Hospital · CCN 330202

Kings County Hospital Center

451 Clarkson Avenue, Brooklyn, NY 11203 · Kings County
Part of New York City Health and Hospitals Corporation · 381 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

34 admission types 30 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
1.50×
$79.4M billed against $52.9M paid across 902 Medicare discharges; the national figure is 5.03×.
—
of adults in Kings County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
6.5%
uninsured in the county · state 5.7%
$76K
median household income
3.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
25.1%
obesity in the countyⓘ
12.0%
diagnosed diabetes (PLACES)
5.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
205
$117,120
$68,676
1.7× st 4.8×
291
Heart failure and shock with mcc
79
$65,059
$50,219
1.3× st 5.1×
884
Organic disturbances and intellectual disability
35
$71,152
$52,140
1.4× st 4.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
32
$52,766
$41,422
1.3× st 5.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
32
$87,195
$63,957
1.4× st 5.4×
638
Diabetes with cc
28
$47,477
$42,482
1.1× st 4.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
27
$301,123
$121,671
2.5× st 4.7×
177
Respiratory infections and inflammations with mcc
26
$70,118
$54,928
1.3× st 4.9×
682
Renal failure with mcc
25
$55,141
$52,231
1.1× st 5.1×
189
Pulmonary edema and respiratory failure
24
$71,170
$51,720
1.4× st 5.0×
057
Degenerative nervous system disorders without mcc
23
$68,923
$56,638
1.2× st 4.7×
689
Kidney and urinary tract infections with mcc
22
$63,346
$51,953
1.2× st 5.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
21
$76,615
$51,172
1.5× st 4.8×
690
Kidney and urinary tract infections without mcc
21
$53,440
$48,186
1.1× st 5.2×
870
Septicemia or severe sepsis with mv >96 hours
20
$301,037
$158,170
1.9× st 4.3×
193
Simple pneumonia and pleurisy with mcc
19
$49,837
$48,754
1.0× st 4.9×
377
Gastrointestinal hemorrhage with mcc
19
$91,101
$60,454
1.5× st 5.3×
637
Diabetes with mcc
18
$71,399
$60,187
1.2× st 4.8×
603
Cellulitis without mcc
17
$60,802
$57,680
1.1× st 4.7×
100
Seizures with mcc
16
$83,785
$61,336
1.4× st 4.8×
312
Syncope and collapse
16
$39,175
$35,065
1.1× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
16
$75,722
$54,830
1.4× st 4.9×
101
Seizures without mcc
15
$39,133
$41,826
0.9× st 5.3×
190
Chronic obstructive pulmonary disease with mcc
15
$39,426
$43,771
0.9× st 4.7×
481
Hip and femur procedures except major joint with cc
15
$113,243
$49,728
2.3× st 4.8×
378
Gastrointestinal hemorrhage with cc
15
$66,882
$44,918
1.5× st 5.5×
552
Medical back problems without mcc
15
$48,092
$42,393
1.1× st 5.3×
683
Renal failure with cc
13
$63,086
$44,518
1.4× st 5.0×
811
Red blood cell disorders with mcc
13
$59,296
$46,596
1.3× st 5.4×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$29,888
$33,323
0.9× st 6.2×
812
Red blood cell disorders without mcc
12
$37,744
$36,387
1.0× st 5.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
12
$68,162
$49,001
1.4× st 4.6×
309
Cardiac arrhythmia and conduction disorders with cc
12
$35,902
$37,332
1.0× st 5.1×
280
Acute myocardial infarction, discharged alive with mcc
12
$61,149
$47,619
1.3× st 4.9×
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
172
$14,245
$3,070
4.6×
5372
Level 2 Urology and Related Services
28
$5,477
$770
7.1×
5491
Level 1 Intraocular Procedures
25
$8,618
$2,625
3.3×
5373
Level 3 Urology and Related Services
21
$7,900
$2,185
3.6×
5375
Level 5 Urology and Related Services
14
$29,430
$5,829
5.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
13
$8,025
$1,717
4.7×
5153
Level 3 Airway Endoscopy
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5302
Level 2 Upper GI 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 2025-09-05, template 3.0.0, 4,169,736 rows scanned, 21,592 distinct code–setting items kept. 22,214 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$720
19
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$604
19
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$609
22
clean
ONCO PRST8 3 GENE UR ALG
—
—
$912
25
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$836
18
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$836
18
clean
HC ADRENAL CORTICAL TUMOR, BIOCHEMICAL ASSAY OF 25 STEROID MARKE
$3,916
—
$2,545
47
clean
HC ONCOLOGY (BLADDER), MRNA, MICROARRAY GENE EXPRESSION PROFILIN
$10,469
—
$6,805
47
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,002
22
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$249
20
clean
Glyca nuc mr spectrsc quan
—
—
$80
65
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,960
18
clean
HC GENE ANALYSIS (JANUS KINASE 2) OF TARGETED SEQUENCE EXONS 12-
$366
—
$238
47
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$742
20
clean
TPMT NUDT15 GENES
—
—
$513
18
clean
NEURO CSF PRION PRTN QUAL
—
—
$541
19
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,850
18
clean
B brgdrferi antb 5 prtn igm
—
—
$49
63
clean
HC CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME
$1,184
—
$466
99
clean
B brgdrferi antb 12 prtn igg
—
—
$49
63
clean
Tbrf b grp antb 4 prtn igm
—
—
$49
63
clean
Tbrf b grp antb 4 prtn igg
—
—
$49
63
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$4,260
18
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$4,260
18
clean
BONE SRGRY CMPTR FLUOR IMAGE
$497
—
$249
16
clean
BONE SRGRY CMPTR CT/MRI IMAG
$497
—
$255
16
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$388
17
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$388
17
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$85
61
clean
Antb tp total&rpr ia qual
—
—
$85
63
clean
Syfls tst nontreponemal antb
—
—
$49
63
clean
Candida species pnl amp prb
—
—
$133
64
clean
HC IR TRANSCATH EXCRAN VERT OR CAR A STENT
$6,021
—
$3,565
88
clean
Ig paraprotein qual bld/ur
—
—
$85
61
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,735
19
clean
ONC MLNMA PRAME & LINC00518
—
—
$760
20
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$2,069
20
clean
Esw muscskel sys nos
$877
$270
$630
74
clean
HERED COLON CA DO 15 GENES
—
—
$1,744
20
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$950
19
clean
Touch quant sensory test
$42
$46
$197
71
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$1,049
17
clean
HC QUANT SENSORY TEST&INTERPJ/XTR W/VIBRJ STIMULI
$467
$46
$201
99
clean
Cool quant sensory test
$42
$70
$197
71
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$5,940
17
clean
Heat quant sensory test
$42
$46
$197
71
clean
Iadi 16s&18s rrna genes
—
—
$134
61
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$3,304
17
clean
Crd ceramides liq chrom plsm
—
—
$100
61
clean
HERED BRST CA RLTD DO PANEL
—
—
$1,304
20
clean
HC NFCT DS BCT FNG PARASITE DNA VIR DETCJ >1000 ORG
$6,379
—
$4,146
47
clean
HC GI IBS IA ANTI-CDTB&ANTI-VINCULIN ANTB PLSM ALG
$336
—
$218
47
clean
HC LIVER DISEASE 10 BIOCHEMICAL ASSAYS SERUM ALG
$1,510
—
$982
47
clean
HC ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG
$9,090
—
$5,909
47
clean
CAD CXR WITH INTERP
$119
—
$56
21
clean
HC ONC SOLID TUM MASS SPECTROMETRIC 30 PROTEIN TRGT
$3,916
—
$2,545
47
clean
HC ANESTHESIA ARTERIAL LINE PLACEMENT
$11
—
$8
43
clean
Exc rectal tumor endoscopic
$2,305
$6,524
$1,889
70
clean
HC ANESTHESIA CSE BLOCK
$11
—
$8
43
clean
HC IR SACROPLASTY UNI LEFT
$23,514
$8,189
$4,660
195
clean
HC IR SACROPLASTY BILATERAL
$25,871
$8,189
$4,481
100
clean
Post vert arthrplst 1 lumbar
—
—
$3,936
49
clean
HC NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2
$1,250
—
$813
47
clean
HC NEUROLOGY ALZHEIMER DISEASE CELL AGGREGATION
$6,646
—
$4,320
47
clean
Clear eyelid gland w/heat
—
—
$151
58
clean
HC NEUROLOGY ALZHEIMER DISEASE QUANTITATIVE IMAGING
$1,534
—
$997
47
clean
Njx platelet plasma
—
—
$684
58
clean
Trluml perip athrc brchiocph
$36,529
$12,593
$6,548
70
clean
Trluml perip athrc iliac art
$36,529
$20,073
$7,195
74
clean
HC TARGETED GENOMIC SEQUENCE ANALYSIS PANEL, SOLID ORGAN NEOPLAS
$10,500
—
$6,825
96
clean
HC NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN
$428
—
$143
88
clean
HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN
$428
—
$143
88
clean
HC TRGT GEN SEQ ALYS PNL SOLID ORGN NEO DNA 55-74
$15,000
—
$9,750
47
clean
HC ONC THYR MUT ALYS 10 GEN 37 RNA FSN XPRSN 4 MRNA
$3,798
—
$2,469
47
clean
HC ONC SLD ORG NEO TRGT GEN SEQ DNA ALYS 505 GENES
$8,759
—
$5,693
47
clean
Implt/rpl crtd sns dev total
—
—
$24,672
62
clean
Implt/rpl crtd sns dev gen
—
—
$22,878
62
clean
Interrogate crtd sns dev
—
—
$146
59
clean
Interrogate crtd sns w/pgrmg
—
—
$166
59
clean
Perq lamot/lam lumbar
—
—
$4,385
62
clean
HC TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS
$383
$179
$201
99
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$4,648
17
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,435
17
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$469
17
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$469
17
clean
Nfct ds bct quan antmcrb sc
—
—
$47
61
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$1,009
17
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$8,500
14
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,650
14
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,000
14
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,438
14
clean
TEAR FILM IMG UNI/BI W/I&R
$59
$46
$46
29
clean
ONC SLD ORGN TGSA DNA 84/+
—
—
$3,500
14
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,435
14
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,435
14
clean
Trnscth renal symp denrv bil
—
—
$2,338
62
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$912
17
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$4,308
17
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$792
14
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,603
17
clean
Beta amyl ab40&ab42 lc-ms/ms
—
—
$54
54
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$1,603
17
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$891
17
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$891
17
clean
Rsa lower extr exam
—
—
$98
64
clean
INTRAOP OCT BRST/NODE SPEC
—
—
$559
5
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
—
$313
17
clean
OCT BRST/NODE I&R PER SPEC
—
—
$1,305
8
clean
Nfct ds bv&vaginitis amp prb
—
—
$95
54
clean
Iadna chlmyd&gonorr amp prb
—
—
$50
50
clean
HC APOL1 RISK VARIANTS
$12
—
$10
44
clean
HC ONC OROP 17 DNA DDPCR ALG
$12
—
$10
44
clean
Bia whole body
$85
$34
$254
71
clean
HC NEURO ALYS B-AMYL 1-42&1-40
$12
—
$10
44
clean
HC ONC PRST8 CA ALYS ALL PSA
$12
—
$49
84
clean
HC ONC LUNG ELISA 7 AUTOANT ALG
$12
—
$10
44
clean
HC NEURFLMNT LT CHN DIG IA QUAN
$11
—
$47
84
clean
HC ONC URTHL MRNA 5 GEN ALG
$12
—
$10
44
clean
HC TEST FOR 10 PROTEIN BIOMARKERS FOR BLADDER CANCER
$2,691
—
$1,749
44
clean
HC TEST FOR 10 PROTEIN BIORNARKERS FOR RECURRENT BLADDER CANCER
$2,691
—
$1,749
44
clean
HCTEST TO DETERMINE POTENTIAL RISK OF PROSTATE CANCER SPREAD AND
$2,691
—
$1,749
44
clean
HC TEST TO DETERMINE POTENTIAL RISK OF PROSTATE CANCER SPREAD AN
$2,119
—
$1,377
44
clean
VIS FIELD ASSMNT TECH SUPPT
—
—
$52
17
clean
TGSAP SL OR NEO DNA523&RNA55
—
—
$3,289
8
clean
HC TEST FOR ADVERSE DRUG REACTIONS AND DRUG RESPONSE
$1,042
—
$729
43
clean
HC ONC NONSM CLL LNG CA 37 GEN
$1
—
$1
44
clean
HC NEU PRKSN MSFL A-SYNCLN PRTN
$1
—
$1
44
clean
Hdr elctrnc skn surf brchytx
—
—
$456
59
clean
HC PFAS 16 PFAS COMPND LC MS/MS
$1
—
$49
84
clean
HC HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV
$2,487
—
$505
87
clean
Mrgfus strtctc les abltj
$4,947
$15,593
$16,847
62
clean
HC GI BARET ESPH DNA MTHYLN ALY
$1
—
$1
44
clean
HC COLLAGEN CROSS-LINKING CORNEA&PACHYMTRY
$6,658
$2,675
$2,255
182
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
—
$760
14
clean
ONC BRST SEMIQ MEAS THYM KN
—
—
$323
14
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
—
$760
14
clean
NEPH DBTC CKD MULT ECLIA ALG
—
—
$950
15
clean
Insj/rplc cardiac modulj sys
—
—
$8,321
61
clean
ONC SLD TUM DNA 80 & RNA 36
—
—
$2,920
14
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,336
14
clean
CV DS ACS BLD ALG 5 YR SCORE
—
—
$391
14
clean
Prgrmg eval cardiac modulj
—
—
$133
59
clean
Interro eval cardiac modulj
—
—
$133
59
clean
HC WATERJET PROSTATE ABLATION COMPL
$22,999
$10,545
$4,033
100
clean
Gi malabs aat calpro pncrtc
—
—
$54
55
clean
Gly rcptr alpha1 igg srm/csf
—
—
$50
55
clean
Klhl11 antb sr/csf asy qual
—
—
$50
55
clean
ONC PRST8 5 DNA REG MRK PCR
—
—
$760
8
clean
RX METAB ADVRS VRNT ALYS 25
—
—
$417
8
clean
Impltj synth rnfcmt abdl wal
$938
—
$2,613
61
clean
Myocrd contrast prfuj echo
$69
—
$418
62
clean
Abltj perc lxtr/perph nrv
$662
$2,210
$1,639
73
clean
Abltj perc plex/trncl nrv
$662
$7,625
$4,319
73
clean
Neurflmnt lt chn ultrsens ia
—
—
$49
48
clean
Insj impltbl glucose sensor
$156
$2,088
$780
97
clean
Rmvl impltbl glucose sensor
$180
$229
$353
97
clean
Remvl insj impltbl gluc sens
$259
$2,088
$780
97
clean
HC INSJ AQUEOUS DRAIN DEV W/O EO RSVR INITIAL DEV
$12,847
$5,983
$2,633
103
clean
Visual ep test for glaucoma
—
—
$152
59
clean
ONC SLD TUM BLD/SLV 648 GENE
—
—
$4,500
8
clean
HERED PRST8 CA GSAP 23 GENES
—
—
$1,304
8
clean
Fxjl abl lsr 1st 100 sq cm
$540
$719
$861
73
clean
Fxjl abl lsr ea addl 100sqcm
$224
—
$861
61
clean
Tmvi percutaneous approach
$4,584
—
$3,285
63
clean
Tmvi transthoracic exposure
$4,584
—
$3,285
62
clean
Oct mid ear i&r unilateral
$34
$46
$130
81
clean
Oct mid ear i&r bilateral
—
—
$130
63
clean
PREP & CANNULJ CDVR DON LUNG
—
—
$467
5
clean
MNTR CDVR DON LNG 1ST 2 HRS
—
—
$473
5
clean
HC EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
$63,151
$12,593
$4,912
100
clean
HC NEAR INFRARED DUAL IMG MEIBOMIAN GLND UNI/BI I&
$355
$70
$174
434
clean
HC PATTERN ELECTRORETINOGRAPHY W/I&
$762
$359
$152
413
clean
HC ESW INTEGUMENTARY WOUND HEALING INITIAL WOUN
$1,002
$229
$861
833
clean
HC ESW INTEGUMENTARY WOUND HEALING EA ADDL WOUN
$105
—
$861
791
clean
HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPIN
$100
—
$80
157
clean
HC INSERTION/REPLACEMENT COMPLETE IIM
$31,527
—
$11,866
251
clean
HC PRGRMG DEVICE EVAL IIMS IN PERSO
$334
—
$146
255
clean
HC INTERROGATION DEVICE EVAL IIMS IN PERSO
$334
—
$146
91
clean
CAR-T CLL ADMN AUTOLOGOUS
$520
$388
$325
14
clean
RF SPECTRSC NTRAOP MRGN ASMT
$149
—
$97
17
clean
Low-level laser therapy
$21
—
$64
62
clean
ANTMC GUIDE 3D PRINT 1ST GD
$112
$70
$73
29
clean
ANTMC GUIDE 3D PRINT EA ADDL
$56
—
$34
17
clean
HC EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL
$355
—
$178
87
clean
HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$5,974
—
$3,995
84
clean
HC TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$8,119
—
$3,863
96
clean
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$101,184
—
$20,237
87
clean
HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
$334
—
$166
87
clean
HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
$334
$43
$146
99
clean
HC REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP
$334
—
$166
95
clean
HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH
$334
—
$166
87
clean
HC ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL
$8,345
$4,363
$3,128
100
clean
HC ELEC ALYS CPLX PRGRMG IINS PTN 4+ PARAMETERS
$524
—
$168
88
clean
HLTH&WB COACHING INDIV 1ST
—
—
$148
5
clean
HLTH&WB COACHING INDIV F-UP
—
—
$148
5
clean
HC NONCONTACT R-T FLUOR WND IMG 1ST ANATOMIC SITE
$954
$359
$620
69
clean
HC NONCONTACT R-T FLUOR WND IMG EA ADDL ANTMC SITE
$100
—
$70
58
clean
HC IRE ABLATION 1+TUMORS PER ORGAN W/IMG GDN PERQ
$28,130
—
$5,008
88
clean
HC IRE ABLATION 1+TUMORS PR ORGN W/FLUOR&US GDN OPN
$28,130
—
$5,008
88
clean
HC REM OCT RETINA TECHL SUPRT MIN 8 DLY REC EA 30D
$117
—
$158
84
clean

Showing the first 200 of 21,592 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_cash_above_gross_systematic
2,159 of 3,051 comparable items (71%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. discounted cash price $3,705 exceeds gross charge $877
warn
mrf_negotiated_above_gross_systematic
5,150 of 6,519 comparable items (79%) 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 $7,195 exceeds the gross charge $6,021
warn
mrf_rate_without_estimate
700,340 of 700,340 percentage/algorithm rates across 11,106 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 37700/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $721 — part of a file-wide pattern, counted once at the file level
CPT 46030/o
info
mrf_cash_above_gross
discounted cash price $1,351 exceeds gross charge $252 — part of a file-wide pattern, counted once at the file level
CPT 54344/o
info
mrf_cash_above_gross
discounted cash price $10,545 exceeds gross charge $2,683 — part of a file-wide pattern, counted once at the file level
CPT 61000/o
info
mrf_cash_above_gross
discounted cash price $792 exceeds gross charge $356 — part of a file-wide pattern, counted once at the file level
CPT 64650/o
info
mrf_cash_above_gross
discounted cash price $339 exceeds gross charge $118 — part of a file-wide pattern, counted once at the file level
CPT 68720/o
info
mrf_cash_above_gross
discounted cash price $4,426 exceeds gross charge $2,271 — part of a file-wide pattern, counted once at the file level
CPT 92565/o
info
mrf_cash_above_gross
discounted cash price $70 exceeds gross charge $65 — part of a file-wide pattern, counted once at the file level
CPT 20693/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,333 — part of a file-wide pattern, counted once at the file level
CPT 21932/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $1,989 — part of a file-wide pattern, counted once at the file level
CPT 27607/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,767 — part of a file-wide pattern, counted once at the file level
CPT 28002/o
info
mrf_cash_above_gross
discounted cash price $1,840 exceeds gross charge $392 — part of a file-wide pattern, counted once at the file level
CPT 56800/o
info
mrf_cash_above_gross
discounted cash price $3,579 exceeds gross charge $737 — part of a file-wide pattern, counted once at the file level
CPT 58553/o
info
mrf_cash_above_gross
discounted cash price $11,783 exceeds gross charge $3,240 — part of a file-wide pattern, counted once at the file level
CPT 65150/o
info
mrf_cash_above_gross
discounted cash price $4,426 exceeds gross charge $1,962 — part of a file-wide pattern, counted once at the file level
CPT 21206/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $2,777 — part of a file-wide pattern, counted once at the file level
CPT 26455/o
info
mrf_cash_above_gross
discounted cash price $1,840 exceeds gross charge $1,361 — part of a file-wide pattern, counted once at the file level
CPT 28310/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,064 — part of a file-wide pattern, counted once at the file level
CPT 29835/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,533 — part of a file-wide pattern, counted once at the file level
CPT 36468/o
info
mrf_cash_above_gross
discounted cash price $456 exceeds gross charge $54 — part of a file-wide pattern, counted once at the file level
CPT 42825/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $790 — part of a file-wide pattern, counted once at the file level
CPT 15940/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $2,110 — part of a file-wide pattern, counted once at the file level
CPT 24102/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,845 — part of a file-wide pattern, counted once at the file level
CPT 25066/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $1,118 — part of a file-wide pattern, counted once at the file level
CPT 27360/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $2,675 — part of a file-wide pattern, counted once at the file level
CPT 30920/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $2,508 — part of a file-wide pattern, counted once at the file level
CPT 31610/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $2,760 — part of a file-wide pattern, counted once at the file level
CPT 37718/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $1,157 — part of a file-wide pattern, counted once at the file level
CPT 40816/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $883 — part of a file-wide pattern, counted once at the file level
CPT 43497/o
info
mrf_cash_above_gross
discounted cash price $6,524 exceeds gross charge $2,251 — part of a file-wide pattern, counted once at the file level
CPT 54348/o
info
mrf_cash_above_gross
discounted cash price $5,923 exceeds gross charge $2,868 — part of a file-wide pattern, counted once at the file level
CPT 61001/o
info
mrf_cash_above_gross
discounted cash price $792 exceeds gross charge $339 — part of a file-wide pattern, counted once at the file level
CPT 64653/o
info
mrf_cash_above_gross
discounted cash price $339 exceeds gross charge $150 — part of a file-wide pattern, counted once at the file level
CPT 68745/o
info
mrf_cash_above_gross
discounted cash price $4,426 exceeds gross charge $2,281 — part of a file-wide pattern, counted once at the file level
CPT 76977/o
info
mrf_cash_above_gross
discounted cash price $126 exceeds gross charge $22 — part of a file-wide pattern, counted once at the file level
CPT 12037/o
info
mrf_cash_above_gross
discounted cash price $2,088 exceeds gross charge $965 — part of a file-wide pattern, counted once at the file level
CPT 21933/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $2,205 — part of a file-wide pattern, counted once at the file level
CPT 25545/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,877 — part of a file-wide pattern, counted once at the file level
CPT 27610/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,910 — part of a file-wide pattern, counted once at the file level
CPT 28003/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $722 — part of a file-wide pattern, counted once at the file level
CPT 52630/o
info
mrf_cash_above_gross
discounted cash price $5,923 exceeds gross charge $1,169 — part of a file-wide pattern, counted once at the file level
CPT 56805/o
info
mrf_cash_above_gross
discounted cash price $3,579 exceeds gross charge $3,370 — part of a file-wide pattern, counted once at the file level
CPT 65155/o
info
mrf_cash_above_gross
discounted cash price $4,426 exceeds gross charge $2,706 — part of a file-wide pattern, counted once at the file level
CPT 0274T/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,889 — part of a file-wide pattern, counted once at the file level
CPT 20696/o
info
mrf_cash_above_gross
discounted cash price $21,333 exceeds gross charge $3,399 — part of a file-wide pattern, counted once at the file level
CPT 21208/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $2,119 — part of a file-wide pattern, counted once at the file level
CPT 26460/o
info
mrf_cash_above_gross
discounted cash price $1,840 exceeds gross charge $1,331 — part of a file-wide pattern, counted once at the file level
CPT 28312/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,043 — part of a file-wide pattern, counted once at the file level
CPT 29836/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,752 — part of a file-wide pattern, counted once at the file level
CPT 42826/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $750 — part of a file-wide pattern, counted once at the file level
CPT 58555/o
info
mrf_cash_above_gross
discounted cash price $3,579 exceeds gross charge $442 — part of a file-wide pattern, counted once at the file level
CPT 67108/o
info
mrf_cash_above_gross
discounted cash price $4,654 exceeds gross charge $3,304 — part of a file-wide pattern, counted once at the file level
CPT 92570/o
info
mrf_cash_above_gross
discounted cash price $179 exceeds gross charge $79 — part of a file-wide pattern, counted once at the file level
CPT 15941/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $2,786 — part of a file-wide pattern, counted once at the file level
CPT 24105/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,091 — part of a file-wide pattern, counted once at the file level
CPT 30930/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $344 — part of a file-wide pattern, counted once at the file level
CPT 31611/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $1,553 — part of a file-wide pattern, counted once at the file level
CPT 54352/o
info
mrf_cash_above_gross
discounted cash price $5,923 exceeds gross charge $3,994 — part of a file-wide pattern, counted once at the file level
CPT 63265/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $5,190 — part of a file-wide pattern, counted once at the file level
CPT 70300/o
info
mrf_cash_above_gross
discounted cash price $104 exceeds gross charge $39 — part of a file-wide pattern, counted once at the file level
CPT 21935/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $3,030 — part of a file-wide pattern, counted once at the file level
CPT 23100/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,527 — part of a file-wide pattern, counted once at the file level
CPT 25073/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $1,609 — part of a file-wide pattern, counted once at the file level
CPT 27612/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,691 — part of a file-wide pattern, counted once at the file level
CPT 28005/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,634 — part of a file-wide pattern, counted once at the file level
CPT 36473/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $519 — part of a file-wide pattern, counted once at the file level
CPT 37735/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $1,705 — part of a file-wide pattern, counted once at the file level
CPT 46070/o
info
mrf_cash_above_gross
discounted cash price $3,214 exceeds gross charge $820 — part of a file-wide pattern, counted once at the file level
CPT 56810/o
info
mrf_cash_above_gross
discounted cash price $3,579 exceeds gross charge $788 — part of a file-wide pattern, counted once at the file level
CPT 61026/o
info
mrf_cash_above_gross
discounted cash price $792 exceeds gross charge $342 — part of a file-wide pattern, counted once at the file level
CPT 64681/o
info
mrf_cash_above_gross
discounted cash price $1,043 exceeds gross charge $626 — part of a file-wide pattern, counted once at the file level
CPT 65175/o
info
mrf_cash_above_gross
discounted cash price $4,426 exceeds gross charge $2,187 — part of a file-wide pattern, counted once at the file level
CPT D4265/o
info
mrf_cash_above_gross
discounted cash price $1,008 exceeds gross charge $741 — part of a file-wide pattern, counted once at the file level
CPT G0516/o
info
mrf_cash_above_gross
discounted cash price $456 exceeds gross charge $267 — part of a file-wide pattern, counted once at the file level
CPT 28313/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,065 — part of a file-wide pattern, counted once at the file level
CPT 29837/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,554 — part of a file-wide pattern, counted once at the file level
CPT 42830/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $627 — part of a file-wide pattern, counted once at the file level
CPT 50945/o
info
mrf_cash_above_gross
discounted cash price $6,605 exceeds gross charge $2,744 — part of a file-wide pattern, counted once at the file level
CPT 52647/o
info
mrf_cash_above_gross
discounted cash price $5,923 exceeds gross charge $1,859 — part of a file-wide pattern, counted once at the file level
CPT 0102T/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $877 — part of a file-wide pattern, counted once at the file level
CPT 0479T/o
info
mrf_cash_above_gross
discounted cash price $719 exceeds gross charge $540 — part of a file-wide pattern, counted once at the file level
CPT 15944/o
info
mrf_cash_above_gross
discounted cash price $4,107 exceeds gross charge $2,748 — part of a file-wide pattern, counted once at the file level
CPT 24110/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,778 — part of a file-wide pattern, counted once at the file level
CPT 31612/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $139 — part of a file-wide pattern, counted once at the file level
CPT 58559/o
info
mrf_cash_above_gross
discounted cash price $5,694 exceeds gross charge $817 — part of a file-wide pattern, counted once at the file level
CPT 63266/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $5,351 — part of a file-wide pattern, counted once at the file level
CPT 68770/o
info
mrf_cash_above_gross
discounted cash price $2,675 exceeds gross charge $1,755 — part of a file-wide pattern, counted once at the file level
CPT 70310/o
info
mrf_cash_above_gross
discounted cash price $280 exceeds gross charge $118 — part of a file-wide pattern, counted once at the file level
CPT 92572/o
info
mrf_cash_above_gross
discounted cash price $179 exceeds gross charge $167 — part of a file-wide pattern, counted once at the file level
CPT 23101/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,377 — part of a file-wide pattern, counted once at the file level
CPT 27060/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,406 — part of a file-wide pattern, counted once at the file level
CPT 28008/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $847 — part of a file-wide pattern, counted once at the file level
CPT 37760/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $1,689 — part of a file-wide pattern, counted once at the file level
CPT 46080/o
info
mrf_cash_above_gross
discounted cash price $3,214 exceeds gross charge $467 — part of a file-wide pattern, counted once at the file level
CPT 54380/o
info
mrf_cash_above_gross
discounted cash price $2,332 exceeds gross charge $2,278 — part of a file-wide pattern, counted once at the file level
CPT 61050/o
info
mrf_cash_above_gross
discounted cash price $339 exceeds gross charge $226 — part of a file-wide pattern, counted once at the file level
CPT 64702/o
info
mrf_cash_above_gross
discounted cash price $2,210 exceeds gross charge $1,530 — part of a file-wide pattern, counted once at the file level
CPT 67115/o
info
mrf_cash_above_gross
discounted cash price $4,654 exceeds gross charge $1,401 — part of a file-wide pattern, counted once at the file level
CPT D1575/o
info
mrf_cash_above_gross
discounted cash price $1,008 exceeds gross charge $400 — part of a file-wide pattern, counted once at the file level
CPT G0517/o
info
mrf_cash_above_gross
discounted cash price $456 exceeds gross charge $303 — part of a file-wide pattern, counted once at the file level
CPT 21230/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $2,173 — part of a file-wide pattern, counted once at the file level
CPT 26476/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,896 — part of a file-wide pattern, counted once at the file level
CPT 27372/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $1,202 — part of a file-wide pattern, counted once at the file level
CPT 27614/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $1,213 — part of a file-wide pattern, counted once at the file level
CPT 28315/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $943 — part of a file-wide pattern, counted once at the file level
CPT 29838/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,776 — part of a file-wide pattern, counted once at the file level
CPT 40831/o
info
mrf_cash_above_gross
discounted cash price $630 exceeds gross charge $585 — part of a file-wide pattern, counted once at the file level
CPT 42831/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $680 — part of a file-wide pattern, counted once at the file level
CPT 50947/o
info
mrf_cash_above_gross
discounted cash price $11,783 exceeds gross charge $3,905 — part of a file-wide pattern, counted once at the file level
CPT 52648/o
info
mrf_cash_above_gross
discounted cash price $5,923 exceeds gross charge $1,976 — part of a file-wide pattern, counted once at the file level
CPT 56821/o
info
mrf_cash_above_gross
discounted cash price $367 exceeds gross charge $329 — part of a file-wide pattern, counted once at the file level
CPT 24115/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $2,206 — part of a file-wide pattern, counted once at the file level
CPT 25077/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $2,585 — part of a file-wide pattern, counted once at the file level
CPT 58560/o
info
mrf_cash_above_gross
discounted cash price $5,694 exceeds gross charge $900 — part of a file-wide pattern, counted once at the file level
CPT 63267/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $4,246 — part of a file-wide pattern, counted once at the file level
CPT 70320/o
info
mrf_cash_above_gross
discounted cash price $280 exceeds gross charge $157 — part of a file-wide pattern, counted once at the file level
CPT 12047/o
info
mrf_cash_above_gross
discounted cash price $2,088 exceeds gross charge $1,055 — part of a file-wide pattern, counted once at the file level
CPT 23105/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,921 — part of a file-wide pattern, counted once at the file level
CPT 27062/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,359 — part of a file-wide pattern, counted once at the file level
CPT 31614/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $2,058 — part of a file-wide pattern, counted once at the file level
CPT 37761/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $1,559 — part of a file-wide pattern, counted once at the file level
CPT 44370/o
info
mrf_cash_above_gross
discounted cash price $6,524 exceeds gross charge $745 — part of a file-wide pattern, counted once at the file level
CPT 49651/o
info
mrf_cash_above_gross
discounted cash price $6,605 exceeds gross charge $1,703 — part of a file-wide pattern, counted once at the file level
CPT 61055/o
info
mrf_cash_above_gross
discounted cash price $339 exceeds gross charge $330 — part of a file-wide pattern, counted once at the file level
CPT 64704/o
info
mrf_cash_above_gross
discounted cash price $2,210 exceeds gross charge $946 — part of a file-wide pattern, counted once at the file level
CPT 67120/o
info
mrf_cash_above_gross
discounted cash price $2,668 exceeds gross charge $1,551 — part of a file-wide pattern, counted once at the file level
CPT 26477/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,847 — part of a file-wide pattern, counted once at the file level
CPT 27380/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,852 — part of a file-wide pattern, counted once at the file level
CPT 27615/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $2,997 — part of a file-wide pattern, counted once at the file level
CPT 28011/o
info
mrf_cash_above_gross
discounted cash price $1,840 exceeds gross charge $808 — part of a file-wide pattern, counted once at the file level
CPT 28320/o
info
mrf_cash_above_gross
discounted cash price $15,066 exceeds gross charge $1,800 — part of a file-wide pattern, counted once at the file level
CPT 29840/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,371 — part of a file-wide pattern, counted once at the file level
CPT 36478/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $797 — part of a file-wide pattern, counted once at the file level
CPT 42835/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $585 — part of a file-wide pattern, counted once at the file level
CPT 46200/o
info
mrf_cash_above_gross
discounted cash price $3,214 exceeds gross charge $1,001 — part of a file-wide pattern, counted once at the file level
CPT 50948/o
info
mrf_cash_above_gross
discounted cash price $11,783 exceeds gross charge $3,616 — part of a file-wide pattern, counted once at the file level
CPT 52649/o
info
mrf_cash_above_gross
discounted cash price $5,923 exceeds gross charge $2,348 — part of a file-wide pattern, counted once at the file level
CPT 57000/o
info
mrf_cash_above_gross
discounted cash price $3,579 exceeds gross charge $587 — part of a file-wide pattern, counted once at the file level
CPT 24116/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $2,559 — part of a file-wide pattern, counted once at the file level
CPT 31040/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $2,324 — part of a file-wide pattern, counted once at the file level
CPT 63268/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $4,619 — part of a file-wide pattern, counted once at the file level
CPT 21242/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $2,885 — part of a file-wide pattern, counted once at the file level
CPT 22100/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $2,973 — part of a file-wide pattern, counted once at the file level
CPT 23106/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,515 — part of a file-wide pattern, counted once at the file level
CPT 27065/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,570 — part of a file-wide pattern, counted once at the file level
CPT 37765/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $782 — part of a file-wide pattern, counted once at the file level
CPT 61070/o
info
mrf_cash_above_gross
discounted cash price $792 exceeds gross charge $163 — part of a file-wide pattern, counted once at the file level
CPT 64708/o
info
mrf_cash_above_gross
discounted cash price $2,210 exceeds gross charge $1,489 — part of a file-wide pattern, counted once at the file level
CPT 67121/o
info
mrf_cash_above_gross
discounted cash price $2,668 exceeds gross charge $2,517 — part of a file-wide pattern, counted once at the file level
CPT 68816/o
info
mrf_cash_above_gross
discounted cash price $2,675 exceeds gross charge $439 — part of a file-wide pattern, counted once at the file level
CPT 93454/o
info
mrf_cash_above_gross
discounted cash price $3,730 exceeds gross charge $2,509 — part of a file-wide pattern, counted once at the file level
CPT 0106T/o
info
mrf_cash_above_gross
discounted cash price $46 exceeds gross charge $42 — part of a file-wide pattern, counted once at the file level
CPT 15951/o
info
mrf_cash_above_gross
discounted cash price $3,253 exceeds gross charge $2,643 — part of a file-wide pattern, counted once at the file level
CPT 25085/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,349 — part of a file-wide pattern, counted once at the file level
CPT 26478/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,938 — part of a file-wide pattern, counted once at the file level
CPT 27381/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $2,437 — part of a file-wide pattern, counted once at the file level
CPT 28020/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,057 — part of a file-wide pattern, counted once at the file level
CPT 29843/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,465 — part of a file-wide pattern, counted once at the file level
CPT 42836/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $723 — part of a file-wide pattern, counted once at the file level
CPT 54401/o
info
mrf_cash_above_gross
discounted cash price $23,091 exceeds gross charge $1,915 — part of a file-wide pattern, counted once at the file level
CPT 24120/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,605 — part of a file-wide pattern, counted once at the file level
CPT 28340/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,158 — part of a file-wide pattern, counted once at the file level
CPT 31050/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $1,497 — part of a file-wide pattern, counted once at the file level
CPT 32960/o
info
mrf_cash_above_gross
discounted cash price $719 exceeds gross charge $250 — part of a file-wide pattern, counted once at the file level
CPT 34101/o
info
mrf_cash_above_gross
discounted cash price $6,291 exceeds gross charge $1,739 — part of a file-wide pattern, counted once at the file level
CPT 40845/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $3,484 — part of a file-wide pattern, counted once at the file level
CPT 50951/o
info
mrf_cash_above_gross
discounted cash price $3,991 exceeds gross charge $860 — part of a file-wide pattern, counted once at the file level
CPT 53000/o
info
mrf_cash_above_gross
discounted cash price $2,332 exceeds gross charge $426 — part of a file-wide pattern, counted once at the file level
CPT 57020/o
info
mrf_cash_above_gross
discounted cash price $5,694 exceeds gross charge $228 — part of a file-wide pattern, counted once at the file level
CPT 58565/o
info
mrf_cash_above_gross
discounted cash price $5,694 exceeds gross charge $1,326 — part of a file-wide pattern, counted once at the file level
CPT D4276/o
info
mrf_cash_above_gross
discounted cash price $1,746 exceeds gross charge $1,690 — part of a file-wide pattern, counted once at the file level
CPT G0130/o
info
mrf_cash_above_gross
discounted cash price $126 exceeds gross charge $109 — part of a file-wide pattern, counted once at the file level
CPT 21243/o
info
mrf_cash_above_gross
discounted cash price $21,333 exceeds gross charge $4,604 — part of a file-wide pattern, counted once at the file level
CPT 22101/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $2,742 — part of a file-wide pattern, counted once at the file level
CPT 23107/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,989 — part of a file-wide pattern, counted once at the file level
CPT 27066/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $2,442 — part of a file-wide pattern, counted once at the file level
CPT 27618/o
info
mrf_cash_above_gross
discounted cash price $1,856 exceeds gross charge $911 — part of a file-wide pattern, counted once at the file level
CPT 37766/o
info
mrf_cash_above_gross
discounted cash price $3,649 exceeds gross charge $966 — part of a file-wide pattern, counted once at the file level
CPT 46230/o
info
mrf_cash_above_gross
discounted cash price $3,214 exceeds gross charge $513 — part of a file-wide pattern, counted once at the file level
CPT 64712/o
info
mrf_cash_above_gross
discounted cash price $2,210 exceeds gross charge $1,772 — part of a file-wide pattern, counted once at the file level
CPT 93455/o
info
mrf_cash_above_gross
discounted cash price $3,730 exceeds gross charge $2,802 — part of a file-wide pattern, counted once at the file level
CPT 0485T/o
info
mrf_cash_above_gross
discounted cash price $46 exceeds gross charge $34 — part of a file-wide pattern, counted once at the file level
CPT 25100/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,061 — part of a file-wide pattern, counted once at the file level
CPT 26479/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,994 — part of a file-wide pattern, counted once at the file level
CPT 27385/o
info
mrf_cash_above_gross
discounted cash price $8,189 exceeds gross charge $1,807 — part of a file-wide pattern, counted once at the file level
CPT 29844/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,502 — part of a file-wide pattern, counted once at the file level
CPT 36482/o
info
mrf_cash_above_gross
discounted cash price $6,291 exceeds gross charge $515 — part of a file-wide pattern, counted once at the file level
CPT 42842/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $2,910 — part of a file-wide pattern, counted once at the file level
CPT 65272/o
info
mrf_cash_above_gross
discounted cash price $2,675 exceeds gross charge $987 — part of a file-wide pattern, counted once at the file level
CPT 70350/o
info
mrf_cash_above_gross
discounted cash price $104 exceeds gross charge $51 — part of a file-wide pattern, counted once at the file level
CPT 24125/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,872 — part of a file-wide pattern, counted once at the file level
CPT 28024/o
info
mrf_cash_above_gross
discounted cash price $1,840 exceeds gross charge $902 — part of a file-wide pattern, counted once at the file level
CPT 28341/o
info
mrf_cash_above_gross
discounted cash price $3,705 exceeds gross charge $1,376 — part of a file-wide pattern, counted once at the file level
CPT 31051/o
info
mrf_cash_above_gross
discounted cash price $6,704 exceeds gross charge $1,997 — part of a file-wide pattern, counted once at the file level
CPT 34111/o
info
mrf_cash_above_gross
discounted cash price $6,291 exceeds gross charge $1,735 — part of a file-wide pattern, counted once at the file level
CPT 50953/o
info
mrf_cash_above_gross
discounted cash price $3,991 exceeds gross charge $917 — part of a file-wide pattern, counted once at the file level
CPT 53010/o
info
mrf_cash_above_gross
discounted cash price $5,923 exceeds gross charge $862 — part of a file-wide pattern, counted once at the file level
CPT 54406/o
info
mrf_cash_above_gross
discounted cash price $3,991 exceeds gross charge $2,087 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 22,214 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 066
info
inp_payment_exceeds_charge
total payment $33,323 exceeds the average charge $29,888
MS-DRG 101
info
inp_payment_exceeds_charge
total payment $41,826 exceeds the average charge $39,133
MS-DRG 190
info
inp_payment_exceeds_charge
total payment $43,771 exceeds the average charge $39,426
MS-DRG 309
info
inp_payment_exceeds_charge
total payment $37,332 exceeds the average charge $35,902

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 · 44.6M bytes · fetched 2026-08-23 · sha256 823ee470920e…

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.