Hospital · CCN 330204

Bellevue Hospital Center

462 First Avenue, New York, NY 10016 · New York County
Part of New York City Health and Hospitals Corporation · 527 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

44 admission types 42 outpatient services price file: ok 2 Medicare-file findings
Billed per dollar paid, all admissions
1.91×
$101.6M billed against $53.1M paid across 918 Medicare discharges; the national figure is 5.03×.
—
of adults in New York County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
4.7%
uninsured in the county · state 5.7%
$101K
median household income
5.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (12 in the inpatient or outpatient file)ⓘ
19.2%
obesity in the countyⓘ
8.9%
diagnosed diabetes (PLACES)
4.9%
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
94
$128,439
$57,504
2.2× st 4.8×
280
Acute myocardial infarction, discharged alive with mcc
60
$91,479
$49,578
1.8× st 4.9×
291
Heart failure and shock with mcc
41
$80,129
$45,671
1.8× st 5.1×
481
Hip and femur procedures except major joint with cc
35
$73,664
$49,960
1.5× st 4.8×
884
Organic disturbances and intellectual disability
31
$111,578
$58,922
1.9× st 4.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
30
$118,893
$57,238
2.1× st 5.4×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
30
$197,568
$100,047
2.0× st 4.7×
281
Acute myocardial infarction, discharged alive with cc
29
$55,671
$35,609
1.6× st 5.1×
177
Respiratory infections and inflammations with mcc
26
$90,318
$48,744
1.9× st 4.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
23
$52,207
$45,539
1.1× st 4.8×
690
Kidney and urinary tract infections without mcc
23
$51,709
$41,699
1.2× st 5.2×
689
Kidney and urinary tract infections with mcc
22
$67,206
$43,375
1.5× st 5.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
21
$125,702
$58,858
2.1× st 4.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
21
$31,478
$36,493
0.9× st 4.6×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
21
$33,279
$32,959
1.0× st 4.9×
057
Degenerative nervous system disorders without mcc
21
$52,999
$40,793
1.3× st 4.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
19
$60,247
$37,309
1.6× st 5.7×
083
Traumatic stupor and coma >1 hour with cc
18
$57,499
$40,452
1.4× st 5.2×
194
Simple pneumonia and pleurisy with cc
18
$57,283
$40,893
1.4× st 4.9×
552
Medical back problems without mcc
17
$35,267
$33,652
1.0× st 5.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$57,877
$45,664
1.3× st 4.6×
682
Renal failure with mcc
17
$76,463
$39,976
1.9× st 5.1×
637
Diabetes with mcc
16
$66,864
$50,742
1.3× st 4.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
16
$287,762
$99,523
2.9× st 4.7×
312
Syncope and collapse
16
$36,832
$33,613
1.1× st 5.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$55,031
$45,162
1.2× st 5.4×
480
Hip and femur procedures except major joint with mcc
15
$125,842
$65,663
1.9× st 5.3×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
15
$778,915
$280,897
2.8× st 5.2×
870
Septicemia or severe sepsis with mv >96 hours
14
$316,641
$133,654
2.4× st 4.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
14
$56,337
$35,961
1.6× st 5.2×
082
Traumatic stupor and coma >1 hour with mcc
13
$124,196
$65,429
1.9× st 5.5×
100
Seizures with mcc
13
$103,676
$55,850
1.9× st 4.8×
314
Other circulatory system diagnoses with mcc
12
$91,367
$51,810
1.8× st 5.1×
228
Other cardiothoracic procedures with mcc
12
$239,524
$96,993
2.5× st 4.9×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
12
$629,944
$229,901
2.7× st 4.6×
056
Degenerative nervous system disorders with mcc
12
$153,741
$80,683
1.9× st 5.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
12
$37,481
$28,622
1.3× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
11
$50,966
$37,899
1.3× st 4.9×
183
Major chest trauma with mcc
11
$46,726
$44,506
1.1× st 5.6×
699
Other kidney and urinary tract diagnoses with cc
11
$52,729
$40,759
1.3× st 5.4×
309
Cardiac arrhythmia and conduction disorders with cc
11
$35,549
$33,929
1.0× st 5.1×
084
Traumatic stupor and coma >1 hour without cc/mcc
11
$25,368
$31,753
0.8× st 4.5×
683
Renal failure with cc
11
$52,254
$40,257
1.3× st 5.0×
948
Signs and symptoms without mcc
11
$55,076
$38,464
1.4× st 5.7×
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
5491
Level 1 Intraocular Procedures
48
$8,752
$2,612
3.4×
8011
Comprehensive Observation Services
43
$10,232
$3,115
3.3×
5372
Level 2 Urology and Related Services
39
$4,904
$778
6.3×
5112
Level 2 Musculoskeletal Procedures
26
$11,294
$1,829
6.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
23
$5,979
$1,845
3.2×
5302
Level 2 Upper GI Procedures
16
$10,277
$2,165
4.7×
5191
Level 1 Endovascular Procedures
16
$9,578
$3,714
2.6×
5373
Level 3 Urology and Related Services
12
$10,623
$2,318
4.6×
5183
Level 3 Vascular Procedures
12
$10,946
$3,627
3.0×
5153
Level 3 Airway Endoscopy
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via nychealthandhospitals.org/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2025-09-05, template 3.0.0, 5,043,312 rows scanned, 21,668 distinct code–setting items kept. 22,582 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$720
29
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$569
29
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$604
32
clean
ONCO PRST8 3 GENE UR ALG
—
—
$859
35
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$779
28
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$779
28
clean
HC ADRENAL CORTICAL TUMOR, BIOCHEMICAL ASSAY OF 25 STEROID MARKE
$3,916
—
$2,154
52
clean
HC ONCOLOGY (BLADDER), MRNA, MICROARRAY GENE EXPRESSION PROFILIN
$10,469
—
$5,758
52
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,002
32
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$249
30
clean
Glyca nuc mr spectrsc quan
—
—
$80
72
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,690
28
clean
HC GENE ANALYSIS (JANUS KINASE 2) OF TARGETED SEQUENCE EXONS 12-
$366
—
$201
52
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$742
30
clean
HC GENE ANALYSIS (THIOPURINE S-METHYLTRANSFERASE) FOR COMMON VAR
$1,399
—
$769
52
clean
NEURO CSF PRION PRTN QUAL
—
—
$541
29
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,588
28
clean
B brgdrferi antb 5 prtn igm
—
—
$48
70
clean
HC CT HEAD CEREBRAL PERFUSION ANALYSIS W CONTRAST
$1,319
—
$502
175
clean
B brgdrferi antb 12 prtn igg
—
—
$48
70
clean
Tbrf b grp antb 4 prtn igm
—
—
$48
70
clean
Tbrf b grp antb 4 prtn igg
—
—
$48
70
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,970
28
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,970
28
clean
BONE SRGRY CMPTR FLUOR IMAGE
$469
—
$235
16
clean
BONE SRGRY CMPTR CT/MRI IMAG
$469
—
$255
16
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$359
27
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$359
27
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$85
68
clean
Antb tp total&rpr ia qual
—
—
$85
70
clean
Syfls tst nontreponemal antb
—
—
$48
70
clean
Candida species pnl amp prb
—
—
$134
71
clean
HC IR TRANSCATH EXCRAN VERT OR CAR A STENT
$6,021
—
$3,517
85
clean
Ig paraprotein qual bld/ur
—
—
$85
68
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,735
29
clean
ONC MLNMA PRAME & LINC00518
—
—
$760
30
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$2,058
30
clean
Esw muscskel sys nos
$881
$273
$630
81
clean
HERED COLON CA DO 15 GENES
—
—
$1,744
30
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$950
29
clean
Touch quant sensory test
$41
$46
$70
81
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$918
27
clean
HC QUANT SENSORY TEST&INTERPJ/XTR W/VIBRJ STIMULI
$467
$46
$197
102
clean
Cool quant sensory test
$41
$71
$132
81
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$5,198
27
clean
Heat quant sensory test
$41
$46
$71
81
clean
Iadi 16s&18s rrna genes
—
—
$240
68
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,891
27
clean
Crd ceramides liq chrom plsm
—
—
$99
68
clean
HERED BRST CA RLTD DO PANEL
—
—
$1,304
30
clean
HC NFCT DS BCT FNG PARASITE DNA VIR DETCJ >1000 ORG
$6,379
—
$2,881
52
clean
HC GI IBS IA ANTI-CDTB&ANTI-VINCULIN ANTB PLSM ALG
$336
—
$152
52
clean
HC LIVER DISEASE 10 BIOCHEMICAL ASSAYS SERUM ALG
$1,510
—
$682
52
clean
HC ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG
$9,090
—
$4,106
52
clean
CAD CXR WITH INTERP
$116
—
$56
21
clean
HC ONC SOLID TUM MASS SPECTROMETRIC 30 PROTEIN TRGT
$3,916
—
$1,769
52
clean
HC ANESTHESIA ARTERIAL LINE PLACEMENT
$11
—
$8
43
clean
Exc rectal tumor endoscopic
$2,305
$6,591
$1,998
80
clean
HC ANESTHESIA CSE BLOCK
$11
—
$8
43
clean
HC IR SACROPLASTY UNI LEFT
$23,514
$8,273
$4,703
202
clean
HC IR SACROPLASTY BILATERAL
$25,871
$8,273
$4,533
103
clean
Post vert arthrplst 1 lumbar
—
—
$3,936
46
clean
HC NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2
$1,250
—
$565
52
clean
HC NEUROLOGY ALZHEIMER DISEASE CELL AGGREGATION
$6,646
—
$3,002
52
clean
Clear eyelid gland w/heat
—
—
$153
68
clean
HC NEUROLOGY ALZHEIMER DISEASE QUANTITATIVE IMAGING
$1,534
—
$920
51
clean
Njx platelet plasma
—
—
$677
68
clean
Trluml perip athrc brchiocph
$35,768
$12,722
$7,194
80
clean
Trluml perip athrc iliac art
$35,768
$20,278
$7,194
81
clean
HC TARGETED GENOMIC SEQUENCE ANALYSIS PANEL, SOLID ORGAN NEOPLAS
$10,500
—
$4,743
106
clean
HC NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN
$428
—
$143
91
clean
HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN
$428
—
$143
91
clean
HC TRGT GEN SEQ ALYS PNL SOLID ORGN NEO DNA 55-74
$15,000
—
$8,250
52
clean
HC ONC THYR MUT ALYS 10 GEN 37 RNA FSN XPRSN 4 MRNA
$3,798
—
$2,089
52
clean
HC ONC SLD ORG NEO TRGT GEN SEQ DNA ALYS 505 GENES
$8,759
—
$4,817
52
clean
Implt/rpl crtd sns dev total
—
—
$28,036
69
clean
Implt/rpl crtd sns dev gen
—
—
$28,036
69
clean
Interrogate crtd sns dev
—
—
$166
69
clean
Interrogate crtd sns w/pgrmg
—
—
$177
69
clean
Perq lamot/lam lumbar
—
—
$6,763
69
clean
HC TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS
$383
$181
$201
102
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$4,067
27
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,435
27
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$410
27
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$410
27
clean
Nfct ds bct quan antmcrb sc
—
—
$47
68
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$883
27
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$8,500
24
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,650
24
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,000
24
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,438
24
clean
TEAR FILM IMG UNI/BI W/I&R
$59
$46
$46
42
clean
ONC SLD ORGN TGSA DNA 84/+
—
—
$3,500
21
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,435
24
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,435
24
clean
Trnscth renal symp denrv bil
—
—
$2,525
69
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$798
27
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$4,057
27
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$792
24
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,403
27
clean
Beta amyl ab40&ab42 lc-ms/ms
—
—
$58
58
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$1,403
27
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$779
27
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$779
27
clean
Rsa lower extr exam
—
—
$104
74
clean
INTRAOP OCT BRST/NODE SPEC
—
—
$559
5
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
—
$274
27
clean
OCT BRST/NODE I&R PER SPEC
—
—
$1,305
8
clean
Nfct ds bv&vaginitis amp prb
—
—
$107
58
clean
Iadna chlmyd&gonorr amp prb
—
—
$52
54
clean
HC APOL1 RISK VARIANTS
$12
—
$10
49
clean
HC ONC OROP 17 DNA DDPCR ALG
$12
—
$10
49
clean
Bia whole body
$83
$34
$69
81
clean
HC NEURO ALYS B-AMYL 1-42&1-40
$12
—
$10
49
clean
HC ONC PRST8 CA ALYS ALL PSA
$12
—
$49
86
clean
HC ONC LUNG ELISA 7 AUTOANT ALG
$12
—
$10
49
clean
HC NEURFLMNT LT CHN DIG IA QUAN
$11
—
$47
83
clean
HC ONC URTHL MRNA 5 GEN ALG
$12
—
$10
49
clean
HC TEST FOR 10 PROTEIN BIOMARKERS FOR BLADDER CANCER
$2,691
—
$1,749
49
clean
HC TEST FOR 10 PROTEIN BIORNARKERS FOR RECURRENT BLADDER CANCER
$2,691
—
$1,749
49
clean
HCTEST TO DETERMINE POTENTIAL RISK OF PROSTATE CANCER SPREAD AND
$2,691
—
$1,749
49
clean
HC TEST TO DETERMINE POTENTIAL RISK OF PROSTATE CANCER SPREAD AN
$2,119
—
$1,377
49
clean
VIS FIELD ASSMNT TECH SUPPT
—
—
$50
30
clean
TGSAP SL OR NEO DNA523&RNA55
—
—
$3,289
15
clean
HC TEST FOR ADVERSE DRUG REACTIONS AND DRUG RESPONSE
$1,042
—
$729
46
clean
HC ONC NONSM CLL LNG CA 37 GEN
$1
—
$1
46
clean
HC NEU PRKSN MSFL A-SYNCLN PRTN
$1
—
$1
49
clean
Hdr elctrnc skn surf brchytx
—
—
$447
69
clean
HC PFAS 16 PFAS COMPND LC MS/MS
$1
—
$49
86
clean
HC HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV
$2,487
—
$505
90
clean
Mrgfus strtctc les abltj
$4,545
$15,753
$16,847
68
clean
HC GI BARET ESPH DNA MTHYLN ALY
$1
—
$1
46
clean
HC COLLAGEN CROSS-LINKING CORNEA&PACHYMTRY
$6,658
$2,702
$2,352
191
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
—
$760
24
clean
ONC BRST SEMIQ MEAS THYM KN
—
—
$323
24
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
—
$760
24
clean
NEPH DBTC CKD MULT ECLIA ALG
—
—
$950
25
clean
Insj/rplc cardiac modulj sys
—
—
$9,833
68
clean
ONC SLD TUM DNA 80 & RNA 36
—
—
$2,920
24
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,336
24
clean
CV DS ACS BLD ALG 5 YR SCORE
—
—
$391
24
clean
Prgrmg eval cardiac modulj
—
—
$133
69
clean
Interro eval cardiac modulj
—
—
$133
69
clean
HC WATERJET PROSTATE ABLATION COMPL
$22,999
$10,653
$4,033
103
clean
Gi malabs aat calpro pncrtc
—
—
$54
59
clean
Gly rcptr alpha1 igg srm/csf
—
—
$49
59
clean
Klhl11 antb sr/csf asy qual
—
—
$49
59
clean
ONC PRST8 5 DNA REG MRK PCR
—
—
$760
15
clean
RX METAB ADVRS VRNT ALYS 25
—
—
$417
15
clean
Impltj synth rnfcmt abdl wal
$874
—
$2,613
58
clean
Myocrd contrast prfuj echo
$67
—
$418
59
clean
Abltj perc lxtr/perph nrv
$644
$2,233
$1,703
80
clean
Abltj perc plex/trncl nrv
$644
$7,703
$4,488
80
clean
Neurflmnt lt chn ultrsens ia
—
—
$48
45
clean
Insj impltbl glucose sensor
$153
$2,109
$780
102
clean
Rmvl impltbl glucose sensor
$177
$232
$262
102
clean
Remvl insj impltbl gluc sens
$254
$2,109
$796
102
clean
HC INSJ AQUEOUS DRAIN DEV W/O EO RSVR INITIAL DEV
$12,847
$6,044
$2,633
106
clean
Visual ep test for glaucoma
—
—
$177
69
clean
ONC SLD TUM BLD/SLV 648 GENE
—
—
$4,500
15
clean
HERED PRST8 CA GSAP 23 GENES
—
—
$1,304
15
clean
Fxjl abl lsr 1st 100 sq cm
$526
$726
$861
80
clean
Fxjl abl lsr ea addl 100sqcm
$218
—
$861
58
clean
Tmvi percutaneous approach
$4,279
—
$3,285
60
clean
Tmvi transthoracic exposure
$4,279
—
$3,285
59
clean
Oct mid ear i&r unilateral
$33
$46
$70
91
clean
Oct mid ear i&r bilateral
—
—
$130
73
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
$12,722
$5,008
103
clean
HC NEAR INFRARED DUAL IMG MEIBOMIAN GLND UNI/BI I&
$355
$71
$161
461
clean
HC PATTERN ELECTRORETINOGRAPHY W/I&
$762
$363
$156
433
clean
HC ESW INTEGUMENTARY WOUND HEALING INITIAL WOUN
$1,002
$232
$861
890
clean
HC ESW INTEGUMENTARY WOUND HEALING EA ADDL WOUN
$105
—
$861
788
clean
HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPIN
$100
—
$80
157
clean
HC INSERTION/REPLACEMENT COMPLETE IIM
$31,527
—
$11,866
266
clean
HC PRGRMG DEVICE EVAL IIMS IN PERSO
$334
—
$136
270
clean
HC INTERROGATION DEVICE EVAL IIMS IN PERSO
$334
—
$136
94
clean
CAR-T CLL ADMN AUTOLOGOUS
$510
$392
$357
23
clean
RF SPECTRSC NTRAOP MRGN ASMT
$149
—
$97
17
clean
Low-level laser therapy
$20
—
$64
59
clean
ANTMC GUIDE 3D PRINT 1ST GD
$110
$71
$74
42
clean
ANTMC GUIDE 3D PRINT EA ADDL
$55
—
$33
17
clean
HC EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL
$355
—
$145
90
clean
HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
$5,974
—
$3,883
81
clean
HC TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
$8,119
—
$3,614
93
clean
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$101,184
—
$20,237
90
clean
HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
$334
—
$136
90
clean
HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
$334
$44
$136
102
clean
HC REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP
$334
—
$166
92
clean
HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH
$334
—
$136
90
clean
HC ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL
$8,345
$4,408
$3,179
103
clean
HC ELEC ALYS CPLX PRGRMG IINS PTN 4+ PARAMETERS
$524
—
$142
91
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
$363
$523
75
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
—
$5,037
91
clean
HC IRE ABLATION 1+TUMORS PR ORGN W/FLUOR&US GDN OPN
$28,130
—
$5,037
91
clean
HC REM OCT RETINA TECHL SUPRT MIN 8 DLY REC EA 30D
$117
—
$158
84
clean

Showing the first 200 of 21,668 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_cash_above_gross_systematic
2,170 of 3,001 comparable items (72%) 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 $3,743 exceeds gross charge $881
warn
mrf_negotiated_above_gross_systematic
5,144 of 6,517 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 $7,194 exceeds the gross charge $6,021
warn
mrf_rate_without_estimate
760,813 of 760,813 percentage/algorithm rates across 11,222 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 20101/o
info
mrf_cash_above_gross
discounted cash price $2,109 exceeds gross charge $603 — part of a file-wide pattern, counted once at the file level
CPT 21502/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $1,465 — part of a file-wide pattern, counted once at the file level
CPT 25375/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $2,747 — part of a file-wide pattern, counted once at the file level
CPT 26185/o
info
mrf_cash_above_gross
discounted cash price $1,859 exceeds gross charge $1,634 — part of a file-wide pattern, counted once at the file level
CPT 33903/o
info
mrf_cash_above_gross
discounted cash price $12,722 exceeds gross charge $2,461 — part of a file-wide pattern, counted once at the file level
CPT 42220/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $1,648 — part of a file-wide pattern, counted once at the file level
CPT 45172/o
info
mrf_cash_above_gross
discounted cash price $3,247 exceeds gross charge $2,330 — part of a file-wide pattern, counted once at the file level
CPT 53665/o
info
mrf_cash_above_gross
discounted cash price $2,355 exceeds gross charge $102 — part of a file-wide pattern, counted once at the file level
CPT 57550/o
info
mrf_cash_above_gross
discounted cash price $5,752 exceeds gross charge $1,217 — part of a file-wide pattern, counted once at the file level
CPT 64840/o
info
mrf_cash_above_gross
discounted cash price $7,703 exceeds gross charge $2,762 — part of a file-wide pattern, counted once at the file level
CPT 21123/o
info
mrf_cash_above_gross
discounted cash price $3,723 exceeds gross charge $2,342 — part of a file-wide pattern, counted once at the file level
CPT 24546/o
info
mrf_cash_above_gross
discounted cash price $15,220 exceeds gross charge $2,983 — part of a file-wide pattern, counted once at the file level
CPT 33280/o
info
mrf_cash_above_gross
discounted cash price $3,935 exceeds gross charge $570 — part of a file-wide pattern, counted once at the file level
CPT 37183/o
info
mrf_cash_above_gross
discounted cash price $6,610 exceeds gross charge $999 — part of a file-wide pattern, counted once at the file level
CPT 38720/o
info
mrf_cash_above_gross
discounted cash price $7,541 exceeds gross charge $3,796 — part of a file-wide pattern, counted once at the file level
CPT 59414/o
info
mrf_cash_above_gross
discounted cash price $3,615 exceeds gross charge $264 — part of a file-wide pattern, counted once at the file level
CPT 69646/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $4,389 — part of a file-wide pattern, counted once at the file level
CPT 15825/o
info
mrf_cash_above_gross
discounted cash price $4,149 exceeds gross charge $626 — part of a file-wide pattern, counted once at the file level
CPT 23550/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $1,655 — part of a file-wide pattern, counted once at the file level
CPT 27742/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $2,247 — part of a file-wide pattern, counted once at the file level
CPT 28202/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $1,210 — part of a file-wide pattern, counted once at the file level
CPT 31520/o
info
mrf_cash_above_gross
discounted cash price $472 exceeds gross charge $439 — part of a file-wide pattern, counted once at the file level
CPT 32560/o
info
mrf_cash_above_gross
discounted cash price $726 exceeds gross charge $208 — part of a file-wide pattern, counted once at the file level
CPT 35876/o
info
mrf_cash_above_gross
discounted cash price $6,355 exceeds gross charge $2,633 — part of a file-wide pattern, counted once at the file level
CPT 49429/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $1,320 — part of a file-wide pattern, counted once at the file level
CPT 51990/o
info
mrf_cash_above_gross
discounted cash price $6,673 exceeds gross charge $2,066 — part of a file-wide pattern, counted once at the file level
CPT 55540/o
info
mrf_cash_above_gross
discounted cash price $4,001 exceeds gross charge $1,612 — part of a file-wide pattern, counted once at the file level
CPT 64451/o
info
mrf_cash_above_gross
discounted cash price $800 exceeds gross charge $225 — part of a file-wide pattern, counted once at the file level
CPT 66179/o
info
mrf_cash_above_gross
discounted cash price $6,044 exceeds gross charge $2,951 — part of a file-wide pattern, counted once at the file level
CPT D2929/o
info
mrf_cash_above_gross
discounted cash price $1,018 exceeds gross charge $556 — part of a file-wide pattern, counted once at the file level
CPT 0308T/o
info
mrf_cash_above_gross
discounted cash price $20,063 exceeds gross charge $3,150 — part of a file-wide pattern, counted once at the file level
CPT 0447T/o
info
mrf_cash_above_gross
discounted cash price $232 exceeds gross charge $177 — part of a file-wide pattern, counted once at the file level
CPT 26200/o
info
mrf_cash_above_gross
discounted cash price $1,859 exceeds gross charge $1,313 — part of a file-wide pattern, counted once at the file level
CPT 42225/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $2,807 — part of a file-wide pattern, counted once at the file level
CPT 45190/o
info
mrf_cash_above_gross
discounted cash price $3,247 exceeds gross charge $1,961 — part of a file-wide pattern, counted once at the file level
CPT 50551/o
info
mrf_cash_above_gross
discounted cash price $5,984 exceeds gross charge $803 — part of a file-wide pattern, counted once at the file level
CPT 57555/o
info
mrf_cash_above_gross
discounted cash price $5,752 exceeds gross charge $1,744 — part of a file-wide pattern, counted once at the file level
CPT 63011/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $3,162 — part of a file-wide pattern, counted once at the file level
CPT 64856/o
info
mrf_cash_above_gross
discounted cash price $7,703 exceeds gross charge $2,899 — part of a file-wide pattern, counted once at the file level
CPT 67906/o
info
mrf_cash_above_gross
discounted cash price $4,471 exceeds gross charge $1,380 — part of a file-wide pattern, counted once at the file level
CPT D7311/o
info
mrf_cash_above_gross
discounted cash price $1,764 exceeds gross charge $471 — part of a file-wide pattern, counted once at the file level
CPT 21125/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $1,873 — part of a file-wide pattern, counted once at the file level
CPT 25391/o
info
mrf_cash_above_gross
discounted cash price $15,220 exceeds gross charge $2,865 — part of a file-wide pattern, counted once at the file level
CPT 26756/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $1,240 — part of a file-wide pattern, counted once at the file level
CPT 27496/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $1,602 — part of a file-wide pattern, counted once at the file level
CPT 30115/o
info
mrf_cash_above_gross
discounted cash price $3,723 exceeds gross charge $1,310 — part of a file-wide pattern, counted once at the file level
CPT 33281/o
info
mrf_cash_above_gross
discounted cash price $3,935 exceeds gross charge $1,001 — part of a file-wide pattern, counted once at the file level
CPT 37184/o
info
mrf_cash_above_gross
discounted cash price $20,278 exceeds gross charge $1,181 — part of a file-wide pattern, counted once at the file level
CPT 69650/o
info
mrf_cash_above_gross
discounted cash price $3,723 exceeds gross charge $2,247 — part of a file-wide pattern, counted once at the file level
CPT 93668/o
info
mrf_cash_above_gross
discounted cash price $71 exceeds gross charge $42 — part of a file-wide pattern, counted once at the file level
CPT D0277/o
info
mrf_cash_above_gross
discounted cash price $283 exceeds gross charge $151 — part of a file-wide pattern, counted once at the file level
CPT 11642/o
info
mrf_cash_above_gross
discounted cash price $814 exceeds gross charge $508 — part of a file-wide pattern, counted once at the file level
CPT 20150/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $2,878 — part of a file-wide pattern, counted once at the file level
CPT 23552/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $1,864 — part of a file-wide pattern, counted once at the file level
CPT 27745/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $2,106 — part of a file-wide pattern, counted once at the file level
CPT 32561/o
info
mrf_cash_above_gross
discounted cash price $726 exceeds gross charge $183 — part of a file-wide pattern, counted once at the file level
CPT 35879/o
info
mrf_cash_above_gross
discounted cash price $6,355 exceeds gross charge $2,582 — part of a file-wide pattern, counted once at the file level
CPT 38740/o
info
mrf_cash_above_gross
discounted cash price $6,673 exceeds gross charge $2,029 — part of a file-wide pattern, counted once at the file level
CPT 51992/o
info
mrf_cash_above_gross
discounted cash price $6,673 exceeds gross charge $2,336 — part of a file-wide pattern, counted once at the file level
CPT 55550/o
info
mrf_cash_above_gross
discounted cash price $6,673 exceeds gross charge $1,202 — part of a file-wide pattern, counted once at the file level
CPT 26205/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $1,759 — part of a file-wide pattern, counted once at the file level
CPT 27278/o
info
mrf_cash_above_gross
discounted cash price $21,551 exceeds gross charge $1,323 — part of a file-wide pattern, counted once at the file level
CPT 28210/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $1,185 — part of a file-wide pattern, counted once at the file level
CPT 42226/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $2,557 — part of a file-wide pattern, counted once at the file level
CPT 53855/o
info
mrf_cash_above_gross
discounted cash price $2,355 exceeds gross charge $224 — part of a file-wide pattern, counted once at the file level
CPT 57556/o
info
mrf_cash_above_gross
discounted cash price $5,752 exceeds gross charge $1,657 — part of a file-wide pattern, counted once at the file level
CPT 63012/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $3,529 — part of a file-wide pattern, counted once at the file level
CPT 64857/o
info
mrf_cash_above_gross
discounted cash price $7,703 exceeds gross charge $2,991 — part of a file-wide pattern, counted once at the file level
CPT 66183/o
info
mrf_cash_above_gross
discounted cash price $4,702 exceeds gross charge $2,809 — part of a file-wide pattern, counted once at the file level
CPT 0448T/o
info
mrf_cash_above_gross
discounted cash price $2,109 exceeds gross charge $254 — part of a file-wide pattern, counted once at the file level
CPT 21127/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $2,165 — part of a file-wide pattern, counted once at the file level
CPT 21554/o
info
mrf_cash_above_gross
discounted cash price $3,286 exceeds gross charge $2,100 — part of a file-wide pattern, counted once at the file level
CPT 25392/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $2,916 — part of a file-wide pattern, counted once at the file level
CPT 27497/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $1,685 — part of a file-wide pattern, counted once at the file level
CPT 31527/o
info
mrf_cash_above_gross
discounted cash price $4,331 exceeds gross charge $545 — part of a file-wide pattern, counted once at the file level
CPT 43261/o
info
mrf_cash_above_gross
discounted cash price $4,429 exceeds gross charge $918 — part of a file-wide pattern, counted once at the file level
CPT 49436/o
info
mrf_cash_above_gross
discounted cash price $2,200 exceeds gross charge $536 — part of a file-wide pattern, counted once at the file level
CPT 50555/o
info
mrf_cash_above_gross
discounted cash price $10,653 exceeds gross charge $934 — part of a file-wide pattern, counted once at the file level
CPT 67909/o
info
mrf_cash_above_gross
discounted cash price $2,702 exceeds gross charge $1,206 — part of a file-wide pattern, counted once at the file level
CPT 69660/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $2,585 — part of a file-wide pattern, counted once at the file level
CPT 93701/o
info
mrf_cash_above_gross
discounted cash price $148 exceeds gross charge $75 — part of a file-wide pattern, counted once at the file level
CPT 11643/o
info
mrf_cash_above_gross
discounted cash price $1,875 exceeds gross charge $638 — part of a file-wide pattern, counted once at the file level
CPT 22856/o
info
mrf_cash_above_gross
discounted cash price $21,551 exceeds gross charge $4,750 — part of a file-wide pattern, counted once at the file level
CPT 24575/o
info
mrf_cash_above_gross
discounted cash price $15,220 exceeds gross charge $2,125 — part of a file-wide pattern, counted once at the file level
CPT 30118/o
info
mrf_cash_above_gross
discounted cash price $3,723 exceeds gross charge $1,981 — part of a file-wide pattern, counted once at the file level
CPT 32562/o
info
mrf_cash_above_gross
discounted cash price $726 exceeds gross charge $162 — part of a file-wide pattern, counted once at the file level
CPT 35881/o
info
mrf_cash_above_gross
discounted cash price $6,355 exceeds gross charge $2,863 — part of a file-wide pattern, counted once at the file level
CPT 38745/o
info
mrf_cash_above_gross
discounted cash price $6,673 exceeds gross charge $2,549 — part of a file-wide pattern, counted once at the file level
CPT D2933/o
info
mrf_cash_above_gross
discounted cash price $1,018 exceeds gross charge $547 — part of a file-wide pattern, counted once at the file level
CPT 28220/o
info
mrf_cash_above_gross
discounted cash price $1,859 exceeds gross charge $858 — part of a file-wide pattern, counted once at the file level
CPT 42227/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $2,380 — part of a file-wide pattern, counted once at the file level
CPT 53860/o
info
mrf_cash_above_gross
discounted cash price $2,355 exceeds gross charge $623 — part of a file-wide pattern, counted once at the file level
CPT 55600/o
info
mrf_cash_above_gross
discounted cash price $2,355 exceeds gross charge $1,181 — part of a file-wide pattern, counted once at the file level
CPT 57558/o
info
mrf_cash_above_gross
discounted cash price $3,615 exceeds gross charge $362 — part of a file-wide pattern, counted once at the file level
CPT 63015/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $4,425 — part of a file-wide pattern, counted once at the file level
CPT 15833/o
info
mrf_cash_above_gross
discounted cash price $3,286 exceeds gross charge $2,502 — part of a file-wide pattern, counted once at the file level
CPT 21555/o
info
mrf_cash_above_gross
discounted cash price $1,875 exceeds gross charge $888 — part of a file-wide pattern, counted once at the file level
CPT 23575/o
info
mrf_cash_above_gross
discounted cash price $1,859 exceeds gross charge $1,126 — part of a file-wide pattern, counted once at the file level
CPT 25393/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $3,239 — part of a file-wide pattern, counted once at the file level
CPT 26215/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $1,648 — part of a file-wide pattern, counted once at the file level
CPT 33286/o
info
mrf_cash_above_gross
discounted cash price $814 exceeds gross charge $240 — part of a file-wide pattern, counted once at the file level
CPT 37187/o
info
mrf_cash_above_gross
discounted cash price $12,722 exceeds gross charge $1,074 — part of a file-wide pattern, counted once at the file level
CPT 50557/o
info
mrf_cash_above_gross
discounted cash price $10,653 exceeds gross charge $944 — part of a file-wide pattern, counted once at the file level
CPT 64463/o
info
mrf_cash_above_gross
discounted cash price $800 exceeds gross charge $219 — part of a file-wide pattern, counted once at the file level
CPT 67911/o
info
mrf_cash_above_gross
discounted cash price $2,702 exceeds gross charge $1,532 — part of a file-wide pattern, counted once at the file level
CPT 30120/o
info
mrf_cash_above_gross
discounted cash price $3,723 exceeds gross charge $1,189 — part of a file-wide pattern, counted once at the file level
CPT 31529/o
info
mrf_cash_above_gross
discounted cash price $4,331 exceeds gross charge $449 — part of a file-wide pattern, counted once at the file level
CPT 32601/o
info
mrf_cash_above_gross
discounted cash price $6,673 exceeds gross charge $867 — part of a file-wide pattern, counted once at the file level
CPT 35883/o
info
mrf_cash_above_gross
discounted cash price $6,355 exceeds gross charge $3,336 — part of a file-wide pattern, counted once at the file level
CPT 69662/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $3,215 — part of a file-wide pattern, counted once at the file level
CPT D2934/o
info
mrf_cash_above_gross
discounted cash price $1,018 exceeds gross charge $551 — part of a file-wide pattern, counted once at the file level
CPT 26820/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $2,374 — part of a file-wide pattern, counted once at the file level
CPT 27499/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $2,033 — part of a file-wide pattern, counted once at the file level
CPT 28222/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $1,042 — part of a file-wide pattern, counted once at the file level
CPT 42235/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $2,096 — part of a file-wide pattern, counted once at the file level
CPT 52007/o
info
mrf_cash_above_gross
discounted cash price $4,031 exceeds gross charge $458 — part of a file-wide pattern, counted once at the file level
CPT 63016/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $4,530 — part of a file-wide pattern, counted once at the file level
CPT 66225/o
info
mrf_cash_above_gross
discounted cash price $6,044 exceeds gross charge $2,550 — part of a file-wide pattern, counted once at the file level
CPT 15834/o
info
mrf_cash_above_gross
discounted cash price $3,286 exceeds gross charge $2,549 — part of a file-wide pattern, counted once at the file level
CPT 21556/o
info
mrf_cash_above_gross
discounted cash price $3,286 exceeds gross charge $1,517 — part of a file-wide pattern, counted once at the file level
CPT 24577/o
info
mrf_cash_above_gross
discounted cash price $1,859 exceeds gross charge $1,499 — part of a file-wide pattern, counted once at the file level
CPT 25394/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $2,271 — part of a file-wide pattern, counted once at the file level
CPT 26230/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $1,456 — part of a file-wide pattern, counted once at the file level
CPT 33287/o
info
mrf_cash_above_gross
discounted cash price $35,909 exceeds gross charge $1,095 — part of a file-wide pattern, counted once at the file level
CPT 35184/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $2,706 — part of a file-wide pattern, counted once at the file level
CPT 50561/o
info
mrf_cash_above_gross
discounted cash price $5,984 exceeds gross charge $1,075 — part of a file-wide pattern, counted once at the file level
CPT 93740/o
info
mrf_cash_above_gross
discounted cash price $181 exceeds gross charge $21 — part of a file-wide pattern, counted once at the file level
CPT 20245/o
info
mrf_cash_above_gross
discounted cash price $3,286 exceeds gross charge $960 — part of a file-wide pattern, counted once at the file level
CPT 21142/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $3,793 — part of a file-wide pattern, counted once at the file level
CPT 30124/o
info
mrf_cash_above_gross
discounted cash price $1,764 exceeds gross charge $861 — part of a file-wide pattern, counted once at the file level
CPT 31530/o
info
mrf_cash_above_gross
discounted cash price $1,963 exceeds gross charge $555 — part of a file-wide pattern, counted once at the file level
CPT 32604/o
info
mrf_cash_above_gross
discounted cash price $11,904 exceeds gross charge $1,347 — part of a file-wide pattern, counted once at the file level
CPT 35884/o
info
mrf_cash_above_gross
discounted cash price $6,355 exceeds gross charge $3,467 — part of a file-wide pattern, counted once at the file level
CPT 69666/o
info
mrf_cash_above_gross
discounted cash price $3,723 exceeds gross charge $2,260 — part of a file-wide pattern, counted once at the file level
CPT 72270/o
info
mrf_cash_above_gross
discounted cash price $926 exceeds gross charge $423 — part of a file-wide pattern, counted once at the file level
CPT 26841/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $2,207 — part of a file-wide pattern, counted once at the file level
CPT 37192/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $963 — part of a file-wide pattern, counted once at the file level
CPT 38760/o
info
mrf_cash_above_gross
discounted cash price $7,541 exceeds gross charge $2,389 — part of a file-wide pattern, counted once at the file level
CPT 42260/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $1,889 — part of a file-wide pattern, counted once at the file level
CPT 45321/o
info
mrf_cash_above_gross
discounted cash price $3,247 exceeds gross charge $300 — part of a file-wide pattern, counted once at the file level
CPT 63017/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $3,783 — part of a file-wide pattern, counted once at the file level
CPT 64862/o
info
mrf_cash_above_gross
discounted cash price $7,703 exceeds gross charge $3,917 — part of a file-wide pattern, counted once at the file level
CPT 67915/o
info
mrf_cash_above_gross
discounted cash price $2,702 exceeds gross charge $550 — part of a file-wide pattern, counted once at the file level
CPT D2941/o
info
mrf_cash_above_gross
discounted cash price $1,018 exceeds gross charge $277 — part of a file-wide pattern, counted once at the file level
CPT 21557/o
info
mrf_cash_above_gross
discounted cash price $3,286 exceeds gross charge $2,722 — part of a file-wide pattern, counted once at the file level
CPT 24579/o
info
mrf_cash_above_gross
discounted cash price $15,220 exceeds gross charge $2,412 — part of a file-wide pattern, counted once at the file level
CPT 26235/o
info
mrf_cash_above_gross
discounted cash price $1,859 exceeds gross charge $1,433 — part of a file-wide pattern, counted once at the file level
CPT 27766/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $1,748 — part of a file-wide pattern, counted once at the file level
CPT 28226/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $1,163 — part of a file-wide pattern, counted once at the file level
CPT 33288/o
info
mrf_cash_above_gross
discounted cash price $15,753 exceeds gross charge $1,344 — part of a file-wide pattern, counted once at the file level
CPT 35188/o
info
mrf_cash_above_gross
discounted cash price $6,355 exceeds gross charge $3,850 — part of a file-wide pattern, counted once at the file level
CPT 50562/o
info
mrf_cash_above_gross
discounted cash price $10,653 exceeds gross charge $1,583 — part of a file-wide pattern, counted once at the file level
CPT 54000/o
info
mrf_cash_above_gross
discounted cash price $4,031 exceeds gross charge $315 — part of a file-wide pattern, counted once at the file level
CPT 55680/o
info
mrf_cash_above_gross
discounted cash price $4,031 exceeds gross charge $975 — part of a file-wide pattern, counted once at the file level
CPT 66500/o
info
mrf_cash_above_gross
discounted cash price $2,695 exceeds gross charge $1,077 — part of a file-wide pattern, counted once at the file level
CPT 93745/o
info
mrf_cash_above_gross
discounted cash price $345 exceeds gross charge $257 — part of a file-wide pattern, counted once at the file level
CPT 15836/o
info
mrf_cash_above_gross
discounted cash price $3,286 exceeds gross charge $2,276 — part of a file-wide pattern, counted once at the file level
CPT 20250/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $1,142 — part of a file-wide pattern, counted once at the file level
CPT 21143/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $3,908 — part of a file-wide pattern, counted once at the file level
CPT 30125/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $1,826 — part of a file-wide pattern, counted once at the file level
CPT 32606/o
info
mrf_cash_above_gross
discounted cash price $6,673 exceeds gross charge $1,301 — part of a file-wide pattern, counted once at the file level
CPT 49460/o
info
mrf_cash_above_gross
discounted cash price $1,048 exceeds gross charge $139 — part of a file-wide pattern, counted once at the file level
CPT 69667/o
info
mrf_cash_above_gross
discounted cash price $3,723 exceeds gross charge $2,260 — part of a file-wide pattern, counted once at the file level
CPT 92352/o
info
mrf_cash_above_gross
discounted cash price $71 exceeds gross charge $49 — part of a file-wide pattern, counted once at the file level
CPT D5911/o
info
mrf_cash_above_gross
discounted cash price $1,018 exceeds gross charge $712 — part of a file-wide pattern, counted once at the file level
CPT 26842/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $2,380 — part of a file-wide pattern, counted once at the file level
CPT 42280/o
info
mrf_cash_above_gross
discounted cash price $636 exceeds gross charge $303 — part of a file-wide pattern, counted once at the file level
CPT 63020/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $3,254 — part of a file-wide pattern, counted once at the file level
CPT 64864/o
info
mrf_cash_above_gross
discounted cash price $7,703 exceeds gross charge $2,429 — part of a file-wide pattern, counted once at the file level
CPT 67916/o
info
mrf_cash_above_gross
discounted cash price $2,702 exceeds gross charge $1,185 — part of a file-wide pattern, counted once at the file level
CPT D2949/o
info
mrf_cash_above_gross
discounted cash price $1,018 exceeds gross charge $325 — part of a file-wide pattern, counted once at the file level
CPT 24582/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $2,373 — part of a file-wide pattern, counted once at the file level
CPT 25420/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $3,345 — part of a file-wide pattern, counted once at the file level
CPT 28230/o
info
mrf_cash_above_gross
discounted cash price $1,859 exceeds gross charge $805 — part of a file-wide pattern, counted once at the file level
CPT 35903/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $1,580 — part of a file-wide pattern, counted once at the file level
CPT 50570/o
info
mrf_cash_above_gross
discounted cash price $4,031 exceeds gross charge $1,339 — part of a file-wide pattern, counted once at the file level
CPT 66505/o
info
mrf_cash_above_gross
discounted cash price $2,695 exceeds gross charge $1,172 — part of a file-wide pattern, counted once at the file level
CPT 93151/o
info
mrf_cash_above_gross
discounted cash price $112 exceeds gross charge $106 — part of a file-wide pattern, counted once at the file level
CPT D7440/o
info
mrf_cash_above_gross
discounted cash price $3,723 exceeds gross charge $1,905 — part of a file-wide pattern, counted once at the file level
CPT 15837/o
info
mrf_cash_above_gross
discounted cash price $3,286 exceeds gross charge $2,048 — part of a file-wide pattern, counted once at the file level
CPT 20251/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $1,258 — part of a file-wide pattern, counted once at the file level
CPT 26250/o
info
mrf_cash_above_gross
discounted cash price $3,743 exceeds gross charge $3,063 — part of a file-wide pattern, counted once at the file level
CPT 30130/o
info
mrf_cash_above_gross
discounted cash price $3,723 exceeds gross charge $1,172 — part of a file-wide pattern, counted once at the file level
CPT 32607/o
info
mrf_cash_above_gross
discounted cash price $11,904 exceeds gross charge $867 — part of a file-wide pattern, counted once at the file level
CPT 37197/o
info
mrf_cash_above_gross
discounted cash price $3,686 exceeds gross charge $820 — part of a file-wide pattern, counted once at the file level
CPT 49465/o
info
mrf_cash_above_gross
discounted cash price $283 exceeds gross charge $81 — part of a file-wide pattern, counted once at the file level
CPT 54015/o
info
mrf_cash_above_gross
discounted cash price $1,875 exceeds gross charge $845 — part of a file-wide pattern, counted once at the file level
CPT 69670/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $2,640 — part of a file-wide pattern, counted once at the file level
CPT 92353/o
info
mrf_cash_above_gross
discounted cash price $71 exceeds gross charge $66 — part of a file-wide pattern, counted once at the file level
CPT D5912/o
info
mrf_cash_above_gross
discounted cash price $1,018 exceeds gross charge $860 — part of a file-wide pattern, counted once at the file level
CPT 21600/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $1,657 — part of a file-wide pattern, counted once at the file level
CPT 26843/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $2,234 — part of a file-wide pattern, counted once at the file level
CPT 31541/o
info
mrf_cash_above_gross
discounted cash price $4,331 exceeds gross charge $730 — part of a file-wide pattern, counted once at the file level
CPT 42281/o
info
mrf_cash_above_gross
discounted cash price $6,772 exceeds gross charge $454 — part of a file-wide pattern, counted once at the file level
CPT 45332/o
info
mrf_cash_above_gross
discounted cash price $1,365 exceeds gross charge $290 — part of a file-wide pattern, counted once at the file level
CPT 63030/o
info
mrf_cash_above_gross
discounted cash price $8,273 exceeds gross charge $2,700 — part of a file-wide pattern, counted once at the file level
CPT 64865/o
info
mrf_cash_above_gross
discounted cash price $7,703 exceeds gross charge $3,025 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 22,582 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 084
info
inp_payment_exceeds_charge
total payment $31,753 exceeds the average charge $25,368
MS-DRG 641
info
inp_payment_exceeds_charge
total payment $36,493 exceeds the average charge $31,478

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. found via cms-hpt.txt · csv-tall · 53.4M bytes · fetched 2026-08-22 · sha256 0fe5d7c49a7c…

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.