Hospital · CCN 310115

Hackettstown Medical Center

651 Willow Grove St, Hackettstown, NJ 07840 · Warren County
Part of Atlantic Health System · 95 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

34 admission types 36 outpatient services price file: ok 20 Medicare-file findings
Billed per dollar paid, all admissions
10.11×
$128.4M billed against $12.7M paid across 1,105 Medicare discharges; the national figure is 5.03×.
1.8%
of adults in Warren County have medical debt in collections
6.0%
uninsured in the county · state 8.0%
$99K
median household income
8.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
32.5%
obesity in the countyⓘ
10.0%
diagnosed diabetes (PLACES)
6.1%
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
192
$148,109
$15,098
9.8× st 6.8×
291
Heart failure and shock with mcc
115
$119,888
$10,013
12.0× st 7.6×
193
Simple pneumonia and pleurisy with mcc
67
$127,794
$10,660
12.0× st 7.6×
177
Respiratory infections and inflammations with mcc
57
$134,450
$13,017
10.3× st 7.3×
689
Kidney and urinary tract infections with mcc
50
$110,039
$9,414
11.7× st 7.5×
603
Cellulitis without mcc
48
$78,367
$6,829
11.5× st 7.0×
690
Kidney and urinary tract infections without mcc
42
$89,153
$9,504
9.4× st 7.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
31
$78,361
$6,668
11.8× st 7.5×
178
Respiratory infections and inflammations with cc
30
$69,557
$7,485
9.3× st 8.1×
552
Medical back problems without mcc
28
$100,801
$12,013
8.4× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
27
$113,201
$8,952
12.6× st 8.3×
378
Gastrointestinal hemorrhage with cc
26
$81,091
$8,277
9.8× st 7.9×
280
Acute myocardial infarction, discharged alive with mcc
26
$97,143
$11,706
8.3× st 7.3×
698
Other kidney and urinary tract diagnoses with mcc
25
$114,113
$12,740
9.0× st 6.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
25
$96,398
$9,034
10.7× st 7.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
25
$68,090
$5,927
11.5× st 7.8×
312
Syncope and collapse
24
$90,358
$6,668
13.6× st 7.8×
194
Simple pneumonia and pleurisy with cc
23
$80,004
$7,424
10.8× st 8.0×
309
Cardiac arrhythmia and conduction disorders with cc
23
$90,455
$5,625
16.1× st 8.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
21
$208,900
$37,130
5.6× st 6.0×
377
Gastrointestinal hemorrhage with mcc
20
$128,521
$13,679
9.4× st 7.2×
308
Cardiac arrhythmia and conduction disorders with mcc
20
$103,835
$9,047
11.5× st 8.3×
683
Renal failure with cc
17
$95,891
$8,167
11.7× st 7.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$111,778
$7,728
14.5× st 8.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
17
$146,643
$14,110
10.4× st 7.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
14
$105,730
$9,959
10.6× st 7.2×
638
Diabetes with cc
14
$79,100
$7,908
10.0× st 7.8×
699
Other kidney and urinary tract diagnoses with cc
12
$67,440
$9,036
7.5× st 6.6×
481
Hip and femur procedures except major joint with cc
12
$108,245
$15,601
6.9× st 5.9×
637
Diabetes with mcc
12
$109,923
$13,126
8.4× st 6.8×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
12
$89,519
$8,061
11.1× st 7.2×
303
Atherosclerosis without mcc
11
$59,939
$5,079
11.8× st 8.2×
870
Septicemia or severe sepsis with mv >96 hours
11
$432,014
$52,779
8.2× st 5.8×
682
Renal failure with mcc
11
$117,126
$12,436
9.4× st 7.3×
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
180
$40,397
$2,837
14.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
62
$9,151
$1,580
5.8×
5183
Level 3 Vascular Procedures
47
$25,240
$3,280
7.7×
5375
Level 5 Urology and Related Services
46
$25,276
$5,417
4.7×
5431
Level 1 Nerve Procedures
42
$13,731
$1,790
7.7×
5112
Level 2 Musculoskeletal Procedures
35
$16,878
$1,683
10.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
29
$18,622
$3,529
5.3×
5113
Level 3 Musculoskeletal Procedures
29
$16,966
$3,389
5.0×
5373
Level 3 Urology and Related Services
27
$19,247
$2,132
9.0×
5114
Level 4 Musculoskeletal Procedures
22
$27,651
$7,490
3.7×
5361
Level 1 Laparoscopy and Related Services
21
$32,483
$5,360
6.1×
5302
Level 2 Upper GI Procedures
19
$9,203
$1,992
4.6×
5374
Level 4 Urology and Related Services
17
$22,906
$3,650
6.3×
5182
Level 2 Vascular Procedures
14
$7,905
$1,677
4.7×
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5194
Level 4 Endovascular 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 04/01/2026, template 3.0.0, 2,684,410 rows scanned, 9,407 distinct code–setting items kept. 3,908 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC Dna Hea 35 Ag 11 Bld Grp Whl Bld Cmn Allel
$1,041
$1,000
$720
124
clean
Liver Dis 10 Assays Serum Algorithm W/Ash
$1,376
$643
$503
125
clean
Nash-Fibrotest Liver Dis 10 Assays
$530
$530
$483
190
clean
Nash-Fibrotest Liver Dis 10 Assays
$2,596
$142
$178
125
clean
Anesthesia Salivary Glands With Biopsy
$34,451
$7,894
$6,864
63
clean
Anesthesia Cleft Lip Involving Plastic Repair
$37,358
$7,894
$6,864
63
clean
Anesthesia Eyelid Reconstructive Procedure
$17,994
$3,113
$2,707
92
clean
Anesthesia Electroconvulsive Therapy
$6,062
$709
$616
81
clean
Anesthesia External Middle & Inner Ear W/Bx Nos
$26,281
$4,327
$3,763
92
clean
Anes External Middle & Inner Ear W/Bx Otoscopy
$16,598
$2,036
$1,770
63
clean
Anes Xtrnl Mid & Inner Ear W/Bx Tympanotomy
$14,208
$4,327
$3,763
92
clean
Anesthesia Eye Not Otherwise Specified
$15,445
$3,113
$2,707
63
clean
Anesthesia Eye Lens Surgery
$17,384
$3,043
$2,646
63
clean
Anesthesia Eye Corneal Transplant
$18,965
$5,032
$4,376
64
clean
Anesthesia Eye Vitreoretinal Surgery
$29,260
$5,368
$4,668
63
clean
Anesthesia Eye Ophthalmoscopy
$9,546
$3,113
$2,707
63
clean
Adrenal Cortical Tum Biochem Assay 25 Strd Mrk
$1,741
$1,512
$1,318
109
clean
Anesthesia Nose & Accessory Sinuses Nos
$33,651
$9,237
$8,032
106
clean
Anes Nose & Accessory Sinuses Radical Surgery
$78,783
$8,242
$3,763
63
clean
Anes Nose & Accessory Sinuses Biopsy Soft Tissue
$32,768
$1,977
$1,719
74
clean
Anesthesia Intraoral With Biopsy Nos
$19,551
$292
$254
63
clean
Anes Intraoral W/Biopsy Repair Cleft Palate
$41,285
$7,894
$6,864
74
clean
Anesthesia Intraoral W/Biopsy Radical Surgery
$67,075
$5,526
$2,323
56
clean
Anesthesia Facial Bones or Skull Nos
$23,368
$1,641
$1,403
63
clean
Anes Facial Bones/Skull Rad Surg W/Prognathism
$28,030
$7,894
$6,864
74
clean
Anesthesia Intracranial Procedure Nos
$27,207
$1,641
$1,403
64
clean
Anes Intracranial Craniotomy/Craniectomy Hmtma
$22,445
$3,146
$1,981
54
clean
Anes Intracranial Burr Holes W/Ventriculography
$44,057
$2,101
$389
56
clean
Anes Intracranial/Elevation Deprsd Skull Fx Xdrl
$40,066
$2,606
$2,266
74
clean
Anes Intracranial Procedure in Sitting Position
$19,374
$2,824
$2,368
62
clean
Anes Intracranial Cerebrospinal Fluid Shunting
$56,469
$8,761
$7,431
63
clean
Glyca Nuc MR Spectroscopy Quantitative
$1,686
$179
$34
125
clean
Rx Metab Advrs Rx Rxn & Rspse Trgt Seq Alys
$829
$829
$768
93
clean
Anes Integ Musc & Nrv Head Neck&Posterior Trunk
$25,699
$4,053
$3,127
77
clean
Anes Esoph Thyrd Larynx Trach & Lymph Neck 1yr
$28,752
$7,894
$6,864
63
clean
Anes Esoph Thyrd Larx Trach & Lymph Nck Bx Thyrd
$9,092
$939
$816
63
clean
Tpmt Nudt15 Gene Analysis Common Variants
$2,982
$633
$466
125
clean
Gene Tpmt Nudt15 Common Variants
$551
$536
$466
203
clean
Anesthesia Major Vessels Neck Nos
$56,125
$3,787
$2,323
63
clean
Anesthesia Major Vessels Neck Simple Ligation
$15,511
$2,162
$1,880
74
clean
Trgt Seq Analys Sld Orgn Neo Dna 324 Genes
$4,826
$4,826
$3,500
143
clean
Anes Integ Extremities Ant Trunk & Perineum Nos
$25,451
$4,812
$4,184
63
clean
Anesthesia Reconstruction Breast
$35,565
$8,977
$7,806
63
clean
Anesthesia Radical/Modified Radical Breast
$77,186
$9,152
$7,567
63
clean
Anes Integ Sys Elec Conversion Arrhythmias
$6,121
$873
$759
61
clean
CT Anlys Cerebral Perfusion
$16,151
$581
$383
69
clean
CT Anlys Cerebral Perfusion
$7,931
$7,931
$4,283
113
clean
Anesthesia Clavicle and Scapula Nos
$34,336
$9,989
$8,289
74
clean
Anesthesia Clavicle & Scapula Biopsy Clavicle
$30,613
$2,036
$1,770
63
clean
Anesthesia Partial Rib Resection Nos
$32,362
$980
$664
63
clean
Anesthesia Partial Rib Resection Thoracoplasty
$32,693
$1,031
$602
63
clean
Anesthesia Partial Rib Resection Radical
$41,396
$4,277
$3,321
74
clean
Anesthesia Esophagus
$24,909
$2,301
$2,001
63
clean
Anesthesia Closed Chest W/Bronchoscopy Nos
$37,742
$4,920
$4,278
63
clean
Anesthesia Closed Chest Pneumocentesis
$13,433
$1,952
$1,697
63
clean
Anes Mediastinoscopy&Thoracscopy W/O 1 Lung Vntj
$26,227
$7,785
$6,770
63
clean
Anes Mediastinoscopy&Thoracoscopy W/1 Lung Vnt
$45,440
$13,892
$12,080
64
clean
Anes Permanent Transvenous Pacemaker Insertion
$56,823
$13,965
$12,143
71
clean
Anesthesia Access Central Venous Circulation
$26,926
$3,955
$3,439
63
clean
Anes Transvenous Insj/Replacement Pacing Cvdfb
$122,220
$42,782
$37,202
68
clean
Anes Cardiac Electrophysiol Stdy W/Rf Ablation
$222,495
$32,735
$28,465
64
clean
Anes Thoracotomy & Thoracoscopy Nos
$35,779
$2,426
$917
56
clean
Anes Thoracotomy & Thoracoscopy W/1 Lung Vntj
$48,687
$1,236
$924
76
clean
Anes Thoracotomy &Thoracscopy Trachea & Bronchi
$35,640
$366
$212
63
clean
Cptr-Asst Muscskel Navigj Ortho Fluor Images
$63,098
$17,415
$14,930
88
clean
Anesthesia for Sternal Debridement
$50,405
$1,064
$718
64
clean
Cptr-Asst Muscskel Navigj Ortho CT/MRI
$53,898
$16,625
$14,242
101
clean
Anes Hrt Pericardial Sac& Grt Vesls W/O Pmp Oxt
$25,736
$4,200
$3,652
74
clean
Anes Hrt Prcrd Sac & Great Vsl W/Pump Oxtj Hypth
$55,913
$3,760
$2,163
61
clean
Onc Merkel Cell Carc Detcj Antb Serum Quan
$453
$371
$323
124
clean
Anesthesia Cervical Spine & Cord Nos
$64,520
$17,169
$14,930
89
clean
Anes Cervical Spine & Cord W/Patient Sitting
$150,158
$12,833
$1,427
81
clean
Anesthesia Thoracic Spine & Cord Nos
$179,031
$41,120
$35,359
60
clean
Anes Thrc Spine & Cord Ant Appr W/O 1 Lung Ventj
$92,678
$17,384
$14,930
88
clean
Anes Thoracic Spine & Cord Ant Appr W/1 Lng Vent
$103,335
$17,384
$14,930
88
clean
Anesthesia Lumbar Region Nos
$34,253
$9,761
$8,289
74
clean
Anes Diagnostic/Therapeutic Lumbar Puncture
$14,790
$2,118
$804
74
clean
Anes Manipulate Spine/Clsd Crv Thorc/Lumbr Spine
$23,341
$2,162
$1,880
63
clean
Anesthesia Extensive Spine & Spinal Cord
$77,754
$17,290
$14,930
89
clean
Anesthesia Upper Anterior Abdominal Wall Nos
$22,500
$3,819
$3,321
63
clean
Anes Upr Ant Abdl Wall Percutaneous Liver Bx
$12,448
$2,162
$1,880
74
clean
Anesthesia Upper Posterior Abdominal Wall
$15,931
$2,162
$1,880
63
clean
Anesthesia Upper GI Endoscopic Px Nos
$7,917
$1,178
$1,024
74
clean
Anesthesia Upper GI Endoscopic Px Ercp
$20,803
$5,077
$4,414
63
clean
Anesthesia Hernia Repair Upper Abdomen Nos
$44,061
$8,784
$7,240
63
clean
Anes Hrna Rpr Upr Abd Lmbr&Ventral Hernia&Dehisc
$19,482
$7,332
$6,375
63
clean
Ig Paraprotein Qual Imprcip&Ms Bld/UR W/Isotype
$21,021
$3,733
$48
112
clean
Anes Intraperitoneal Upper Abdomen W/Laps Nos
$23,486
$7,332
$6,375
63
clean
Anes Laps Partial Hepatectomy W/Mgmt Liver Hemor
$59,026
$4,761
$2,482
56
clean
Anes Ipr Upper Abdomen Laps Gastric Rstcv Mo
$54,003
$13,896
$12,080
64
clean
Anesthesia Lower Anterior Abdominal Wall Nos
$14,126
$2,733
$2,377
63
clean
Anes Lower Ant Abdominal Wall Panniculectomy
$41,421
$9,159
$7,567
103
clean
Anesthesia Lower Intst Endoscopic Px Nos
$7,944
$1,482
$1,288
63
clean
Anesthesia Lower Intst Endoscopic Px Scr Colsc
$6,938
$1,146
$996
63
clean
Anesthesia Combined Upper&Lower GI Endoscopic Px
$8,779
$2,071
$1,288
74
clean
Anesthesia Lower Posterior Abdominal Wall
$14,884
$3,819
$3,321
63
clean
Anesthesia Hernia Repair Lower Abdomen Nos
$20,914
$4,435
$3,856
74
clean
Anes Lwr Abd Ventral & Incisional Hernia Repair
$22,584
$7,331
$6,375
63
clean
Anes Hrna Rpr Lwr Abd Nos Infts <37wk Brth/50wk
$18,647
$4,709
$4,095
63
clean
Anesthesia Intraperitoneal Lower Abd W/Laps Nos
$22,082
$4,435
$3,856
74
clean
Anes Iper Lwr Abd W/Laps Tubal Ligation/Transect
$23,068
$7,785
$6,770
63
clean
Anes Extraperitoneal Lwr Abd W/Urinary Tract Nos
$31,004
$6,587
$5,728
63
clean
Anes Xtrprtl Lower Abd UR Tract Renal Don Nfrct
$51,512
$12,340
$10,730
63
clean
Anes Xtrprtl Lwr Abd W/Urinary Tract Rad Prstect
$69,748
$6,186
$948
48
clean
Anes Xtrprtl Lower Abd W/Urin Tract Adrenlectomy
$57,537
$3,142
$1,271
56
clean
Anes Xtrprtl Lwr Abd W/Urin Tract Cstolithotomy
$23,585
$6,784
$5,899
63
clean
Anes Lithotrp Xtrcorp Shock Wave W/Water Bath
$20,528
$4,602
$4,002
64
clean
Anes Lithotrp Xtrcorp Shock Wave W/O Water Bath
$20,123
$4,602
$4,002
64
clean
Anesthesia Major Lower Abdominal Vessels Nos
$90,962
$23,961
$20,836
62
clean
Anesthesia Anorectal Procedure
$21,747
$1,608
$58
48
clean
Anesthesia Radical Perineal Procedure
$22,059
$1,968
$1,185
56
clean
Anesthesia Vulvectomy
$17,127
$4,243
$3,689
63
clean
Onc C Melanoma Mrna Gene Xprs 23 Gene Alg
$2,718
$2,718
$1,950
143
clean
Anes Transurethral W/Urethrocystoscopy Nos
$20,928
$4,334
$3,769
74
clean
Anes Transurethral Resection of Bladder Tumor
$27,832
$6,388
$5,555
63
clean
Anesthesia Transurethral Resection of Prostate
$27,483
$6,388
$5,555
63
clean
Anes Trurl Post-Trurl Resection Bleeding
$31,483
$6,783
$5,899
63
clean
Anes Trurl Fragmntj Manj&/Rmvl Ureteral Calculus
$23,428
$6,388
$5,555
63
clean
Anesthesia Male Genitalia Incl Open Urethral Px
$16,206
$4,602
$4,002
75
clean
Anes Vasectomy Uni/Bi Incl Open Urethral Px
$15,001
$2,733
$2,377
63
clean
Anes Rad Orchiectomy Ingun Incl Open Urtl Px
$26,075
$4,709
$4,095
63
clean
Anes Orchiopexy Uni/Bi Incl Open Urethral Px
$16,763
$4,710
$4,095
74
clean
Anes Insj Penile Prosth Prnl Incl Open Urtl
$87,989
$26,859
$23,356
60
clean
Anesthesia Vaginal Procedure W/Biopsy Nos
$19,666
$3,996
$3,474
63
clean
Anes Colptmy Vagnc Colprphy Incl Bx W/Opn Urtl
$34,332
$6,587
$5,728
63
clean
Anesthesia Vaginal Hysterectomy Incl Biopsy
$52,412
$13,893
$12,080
63
clean
Anesthesia Cervical Cerclage Including Biopsy
$15,094
$4,243
$3,689
61
clean
Anes Hysteroscopy&/Hysterosalpingography W/Bx
$19,356
$3,995
$3,474
74
clean
Anes Bone Marrow Aspir&/Bx Ant/Pst Iliac Crest
$26,135
$3,596
$3,127
63
clean
Anesthesia on Bony Pelvis
$26,163
$4,330
$3,765
63
clean
Anesthesia Body Cast Application or Revision
$20,354
$354
$308
63
clean
Anes Radical Tumor Pelvis Xcp Hindquarter Amp
$42,067
$4,034
$3,321
63
clean
Anes Closed Symphysis Pubis/Sacroiliac Joint
$97,308
$9,937
$21,338
60
clean
Anes Open Symphysis Pubis/Sacroiliac Joint
$20,555
$3,940
$3,321
74
clean
Cardiology Ceramides Liq Chrom Tandem Ms Plasma
$2,837
$449
$84
125
clean
Anesthesia Closed Hip Joint Procedure
$24,340
$1,354
$1,011
63
clean
Anesthesia Arthroscopic Hip Joint Procedure
$53,680
$9,761
$8,289
63
clean
Anesthesia Open Hip Joint Procedure Nos
$25,744
$4,047
$3,321
103
clean
Anesthesia Open Total Hip Arthroplasty
$64,574
$17,415
$14,930
88
clean
Anesthesia Open Revision Total Hip Arthroplasty
$77,997
$7,433
$925
88
clean
Anesthesia Closed Procedures Upper 2/3 Femur
$29,270
$9,532
$8,289
63
clean
Anesthesia Open Procedures Upper 2/3 Femur Nos
$28,882
$1,688
$1,310
64
clean
Anes Upper 2/3 Femur Radical Rescection
$39,704
$3,819
$3,321
64
clean
Anes Nerve Musc Tendon Fascia & Bursae Upper Leg
$26,574
$5,110
$4,443
63
clean
Anes Veins of Upper Leg Including Exploration
$24,814
$897
$779
63
clean
Anesthesia Arteries Upper Leg Incl Bypass Graft
$113,355
$11,575
$3,439
61
clean
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
$25,712
$9,758
$8,289
63
clean
Anesthesia Closed Procedures Lower 1/3 Femur
$23,009
$9,762
$8,289
74
clean
Anesthesia Open Procedures Lower 1/3 Femur
$31,338
$9,761
$8,289
74
clean
Anesthesia Closed Procedures Knee Joint
$12,054
$854
$1,857
74
clean
Anesth Diagnostic Arthroscopic Proc Knee Joint
$17,896
$4,330
$3,765
74
clean
Anes Closed Proc Upper End Tibia Fibula/Patella
$41,518
$4,330
$3,765
60
clean
Anes Open Proc Upper Ends Tibia Fibula&/Patella
$37,086
$1,957
$1,041
61
clean
Anes Open/Surg Arthroscopic Proc Knee Joint Nos
$20,393
$4,330
$3,765
74
clean
Anesth Open/Surg Arthrs Total Knee Arthroplasty
$68,465
$17,841
$14,930
89
clean
Anesthesia Veins Knee & Popliteal Area Nos
$19,548
$4,200
$3,652
63
clean
Anes Arteries of Knee & Popliteal Area Nos
$141,187
$22,565
$19,621
63
clean
Anesthesia Closed Proc Lower Leg Ankle & Foot
$16,340
$4,330
$3,765
74
clean
Anesthesia Arthroscopic Procedure Ankle & Foot
$20,736
$1,961
$3,765
74
clean
Anes Nrv/Mus/Tnd/Fasc Lower Leg/Ankle/Foot Nos
$26,030
$9,762
$8,289
63
clean
Anes Rpr Ruptured Achilles Tendon W/WO Graft
$30,822
$9,532
$8,289
74
clean
Anesthesia Gastrocnemius Recession
$18,757
$4,558
$3,765
63
clean
Anes Open Proc Bones Lower Leg/Ankle/Foot Nos
$20,044
$4,077
$3,545
63
clean
Anes Radical Resecj Incl Below Knee Amputation
$39,553
$1,873
$765
63
clean
Anes Open Osteotomy/Osteoplasty Tibia&/Fibula
$18,773
$9,761
$8,289
63
clean
Anesthesia Open Total Ankle Replacement
$150,532
$25,241
$21,338
60
clean
Anes Lower Leg Cast Application Removal/Repair
$13,160
$1,276
$691
103
clean
Anesthesia Arteries Lower Leg W/Bypass Graft Nos
$185,748
$23,961
$20,836
63
clean
Anesthesia Veins of Lower Leg Nos
$22,429
$4,200
$3,652
63
clean
Nfct Ds Dna Untrgt Ngnrj Seq
$2,250
$2,250
$1,913
143
clean
Anes Nrv Musc Tndn Fscia Bursa Shoulder & Axilla
$36,518
$8,702
$7,567
63
clean
Anes Closed Humrl H/N Strnclav Joint& Sho Joint
$8,602
$854
$1,857
74
clean
Anes Diag Arthroscopic Shoulder Joint Proc Nos
$20,499
$1,732
$3,765
74
clean
Anes Arthrs Humeral H/N Strnclav & Shoulder Nos
$43,606
$9,762
$8,289
77
clean
Anes Arthroscopic Total Shoulder Replacement
$85,041
$24,983
$21,338
99
clean
Anesthesia Arteries Shoulder & Axilla Nos
$18,888
$4,200
$3,652
63
clean
Anes Nrv Musc Tdn Fsca&Brs Upr Arm/Elbow Nos
$19,793
$2,454
$2,134
74
clean
Anesthesia Open Tenotomy Elbow to Shoulder
$21,032
$4,330
$3,765
63
clean
Anesthesia Tenoplasty Elbow to Shoulder
$30,192
$3,814
$8,289
74
clean
Anesthesia Biceps Tenodesis Rupture Long Tendon
$43,600
$9,761
$8,289
77
clean
Anesthesia Closed Procedures Humerus & Elbow
$14,392
$3,813
$8,289
64
clean
Anesthesia Elbow Joint Diagnostic Arthroscopic
$30,137
$4,330
$3,765
74
clean
Anes Open/Surg Arthroscopic Elbow Proc Nos
$36,895
$9,761
$8,289
63
clean
Anesthesia Open/Surg Arthrs Osteotomy Humerus
$29,210
$9,647
$8,289
64
clean
Anes Open/Surg Arthrs Reprs Non/Malunion Humerus
$43,991
$16,499
$14,242
74
clean
Anesthesia Open/Surg Arthrs Radical Proc Elbow
$106,122
$11,640
$8,289
60
clean
Anesth Open/Surg Arthrs Exc Cyst/Tumor Humerus
$21,126
$9,532
$8,289
74
clean
Anesth Open/Surg Arthrs Total Elbow Replacement
$79,580
$24,892
$21,338
60
clean
Anesthesia Arteries Upper Arm & Elbow Nos
$20,507
$4,200
$3,652
63
clean
Anesthesia Veins Upper Arm & Elbow Nos
$40,382
$7,213
$6,272
74
clean
Anes Nerve Muscle Tdn Fascia&Bursa Forearm Wrist
$15,310
$2,454
$2,134
74
clean
Anes Radius Ulna Wrist/Hand Bones Closed Px
$16,029
$322
$278
63
clean
Anes Arthrs/Endscpy Dstl Radius Ulna/Wrist/Hand
$26,764
$8,977
$7,806
77
clean
Anesthesia Arthrs/Endoscpic Total Wrist Replcmt
$106,536
$24,539
$21,338
60
clean
Anesthesia Arteries Forearm Wrist & Hand Nos
$24,797
$7,213
$6,272
63
clean
Anes Arteries Forearm Wrist & Hand Embolectomy
$22,968
$6,793
$5,907
63
clean
Anesthesia Vascular Shunt/Shunt Revision
$27,644
$6,793
$5,907
63
clean
Anesthesia Veins Forearm Wrist & Hand Nos
$12,119
$2,162
$1,880
63
clean
Anesthesia Diagnostic Arteriography/Venograph
$125,315
$13,151
$6,272
76
clean
Anes C-Cathj W/C Angiography & Ventriculography
$36,676
$4,292
$3,732
82
clean

Showing the first 200 of 9,407 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
981 of 8,785 comparable items (11%) 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 $118 exceeds the gross charge $60
warn
mrf_rate_without_estimate
791,932 of 791,932 percentage/algorithm rates across 7,687 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 603/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $657,652; the same hospital's average submitted charge to Medicare for this DRG is $78,367 (8.4×)
MS-DRG 640/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $20,203; the same hospital's average submitted charge to Medicare for this DRG is $105,730 (0.2×)
MS-DRG 690/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $674,996; the same hospital's average submitted charge to Medicare for this DRG is $89,153 (7.6×)
CPT 24071/o
info
mrf_cash_under_tenth_of_gross
cash price $1,528 is 8% of the gross charge $18,481
CPT 61781/o
info
mrf_cash_under_tenth_of_gross
cash price $2,693 is 4% of the gross charge $74,962
CPT 73523/o
info
mrf_cash_under_tenth_of_gross
cash price $134 is 9% of the gross charge $1,469
CPT 83021/o
info
mrf_cash_under_tenth_of_gross
cash price $113 is 6% of the gross charge $1,845
CPT 85280/o
info
mrf_cash_under_tenth_of_gross
cash price $352 is 6% of the gross charge $5,998
CPT 86778/o
info
mrf_cash_under_tenth_of_gross
cash price $202 is 4% of the gross charge $5,387
CPT 93288/b
info
mrf_cash_under_tenth_of_gross
cash price $50 is 5% of the gross charge $1,042
CPT C1748/o
info
mrf_cash_under_tenth_of_gross
cash price $1,251 is 9% of the gross charge $13,621
CPT 24500/o
info
mrf_cash_under_tenth_of_gross
cash price $1,732 is 6% of the gross charge $30,853
CPT 62005/o
info
mrf_cash_under_tenth_of_gross
cash price $2,606 is 7% of the gross charge $40,066
CPT 73552/o
info
mrf_cash_under_tenth_of_gross
cash price $134 is 10% of the gross charge $1,359
CPT 83030/o
info
mrf_cash_under_tenth_of_gross
cash price $98 is 9% of the gross charge $1,106
CPT 85291/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 5% of the gross charge $194
CPT 93288/o
info
mrf_cash_under_tenth_of_gross
cash price $50 is 6% of the gross charge $857
CPT 0663T/o
info
mrf_cash_under_tenth_of_gross
cash price $3,759 is 6% of the gross charge $61,525
CPT 24560/o
info
mrf_cash_under_tenth_of_gross
cash price $1,084 is 7% of the gross charge $16,234
CPT 62120/o
info
mrf_cash_under_tenth_of_gross
cash price $2,756 is 8% of the gross charge $36,395
CPT 73565/o
info
mrf_cash_under_tenth_of_gross
cash price $117 is 10% of the gross charge $1,232
CPT 81273/o
info
mrf_cash_under_tenth_of_gross
cash price $223 is 10% of the gross charge $2,317
CPT 83036/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 4% of the gross charge $274
CPT 85300/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 2% of the gross charge $885
CPT 86780/o
info
mrf_cash_under_tenth_of_gross
cash price $284 is 6% of the gross charge $4,632
CPT 93289/o
info
mrf_cash_under_tenth_of_gross
cash price $50 is 9% of the gross charge $566
CPT 0707T/o
info
mrf_cash_under_tenth_of_gross
cash price $4,787 is 8% of the gross charge $63,714
CPT 24565/o
info
mrf_cash_under_tenth_of_gross
cash price $946 is 7% of the gross charge $13,003
CPT 62140/o
info
mrf_cash_under_tenth_of_gross
cash price $2,888 is 6% of the gross charge $48,272
CPT 73590/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 7% of the gross charge $1,493
CPT 83036/o
info
mrf_cash_under_tenth_of_gross
cash price $87 is 3% of the gross charge $2,952
CPT 85301/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 2% of the gross charge $570
CPT 93290/o
info
mrf_cash_under_tenth_of_gross
cash price $50 is 3% of the gross charge $1,752
CPT J2404/o
info
mrf_cash_under_tenth_of_gross
cash price $4,292 is 8% of the gross charge $53,522
MS-DRG 069/i
info
mrf_cash_under_tenth_of_gross
cash price $8,246 is 9% of the gross charge $95,038
CPT 0804T/o
info
mrf_cash_under_tenth_of_gross
cash price $50 is 5% of the gross charge $1,014
CPT 62146/o
info
mrf_cash_under_tenth_of_gross
cash price $3,275 is 7% of the gross charge $48,795
CPT 73610/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 8% of the gross charge $1,349
CPT 83050/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $214
CPT 85302/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 2% of the gross charge $665
CPT 86788/b
info
mrf_cash_under_tenth_of_gross
cash price $19 is 3% of the gross charge $705
CPT 0826T/o
info
mrf_cash_under_tenth_of_gross
cash price $50 is 8% of the gross charge $607
CPT 36558/o
info
mrf_cash_under_tenth_of_gross
cash price $1,680 is 8% of the gross charge $21,964
CPT 62147/o
info
mrf_cash_under_tenth_of_gross
cash price $4,204 is 4% of the gross charge $93,943
CPT 73650/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 8% of the gross charge $1,394
CPT 83050/o
info
mrf_cash_under_tenth_of_gross
cash price $64 is 4% of the gross charge $1,743
CPT 85302/o
info
mrf_cash_under_tenth_of_gross
cash price $307 is 6% of the gross charge $4,777
CPT 86788/o
info
mrf_cash_under_tenth_of_gross
cash price $518 is 6% of the gross charge $8,535
CPT 10004/o
info
mrf_cash_under_tenth_of_gross
cash price $4,920 is 10% of the gross charge $50,908
CPT 24685/o
info
mrf_cash_under_tenth_of_gross
cash price $3,813 is 9% of the gross charge $42,682
CPT 62223/o
info
mrf_cash_under_tenth_of_gross
cash price $8,001 is 10% of the gross charge $80,539
CPT 73700/b
info
mrf_cash_under_tenth_of_gross
cash price $134 is 2% of the gross charge $6,711
CPT 83051/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $142
CPT 85303/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 3% of the gross charge $588
CPT 86789/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 2% of the gross charge $705
CPT 93293/b
info
mrf_cash_under_tenth_of_gross
cash price $50 is 6% of the gross charge $831
CPT C1757/o
info
mrf_cash_under_tenth_of_gross
cash price $3,043 is 6% of the gross charge $50,652
CPT 24999/o
info
mrf_cash_under_tenth_of_gross
cash price $128 is 1% of the gross charge $13,883
CPT 62256/o
info
mrf_cash_under_tenth_of_gross
cash price $897 is 4% of the gross charge $23,199
CPT 73700/o
info
mrf_cash_under_tenth_of_gross
cash price $134 is 2% of the gross charge $6,711
CPT 83068/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 6% of the gross charge $189
CPT 85305/o
info
mrf_cash_under_tenth_of_gross
cash price $481 is 10% of the gross charge $4,942
CPT 86789/o
info
mrf_cash_under_tenth_of_gross
cash price $518 is 6% of the gross charge $8,535
CPT 93293/o
info
mrf_cash_under_tenth_of_gross
cash price $50 is 5% of the gross charge $1,075
CPT 25001/o
info
mrf_cash_under_tenth_of_gross
cash price $3,814 is 10% of the gross charge $39,259
CPT 73701/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 6% of the gross charge $3,661
CPT 81291/o
info
mrf_cash_under_tenth_of_gross
cash price $208 is 8% of the gross charge $2,501
CPT 83070/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $87
CPT 85306/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $234
CPT 10006/o
info
mrf_cash_under_tenth_of_gross
cash price $884 is 8% of the gross charge $10,891
CPT 73701/o
info
mrf_cash_under_tenth_of_gross
cash price $581 is 5% of the gross charge $10,927
CPT 83080/o
info
mrf_cash_under_tenth_of_gross
cash price $212 is 4% of the gross charge $4,874
CPT 85335/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $166
CPT 86794/b
info
mrf_cash_under_tenth_of_gross
cash price $19 is 7% of the gross charge $272
CPT 25110/o
info
mrf_cash_under_tenth_of_gross
cash price $854 is 10% of the gross charge $8,984
CPT 36581/o
info
mrf_cash_under_tenth_of_gross
cash price $1,680 is 8% of the gross charge $20,701
CPT 73702/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 3% of the gross charge $7,127
CPT 83088/b
info
mrf_cash_under_tenth_of_gross
cash price $34 is 2% of the gross charge $1,749
CPT 85335/o
info
mrf_cash_under_tenth_of_gross
cash price $352 is 6% of the gross charge $5,998
CPT 86794/o
info
mrf_cash_under_tenth_of_gross
cash price $99 is 8% of the gross charge $1,210
CPT J2506/b
info
mrf_cash_under_tenth_of_gross
cash price $806 is 3% of the gross charge $23,111
CPT 25112/o
info
mrf_cash_under_tenth_of_gross
cash price $854 is 7% of the gross charge $12,394
CPT 62272/o
info
mrf_cash_under_tenth_of_gross
cash price $7,929 is 10% of the gross charge $79,937
CPT 73702/o
info
mrf_cash_under_tenth_of_gross
cash price $238 is 5% of the gross charge $4,833
CPT 81331/o
info
mrf_cash_under_tenth_of_gross
cash price $246 is 7% of the gross charge $3,287
CPT 83090/o
info
mrf_cash_under_tenth_of_gross
cash price $126 is 3% of the gross charge $4,563
CPT 85347/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 5% of the gross charge $93
CPT 86800/o
info
mrf_cash_under_tenth_of_gross
cash price $145 is 4% of the gross charge $3,446
CPT C1765/o
info
mrf_cash_under_tenth_of_gross
cash price $2,001 is 6% of the gross charge $32,002
CPT J2506/o
info
mrf_cash_under_tenth_of_gross
cash price $1,518 is 6% of the gross charge $26,098
MS-DRG 372/i
info
mrf_cash_under_tenth_of_gross
cash price $8,394 is 8% of the gross charge $102,086
CPT 25118/o
info
mrf_cash_under_tenth_of_gross
cash price $1,683 is 7% of the gross charge $22,540
CPT 73706/b
info
mrf_cash_under_tenth_of_gross
cash price $238 is 4% of the gross charge $6,203
CPT 81332/o
info
mrf_cash_under_tenth_of_gross
cash price $93 is 8% of the gross charge $1,155
CPT 83150/o
info
mrf_cash_under_tenth_of_gross
cash price $109 is 8% of the gross charge $1,360
CPT 85360/o
info
mrf_cash_under_tenth_of_gross
cash price $196 is 6% of the gross charge $3,090
CPT 86803/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 1% of the gross charge $1,114
CPT 93306/b
info
mrf_cash_under_tenth_of_gross
cash price $689 is 7% of the gross charge $9,314
CPT 25215/o
info
mrf_cash_under_tenth_of_gross
cash price $1,733 is 8% of the gross charge $22,966
CPT 36595/o
info
mrf_cash_under_tenth_of_gross
cash price $1,680 is 4% of the gross charge $43,007
CPT 73718/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 3% of the gross charge $10,559
CPT 85362/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 2% of the gross charge $454
CPT 86812/b
info
mrf_cash_under_tenth_of_gross
cash price $30 is 3% of the gross charge $1,040
CPT 93306/o
info
mrf_cash_under_tenth_of_gross
cash price $689 is 7% of the gross charge $9,314
CPT J2540/o
info
mrf_cash_under_tenth_of_gross
cash price $500 is 3% of the gross charge $15,359
CPT 25230/o
info
mrf_cash_under_tenth_of_gross
cash price $4,330 is 7% of the gross charge $61,387
CPT 73718/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,469
CPT 83500/o
info
mrf_cash_under_tenth_of_gross
cash price $153 is 5% of the gross charge $3,227
CPT 86812/o
info
mrf_cash_under_tenth_of_gross
cash price $377 is 7% of the gross charge $5,159
CPT 93307/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 5% of the gross charge $6,775
CPT 62284/o
info
mrf_cash_under_tenth_of_gross
cash price $300 is 3% of the gross charge $9,289
CPT 73720/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 3% of the gross charge $15,905
CPT 85366/o
info
mrf_cash_under_tenth_of_gross
cash price $435 is 8% of the gross charge $5,734
CPT 10030/b
info
mrf_cash_under_tenth_of_gross
cash price $939 is 9% of the gross charge $10,561
CPT 25332/o
info
mrf_cash_under_tenth_of_gross
cash price $4,330 is 9% of the gross charge $46,111
CPT 73720/o
info
mrf_cash_under_tenth_of_gross
cash price $594 is 8% of the gross charge $7,104
CPT 83516/o
info
mrf_cash_under_tenth_of_gross
cash price $312 is 4% of the gross charge $7,019
CPT 85378/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 6% of the gross charge $198
CPT 86849/o
info
mrf_cash_under_tenth_of_gross
cash price $125 is 7% of the gross charge $1,814
CPT 93308/b
info
mrf_cash_under_tenth_of_gross
cash price $304 is 7% of the gross charge $4,654
CPT C1773/o
info
mrf_cash_under_tenth_of_gross
cash price $3,043 is 6% of the gross charge $51,427
CPT 25505/o
info
mrf_cash_under_tenth_of_gross
cash price $854 is 7% of the gross charge $11,632
CPT 36600/o
info
mrf_cash_under_tenth_of_gross
cash price $391 is 7% of the gross charge $6,010
CPT 62290/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 0% of the gross charge $4,881
CPT 73721/b
info
mrf_cash_under_tenth_of_gross
cash price $323 is 3% of the gross charge $11,801
CPT 85378/o
info
mrf_cash_under_tenth_of_gross
cash price $113 is 5% of the gross charge $2,500
CPT 93308/o
info
mrf_cash_under_tenth_of_gross
cash price $304 is 7% of the gross charge $4,654
CPT 10035/o
info
mrf_cash_under_tenth_of_gross
cash price $3,724 is 8% of the gross charge $44,771
CPT 73721/o
info
mrf_cash_under_tenth_of_gross
cash price $323 is 7% of the gross charge $4,469
CPT 83519/o
info
mrf_cash_under_tenth_of_gross
cash price $157 is 7% of the gross charge $2,200
CPT 85379/o
info
mrf_cash_under_tenth_of_gross
cash price $352 is 6% of the gross charge $5,998
CPT 36902/o
info
mrf_cash_under_tenth_of_gross
cash price $3,043 is 9% of the gross charge $34,198
CPT 73722/b
info
mrf_cash_under_tenth_of_gross
cash price $1,054 is 9% of the gross charge $11,939
CPT 81374/o
info
mrf_cash_under_tenth_of_gross
cash price $603 is 8% of the gross charge $7,486
CPT 93312/o
info
mrf_cash_under_tenth_of_gross
cash price $689 is 6% of the gross charge $11,907
CPT 25676/o
info
mrf_cash_under_tenth_of_gross
cash price $3,813 is 7% of the gross charge $56,128
CPT 36907/o
info
mrf_cash_under_tenth_of_gross
cash price $3,043 is 8% of the gross charge $39,970
CPT 73723/b
info
mrf_cash_under_tenth_of_gross
cash price $477 is 3% of the gross charge $16,577
CPT 81375/o
info
mrf_cash_under_tenth_of_gross
cash price $806 is 4% of the gross charge $18,462
CPT 83520/o
info
mrf_cash_under_tenth_of_gross
cash price $195 is 6% of the gross charge $3,004
CPT 85384/o
info
mrf_cash_under_tenth_of_gross
cash price $514 is 9% of the gross charge $5,651
CPT 93318/o
info
mrf_cash_under_tenth_of_gross
cash price $891 is 3% of the gross charge $28,417
CPT 25927/o
info
mrf_cash_under_tenth_of_gross
cash price $1,104 is 5% of the gross charge $22,338
CPT 36909/o
info
mrf_cash_under_tenth_of_gross
cash price $1,680 is 4% of the gross charge $45,900
CPT 73723/o
info
mrf_cash_under_tenth_of_gross
cash price $477 is 7% of the gross charge $7,087
CPT 83521/o
info
mrf_cash_under_tenth_of_gross
cash price $249 is 7% of the gross charge $3,679
CPT 85385/o
info
mrf_cash_under_tenth_of_gross
cash price $352 is 6% of the gross charge $5,998
CPT 86900/o
info
mrf_cash_under_tenth_of_gross
cash price $177 is 4% of the gross charge $4,210
CPT 93319/o
info
mrf_cash_under_tenth_of_gross
cash price $732 is 6% of the gross charge $12,282
CPT 37182/b
info
mrf_cash_under_tenth_of_gross
cash price $937 is 2% of the gross charge $42,406
CPT 74019/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 9% of the gross charge $1,165
CPT 81376/o
info
mrf_cash_under_tenth_of_gross
cash price $127 is 4% of the gross charge $3,217
CPT 83525/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 2% of the gross charge $754
CPT 86901/o
info
mrf_cash_under_tenth_of_gross
cash price $177 is 4% of the gross charge $4,210
CPT 26034/o
info
mrf_cash_under_tenth_of_gross
cash price $4,330 is 7% of the gross charge $60,579
CPT 74150/b
info
mrf_cash_under_tenth_of_gross
cash price $134 is 3% of the gross charge $5,084
CPT 83525/o
info
mrf_cash_under_tenth_of_gross
cash price $200 is 5% of the gross charge $4,024
CPT 85390/o
info
mrf_cash_under_tenth_of_gross
cash price $435 is 8% of the gross charge $5,734
CPT 93351/b
info
mrf_cash_under_tenth_of_gross
cash price $689 is 9% of the gross charge $7,672
CPT J2785/o
info
mrf_cash_under_tenth_of_gross
cash price $1,640 is 9% of the gross charge $18,245
CPT 26080/o
info
mrf_cash_under_tenth_of_gross
cash price $854 is 7% of the gross charge $11,691
CPT 37186/o
info
mrf_cash_under_tenth_of_gross
cash price $4,200 is 6% of the gross charge $65,648
CPT 74150/o
info
mrf_cash_under_tenth_of_gross
cash price $134 is 3% of the gross charge $5,084
CPT 83527/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $159
CPT 85397/o
info
mrf_cash_under_tenth_of_gross
cash price $435 is 8% of the gross charge $5,734
CPT 93351/o
info
mrf_cash_under_tenth_of_gross
cash price $689 is 9% of the gross charge $7,672
CPT 10080/o
info
mrf_cash_under_tenth_of_gross
cash price $558 is 4% of the gross charge $14,105
CPT 26113/o
info
mrf_cash_under_tenth_of_gross
cash price $865 is 6% of the gross charge $14,245
CPT 37191/o
info
mrf_cash_under_tenth_of_gross
cash price $2,885 is 8% of the gross charge $34,757
CPT 74160/b
info
mrf_cash_under_tenth_of_gross
cash price $224 is 4% of the gross charge $6,371
CPT 83527/o
info
mrf_cash_under_tenth_of_gross
cash price $233 is 9% of the gross charge $2,588
CPT 85415/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 5% of the gross charge $412
CPT 93356/o
info
mrf_cash_under_tenth_of_gross
cash price $689 is 7% of the gross charge $10,257
CPT 26116/o
info
mrf_cash_under_tenth_of_gross
cash price $865 is 5% of the gross charge $15,761
CPT 37193/o
info
mrf_cash_under_tenth_of_gross
cash price $1,680 is 6% of the gross charge $26,358
CPT 74160/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 3% of the gross charge $6,534
CPT 81400/b
info
mrf_cash_under_tenth_of_gross
cash price $74 is 2% of the gross charge $3,116
CPT 83540/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 7% of the gross charge $108
CPT 85420/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 3% of the gross charge $267
CPT 26140/o
info
mrf_cash_under_tenth_of_gross
cash price $2,136 is 8% of the gross charge $27,142
CPT 74170/b
info
mrf_cash_under_tenth_of_gross
cash price $224 is 3% of the gross charge $6,994
CPT 83540/o
info
mrf_cash_under_tenth_of_gross
cash price $183 is 5% of the gross charge $3,626
CPT 85460/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 5% of the gross charge $180
CPT 93460/o
info
mrf_cash_under_tenth_of_gross
cash price $4,292 is 9% of the gross charge $45,363
CPT 26230/o
info
mrf_cash_under_tenth_of_gross
cash price $1,683 is 7% of the gross charge $22,540
CPT 37197/o
info
mrf_cash_under_tenth_of_gross
cash price $6,828 is 4% of the gross charge $155,278
CPT 62328/o
info
mrf_cash_under_tenth_of_gross
cash price $924 is 9% of the gross charge $10,218
CPT 74170/o
info
mrf_cash_under_tenth_of_gross
cash price $224 is 3% of the gross charge $7,149
CPT 87015/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 7% of the gross charge $107
CPT 93461/o
info
mrf_cash_under_tenth_of_gross
cash price $4,292 is 8% of the gross charge $55,569
CPT 26235/o
info
mrf_cash_under_tenth_of_gross
cash price $854 is 7% of the gross charge $12,685
CPT 37215/b
info
mrf_cash_under_tenth_of_gross
cash price $1,145 is 2% of the gross charge $53,949
CPT 74174/b
info
mrf_cash_under_tenth_of_gross
cash price $449 is 7% of the gross charge $6,203
CPT 83550/o
info
mrf_cash_under_tenth_of_gross
cash price $317 is 9% of the gross charge $3,663
CPT 85460/o
info
mrf_cash_under_tenth_of_gross
cash price $512 is 7% of the gross charge $6,976
CPT 87015/o
info
mrf_cash_under_tenth_of_gross
cash price $121 is 2% of the gross charge $6,117
CPT C1880/o
info
mrf_cash_under_tenth_of_gross
cash price $2,885 is 8% of the gross charge $34,757
CPT 11005/o
info
mrf_cash_under_tenth_of_gross
cash price $3,597 is 7% of the gross charge $49,653

Showing the first 200 of 3,908 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 064
info
inp_charge_10x_payment
average charge $146,643 is 10.4× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $111,778 is 14.5× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $134,450 is 10.3× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $113,201 is 12.6× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $127,794 is 12.0× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $80,004 is 10.8× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $119,888 is 12.0× the total payment
MS-DRG 303
info
inp_charge_10x_payment
average charge $59,939 is 11.8× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $103,835 is 11.5× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $90,455 is 16.1× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $90,358 is 13.6× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $78,361 is 11.8× the total payment
MS-DRG 543
info
inp_charge_10x_payment
average charge $89,518 is 11.1× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $78,367 is 11.5× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $79,100 is 10.0× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $105,730 is 10.6× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $68,090 is 11.5× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $95,891 is 11.7× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $110,039 is 11.7× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $96,398 is 10.7× 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 · 862.6M bytes · fetched 2026-08-23 · sha256 55a8bc6ed777…

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.