Hospital · CCN 310110

Robert Wood Johnson University Hospital Hamilton

One Hamilton Health Place, Hamilton, NJ 08690 · Mercer County
Part of RWJBarnabas Health · 152 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

55 admission types 38 outpatient services price file: ok 13 Medicare-file findings
Billed per dollar paid, all admissions
8.57×
$183.3M billed against $21.4M paid across 1,783 Medicare discharges; the national figure is 5.03×.
4.3%
of adults in Mercer County have medical debt in collections
8.7%
uninsured in the county · state 8.0%
$96K
median household income
17.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
25.4%
obesity in the countyⓘ
11.1%
diagnosed diabetes (PLACES)
5.4%
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
255
$134,197
$15,478
8.7× st 6.8×
291
Heart failure and shock with mcc
136
$103,305
$10,269
10.1× st 7.6×
193
Simple pneumonia and pleurisy with mcc
64
$110,760
$10,110
11.0× st 7.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
60
$76,924
$8,260
9.3× st 7.3×
698
Other kidney and urinary tract diagnoses with mcc
55
$108,051
$13,331
8.1× st 6.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
53
$60,901
$6,867
8.9× st 7.5×
177
Respiratory infections and inflammations with mcc
53
$106,845
$14,698
7.3× st 7.3×
280
Acute myocardial infarction, discharged alive with mcc
52
$110,425
$11,282
9.8× st 7.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
51
$94,430
$9,759
9.7× st 7.2×
690
Kidney and urinary tract infections without mcc
49
$57,592
$6,423
9.0× st 7.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
46
$165,363
$17,208
9.6× st 7.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
44
$225,799
$38,639
5.8× st 6.0×
689
Kidney and urinary tract infections with mcc
42
$64,189
$9,161
7.0× st 7.5×
312
Syncope and collapse
42
$65,667
$6,736
9.7× st 7.8×
309
Cardiac arrhythmia and conduction disorders with cc
35
$69,114
$6,322
10.9× st 8.0×
603
Cellulitis without mcc
33
$57,377
$7,271
7.9× st 7.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
32
$75,296
$15,092
5.0× st 5.2×
377
Gastrointestinal hemorrhage with mcc
31
$123,739
$13,076
9.5× st 7.2×
683
Renal failure with cc
30
$64,444
$7,293
8.8× st 7.5×
378
Gastrointestinal hemorrhage with cc
27
$78,744
$7,609
10.3× st 7.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
27
$64,282
$6,649
9.7× st 7.8×
699
Other kidney and urinary tract diagnoses with cc
26
$61,677
$7,582
8.1× st 6.6×
190
Chronic obstructive pulmonary disease with mcc
26
$109,096
$8,685
12.6× st 8.3×
194
Simple pneumonia and pleurisy with cc
24
$74,274
$7,172
10.4× st 8.0×
638
Diabetes with cc
24
$60,100
$7,615
7.9× st 7.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
23
$112,097
$16,329
6.9× st 6.7×
281
Acute myocardial infarction, discharged alive with cc
23
$78,716
$7,932
9.9× st 7.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
22
$83,620
$9,407
8.9× st 6.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$121,948
$10,514
11.6× st 7.2×
813
Coagulation disorders
19
$117,995
$12,778
9.2× st 6.5×
682
Renal failure with mcc
19
$109,891
$10,816
10.2× st 7.3×
481
Hip and femur procedures except major joint with cc
19
$124,584
$17,771
7.0× st 5.9×
313
Chest pain
18
$58,744
$5,811
10.1× st 6.5×
389
Gastrointestinal obstruction with cc
18
$61,432
$6,424
9.6× st 7.3×
552
Medical back problems without mcc
18
$65,875
$7,482
8.8× st 6.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$75,459
$7,384
10.2× st 8.5×
189
Pulmonary edema and respiratory failure
17
$94,569
$10,760
8.8× st 7.7×
330
Major small and large bowel procedures with cc
16
$169,646
$22,392
7.6× st 6.0×
329
Major small and large bowel procedures with mcc
15
$238,391
$38,612
6.2× st 5.9×
202
Bronchitis and asthma with cc/mcc
15
$79,973
$7,860
10.2× st 7.6×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
15
$67,343
$7,248
9.3× st 6.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$163,026
$23,839
6.8× st 6.7×
308
Cardiac arrhythmia and conduction disorders with mcc
14
$110,738
$10,404
10.6× st 8.3×
305
Hypertension without mcc
14
$64,109
$5,789
11.1× st 7.2×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$52,730
$6,383
8.3× st 7.8×
637
Diabetes with mcc
13
$104,552
$10,662
9.8× st 6.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$142,366
$15,653
9.1× st 6.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
12
$140,457
$15,556
9.0× st 7.3×
811
Red blood cell disorders with mcc
12
$103,678
$10,772
9.6× st 7.3×
480
Hip and femur procedures except major joint with mcc
12
$155,732
$21,436
7.3× st 6.3×
812
Red blood cell disorders without mcc
11
$63,588
$6,968
9.1× st 7.6×
191
Chronic obstructive pulmonary disease with cc
11
$75,056
$7,845
9.6× st 7.7×
314
Other circulatory system diagnoses with mcc
11
$85,046
$15,343
5.5× st 6.9×
554
Bone diseases and arthropathies without mcc
11
$51,805
$6,334
8.2× st 7.4×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$139,655
$16,606
8.4× st 7.1×
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
300
$28,965
$2,835
10.2×
5374
Level 4 Urology and Related Services
154
$16,466
$3,631
4.5×
5191
Level 1 Endovascular Procedures
149
$23,415
$3,400
6.9×
5115
Level 5 Musculoskeletal Procedures
113
$55,252
$13,648
4.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
78
$9,646
$1,658
5.8×
5373
Level 3 Urology and Related Services
75
$13,498
$2,132
6.3×
5183
Level 3 Vascular Procedures
67
$16,696
$3,236
5.2×
5193
Level 3 Endovascular Procedures
63
$49,229
$11,346
4.3×
5375
Level 5 Urology and Related Services
59
$25,774
$5,417
4.8×
5302
Level 2 Upper GI Procedures
50
$14,930
$1,992
7.5×
5182
Level 2 Vascular Procedures
26
$7,048
$1,625
4.3×
5192
Level 2 Endovascular Procedures
24
$32,820
$5,785
5.7×
5361
Level 1 Laparoscopy and Related Services
19
$42,067
$6,041
7.0×
5223
Level 3 Pacemaker and Similar Procedures
18
$35,173
$11,166
3.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
17
$14,930
$2,975
5.0×
5114
Level 4 Musculoskeletal Procedures
16
$37,670
$7,490
5.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
16
$24,916
$3,622
6.9×
5431
Level 1 Nerve Procedures
15
$11,522
$2,021
5.7×
5194
Level 4 Endovascular Procedures
15
$68,684
$18,316
3.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
13
$30,303
$3,991
7.6×
5414
Level 4 Gynecologic Procedures
12
$20,314
$3,273
6.2×
5113
Level 3 Musculoskeletal Procedures
12
$21,153
$3,389
6.2×
5184
Level 4 Vascular Procedures
11
$27,042
$5,753
4.7×
5313
Level 3 Lower GI Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-03-05, template 3.0.0, 166,186 rows scanned, 18,784 distinct code–setting items kept. 12,605 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
FNA BX W/O IMG GDN EA ADDL
—
$5,110
$2,601
35
clean
FNA BX W/US GDN 1ST LES
$2,869
$5,110
$2,360
87
clean
FNA BX W/US GDN EA ADDL
$1,730
$5,110
$2,595
48
clean
FNA BX W/FLUOR GDN 1ST LES
—
$5,110
$2,360
77
clean
FNA BX W/CT GDN 1ST LES
$1,941
$5,110
$2,360
87
clean
FNA BX W/CT GDN EA ADDL
—
$5,110
$2,601
34
clean
FNA BX W/MR GDN 1ST LES
—
$5,110
$2,360
77
clean
FNA BX W/MR GDN EA ADDL
—
$5,110
$2,601
34
clean
FNA BX W/O IMG GDN 1ST LES
—
$5,110
$2,360
78
clean
HC DRN Cath Fluid Soft Tissue Img
$1,726
$5,110
$2,360
87
clean
PLMT SFT TISS LOCLZJ DEV 1ST
—
$5,110
$2,647
77
clean
PLMT SFT TISS LOCLZJ DEV EA
—
$5,110
$2,601
34
clean
ACNE SURGERY
—
$5,110
$2,360
78
clean
HC Drain Skin Abscess Simple
$973
$5,110
$2,211
86
clean
HC Drain Skin Abscess Complic
$1,885
$5,110
$2,211
86
clean
HC Drain Pilonidal Cyst Simpl
$912
$5,110
$2,360
86
clean
I&D PILONIDAL CYST COMP
—
$5,110
$2,360
78
clean
HC Remove Foreign Body Simple
$777
$5,110
$2,211
86
clean
HC Incision/Rem FB Subq Cplx
$3,041
$5,110
$3,161
86
clean
HC I&D Hematoma/Seroma/Fluid
$4,579
$5,110
$3,090
86
clean
HC Asp Absc/Hema/Cyst/Bulla
$1,116
$5,110
$1,892
111
clean
HC Complex Drainage, Wound
$4,014
$5,110
$3,446
86
clean
DBRDMT ECZ/INFECTED SKIN<10%
$1,117
$5,110
$2,360
86
clean
DBRDMT ECZ/INFCT SKN EA ADDL
$348
$5,110
$2,595
47
clean
DBRDMT SKIN XTRNL GENT&PER
—
$5,110
$2,601
35
clean
DBRDMT SKIN ABDOMINAL WALL
—
$5,110
$2,601
35
clean
DBRDMT SKIN XTRNL GENT PER
—
$5,110
$2,601
35
clean
RMV PRSTC MTRL/MESH ABD WALL
—
$5,110
$5,085
35
clean
DEBRIDE SKIN AT FX SITE
$2,156
$5,110
$2,647
86
clean
DEBRIDE SKIN MUSC AT FX SITE
—
$5,110
$2,647
78
clean
DEB SKIN BONE AT FX SITE
—
$5,110
$3,114
78
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
$3,999
$5,110
$2,595
86
clean
DBRDMT MUSC&/FSCA 1ST 20/<
$3,376
$5,110
$2,595
86
clean
DBRDMT BONE 1ST 20 SQ CM/<
$5,149
$5,110
$2,802
86
clean
DBRDMT SUBQ TISS EACH ADDL
$1,608
$5,110
$2,595
47
clean
DBRDMT MUSC&/FSCA EA ADDL
$1,646
$5,110
$2,595
47
clean
DBRDMT BONE EACH ADDL
$2,547
$5,110
$2,595
47
clean
HC Trim Hyperkeratotic Skin Lesion, One
$392
$5,110
$2,211
86
clean
HC Paring Lesions Benign 2-4
$432
$5,110
$2,211
86
clean
HC Paring Lesions Benign > 4
$491
$5,110
$2,211
86
clean
HC Bx Lesion Tangential Single
$683
$5,110
$2,211
86
clean
HC Bx Lesion Tangential Addl
$398
$5,110
$2,595
47
clean
HC Bx Lesion Punch Single
$1,541
$5,110
$2,211
86
clean
HC Bx Lesion Punch Addl
$442
$5,110
$2,595
47
clean
HC Bx Lesion Incisional Single
$1,284
$5,110
$2,360
86
clean
HC Bx Lesion Incisional Addl
$560
$5,110
$2,595
47
clean
RMVL SKIN TAGS UP TO&INC 15
—
$5,110
$2,360
78
clean
RMVL SKIN TAGS EA ADDL 10
—
$5,110
$2,601
35
clean
HC Shv Lesn Trunk/Arm <.5cm
$519
$5,110
$2,211
86
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION >2.0 CM
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION 0.5 CM/<
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION >2.0 CM
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION 0.5 CM/<
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$5,110
$2,360
78
clean
SHAVE SKIN LESION >2.0 CM
—
$5,110
$2,360
78
clean
EXC TR-EXT B9+MARG 0.5 CM<
$1,130
$5,110
$2,360
86
clean
EXC TR-EXT B9+MARG 0.6-1 CM
$1,411
$5,110
$2,211
86
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$1,543
$5,110
$2,255
86
clean
EXC TR-EXT B9+MARG 2.1-3CM
$1,950
$5,110
$2,255
86
clean
EXC TR-EXT B9+MARG 3.1-4 CM
$2,540
$5,110
$3,090
86
clean
EXC TR-EXT B9+MARG >4.0 CM
$4,176
$5,110
$3,161
86
clean
EXC H-F-NK-SP B9+MARG 0.5/<
$2,100
$5,110
$2,360
86
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$2,543
$5,110
$2,255
86
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
$5,110
$2,486
78
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
$5,110
$3,090
78
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
$5,110
$3,245
78
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
$5,110
$3,446
78
clean
EXC FACE-MM B9+MARG 0.5 CM/<
$1,515
$5,110
$2,255
86
clean
EXC FACE-MM B9+MARG 0.6-1 CM
$1,877
$5,110
$2,255
86
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
$5,110
$2,360
78
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
$5,110
$2,486
78
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
$5,110
$2,486
78
clean
EXC FACE-MM B9+MARG >4 CM
—
$5,110
$3,446
78
clean
EXC SKN HDRDNT AX SMPL/NTRM
—
$5,110
$3,446
78
clean
EXC SKN HDRDNT AX COMPLEX
—
$5,110
$3,446
78
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
$5,110
$3,446
78
clean
EXC SKN HDRDNT ING COMPLEX
—
$5,110
$3,446
78
clean
EXC SKN H/P/P/U SMPL/NTRM
—
$5,110
$3,446
78
clean
EXC SKN H/P/P/U COMPLEX
—
$5,110
$3,446
78
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
$5,110
$2,360
78
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
$5,110
$2,360
78
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
$5,110
$2,360
78
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
$5,110
$2,360
78
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
$5,110
$2,647
78
clean
EXC TR-EXT MAL+MARG >4 CM
—
$5,110
$3,245
78
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
$5,110
$2,486
78
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
$5,110
$2,360
78
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
$5,110
$2,360
78
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
$5,110
$2,486
78
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
$5,110
$3,245
78
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
$5,110
$3,446
78
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
$5,110
$2,360
78
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
$5,110
$2,360
78
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
$5,110
$2,360
78
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
$5,110
$2,486
78
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
$5,110
$3,245
78
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
$5,110
$3,446
78
clean
HC Trimming Nails Nondystrophic
$117
$5,110
$2,211
86
clean
DEBRIDE NAIL 1-5
$334
$5,110
$2,211
86
clean
DEBRIDE NAIL 6 OR MORE
$688
$5,110
$2,211
86
clean
HC Removal of Nail Plate
$597
$5,110
$2,211
86
clean
HC Avulsion Nail Plate Ea Add
$278
$5,110
$2,595
47
clean
DRAIN BLOOD FROM UNDER NAIL
$264
$5,110
$2,211
86
clean
HC Removal of Nail Bed
$1,039
$5,110
$2,211
86
clean
BIOPSY NAIL UNIT
—
$5,110
$2,360
78
clean
REPAIR OF NAIL BED
—
$5,110
$2,360
78
clean
RECONSTRUCTION OF NAIL BED
—
$5,110
$3,090
78
clean
EXCISION OF NAIL FOLD TOE
$519
$5,110
$2,211
86
clean
REMOVE PILONIDAL CYST SIMPLE
—
$5,110
$4,054
78
clean
REMOVE PILONIDAL CYST EXTEN
—
$5,110
$4,054
78
clean
REMOVE PILONIDAL CYST COMPL
—
$5,110
$4,054
78
clean
HC Inj Intralesnal <7 Lesns
$258
$5,110
$2,211
86
clean
INJECT SKIN LESIONS >7
—
$5,110
$2,360
78
clean
CORRECT SKIN COLOR 6.0 CM/<
—
$5,110
$2,360
77
clean
CORRECT SKN COLOR 6.1-20.0CM
—
$5,110
$2,360
78
clean
CORRECT SKIN COLOR EA 20.0CM
—
$5,110
$2,601
34
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
$5,110
$2,360
77
clean
HC Insert Tissue Expander
$4,744
$5,110
$4,332
86
clean
RPLCMT TISS XPNDR PERM IMPLT
—
$5,110
$5,934
78
clean
HC Remove Tissue Expander
$3,709
$5,110
$3,446
86
clean
IMPLANT HORMONE PELLET(S)
—
$5,110
$2,360
78
clean
INSERTION DRUG DLVR IMPLANT
—
$5,110
$2,360
78
clean
REMOVE DRUG IMPLANT DEVICE
—
$5,110
$2,360
78
clean
REMOVE/INSERT DRUG IMPLANT
—
$5,110
$2,360
78
clean
HC Rpr Lac Smp Scalp <2.5 Cm
$924
$5,110
$2,211
86
clean
HC Rpr Lac Smp Scalp 2.6-7.5cm
$1,214
$5,110
$2,211
86
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
—
$5,110
$2,360
78
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
—
$5,110
$2,595
78
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
—
$5,110
$2,595
78
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
—
$5,110
$2,595
78
clean
RPR F/E/E/N/L/M 2.5 CM/<
—
$5,110
$2,360
78
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
—
$5,110
$2,360
78
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
—
$5,110
$2,360
78
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
—
$5,110
$2,360
78
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
—
$5,110
$2,595
78
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
$5,110
$2,595
78
clean
RPR F/E/E/N/L/M >30.0 CM
—
$5,110
$2,595
78
clean
HC Closure Superf Wnd Dehis Simple
$1,185
$5,110
$2,360
86
clean
TX SUPFC WND DEHSN W/PACKING
—
$5,110
$2,360
78
clean
HC Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm
$503
$5,110
$2,211
86
clean
HC Layr Clos Wnd Trunk,Arm,Leg 2.6-7.5 Cm
$633
$5,110
$2,211
86
clean
HC Layr Clos Wnd Trunk,Arm,Leg 7.6-12.5 Cm
$681
$5,110
$2,488
86
clean
HC Layr Clos Wnd Trunk,Arm,Leg 12.6-20 Cm
$804
$5,110
$2,488
86
clean
INTMD RPR S/A/T/EXT 20.1-30
—
$5,110
$2,595
78
clean
INTMD RPR S/TR/EXT >30.0 CM
—
$5,110
$3,329
78
clean
HC Layr Clos Wnd Neck <2.5 Cm
$633
$5,110
$2,211
86
clean
HC Layr Clos Wnd Neck 2.6-7.5 Cm
$849
$5,110
$2,211
86
clean
HC Layr Clos Wnd Neck 7.6-12.5 Cm
$1,163
$5,110
$2,595
86
clean
INTMD RPR N-HF/GENIT12.6-20
—
$5,110
$2,595
78
clean
INTMD RPR N-HF/GENIT20.1-30
—
$5,110
$2,647
78
clean
INTMD RPR N-HF/GENIT >30.0CM
—
$5,110
$3,329
78
clean
INTMD RPR FACE/MM 2.5 CM/<
—
$5,110
$2,360
78
clean
INTMD RPR FACE/MM 2.6-5.0 CM
—
$5,110
$2,360
78
clean
INTMD RPR FACE/MM 5.1-7.5 CM
—
$5,110
$2,360
78
clean
INTMD RPR FACE/MM 7.6-12.5CM
—
$5,110
$2,595
78
clean
INTMD RPR FACE/MM 12.6-20 CM
—
$5,110
$2,595
78
clean
INTMD RPR FACE/MM 20.1-30.0
—
$5,110
$2,595
78
clean
INTMD RPR FACE/MM >30.0 CM
—
$5,110
$2,595
78
clean
CMPLX RPR TRUNK 1.1-2.5 CM
$1,397
$5,110
$2,488
86
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
$5,110
$2,601
78
clean
CMPLX RPR TRUNK ADDL 5CM/<
$851
$5,110
$2,595
47
clean
CMPLX RPR S/A/L 1.1-2.5 CM
$1,179
$5,110
$2,595
86
clean
CMPLX RPR S/A/L 2.6-7.5 CM
$1,319
$5,110
$2,595
86
clean
CMPLX RPR S/A/L ADDL 5 CM/>
—
$5,110
$2,601
35
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,000
$5,110
$2,488
86
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,245
$5,110
$2,595
86
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
$5,110
$2,601
35
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
—
$5,110
$2,601
78
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
—
$5,110
$2,601
78
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
—
$5,110
$2,601
35
clean
HC Closure Wound Cplx Secondary
$5,216
$5,110
$3,329
86
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
$5,110
$3,329
78
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
$5,110
$3,759
78
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
$5,110
$3,759
78
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
$5,110
$3,759
78
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
$5,110
$3,329
78
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
$5,110
$3,759
78
clean
HC Trnsf Tiss E/N/E/L <10cm
$3,291
$5,110
$3,635
86
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
$5,110
$3,759
78
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
$5,110
$5,982
78
clean
TIS TRNFR ADDL 30 SQ CM
—
$5,110
$2,601
35
clean
FILLETED FINGER/TOE FLAP
—
$5,110
$3,759
78
clean
HC Wound Prep, Ped, Trk/Arm/Lg 1st 100 Cm
$5,669
$5,110
$3,329
86
clean
HC Wound Prep, Ped, Trk/Arm/Lg Addl 100 Cm
$1,187
$5,110
$2,595
46
clean
HC Wnd Prep Ped, Face/Nck/Hnd/Ft/Gen 1st 100 Cm
$2,938
$5,110
$2,595
85
clean
HC Wnd Prep,Ped, Face/Nck/Hnd/Ft/Gen Add 100 Cm
$667
$5,110
$2,595
46
clean
HARVEST CULTURED SKIN GRAFT
—
$5,110
$3,329
78
clean
PINCH GRAFT UP TO 2 CM DIAM
—
$5,110
$2,595
78
clean
HC Grft Splt Trnk1st100sqcm/1%Ped
$2,893
$5,110
$3,329
86
clean
HC Grft Splt Trnk Ea100sqcm/1%Ped
$2,409
$5,110
$2,595
47
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
$2,845
$5,110
$3,329
86
clean
EPIDRM AUTOGRFT T/A/L ADD-ON
$431
$5,110
$2,595
47
clean
EPIDRM A-GRFT FACE/NCK/HF/G
$4,303
$5,110
$3,329
86
clean
EPIDRM A-GRFT F/N/HF/G ADDL
$1,026
$5,110
$2,595
47
clean
HC Grft Splt Head1st100sqcm/1%Ped
$4,744
$5,110
$4,332
86
clean

Showing the first 200 of 18,784 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_cash_above_gross_systematic
268 of 2,026 comparable items (13%) 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. discounted cash price $5,110 exceeds gross charge $2,869
warn
mrf_negotiated_above_gross_systematic
1,020 of 2,145 comparable items (48%) 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 $4,174 exceeds the gross charge $2,869
warn
mrf_rate_without_estimate
574,461 of 574,461 percentage/algorithm rates across 17,381 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 10009/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,941 — part of a file-wide pattern, counted once at the file level
CPT 49406/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,728 — part of a file-wide pattern, counted once at the file level
CPT 12035/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $804 — part of a file-wide pattern, counted once at the file level
CPT 16030/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $682 — part of a file-wide pattern, counted once at the file level
CPT 28001/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,194 — part of a file-wide pattern, counted once at the file level
CPT 36015/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,467 — part of a file-wide pattern, counted once at the file level
CPT 28002/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,614 — part of a file-wide pattern, counted once at the file level
CPT 10030/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,726 — part of a file-wide pattern, counted once at the file level
CPT 12041/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $633 — part of a file-wide pattern, counted once at the file level
CPT 17000/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $261 — part of a file-wide pattern, counted once at the file level
CPT 36140/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,955 — part of a file-wide pattern, counted once at the file level
CPT 28003/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 29405/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $629 — part of a file-wide pattern, counted once at the file level
CPT 12042/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $849 — part of a file-wide pattern, counted once at the file level
CPT 17003/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $70 — part of a file-wide pattern, counted once at the file level
CPT 36200/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,382 — part of a file-wide pattern, counted once at the file level
CPT 28005/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 64450/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,745 — part of a file-wide pattern, counted once at the file level
CPT 10060/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $973 — part of a file-wide pattern, counted once at the file level
CPT 12044/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,163 — part of a file-wide pattern, counted once at the file level
CPT 31575/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $546 — part of a file-wide pattern, counted once at the file level
CPT 49423/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,910 — part of a file-wide pattern, counted once at the file level
CPT 36215/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,235 — part of a file-wide pattern, counted once at the file level
CPT 28008/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $5,015 — part of a file-wide pattern, counted once at the file level
CPT 29445/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,005 — part of a file-wide pattern, counted once at the file level
CPT 10061/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,885 — part of a file-wide pattern, counted once at the file level
CPT 49424/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $991 — part of a file-wide pattern, counted once at the file level
CPT 51600/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $981 — part of a file-wide pattern, counted once at the file level
CPT 36216/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,981 — part of a file-wide pattern, counted once at the file level
CPT 28010/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,326 — part of a file-wide pattern, counted once at the file level
CPT 10080/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $912 — part of a file-wide pattern, counted once at the file level
CPT 17250/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $696 — part of a file-wide pattern, counted once at the file level
CPT 29515/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $680 — part of a file-wide pattern, counted once at the file level
CPT 36217/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,706 — part of a file-wide pattern, counted once at the file level
CPT 51610/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $720 — part of a file-wide pattern, counted once at the file level
CPT 28011/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,896 — part of a file-wide pattern, counted once at the file level
CPT 10120/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $777 — part of a file-wide pattern, counted once at the file level
CPT 29540/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $434 — part of a file-wide pattern, counted once at the file level
CPT 10121/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,041 — part of a file-wide pattern, counted once at the file level
CPT 13100/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,397 — part of a file-wide pattern, counted once at the file level
CPT 49440/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,450 — part of a file-wide pattern, counted once at the file level
CPT 51705/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $469 — part of a file-wide pattern, counted once at the file level
CPT 10140/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,579 — part of a file-wide pattern, counted once at the file level
CPT 49441/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,812 — part of a file-wide pattern, counted once at the file level
CPT 13102/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $851 — part of a file-wide pattern, counted once at the file level
CPT 33286/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,041 — part of a file-wide pattern, counted once at the file level
CPT 10160/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,116 — part of a file-wide pattern, counted once at the file level
CPT 29700/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $470 — part of a file-wide pattern, counted once at the file level
CPT 51720/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,121 — part of a file-wide pattern, counted once at the file level
CPT 13120/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,179 — part of a file-wide pattern, counted once at the file level
CPT 36245/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,140 — part of a file-wide pattern, counted once at the file level
CPT 49446/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,971 — part of a file-wide pattern, counted once at the file level
CPT 10180/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,014 — part of a file-wide pattern, counted once at the file level
CPT 29705/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $387 — part of a file-wide pattern, counted once at the file level
CPT 13121/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,319 — part of a file-wide pattern, counted once at the file level
CPT 36246/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,718 — part of a file-wide pattern, counted once at the file level
CPT 49450/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,216 — part of a file-wide pattern, counted once at the file level
CPT 11000/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,117 — part of a file-wide pattern, counted once at the file level
CPT 36247/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,388 — part of a file-wide pattern, counted once at the file level
CPT 49451/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,641 — part of a file-wide pattern, counted once at the file level
CPT 13131/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,000 — part of a file-wide pattern, counted once at the file level
CPT 11001/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $348 — part of a file-wide pattern, counted once at the file level
CPT 36248/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,061 — part of a file-wide pattern, counted once at the file level
CPT 49452/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,743 — part of a file-wide pattern, counted once at the file level
CPT 13132/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,245 — part of a file-wide pattern, counted once at the file level
CPT 37247/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,997 — part of a file-wide pattern, counted once at the file level
CPT 49460/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,216 — part of a file-wide pattern, counted once at the file level
CPT 43999/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,897 — part of a file-wide pattern, counted once at the file level
CPT 11010/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,156 — part of a file-wide pattern, counted once at the file level
CPT 17999/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $225 — part of a file-wide pattern, counted once at the file level
CPT 37249/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,787 — part of a file-wide pattern, counted once at the file level
CPT 49465/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $512 — part of a file-wide pattern, counted once at the file level
CPT 37252/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,384 — part of a file-wide pattern, counted once at the file level
CPT 19000/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,600 — part of a file-wide pattern, counted once at the file level
CPT 11042/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,999 — part of a file-wide pattern, counted once at the file level
CPT 19001/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $965 — part of a file-wide pattern, counted once at the file level
CPT 11043/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,376 — part of a file-wide pattern, counted once at the file level
CPT 28112/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,727 — part of a file-wide pattern, counted once at the file level
CPT 14060/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,291 — part of a file-wide pattern, counted once at the file level
CPT 34713/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $331 — part of a file-wide pattern, counted once at the file level
CPT 11045/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,608 — part of a file-wide pattern, counted once at the file level
CPT 19082/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,542 — part of a file-wide pattern, counted once at the file level
CPT 36430/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,362 — part of a file-wide pattern, counted once at the file level
CPT 11046/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,646 — part of a file-wide pattern, counted once at the file level
CPT 34717/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,962 — part of a file-wide pattern, counted once at the file level
CPT 11047/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,547 — part of a file-wide pattern, counted once at the file level
CPT 15003/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,187 — part of a file-wide pattern, counted once at the file level
CPT 28124/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,204 — part of a file-wide pattern, counted once at the file level
CPT 31720/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $377 — part of a file-wide pattern, counted once at the file level
CPT 11055/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $392 — part of a file-wide pattern, counted once at the file level
CPT 15004/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,938 — part of a file-wide pattern, counted once at the file level
CPT 19101/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,962 — part of a file-wide pattern, counted once at the file level
CPT 36468/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $519 — part of a file-wide pattern, counted once at the file level
CPT 11056/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $432 — part of a file-wide pattern, counted once at the file level
CPT 15005/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $667 — part of a file-wide pattern, counted once at the file level
CPT 28150/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 36470/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $519 — part of a file-wide pattern, counted once at the file level
CPT 11057/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $491 — part of a file-wide pattern, counted once at the file level
CPT 28153/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 36471/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $727 — part of a file-wide pattern, counted once at the file level
CPT 11102/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $683 — part of a file-wide pattern, counted once at the file level
CPT 19281/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,100 — part of a file-wide pattern, counted once at the file level
CPT 28160/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,204 — part of a file-wide pattern, counted once at the file level
CPT 11103/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $398 — part of a file-wide pattern, counted once at the file level
CPT 19282/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $707 — part of a file-wide pattern, counted once at the file level
CPT 36476/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,440 — part of a file-wide pattern, counted once at the file level
CPT 11104/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,541 — part of a file-wide pattern, counted once at the file level
CPT 62267/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,444 — part of a file-wide pattern, counted once at the file level
CPT 15100/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,893 — part of a file-wide pattern, counted once at the file level
CPT 19283/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,198 — part of a file-wide pattern, counted once at the file level
CPT 28190/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,066 — part of a file-wide pattern, counted once at the file level
CPT 36478/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,122 — part of a file-wide pattern, counted once at the file level
CPT 47000/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,737 — part of a file-wide pattern, counted once at the file level
CPT 11105/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $442 — part of a file-wide pattern, counted once at the file level
CPT 15101/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,409 — part of a file-wide pattern, counted once at the file level
CPT 19284/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,030 — part of a file-wide pattern, counted once at the file level
CPT 28192/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,758 — part of a file-wide pattern, counted once at the file level
CPT 36479/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,025 — part of a file-wide pattern, counted once at the file level
CPT 62270/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $898 — part of a file-wide pattern, counted once at the file level
CPT 11106/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,284 — part of a file-wide pattern, counted once at the file level
CPT 15110/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,845 — part of a file-wide pattern, counted once at the file level
CPT 19285/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,595 — part of a file-wide pattern, counted once at the file level
CPT 11107/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $560 — part of a file-wide pattern, counted once at the file level
CPT 15111/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $431 — part of a file-wide pattern, counted once at the file level
CPT 19286/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $698 — part of a file-wide pattern, counted once at the file level
CPT 15115/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,303 — part of a file-wide pattern, counted once at the file level
CPT 62284/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,329 — part of a file-wide pattern, counted once at the file level
CPT 11300/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $519 — part of a file-wide pattern, counted once at the file level
CPT 36512/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $5,013 — part of a file-wide pattern, counted once at the file level
CPT 15116/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,026 — part of a file-wide pattern, counted once at the file level
CPT 28232/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,498 — part of a file-wide pattern, counted once at the file level
CPT 38221/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,934 — part of a file-wide pattern, counted once at the file level
CPT 15120/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,744 — part of a file-wide pattern, counted once at the file level
CPT 28234/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,198 — part of a file-wide pattern, counted once at the file level
CPT 38222/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,308 — part of a file-wide pattern, counted once at the file level
CPT 60100/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,019 — part of a file-wide pattern, counted once at the file level
CPT 62302/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,088 — part of a file-wide pattern, counted once at the file level
CPT 15121/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,554 — part of a file-wide pattern, counted once at the file level
CPT 62303/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,943 — part of a file-wide pattern, counted once at the file level
CPT 32400/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,100 — part of a file-wide pattern, counted once at the file level
CPT 36556/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,078 — part of a file-wide pattern, counted once at the file level
CPT 62304/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,795 — part of a file-wide pattern, counted once at the file level
CPT 11400/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,130 — part of a file-wide pattern, counted once at the file level
CPT 32408/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,626 — part of a file-wide pattern, counted once at the file level
CPT 28270/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,204 — part of a file-wide pattern, counted once at the file level
CPT 62305/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,761 — part of a file-wide pattern, counted once at the file level
CPT 11401/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,411 — part of a file-wide pattern, counted once at the file level
CPT 28272/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,062 — part of a file-wide pattern, counted once at the file level
CPT 11402/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,543 — part of a file-wide pattern, counted once at the file level
CPT 27600/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 11403/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,950 — part of a file-wide pattern, counted once at the file level
CPT 28285/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,204 — part of a file-wide pattern, counted once at the file level
CPT 15240/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,005 — part of a file-wide pattern, counted once at the file level
CPT 36570/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $5,014 — part of a file-wide pattern, counted once at the file level
CPT 11404/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,540 — part of a file-wide pattern, counted once at the file level
CPT 38505/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,583 — part of a file-wide pattern, counted once at the file level
CPT 27603/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,903 — part of a file-wide pattern, counted once at the file level
CPT 62328/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,313 — part of a file-wide pattern, counted once at the file level
CPT 36571/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,282 — part of a file-wide pattern, counted once at the file level
CPT 11406/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,176 — part of a file-wide pattern, counted once at the file level
CPT 47531/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,573 — part of a file-wide pattern, counted once at the file level
CPT 62329/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,394 — part of a file-wide pattern, counted once at the file level
CPT 27605/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,376 — part of a file-wide pattern, counted once at the file level
CPT 11420/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,100 — part of a file-wide pattern, counted once at the file level
CPT 36573/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,965 — part of a file-wide pattern, counted once at the file level
CPT 15272/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,370 — part of a file-wide pattern, counted once at the file level
CPT 11421/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,543 — part of a file-wide pattern, counted once at the file level
CPT 27607/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,581 — part of a file-wide pattern, counted once at the file level
CPT 32552/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,682 — part of a file-wide pattern, counted once at the file level
CPT 36576/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,060 — part of a file-wide pattern, counted once at the file level
CPT 47534/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,901 — part of a file-wide pattern, counted once at the file level
CPT 20200/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,100 — part of a file-wide pattern, counted once at the file level
CPT 15274/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,810 — part of a file-wide pattern, counted once at the file level
CPT 36578/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,078 — part of a file-wide pattern, counted once at the file level
CPT 27613/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,453 — part of a file-wide pattern, counted once at the file level
CPT 20206/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,498 — part of a file-wide pattern, counted once at the file level
CPT 11440/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,515 — part of a file-wide pattern, counted once at the file level
CPT 36580/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,569 — part of a file-wide pattern, counted once at the file level
CPT 15276/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,102 — part of a file-wide pattern, counted once at the file level
CPT 27614/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,027 — part of a file-wide pattern, counted once at the file level
CPT 47537/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,417 — part of a file-wide pattern, counted once at the file level
CPT 20220/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,909 — part of a file-wide pattern, counted once at the file level
CPT 32560/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,875 — part of a file-wide pattern, counted once at the file level
CPT 11441/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,877 — part of a file-wide pattern, counted once at the file level
CPT 36581/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,082 — part of a file-wide pattern, counted once at the file level
CPT 15277/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,270 — part of a file-wide pattern, counted once at the file level
CPT 20225/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $3,909 — part of a file-wide pattern, counted once at the file level
CPT 28315/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,559 — part of a file-wide pattern, counted once at the file level
CPT 32561/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,786 — part of a file-wide pattern, counted once at the file level
CPT 15278/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $908 — part of a file-wide pattern, counted once at the file level
CPT 32562/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,563 — part of a file-wide pattern, counted once at the file level
CPT 36584/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,617 — part of a file-wide pattern, counted once at the file level
CPT 36589/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,296 — part of a file-wide pattern, counted once at the file level
CPT 20501/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $326 — part of a file-wide pattern, counted once at the file level
CPT 38792/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $1,041 — part of a file-wide pattern, counted once at the file level
CPT 36590/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $4,325 — part of a file-wide pattern, counted once at the file level
CPT 20520/o
info
mrf_cash_above_gross
discounted cash price $5,110 exceeds gross charge $2,136 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 12,605 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $75,459 is 10.2× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $109,096 is 12.6× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $110,760 is 11.0× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $74,274 is 10.4× the total payment
MS-DRG 202
info
inp_charge_10x_payment
average charge $79,973 is 10.2× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $103,305 is 10.1× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $64,109 is 11.1× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $110,738 is 10.6× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $69,114 is 10.9× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $58,744 is 10.1× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $78,744 is 10.3× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $121,948 is 11.6× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $109,891 is 10.2× 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. · json · 310.6M bytes · fetched 2026-08-23 · sha256 e03bed88ca7b…

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.