Hospital · CCN 310112

Bayshore Medical Center

727 N Beers St, Holmdel, NJ 07733 · Monmouth County
Part of Hackensack Meridian Health · 175 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

60 admission types 45 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
6.69×
$206.4M billed against $30.9M paid across 2,136 Medicare discharges; the national figure is 5.03×.
1.4%
of adults in Monmouth County have medical debt in collections
6.1%
uninsured in the county · state 8.0%
$118K
median household income
6.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 in the inpatient or outpatient file)ⓘ
30.4%
obesity in the countyⓘ
9.8%
diagnosed diabetes (PLACES)
5.7%
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
371
$108,436
$15,525
7.0× st 6.8×
193
Simple pneumonia and pleurisy with mcc
149
$83,286
$10,468
8.0× st 7.6×
291
Heart failure and shock with mcc
114
$83,759
$10,288
8.1× st 7.6×
177
Respiratory infections and inflammations with mcc
108
$98,128
$13,443
7.3× st 7.3×
689
Kidney and urinary tract infections with mcc
73
$72,010
$8,958
8.0× st 7.5×
690
Kidney and urinary tract infections without mcc
65
$52,690
$6,810
7.7× st 7.8×
870
Septicemia or severe sepsis with mv >96 hours
63
$234,177
$50,767
4.6× st 5.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
56
$262,817
$46,879
5.6× st 6.0×
682
Renal failure with mcc
56
$72,868
$11,740
6.2× st 7.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
52
$64,550
$8,132
7.9× st 7.3×
603
Cellulitis without mcc
51
$51,013
$7,854
6.5× st 7.0×
698
Other kidney and urinary tract diagnoses with mcc
51
$88,221
$12,866
6.9× st 6.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
42
$51,951
$6,807
7.6× st 7.5×
377
Gastrointestinal hemorrhage with mcc
41
$126,188
$14,262
8.8× st 7.2×
683
Renal failure with cc
39
$51,943
$6,719
7.7× st 7.5×
190
Chronic obstructive pulmonary disease with mcc
37
$74,761
$8,626
8.7× st 8.3×
280
Acute myocardial infarction, discharged alive with mcc
37
$75,027
$12,400
6.1× st 7.3×
378
Gastrointestinal hemorrhage with cc
34
$66,451
$7,627
8.7× st 7.9×
552
Medical back problems without mcc
30
$60,563
$8,255
7.3× st 6.7×
481
Hip and femur procedures except major joint with cc
29
$93,069
$15,987
5.8× st 5.9×
189
Pulmonary edema and respiratory failure
29
$79,075
$9,642
8.2× st 7.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
26
$105,139
$16,213
6.5× st 6.7×
309
Cardiac arrhythmia and conduction disorders with cc
23
$52,846
$5,747
9.2× st 8.0×
312
Syncope and collapse
21
$54,743
$6,776
8.1× st 7.8×
602
Cellulitis with mcc
21
$88,294
$12,037
7.3× st 6.8×
699
Other kidney and urinary tract diagnoses with cc
21
$73,049
$8,651
8.4× st 6.6×
389
Gastrointestinal obstruction with cc
21
$60,504
$6,249
9.7× st 7.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
20
$105,146
$11,835
8.9× st 7.2×
281
Acute myocardial infarction, discharged alive with cc
20
$56,512
$7,027
8.0× st 7.4×
308
Cardiac arrhythmia and conduction disorders with mcc
20
$104,387
$11,594
9.0× st 8.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
19
$91,647
$15,544
5.9× st 7.3×
480
Hip and femur procedures except major joint with mcc
19
$140,255
$27,909
5.0× st 6.3×
194
Simple pneumonia and pleurisy with cc
18
$53,993
$6,444
8.4× st 8.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
17
$68,190
$11,544
5.9× st 6.9×
811
Red blood cell disorders with mcc
17
$93,343
$11,969
7.8× st 7.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
17
$113,013
$16,895
6.7× st 7.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
16
$48,056
$7,013
6.9× st 6.0×
638
Diabetes with cc
16
$55,054
$7,091
7.8× st 7.8×
207
Respiratory system diagnosis with ventilator support >96 hours
16
$279,712
$48,298
5.8× st 5.8×
314
Other circulatory system diagnoses with mcc
15
$86,894
$16,889
5.1× st 6.9×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
14
$212,721
$39,670
5.4× st 6.4×
305
Hypertension without mcc
14
$52,217
$5,896
8.9× st 7.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$170,747
$25,438
6.7× st 6.7×
196
Interstitial lung disease with mcc
13
$96,541
$16,382
5.9× st 6.5×
673
Other kidney and urinary tract procedures with mcc
13
$226,510
$33,446
6.8× st 6.0×
180
Respiratory neoplasms with mcc
13
$95,156
$13,207
7.2× st 6.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$50,136
$6,900
7.3× st 7.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$96,196
$17,918
5.4× st 6.3×
178
Respiratory infections and inflammations with cc
12
$69,452
$7,729
9.0× st 8.1×
191
Chronic obstructive pulmonary disease with cc
12
$57,551
$6,669
8.6× st 7.7×
039
Extracranial procedures without cc/mcc
12
$54,605
$8,925
6.1× st 5.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$77,501
$11,964
6.5× st 7.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$111,774
$20,012
5.6× st 7.1×
394
Other digestive system diagnoses with cc
12
$50,243
$7,343
6.8× st 7.1×
659
Kidney and ureter procedures for non-neoplasm with mcc
12
$103,584
$19,954
5.2× st 6.6×
813
Coagulation disorders
12
$85,965
$11,721
7.3× st 6.5×
252
Other vascular procedures with mcc
11
$94,450
$26,342
3.6× st 6.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
11
$97,135
$16,388
5.9× st 5.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
11
$80,352
$7,546
10.6× st 8.5×
917
Poisoning and toxic effects of drugs with mcc
11
$67,924
$12,510
5.4× st 6.0×
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
466
$29,179
$2,886
10.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
250
$9,406
$1,667
5.6×
5115
Level 5 Musculoskeletal Procedures
107
$43,826
$13,700
3.2×
5375
Level 5 Urology and Related Services
93
$25,463
$5,485
4.6×
5191
Level 1 Endovascular Procedures
90
$23,126
$3,432
6.7×
5374
Level 4 Urology and Related Services
76
$16,792
$3,657
4.6×
5373
Level 3 Urology and Related Services
74
$12,325
$2,159
5.7×
5193
Level 3 Endovascular Procedures
67
$45,028
$11,361
4.0×
5183
Level 3 Vascular Procedures
65
$15,768
$3,337
4.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
54
$18,864
$3,012
6.3×
5192
Level 2 Endovascular Procedures
38
$30,629
$6,059
5.1×
5361
Level 1 Laparoscopy and Related Services
35
$33,182
$6,116
5.4×
5302
Level 2 Upper GI Procedures
31
$13,752
$2,017
6.8×
5114
Level 4 Musculoskeletal Procedures
28
$39,880
$7,583
5.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
27
$17,396
$4,041
4.3×
5154
Level 4 Airway Endoscopy
25
$24,246
$3,970
6.1×
5184
Level 4 Vascular Procedures
23
$27,832
$5,825
4.8×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
21
$22,083
$2,477
8.9×
5113
Level 3 Musculoskeletal Procedures
20
$16,365
$3,431
4.8×
5112
Level 2 Musculoskeletal Procedures
19
$12,688
$1,704
7.4×
5194
Level 4 Endovascular Procedures
18
$60,096
$16,484
3.6×
5182
Level 2 Vascular Procedures
16
$10,155
$1,613
6.3×
5155
Level 5 Airway Endoscopy
15
$64,340
$6,870
9.4×
5362
Level 2 Laparoscopy and Related Services
13
$46,070
$10,900
4.2×
5223
Level 3 Pacemaker and Similar Procedures
13
$39,174
$11,306
3.5×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary 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, 5,130,546 rows scanned, 14,503 distinct code–setting items kept. 15,682 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEA MOLECULAR TESTING
$1,584
$720
$1,131
35
clean
LIVER DIS 10 ASSAYS W/ASH
—
$503
$503
12
clean
LIVER DIS 10 ASSAYS W/NASH
—
$503
$503
12
clean
ONCO PRST8 3 GENE UR ALG
—
$760
$798
15
clean
ONC MRNA 5 GEN RSK URTHL CA
—
$760
$798
15
clean
ONC MRNA 5 GEN RECR URTHL CA
—
$760
$798
15
clean
ADRNL CORTCL TUM BCHM ASY 25
—
$1,305
$1,305
13
clean
ONC BLADDER MRNA 219 GEN ALG
—
$3,490
$3,490
13
clean
ONC THYR 10 MICRORNA SEQ ALG
—
$3,002
$3,152
15
clean
ONC AML DNA DETCJ/NONDETCJ
—
$249
$261
15
clean
GLYCA NUC MR SPECTRSC QUAN
—
$34
$36
15
clean
THYROSEQ TESTING
$7,920
$3,600
$5,656
35
clean
JAK2 GENE TRGT SEQ ALYS
—
$122
$128
15
clean
RX METAB ADVRS TRGT SEQ ALYS
—
$742
$779
15
clean
TPMT AND NUDIX HYROLASE NUDT15 GENOTYPING
$1,227
$466
$844
70
clean
NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL
$578
$541
$500
70
clean
TRGT GEN SEQ DNA 324 GENES
—
$3,500
$3,675
15
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
$17
$18
15
clean
CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$2,745
—
$2,083
27
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
$17
$18
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
$4,067
15
clean
ONC PRST8 MRNA 17 GENE ALG
—
$3,873
$4,067
15
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES
$503
—
$428
27
clean
CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI
$839
—
$713
27
clean
ANTI-MERKEL CELL PANEL ARUP
$711
$323
$533
35
clean
ONC MERKEL CLL CARC SRM +/-
—
$323
$339
15
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
$25
$26
15
clean
ANTB TP TOTAL&RPR IA QUAL
—
$31
$33
15
clean
SYFLS TST NONTREPONEMAL ANTB
—
$18
$19
15
clean
CANDIDA SPECIES PNL AMP PRB
—
$143
$150
15
clean
TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$22,583
—
$11,920
29
clean
IG PARAPROTEIN QUAL BLD/UR
—
$43
$46
15
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
$3,520
$3,696
15
clean
ONC MLNMA PRAME & LINC00518
—
$760
$798
15
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
$1,950
$2,048
15
clean
EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS
$7,913
$266
$6,196
35
clean
HERED COLON CA DO 15 GENES
—
$1,744
$1,744
13
clean
NEPH CKD MULT ECLIA TUM NEC
—
$950
$998
15
clean
TOUCH QUANT SENSORY TEST
—
$43
$43
8
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
$874
$918
15
clean
VIBRATE QUANT SENSORY TEST
—
$43
$43
8
clean
COOL QUANT SENSORY TEST
—
$66
$66
8
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
$4,950
$4,950
15
clean
HEAT QUANT SENSORY TEST
—
$43
$43
8
clean
NMDP ANES BONE MARROW ASPIR&/BX ANT/PST ILIAC CR
$2,360
—
$1,848
29
clean
IADI 16S&18S RRNA GENES
—
$356
$374
15
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
$2,753
$2,891
15
clean
CRD CERAMIDES LIQ CHROM PLSM
—
$84
$88
15
clean
HERED BRST CA RLTD DO PANEL
—
$1,304
$1,304
13
clean
THE KARIUS TEST
$5,847
$2,126
$4,023
35
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
$112
$112
13
clean
LIVER DS 10 BIOCHEM ASY SRM
—
$503
$529
15
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
$3,030
$3,182
15
clean
CAD CXR WITH INTERP
—
—
$24
1
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
$1,305
$1,305
13
clean
RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
$15,408
$6,589
$8,627
35
clean
PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL
$12,714
$7,907
$8,419
35
clean
PERQ SAC AGMNTJ BI W/WO BALO/ MCHNL DEV 2/> NDLS
$16,448
$7,907
$8,748
35
clean
BIOFIRE RESPIRATORY PANEL 2.1 EA PATHOGEN RPT AS DETECT OR NOT D
$1,674
$417
$1,143
35
clean
NEURO ALZHEIMER CELL AGGREGJ
—
$2,215
$2,215
13
clean
EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI
$158
$143
$143
35
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$803
5
clean
NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION
$1,000
$442
$783
35
clean
TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
$25,714
$12,552
$13,682
35
clean
TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA
$33,773
$19,876
$20,564
35
clean
LIQUID CDX
$15,950
$3,500
$10,892
35
clean
NFCT DS VIR RESP RNA 3 TRGT
—
—
$293
3
clean
SARS-COV-2 RNA INFLUENZA A&B AND RSV RNA QUALITATIVE NAAT QST
$495
—
$378
28
clean
TRGT GEN SEQ ALYS PNL 55-74
—
$5,000
$5,000
13
clean
ONC THYR MUT ALYS 10 GEN&37
—
$1,266
$1,266
13
clean
ONC SLD ORG NEO DNA 505 GENE
—
$2,920
$2,920
13
clean
IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
$84,284
$49,809
$15,761
35
clean
IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY
$57,901
$33,730
$15,603
35
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/I&R
$463
$173
$347
35
clean
INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM
$463
$173
$347
35
clean
PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$13,923
$7,907
$8,748
35
clean
TEMPR
—
$173
$173
7
clean
ONC LUNG MRNA QUAN PCR 11&3
—
$3,873
$3,873
13
clean
ONC BRST DUX CARC 7 PROTEINS
—
$5,435
$5,435
13
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
$391
$391
13
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
$391
$391
13
clean
NFCT DS BCT QUAN ANTMCRB SC
—
$8
$8
13
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
$841
$841
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
$45
8
clean
ONC SLD ORGN TGSA DNA 84/+
—
$3,500
$3,500
13
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
$6,311
$7,231
35
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
$760
$760
13
clean
ONC PAN CA ALYS MRD PLASMA
—
$3,920
$3,920
13
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
$792
$792
11
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,336
13
clean
RX METAB/PCX DNA 16 GEN ALYS
—
$1,336
$1,336
13
clean
RX METAB/PCX DNA 25 GEN ALYS
—
$742
$742
13
clean
RX METAB/PCX DNA 27GEN RX IA
—
$742
$742
13
clean
RSA LOWER EXTR EXAM
—
$97
$104
10
clean
INTRAOP OCT BRST/NODE SPEC
—
—
$1,526
1
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
$261
$261
13
clean
OCT BRST/NODE I&R PER SPEC
—
—
$2,630
3
clean
NFCT DS BV&VAGINITIS AMP PRB
—
—
$293
2
clean
IADNA CHLMYD&GONORR AMP PRB
—
—
$144
2
clean
APOL1 RISK VARIANTS
—
$137
$137
11
clean
ONC OROP/ANAL 17 DNA DDPCR
—
$1,800
$1,800
11
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
11
clean
ONC URTHL MRNA 5 GEN ALG
—
$760
$760
11
clean
ONC BLDR 10 UR HRBR URTHL CA
—
$897
$897
11
clean
ONC BLDR 10 PRB RECR BLDR CA
—
$897
$897
11
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
$897
$897
11
clean
ONC PRST8 CA IMG ALYS 128
—
$706
$706
11
clean
VIS FIELD ASSMNT TECH SUPPT
—
$43
$45
8
clean
TGSAP SL OR NEO DNA523&RNA55
—
$3,289
$3,289
11
clean
ONC NONSM CLL LNG CA 37 GEN
—
$3,500
$3,500
11
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
$541
$541
11
clean
HDR ELCTRNC SKN SURF BRCHYTX
—
$291
$298
8
clean
PFAS 16 PFAS COMPND LC MS/MS
—
$199
$199
11
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
$768
$787
8
clean
GI BARET ESPH DNA MTHYLN ALY
—
$1,755
$1,755
11
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
$2,582
$2,582
7
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
$760
$760
11
clean
ONC BRST SEMIQ MEAS THYM KN
—
$323
$323
11
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
$760
$760
11
clean
NEPH DBTC CKD MULT ECLIA ALG
—
$950
$950
11
clean
INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
$49,969
$35,488
$37,477
35
clean
ONC SLD TUM DNA 80 & RNA 36
—
$2,920
$2,920
11
clean
PSYC GENOM ALYS PNL 15 GEN
—
$1,336
$1,336
11
clean
CV DS ACS BLD ALG 5 YR SCORE
—
$391
$391
11
clean
PRGRMG EVAL CARDIAC MODULJ
—
$41
$42
8
clean
INTERRO EVAL CARDIAC MODULJ
—
$41
$42
8
clean
TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL
$11,301
$10,235
$8,849
35
clean
GI MALABS AAT CALPRO PNCRTC
—
$62
$62
11
clean
GLY RCPTR ALPHA1 IGG SRM/CSF
—
$37
$37
11
clean
KLHL11 ANTB SR/CSF ASY QUAL
—
$37
$37
11
clean
ONC PRST8 5 DNA REG MRK PCR
—
$760
$760
11
clean
RX METAB ADVRS VRNT ALYS 25
—
$417
$417
11
clean
MYOCRD CONTRAST PRFUJ ECHO
—
—
$113
1
clean
ABLTJ PERC LXTR/PERPH NRV
—
$2,161
$2,161
7
clean
ABLTJ PERC PLEX/TRNCL NRV
—
$7,088
$7,088
7
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
$3,598
$3,598
7
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
$220
$220
7
clean
REMVL INSJ IMPLTBL GLUC SENS
—
$3,598
$3,598
7
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
$5,711
$5,711
7
clean
VISUAL EP TEST FOR GLAUCOMA
—
$173
$178
8
clean
ONC SLD TUM BLD/SLV 648 GENE
—
$4,500
$4,500
11
clean
HERED PRST8 CA GSAP 23 GENES
—
$1,304
$1,304
11
clean
FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM
$1,916
$678
$1,533
35
clean
FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM
$958
—
$814
27
clean
TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
$14,714
—
$11,521
29
clean
OCT MID EAR I&R UNILATERAL
—
$43
$45
8
clean
OCT MID EAR I&R BILATERAL
—
$43
$45
8
clean
EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
$27,248
$12,552
$12,552
35
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
$66
$67
8
clean
PATTERN ERG W/I&R
—
$345
$345
10
clean
ESW INTEG WND HLG 1ST WND
—
$220
$220
7
clean
INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$8,958
—
$7,014
29
clean
INSERTION REPLACEMENT COMPLETE IIMS
$39,298
$21,109
$29,474
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
—
$66
$70
10
clean
ANTMC GUIDE 3D PRINT EA ADDL
—
—
$35
1
clean
EVAC MEIBOMIAN GLND HEAT BI
—
$66
$66
7
clean
TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$6,353
—
$5,305
29
clean
TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$1,816
—
$1,531
29
clean
INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$66,076
$35,488
$49,557
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
—
$4,238
$4,238
7
clean
ELEC ALYS CPLX PRGRMG IINS
—
$102
$104
8
clean
R-T FLUOR WOUND IMG 1ST SITE
—
$345
$369
10
clean
R-T FLUOR WOUND IMG EA ADDL
—
—
$116
1
clean
IRE ABLTJ 1+TUM ORGAN PERQ
—
$11,524
$11,524
7
clean
IRE ABLTJ 1+TUMORS OPEN
—
$11,524
$11,524
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
—
$10,235
$10,235
7
clean
ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
$103,031
$38,741
$38,741
35
clean
AUTO QUANTIFICATION C PLAQUE
—
—
$262
1
clean
AUTO QUAN C PLAQ DATA PREP
—
—
$95
1
clean
AUTO QUAN C PLAQ CPTR ALYS
—
$1,052
$1,052
8
clean
AUTO QUAN C PLAQ I&R
—
—
$118
1
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR 1ST
$40,912
$14,242
$27,939
35
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR EA
$20,457
—
$15,895
27
clean
PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST
$40,912
$14,242
$27,939
35
clean
CT BREAST W/3D BI C-/C+
—
$395
$453
12
clean
NCNTC IFR SPCTRSC O/T PAD 1
—
$43
$45
8
clean
TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
$17,207
$6,311
$9,218
35
clean
TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH
$36,785
—
$9,218
29
clean
INSJ GTUBE PERQ MAG GASTRPXY
—
$2,100
$2,100
7
clean

Showing the first 200 of 14,503 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 25605/o
error
mrf_cash_above_gross
discounted cash price $1,771 exceeds gross charge $1,692
CPT 19281/o
error
mrf_cash_above_gross
discounted cash price $1,793 exceeds gross charge $1,729
warn
mrf_negotiated_above_gross_systematic
4,851 of 7,915 comparable items (61%) 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
854,883 of 854,883 percentage/algorithm rates across 9,207 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 74177/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,650
CPT 93986/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 10% of the gross charge $1,210
CPT 81177/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 7% of the gross charge $1,925
CPT 88161/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 8% of the gross charge $336
CPT 70544/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 7% of the gross charge $3,575
CPT 74178/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 6% of the gross charge $6,430
CPT 87168/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT 93990/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 9% of the gross charge $1,353
CPT 76873/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 5% of the gross charge $2,523
CPT 82820/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 2% of the gross charge $548
CPT 74181/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 8% of the gross charge $3,311
CPT 70546/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,345
CPT 87176/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $72
CPT J0873/b
info
mrf_cash_under_tenth_of_gross
cash price $0 is 6% of the gross charge $1
CPT 70547/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 9% of the gross charge $2,864
CPT 74183/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 8% of the gross charge $5,225
CPT 87181/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $83
CPT J0873/o
info
mrf_cash_under_tenth_of_gross
cash price $0 is 6% of the gross charge $1
CPT 86386/o
info
mrf_cash_under_tenth_of_gross
cash price $22 is 1% of the gross charge $2,170
CPT 93226/o
info
mrf_cash_under_tenth_of_gross
cash price $66 is 3% of the gross charge $1,925
CPT 82948/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 9% of the gross charge $55
CPT 70549/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,404
CPT 86406/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 8% of the gross charge $135
CPT 88182/o
info
mrf_cash_under_tenth_of_gross
cash price $59 is 6% of the gross charge $968
CPT 82950/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $65
CPT 81185/o
info
mrf_cash_under_tenth_of_gross
cash price $846 is 9% of the gross charge $8,938
CPT 70551/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 7% of the gross charge $4,073
CPT 81187/o
info
mrf_cash_under_tenth_of_gross
cash price $137 is 8% of the gross charge $1,671
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 70552/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,620
CPT 82962/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 4% of the gross charge $83
CPT 70553/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 7% of the gross charge $5,631
CPT 87207/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 6% of the gross charge $101
CPT J2690/b
info
mrf_cash_under_tenth_of_gross
cash price $194 is 7% of the gross charge $2,846
CPT J2690/o
info
mrf_cash_under_tenth_of_gross
cash price $194 is 7% of the gross charge $2,846
CPT 74251/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 7% of the gross charge $2,974
CPT 87210/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $62
CPT 82978/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $168
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 93271/o
info
mrf_cash_under_tenth_of_gross
cash price $102 is 5% of the gross charge $2,026
CPT 83001/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 6% of the gross charge $316
CPT 93279/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 9% of the gross charge $460
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 86602/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $182
CPT 94619/o
info
mrf_cash_under_tenth_of_gross
cash price $66 is 9% of the gross charge $739
CPT 85007/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $105
CPT 29999/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 5% of the gross charge $5,893
CPT 85008/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 2% of the gross charge $144
CPT 0101T/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 3% of the gross charge $7,913
CPT 96366/o
info
mrf_cash_under_tenth_of_gross
cash price $51 is 8% of the gross charge $605
CPT 77046/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 5% of the gross charge $4,895
CPT 87272/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 8% of the gross charge $141
CPT 71250/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $2,692
CPT 77047/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 5% of the gross charge $5,060
CPT 86619/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 4% of the gross charge $328
CPT 71260/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 6% of the gross charge $3,354
CPT 85027/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 6% of the gross charge $106
CPT D0150/o
info
mrf_cash_under_tenth_of_gross
cash price $143 is 9% of the gross charge $1,630
CPT 74415/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 8% of the gross charge $2,475
CPT 83026/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 2% of the gross charge $238
CPT 86625/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 5% of the gross charge $282
CPT 71270/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,737
CPT 85032/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $61
CPT G0398/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 5% of the gross charge $3,633
CPT 71271/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 6% of the gross charge $2,035
CPT 85044/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $77
CPT 71275/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,587
CPT 79005/o
info
mrf_cash_under_tenth_of_gross
cash price $248 is 10% of the gross charge $2,585
CPT 85048/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 9% of the gross charge $28
CPT 71550/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 9% of the gross charge $3,144
CPT 87299/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 6% of the gross charge $248
CPT 85049/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 6% of the gross charge $75
CPT 83068/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 6% of the gross charge $154
CPT 71552/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 9% of the gross charge $4,244
CPT D0240/o
info
mrf_cash_under_tenth_of_gross
cash price $97 is 8% of the gross charge $1,212
CPT 85130/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 4% of the gross charge $292
CPT 86658/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $198
CPT 87327/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $165
CPT 80048/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $187
CPT 86663/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $211
CPT D0250/o
info
mrf_cash_under_tenth_of_gross
cash price $97 is 4% of the gross charge $2,438
CPT 83090/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $240
CPT 86664/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $228
CPT 80051/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 6% of the gross charge $119
CPT 85210/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $134
CPT D0270/o
info
mrf_cash_under_tenth_of_gross
cash price $97 is 6% of the gross charge $1,520
CPT 77084/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 7% of the gross charge $3,630
CPT 87335/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $175
CPT 92517/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 10% of the gross charge $1,811
CPT 92518/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 10% of the gross charge $1,811
CPT D0272/o
info
mrf_cash_under_tenth_of_gross
cash price $97 is 6% of the gross charge $1,670
CPT 80069/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $197
CPT 85245/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 9% of the gross charge $254
CPT 75561/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 10% of the gross charge $3,956
CPT 80074/o
info
mrf_cash_under_tenth_of_gross
cash price $48 is 7% of the gross charge $660
CPT 87341/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $184
CPT 22899/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 5% of the gross charge $5,888
CPT 80076/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $167
CPT 96411/o
info
mrf_cash_under_tenth_of_gross
cash price $79 is 7% of the gross charge $1,124
CPT 77280/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 7% of the gross charge $2,136
CPT 85260/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 5% of the gross charge $385
CPT 87380/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $248
CPT 67399/o
info
mrf_cash_under_tenth_of_gross
cash price $331 is 7% of the gross charge $4,950
CPT 80143/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $222
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 G0475/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 8% of the gross charge $312
CPT 77290/o
info
mrf_cash_under_tenth_of_gross
cash price $405 is 8% of the gross charge $4,824
CPT 81244/o
info
mrf_cash_under_tenth_of_gross
cash price $45 is 4% of the gross charge $1,047
CPT 87389/o
info
mrf_cash_under_tenth_of_gross
cash price $24 is 10% of the gross charge $245
CPT 72125/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $2,970
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 96417/o
info
mrf_cash_under_tenth_of_gross
cash price $79 is 9% of the gross charge $836
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 72127/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,858
CPT 85291/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $215
CPT 72128/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $2,929
CPT J1451/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $66
CPT 80156/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $220
CPT 85292/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 5% of the gross charge $358
CPT J1451/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $66
CPT 72129/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 6% of the gross charge $3,259
CPT 85293/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 4% of the gross charge $491
CPT 22999/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 6% of the gross charge $4,407
CPT 72130/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,589
CPT 80158/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 7% of the gross charge $248
CPT 82043/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $83
CPT 72131/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $3,051
CPT 81253/o
info
mrf_cash_under_tenth_of_gross
cash price $62 is 9% of the gross charge $660
CPT 77307/o
info
mrf_cash_under_tenth_of_gross
cash price $405 is 8% of the gross charge $4,830
CPT 87467/o
info
mrf_cash_under_tenth_of_gross
cash price $25 is 3% of the gross charge $758
CPT 72133/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,843
CPT 75635/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,960
CPT 80162/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $165
CPT 86713/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $193
CPT 82077/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 8% of the gross charge $222
CPT 72141/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 6% of the gross charge $4,263
CPT 77318/o
info
mrf_cash_under_tenth_of_gross
cash price $405 is 10% of the gross charge $4,224
CPT 80164/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 6% of the gross charge $212
CPT 12018/o
info
mrf_cash_under_tenth_of_gross
cash price $220 is 9% of the gross charge $2,420
CPT 31899/o
info
mrf_cash_under_tenth_of_gross
cash price $215 is 7% of the gross charge $3,299
CPT 72142/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 8% of the gross charge $4,703
CPT 72146/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 6% of the gross charge $4,329
CPT 88720/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 9% of the gross charge $55
CPT 80170/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 9% of the gross charge $173
CPT 72147/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 8% of the gross charge $4,835
CPT 77333/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 9% of the gross charge $1,648
CPT 85362/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 6% of the gross charge $106
CPT 72148/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 6% of the gross charge $4,439
CPT 81267/o
info
mrf_cash_under_tenth_of_gross
cash price $207 is 9% of the gross charge $2,317
CPT 89050/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $143
CPT 85378/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $171
CPT 72149/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 8% of the gross charge $4,675
CPT 77336/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 9% of the gross charge $1,690
CPT 89051/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 4% of the gross charge $143
CPT 80178/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $135
CPT 83727/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 6% of the gross charge $275
CPT 85379/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 8% of the gross charge $127
CPT 72156/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 7% of the gross charge $6,026
CPT 89055/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 5% of the gross charge $94
CPT 80179/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 8% of the gross charge $222
CPT 82140/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $183
CPT 83735/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $138
CPT 27299/o
info
mrf_cash_under_tenth_of_gross
cash price $266 is 9% of the gross charge $3,042
CPT 72157/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 7% of the gross charge $5,984
CPT 77370/o
info
mrf_cash_under_tenth_of_gross
cash price $147 is 9% of the gross charge $1,705
CPT J1602/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 5% of the gross charge $209
CPT 72158/o
info
mrf_cash_under_tenth_of_gross
cash price $395 is 7% of the gross charge $6,039
CPT J1602/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 5% of the gross charge $209
CPT 80183/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $161
CPT 87497/o
info
mrf_cash_under_tenth_of_gross
cash price $43 is 5% of the gross charge $853
CPT 89190/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $64
CPT 95700/o
info
mrf_cash_under_tenth_of_gross
cash price $173 is 6% of the gross charge $2,750
CPT 77373/o
info
mrf_cash_under_tenth_of_gross
cash price $1,944 is 5% of the gross charge $35,474
CPT 82154/o
info
mrf_cash_under_tenth_of_gross
cash price $29 is 10% of the gross charge $303
CPT 80184/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $165
CPT 80185/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $166
CPT 86784/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 7% of the gross charge $191
CPT 72191/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 8% of the gross charge $2,530
CPT 85420/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $120
CPT 72192/o
info
mrf_cash_under_tenth_of_gross
cash price $118 is 4% of the gross charge $2,805
CPT P3000/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 6% of the gross charge $301
CPT 72193/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 6% of the gross charge $3,245
CPT 85441/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 4% of the gross charge $112
CPT 77402/o
info
mrf_cash_under_tenth_of_gross
cash price $121 is 10% of the gross charge $1,254
CPT 97018/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 8% of the gross charge $105
CPT 72194/o
info
mrf_cash_under_tenth_of_gross
cash price $197 is 5% of the gross charge $3,630
CPT 85460/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 5% of the gross charge $165
CPT 72195/o
info
mrf_cash_under_tenth_of_gross
cash price $268 is 8% of the gross charge $3,346
CPT 85461/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 8% of the gross charge $112
CPT 86804/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $210

Showing the first 200 of 15,682 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 $80,352 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 · 1,958.5M bytes · fetched 2026-08-23 · sha256 4741ee195b43…

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.