Hospital · CCN 330059
Montefiore Medical Center
111 East 210th Street, Bronx, NY 10467 · Bronx County
Part of Montefiore Medical Center · 1,444 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
188 admission types 59 outpatient services price file: ok 2 Medicare-file findings
Billed per dollar paid, all admissions
6.14×
$1,860.3M billed against $302.8M paid across 9,060 Medicare discharges; the national figure is 5.03×.
—
of adults in Bronx County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
7.3%
uninsured in the county · state 5.7%
$47K
median household income
4.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 in the inpatient or outpatient file)ⓘ
33.5%
obesity in the countyⓘ
16.1%
diagnosed diabetes (PLACES)
7.0%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
995
$212,310
$31,878
6.7× st 4.8×
291
Heart failure and shock with mcc
390
$169,882
$24,163
7.0× st 5.1×
312
Syncope and collapse
198
$81,317
$13,478
6.0× st 5.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
190
$519,773
$79,572
6.5× st 4.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
186
$121,570
$31,015
3.9× st 4.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
182
$159,998
$23,332
6.9× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
160
$81,121
$13,616
6.0× st 5.2×
870
Septicemia or severe sepsis with mv >96 hours
155
$541,663
$97,578
5.6× st 4.3×
698
Other kidney and urinary tract diagnoses with mcc
152
$197,267
$28,638
6.9× st 4.9×
193
Simple pneumonia and pleurisy with mcc
142
$130,765
$21,718
6.0× st 4.9×
177
Respiratory infections and inflammations with mcc
136
$152,658
$25,504
6.0× st 4.9×
189
Pulmonary edema and respiratory failure
125
$147,948
$20,254
7.3× st 5.0×
699
Other kidney and urinary tract diagnoses with cc
124
$105,351
$16,076
6.6× st 5.4×
682
Renal failure with mcc
123
$144,962
$22,641
6.4× st 5.1×
683
Renal failure with cc
119
$100,000
$15,745
6.4× st 5.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
113
$238,819
$38,347
6.2× st 5.4×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
108
$396,289
$84,998
4.7× st 4.6×
690
Kidney and urinary tract infections without mcc
96
$87,179
$13,182
6.6× st 5.2×
314
Other circulatory system diagnoses with mcc
92
$192,585
$31,210
6.2× st 5.1×
689
Kidney and urinary tract infections with mcc
90
$122,425
$19,027
6.4× st 5.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
89
$106,707
$18,074
5.9× st 4.9×
300
Peripheral vascular disorders with cc
88
$110,124
$17,899
6.2× st 5.3×
378
Gastrointestinal hemorrhage with cc
88
$105,536
$16,531
6.4× st 5.5×
377
Gastrointestinal hemorrhage with mcc
88
$191,586
$28,617
6.7× st 5.3×
313
Chest pain
86
$69,431
$11,764
5.9× st 4.9×
811
Red blood cell disorders with mcc
80
$174,293
$24,376
7.2× st 5.4×
280
Acute myocardial infarction, discharged alive with mcc
79
$194,233
$26,136
7.4× st 4.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
78
$127,010
$15,819
8.0× st 5.7×
101
Seizures without mcc
76
$87,847
$15,061
5.8× st 5.3×
194
Simple pneumonia and pleurisy with cc
75
$87,266
$14,669
5.9× st 4.9×
100
Seizures with mcc
75
$183,154
$33,520
5.5× st 4.8×
393
Other digestive system diagnoses with mcc
74
$134,555
$23,499
5.7× st 5.4×
202
Bronchitis and asthma with cc/mcc
72
$89,393
$17,078
5.2× st 5.4×
603
Cellulitis without mcc
72
$84,740
$15,596
5.4× st 4.7×
637
Diabetes with mcc
71
$158,480
$22,674
7.0× st 4.8×
552
Medical back problems without mcc
70
$92,784
$15,601
5.9× st 5.3×
057
Degenerative nervous system disorders without mcc
67
$108,965
$21,172
5.1× st 4.7×
309
Cardiac arrhythmia and conduction disorders with cc
64
$93,248
$12,894
7.2× st 5.1×
884
Organic disturbances and intellectual disability
64
$150,088
$26,129
5.7× st 4.3×
394
Other digestive system diagnoses with cc
63
$91,860
$15,932
5.8× st 5.4×
638
Diabetes with cc
63
$101,139
$19,779
5.1× st 4.9×
299
Peripheral vascular disorders with mcc
60
$169,127
$24,097
7.0× st 5.6×
308
Cardiac arrhythmia and conduction disorders with mcc
60
$160,609
$19,908
8.1× st 5.4×
252
Other vascular procedures with mcc
58
$322,038
$59,516
5.4× st 4.8×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
58
$1,863,362
$334,930
5.6× st 5.2×
190
Chronic obstructive pulmonary disease with mcc
57
$106,480
$22,331
4.8× st 4.7×
812
Red blood cell disorders without mcc
51
$102,952
$16,269
6.3× st 5.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
51
$314,721
$39,255
8.0× st 5.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
51
$95,434
$14,335
6.7× st 4.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
49
$157,380
$25,873
6.1× st 4.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
49
$130,720
$19,622
6.7× st 5.4×
315
Other circulatory system diagnoses with cc
47
$116,296
$15,833
7.3× st 6.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
47
$82,106
$15,950
5.1× st 5.2×
149
Dysequilibrium
47
$65,422
$11,966
5.5× st 6.4×
074
Cranial and peripheral nerve disorders without mcc
47
$94,546
$16,232
5.8× st 6.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
46
$332,489
$48,043
6.9× st 4.8×
554
Bone diseases and arthropathies without mcc
46
$79,707
$13,775
5.8× st 6.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
44
$267,687
$43,038
6.2× st 4.9×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
43
$407,865
$64,632
6.3× st 5.0×
481
Hip and femur procedures except major joint with cc
43
$171,278
$30,503
5.6× st 4.8×
178
Respiratory infections and inflammations with cc
43
$114,249
$18,322
6.2× st 5.6×
274
Percutaneous and other intracardiac procedures without mcc
43
$150,482
$50,559
3.0× st 4.6×
305
Hypertension without mcc
42
$66,546
$12,087
5.5× st 5.3×
389
Gastrointestinal obstruction with cc
40
$106,009
$13,576
7.8× st 5.7×
948
Signs and symptoms without mcc
40
$81,056
$13,034
6.2× st 5.7×
270
Other major cardiovascular procedures with mcc
36
$601,377
$85,868
7.0× st 5.0×
025
Craniotomy and endovascular intracranial procedures with mcc
36
$534,169
$74,037
7.2× st 4.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
36
$142,154
$22,268
6.4× st 5.6×
281
Acute myocardial infarction, discharged alive with cc
35
$153,136
$18,851
8.1× st 5.1×
191
Chronic obstructive pulmonary disease with cc
35
$69,069
$14,705
4.7× st 4.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
35
$210,506
$22,989
9.2× st 6.1×
056
Degenerative nervous system disorders with mcc
34
$196,931
$34,996
5.6× st 5.3×
374
Digestive malignancy with mcc
34
$261,144
$39,125
6.7× st 6.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
33
$118,022
$20,040
5.9× st 5.7×
163
Major chest procedures with mcc
33
$399,572
$80,944
4.9× st 4.6×
602
Cellulitis with mcc
32
$151,797
$29,603
5.1× st 5.6×
813
Coagulation disorders
31
$183,664
$25,926
7.1× st 5.4×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
31
$458,982
$95,610
4.8× st 4.7×
304
Hypertension with mcc
31
$129,123
$18,640
6.9× st 5.6×
207
Respiratory system diagnosis with ventilator support >96 hours
31
$403,019
$82,043
4.9× st 4.4×
329
Major small and large bowel procedures with mcc
31
$617,304
$72,847
8.5× st 5.0×
467
Revision of hip or knee replacement with cc
30
$201,681
$48,464
4.2× st 4.3×
091
Other disorders of nervous system with mcc
30
$171,262
$32,595
5.3× st 5.5×
330
Major small and large bowel procedures with cc
30
$223,869
$43,487
5.1× st 4.9×
176
Pulmonary embolism without mcc
29
$91,996
$16,308
5.6× st 6.0×
069
Transient ischemia without thrombolytic
29
$85,678
$12,568
6.8× st 6.2×
092
Other disorders of nervous system with cc
28
$116,006
$16,470
7.0× st 5.8×
435
Malignancy of hepatobiliary system or pancreas with mcc
28
$260,510
$31,570
8.3× st 6.1×
432
Cirrhosis and alcoholic hepatitis with mcc
27
$384,651
$41,126
9.4× st 6.6×
164
Major chest procedures with cc
27
$170,760
$34,016
5.0× st 4.8×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
27
$1,114,431
$223,091
5.0× st 4.6×
919
Complications of treatment with mcc
26
$220,465
$31,659
7.0× st 5.2×
974
Hiv with major related condition with mcc
26
$379,689
$48,101
7.9× st 5.1×
196
Interstitial lung disease with mcc
26
$240,508
$30,293
7.9× st 5.9×
840
Lymphoma and non-acute leukemia with mcc
26
$338,391
$45,866
7.4× st 6.0×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
25
$244,493
$32,360
7.6× st 6.2×
073
Cranial and peripheral nerve disorders with mcc
25
$115,739
$33,598
3.4× st 5.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
24
$116,173
$14,406
8.1× st 3.7×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
24
$67,429
$12,166
5.5× st 5.8×
418
Laparoscopic cholecystectomy without c.d.e. with cc
24
$143,749
$25,604
5.6× st 5.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
24
$199,323
$39,582
5.0× st 5.2×
264
Other circulatory system o.r. procedures
24
$370,729
$54,721
6.8× st 5.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
24
$64,158
$10,323
6.2× st 5.4×
388
Gastrointestinal obstruction with mcc
24
$159,746
$24,244
6.6× st 6.0×
303
Atherosclerosis without mcc
24
$79,280
$11,260
7.0× st 6.3×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
23
$333,901
$54,895
6.1× st 5.0×
071
Other cerebrovascular disorders with cc
23
$97,840
$16,455
5.9× st 5.4×
652
Kidney transplant
22
$434,674
$44,619
9.7× st 7.6×
673
Other kidney and urinary tract procedures with mcc
22
$378,099
$60,649
6.2× st 5.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
22
$162,176
$29,625
5.5× st 4.8×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
22
$305,125
$63,501
4.8× st 4.2×
180
Respiratory neoplasms with mcc
22
$185,400
$27,393
6.8× st 5.9×
885
Psychoses
21
$249,453
$22,382
11.1× st 4.5×
834
Acute leukemia with mcc
21
$512,827
$80,111
6.4× st 5.0×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
21
$381,997
$58,049
6.6× st 5.7×
103
Headaches without mcc
21
$86,773
$13,516
6.4× st 6.8×
204
Respiratory signs and symptoms
21
$70,041
$14,241
4.9× st 6.0×
607
Minor skin disorders without mcc
21
$76,550
$13,429
5.7× st 5.8×
643
Endocrine disorders with mcc
21
$173,878
$25,245
6.9× st 5.8×
240
Amputation for circulatory system disorders except upper limb and toe with cc
21
$241,043
$41,496
5.8× st 5.0×
205
Other respiratory system diagnoses with mcc
21
$201,611
$34,623
5.8× st 6.0×
917
Poisoning and toxic effects of drugs with mcc
21
$177,536
$24,154
7.4× st 4.9×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
19
$576,013
$120,285
4.8× st 4.2×
854
Infectious and parasitic diseases with o.r. procedures with cc
18
$152,033
$44,849
3.4× st 5.0×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
18
$170,745
$20,655
8.3× st 5.6×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
18
$78,815
$14,063
5.6× st 4.9×
070
Other cerebrovascular disorders with mcc
18
$186,647
$26,478
7.0× st 5.3×
480
Hip and femur procedures except major joint with mcc
18
$207,869
$38,342
5.4× st 5.3×
444
Disorders of the biliary tract with mcc
18
$178,181
$33,358
5.3× st 5.9×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
18
$203,717
$47,233
4.3× st 5.9×
483
Major joint or limb reattachment procedures of upper extremities
18
$162,369
$33,303
4.9× st 4.5×
375
Digestive malignancy with cc
17
$127,108
$25,182
5.0× st 6.2×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
17
$203,148
$31,848
6.4× st 5.7×
659
Kidney and ureter procedures for non-neoplasm with mcc
17
$222,485
$44,233
5.0× st 5.5×
650
Kidney transplant with hemodialysis with mcc
17
$525,982
$56,153
9.4× st 6.7×
445
Disorders of the biliary tract with cc
17
$93,720
$16,595
5.6× st 5.8×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
16
$83,380
$16,870
4.9× st 5.4×
125
Other disorders of the eye without mcc
16
$78,840
$12,945
6.1× st 6.3×
082
Traumatic stupor and coma >1 hour with mcc
16
$236,732
$40,604
5.8× st 5.5×
253
Other vascular procedures with cc
16
$205,757
$46,645
4.4× st 4.8×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
16
$141,026
$15,672
9.0× st 6.9×
206
Other respiratory system diagnoses without mcc
15
$123,885
$16,313
7.6× st 7.2×
306
Cardiac congenital and valvular disorders with mcc
15
$303,064
$37,388
8.1× st 6.4×
593
Skin ulcers with cc
15
$104,559
$20,852
5.0× st 5.0×
545
Connective tissue disorders with mcc
15
$288,076
$33,641
8.6× st 6.1×
439
Disorders of pancreas except malignancy with cc
15
$126,421
$16,401
7.7× st 5.4×
920
Complications of treatment with cc
15
$112,677
$15,854
7.1× st 5.5×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
15
$157,903
$21,343
7.4× st 4.8×
054
Nervous system neoplasms with mcc
15
$216,750
$24,712
8.8× st 6.5×
914
Traumatic injury without mcc
14
$68,963
$14,006
4.9× st 5.5×
166
Other respiratory system o.r. procedures with mcc
14
$316,088
$56,341
5.6× st 5.3×
841
Lymphoma and non-acute leukemia with cc
13
$199,517
$21,761
9.2× st 6.1×
018
Chimeric antigen receptor (car) t-cell and other immunotherapies
13
$2,711,945
$439,122
6.2× st 4.4×
356
Other digestive system o.r. procedures with mcc
13
$405,636
$76,323
5.3× st 6.0×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
13
$129,602
$20,613
6.3× st 5.7×
644
Endocrine disorders with cc
13
$109,350
$14,459
7.6× st 6.1×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$492,866
$69,634
7.1× st 6.0×
331
Major small and large bowel procedures without cc/mcc
12
$143,411
$27,772
5.2× st 4.1×
866
Viral illness without mcc
12
$114,824
$15,715
7.3× st 6.9×
153
Otitis media and uri without mcc
12
$128,841
$15,729
8.2× st 6.6×
546
Connective tissue disorders with cc
12
$115,044
$18,424
6.2× st 7.6×
466
Revision of hip or knee replacement with mcc
12
$349,047
$80,727
4.3× st 5.0×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
12
$340,007
$49,076
6.9× st 5.0×
371
Major gastrointestinal disorders and peritoneal infections with mcc
12
$255,623
$27,920
9.2× st 6.2×
438
Disorders of pancreas except malignancy with mcc
12
$186,926
$26,604
7.0× st 5.9×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$84,395
$13,005
6.5× st 6.2×
436
Malignancy of hepatobiliary system or pancreas with cc
12
$161,687
$17,566
9.2× st 7.0×
553
Bone diseases and arthropathies with mcc
12
$125,055
$25,546
4.9× st 5.9×
592
Skin ulcers with mcc
12
$151,490
$31,398
4.8× st 5.2×
558
Tendonitis, myositis and bursitis without mcc
12
$119,132
$14,225
8.4× st 6.4×
236
Coronary bypass without cardiac catheterization without mcc
12
$247,757
$63,445
3.9× st 4.5×
478
Biopsies of musculoskeletal system and connective tissue with cc
11
$187,223
$32,978
5.7× st 6.0×
273
Percutaneous and other intracardiac procedures with mcc
11
$316,620
$52,877
6.0× st 5.2×
243
Permanent cardiac pacemaker implant with cc
11
$179,046
$31,211
5.7× st 5.0×
947
Signs and symptoms with mcc
11
$117,061
$17,902
6.5× st 6.5×
235
Coronary bypass without cardiac catheterization with mcc
11
$445,700
$95,061
4.7× st 4.3×
433
Cirrhosis and alcoholic hepatitis with cc
11
$158,289
$19,136
8.3× st 7.8×
311
Angina pectoris
11
$71,759
$13,244
5.4× st 5.4×
907
Other o.r. procedures for injuries with mcc
11
$357,756
$60,833
5.9× st 5.8×
536
Fractures of hip and pelvis without mcc
11
$88,212
$13,242
6.7× st 6.0×
580
Other skin, subcutaneous tissue and breast procedures with cc
11
$81,185
$17,832
4.6× st 5.7×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
11
$253,257
$31,943
7.9× st 6.7×
565
Other musculoskeletal system and connective tissue diagnoses with cc
11
$163,323
$17,789
9.2× st 5.7×
093
Other disorders of nervous system without cc/mcc
11
$72,602
$12,068
6.0× st 6.6×
551
Medical back problems with mcc
11
$265,885
$34,439
7.7× st 5.6×
203
Bronchitis and asthma without cc/mcc
11
$58,630
$13,058
4.5× st 4.5×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
11
$272,216
$26,439
10.3× st 6.8×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$192,265
$22,181
8.7× st 5.5×
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
5372
Level 2 Urology and Related Services
511
$1,852
$767
2.4×
5491
Level 1 Intraocular Procedures
387
$25,441
$2,614
9.7×
5191
Level 1 Endovascular Procedures
246
$43,554
$3,631
12.0×
5373
Level 3 Urology and Related Services
246
$10,369
$2,287
4.5×
5213
Level 3 Electrophysiologic Procedures
159
$124,110
$26,282
4.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
143
$19,019
$1,813
10.5×
5302
Level 2 Upper GI Procedures
128
$16,274
$2,142
7.6×
5361
Level 1 Laparoscopy and Related Services
108
$47,984
$6,493
7.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
105
$33,709
$3,179
10.6×
5492
Level 2 Intraocular Procedures
102
$33,367
$4,580
7.3×
5183
Level 3 Vascular Procedures
99
$33,544
$3,506
9.6×
5375
Level 5 Urology and Related Services
98
$39,368
$5,825
6.8×
5155
Level 5 Airway Endoscopy
93
$38,371
$7,701
5.0×
5374
Level 4 Urology and Related Services
92
$30,541
$3,925
7.8×
5112
Level 2 Musculoskeletal Procedures
87
$20,678
$1,760
11.7×
5431
Level 1 Nerve Procedures
76
$20,132
$2,175
9.3×
5153
Level 3 Airway Endoscopy
74
$10,228
$1,890
5.4×
5154
Level 4 Airway Endoscopy
74
$28,760
$4,170
6.9×
5193
Level 3 Endovascular Procedures
71
$68,465
$12,356
5.5×
5114
Level 4 Musculoskeletal Procedures
71
$49,889
$7,962
6.3×
8011
Comprehensive Observation Services
68
$33,238
$3,083
10.8×
5184
Level 4 Vascular Procedures
67
$39,243
$5,996
6.5×
5113
Level 3 Musculoskeletal Procedures
65
$32,927
$3,602
9.1×
5192
Level 2 Endovascular Procedures
62
$53,600
$6,350
8.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
61
$31,377
$3,843
8.2×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
52
$25,406
$2,592
9.8×
5313
Level 3 Lower GI Procedures
49
$22,651
$3,111
7.3×
5414
Level 4 Gynecologic Procedures
38
$32,860
$3,439
9.6×
5115
Level 5 Musculoskeletal Procedures
36
$74,611
$14,435
5.2×
5223
Level 3 Pacemaker and Similar Procedures
35
$65,892
$11,994
5.5×
5194
Level 4 Endovascular Procedures
34
$92,479
$19,704
4.7×
5362
Level 2 Laparoscopy and Related Services
34
$78,206
$11,528
6.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
33
$35,392
$4,294
8.2×
5232
Level 2 ICD and Similar Procedures
30
$114,035
$36,939
3.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
27
$45,426
$7,345
6.2×
5165
Level 5 ENT Procedures
23
$54,597
$6,596
8.3×
5303
Level 3 Upper GI Procedures
21
$18,972
$4,314
4.4×
5415
Level 5 Gynecologic Procedures
21
$39,572
$5,603
7.1×
5222
Level 2 Pacemaker and Similar Procedures
19
$49,096
$9,563
5.1×
5465
Level 5 Neurostimulator and Related Procedures
18
$118,081
$34,867
3.4×
5231
Level 1 ICD and Similar Procedures
17
$99,027
$26,475
3.7×
5493
Level 3 Intraocular Procedures
16
$39,735
$5,887
6.8×
5164
Level 4 ENT Procedures
15
$36,223
$3,615
10.0×
5331
Complex GI Procedures
15
$33,151
$6,420
5.2×
5376
Level 6 Urology and Related Services
15
$55,831
$10,367
5.4×
5182
Level 2 Vascular Procedures
11
$18,398
$1,796
10.2×
5627
Level 7 Radiation Therapy
11
$68,781
$8,768
7.8×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
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 2026-04-01, template 3.0.0, 3,502,182 rows scanned, 81,769 distinct code–setting items kept. 10,709 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Showing the first 200 of 81,769 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT 71020/b
error
mrf_negotiated_above_max
a negotiated rate of $504 is above the file's own maximum $236
CPT 93505/b
error
mrf_negotiated_above_max
a negotiated rate of $3,360 is above the file's own maximum $2,969
CPT 93572/b
error
mrf_negotiated_above_max
a negotiated rate of $621 is above the file's own maximum $518
CPT 88300/b
error
mrf_negotiated_above_max
a negotiated rate of $111 is above the file's own maximum $90
CPT 93662/b
error
mrf_negotiated_above_max
a negotiated rate of $1,551 is above the file's own maximum $851
CPT 93980/b
error
mrf_negotiated_above_max
a negotiated rate of $666 is above the file's own maximum $487
CPT 70542/b
error
mrf_negotiated_below_min
a negotiated rate of $42 is below the file's own minimum $67
CPT 72270/b
error
mrf_negotiated_below_min
a negotiated rate of $34 is below the file's own minimum $59
CPT 74250/b
error
mrf_negotiated_below_min
a negotiated rate of $12 is below the file's own minimum $23
CPT G0202/b
error
mrf_negotiated_below_min
a negotiated rate of $36 is below the file's own minimum $137
CPT 72275/b
error
mrf_negotiated_below_min
a negotiated rate of $30 is below the file's own minimum $71
CPT 77081/b
error
mrf_negotiated_below_min
a negotiated rate of $5 is below the file's own minimum $8
CPT 78453/b
error
mrf_negotiated_below_min
a negotiated rate of $25 is below the file's own minimum $40
CPT G0204/b
error
mrf_negotiated_below_min
a negotiated rate of $45 is below the file's own minimum $167
CPT 74251/b
error
mrf_negotiated_below_min
a negotiated rate of $18 is below the file's own minimum $34
CPT 70544/b
error
mrf_negotiated_below_min
a negotiated rate of $31 is below the file's own minimum $50
CPT 72291/b
error
mrf_negotiated_below_min
a negotiated rate of $100 is below the file's own minimum $343
CPT 77082/b
error
mrf_negotiated_below_min
a negotiated rate of $9 is below the file's own minimum $39
CPT 78454/b
error
mrf_negotiated_below_min
a negotiated rate of $33 is below the file's own minimum $55
CPT G0206/b
error
mrf_negotiated_below_min
a negotiated rate of $36 is below the file's own minimum $131
CPT 74260/b
error
mrf_negotiated_below_min
a negotiated rate of $26 is below the file's own minimum $108
CPT 72292/b
error
mrf_negotiated_below_min
a negotiated rate of $104 is below the file's own minimum $501
CPT 76080/b
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $22
CPT 77084/b
error
mrf_negotiated_below_min
a negotiated rate of $42 is below the file's own minimum $67
CPT 78456/b
error
mrf_negotiated_below_min
a negotiated rate of $27 is below the file's own minimum $40
CPT 70545/b
error
mrf_negotiated_below_min
a negotiated rate of $31 is below the file's own minimum $50
CPT 74261/b
error
mrf_negotiated_below_min
a negotiated rate of $97 is below the file's own minimum $100
CPT 78457/b
error
mrf_negotiated_below_min
a negotiated rate of $20 is below the file's own minimum $32
CPT 73000/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $7
CPT 76098/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $8
CPT 93314/b
error
mrf_negotiated_below_min
a negotiated rate of $70 is below the file's own minimum $72
CPT 70546/b
error
mrf_negotiated_below_min
a negotiated rate of $47 is below the file's own minimum $61
CPT 74262/b
error
mrf_negotiated_below_min
a negotiated rate of $101 is below the file's own minimum $104
CPT 78458/b
error
mrf_negotiated_below_min
a negotiated rate of $34 is below the file's own minimum $36
CPT G6001/b
error
mrf_negotiated_below_min
a negotiated rate of $19 is below the file's own minimum $27
CPT 76100/b
error
mrf_negotiated_below_min
a negotiated rate of $16 is below the file's own minimum $24
CPT 73010/b
error
mrf_negotiated_below_min
a negotiated rate of $5 is below the file's own minimum $8
CPT 78459/b
error
mrf_negotiated_below_min
a negotiated rate of $39 is below the file's own minimum $63
CPT G6002/b
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $17
CPT 70547/b
error
mrf_negotiated_below_min
a negotiated rate of $31 is below the file's own minimum $50
CPT 76101/b
error
mrf_negotiated_below_min
a negotiated rate of $26 is below the file's own minimum $102
CPT 95875/b
error
mrf_negotiated_below_min
a negotiated rate of $45 is below the file's own minimum $48
CPT 78466/b
error
mrf_negotiated_below_min
a negotiated rate of $18 is below the file's own minimum $27
CPT 93318/b
error
mrf_negotiated_below_min
a negotiated rate of $82 is below the file's own minimum $90
CPT 94250/b
error
mrf_negotiated_below_min
a negotiated rate of $5 is below the file's own minimum $17
CPT 73020/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $7
CPT 74270/b
error
mrf_negotiated_below_min
a negotiated rate of $18 is below the file's own minimum $34
CPT 76102/b
error
mrf_negotiated_below_min
a negotiated rate of $26 is below the file's own minimum $126
CPT 70548/b
error
mrf_negotiated_below_min
a negotiated rate of $31 is below the file's own minimum $59
CPT 78468/b
error
mrf_negotiated_below_min
a negotiated rate of $21 is below the file's own minimum $33
CPT 76120/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $17
CPT 70549/b
error
mrf_negotiated_below_min
a negotiated rate of $47 is below the file's own minimum $75
CPT 74280/b
error
mrf_negotiated_below_min
a negotiated rate of $26 is below the file's own minimum $49
CPT 78469/b
error
mrf_negotiated_below_min
a negotiated rate of $25 is below the file's own minimum $38
CPT 62252/b
error
mrf_negotiated_below_min
a negotiated rate of $34 is below the file's own minimum $46
CPT 94400/b
error
mrf_negotiated_below_min
a negotiated rate of $17 is below the file's own minimum $49
CPT 73040/b
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $24
CPT 74283/b
error
mrf_negotiated_below_min
a negotiated rate of $51 is below the file's own minimum $88
CPT 77285/b
error
mrf_negotiated_below_min
a negotiated rate of $27 is below the file's own minimum $49
CPT 70551/b
error
mrf_negotiated_below_min
a negotiated rate of $38 is below the file's own minimum $61
CPT 78472/b
error
mrf_negotiated_below_min
a negotiated rate of $26 is below the file's own minimum $40
CPT 73050/b
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $8
CPT 74290/b
error
mrf_negotiated_below_min
a negotiated rate of $8 is below the file's own minimum $13
CPT 70552/b
error
mrf_negotiated_below_min
a negotiated rate of $46 is below the file's own minimum $74
CPT 78473/b
error
mrf_negotiated_below_min
a negotiated rate of $39 is below the file's own minimum $59
CPT 74300/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $12
CPT 76377/b
error
mrf_negotiated_below_min
a negotiated rate of $20 is below the file's own minimum $33
CPT 77293/b
error
mrf_negotiated_below_min
a negotiated rate of $79 is below the file's own minimum $91
CPT 78481/b
error
mrf_negotiated_below_min
a negotiated rate of $26 is below the file's own minimum $39
CPT 74301/b
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $9
CPT 73070/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $7
CPT 76380/b
error
mrf_negotiated_below_min
a negotiated rate of $25 is below the file's own minimum $40
CPT 77295/b
error
mrf_negotiated_below_min
a negotiated rate of $119 is below the file's own minimum $195
CPT 92585/b
error
mrf_negotiated_below_min
a negotiated rate of $23 is below the file's own minimum $110
CPT 74305/b
error
mrf_negotiated_below_min
a negotiated rate of $22 is below the file's own minimum $67
CPT 78491/b
error
mrf_negotiated_below_min
a negotiated rate of $40 is below the file's own minimum $61
CPT 94620/b
error
mrf_negotiated_below_min
a negotiated rate of $44 is below the file's own minimum $57
CPT 70557/b
error
mrf_negotiated_below_min
a negotiated rate of $110 is below the file's own minimum $134
CPT 73080/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $7
CPT 74320/b
error
mrf_negotiated_below_min
a negotiated rate of $27 is below the file's own minimum $167
CPT 78492/b
error
mrf_negotiated_below_min
a negotiated rate of $50 is below the file's own minimum $72
CPT 70558/b
error
mrf_negotiated_below_min
a negotiated rate of $122 is below the file's own minimum $147
CPT 74327/b
error
mrf_negotiated_below_min
a negotiated rate of $36 is below the file's own minimum $135
CPT 77301/b
error
mrf_negotiated_below_min
a negotiated rate of $209 is below the file's own minimum $361
CPT 78494/b
error
mrf_negotiated_below_min
a negotiated rate of $31 is below the file's own minimum $48
CPT 73085/b
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $23
CPT 70559/b
error
mrf_negotiated_below_min
a negotiated rate of $123 is below the file's own minimum $140
CPT 78496/b
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $19
CPT 73090/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $7
CPT 77306/b
error
mrf_negotiated_below_min
a negotiated rate of $47 is below the file's own minimum $63
CPT 71010/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $23
CPT 78579/b
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $20
CPT 93451/b
error
mrf_negotiated_below_min
a negotiated rate of $104 is below the file's own minimum $120
CPT 71015/b
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $28
CPT 73092/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $7
CPT 76506/b
error
mrf_negotiated_below_min
a negotiated rate of $16 is below the file's own minimum $27
CPT 78580/b
error
mrf_negotiated_below_min
a negotiated rate of $19 is below the file's own minimum $31
CPT 93452/b
error
mrf_negotiated_below_min
a negotiated rate of $190 is below the file's own minimum $216
CPT 71020/b
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $28
CPT 74340/b
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $23
CPT 73100/b
error
mrf_negotiated_below_min
a negotiated rate of $5 is below the file's own minimum $7
CPT 77317/b
error
mrf_negotiated_below_min
a negotiated rate of $63 is below the file's own minimum $84
CPT 91020/b
error
mrf_negotiated_below_min
a negotiated rate of $56 is below the file's own minimum $62
CPT 93453/b
error
mrf_negotiated_below_min
a negotiated rate of $253 is below the file's own minimum $289
CPT 76511/b
error
mrf_negotiated_below_min
a negotiated rate of $27 is below the file's own minimum $30
CPT 78582/b
error
mrf_negotiated_below_min
a negotiated rate of $28 is below the file's own minimum $43
CPT 71021/b
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $34
CPT 91022/b
error
mrf_negotiated_below_min
a negotiated rate of $57 is below the file's own minimum $62
CPT 93454/b
error
mrf_negotiated_below_min
a negotiated rate of $152 is below the file's own minimum $218
CPT 77318/b
error
mrf_negotiated_below_min
a negotiated rate of $99 is below the file's own minimum $131
CPT 71022/b
error
mrf_negotiated_below_min
a negotiated rate of $17 is below the file's own minimum $42
CPT 74400/b
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $20
CPT 78597/b
error
mrf_negotiated_below_min
a negotiated rate of $19 is below the file's own minimum $29
CPT 91030/b
error
mrf_negotiated_below_min
a negotiated rate of $36 is below the file's own minimum $40
CPT 93455/b
error
mrf_negotiated_below_min
a negotiated rate of $223 is below the file's own minimum $256
CPT 95924/b
error
mrf_negotiated_below_min
a negotiated rate of $66 is below the file's own minimum $75
CPT 73115/b
error
mrf_negotiated_below_min
a negotiated rate of $15 is below the file's own minimum $24
CPT 71023/b
error
mrf_negotiated_below_min
a negotiated rate of $20 is below the file's own minimum $65
CPT 74410/b
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $20
CPT 77321/b
error
mrf_negotiated_below_min
a negotiated rate of $25 is below the file's own minimum $43
CPT 93456/b
error
mrf_negotiated_below_min
a negotiated rate of $249 is below the file's own minimum $285
CPT 73120/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $7
CPT 78598/b
error
mrf_negotiated_below_min
a negotiated rate of $22 is below the file's own minimum $33
CPT 91035/b
error
mrf_negotiated_below_min
a negotiated rate of $67 is below the file's own minimum $72
CPT 71030/b
error
mrf_negotiated_below_min
a negotiated rate of $16 is below the file's own minimum $42
CPT 74415/b
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $20
CPT 93457/b
error
mrf_negotiated_below_min
a negotiated rate of $281 is below the file's own minimum $321
CPT 77331/b
error
mrf_negotiated_below_min
a negotiated rate of $23 is below the file's own minimum $40
CPT 78600/b
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $18
CPT 71034/b
error
mrf_negotiated_below_min
a negotiated rate of $24 is below the file's own minimum $85
CPT 73130/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $7
CPT 74420/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $17
CPT 76529/b
error
mrf_negotiated_below_min
a negotiated rate of $22 is below the file's own minimum $27
CPT 93458/b
error
mrf_negotiated_below_min
a negotiated rate of $237 is below the file's own minimum $269
CPT 78601/b
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $21
CPT 95927/b
error
mrf_negotiated_below_min
a negotiated rate of $22 is below the file's own minimum $24
CPT 71035/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $34
CPT 93459/b
error
mrf_negotiated_below_min
a negotiated rate of $268 is below the file's own minimum $305
CPT 74425/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $17
CPT 78605/b
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $22
CPT 95928/b
error
mrf_negotiated_below_min
a negotiated rate of $61 is below the file's own minimum $68
CPT 76604/b
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $24
CPT 77333/b
error
mrf_negotiated_below_min
a negotiated rate of $22 is below the file's own minimum $34
CPT 93460/b
error
mrf_negotiated_below_min
a negotiated rate of $301 is below the file's own minimum $343
CPT 73200/b
error
mrf_negotiated_below_min
a negotiated rate of $26 is below the file's own minimum $41
CPT 78606/b
error
mrf_negotiated_below_min
a negotiated rate of $16 is below the file's own minimum $26
CPT 95929/b
error
mrf_negotiated_below_min
a negotiated rate of $61 is below the file's own minimum $68
CPT 93461/b
error
mrf_negotiated_below_min
a negotiated rate of $332 is below the file's own minimum $378
CPT 76641/b
error
mrf_negotiated_below_min
a negotiated rate of $24 is below the file's own minimum $31
CPT 73201/b
error
mrf_negotiated_below_min
a negotiated rate of $30 is below the file's own minimum $48
CPT 78607/b
error
mrf_negotiated_below_min
a negotiated rate of $116 is below the file's own minimum $313
CPT 93464/b
error
mrf_negotiated_below_min
a negotiated rate of $68 is below the file's own minimum $78
CPT 74445/b
error
mrf_negotiated_below_min
a negotiated rate of $44 is below the file's own minimum $46
CPT 77338/b
error
mrf_negotiated_below_min
a negotiated rate of $176 is below the file's own minimum $195
CPT 78608/b
error
mrf_negotiated_below_min
a negotiated rate of $39 is below the file's own minimum $59
CPT 93505/b
error
mrf_negotiated_below_min
a negotiated rate of $183 is below the file's own minimum $209
CPT 73202/b
error
mrf_negotiated_below_min
a negotiated rate of $32 is below the file's own minimum $50
CPT 71100/b
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $9
CPT 76700/b
error
mrf_negotiated_below_min
a negotiated rate of $21 is below the file's own minimum $34
CPT 78610/b
error
mrf_negotiated_below_min
a negotiated rate of $8 is below the file's own minimum $12
CPT 93530/b
error
mrf_negotiated_below_min
a negotiated rate of $200 is below the file's own minimum $734
CPT 73206/b
error
mrf_negotiated_below_min
a negotiated rate of $47 is below the file's own minimum $75
CPT 71101/b
error
mrf_negotiated_below_min
a negotiated rate of $7 is below the file's own minimum $11
CPT 74470/b
error
mrf_negotiated_below_min
a negotiated rate of $20 is below the file's own minimum $22
CPT 78630/b
error
mrf_negotiated_below_min
a negotiated rate of $17 is below the file's own minimum $28
CPT 93531/b
error
mrf_negotiated_below_min
a negotiated rate of $390 is below the file's own minimum $1,607
CPT 76705/b
error
mrf_negotiated_below_min
a negotiated rate of $15 is below the file's own minimum $25
CPT 73218/b
error
mrf_negotiated_below_min
a negotiated rate of $35 is below the file's own minimum $56
CPT 78635/b
error
mrf_negotiated_below_min
a negotiated rate of $23 is below the file's own minimum $25
CPT 93532/b
error
mrf_negotiated_below_min
a negotiated rate of $493 is below the file's own minimum $1,924
CPT 95939/b
error
mrf_negotiated_below_min
a negotiated rate of $91 is below the file's own minimum $103
CPT 71110/b
error
mrf_negotiated_below_min
a negotiated rate of $7 is below the file's own minimum $12
CPT 74475/b
error
mrf_negotiated_below_min
a negotiated rate of $27 is below the file's own minimum $165
CPT 78645/b
error
mrf_negotiated_below_min
a negotiated rate of $15 is below the file's own minimum $23
CPT 93533/b
error
mrf_negotiated_below_min
a negotiated rate of $328 is below the file's own minimum $1,671
CPT 95950/b
error
mrf_negotiated_below_min
a negotiated rate of $82 is below the file's own minimum $255
CPT 73219/b
error
mrf_negotiated_below_min
a negotiated rate of $42 is below the file's own minimum $67
CPT 74480/b
error
mrf_negotiated_below_min
a negotiated rate of $27 is below the file's own minimum $165
CPT 71111/b
error
mrf_negotiated_below_min
a negotiated rate of $8 is below the file's own minimum $13
CPT 93561/b
error
mrf_negotiated_below_min
a negotiated rate of $22 is below the file's own minimum $37
CPT 95951/b
error
mrf_negotiated_below_min
a negotiated rate of $416 is below the file's own minimum $509
CPT 74485/b
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $25
CPT 78647/b
error
mrf_negotiated_below_min
a negotiated rate of $44 is below the file's own minimum $351
CPT 73220/b
error
mrf_negotiated_below_min
a negotiated rate of $56 is below the file's own minimum $90
CPT 76775/b
error
mrf_negotiated_below_min
a negotiated rate of $15 is below the file's own minimum $24
CPT 95953/b
error
mrf_negotiated_below_min
a negotiated rate of $226 is below the file's own minimum $300
CPT 71120/b
error
mrf_negotiated_below_min
a negotiated rate of $5 is below the file's own minimum $8
CPT 74710/b
error
mrf_negotiated_below_min
a negotiated rate of $9 is below the file's own minimum $24
CPT 94750/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $11
CPT 78660/b
error
mrf_negotiated_below_min
a negotiated rate of $14 is below the file's own minimum $18
CPT 74740/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $16
CPT 76776/b
error
mrf_negotiated_below_min
a negotiated rate of $20 is below the file's own minimum $32
CPT 95955/b
error
mrf_negotiated_below_min
a negotiated rate of $41 is below the file's own minimum $46
CPT 71130/b
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $9
CPT 78700/b
error
mrf_negotiated_below_min
a negotiated rate of $12 is below the file's own minimum $18
CPT 73222/b
error
mrf_negotiated_below_min
a negotiated rate of $42 is below the file's own minimum $68
CPT 95956/b
error
mrf_negotiated_below_min
a negotiated rate of $198 is below the file's own minimum $475
CPT 76800/b
error
mrf_negotiated_below_min
a negotiated rate of $29 is below the file's own minimum $54
CPT 71250/b
error
mrf_negotiated_below_min
a negotiated rate of $26 is below the file's own minimum $45
CPT 74775/b
error
mrf_negotiated_below_min
a negotiated rate of $16 is below the file's own minimum $26
Showing the first 200 of 10,709 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 564
info
inp_charge_10x_payment
average charge $272,216 is 10.3× the total payment
MS-DRG 885
info
inp_charge_10x_payment
average charge $249,453 is 11.1× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Montefiore Medical Center — standard charges file · NY · updated 2026-04-01· csv-tall · 547.5M bytes · fetched 2026-08-23 · sha256 b643d4ce9fc0…
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.