,341
$2,162
$1,880
65
clean
Anesthesia Extensive Spine & Spinal Cord
$93,200
$17,384
$14,930
89
clean
Anesthesia Upper Anterior Abdominal Wall Nos
$18,974
$3,819
$3,321
65
clean
Anes Upr Ant Abdl Wall Percutaneous Liver Bx
$12,448
$2,162
$1,880
76
clean
Anesthesia Upper Posterior Abdominal Wall
$15,931
$2,162
$1,880
65
clean
Anesthesia Upper GI Endoscopic Px Nos
$11,448
$2,531
$2,201
76
clean
Anesthesia Upper GI Endoscopic Px Ercp
$21,372
$5,077
$4,414
76
clean
Anesthesia Hernia Repair Upper Abdomen Nos
$18,100
$4,709
$4,095
65
clean
Anes Hrna Rpr Upr Abd Lmbr&Ventral Hernia&Dehisc
$21,315
$8,326
$7,240
65
clean
Ig Paraprotein Qual Imprcip&Ms Bld/UR W/Isotype
$21,021
$3,733
$48
112
clean
Anes Intraperitoneal Upper Abdomen W/Laps Nos
$26,622
$7,786
$6,770
65
clean
Anes Laps Partial Hepatectomy W/Mgmt Liver Hemor
$59,026
$4,766
$2,482
57
clean
Anes Ipr Upper Abdomen Laps Gastric Rstcv Mo
$63,635
$7,195
$1,093
66
clean
Anesthesia Lower Anterior Abdominal Wall Nos
$16,218
$2,733
$2,377
65
clean
Anes Lower Ant Abdominal Wall Panniculectomy
$52,347
$9,159
$7,567
76
clean
Anesthesia Lower Intst Endoscopic Px Nos
$10,773
$2,360
$1,368
66
clean
Anesthesia Lower Intst Endoscopic Px Scr Colsc
$7,871
$1,217
$1,058
65
clean
Anesthesia Combined Upper&Lower GI Endoscopic Px
$15,623
$2,531
$2,201
66
clean
Anesthesia Lower Posterior Abdominal Wall
$15,282
$2,163
$1,880
65
clean
Anesthesia Hernia Repair Lower Abdomen Nos
$18,497
$4,709
$4,095
65
clean
Anes Lwr Abd Ventral & Incisional Hernia Repair
$20,336
$4,709
$4,095
65
clean
Anes Hrna Rpr Lwr Abd Nos Infts <37wk Brth/50wk
$18,647
$4,709
$4,095
65
clean
Anesthesia Intraperitoneal Lower Abd W/Laps Nos
$35,086
$7,801
$6,770
94
clean
Anes Iper Lwr Abd W/Laps Tubal Ligation/Transect
$23,068
$7,785
$6,770
65
clean
Anes Extraperitoneal Lwr Abd W/Urinary Tract Nos
$49,994
$9,867
$8,580
65
clean
Anes Xtrprtl Lower Abd UR Tract Renal Don Nfrct
$41,156
$12,339
$10,730
65
clean
Anes Xtrprtl Lwr Abd W/Urinary Tract Rad Prstect
$74,621
$5,134
$948
51
clean
Anes Xtrprtl Lower Abd W/Urin Tract Adrenlectomy
$57,537
$3,148
$1,271
57
clean
Anes Xtrprtl Lwr Abd W/Urin Tract Cstolithotomy
$23,585
$6,784
$5,899
65
clean
Anes Lithotrp Xtrcorp Shock Wave W/Water Bath
$20,200
$4,602
$4,002
65
clean
Anes Lithotrp Xtrcorp Shock Wave W/O Water Bath
$20,139
$4,603
$4,002
65
clean
Anesthesia Major Lower Abdominal Vessels Nos
$90,962
$23,961
$20,836
63
clean
Anesthesia Anorectal Procedure
$17,302
$3,660
$3,182
65
clean
Anesthesia Radical Perineal Procedure
$22,059
$1,991
$1,185
57
clean
Anesthesia Vulvectomy
$17,322
$4,243
$3,689
65
clean
Onc C Melanoma Mrna Gene Xprs 23 Gene Alg
$2,718
$2,718
$1,950
144
clean
Anes Transurethral W/Urethrocystoscopy Nos
$16,849
$2,734
$2,377
76
clean
Anes Transurethral Resection of Bladder Tumor
$18,839
$4,603
$4,002
65
clean
Anesthesia Transurethral Resection of Prostate
$28,599
$6,783
$5,899
65
clean
Anes Trurl Post-Trurl Resection Bleeding
$31,483
$6,783
$5,899
65
clean
Anes Trurl Fragmntj Manj&/Rmvl Ureteral Calculus
$21,756
$6,784
$5,899
65
clean
Anesthesia Male Genitalia Incl Open Urethral Px
$16,273
$4,602
$4,002
65
clean
Anes Vasectomy Uni/Bi Incl Open Urethral Px
$14,795
$2,734
$2,377
65
clean
Anes Rad Orchiectomy Ingun Incl Open Urtl Px
$26,075
$4,709
$4,095
65
clean
Anes Orchiopexy Uni/Bi Incl Open Urethral Px
$16,812
$4,709
$4,095
94
clean
Anes Insj Penile Prosth Prnl Incl Open Urtl
$117,716
$26,859
$23,356
62
clean
Anesthesia Vaginal Procedure W/Biopsy Nos
$16,508
$4,243
$3,689
65
clean
Anes Colptmy Vagnc Colprphy Incl Bx W/Opn Urtl
$28,947
$9,867
$8,580
65
clean
Anesthesia Vaginal Hysterectomy Incl Biopsy
$42,147
$6,587
$5,728
65
clean
Anesthesia Cervical Cerclage Including Biopsy
$15,519
$4,243
$3,689
62
clean
Anes Hysteroscopy&/Hysterosalpingography W/Bx
$19,997
$4,243
$3,689
76
clean
Anes Bone Marrow Aspir&/Bx Ant/Pst Iliac Crest
$26,135
$3,819
$3,127
65
clean
Anesthesia on Bony Pelvis
$26,163
$4,330
$3,765
65
clean
Anesthesia Body Cast Application or Revision
$20,354
$354
$308
65
clean
Anes Radical Tumor Pelvis Xcp Hindquarter Amp
$42,067
$4,034
$3,321
65
clean
Anes Closed Symphysis Pubis/Sacroiliac Joint
$97,308
$9,937
$21,338
62
clean
Anes Open Symphysis Pubis/Sacroiliac Joint
$20,555
$3,940
$3,321
76
clean
Cardiology Ceramides Liq Chrom Tandem Ms Plasma
$2,837
$449
$84
125
clean
Anesthesia Closed Hip Joint Procedure
$24,340
$1,354
$1,011
65
clean
Anesthesia Arthroscopic Hip Joint Procedure
$53,680
$9,761
$8,289
65
clean
Anesthesia Open Hip Joint Procedure Nos
$25,744
$4,047
$3,321
105
clean
Anesthesia Open Total Hip Arthroplasty
$64,627
$17,414
$14,930
89
clean
Anesthesia Open Revision Total Hip Arthroplasty
$77,997
$7,464
$1,641
89
clean
Anesthesia Closed Procedures Upper 2/3 Femur
$29,270
$9,532
$8,289
65
clean
Anesthesia Open Procedures Upper 2/3 Femur Nos
$28,882
$1,688
$1,323
65
clean
Anes Upper 2/3 Femur Radical Rescection
$39,704
$3,819
$3,321
66
clean
Anes Nerve Musc Tendon Fascia & Bursae Upper Leg
$19,283
$9,532
$8,289
76
clean
Anes Veins of Upper Leg Including Exploration
$24,814
$940
$779
65
clean
Anesthesia Arteries Upper Leg Incl Bypass Graft
$113,355
$11,671
$3,439
65
clean
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
$25,712
$9,758
$8,289
65
clean
Anesthesia Closed Procedures Lower 1/3 Femur
$23,009
$9,762
$8,289
76
clean
Anesthesia Open Procedures Lower 1/3 Femur
$31,338
$9,761
$8,289
76
clean
Anesthesia Closed Procedures Knee Joint
$11,676
$2,364
$1,857
76
clean
Anesth Diagnostic Arthroscopic Proc Knee Joint
$17,896
$4,330
$3,765
76
clean
Anes Closed Proc Upper End Tibia Fibula/Patella
$41,518
$4,330
$3,765
63
clean
Anes Open Proc Upper Ends Tibia Fibula&/Patella
$38,465
$17,834
$14,930
90
clean
Anes Open/Surg Arthroscopic Proc Knee Joint Nos
$45,327
$4,559
$3,765
64
clean
Anesth Open/Surg Arthrs Total Knee Arthroplasty
$67,381
$17,640
$14,930
89
clean
Anesthesia Veins Knee & Popliteal Area Nos
$19,548
$4,200
$3,652
65
clean
Anes Arteries of Knee & Popliteal Area Nos
$141,187
$23,961
$19,621
65
clean
Anesthesia Closed Proc Lower Leg Ankle & Foot
$16,340
$4,330
$3,765
76
clean
Anesthesia Arthroscopic Procedure Ankle & Foot
$20,736
$1,961
$3,765
76
clean
Anes Nrv/Mus/Tnd/Fasc Lower Leg/Ankle/Foot Nos
$27,779
$2,606
$2,266
76
clean
Anes Rpr Ruptured Achilles Tendon W/WO Graft
$32,297
$9,533
$8,289
65
clean
Anesthesia Gastrocnemius Recession
$17,169
$4,330
$3,765
94
clean
Anes Open Proc Bones Lower Leg/Ankle/Foot Nos
$41,007
$9,533
$8,289
65
clean
Anes Radical Resecj Incl Below Knee Amputation
$39,553
$1,928
$765
65
clean
Anes Open Osteotomy/Osteoplasty Tibia&/Fibula
$18,773
$9,761
$8,289
65
clean
Anesthesia Open Total Ankle Replacement
$150,532
$25,241
$21,338
62
clean
Anes Lower Leg Cast Application Removal/Repair
$13,160
$1,276
$691
105
clean
Anesthesia Arteries Lower Leg W/Bypass Graft Nos
$185,748
$23,961
$20,836
65
clean
Anesthesia Veins of Lower Leg Nos
$22,429
$4,200
$3,652
65
clean
Nfct Ds Dna Untrgt Ngnrj Seq
$2,250
$2,250
$1,913
144
clean
Anes Nrv Musc Tndn Fscia Bursa Shoulder & Axilla
$43,756
$8,702
$7,567
65
clean
Anes Closed Humrl H/N Strnclav Joint& Sho Joint
$8,602
$854
$1,857
76
clean
Anes Diag Arthroscopic Shoulder Joint Proc Nos
$20,499
$1,732
$3,765
76
clean
Anes Arthrs Humeral H/N Strnclav & Shoulder Nos
$53,636
$17,747
$14,930
75
clean
Anes Arthroscopic Total Shoulder Replacement
$113,902
$24,996
$21,338
80
clean
Anesthesia Arteries Shoulder & Axilla Nos
$18,888
$4,200
$3,652
65
clean
Anes Nrv Musc Tdn Fsca&Brs Upr Arm/Elbow Nos
$18,280
$3,819
$3,321
65
clean
Anesthesia Open Tenotomy Elbow to Shoulder
$21,032
$4,330
$3,765
65
clean
Anesthesia Tenoplasty Elbow to Shoulder
$33,602
$9,761
$8,289
76
clean
Anesthesia Biceps Tenodesis Rupture Long Tendon
$70,315
$9,762
$8,289
74
clean
Anesthesia Closed Procedures Humerus & Elbow
$14,392
$3,813
$8,289
66
clean
Anesthesia Elbow Joint Diagnostic Arthroscopic
$30,137
$4,330
$3,765
76
clean
Anes Open/Surg Arthroscopic Elbow Proc Nos
$44,112
$9,761
$8,289
65
clean
Anesthesia Open/Surg Arthrs Osteotomy Humerus
$29,210
$9,647
$8,289
66
clean
Anes Open/Surg Arthrs Reprs Non/Malunion Humerus
$43,991
$17,290
$14,242
76
clean
Cad Chest Concur W Interp
$100
$100
$56
116
clean
Anesthesia Open/Surg Arthrs Radical Proc Elbow
$106,122
$11,700
$8,289
62
clean
Anesth Open/Surg Arthrs Exc Cyst/Tumor Humerus
$21,126
$9,532
$8,289
76
clean
Anesth Open/Surg Arthrs Total Elbow Replacement
$79,580
$24,892
$21,338
62
clean
Anesthesia Arteries Upper Arm & Elbow Nos
$21,393
$4,200
$3,652
65
clean
Anesthesia Veins Upper Arm & Elbow Nos
$40,382
$7,213
$6,272
76
clean
Anes Nerve Muscle Tdn Fascia&Bursa Forearm Wrist
$15,031
$2,136
$1,857
76
clean
Anes Radius Ulna Wrist/Hand Bones Closed Px
$16,029
$322
$278
65
clean
Anes Arthrs/Endscpy Dstl Radius Ulna/Wrist/Hand
$38,487
$9,757
$8,289
76
clean
Anesthesia Arthrs/Endoscpic Total Wrist Replcmt
$106,536
$24,539
$21,338
62
clean
Anesthesia Arteries Forearm Wrist & Hand Nos
$24,797
$7,213
$6,272
65
clean
Anes Arteries Forearm Wrist & Hand Embolectomy
$22,968
$7,213
$5,907
65
clean
Anesthesia Vascular Shunt/Shunt Revision
$25,408
$4,200
$3,652
65
clean
Anesthesia Veins Forearm Wrist & Hand Nos
$12,119
$2,162
$1,880
65
clean
Anesthesia Diagnostic Arteriography/Venograph
$158,669
$16,503
$6,272
78
clean
Showing the first 200 of 9,972 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,570 of 9,322 comparable items (17%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $88 exceeds the gross charge $60
warn
mrf_rate_without_estimate
778,616 of 778,616 percentage/algorithm rates across 8,013 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 023/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $105,743; the same hospital's average submitted charge to Medicare for this DRG is $348,515 (0.3×)
MS-DRG 602/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $591,862; the same hospital's average submitted charge to Medicare for this DRG is $60,960 (9.7×)
MS-DRG 603/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $657,652; the same hospital's average submitted charge to Medicare for this DRG is $48,057 (13.7×)
MS-DRG 640/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $18,161; the same hospital's average submitted charge to Medicare for this DRG is $81,816 (0.2×)
MS-DRG 690/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $674,996; the same hospital's average submitted charge to Medicare for this DRG is $57,154 (11.8×)
MS-DRG 813/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $48,477; the same hospital's average submitted charge to Medicare for this DRG is $146,812 (0.3×)
CPT 52441/o
info
mrf_cash_under_tenth_of_gross
cash price $662 is 3% of the gross charge $24,216
CPT 82077/o
info
mrf_cash_under_tenth_of_gross
cash price $56 is 8% of the gross charge $684
CPT 84144/o
info
mrf_cash_under_tenth_of_gross
cash price $105 is 6% of the gross charge $1,750
CPT 86335/b
info
mrf_cash_under_tenth_of_gross
cash price $34 is 6% of the gross charge $537
CPT 97016/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $198
CPT G0543/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $184
CPT 37253/o
info
mrf_cash_under_tenth_of_gross
cash price $7,587 is 4% of the gross charge $173,670
CPT 52442/o
info
mrf_cash_under_tenth_of_gross
cash price $662 is 3% of the gross charge $24,216
CPT 75557/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,390
CPT 82085/o
info
mrf_cash_under_tenth_of_gross
cash price $296 is 7% of the gross charge $4,181
CPT 84145/b
info
mrf_cash_under_tenth_of_gross
cash price $31 is 5% of the gross charge $654
CPT 86336/o
info
mrf_cash_under_tenth_of_gross
cash price $172 is 9% of the gross charge $1,917
CPT 97016/o
info
mrf_cash_under_tenth_of_gross
cash price $454 is 9% of the gross charge $5,306
CPT G0543/o
info
mrf_cash_under_tenth_of_gross
cash price $50 is 7% of the gross charge $736
CPT 75557/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,469
CPT 84145/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 6% of the gross charge $1,987
CPT 86340/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 7% of the gross charge $245
CPT 97018/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 3% of the gross charge $238
CPT G2011/b
info
mrf_cash_under_tenth_of_gross
cash price $33 is 7% of the gross charge $447
CPT 53210/o
info
mrf_cash_under_tenth_of_gross
cash price $4,696 is 9% of the gross charge $49,846
CPT 75561/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 10% of the gross charge $4,879
CPT 84146/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 10% of the gross charge $229
CPT 86340/o
info
mrf_cash_under_tenth_of_gross
cash price $143 is 6% of the gross charge $2,318
CPT 88142/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 9% of the gross charge $251
CPT 97022/b
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $342
CPT G2011/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 3% of the gross charge $447
CPT 53415/o
info
mrf_cash_under_tenth_of_gross
cash price $1,897 is 7% of the gross charge $28,789
CPT 75561/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $7,236
CPT 82103/o
info
mrf_cash_under_tenth_of_gross
cash price $79 is 1% of the gross charge $5,286
CPT 84150/b
info
mrf_cash_under_tenth_of_gross
cash price $48 is 4% of the gross charge $1,224
CPT 97026/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 4% of the gross charge $222
CPT 20615/o
info
mrf_cash_under_tenth_of_gross
cash price $1,167 is 2% of the gross charge $53,431
CPT 53854/o
info
mrf_cash_under_tenth_of_gross
cash price $4,602 is 9% of the gross charge $48,986
CPT 82104/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 3% of the gross charge $604
CPT 84152/o
info
mrf_cash_under_tenth_of_gross
cash price $242 is 8% of the gross charge $3,074
CPT 86352/o
info
mrf_cash_under_tenth_of_gross
cash price $201 is 5% of the gross charge $3,762
CPT 97032/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 8% of the gross charge $222
CPT 82104/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 3% of the gross charge $5,410
CPT 84153/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 5% of the gross charge $454
CPT 97035/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 8% of the gross charge $222
CPT 11200/o
info
mrf_cash_under_tenth_of_gross
cash price $406 is 3% of the gross charge $15,996
CPT 29305/o
info
mrf_cash_under_tenth_of_gross
cash price $354 is 2% of the gross charge $15,167
CPT 75600/o
info
mrf_cash_under_tenth_of_gross
cash price $829 is 3% of the gross charge $32,889
CPT 84153/o
info
mrf_cash_under_tenth_of_gross
cash price $82 is 7% of the gross charge $1,227
CPT 86356/b
info
mrf_cash_under_tenth_of_gross
cash price $31 is 1% of the gross charge $2,806
CPT 97129/o
info
mrf_cash_under_tenth_of_gross
cash price $153 is 8% of the gross charge $1,932
CPT J0132/o
info
mrf_cash_under_tenth_of_gross
cash price $651 is 1% of the gross charge $44,718
CPT 54056/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 1% of the gross charge $18,515
CPT 75605/o
info
mrf_cash_under_tenth_of_gross
cash price $3,043 is 5% of the gross charge $62,029
CPT 82105/o
info
mrf_cash_under_tenth_of_gross
cash price $108 is 7% of the gross charge $1,551
CPT 84154/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 6% of the gross charge $378
CPT 86356/o
info
mrf_cash_under_tenth_of_gross
cash price $177 is 9% of the gross charge $1,915
CPT 97130/o
info
mrf_cash_under_tenth_of_gross
cash price $153 is 8% of the gross charge $1,932
CPT 11201/o
info
mrf_cash_under_tenth_of_gross
cash price $265 is 6% of the gross charge $4,373
CPT 29325/o
info
mrf_cash_under_tenth_of_gross
cash price $354 is 1% of the gross charge $27,469
CPT 38380/o
info
mrf_cash_under_tenth_of_gross
cash price $2,920 is 8% of the gross charge $36,115
CPT 75630/o
info
mrf_cash_under_tenth_of_gross
cash price $4,200 is 9% of the gross charge $49,122
CPT 82106/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $205
CPT 84154/o
info
mrf_cash_under_tenth_of_gross
cash price $53 is 6% of the gross charge $880
CPT 97150/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 10% of the gross charge $222
MS-DRG 147/i
info
mrf_cash_under_tenth_of_gross
cash price $12,443 is 5% of the gross charge $267,529
CPT 75635/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 2% of the gross charge $13,683
CPT 84155/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $69
CPT 97552/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $184
CPT 11310/o
info
mrf_cash_under_tenth_of_gross
cash price $265 is 6% of the gross charge $4,300
CPT 75635/o
info
mrf_cash_under_tenth_of_gross
cash price $238 is 2% of the gross charge $14,289
CPT 84156/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $184
CPT 97552/o
info
mrf_cash_under_tenth_of_gross
cash price $50 is 7% of the gross charge $736
CPT 75716/o
info
mrf_cash_under_tenth_of_gross
cash price $4,200 is 9% of the gross charge $48,707
CPT 82108/o
info
mrf_cash_under_tenth_of_gross
cash price $552 is 9% of the gross charge $6,012
CPT 84156/o
info
mrf_cash_under_tenth_of_gross
cash price $287 is 9% of the gross charge $3,150
CPT 86360/o
info
mrf_cash_under_tenth_of_gross
cash price $286 is 9% of the gross charge $3,324
CPT 20700/o
info
mrf_cash_under_tenth_of_gross
cash price $2,136 is 9% of the gross charge $23,759
CPT 75726/o
info
mrf_cash_under_tenth_of_gross
cash price $7,213 is 8% of the gross charge $85,247
CPT 84157/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $111
CPT 88273/b
info
mrf_cash_under_tenth_of_gross
cash price $40 is 6% of the gross charge $663
CPT J0185/o
info
mrf_cash_under_tenth_of_gross
cash price $5,068 is 9% of the gross charge $56,107
CPT 20702/o
info
mrf_cash_under_tenth_of_gross
cash price $3,813 is 8% of the gross charge $50,468
CPT 38999/o
info
mrf_cash_under_tenth_of_gross
cash price $3,186 is 5% of the gross charge $59,599
CPT 54700/o
info
mrf_cash_under_tenth_of_gross
cash price $2,733 is 8% of the gross charge $32,215
CPT 82131/o
info
mrf_cash_under_tenth_of_gross
cash price $447 is 10% of the gross charge $4,572
CPT 86362/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 1% of the gross charge $968
CPT 88273/o
info
mrf_cash_under_tenth_of_gross
cash price $569 is 10% of the gross charge $5,830
CPT 11403/o
info
mrf_cash_under_tenth_of_gross
cash price $940 is 6% of the gross charge $14,908
CPT 20705/o
info
mrf_cash_under_tenth_of_gross
cash price $12,734 is 7% of the gross charge $184,806
CPT 39000/o
info
mrf_cash_under_tenth_of_gross
cash price $836 is 4% of the gross charge $19,948
CPT 64713/o
info
mrf_cash_under_tenth_of_gross
cash price $2,606 is 7% of the gross charge $36,200
CPT 75822/o
info
mrf_cash_under_tenth_of_gross
cash price $2,073 is 8% of the gross charge $25,019
CPT 82135/b
info
mrf_cash_under_tenth_of_gross
cash price $19 is 7% of the gross charge $257
CPT 86362/o
info
mrf_cash_under_tenth_of_gross
cash price $243 is 8% of the gross charge $2,925
CPT 88274/b
info
mrf_cash_under_tenth_of_gross
cash price $49 is 6% of the gross charge $860
CPT J0217/o
info
mrf_cash_under_tenth_of_gross
cash price $32,370 is 8% of the gross charge $421,208
CPT 20932/o
info
mrf_cash_under_tenth_of_gross
cash price $3,103 is 6% of the gross charge $55,762
CPT 39010/o
info
mrf_cash_under_tenth_of_gross
cash price $2,349 is 9% of the gross charge $27,534
CPT 55400/o
info
mrf_cash_under_tenth_of_gross
cash price $4,602 is 9% of the gross charge $49,853
CPT 75827/o
info
mrf_cash_under_tenth_of_gross
cash price $2,073 is 4% of the gross charge $47,160
CPT 82136/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 9% of the gross charge $245
CPT 84166/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 5% of the gross charge $432
CPT 86366/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 5% of the gross charge $462
CPT 20974/o
info
mrf_cash_under_tenth_of_gross
cash price $4,330 is 7% of the gross charge $61,642
CPT 64772/o
info
mrf_cash_under_tenth_of_gross
cash price $2,606 is 10% of the gross charge $26,146
CPT 82136/o
info
mrf_cash_under_tenth_of_gross
cash price $284 is 4% of the gross charge $6,689
CPT 84166/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 3% of the gross charge $5,482
CPT 86366/o
info
mrf_cash_under_tenth_of_gross
cash price $51 is 5% of the gross charge $960
CPT 20999/o
info
mrf_cash_under_tenth_of_gross
cash price $4,787 is 10% of the gross charge $48,270
CPT 55821/o
info
mrf_cash_under_tenth_of_gross
cash price $1,482 is 4% of the gross charge $32,959
CPT 64774/o
info
mrf_cash_under_tenth_of_gross
cash price $2,606 is 7% of the gross charge $35,287
CPT 82139/b
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $309
CPT 84181/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 8% of the gross charge $3,469
CPT 97598/o
info
mrf_cash_under_tenth_of_gross
cash price $265 is 6% of the gross charge $4,243
CPT 11440/o
info
mrf_cash_under_tenth_of_gross
cash price $939 is 8% of the gross charge $12,203
CPT 40490/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 6% of the gross charge $5,172
CPT 75901/o
info
mrf_cash_under_tenth_of_gross
cash price $1,680 is 4% of the gross charge $43,007
CPT 82139/o
info
mrf_cash_under_tenth_of_gross
cash price $161 is 8% of the gross charge $2,036
CPT 40525/o
info
mrf_cash_under_tenth_of_gross
cash price $4,327 is 8% of the gross charge $56,704
CPT 64787/o
info
mrf_cash_under_tenth_of_gross
cash price $1,043 is 6% of the gross charge $18,339
CPT 82140/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 8% of the gross charge $207
CPT 84206/b
info
mrf_cash_under_tenth_of_gross
cash price $31 is 6% of the gross charge $480
CPT 86406/o
info
mrf_cash_under_tenth_of_gross
cash price $158 is 8% of the gross charge $1,902
CPT 88321/b
info
mrf_cash_under_tenth_of_gross
cash price $52 is 6% of the gross charge $842
CPT 21230/o
info
mrf_cash_under_tenth_of_gross
cash price $3,386 is 8% of the gross charge $40,104
CPT 82140/o
info
mrf_cash_under_tenth_of_gross
cash price $129 is 6% of the gross charge $2,135
CPT 84206/o
info
mrf_cash_under_tenth_of_gross
cash price $171 is 8% of the gross charge $2,214
CPT 86430/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 8% of the gross charge $91
CPT 88323/b
info
mrf_cash_under_tenth_of_gross
cash price $71 is 7% of the gross charge $1,006
CPT 21299/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 2% of the gross charge $18,099
CPT 29505/o
info
mrf_cash_under_tenth_of_gross
cash price $865 is 4% of the gross charge $23,979
CPT 40799/o
info
mrf_cash_under_tenth_of_gross
cash price $3,113 is 8% of the gross charge $41,137
CPT 64820/o
info
mrf_cash_under_tenth_of_gross
cash price $2,606 is 9% of the gross charge $27,656
CPT 82150/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 7% of the gross charge $113
CPT 86431/o
info
mrf_cash_under_tenth_of_gross
cash price $305 is 9% of the gross charge $3,387
CPT J9316/o
info
mrf_cash_under_tenth_of_gross
cash price $5,191 is 6% of the gross charge $82,332
CPT 40812/o
info
mrf_cash_under_tenth_of_gross
cash price $1,977 is 7% of the gross charge $26,941
CPT 82150/o
info
mrf_cash_under_tenth_of_gross
cash price $230 is 5% of the gross charge $4,731
CPT 84207/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 6% of the gross charge $2,085
CPT 86480/o
info
mrf_cash_under_tenth_of_gross
cash price $291 is 9% of the gross charge $3,224
CPT 41135/o
info
mrf_cash_under_tenth_of_gross
cash price $3,787 is 7% of the gross charge $56,125
CPT 56605/o
info
mrf_cash_under_tenth_of_gross
cash price $1,162 is 7% of the gross charge $16,090
CPT 82154/o
info
mrf_cash_under_tenth_of_gross
cash price $582 is 9% of the gross charge $6,576
CPT 84210/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 4% of the gross charge $375
CPT 11602/o
info
mrf_cash_under_tenth_of_gross
cash price $703 is 7% of the gross charge $9,729
CPT 21343/o
info
mrf_cash_under_tenth_of_gross
cash price $2,606 is 7% of the gross charge $40,066
CPT 56606/o
info
mrf_cash_under_tenth_of_gross
cash price $1,391 is 9% of the gross charge $15,227
CPT 82157/b
info
mrf_cash_under_tenth_of_gross
cash price $34 is 3% of the gross charge $1,177
CPT 84210/o
info
mrf_cash_under_tenth_of_gross
cash price $40 is 10% of the gross charge $423
CPT J9330/b
info
mrf_cash_under_tenth_of_gross
cash price $928 is 7% of the gross charge $12,697
CPT 82157/o
info
mrf_cash_under_tenth_of_gross
cash price $331 is 8% of the gross charge $4,015
CPT 84220/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 9% of the gross charge $1,251
CPT 86581/o
info
mrf_cash_under_tenth_of_gross
cash price $103 is 8% of the gross charge $1,345
CPT J9330/o
info
mrf_cash_under_tenth_of_gross
cash price $1,781 is 10% of the gross charge $18,343
CPT 56820/o
info
mrf_cash_under_tenth_of_gross
cash price $1,355 is 6% of the gross charge $22,223
CPT 86592/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $125
CPT 11604/o
info
mrf_cash_under_tenth_of_gross
cash price $539 is 4% of the gross charge $12,648
CPT 21550/o
info
mrf_cash_under_tenth_of_gross
cash price $2,162 is 9% of the gross charge $23,390
CPT 41800/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 2% of the gross charge $19,021
CPT 82164/o
info
mrf_cash_under_tenth_of_gross
cash price $285 is 7% of the gross charge $3,958
CPT 86593/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $125
CPT 97608/o
info
mrf_cash_under_tenth_of_gross
cash price $800 is 4% of the gross charge $19,012
CPT 21615/o
info
mrf_cash_under_tenth_of_gross
cash price $980 is 3% of the gross charge $32,362
CPT 41899/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 2% of the gross charge $19,487
CPT 57100/o
info
mrf_cash_under_tenth_of_gross
cash price $1,163 is 7% of the gross charge $17,305
CPT 84244/o
info
mrf_cash_under_tenth_of_gross
cash price $142 is 7% of the gross charge $2,183
CPT 88364/o
info
mrf_cash_under_tenth_of_gross
cash price $229 is 2% of the gross charge $15,206
CPT 21750/o
info
mrf_cash_under_tenth_of_gross
cash price $1,064 is 2% of the gross charge $50,405
CPT 67515/o
info
mrf_cash_under_tenth_of_gross
cash price $399 is 5% of the gross charge $8,276
CPT 84255/b
info
mrf_cash_under_tenth_of_gross
cash price $29 is 5% of the gross charge $631
CPT 86596/o
info
mrf_cash_under_tenth_of_gross
cash price $205 is 8% of the gross charge $2,662
CPT 88368/o
info
mrf_cash_under_tenth_of_gross
cash price $2,162 is 8% of the gross charge $27,526
CPT 11622/o
info
mrf_cash_under_tenth_of_gross
cash price $539 is 5% of the gross charge $10,042
CPT 21825/o
info
mrf_cash_under_tenth_of_gross
cash price $1,032 is 3% of the gross charge $32,693
CPT 76390/b
info
mrf_cash_under_tenth_of_gross
cash price $117 is 2% of the gross charge $6,320
CPT 84255/o
info
mrf_cash_under_tenth_of_gross
cash price $226 is 6% of the gross charge $3,693
CPT 86603/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 3% of the gross charge $531
CPT J9360/o
info
mrf_cash_under_tenth_of_gross
cash price $4,618 is 6% of the gross charge $83,602
CPT 21899/o
info
mrf_cash_under_tenth_of_gross
cash price $310 is 1% of the gross charge $27,728
CPT 42405/o
info
mrf_cash_under_tenth_of_gross
cash price $1,977 is 7% of the gross charge $28,081
CPT 67715/o
info
mrf_cash_under_tenth_of_gross
cash price $3,113 is 6% of the gross charge $54,372
CPT 76390/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 2% of the gross charge $6,433
CPT 82233/o
info
mrf_cash_under_tenth_of_gross
cash price $30 is 2% of the gross charge $1,289
CPT 84260/b
info
mrf_cash_under_tenth_of_gross
cash price $36 is 10% of the gross charge $375
CPT 86606/o
info
mrf_cash_under_tenth_of_gross
cash price $211 is 10% of the gross charge $2,212
CPT 98929/b
info
mrf_cash_under_tenth_of_gross
cash price $34 is 9% of the gross charge $396
CPT 84260/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 8% of the gross charge $1,352
CPT 86609/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 2% of the gross charge $631
CPT 88720/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $67
CPT 99153/o
info
mrf_cash_under_tenth_of_gross
cash price $4,292 is 9% of the gross charge $47,416
CPT 11641/o
info
mrf_cash_under_tenth_of_gross
cash price $1,347 is 7% of the gross charge $18,061
CPT 57308/o
info
mrf_cash_under_tenth_of_gross
cash price $1,460 is 8% of the gross charge $19,035
CPT 67800/o
info
mrf_cash_under_tenth_of_gross
cash price $399 is 4% of the gross charge $10,449
CPT 76498/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 3% of the gross charge $4,469
CPT 82234/o
info
mrf_cash_under_tenth_of_gross
cash price $929 is 10% of the gross charge $9,551
CPT 86611/o
info
mrf_cash_under_tenth_of_gross
cash price $333 is 8% of the gross charge $4,191