Hospital · CCN 320063

Carlsbad Medical Center

2430 West Pierce Street, Carlsbad, NM 88220 · Eddy County
Part of Community Health Systems · 53 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

14 admission types 26 outpatient services price file: ok
Billed per dollar paid, all admissions
4.64×
$16.7M billed against $3.6M paid across 284 Medicare discharges; the national figure is 5.03×.
5.9%
of adults in Eddy County have medical debt in collections
10.7%
uninsured in the county · state 10.6%
$66K
median household income
4.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
39.8%
obesity in the countyⓘ
11.6%
diagnosed diabetes (PLACES)
6.3%
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
46
$63,259
$16,780
3.8× st 3.8×
193
Simple pneumonia and pleurisy with mcc
44
$52,021
$11,518
4.5× st 4.0×
291
Heart failure and shock with mcc
33
$44,136
$11,152
4.0× st 4.4×
190
Chronic obstructive pulmonary disease with mcc
21
$57,723
$10,168
5.7× st 5.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
21
$47,154
$11,464
4.1× st 3.6×
189
Pulmonary edema and respiratory failure
18
$59,759
$10,952
5.5× st 3.6×
177
Respiratory infections and inflammations with mcc
16
$45,597
$14,532
3.1× st 3.8×
280
Acute myocardial infarction, discharged alive with mcc
15
$83,209
$14,287
5.8× st 4.9×
689
Kidney and urinary tract infections with mcc
13
$42,440
$10,429
4.1× st 4.3×
309
Cardiac arrhythmia and conduction disorders with cc
12
$47,601
$7,219
6.6× st 5.6×
682
Renal failure with mcc
12
$60,405
$12,945
4.7× st 4.3×
683
Renal failure with cc
11
$43,575
$8,298
5.3× st 4.2×
480
Hip and femur procedures except major joint with mcc
11
$186,863
$25,861
7.2× st 4.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
11
$37,456
$9,328
4.0× st 4.1×
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
225
$35,330
$2,544
13.9×
5191
Level 1 Endovascular Procedures
51
$95,679
$2,962
32.3×
5183
Level 3 Vascular Procedures
30
$39,700
$2,894
13.7×
5361
Level 1 Laparoscopy and Related Services
21
$70,786
$5,381
13.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
21
$24,258
$1,456
16.7×
5113
Level 3 Musculoskeletal Procedures
18
$32,083
$3,019
10.6×
5193
Level 3 Endovascular Procedures
16
$132,821
$10,251
13.0×
5114
Level 4 Musculoskeletal Procedures
15
$53,940
$6,318
8.5×
5112
Level 2 Musculoskeletal Procedures
14
$21,934
$1,421
15.4×
5302
Level 2 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5192
Level 2 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-wide, last updated 2026-04-01, template 3.0.0, 11,075 rows scanned, 2,750 distinct code–setting items kept. 1,955 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
DRAINAGE OF SKIN ABSCESS
$8,893
$889
$424
46
clean
DRAINAGE OF SKIN ABSCESS
$18,606
$1,861
$858
46
clean
DRAINAGE OF PILONIDAL CYST
$5,241
$524
$940
46
clean
DRAINAGE OF PILONIDAL CYST
$2,921
$292
$1,110
46
clean
REMOVE FOREIGN BODY
$10,234
$1,023
$782
46
clean
REMOVE FOREIGN BODY
$8,256
$826
$2,191
46
clean
DRAINAGE OF HEMATOMA/FLUID
$48,524
$4,852
$4,688
46
clean
PUNCTURE DRAINAGE OF LESION
$10,433
$1,043
$792
46
clean
DEBRIDE INFECTED SKIN
$31,982
$3,198
$858
46
clean
DEBRIDE SKIN/MUSCLE, FX
$64,368
$6,437
$4,458
46
clean
DEBRIDE SKIN/MUSCLE/BONE, FX
$43,778
$4,378
$4,118
46
clean
DEBRIDE SKIN/TISSUE
$11,069
$1,107
$823
46
clean
DEBRIDE TISSUE/MUSCLE
$23,859
$2,386
$1,560
46
clean
DEBRIDE TISSUE/MUSCLE/BONE
$26,437
$2,644
$2,419
46
clean
DBRDMT SUBQ TISS EACH ADDL
$21,926
$2,193
$13,828
30
clean
DBRDMT MUSC&/FSCA EA ADDL
$20,871
$2,087
$13,357
30
clean
DBRDMT BONE EACH ADDL
$23,334
$2,333
$14,272
30
clean
TRIM SKIN LESION
$9,107
$911
$581
45
clean
PUNCH BX SKIN SINGLE LESION
$25,261
$2,526
$1,177
45
clean
INCAL BX SKN SINGLE LES
$32,450
$3,245
$2,139
45
clean
INCAL BX SKN EA SEP/ADDL
$32,450
$3,245
$21,904
24
clean
REMOVAL OF SKIN TAGS
$24,264
$2,426
$424
46
clean
SHAVE SKIN LESION
$42,461
$4,246
$3,868
45
clean
REMOVAL OF SKIN LESION
$27,225
$2,722
$1,495
46
clean
REMOVAL OF SKIN LESION
$25,244
$2,524
$858
46
clean
REMOVAL OF SKIN LESION
$25,415
$2,542
$1,495
46
clean
REMOVAL OF SKIN LESION
$28,299
$2,830
$1,495
46
clean
REMOVAL OF SKIN LESION
$31,505
$3,151
$2,672
46
clean
REMOVAL OF SKIN LESION
$31,317
$3,132
$2,663
46
clean
REMOVAL OF SKIN LESION
$16,798
$1,680
$1,310
46
clean
REMOVAL OF SKIN LESION
$23,639
$2,364
$2,279
46
clean
REMOVAL OF SKIN LESION
$21,174
$2,117
$2,191
46
clean
REMOVAL OF SKIN LESION
$20,373
$2,037
$2,191
46
clean
REMOVAL OF SKIN LESION
$36,673
$3,667
$3,854
46
clean
REMOVAL OF SKIN LESION
$33,434
$3,343
$1,495
46
clean
REMOVAL OF SKIN LESION
$16,572
$1,657
$1,299
46
clean
REMOVAL OF SKIN LESION
$33,284
$3,328
$1,495
46
clean
REMOVAL OF SKIN LESION
$38,315
$3,832
$3,013
46
clean
REMOVAL OF SKIN LESION
$40,984
$4,098
$3,146
46
clean
REMOVAL OF SKIN LESION
$36,772
$3,677
$2,551
46
clean
REMOVAL OF SKIN LESION
$17,705
$1,771
$1,356
46
clean
REMOVAL OF SKIN LESION
$32,627
$3,263
$1,495
46
clean
REMOVAL OF SKIN LESION
$39,841
$3,984
$3,089
46
clean
REMOVAL OF SKIN LESION
$27,691
$2,769
$1,495
46
clean
REMOVAL OF SKIN LESION
$37,811
$3,781
$2,987
46
clean
REMOVAL OF SKIN LESION
$27,344
$2,734
$3,854
46
clean
REMOVAL OF SKIN LESION
$45,517
$4,552
$3,605
46
clean
REMOVAL OF SKIN LESION
$29,049
$2,905
$1,495
46
clean
REMOVAL OF SKIN LESION
$26,600
$2,660
$2,427
46
clean
REMOVAL OF SKIN LESION
$28,162
$2,816
$2,505
46
clean
REMOVAL OF SKIN LESION
$14,750
$1,475
$3,854
46
clean
REMOVAL OF NAIL PLATE
$6,227
$623
$424
46
clean
DRAIN BLOOD FROM UNDER NAIL
$3,259
$326
$251
46
clean
REPAIR OF NAIL BED
$20,853
$2,085
$1,533
46
clean
REMOVAL OF PILONIDAL LESION
$32,727
$3,273
$3,854
46
clean
INJECTION INTO SKIN LESIONS
$14,225
$1,422
$424
46
clean
REMOVE DRUG IMPLANT DEVICE
$52,372
$5,237
$4,795
45
clean
REPAIR SUPERFICIAL WOUND(S)
$5,831
$583
$424
46
clean
REPAIR SUPERFICIAL WOUND(S)
$9,171
$917
$424
46
clean
REPAIR SUPERFICIAL WOUND(S)
$15,098
$1,510
$424
46
clean
REPAIR SUPERFICIAL WOUND(S)
$28,301
$2,830
$858
46
clean
REPAIR SUPERFICIAL WOUND(S)
$9,310
$931
$424
46
clean
REPAIR SUPERFICIAL WOUND(S)
$22,862
$2,286
$424
46
clean
REPAIR SUPERFICIAL WOUND(S)
$21,909
$2,191
$424
46
clean
REPAIR SUPERFICIAL WOUND(S)
$39,787
$3,979
$2,238
46
clean
LAYER CLOSURE OF WOUND(S)
$23,567
$2,357
$858
46
clean
LAYER CLOSURE OF WOUND(S)
$29,548
$2,955
$858
46
clean
LAYER CLOSURE OF WOUND(S)
$6,929
$693
$616
46
clean
LAYER CLOSURE OF WOUND(S)
$2,627
$263
$981
46
clean
LAYER CLOSURE OF WOUND(S)
$31,995
$3,200
$858
46
clean
LAYER CLOSURE OF WOUND(S)
$51,078
$5,108
$3,924
46
clean
LAYER CLOSURE OF WOUND(S)
$42,268
$4,227
$2,800
46
clean
LAYER CLOSURE OF WOUND(S)
$23,200
$2,320
$858
46
clean
LAYER CLOSURE OF WOUND(S)
$37,887
$3,789
$2,602
46
clean
LAYER CLOSURE OF WOUND(S)
$56,575
$5,658
$3,447
46
clean
REPAIR OF WOUND OR LESION
$41,674
$4,167
$3,499
46
clean
REPAIR WOUND/LESION ADD-ON
$37,439
$3,744
$20,479
30
clean
REPAIR OF WOUND OR LESION
$31,787
$3,179
$858
46
clean
REPAIR OF WOUND OR LESION
$26,709
$2,671
$858
46
clean
REPAIR WOUND/LESION ADD-ON
$31,225
$3,122
$17,858
30
clean
REPAIR OF WOUND OR LESION
$31,345
$3,135
$858
46
clean
REPAIR OF WOUND OR LESION
$4,124
$412
$539
46
clean
REPAIR OF WOUND OR LESION
$33,078
$3,308
$1,560
46
clean
REPAIR OF WOUND OR LESION
$39,315
$3,932
$3,392
46
clean
LATE CLOSURE OF WOUND
$30,228
$3,023
$4,702
46
clean
SKIN TISSUE REARRANGEMENT
$61,088
$6,109
$5,878
46
clean
SKIN TISSUE REARRANGEMENT
$31,122
$3,112
$2,926
46
clean
WOUND PREP F/N/HF/G
$38,255
$3,825
$2,618
46
clean
SKIN SPLIT GRAFT
$46,111
$4,611
$4,520
46
clean
SKIN SPLIT GRAFT
$50,611
$5,061
$4,884
46
clean
SKIN FULL GRAFT
$61,088
$6,109
$5,878
46
clean
SKIN FULL GRAFT
$37,043
$3,704
$3,222
46
clean
SKIN FULL GRAFT
$36,476
$3,648
$3,194
46
clean
SKIN SUB GRAFT TRNK/ARM/LEG
$13,994
$1,399
$1,769
44
clean
SKIN SUB GRAFT FACE/NK/HF/G
$37,861
$3,786
$3,134
43
clean
SKIN SUB GRAFT F/N/HF/G ADDL
$31,301
$3,130
$17,880
30
clean
REVISION OF UPPER EYELID
$42,728
$4,273
$3,507
46
clean
EXC EXCESSIVE SKIN ABDOMEN
$97,698
$9,770
$9,717
46
clean
EXC SKIN ABD ADD-ON
$103,470
$10,347
$72,429
23
clean
RMV SUTURE OR STAPLE
$556
$56
$395
24
clean
RMV SUTURE AND STAPL
$556
$56
$395
24
clean
TREATMENT OF BURN(S)
$8,472
$847
$581
45
clean
CHEMICAL CAUTERY, TISSUE
$6,422
$642
$2,031
40
clean
REMOVAL OF BREAST LESION
$32,225
$3,223
$5,195
46
clean
MASTECTOMY FOR GYNECOMASTIA
$33,126
$3,313
$5,195
46
clean
PARTIAL MASTECTOMY
$46,649
$4,665
$5,195
46
clean
MAST SIMPLE COMPLETE
$123,241
$12,324
$12,150
46
clean
MAST MOD RAD
$92,602
$9,260
$9,231
46
clean
REDUCTION OF LARGE BREAST
$90,812
$9,081
$9,061
46
clean
CORRECT INVERTED NIPPLE(S)
$36,509
$3,651
$14,421
40
clean
REMOVAL OF BREAST CAPSULE
$48,591
$4,859
$5,195
46
clean
EXPLORE WOUND, CHEST
$39,922
$3,992
$3,366
46
clean
REMOVAL OF FOREIGN BODY
$20,109
$2,011
$3,854
46
clean
INJECT TENDON/LIGAMENT/CYST
$20,577
$2,058
$648
46
clean
NJX 1/MLT TRIGGER POINT 1/2
$18,986
$1,899
$648
46
clean
NDL WO INJ 1 2 M PT
$367
$37
$123
86
clean
NDL WO INJ 3PL M PT
$367
$37
$123
86
clean
DRAIN/INJECT, JOINT/BURSA
$20,014
$2,001
$648
46
clean
DRAIN/INJECT, JOINT/BURSA
$21,048
$2,105
$648
46
clean
DRAIN/INJECT, JOINT/BURSA
$8,546
$855
$631
46
clean
REMOVAL OF SUPPORT IMPLANT
$49,904
$4,990
$4,424
46
clean
APPLY BONE FIXATION DEVICE
$80,923
$8,092
$11,740
44
clean
APPLY BONE FIXATION DEVICE
$157,904
$15,790
$17,015
44
clean
REMOVE BONE FIXATION DEVICE
$48,567
$4,857
$4,624
46
clean
REMOVAL OF BONE FOR GRAFT
$118,734
$11,873
$11,758
46
clean
EXC FACE LES SBQ 2 CM/>
$46,133
$4,613
$4,496
46
clean
EXC FACE TUM DEEP 2 CM/>
$36,923
$3,692
$3,854
46
clean
TREATMENT OF NOSE FRACTURE
$25,125
$2,513
$2,287
46
clean
TREATMENT OF NOSE FRACTURE
$35,157
$3,516
$4,399
46
clean
TREATMENT OF NOSE FRACTURE
$31,027
$3,103
$4,399
46
clean
TREAT NASAL SEPTAL FRACTURE
$58,600
$5,860
$5,787
46
clean
DRAIN NECK/CHEST LESION
$17,410
$1,741
$3,854
46
clean
EXC NECK LES SC 3 CM/>
$29,582
$2,958
$3,854
46
clean
EXC NECK TUM DEEP 5 CM/>
$23,617
$2,362
$3,854
46
clean
REMOVE LESION, BACK OR FLANK
$18,971
$1,897
$2,191
46
clean
EXC BACK LES SC 3 CM/>
$33,883
$3,388
$2,791
46
clean
ABDOMEN SURGERY PROCEDURE
$25,159
$2,516
$1,936
44
clean
REMOVAL OF SHOULDER LESION
$41,369
$4,137
$3,165
46
clean
INJECTION FOR SHOULDER X-RAY
$13,617
$1,362
$9,273
24
clean
REPAIR OF TENDON(S)
$97,220
$9,722
$9,709
46
clean
REPAIR BICEPS TENDON
$69,296
$6,930
$9,627
46
clean
RECONSTRUCT SHOULDER JOINT
$192,229
$19,223
$23,238
44
clean
TREAT CLAVICLE FRACTURE
$65,884
$6,588
$11,740
44
clean
TREAT HUMERUS FRACTURE
$83,248
$8,325
$11,740
44
clean
TREAT SHOULDER DISLOCATION
$10,958
$1,096
$521
46
clean
TREAT SHOULDER DISLOCATION
$11,826
$1,183
$2,133
46
clean
FIXATION OF SHOULDER
$12,976
$1,298
$2,133
46
clean
REMOVAL OF ELBOW BURSA
$27,014
$2,701
$4,341
46
clean
REPAIR ARM TENDON/MUSCLE
$49,765
$4,977
$9,627
46
clean
REPAIR OF RUPTURED TENDON
$49,692
$4,969
$9,627
46
clean
REPR ELBOW LAT LIGMNT W/TISS
$80,811
$8,081
$7,900
46
clean
RECONSTRUCT ELBOW LAT LIGMNT
$80,811
$8,081
$11,740
44
clean
REPAIR ELBOW DEB/ATTCH OPEN
$22,792
$2,279
$4,341
46
clean
TREAT HUMERUS FRACTURE
$3,335
$334
$1,761
46
clean
TREAT HUMERUS FRACTURE
$33,430
$3,343
$9,627
46
clean
TREAT ELBOW DISLOCATION
$8,573
$857
$542
46
clean
TREAT ELBOW DISLOCATION
$11,846
$1,185
$2,133
46
clean
TREAT ELBOW DISLOCATION
$6,882
$688
$688
45
clean
TREAT ULNAR FRACTURE
$79,429
$7,943
$11,740
44
clean
INCISION OF TENDON SHEATH
$65,261
$6,526
$6,105
46
clean
REMOVE WRIST TENDON LESION
$23,071
$2,307
$2,221
46
clean
REMOVE WRIST/FOREARM LESION
$16,720
$1,672
$4,341
46
clean
REMOVE & GRAFT WRIST LESION
$28,242
$2,824
$9,627
46
clean
REMOVAL OF WRIST BONE
$102,788
$10,279
$9,707
46
clean
REMOVAL OF WRIST BONES
$27,900
$2,790
$4,341
46
clean
PARTIAL REMOVAL OF ULNA
$118,734
$11,873
$11,150
46
clean
REPAIR FOREARM TENDON/MUSCLE
$43,769
$4,377
$4,361
46
clean
INCISE WRIST/FOREARM TENDON
$25,869
$2,587
$4,341
46
clean
TRANSPLANT FOREARM TENDON
$74,635
$7,463
$7,311
46
clean
REPAIR/REVISE WRIST JOINT
$48,873
$4,887
$9,627
46
clean
REVISE WRIST JOINT
$102,788
$10,279
$9,875
44
clean
SHORTEN RADIUS OR ULNA
$69,415
$6,942
$11,740
44
clean
REPAIR RADIUS OR ULNA
$39,435
$3,944
$11,740
44
clean
REPAIR/GRAFT WRIST BONE
$56,352
$5,635
$9,627
46
clean
REPAIR WRIST JOINT(S)
$55,915
$5,591
$5,528
46
clean
TREAT FRACTURE OF RADIUS
$15,838
$1,584
$2,133
46
clean
TREAT FRACTURE OF RADIUS
$88,735
$8,873
$11,740
44
clean
TREAT FRACTURE OF ULNA
$51,159
$5,116
$11,740
44
clean
TREAT FRACTURE RADIUS & ULNA
$14,687
$1,469
$2,133
46
clean
TREAT FRACTURE RADIUS/ULNA
$94,556
$9,456
$11,740
44
clean
TREAT FRACTURE RADIUS/ULNA
$14,115
$1,411
$2,133
46
clean
PERQ SKEL FIXJ DSTL RDL FX
$26,844
$2,684
$4,341
46
clean
OPTX DST RD XARTC FX/EPI SEP
$46,530
$4,653
$11,740
44
clean
OPTX DST RD XART FX/EPI SEP2
$74,955
$7,496
$11,740
44
clean
OPTX DST RD XART FX/EP SEP3+
$66,611
$6,661
$11,740
44
clean
FUSION/GRAFT OF WRIST JOINT
$118,734
$11,873
$17,015
44
clean
DRAINAGE OF FINGER ABSCESS
$6,653
$665
$581
45
clean
INCISE FINGER TENDON SHEATH
$19,525
$1,952
$2,133
46
clean
BIOPSY FINGER JOINT LINING
$23,677
$2,368
$2,252
46
clean
EXC HAND LES SC 1.5 CM/>
$33,005
$3,301
$2,747
46
clean
REMOVAL OF HAND LESION
$22,431
$2,243
$2,218
46
clean
RELEASE PALM CONTRACTURE
$40,335
$4,034
$4,341
46
clean
RELEASE PALM CONTRACTURE
$33,515
$3,351
$4,341
46
clean
RELEASE PALM CONTRACTURE
$41,088
$4,109
$22,475
30
clean
TENDON EXCISION, PALM/FINGER
$24,130
$2,413
$2,274
46
clean
REMOVE TENDON SHEATH LESION
$22,467
$2,247
$2,191
46
clean
REMOVE/GRAFT FINGER LESION
$24,084
$2,408
$4,341
46
clean
PARTIAL REMOVAL, FINGER BONE
$21,345
$2,135
$2,135
46
clean
REMOVAL OF IMPLANT FROM HAND
$20,027
$2,003
$2,191
46
clean
REPAIR/GRAFT HAND TENDON
$23,723
$2,372
$9,627
46
clean

Showing the first 200 of 2,750 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT Q4433/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $230
CPT T5999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $676 exceeds the gross charge $298
CPT 88184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,520 exceeds the gross charge $1,502
CPT U0001/o
warn
mrf_negotiated_above_gross
highest negotiated rate $144 exceeds the gross charge $139
CPT U0002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $205 exceeds the gross charge $199
CPT 88302/o
warn
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $122
CPT 88307/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,520 exceeds the gross charge $1,502
CPT 82653/o
warn
mrf_negotiated_above_gross
highest negotiated rate $92 exceeds the gross charge $69
CPT 88309/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,417 exceeds the gross charge $3,331
CPT C9600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $48,959 exceeds the gross charge $31,665
CPT C9604/o
warn
mrf_negotiated_above_gross
highest negotiated rate $48,959 exceeds the gross charge $44,828
CPT 88313/o
warn
mrf_negotiated_above_gross
highest negotiated rate $564 exceeds the gross charge $178
CPT 88321/o
warn
mrf_negotiated_above_gross
highest negotiated rate $283 exceeds the gross charge $178
CPT 59025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $857 exceeds the gross charge $563
CPT G0396/o
warn
mrf_negotiated_above_gross
highest negotiated rate $676 exceeds the gross charge $88
CPT 88377/o
warn
mrf_negotiated_above_gross
highest negotiated rate $936 exceeds the gross charge $761
CPT G0397/o
warn
mrf_negotiated_above_gross
highest negotiated rate $753 exceeds the gross charge $173
CPT 60100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,003 exceeds the gross charge $1,569
CPT 89220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $723 exceeds the gross charge $322
CPT 75571/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,655 exceeds the gross charge $803
CPT J0248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $9
CPT 90662/o
warn
mrf_negotiated_above_gross
highest negotiated rate $98 exceeds the gross charge $95
CPT 83864/o
warn
mrf_negotiated_above_gross
highest negotiated rate $114 exceeds the gross charge $28
CPT 75630/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,391 exceeds the gross charge $11,458
CPT 24535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,820 exceeds the gross charge $3,335
CPT 90935/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,911 exceeds the gross charge $2,181
CPT 76014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,691 exceeds the gross charge $129
CPT 76015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,691 exceeds the gross charge $129
CPT 92653/o
warn
mrf_negotiated_above_gross
highest negotiated rate $916 exceeds the gross charge $871
CPT 76377/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,655 exceeds the gross charge $1,210
CPT J0630/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,263 exceeds the gross charge $1,145
CPT 92928/o
warn
mrf_negotiated_above_gross
highest negotiated rate $48,959 exceeds the gross charge $42,466
CPT 25135/o
warn
mrf_negotiated_above_gross
highest negotiated rate $30,774 exceeds the gross charge $28,242
CPT 92953/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,803 exceeds the gross charge $1,978
CPT 76642/o
warn
mrf_negotiated_above_gross
highest negotiated rate $982 exceeds the gross charge $962
CPT J0714/o
warn
mrf_negotiated_above_gross
highest negotiated rate $286 exceeds the gross charge $240
CPT 31720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $875
CPT J0841/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,446 exceeds the gross charge $1,059
CPT 33249/o
warn
mrf_negotiated_above_gross
highest negotiated rate $133,121 exceeds the gross charge $52,189
CPT 10081/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,003 exceeds the gross charge $2,921
CPT J1451/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $6
CPT 76937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $982 exceeds the gross charge $827
CPT J1610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $450 exceeds the gross charge $438
CPT 86015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $48 exceeds the gross charge $46
CPT 77063/o
warn
mrf_negotiated_above_gross
highest negotiated rate $490 exceeds the gross charge $177
CPT 86258/o
warn
mrf_negotiated_above_gross
highest negotiated rate $48 exceeds the gross charge $46
CPT 94002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,620 exceeds the gross charge $2,164
CPT 26352/o
warn
mrf_negotiated_above_gross
highest negotiated rate $30,774 exceeds the gross charge $23,723
CPT 94003/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,620 exceeds the gross charge $2,164
CPT 94010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $916 exceeds the gross charge $640
CPT 94060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,583 exceeds the gross charge $1,169
CPT 36903/o
warn
mrf_negotiated_above_gross
highest negotiated rate $48,959 exceeds the gross charge $48,245
CPT J2182/o
warn
mrf_negotiated_above_gross
highest negotiated rate $87 exceeds the gross charge $43
CPT 94070/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,583 exceeds the gross charge $1,169
CPT 94610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $875
CPT 94618/o
warn
mrf_negotiated_above_gross
highest negotiated rate $564 exceeds the gross charge $493
CPT 71271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,655 exceeds the gross charge $395
CPT 86581/o
warn
mrf_negotiated_above_gross
highest negotiated rate $368 exceeds the gross charge $230
CPT 94621/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,583 exceeds the gross charge $1,169
CPT 37195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,401 exceeds the gross charge $995
CPT 94640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $875
CPT 94644/o
warn
mrf_negotiated_above_gross
highest negotiated rate $564 exceeds the gross charge $493
CPT 94660/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $875
CPT 94664/o
warn
mrf_negotiated_above_gross
highest negotiated rate $929 exceeds the gross charge $875
CPT 94667/o
warn
mrf_negotiated_above_gross
highest negotiated rate $564 exceeds the gross charge $493
CPT 94668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $564 exceeds the gross charge $493
CPT 94726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,583 exceeds the gross charge $1,169
CPT J2690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $941 exceeds the gross charge $544
CPT 86830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $382 exceeds the gross charge $144
CPT J2785/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $24
CPT 86831/o
warn
mrf_negotiated_above_gross
highest negotiated rate $328 exceeds the gross charge $123
CPT 26785/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,877 exceeds the gross charge $12,431
CPT 78610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,303 exceeds the gross charge $2,090
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,520 exceeds the gross charge $1,502
CPT 86880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $178
CPT J3101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $510 exceeds the gross charge $168
CPT 27134/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54,449 exceeds the gross charge $47,942
CPT 86902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,520 exceeds the gross charge $1,502
CPT J3300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $35
CPT 86904/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $178
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,520 exceeds the gross charge $1,502
CPT 97602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $851 exceeds the gross charge $699
CPT 97605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $851 exceeds the gross charge $507
CPT 12036/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,134 exceeds the gross charge $2,627
CPT 86921/o
warn
mrf_negotiated_above_gross
highest negotiated rate $723 exceeds the gross charge $380
CPT 97606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,724 exceeds the gross charge $658
CPT J3424/o
warn
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $6
CPT 97607/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,724 exceeds the gross charge $1,488
CPT 86923/o
warn
mrf_negotiated_above_gross
highest negotiated rate $723 exceeds the gross charge $625
CPT 86950/o
warn
mrf_negotiated_above_gross
highest negotiated rate $723 exceeds the gross charge $621
CPT 86970/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $178
CPT 99195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $564 exceeds the gross charge $505
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $676 exceeds the gross charge $622
CPT 99282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,456 exceeds the gross charge $1,108
CPT 86978/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $178
CPT 99283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,944 exceeds the gross charge $1,694
CPT 81162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,300 exceeds the gross charge $2,000
CPT 99284/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,595 exceeds the gross charge $2,700
CPT 99406/o
warn
mrf_negotiated_above_gross
highest negotiated rate $159 exceeds the gross charge $143
CPT P9012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $308 exceeds the gross charge $268
CPT 99407/o
warn
mrf_negotiated_above_gross
highest negotiated rate $159 exceeds the gross charge $143
CPT 47000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,004 exceeds the gross charge $3,048
CPT 81329/o
warn
mrf_negotiated_above_gross
highest negotiated rate $548 exceeds the gross charge $411
CPT 87428/o
warn
mrf_negotiated_above_gross
highest negotiated rate $281 exceeds the gross charge $176
CPT A9521/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,533 exceeds the gross charge $1,950
CPT 87467/o
warn
mrf_negotiated_above_gross
highest negotiated rate $101 exceeds the gross charge $62
CPT 81408/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,000 exceeds the gross charge $2,000
CPT 81435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,216 exceeds the gross charge $1,755
CPT 15853/o
warn
mrf_negotiated_above_gross
highest negotiated rate $676 exceeds the gross charge $556
CPT 81450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,038 exceeds the gross charge $1,519
CPT 15854/o
warn
mrf_negotiated_above_gross
highest negotiated rate $676 exceeds the gross charge $556
CPT 81479/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,010 exceeds the gross charge $199
CPT Q4101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $248
CPT 81513/o
warn
mrf_negotiated_above_gross
highest negotiated rate $571 exceeds the gross charge $428
CPT Q4110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $482
CPT 87811/o
warn
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $0
CPT Q4195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $528 exceeds the gross charge $504
warn
mrf_rate_without_estimate
9,958 of 9,958 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 28289/o
info
mrf_cash_under_tenth_of_gross
cash price $2,375 is 10% of the gross charge $23,746
CPT 51600/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 10% of the gross charge $229
CPT 82180/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 10% of the gross charge $53
CPT 88172/o
info
mrf_cash_under_tenth_of_gross
cash price $76 is 10% of the gross charge $761
CPT 51701/o
info
mrf_cash_under_tenth_of_gross
cash price $2,925 is 10% of the gross charge $29,255
CPT 82232/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 10% of the gross charge $86
CPT 20101/o
info
mrf_cash_under_tenth_of_gross
cash price $3,992 is 10% of the gross charge $39,922
CPT 28291/o
info
mrf_cash_under_tenth_of_gross
cash price $6,952 is 10% of the gross charge $69,521
CPT 82271/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 10% of the gross charge $28
CPT 88173/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 10% of the gross charge $262
CPT 82306/o
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $156
CPT 82308/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $142
CPT 28297/o
info
mrf_cash_under_tenth_of_gross
cash price $9,944 is 10% of the gross charge $99,439
CPT 82310/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 10% of the gross charge $28
CPT 82330/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 10% of the gross charge $73
CPT 88184/o
info
mrf_cash_under_tenth_of_gross
cash price $150 is 10% of the gross charge $1,502
CPT 28299/o
info
mrf_cash_under_tenth_of_gross
cash price $5,708 is 10% of the gross charge $57,077
CPT 56405/o
info
mrf_cash_under_tenth_of_gross
cash price $208 is 10% of the gross charge $2,083
CPT 82373/o
info
mrf_cash_under_tenth_of_gross
cash price $34 is 10% of the gross charge $340
CPT U0002/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $199
CPT 82378/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 10% of the gross charge $101
CPT 88230/o
info
mrf_cash_under_tenth_of_gross
cash price $62 is 10% of the gross charge $618
CPT 20600/o
info
mrf_cash_under_tenth_of_gross
cash price $2,001 is 10% of the gross charge $20,014
CPT 57135/o
info
mrf_cash_under_tenth_of_gross
cash price $5,153 is 10% of the gross charge $51,526
CPT 82380/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $138
CPT 88233/o
info
mrf_cash_under_tenth_of_gross
cash price $75 is 10% of the gross charge $746
CPT 28322/o
info
mrf_cash_under_tenth_of_gross
cash price $4,021 is 10% of the gross charge $40,205
CPT 82465/o
info
mrf_cash_under_tenth_of_gross
cash price $2 is 10% of the gross charge $23
CPT 88275/o
info
mrf_cash_under_tenth_of_gross
cash price $27 is 10% of the gross charge $272
CPT 20605/o
info
mrf_cash_under_tenth_of_gross
cash price $2,105 is 10% of the gross charge $21,048
CPT 57520/o
info
mrf_cash_under_tenth_of_gross
cash price $2,500 is 10% of the gross charge $24,996
CPT 73722/o
info
mrf_cash_under_tenth_of_gross
cash price $1,666 is 10% of the gross charge $16,658
CPT 82480/o
info
mrf_cash_under_tenth_of_gross
cash price $4 is 10% of the gross charge $41
CPT 88300/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 10% of the gross charge $122
CPT 82495/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 10% of the gross charge $107
CPT 57522/o
info
mrf_cash_under_tenth_of_gross
cash price $2,435 is 10% of the gross charge $24,354
CPT 82507/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 10% of the gross charge $147
CPT 82525/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 10% of the gross charge $66
CPT 88302/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 10% of the gross charge $122
CPT 20690/o
info
mrf_cash_under_tenth_of_gross
cash price $8,092 is 10% of the gross charge $80,923
CPT 74019/o
info
mrf_cash_under_tenth_of_gross
cash price $157 is 10% of the gross charge $1,566
CPT 82533/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 10% of the gross charge $86
CPT 58300/o
info
mrf_cash_under_tenth_of_gross
cash price $2,279 is 10% of the gross charge $22,792
CPT 82542/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $127
CPT 88304/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 10% of the gross charge $262
CPT 28615/o
info
mrf_cash_under_tenth_of_gross
cash price $4,302 is 10% of the gross charge $43,018
CPT 58301/o
info
mrf_cash_under_tenth_of_gross
cash price $3,489 is 10% of the gross charge $34,891
CPT 82550/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 10% of the gross charge $34
CPT 74022/o
info
mrf_cash_under_tenth_of_gross
cash price $157 is 10% of the gross charge $1,566
CPT 82553/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 10% of the gross charge $61
CPT 88305/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 10% of the gross charge $262
CPT 20902/o
info
mrf_cash_under_tenth_of_gross
cash price $11,873 is 10% of the gross charge $118,734
CPT 58552/o
info
mrf_cash_under_tenth_of_gross
cash price $8,225 is 10% of the gross charge $82,252
CPT 82570/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 10% of the gross charge $28
CPT 28730/o
info
mrf_cash_under_tenth_of_gross
cash price $21,968 is 10% of the gross charge $219,676
CPT 74150/o
info
mrf_cash_under_tenth_of_gross
cash price $581 is 10% of the gross charge $5,809
CPT 82595/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 10% of the gross charge $34
CPT 82652/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $204
CPT 88307/o
info
mrf_cash_under_tenth_of_gross
cash price $150 is 10% of the gross charge $1,502
CPT 21014/o
info
mrf_cash_under_tenth_of_gross
cash price $3,692 is 10% of the gross charge $36,923
CPT 28750/o
info
mrf_cash_under_tenth_of_gross
cash price $7,808 is 10% of the gross charge $78,080
CPT 58558/o
info
mrf_cash_under_tenth_of_gross
cash price $3,883 is 10% of the gross charge $38,828
CPT 74170/o
info
mrf_cash_under_tenth_of_gross
cash price $1,539 is 10% of the gross charge $15,393
CPT 82653/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 10% of the gross charge $69
CPT 58561/o
info
mrf_cash_under_tenth_of_gross
cash price $3,299 is 10% of the gross charge $32,994
CPT 82656/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 10% of the gross charge $61
CPT 82670/o
info
mrf_cash_under_tenth_of_gross
cash price $36 is 10% of the gross charge $358
CPT 88312/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 10% of the gross charge $262
CPT 21325/o
info
mrf_cash_under_tenth_of_gross
cash price $3,103 is 10% of the gross charge $31,027
CPT 82681/o
info
mrf_cash_under_tenth_of_gross
cash price $110 is 10% of the gross charge $1,103
CPT C9604/o
info
mrf_cash_under_tenth_of_gross
cash price $4,483 is 10% of the gross charge $44,828
CPT 58563/o
info
mrf_cash_under_tenth_of_gross
cash price $3,673 is 10% of the gross charge $36,728
CPT 74176/o
info
mrf_cash_under_tenth_of_gross
cash price $1,179 is 10% of the gross charge $11,791
CPT 82728/o
info
mrf_cash_under_tenth_of_gross
cash price $7 is 10% of the gross charge $73
CPT 21337/o
info
mrf_cash_under_tenth_of_gross
cash price $5,860 is 10% of the gross charge $58,600
CPT 82746/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 10% of the gross charge $78
CPT D7210/o
info
mrf_cash_under_tenth_of_gross
cash price $6,556 is 10% of the gross charge $65,560
CPT 58571/o
info
mrf_cash_under_tenth_of_gross
cash price $9,653 is 10% of the gross charge $96,526
CPT 82775/o
info
mrf_cash_under_tenth_of_gross
cash price $11 is 10% of the gross charge $111
CPT 21501/o
info
mrf_cash_under_tenth_of_gross
cash price $1,741 is 10% of the gross charge $17,410
CPT 74178/o
info
mrf_cash_under_tenth_of_gross
cash price $1,539 is 10% of the gross charge $15,393
CPT 58661/o
info
mrf_cash_under_tenth_of_gross
cash price $4,674 is 10% of the gross charge $46,743

Showing the first 200 of 1,955 findings, errors first — every finding as JSON →

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-wide · 54.0M bytes · fetched 2026-08-26 · sha256 7a7de6dcbadd…

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.