Hospital · CCN 310052

Ocean University Medical Center

425 Jack Martin Blvd, Brick, NJ 08724 · Ocean County
Part of Hackensack Meridian Health · 313 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

131 admission types 52 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
6.31×
$551.8M billed against $87.5M paid across 5,568 Medicare discharges; the national figure is 5.03×.
1.1%
of adults in Ocean County have medical debt in collections
5.8%
uninsured in the county · state 8.0%
$85K
median household income
6.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
29.8%
obesity in the countyⓘ
11.4%
diagnosed diabetes (PLACES)
7.0%
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
498
$122,354
$19,389
6.3× st 6.8×
291
Heart failure and shock with mcc
357
$91,479
$12,618
7.3× st 7.6×
193
Simple pneumonia and pleurisy with mcc
198
$78,382
$12,684
6.2× st 7.6×
177
Respiratory infections and inflammations with mcc
188
$97,299
$16,384
5.9× st 7.3×
698
Other kidney and urinary tract diagnoses with mcc
144
$91,296
$15,123
6.0× st 6.8×
378
Gastrointestinal hemorrhage with cc
140
$69,785
$9,479
7.4× st 7.9×
690
Kidney and urinary tract infections without mcc
137
$53,888
$8,196
6.6× st 7.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
126
$59,467
$8,341
7.1× st 7.5×
689
Kidney and urinary tract infections with mcc
124
$72,750
$10,936
6.7× st 7.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
121
$65,606
$10,080
6.5× st 7.3×
683
Renal failure with cc
121
$67,067
$9,344
7.2× st 7.5×
603
Cellulitis without mcc
116
$51,817
$9,634
5.4× st 7.0×
682
Renal failure with mcc
98
$101,740
$14,404
7.1× st 7.3×
481
Hip and femur procedures except major joint with cc
94
$99,927
$19,295
5.2× st 5.9×
377
Gastrointestinal hemorrhage with mcc
90
$102,220
$17,352
5.9× st 7.2×
280
Acute myocardial infarction, discharged alive with mcc
88
$112,698
$14,833
7.6× st 7.3×
189
Pulmonary edema and respiratory failure
87
$78,016
$12,492
6.2× st 7.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
85
$272,003
$48,107
5.7× st 6.0×
309
Cardiac arrhythmia and conduction disorders with cc
59
$58,335
$7,261
8.0× st 8.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
56
$77,057
$10,029
7.7× st 8.5×
194
Simple pneumonia and pleurisy with cc
56
$54,937
$7,693
7.1× st 8.0×
329
Major small and large bowel procedures with mcc
55
$250,936
$43,382
5.8× st 5.9×
812
Red blood cell disorders without mcc
55
$76,882
$9,057
8.5× st 7.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
54
$85,812
$12,843
6.7× st 7.2×
190
Chronic obstructive pulmonary disease with mcc
53
$69,123
$11,052
6.3× st 8.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
52
$116,381
$17,266
6.7× st 7.3×
312
Syncope and collapse
51
$73,064
$8,912
8.2× st 7.8×
330
Major small and large bowel procedures with cc
51
$148,074
$25,127
5.9× st 6.0×
480
Hip and femur procedures except major joint with mcc
45
$148,021
$26,542
5.6× st 6.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
44
$104,852
$21,176
5.0× st 6.7×
308
Cardiac arrhythmia and conduction disorders with mcc
44
$99,701
$12,216
8.2× st 8.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
43
$103,397
$19,861
5.2× st 5.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
41
$152,727
$21,929
7.0× st 7.5×
699
Other kidney and urinary tract diagnoses with cc
41
$66,817
$10,729
6.2× st 6.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
41
$90,076
$12,340
7.3× st 7.2×
811
Red blood cell disorders with mcc
41
$117,311
$14,487
8.1× st 7.3×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
40
$66,958
$9,099
7.4× st 3.6×
178
Respiratory infections and inflammations with cc
39
$73,330
$10,405
7.0× st 8.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
38
$58,523
$7,743
7.6× st 7.8×
638
Diabetes with cc
38
$66,609
$8,945
7.4× st 7.8×
281
Acute myocardial infarction, discharged alive with cc
37
$57,201
$8,253
6.9× st 7.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
37
$182,147
$29,132
6.3× st 6.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
35
$100,213
$16,336
6.1× st 6.7×
389
Gastrointestinal obstruction with cc
34
$57,420
$8,175
7.0× st 7.3×
467
Revision of hip or knee replacement with cc
32
$120,411
$31,330
3.8× st 4.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
32
$156,682
$23,814
6.6× st 7.1×
394
Other digestive system diagnoses with cc
32
$62,201
$9,337
6.7× st 7.1×
314
Other circulatory system diagnoses with mcc
31
$140,341
$19,455
7.2× st 6.9×
602
Cellulitis with mcc
30
$74,117
$13,628
5.4× st 6.8×
813
Coagulation disorders
29
$98,916
$15,545
6.4× st 6.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
29
$228,614
$42,249
5.4× st 6.4×
393
Other digestive system diagnoses with mcc
28
$127,509
$16,785
7.6× st 6.7×
552
Medical back problems without mcc
27
$64,525
$8,943
7.2× st 6.7×
432
Cirrhosis and alcoholic hepatitis with mcc
27
$104,756
$18,183
5.8× st 7.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
27
$92,096
$10,724
8.6× st 6.9×
305
Hypertension without mcc
26
$72,105
$7,358
9.8× st 7.2×
870
Septicemia or severe sepsis with mv >96 hours
25
$359,074
$59,768
6.0× st 5.8×
056
Degenerative nervous system disorders with mcc
25
$131,487
$21,694
6.1× st 5.9×
202
Bronchitis and asthma with cc/mcc
25
$74,838
$9,415
7.9× st 7.6×
180
Respiratory neoplasms with mcc
24
$107,451
$17,480
6.1× st 6.5×
196
Interstitial lung disease with mcc
24
$112,217
$18,876
5.9× st 6.5×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
24
$108,977
$23,389
4.7× st 6.6×
057
Degenerative nervous system disorders without mcc
23
$70,423
$12,144
5.8× st 6.0×
439
Disorders of pancreas except malignancy with cc
23
$73,791
$8,289
8.9× st 7.3×
092
Other disorders of nervous system with cc
23
$74,705
$9,889
7.6× st 6.9×
300
Peripheral vascular disorders with cc
22
$61,322
$10,893
5.6× st 6.8×
388
Gastrointestinal obstruction with mcc
22
$95,738
$13,704
7.0× st 7.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
21
$43,677
$5,663
7.7× st 7.8×
445
Disorders of the biliary tract with cc
21
$70,246
$10,172
6.9× st 7.8×
163
Major chest procedures with mcc
20
$234,840
$45,603
5.2× st 4.7×
071
Other cerebrovascular disorders with cc
20
$62,520
$9,833
6.4× st 7.8×
191
Chronic obstructive pulmonary disease with cc
20
$68,842
$8,032
8.6× st 7.7×
374
Digestive malignancy with mcc
20
$90,597
$19,082
4.7× st 6.6×
637
Diabetes with mcc
20
$88,563
$13,398
6.6× st 6.8×
884
Organic disturbances and intellectual disability
20
$90,798
$14,664
6.2× st 5.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
19
$146,192
$25,437
5.7× st 5.6×
948
Signs and symptoms without mcc
19
$69,084
$7,470
9.2× st 7.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
19
$70,881
$10,795
6.6× st 7.4×
242
Permanent cardiac pacemaker implant with mcc
18
$218,022
$31,628
6.9× st 5.5×
644
Endocrine disorders with cc
18
$81,080
$10,128
8.0× st 7.2×
336
Peritoneal adhesiolysis with cc
18
$132,324
$19,971
6.6× st 6.1×
069
Transient ischemia without thrombolytic
17
$77,476
$7,315
10.6× st 7.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$91,655
$13,168
7.0× st 7.4×
435
Malignancy of hepatobiliary system or pancreas with mcc
17
$109,241
$16,776
6.5× st 6.8×
444
Disorders of the biliary tract with mcc
17
$96,293
$13,920
6.9× st 6.5×
243
Permanent cardiac pacemaker implant with cc
17
$122,329
$21,052
5.8× st 6.0×
269
Aortic and heart assist procedures except pulsation balloon without mcc
16
$112,784
$40,357
2.8× st 4.5×
039
Extracranial procedures without cc/mcc
16
$48,823
$10,349
4.7× st 5.5×
840
Lymphoma and non-acute leukemia with mcc
16
$136,076
$29,377
4.6× st 5.9×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
16
$119,312
$16,735
7.1× st 8.3×
919
Complications of treatment with mcc
16
$105,964
$16,700
6.3× st 6.7×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
16
$112,202
$11,676
9.6× st 6.6×
390
Gastrointestinal obstruction without cc/mcc
16
$52,264
$5,546
9.4× st 6.8×
536
Fractures of hip and pelvis without mcc
16
$49,485
$8,151
6.1× st 6.8×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
16
$78,952
$9,388
8.4× st 7.2×
101
Seizures without mcc
15
$76,110
$8,808
8.6× st 7.0×
864
Fever and inflammatory conditions
15
$82,675
$8,746
9.5× st 6.4×
643
Endocrine disorders with mcc
15
$82,712
$14,889
5.6× st 6.6×
460
Spinal fusion except cervical without mcc
15
$124,947
$38,856
3.2× st 5.0×
356
Other digestive system o.r. procedures with mcc
15
$221,728
$39,720
5.6× st 6.3×
315
Other circulatory system diagnoses with cc
15
$54,419
$9,885
5.5× st 7.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
15
$110,254
$20,511
5.4× st 5.4×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
15
$136,882
$21,009
6.5× st 5.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
15
$67,665
$8,333
8.1× st 6.0×
271
Other major cardiovascular procedures with cc
14
$115,434
$30,183
3.8× st 5.5×
379
Gastrointestinal hemorrhage without cc/mcc
14
$54,789
$7,419
7.4× st 7.9×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
14
$97,286
$14,952
6.5× st 6.4×
299
Peripheral vascular disorders with mcc
14
$97,404
$13,514
7.2× st 6.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
13
$111,242
$25,743
4.3× st 6.3×
862
Postoperative and post-traumatic infections with mcc
13
$131,778
$17,548
7.5× st 6.6×
920
Complications of treatment with cc
13
$65,611
$9,824
6.7× st 6.8×
252
Other vascular procedures with mcc
13
$252,761
$34,406
7.3× st 6.3×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
13
$120,405
$16,420
7.3× st 6.3×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
12
$79,022
$12,292
6.4× st 6.5×
270
Other major cardiovascular procedures with mcc
12
$197,157
$46,475
4.2× st 5.7×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
12
$130,271
$19,921
6.5× st 6.1×
554
Bone diseases and arthropathies without mcc
12
$57,574
$8,005
7.2× st 7.4×
176
Pulmonary embolism without mcc
12
$54,223
$7,705
7.0× st 7.2×
466
Revision of hip or knee replacement with mcc
12
$152,060
$40,218
3.8× st 5.0×
205
Other respiratory system diagnoses with mcc
12
$83,001
$16,765
5.0× st 5.3×
659
Kidney and ureter procedures for non-neoplasm with mcc
12
$122,657
$24,148
5.1× st 6.6×
074
Cranial and peripheral nerve disorders without mcc
12
$63,844
$9,818
6.5× st 5.8×
673
Other kidney and urinary tract procedures with mcc
12
$272,614
$39,691
6.9× st 6.0×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$80,839
$14,530
5.6× st 6.8×
917
Poisoning and toxic effects of drugs with mcc
11
$98,624
$15,309
6.4× st 6.0×
684
Renal failure without cc/mcc
11
$57,870
$5,800
10.0× st 8.6×
438
Disorders of pancreas except malignancy with mcc
11
$106,048
$15,275
6.9× st 8.2×
091
Other disorders of nervous system with mcc
11
$123,216
$15,863
7.8× st 6.5×
565
Other musculoskeletal system and connective tissue diagnoses with cc
11
$61,474
$9,565
6.4× st 5.7×
073
Cranial and peripheral nerve disorders with mcc
11
$91,137
$13,978
6.5× st 3.8×
331
Major small and large bowel procedures without cc/mcc
11
$86,301
$15,500
5.6× st 6.1×
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
1,687
$30,408
$2,846
10.7×
5115
Level 5 Musculoskeletal Procedures
540
$38,151
$13,755
2.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
294
$10,221
$1,685
6.1×
5191
Level 1 Endovascular Procedures
264
$21,607
$3,408
6.3×
5373
Level 3 Urology and Related Services
167
$11,130
$2,116
5.3×
5183
Level 3 Vascular Procedures
128
$17,101
$3,298
5.2×
5361
Level 1 Laparoscopy and Related Services
127
$34,871
$6,004
5.8×
5375
Level 5 Urology and Related Services
114
$20,565
$5,310
3.9×
5192
Level 2 Endovascular Procedures
109
$25,487
$5,897
4.3×
5193
Level 3 Endovascular Procedures
107
$50,345
$11,461
4.4×
5116
Level 6 Musculoskeletal Procedures
86
$82,353
$19,273
4.3×
5302
Level 2 Upper GI Procedures
85
$12,655
$1,943
6.5×
5114
Level 4 Musculoskeletal Procedures
82
$39,573
$7,216
5.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
81
$19,950
$3,622
5.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
65
$17,645
$3,991
4.4×
5374
Level 4 Urology and Related Services
61
$16,481
$3,650
4.5×
5112
Level 2 Musculoskeletal Procedures
50
$9,649
$1,683
5.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
48
$16,314
$2,975
5.5×
5182
Level 2 Vascular Procedures
45
$9,102
$1,677
5.4×
5313
Level 3 Lower GI Procedures
43
$15,326
$2,939
5.2×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
43
$50,874
$6,827
7.5×
5184
Level 4 Vascular Procedures
41
$29,125
$5,613
5.2×
5362
Level 2 Laparoscopy and Related Services
40
$50,843
$10,765
4.7×
5113
Level 3 Musculoskeletal Procedures
32
$21,561
$3,177
6.8×
5372
Level 2 Urology and Related Services
28
$6,191
$695
8.9×
5194
Level 4 Endovascular Procedures
25
$67,437
$16,118
4.2×
5153
Level 3 Airway Endoscopy
24
$8,711
$1,777
4.9×
5414
Level 4 Gynecologic Procedures
22
$12,749
$3,273
3.9×
5154
Level 4 Airway Endoscopy
15
$18,560
$3,920
4.7×
5223
Level 3 Pacemaker and Similar Procedures
13
$46,485
$11,166
4.2×
5303
Level 3 Upper GI Procedures
11
$25,611
$4,009
6.4×
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related 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 csv-tall, last updated 2025-12-31, template 3.0.0, 5,433,983 rows scanned, 17,465 distinct code–setting items kept. 17,990 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEA MOLECULAR TESTING
$1,584
$720
$1,133
36
clean
LIVER DIS 10 ASSAYS W/ASH
—
$503
$516
12
clean
LIVER DIS 10 ASSAYS W/NASH
—
$503
$516
12
clean
ONCO PRST8 3 GENE UR ALG
—
$760
$828
15
clean
ONC MRNA 5 GEN RSK URTHL CA
—
$760
$828
15
clean
ONC MRNA 5 GEN RECR URTHL CA
—
$760
$828
15
clean
ADRNL CORTCL TUM BCHM ASY 25
—
$1,305
$1,371
13
clean
ONC BLADDER MRNA 219 GEN ALG
—
$3,490
$3,664
13
clean
ONC THYR 10 MICRORNA SEQ ALG
—
$3,002
$3,272
15
clean
ONC AML DNA DETCJ/NONDETCJ
—
$249
$271
15
clean
GLYCA NUC MR SPECTRSC QUAN
—
$34
$37
15
clean
THYROSEQ TESTING
$7,920
$3,600
$5,666
36
clean
JAK2 GENE TRGT SEQ ALYS
—
$122
$133
15
clean
RX METAB ADVRS TRGT SEQ ALYS
—
$742
$809
15
clean
TPMT AND NUDIX HYROLASE NUDT15 GENOTYPING
$1,227
$466
$862
72
clean
NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$578
$541
$493
71
clean
TRGT GEN SEQ DNA 324 GENES
—
$3,500
$3,815
15
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
$17
$19
15
clean
CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$2,745
—
$2,102
26
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
$17
$19
15
clean
TBRF B GRP ANTB 4 PRTN IGM
—
$15
$16
15
clean
TBRF B GRP ANTB 4 PRTN IGG
—
$15
$16
15
clean
ONC BRST DUX CARC IS 12 GENE
—
$3,873
$4,222
15
clean
ONC PRST8 MRNA 17 GENE ALG
—
$3,873
$4,222
15
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
$503
—
$428
28
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI
$839
—
$703
28
clean
ANTI-MERKEL CELL PANEL ARUP
$711
$323
$533
35
clean
ONC MERKEL CLL CARC SRM +/-
—
$323
$352
15
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
$25
$27
15
clean
ANTB TP TOTAL&RPR IA QUAL
—
$31
$34
15
clean
SYFLS TST NONTREPONEMAL ANTB
—
$18
$20
15
clean
CANDIDA SPECIES PNL AMP PRB
—
$143
$155
15
clean
TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$22,583
—
$10,671
29
clean
IG PARAPROTEIN QUAL BLD/UR
—
$43
$47
15
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
$3,520
$3,837
15
clean
ONC MLNMA PRAME & LINC00518
—
$760
$828
15
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
$1,950
$2,126
15
clean
EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS
$7,913
$262
$6,196
35
clean
HERED COLON CA DO 15 GENES
—
$1,744
$1,831
13
clean
NEPH CKD MULT ECLIA TUM NEC
—
$950
$1,036
15
clean
TOUCH QUANT SENSORY TEST
—
$43
$43
8
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
$874
$953
15
clean
VIBRATE QUANT SENSORY TEST
—
$43
$43
8
clean
COOL QUANT SENSORY TEST
—
$65
$65
8
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
$4,950
$5,158
15
clean
HEAT QUANT SENSORY TEST
—
$43
$43
8
clean
NMDP ANES BONE MARROW ASPIR&/BX ANT/PST ILIAC CR
$2,360
—
$1,844
28
clean
IADI 16S&18S RRNA GENES
—
$356
$388
15
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
$2,753
$3,001
15
clean
CRD CERAMIDES LIQ CHROM PLSM
—
$84
$91
15
clean
HERED BRST CA RLTD DO PANEL
—
$1,304
$1,369
13
clean
THE KARIUS TEST
$5,847
$2,126
$4,107
36
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
$112
$118
13
clean
LIVER DS 10 BIOCHEM ASY SRM
—
$503
$549
15
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
$3,030
$3,303
15
clean
CAD CXR WITH INTERP
—
—
$24
1
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
$1,305
$1,371
13
clean
RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
$15,408
$6,506
$8,659
35
clean
PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL
$12,714
$7,807
$8,510
35
clean
PERQ SAC AGMNTJ BI W/WO BALO/ MCHNL DEV 2/> NDLS
$16,448
$7,807
$8,750
35
clean
BIOFIRE RESPIRATORY PANEL 2.1 EA PATHOGEN RPT AS DETECT OR NOT D
$1,674
$417
$1,152
36
clean
NEURO ALZHEIMER CELL AGGREGJ
—
$2,215
$2,326
13
clean
EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI
$158
$141
$141
35
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$734
6
clean
NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$1,000
$436
$781
36
clean
TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
$25,714
$12,394
$13,014
35
clean
TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$33,773
$19,625
$19,625
35
clean
LIQUID CDX
$15,950
$3,500
$10,974
36
clean
NFCT DS VIR RESP RNA 3 TRGT
—
—
$224
5
clean
SARS-COV-2 RNA INFLUENZA A&B AND RSV RNA QUALITATIVE NAAT QST
$495
—
$377
30
clean
TRGT GEN SEQ ALYS PNL 55-74
—
$5,000
$5,250
13
clean
ONC THYR MUT ALYS 10 GEN&37
—
$1,266
$1,329
13
clean
ONC SLD ORG NEO DNA 505 GENE
—
$2,920
$3,066
13
clean
IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
$84,284
$49,180
$15,603
35
clean
IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY
$57,901
$33,304
$13,972
35
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/I&R
$463
$171
$358
35
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM
$463
$171
$358
35
clean
PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$13,923
$7,807
$8,705
36
clean
TEMPR
—
$171
$171
7
clean
ONC LUNG MRNA QUAN PCR 11&3
—
$3,873
$4,067
13
clean
ONC BRST DUX CARC 7 PROTEINS
—
$5,435
$5,435
13
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
$391
$410
13
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
$391
$410
13
clean
NFCT DS BCT QUAN ANTMCRB SC
—
$8
$8
13
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
$841
$883
13
clean
ONC CUTAN SQ CLL CA MRNA 40
—
$8,500
$8,500
11
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
$2,650
$2,650
11
clean
TRGT GEN SEQ ALYS PNL 83+
—
$5,000
$5,000
11
clean
ONC NEO XOME&TRNS SEQ ALYS
—
$3,438
$3,438
11
clean
TEAR FILM IMG UNI/BI W/I&R
—
$43
$44
8
clean
ONC SLD ORGN TGSA DNA 84/+
—
$3,500
$3,588
12
clean
ONC PLSM CELL DO&MYELOMA ID
—
$2,435
$2,435
11
clean
ONC SLD TUM CRCG TUM CL SLCT
—
$2,435
$2,435
11
clean
TRANSCATHETER RENAL SYMPATH DENERVATION BILAT
$9,235
$6,231
$7,231
35
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
$760
$798
13
clean
ONC PAN CA ALYS MRD PLASMA
—
$3,920
$4,116
13
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
$792
$792
11
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,403
13
clean
BETA AMYL A?40&A?42 LC-MS/MS
—
—
$121
1
clean
RX METAB/PCX DNA 16 GEN ALYS
—
$1,336
$1,403
13
clean
RX METAB/PCX DNA 25 GEN ALYS
—
$742
$779
13
clean
RX METAB/PCX DNA 27GEN RX IA
—
$742
$779
13
clean
RSA LOWER EXTR EXAM
—
$96
$103
10
clean
INTRAOP OCT BRST/NODE SPEC
—
—
$1,526
1
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
$261
$274
13
clean
OCT BRST/NODE I&R PER SPEC
—
—
$2,630
3
clean
NFCT DS BV&VAGINITIS AMP PRB
—
—
$293
3
clean
IADNA CHLMYD&GONORR AMP PRB
—
—
$144
3
clean
APOL1 RISK VARIANTS
—
$137
$137
11
clean
ONC OROP/ANAL 17 DNA DDPCR
—
$1,800
$1,800
10
clean
BIA WHOLE BODY
—
$27
$27
7
clean
NEURO ALYS á-AMYL 1-42&1-40
—
$261
$261
11
clean
ONC PRST8 CA ALYS ALL PSA
—
$760
$760
11
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
$783
$783
11
clean
NEURFLMNT LT CHN DIG IA QUAN
—
$116
$116
10
clean
ONC URTHL MRNA 5 GEN ALG
—
$760
$760
11
clean
ONC BLDR 10 UR HRBR URTHL CA
—
$897
$897
10
clean
ONC BLDR 10 PRB RECR BLDR CA
—
$897
$897
10
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
$897
$897
10
clean
ONC PRST8 CA IMG ALYS 128
—
$706
$706
10
clean
VIS FIELD ASSMNT TECH SUPPT
—
$43
$44
8
clean
TGSAP SL OR NEO DNA523&RNA55
—
$3,289
$3,289
10
clean
ONC NONSM CLL LNG CA 37 GEN
—
$3,500
$3,500
10
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
$541
$541
10
clean
HDR ELCTRNC SKN SURF BRCHYTX
—
$287
$295
8
clean
PFAS 16 PFAS COMPND LC MS/MS
—
$199
$199
10
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
$758
$777
8
clean
GI BARET ESPH DNA MTHYLN ALY
—
$1,755
$1,755
10
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
$2,550
$2,550
7
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
$760
$760
11
clean
ONC BRST SEMIQ MEAS THYM KN
—
$323
$323
10
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
$760
$760
10
clean
NEPH DBTC CKD MULT ECLIA ALG
—
$950
$950
10
clean
INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$49,969
$35,039
$38,193
35
clean
ONC SLD TUM DNA 80 & RNA 36
—
$2,920
$2,920
10
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,336
10
clean
CV DS ACS BLD ALG 5 YR SCORE
—
$391
$391
10
clean
PRGRMG EVAL CARDIAC MODULJ
—
$41
$42
8
clean
INTERRO EVAL CARDIAC MODULJ
—
$41
$42
8
clean
TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL
$11,301
$10,106
$9,606
35
clean
GI MALABS AAT CALPRO PNCRTC
—
$62
$62
10
clean
GLY RCPTR ALPHA1 IGG SRM/CSF
—
$37
$37
10
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
$37
$37
10
clean
ONC PRST8 5 DNA REG MRK PCR
—
$760
$760
10
clean
RX METAB ADVRS VRNT ALYS 25
—
$417
$417
10
clean
MYOCRD CONTRAST PRFUJ ECHO
—
—
$113
1
clean
ABLTJ PERC LXTR/PERPH NRV
—
$2,134
$2,134
7
clean
ABLTJ PERC PLEX/TRNCL NRV
—
$6,999
$6,999
7
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
$3,552
$3,552
8
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
$217
$217
8
clean
REMVL INSJ IMPLTBL GLUC SENS
—
$3,552
$3,552
8
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
$5,639
$5,639
8
clean
VISUAL EP TEST FOR GLAUCOMA
—
$171
$175
8
clean
ONC SLD TUM BLD/SLV 648 GENE
—
$4,500
$4,500
10
clean
HERED PRST8 CA GSAP 23 GENES
—
$1,304
$1,304
10
clean
FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM
$1,916
$669
$1,541
35
clean
FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM
$958
—
$814
27
clean
TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$14,714
—
$11,473
29
clean
OCT MID EAR I&R UNILATERAL
—
$43
$44
8
clean
OCT MID EAR I&R BILATERAL
—
$43
$44
8
clean
EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
$27,248
$12,394
$12,394
35
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
$65
$67
8
clean
PATTERN ERG W/I&R
—
$340
$340
13
clean
ESW INTEG WND HLG 1ST WND
—
$217
$217
7
clean
INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$8,958
—
$7,014
29
clean
INSERTION REPLACEMENT COMPLETE IIMS
$39,298
$20,842
$30,377
35
clean
PRGRMG DEV EVAL IIMS IP
—
$41
$42
8
clean
INTERROG DEV EVAL IIMS IP
—
$41
$42
8
clean
RF SPECTRSC NTRAOP MRGN ASMT
—
—
$185
1
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
$65
$69
10
clean
ANTMC GUIDE 3D PRINT EA ADDL
—
—
$35
1
clean
EVAC MEIBOMIAN GLND HEAT BI
—
$65
$65
7
clean
TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$6,353
—
$5,171
29
clean
TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$1,816
—
$1,499
29
clean
INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$66,076
$35,039
$51,077
35
clean
PRGRMG DEV EVAL ICDS SS IP
—
$41
$41
7
clean
INTERROG DEV EVAL ICDS SS IP
—
$41
$41
7
clean
REM INTERROG DEV ICDS TECH
—
$41
$41
7
clean
ABLTJ MAL BRST TUM PERQ CRTX
—
$4,185
$4,185
7
clean
ELEC ALYS CPLX PRGRMG IINS
—
$100
$103
8
clean
R-T FLUOR WOUND IMG 1ST SITE
—
$340
$364
10
clean
R-T FLUOR WOUND IMG EA ADDL
—
—
$116
1
clean
IRE ABLTJ 1+TUM ORGAN PERQ
—
$11,378
$11,378
7
clean
IRE ABLTJ 1+TUMORS OPEN
—
$11,378
$11,378
7
clean
REM OCT RTA TECHL SPRT MIN 8
—
—
$101
3
clean
REM MNTR PULM FLU MNTR SETUP
—
—
$182
1
clean
REM MNTR PULM FLU MNTR ALYS
—
—
$57
1
clean
CYSTO W/PRST8 COMMISSUROTOMY
—
$10,106
$10,106
7
clean
ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
$103,031
$38,251
$38,251
35
clean
AUTO QUANTIFICATION C PLAQUE
—
—
$262
1
clean
AUTO QUAN C PLAQ DATA PREP
—
—
$95
1
clean
AUTO QUAN C PLAQ CPTR ALYS
—
$1,039
$1,039
8
clean
AUTO QUAN C PLAQ I&R
—
—
$118
1
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR 1ST
$40,912
$14,062
$31,154
34
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR EA
$20,457
—
$15,923
26
clean
PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST
$40,912
$14,062
$31,154
34
clean
CT BREAST W/3D BI C-/C+
—
$390
$447
12
clean
NCNTC IFR SPCTRSC O/T PAD 1
—
$43
$44
8
clean
TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
$17,207
$6,231
$9,218
35
clean
TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH
$36,785
—
$9,218
29
clean

Showing the first 200 of 17,465 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 19281/o
error
mrf_cash_above_gross
discounted cash price $1,771 exceeds gross charge $1,729
CPT 25605/o
error
mrf_cash_above_gross
discounted cash price $1,749 exceeds gross charge $1,692
warn
mrf_negotiated_above_gross_systematic
5,583 of 8,034 comparable items (69%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $3,299 exceeds the gross charge $1,584
warn
mrf_rate_without_estimate
845,584 of 845,584 percentage/algorithm rates across 9,278 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 70496/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 6% of the gross charge $3,443
CPT 81025/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 6% of the gross charge $138
CPT 84315/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 7% of the gross charge $50
CPT 74160/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 6% of the gross charge $3,025
CPT 70498/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 6% of the gross charge $3,410
CPT 81050/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $76
CPT 87075/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 7% of the gross charge $138
CPT C1717/b
info
mrf_cash_under_tenth_of_gross
cash price $374 is 10% of the gross charge $3,743
CPT 74170/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 5% of the gross charge $3,850
CPT C1717/o
info
mrf_cash_under_tenth_of_gross
cash price $374 is 10% of the gross charge $3,743
CPT 70540/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 8% of the gross charge $3,520
CPT 74174/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 8% of the gross charge $4,752
CPT 95800/o
info
mrf_cash_under_tenth_of_gross
cash price $171 is 7% of the gross charge $2,310
CPT 87081/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $130
CPT 74175/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 6% of the gross charge $3,517
CPT 76818/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 10% of the gross charge $1,197
CPT 70542/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 9% of the gross charge $4,180
CPT 86308/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $120
CPT 74176/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 7% of the gross charge $3,740
CPT 70543/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 8% of the gross charge $4,949
CPT 74177/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 8% of the gross charge $4,650
CPT 87101/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $130
CPT 87904/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 9% of the gross charge $290
CPT 95805/o
info
mrf_cash_under_tenth_of_gross
cash price $580 is 9% of the gross charge $6,183
CPT 70544/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 7% of the gross charge $3,575
CPT 74178/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 6% of the gross charge $6,430
CPT 87102/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $130
CPT 84433/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 4% of the gross charge $537
CPT 95806/o
info
mrf_cash_under_tenth_of_gross
cash price $171 is 9% of the gross charge $1,925
CPT 74181/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 8% of the gross charge $3,311
CPT J7402/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 0% of the gross charge $3,523
CPT 70546/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 9% of the gross charge $4,345
CPT 76830/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 9% of the gross charge $1,255
CPT 87107/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 8% of the gross charge $130
CPT J7402/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 0% of the gross charge $3,523
CPT 82735/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $230
CPT 74182/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 10% of the gross charge $3,916
CPT 70547/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 9% of the gross charge $2,864
CPT 76856/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 9% of the gross charge $1,293
CPT 82746/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $196
CPT 26989/o
info
mrf_cash_under_tenth_of_gross
cash price $262 is 8% of the gross charge $3,374
CPT 74183/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 7% of the gross charge $5,225
CPT 87116/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 9% of the gross charge $118
CPT G0398/o
info
mrf_cash_under_tenth_of_gross
cash price $171 is 5% of the gross charge $3,633
CPT 70549/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 9% of the gross charge $4,404
CPT 76873/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 5% of the gross charge $2,523
CPT 70551/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 6% of the gross charge $4,073
CPT 84466/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $199
CPT 87147/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 8% of the gross charge $66
CPT 97018/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 8% of the gross charge $105
CPT 70552/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 8% of the gross charge $4,620
CPT 84479/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $123
CPT 70553/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 7% of the gross charge $5,631
CPT 82800/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 3% of the gross charge $321
CPT 82803/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 6% of the gross charge $468
CPT 84484/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 7% of the gross charge $173
CPT 74251/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 7% of the gross charge $2,974
CPT 81177/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 7% of the gross charge $1,925
CPT 97028/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $144
CPT 82820/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 2% of the gross charge $548
CPT 87168/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT 88161/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 8% of the gross charge $336
CPT 87176/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $72
CPT 22899/o
info
mrf_cash_under_tenth_of_gross
cash price $262 is 4% of the gross charge $5,888
CPT 87181/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $83
CPT 86386/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 1% of the gross charge $2,170
CPT 82948/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 9% of the gross charge $55
CPT 82950/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $65
CPT 86406/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 8% of the gross charge $135
CPT J2506/b
info
mrf_cash_under_tenth_of_gross
cash price $58 is 4% of the gross charge $1,300
CPT 81185/o
info
mrf_cash_under_tenth_of_gross
cash price $846 is 9% of the gross charge $8,938
CPT 88182/o
info
mrf_cash_under_tenth_of_gross
cash price $58 is 6% of the gross charge $968
CPT J2506/o
info
mrf_cash_under_tenth_of_gross
cash price $58 is 4% of the gross charge $1,300
CPT 71250/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 4% of the gross charge $2,692
CPT 81187/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 8% of the gross charge $1,671
CPT 71260/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 6% of the gross charge $3,354
CPT 86430/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $90
CPT 87205/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $94
CPT 82962/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 4% of the gross charge $83
CPT 71270/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 5% of the gross charge $3,737
CPT 87207/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 6% of the gross charge $101
CPT 0272U/o
info
mrf_cash_under_tenth_of_gross
cash price $608 is 9% of the gross charge $7,013
CPT 71271/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 6% of the gross charge $2,035
CPT 22999/o
info
mrf_cash_under_tenth_of_gross
cash price $262 is 6% of the gross charge $4,407
CPT 67399/o
info
mrf_cash_under_tenth_of_gross
cash price $327 is 7% of the gross charge $4,950
CPT 74415/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 8% of the gross charge $2,475
CPT 82978/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $168
CPT 87210/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $62
CPT 71275/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 5% of the gross charge $3,587
CPT 87220/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $62
CPT 88240/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 5% of the gross charge $278
CPT J1190/b
info
mrf_cash_under_tenth_of_gross
cash price $32 is 3% of the gross charge $1,069
CPT 71550/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 8% of the gross charge $3,144
CPT 83001/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $316
CPT J1190/o
info
mrf_cash_under_tenth_of_gross
cash price $32 is 3% of the gross charge $1,069
CPT 83002/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $316
CPT 85002/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $150
CPT 77046/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 5% of the gross charge $4,895
CPT 86602/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $182
CPT 71552/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 9% of the gross charge $4,244
CPT 85007/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT 31899/o
info
mrf_cash_under_tenth_of_gross
cash price $212 is 6% of the gross charge $3,299
CPT 77047/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 5% of the gross charge $5,060
CPT J2679/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 1% of the gross charge $716
CPT 85008/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $144
CPT G0475/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 8% of the gross charge $312
CPT J2679/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 1% of the gross charge $716
CPT 0279U/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $303
CPT 87272/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $141
CPT 86619/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 4% of the gross charge $328
CPT 85027/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 6% of the gross charge $106
CPT 83026/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $238
CPT 85032/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $61
CPT 86625/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 5% of the gross charge $282
CPT 79005/o
info
mrf_cash_under_tenth_of_gross
cash price $245 is 9% of the gross charge $2,585
CPT 85044/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $77
CPT 61050/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 10% of the gross charge $3,341
CPT 75561/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 10% of the gross charge $3,956
CPT 85048/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 9% of the gross charge $28
CPT 72125/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 4% of the gross charge $2,970
CPT 85049/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $75
CPT 87299/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 6% of the gross charge $248
CPT 83068/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 6% of the gross charge $154
CPT 17999/o
info
mrf_cash_under_tenth_of_gross
cash price $217 is 5% of the gross charge $4,804
CPT 72127/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 5% of the gross charge $3,858
CPT 80048/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $187
CPT 72128/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 4% of the gross charge $2,929
CPT 77084/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 7% of the gross charge $3,630
CPT 85130/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $292
CPT 80051/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 6% of the gross charge $119
CPT 86658/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $198
CPT 72129/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 6% of the gross charge $3,259
CPT 87327/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $165
CPT 83090/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $240
CPT 86663/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $211
CPT D0150/o
info
mrf_cash_under_tenth_of_gross
cash price $141 is 9% of the gross charge $1,630
CPT 72130/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 5% of the gross charge $3,589
CPT 93893/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 10% of the gross charge $1,180
CPT 85210/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $134
CPT 86664/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $228
CPT 72131/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 4% of the gross charge $3,051
CPT 80069/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $197
CPT 87335/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $175
CPT 80074/o
info
mrf_cash_under_tenth_of_gross
cash price $48 is 7% of the gross charge $660
CPT 72133/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 5% of the gross charge $3,843
CPT 77280/o
info
mrf_cash_under_tenth_of_gross
cash price $145 is 7% of the gross charge $2,136
CPT 80076/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $167
CPT 85245/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 9% of the gross charge $254
CPT 72141/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 6% of the gross charge $4,263
CPT 77290/o
info
mrf_cash_under_tenth_of_gross
cash price $400 is 8% of the gross charge $4,824
CPT 75635/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 5% of the gross charge $3,960
CPT 80143/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $222
CPT 87341/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $184
CPT 72142/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 8% of the gross charge $4,703
CPT 20999/o
info
mrf_cash_under_tenth_of_gross
cash price $262 is 9% of the gross charge $2,895
CPT 85260/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 5% of the gross charge $385
CPT 72146/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 6% of the gross charge $4,329
CPT 87380/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $248
CPT 82009/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $77
CPT 85270/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 9% of the gross charge $198
CPT 93970/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 10% of the gross charge $2,682
CPT 81244/o
info
mrf_cash_under_tenth_of_gross
cash price $45 is 4% of the gross charge $1,047
CPT 95971/o
info
mrf_cash_under_tenth_of_gross
cash price $100 is 7% of the gross charge $1,471
CPT J1451/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $66
CPT 72147/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 8% of the gross charge $4,835
CPT 82010/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $138
CPT 85280/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $309
CPT 87389/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 10% of the gross charge $245
CPT 93971/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 7% of the gross charge $1,708
CPT D0240/o
info
mrf_cash_under_tenth_of_gross
cash price $96 is 8% of the gross charge $1,212
CPT J1451/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $66
CPT 72148/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 6% of the gross charge $4,439
CPT 80156/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $220
CPT 82013/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $161
CPT 85290/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 8% of the gross charge $215
CPT 93226/o
info
mrf_cash_under_tenth_of_gross
cash price $65 is 3% of the gross charge $1,925
CPT 28405/o
info
mrf_cash_under_tenth_of_gross
cash price $262 is 8% of the gross charge $3,391
CPT 93976/o
info
mrf_cash_under_tenth_of_gross
cash price $116 is 6% of the gross charge $1,914
CPT D0250/o
info
mrf_cash_under_tenth_of_gross
cash price $96 is 4% of the gross charge $2,438
CPT 85291/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $215
CPT 72149/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 8% of the gross charge $4,675
CPT 80158/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $248
CPT 77307/o
info
mrf_cash_under_tenth_of_gross
cash price $400 is 8% of the gross charge $4,830
CPT 85292/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 5% of the gross charge $358
CPT 72156/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 6% of the gross charge $6,026
CPT D0270/o
info
mrf_cash_under_tenth_of_gross
cash price $96 is 6% of the gross charge $1,520
CPT 85293/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 4% of the gross charge $491
CPT 72157/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 7% of the gross charge $5,984
CPT 0101T/o
info
mrf_cash_under_tenth_of_gross
cash price $262 is 3% of the gross charge $7,913
CPT 80162/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $165
CPT 82043/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $83
CPT 93985/o
info
mrf_cash_under_tenth_of_gross
cash price $264 is 10% of the gross charge $2,653
CPT D0272/o
info
mrf_cash_under_tenth_of_gross
cash price $96 is 6% of the gross charge $1,670
CPT 72158/o
info
mrf_cash_under_tenth_of_gross
cash price $390 is 6% of the gross charge $6,039
CPT 77318/o
info
mrf_cash_under_tenth_of_gross
cash price $400 is 9% of the gross charge $4,224
CPT 81253/o
info
mrf_cash_under_tenth_of_gross
cash price $62 is 9% of the gross charge $660

Showing the first 200 of 17,990 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 069
info
inp_charge_10x_payment
average charge $77,476 is 10.6× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 2,136.9M bytes · fetched 2026-08-23 · sha256 da08bcf9cdbe…

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.