Hospital · CCN 310051

Overlook Medical Center

99 Beauvoir Avenue, Summit, NJ 07901 · Union County
Part of Atlantic Health System · 442 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

124 admission types 55 outpatient services price file: ok
Billed per dollar paid, all admissions
5.96×
$494.1M billed against $82.9M paid across 4,844 Medicare discharges; the national figure is 5.03×.
1.0%
of adults in Union County have medical debt in collections
12.6%
uninsured in the county · state 8.0%
$100K
median household income
6.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
29.7%
obesity in the countyⓘ
11.6%
diagnosed diabetes (PLACES)
5.5%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
360
$127,698
$20,090
6.4× st 6.8×
291
Heart failure and shock with mcc
275
$81,221
$13,446
6.0× st 7.6×
177
Respiratory infections and inflammations with mcc
201
$95,522
$16,806
5.7× st 7.3×
193
Simple pneumonia and pleurisy with mcc
170
$83,373
$14,141
5.9× st 7.6×
689
Kidney and urinary tract infections with mcc
105
$72,563
$12,180
6.0× st 7.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
91
$129,592
$20,665
6.3× st 7.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
90
$59,406
$8,637
6.9× st 7.5×
690
Kidney and urinary tract infections without mcc
90
$57,154
$8,909
6.4× st 7.8×
189
Pulmonary edema and respiratory failure
86
$88,161
$12,956
6.8× st 7.7×
378
Gastrointestinal hemorrhage with cc
84
$77,058
$10,077
7.6× st 7.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
84
$82,147
$10,438
7.9× st 8.5×
603
Cellulitis without mcc
82
$48,057
$9,498
5.1× st 7.0×
683
Renal failure with cc
77
$63,643
$9,687
6.6× st 7.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
73
$254,833
$47,337
5.4× st 6.0×
682
Renal failure with mcc
69
$100,409
$15,863
6.3× st 7.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
68
$73,649
$11,410
6.5× st 7.3×
194
Simple pneumonia and pleurisy with cc
67
$52,714
$8,669
6.1× st 8.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
66
$90,220
$18,222
5.0× st 5.2×
190
Chronic obstructive pulmonary disease with mcc
65
$75,199
$10,905
6.9× st 8.3×
698
Other kidney and urinary tract diagnoses with mcc
64
$112,961
$17,698
6.4× st 6.8×
481
Hip and femur procedures except major joint with cc
61
$98,135
$20,887
4.7× st 5.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
56
$81,816
$13,858
5.9× st 7.2×
377
Gastrointestinal hemorrhage with mcc
56
$129,576
$19,819
6.5× st 7.2×
552
Medical back problems without mcc
53
$54,645
$10,306
5.3× st 6.7×
101
Seizures without mcc
51
$88,346
$9,995
8.8× st 7.0×
329
Major small and large bowel procedures with mcc
50
$196,388
$43,896
4.5× st 5.9×
312
Syncope and collapse
46
$58,149
$8,945
6.5× st 7.8×
330
Major small and large bowel procedures with cc
44
$119,436
$26,944
4.4× st 6.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
43
$53,011
$8,289
6.4× st 7.8×
308
Cardiac arrhythmia and conduction disorders with mcc
43
$100,198
$14,388
7.0× st 8.3×
309
Cardiac arrhythmia and conduction disorders with cc
43
$53,084
$7,932
6.7× st 8.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
41
$104,580
$20,573
5.1× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
41
$143,615
$21,304
6.7× st 6.7×
280
Acute myocardial infarction, discharged alive with mcc
40
$102,135
$15,034
6.8× st 7.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
39
$82,249
$15,697
5.2× st 7.2×
699
Other kidney and urinary tract diagnoses with cc
38
$68,001
$12,055
5.6× st 6.6×
812
Red blood cell disorders without mcc
38
$55,931
$9,706
5.8× st 7.6×
178
Respiratory infections and inflammations with cc
38
$67,776
$9,895
6.8× st 8.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
36
$94,641
$15,067
6.3× st 7.4×
057
Degenerative nervous system disorders without mcc
36
$88,161
$15,120
5.8× st 6.0×
100
Seizures with mcc
33
$160,208
$23,891
6.7× st 6.2×
331
Major small and large bowel procedures without cc/mcc
32
$79,700
$19,158
4.2× st 6.1×
092
Other disorders of nervous system with cc
32
$70,177
$10,579
6.6× st 6.9×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
32
$264,561
$50,069
5.3× st 6.4×
025
Craniotomy and endovascular intracranial procedures with mcc
32
$218,920
$48,144
4.5× st 5.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
30
$66,669
$8,473
7.9× st 8.0×
069
Transient ischemia without thrombolytic
30
$65,717
$8,224
8.0× st 7.8×
393
Other digestive system diagnoses with mcc
30
$101,466
$16,789
6.0× st 6.7×
811
Red blood cell disorders with mcc
30
$72,996
$15,729
4.6× st 7.3×
372
Major gastrointestinal disorders and peritoneal infections with cc
29
$58,584
$11,099
5.3× st 7.4×
444
Disorders of the biliary tract with mcc
29
$106,391
$17,439
6.1× st 6.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
28
$189,292
$28,079
6.7× st 7.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
28
$78,393
$14,622
5.4× st 6.9×
870
Septicemia or severe sepsis with mv >96 hours
27
$466,847
$63,583
7.3× st 5.8×
196
Interstitial lung disease with mcc
27
$158,961
$19,567
8.1× st 6.5×
071
Other cerebrovascular disorders with cc
27
$80,272
$11,412
7.0× st 7.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
27
$40,929
$6,224
6.6× st 7.8×
180
Respiratory neoplasms with mcc
27
$104,239
$23,773
4.4× st 6.5×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
26
$72,307
$14,117
5.1× st 6.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
26
$164,606
$21,082
7.8× st 7.5×
390
Gastrointestinal obstruction without cc/mcc
26
$35,366
$6,838
5.2× st 6.8×
445
Disorders of the biliary tract with cc
25
$80,643
$10,743
7.5× st 7.8×
884
Organic disturbances and intellectual disability
25
$67,801
$15,700
4.3× st 5.8×
374
Digestive malignancy with mcc
24
$112,586
$20,376
5.5× st 6.6×
638
Diabetes with cc
24
$75,191
$9,507
7.9× st 7.8×
435
Malignancy of hepatobiliary system or pancreas with mcc
24
$109,491
$20,015
5.5× st 6.8×
388
Gastrointestinal obstruction with mcc
24
$79,943
$14,712
5.4× st 7.5×
919
Complications of treatment with mcc
23
$125,403
$18,862
6.6× st 6.7×
054
Nervous system neoplasms with mcc
22
$102,353
$15,179
6.7× st 7.0×
070
Other cerebrovascular disorders with mcc
22
$98,753
$15,642
6.3× st 6.3×
394
Other digestive system diagnoses with cc
22
$75,837
$10,445
7.3× st 7.1×
202
Bronchitis and asthma with cc/mcc
22
$81,778
$10,157
8.1× st 7.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
22
$213,344
$29,756
7.2× st 6.7×
643
Endocrine disorders with mcc
21
$126,004
$17,459
7.2× st 6.6×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
21
$56,108
$9,277
6.0× st 6.0×
389
Gastrointestinal obstruction with cc
21
$47,037
$9,065
5.2× st 7.3×
176
Pulmonary embolism without mcc
21
$59,062
$9,038
6.5× st 7.2×
371
Major gastrointestinal disorders and peritoneal infections with mcc
21
$95,023
$17,036
5.6× st 6.5×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
21
$348,515
$59,111
5.9× st 5.8×
948
Signs and symptoms without mcc
20
$53,487
$7,932
6.7× st 7.4×
056
Degenerative nervous system disorders with mcc
20
$120,558
$22,662
5.3× st 5.9×
270
Other major cardiovascular procedures with mcc
20
$239,326
$45,156
5.3× st 5.7×
086
Traumatic stupor and coma <1 hour with cc
20
$68,030
$14,462
4.7× st 7.3×
480
Hip and femur procedures except major joint with mcc
20
$148,802
$27,875
5.3× st 6.3×
460
Spinal fusion except cervical without mcc
20
$152,775
$40,550
3.8× st 5.0×
637
Diabetes with mcc
19
$83,360
$17,567
4.7× st 6.8×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
19
$65,825
$11,046
6.0× st 7.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
19
$84,510
$18,186
4.6× st 6.3×
074
Cranial and peripheral nerve disorders without mcc
18
$71,566
$11,810
6.1× st 5.8×
602
Cellulitis with mcc
18
$60,960
$13,761
4.4× st 6.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
18
$135,086
$27,219
5.0× st 5.6×
660
Kidney and ureter procedures for non-neoplasm with cc
17
$66,425
$17,097
3.9× st 6.8×
862
Postoperative and post-traumatic infections with mcc
17
$83,132
$17,586
4.7× st 6.6×
314
Other circulatory system diagnoses with mcc
17
$126,867
$24,182
5.2× st 6.9×
551
Medical back problems with mcc
17
$112,876
$17,639
6.4× st 6.6×
813
Coagulation disorders
16
$146,812
$21,663
6.8× st 6.5×
020
Intracranial vascular procedures with principal diagnosis hemorrhage with mcc
15
$816,575
$109,393
7.5× st 7.5×
536
Fractures of hip and pelvis without mcc
15
$54,825
$8,444
6.5× st 6.8×
300
Peripheral vascular disorders with cc
15
$55,679
$13,564
4.1× st 6.8×
149
Dysequilibrium
15
$62,929
$7,798
8.1× st 7.7×
243
Permanent cardiac pacemaker implant with cc
14
$98,726
$22,007
4.5× st 6.0×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
14
$109,388
$21,581
5.1× st 5.4×
917
Poisoning and toxic effects of drugs with mcc
14
$116,487
$17,257
6.8× st 6.0×
281
Acute myocardial infarction, discharged alive with cc
14
$76,043
$10,823
7.0× st 7.4×
920
Complications of treatment with cc
13
$85,189
$11,786
7.2× st 6.8×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
13
$172,475
$18,272
9.4× st 8.3×
039
Extracranial procedures without cc/mcc
13
$76,028
$11,194
6.8× st 5.5×
091
Other disorders of nervous system with mcc
13
$86,289
$16,925
5.1× st 6.5×
418
Laparoscopic cholecystectomy without c.d.e. with cc
13
$92,983
$18,309
5.1× st 6.7×
253
Other vascular procedures with cc
13
$145,091
$24,845
5.8× st 6.7×
315
Other circulatory system diagnoses with cc
13
$55,849
$12,416
4.5× st 7.7×
299
Peripheral vascular disorders with mcc
12
$103,685
$21,752
4.8× st 6.7×
282
Acute myocardial infarction, discharged alive without cc/mcc
12
$59,903
$8,029
7.5× st 7.4×
375
Digestive malignancy with cc
12
$64,844
$13,969
4.6× st 6.4×
472
Cervical spinal fusion with cc
12
$144,898
$30,580
4.7× st 5.3×
085
Traumatic stupor and coma <1 hour with mcc
12
$110,145
$22,242
5.0× st 6.2×
264
Other circulatory system o.r. procedures
12
$126,698
$30,246
4.2× st 6.2×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
11
$120,920
$22,452
5.4× st 4.9×
305
Hypertension without mcc
11
$50,517
$9,129
5.5× st 7.2×
195
Simple pneumonia and pleurisy without cc/mcc
11
$49,768
$6,752
7.4× st 8.0×
191
Chronic obstructive pulmonary disease with cc
11
$59,711
$8,694
6.9× st 7.7×
205
Other respiratory system diagnoses with mcc
11
$96,465
$17,736
5.4× st 5.3×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
11
$56,414
$12,121
4.7× st 4.3×
841
Lymphoma and non-acute leukemia with cc
11
$90,397
$15,409
5.9× 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
8011
Comprehensive Observation Services
843
$31,224
$3,045
10.3×
5115
Level 5 Musculoskeletal Procedures
386
$67,050
$14,716
4.6×
5302
Level 2 Upper GI Procedures
381
$15,969
$2,114
7.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
299
$13,693
$1,788
7.7×
5114
Level 4 Musculoskeletal Procedures
174
$40,978
$7,755
5.3×
5361
Level 1 Laparoscopy and Related Services
163
$30,052
$6,430
4.7×
5375
Level 5 Urology and Related Services
132
$26,352
$5,753
4.6×
5374
Level 4 Urology and Related Services
126
$22,905
$3,900
5.9×
5183
Level 3 Vascular Procedures
125
$21,410
$3,564
6.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
120
$19,601
$3,868
5.1×
5313
Level 3 Lower GI Procedures
115
$18,612
$3,159
5.9×
5184
Level 4 Vascular Procedures
99
$64,807
$4,635
14.0×
5431
Level 1 Nerve Procedures
97
$10,683
$2,155
5.0×
5116
Level 6 Musculoskeletal Procedures
92
$104,754
$20,710
5.1×
5191
Level 1 Endovascular Procedures
92
$38,739
$3,673
10.5×
5331
Complex GI Procedures
88
$26,655
$6,414
4.2×
5373
Level 3 Urology and Related Services
81
$20,868
$2,247
9.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
81
$19,192
$3,166
6.1×
5193
Level 3 Endovascular Procedures
61
$103,915
$12,192
8.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
55
$38,464
$7,232
5.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
53
$25,672
$4,290
6.0×
5112
Level 2 Musculoskeletal Procedures
51
$11,833
$1,809
6.5×
5414
Level 4 Gynecologic Procedures
47
$18,240
$3,403
5.4×
5113
Level 3 Musculoskeletal Procedures
47
$21,868
$3,503
6.2×
5223
Level 3 Pacemaker and Similar Procedures
43
$47,628
$12,001
4.0×
5154
Level 4 Airway Endoscopy
43
$23,770
$4,058
5.9×
5153
Level 3 Airway Endoscopy
39
$13,400
$1,910
7.0×
5362
Level 2 Laparoscopy and Related Services
39
$52,534
$11,321
4.6×
5182
Level 2 Vascular Procedures
36
$8,002
$1,802
4.4×
5192
Level 2 Endovascular Procedures
35
$51,245
$6,286
8.2×
5465
Level 5 Neurostimulator and Related Procedures
31
$140,991
$34,836
4.0×
5372
Level 2 Urology and Related Services
31
$4,298
$769
5.6×
5303
Level 3 Upper GI Procedures
29
$25,888
$4,198
6.2×
5222
Level 2 Pacemaker and Similar Procedures
28
$29,777
$9,272
3.2×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
27
$13,021
$2,630
5.0×
5194
Level 4 Endovascular Procedures
20
$182,714
$19,686
9.3×
5165
Level 5 ENT Procedures
17
$31,188
$6,590
4.7×
5627
Level 7 Radiation Therapy
16
$62,425
$8,761
7.1×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
16
$123,985
$19,783
6.3×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
15
$46,089
$10,598
4.3×
5462
Level 2 Neurostimulator and Related Procedures
12
$49,078
$7,697
6.4×
5164
Level 4 ENT Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 04/01/2026, template 3.0.0, 2,640,500 rows scanned, 9,972 distinct code–setting items kept. 4,456 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC Dna Hea 35 Ag 11 Bld Grp Whl Bld Cmn Allel
$1,041
$1,000
$720
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 →

Findings

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
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CPT 97018/b
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CPT G2011/b
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CPT 53210/o
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CPT 75561/b
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CPT 84146/b
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CPT 86340/o
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CPT 97022/b
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CPT G2011/o
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CPT 53415/o
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mrf_cash_under_tenth_of_gross
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CPT 75561/o
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CPT 82103/o
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CPT 84150/b
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CPT 20615/o
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CPT 53854/o
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CPT 82104/b
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CPT 84152/o
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CPT 86352/o
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CPT 97032/b
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CPT 82104/o
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CPT 84153/b
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CPT 97035/b
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CPT 11200/o
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CPT 29305/o
info
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CPT 75600/o
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CPT 84153/o
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CPT 86356/b
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CPT 97129/o
info
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CPT J0132/o
info
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CPT 54056/o
info
mrf_cash_under_tenth_of_gross
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CPT 75605/o
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CPT 82105/o
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CPT 86356/o
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CPT 97130/o
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CPT 11201/o
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CPT 29325/o
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CPT 38380/o
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CPT 75630/o
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CPT 82106/b
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CPT 84154/o
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CPT 97150/b
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MS-DRG 147/i
info
mrf_cash_under_tenth_of_gross
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CPT 75635/b
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CPT 84155/b
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CPT 97552/b
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CPT 11310/o
info
mrf_cash_under_tenth_of_gross
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CPT 75635/o
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CPT 84156/b
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CPT 97552/o
info
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CPT 75716/o
info
mrf_cash_under_tenth_of_gross
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CPT 82108/o
info
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CPT 84156/o
info
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CPT 86360/o
info
mrf_cash_under_tenth_of_gross
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CPT 20700/o
info
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CPT 75726/o
info
mrf_cash_under_tenth_of_gross
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CPT 84157/b
info
mrf_cash_under_tenth_of_gross
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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
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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

Showing the first 200 of 4,456 findings, errors first — every finding as JSON →

Sources for this hospital

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  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 859.7M bytes · fetched 2026-08-23 · sha256 e145d5cd2367…

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.