Hospital · CCN 330214

Nyu Langone Hospitals

550 First Avenue, New York, NY 10016 · New York County
Part of NYU Langone Health · 1,618 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

356 admission types 68 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
6.71×
$5,751.9M billed against $856.8M paid across 26,286 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
2,348
$184,739
$29,564
6.2× st 4.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
940
$224,069
$25,403
8.8× st 4.7×
291
Heart failure and shock with mcc
785
$128,516
$19,264
6.7× st 5.1×
280
Acute myocardial infarction, discharged alive with mcc
616
$157,488
$24,526
6.4× st 4.9×
177
Respiratory infections and inflammations with mcc
569
$167,723
$24,891
6.7× st 4.9×
193
Simple pneumonia and pleurisy with mcc
465
$127,394
$19,876
6.4× st 4.9×
274
Percutaneous and other intracardiac procedures without mcc
362
$425,368
$47,435
9.0× st 4.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
358
$98,829
$15,494
6.4× st 4.9×
690
Kidney and urinary tract infections without mcc
345
$87,732
$12,140
7.2× st 5.2×
689
Kidney and urinary tract infections with mcc
331
$123,864
$17,660
7.0× st 5.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
320
$470,762
$76,490
6.2× st 4.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
320
$80,495
$11,898
6.8× st 5.2×
603
Cellulitis without mcc
303
$90,211
$13,992
6.4× st 4.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
289
$441,341
$63,221
7.0× st 4.2×
682
Renal failure with mcc
285
$159,197
$23,403
6.8× st 5.1×
312
Syncope and collapse
278
$91,094
$12,910
7.1× st 5.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
274
$465,907
$79,272
5.9× st 4.6×
698
Other kidney and urinary tract diagnoses with mcc
272
$158,510
$25,506
6.2× st 4.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
246
$192,117
$28,417
6.8× st 5.4×
378
Gastrointestinal hemorrhage with cc
241
$112,720
$15,194
7.4× st 5.5×
683
Renal failure with cc
241
$90,508
$13,605
6.7× st 5.0×
189
Pulmonary edema and respiratory failure
228
$131,558
$18,935
6.9× st 5.0×
330
Major small and large bowel procedures with cc
221
$235,461
$34,848
6.8× st 4.9×
481
Hip and femur procedures except major joint with cc
216
$218,662
$28,575
7.7× st 4.8×
377
Gastrointestinal hemorrhage with mcc
205
$204,192
$27,900
7.3× st 5.3×
552
Medical back problems without mcc
197
$101,333
$14,255
7.1× st 5.3×
699
Other kidney and urinary tract diagnoses with cc
195
$110,193
$15,776
7.0× st 5.4×
393
Other digestive system diagnoses with mcc
187
$174,198
$25,522
6.8× st 5.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
186
$142,434
$20,224
7.0× st 4.8×
329
Major small and large bowel procedures with mcc
176
$446,386
$71,179
6.3× st 5.0×
480
Hip and femur procedures except major joint with mcc
173
$280,644
$39,649
7.1× st 5.3×
025
Craniotomy and endovascular intracranial procedures with mcc
172
$441,619
$70,423
6.3× st 4.9×
164
Major chest procedures with cc
169
$215,377
$32,454
6.6× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
168
$81,414
$11,914
6.8× st 4.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
164
$149,926
$21,769
6.9× st 5.4×
057
Degenerative nervous system disorders without mcc
162
$123,763
$21,982
5.6× st 4.7×
314
Other circulatory system diagnoses with mcc
159
$194,009
$30,615
6.3× st 5.1×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
152
$518,841
$110,246
4.7× st 4.2×
309
Cardiac arrhythmia and conduction disorders with cc
149
$69,166
$11,197
6.2× st 5.1×
281
Acute myocardial infarction, discharged alive with cc
148
$84,593
$13,239
6.4× st 5.1×
884
Organic disturbances and intellectual disability
146
$125,452
$22,471
5.6× st 4.3×
389
Gastrointestinal obstruction with cc
143
$76,573
$12,223
6.3× st 5.7×
194
Simple pneumonia and pleurisy with cc
143
$86,943
$12,450
7.0× st 4.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
142
$103,849
$14,239
7.3× st 5.7×
101
Seizures without mcc
137
$120,360
$13,664
8.8× st 5.3×
092
Other disorders of nervous system with cc
136
$110,523
$15,333
7.2× st 5.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
135
$264,411
$38,615
6.8× st 5.7×
056
Degenerative nervous system disorders with mcc
130
$237,760
$35,481
6.7× st 5.3×
811
Red blood cell disorders with mcc
128
$146,489
$21,227
6.9× st 5.4×
394
Other digestive system diagnoses with cc
120
$100,229
$13,879
7.2× st 5.4×
178
Respiratory infections and inflammations with cc
117
$97,805
$13,674
7.2× st 5.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
113
$282,456
$41,642
6.8× st 4.9×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
111
$461,664
$72,112
6.4× st 5.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
109
$146,963
$21,935
6.7× st 6.1×
165
Major chest procedures without cc/mcc
109
$182,146
$24,126
7.6× st 4.9×
300
Peripheral vascular disorders with cc
107
$99,070
$15,259
6.5× st 5.3×
190
Chronic obstructive pulmonary disease with mcc
107
$102,680
$16,847
6.1× st 4.7×
870
Septicemia or severe sepsis with mv >96 hours
105
$575,815
$102,803
5.6× st 4.3×
299
Peripheral vascular disorders with mcc
103
$156,913
$23,193
6.8× st 5.6×
812
Red blood cell disorders without mcc
102
$104,013
$13,988
7.4× st 5.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
101
$236,070
$29,211
8.1× st 4.8×
602
Cellulitis with mcc
98
$137,441
$23,121
5.9× st 5.6×
454
Combined anterior and posterior spinal fusion with cc
98
$640,748
$97,759
6.6× st 4.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
97
$205,459
$25,751
8.0× st 4.6×
418
Laparoscopic cholecystectomy without c.d.e. with cc
97
$174,044
$24,277
7.2× st 5.7×
637
Diabetes with mcc
96
$131,252
$22,704
5.8× st 4.8×
308
Cardiac arrhythmia and conduction disorders with mcc
94
$117,183
$18,150
6.5× st 5.4×
638
Diabetes with cc
93
$89,976
$13,483
6.7× st 4.9×
315
Other circulatory system diagnoses with cc
91
$88,487
$14,076
6.3× st 6.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
91
$90,412
$13,669
6.6× st 5.2×
483
Major joint or limb reattachment procedures of upper extremities
91
$270,829
$35,083
7.7× st 4.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
89
$94,084
$15,793
6.0× st 5.7×
435
Malignancy of hepatobiliary system or pancreas with mcc
88
$210,319
$26,984
7.8× st 6.1×
374
Digestive malignancy with mcc
84
$228,942
$31,093
7.4× st 6.4×
948
Signs and symptoms without mcc
84
$93,027
$11,610
8.0× st 5.7×
163
Major chest procedures with mcc
83
$301,525
$61,621
4.9× st 4.6×
202
Bronchitis and asthma with cc/mcc
83
$87,476
$14,680
6.0× st 5.4×
371
Major gastrointestinal disorders and peritoneal infections with mcc
83
$182,483
$25,861
7.1× st 6.2×
643
Endocrine disorders with mcc
81
$139,603
$23,830
5.9× st 5.8×
100
Seizures with mcc
80
$177,662
$26,810
6.6× st 4.8×
551
Medical back problems with mcc
80
$151,109
$23,930
6.3× st 5.6×
460
Spinal fusion except cervical without mcc
80
$408,953
$54,124
7.6× st 4.1×
091
Other disorders of nervous system with mcc
79
$190,784
$28,071
6.8× st 5.5×
252
Other vascular procedures with mcc
78
$335,981
$52,770
6.4× st 4.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
78
$330,842
$45,577
7.3× st 5.9×
660
Kidney and ureter procedures for non-neoplasm with cc
76
$133,602
$20,034
6.7× st 5.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
73
$113,284
$15,675
7.2× st 5.6×
673
Other kidney and urinary tract procedures with mcc
73
$436,214
$68,342
6.4× st 5.4×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
71
$513,753
$76,649
6.7× st 4.7×
180
Respiratory neoplasms with mcc
71
$172,419
$26,487
6.5× st 5.9×
305
Hypertension without mcc
71
$80,766
$11,234
7.2× st 5.3×
235
Coronary bypass without cardiac catheterization with mcc
70
$345,159
$78,989
4.4× st 4.3×
270
Other major cardiovascular procedures with mcc
70
$520,632
$79,684
6.5× st 5.0×
273
Percutaneous and other intracardiac procedures with mcc
69
$419,634
$57,759
7.3× st 5.2×
644
Endocrine disorders with cc
68
$127,016
$19,065
6.7× st 6.1×
149
Dysequilibrium
67
$90,757
$11,395
8.0× st 6.4×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
67
$276,697
$38,267
7.2× st 5.3×
472
Cervical spinal fusion with cc
67
$316,826
$40,697
7.8× st 4.4×
840
Lymphoma and non-acute leukemia with mcc
63
$324,893
$51,084
6.4× st 6.0×
536
Fractures of hip and pelvis without mcc
63
$88,961
$12,992
6.8× st 6.0×
191
Chronic obstructive pulmonary disease with cc
62
$78,719
$12,088
6.5× st 4.8×
313
Chest pain
62
$71,006
$11,983
5.9× st 4.9×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
62
$264,658
$34,186
7.7× st 4.4×
253
Other vascular procedures with cc
61
$270,627
$39,770
6.8× st 4.8×
445
Disorders of the biliary tract with cc
61
$132,263
$16,026
8.3× st 5.8×
467
Revision of hip or knee replacement with cc
61
$333,501
$45,160
7.4× st 4.3×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
60
$1,917,115
$325,159
5.9× st 5.2×
388
Gastrointestinal obstruction with mcc
60
$164,739
$24,253
6.8× st 6.0×
317
Concomitant left atrial appendage closure and cardiac ablation
59
$689,469
$95,491
7.2× st 7.2×
652
Kidney transplant
59
$885,619
$62,051
14.3× st 7.6×
453
Combined anterior and posterior spinal fusion with mcc
58
$1,060,385
$163,669
6.5× st 6.3×
862
Postoperative and post-traumatic infections with mcc
58
$236,673
$35,256
6.7× st 5.5×
405
Pancreas, liver and shunt procedures with mcc
57
$572,263
$92,825
6.2× st 5.5×
919
Complications of treatment with mcc
57
$185,599
$30,769
6.0× st 5.2×
242
Permanent cardiac pacemaker implant with mcc
56
$306,098
$42,984
7.1× st 5.0×
205
Other respiratory system diagnoses with mcc
56
$220,165
$34,992
6.3× st 6.0×
920
Complications of treatment with cc
56
$110,642
$15,568
7.1× st 5.5×
271
Other major cardiovascular procedures with cc
55
$347,495
$51,021
6.8× st 4.1×
243
Permanent cardiac pacemaker implant with cc
55
$260,844
$30,649
8.5× st 5.0×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
53
$89,753
$12,534
7.2× st 5.8×
375
Digestive malignancy with cc
51
$127,114
$17,355
7.3× st 6.2×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
51
$232,649
$36,631
6.4× st 5.6×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
50
$184,788
$24,344
7.6× st 6.7×
070
Other cerebrovascular disorders with mcc
50
$170,282
$25,878
6.6× st 5.3×
269
Aortic and heart assist procedures except pulsation balloon without mcc
50
$506,141
$60,038
8.4× st 4.2×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
50
$117,431
$15,544
7.6× st 5.4×
196
Interstitial lung disease with mcc
49
$153,211
$26,366
5.8× st 5.9×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
49
$245,459
$30,733
8.0× st 6.2×
176
Pulmonary embolism without mcc
48
$80,781
$11,907
6.8× st 6.0×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
48
$244,341
$33,100
7.4× st 5.2×
713
Transurethral prostatectomy with cc/mcc
48
$195,661
$26,395
7.4× st 5.4×
554
Bone diseases and arthropathies without mcc
48
$75,081
$12,065
6.2× st 6.0×
038
Extracranial procedures with cc
48
$157,938
$21,422
7.4× st 5.1×
444
Disorders of the biliary tract with mcc
47
$172,886
$25,041
6.9× st 5.9×
947
Signs and symptoms with mcc
46
$138,730
$19,614
7.1× st 6.5×
054
Nervous system neoplasms with mcc
45
$231,223
$29,183
7.9× st 6.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
45
$54,138
$8,457
6.4× st 5.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
45
$225,083
$29,330
7.7× st 5.0×
406
Pancreas, liver and shunt procedures with cc
45
$345,114
$43,515
7.9× st 5.3×
167
Other respiratory system o.r. procedures with cc
44
$194,806
$26,074
7.5× st 5.9×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
44
$227,110
$31,310
7.3× st 5.9×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
43
$257,224
$40,345
6.4× st 5.7×
813
Coagulation disorders
43
$195,425
$22,670
8.6× st 5.4×
033
Ventricular shunt procedures without cc/mcc
42
$183,155
$20,781
8.8× st 6.0×
917
Poisoning and toxic effects of drugs with mcc
42
$147,036
$23,932
6.1× st 4.9×
074
Cranial and peripheral nerve disorders without mcc
42
$131,407
$16,855
7.8× st 6.0×
908
Other o.r. procedures for injuries with cc
42
$204,171
$30,087
6.8× st 5.8×
039
Extracranial procedures without cc/mcc
41
$156,271
$18,978
8.2× st 4.5×
228
Other cardiothoracic procedures with mcc
41
$501,965
$72,371
6.9× st 4.9×
432
Cirrhosis and alcoholic hepatitis with mcc
40
$243,728
$35,299
6.9× st 6.6×
261
Cardiac pacemaker revision except device replacement with cc
40
$203,455
$26,851
7.6× st 6.5×
468
Revision of hip or knee replacement without cc/mcc
40
$272,944
$40,468
6.7× st 3.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
40
$250,883
$39,916
6.3× st 4.8×
326
Stomach, esophageal and duodenal procedures with mcc
39
$415,391
$76,754
5.4× st 4.9×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
39
$194,207
$27,373
7.1× st 5.7×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
39
$455,441
$89,627
5.1× st 4.2×
327
Stomach, esophageal and duodenal procedures with cc
39
$227,435
$33,687
6.8× st 5.2×
082
Traumatic stupor and coma >1 hour with mcc
39
$201,563
$32,176
6.3× st 5.5×
482
Hip and femur procedures except major joint without cc/mcc
39
$141,593
$21,674
6.5× st 5.1×
439
Disorders of pancreas except malignancy with cc
38
$81,811
$12,960
6.3× st 5.4×
264
Other circulatory system o.r. procedures
38
$304,412
$45,975
6.6× st 5.7×
207
Respiratory system diagnosis with ventilator support >96 hours
37
$562,080
$96,729
5.8× st 4.4×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
37
$359,222
$54,801
6.6× st 5.3×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
37
$406,351
$77,255
5.3× st 4.1×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
37
$97,638
$13,164
7.4× st 3.7×
184
Major chest trauma with cc
36
$106,555
$15,335
6.9× st 5.8×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
36
$84,001
$12,467
6.7× st 4.9×
206
Other respiratory system diagnoses without mcc
36
$96,912
$13,086
7.4× st 7.2×
085
Traumatic stupor and coma <1 hour with mcc
36
$182,101
$29,064
6.3× st 5.6×
229
Other cardiothoracic procedures without mcc
35
$309,168
$43,752
7.1× st 5.1×
907
Other o.r. procedures for injuries with mcc
35
$401,456
$55,530
7.2× st 5.8×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
35
$1,156,313
$210,831
5.5× st 4.6×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
35
$122,059
$14,896
8.2× st 6.9×
086
Traumatic stupor and coma <1 hour with cc
35
$126,768
$16,396
7.7× st 5.7×
614
Adrenal and pituitary procedures with cc/mcc
35
$194,229
$29,661
6.5× st 5.2×
659
Kidney and ureter procedures for non-neoplasm with mcc
34
$316,434
$46,710
6.8× st 5.5×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
34
$92,385
$17,848
5.2× st 4.8×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
34
$359,204
$56,361
6.4× st 6.0×
519
Back and neck procedures except spinal fusion with cc
33
$178,998
$28,703
6.2× st 4.6×
390
Gastrointestinal obstruction without cc/mcc
33
$56,079
$9,299
6.0× st 5.5×
863
Postoperative and post-traumatic infections without mcc
33
$170,909
$14,367
11.9× st 6.6×
183
Major chest trauma with mcc
33
$130,053
$22,157
5.9× st 5.6×
026
Craniotomy and endovascular intracranial procedures with cc
32
$357,170
$44,297
8.1× st 4.7×
069
Transient ischemia without thrombolytic
32
$104,413
$10,919
9.6× st 6.2×
356
Other digestive system o.r. procedures with mcc
32
$355,370
$58,535
6.1× st 6.0×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
32
$321,847
$64,017
5.0× st 5.3×
260
Cardiac pacemaker revision except device replacement with mcc
32
$309,691
$50,252
6.2× st 5.7×
841
Lymphoma and non-acute leukemia with cc
31
$156,014
$23,875
6.5× st 6.1×
865
Viral illness with mcc
31
$330,441
$47,307
7.0× st 6.4×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
31
$125,629
$18,545
6.8× st 5.6×
071
Other cerebrovascular disorders with cc
31
$125,048
$15,344
8.2× st 5.4×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
31
$119,563
$20,926
5.7× st 5.7×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
31
$245,759
$30,842
8.0× st 5.3×
455
Combined anterior and posterior spinal fusion without cc/mcc
30
$427,608
$66,622
6.4× st 3.9×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
30
$269,543
$44,357
6.1× st 5.2×
866
Viral illness without mcc
30
$153,577
$16,410
9.4× st 6.9×
657
Kidney and ureter procedures for neoplasm with cc
30
$188,272
$25,012
7.5× st 4.9×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
30
$409,242
$63,362
6.5× st 5.0×
558
Tendonitis, myositis and bursitis without mcc
29
$76,453
$12,212
6.3× st 6.4×
380
Complicated peptic ulcer with mcc
28
$246,776
$30,685
8.0× st 6.6×
607
Minor skin disorders without mcc
28
$79,761
$13,161
6.1× st 5.8×
478
Biopsies of musculoskeletal system and connective tissue with cc
28
$224,293
$32,324
6.9× st 6.0×
459
Spinal fusion except cervical with mcc
28
$537,669
$73,629
7.3× st 7.3×
166
Other respiratory system o.r. procedures with mcc
28
$328,288
$61,355
5.4× st 5.3×
186
Pleural effusion with mcc
28
$178,072
$25,545
7.0× st 6.5×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
28
$626,353
$126,546
5.0× st 4.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
27
$82,462
$9,731
8.5× st 6.2×
535
Fractures of hip and pelvis with mcc
27
$105,807
$17,671
6.0× st 6.3×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
27
$141,028
$21,790
6.5× st 6.8×
466
Revision of hip or knee replacement with mcc
27
$538,765
$71,315
7.6× st 5.0×
204
Respiratory signs and symptoms
27
$80,908
$11,793
6.9× st 6.0×
319
Other endovascular cardiac valve procedures with mcc
26
$378,159
$62,723
6.0× st 5.0×
885
Psychoses
26
$154,471
$22,214
7.0× st 4.5×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
26
$182,211
$26,162
7.0× st 5.6×
650
Kidney transplant with hemodialysis with mcc
26
$1,073,445
$96,390
11.1× st 6.7×
354
Hernia procedures except inguinal and femoral with cc
26
$158,427
$24,664
6.4× st 5.1×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
26
$339,245
$43,242
7.8× st 5.9×
864
Fever and inflammatory conditions
26
$135,126
$16,045
8.4× st 6.6×
593
Skin ulcers with cc
26
$99,554
$17,204
5.8× st 5.0×
515
Other musculoskeletal system and connective tissue o.r. procedures with mcc
24
$291,898
$45,444
6.4× st 6.0×
545
Connective tissue disorders with mcc
24
$186,591
$33,430
5.6× st 6.1×
035
Carotid artery stent procedures with cc
24
$219,487
$35,866
6.1× st 4.7×
304
Hypertension with mcc
24
$87,467
$16,192
5.4× st 5.6×
001
Heart transplant or implant of heart assist system with mcc
24
$3,251,758
$460,102
7.1× st 5.5×
336
Peritoneal adhesiolysis with cc
24
$223,596
$31,655
7.1× st 4.8×
438
Disorders of pancreas except malignancy with mcc
23
$174,454
$28,421
6.1× st 5.9×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
23
$131,624
$20,190
6.5× st 5.1×
368
Major esophageal disorders with mcc
23
$220,553
$28,314
7.8× st 7.1×
303
Atherosclerosis without mcc
23
$73,061
$10,384
7.0× st 6.3×
083
Traumatic stupor and coma >1 hour with cc
23
$129,348
$18,816
6.9× st 5.2×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
23
$236,797
$31,875
7.4× st 5.3×
557
Tendonitis, myositis and bursitis with mcc
22
$185,554
$25,009
7.4× st 6.7×
276
Cardiac defibrillator implant with mcc or carotid sinus neurostimulator
22
$658,465
$89,981
7.3× st 5.7×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
22
$138,100
$21,805
6.3× st 4.9×
477
Biopsies of musculoskeletal system and connective tissue with mcc
22
$330,363
$46,387
7.1× st 6.5×
282
Acute myocardial infarction, discharged alive without cc/mcc
22
$70,105
$10,887
6.4× st 4.9×
283
Acute myocardial infarction, expired with mcc
22
$267,816
$37,811
7.1× st 6.4×
940
O.r. procedures with diagnoses of other contact with health services with cc
21
$183,100
$33,360
5.5× st 5.5×
277
Cardiac defibrillator implant without mcc
21
$527,716
$63,336
8.3× st 5.2×
335
Peritoneal adhesiolysis with mcc
21
$330,719
$55,675
5.9× st 5.6×
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
21
$133,902
$32,190
4.2× st 5.0×
036
Carotid artery stent procedures without cc/mcc
20
$194,910
$25,334
7.7× st 4.4×
436
Malignancy of hepatobiliary system or pancreas with cc
20
$108,487
$16,181
6.7× st 7.0×
433
Cirrhosis and alcoholic hepatitis with cc
20
$108,412
$15,520
7.0× st 7.8×
306
Cardiac congenital and valvular disorders with mcc
20
$127,985
$22,918
5.6× st 6.4×
181
Respiratory neoplasms with cc
20
$86,732
$15,690
5.5× st 5.4×
386
Inflammatory bowel disease with cc
20
$110,202
$14,948
7.4× st 6.8×
103
Headaches without mcc
20
$100,670
$11,548
8.7× st 6.8×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
19
$143,242
$25,290
5.7× st 5.0×
629
Other endocrine, nutritional and metabolic o.r. procedures with cc
19
$271,577
$38,037
7.1× st 6.3×
592
Skin ulcers with mcc
19
$126,689
$23,845
5.3× st 5.2×
331
Major small and large bowel procedures without cc/mcc
19
$183,309
$22,572
8.1× st 4.1×
501
Soft tissue procedures with cc
19
$177,081
$25,857
6.8× st 5.6×
707
Major male pelvic procedures with cc/mcc
19
$163,108
$30,458
5.4× st 4.2×
292
Heart failure and shock with cc
19
$109,481
$14,118
7.8× st 6.4×
278
Ultrasound accelerated and other thrombolysis of peripheral vascular structures with mcc
19
$445,496
$67,901
6.6× st 6.6×
834
Acute leukemia with mcc
19
$641,113
$115,606
5.5× st 5.0×
381
Complicated peptic ulcer with cc
19
$142,817
$17,216
8.3× st 7.5×
742
Uterine and adnexa procedures for non-malignancy with cc/mcc
18
$144,901
$29,575
4.9× st 4.3×
694
Urinary stones without mcc
18
$92,846
$11,493
8.1× st 6.4×
827
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedur
18
$246,872
$30,125
8.2× st 6.5×
032
Ventricular shunt procedures with cc
18
$185,591
$30,154
6.2× st 5.4×
553
Bone diseases and arthropathies with mcc
18
$102,468
$19,003
5.4× st 5.9×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
18
$401,878
$55,041
7.3× st 5.0×
520
Back and neck procedures except spinal fusion without cc/mcc
18
$149,046
$19,279
7.7× st 4.7×
580
Other skin, subcutaneous tissue and breast procedures with cc
18
$209,221
$27,665
7.6× st 5.7×
471
Cervical spinal fusion with mcc
17
$507,222
$83,676
6.1× st 5.9×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
17
$335,133
$57,299
5.8× st 6.0×
007
Lung transplant
17
$1,291,624
$163,857
7.9× st 6.8×
815
Reticuloendothelial and immunity disorders with cc
17
$89,898
$15,118
5.9× st 5.9×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
17
$423,915
$62,195
6.8× st 4.9×
448
Multiple level spinal fusion except cervical without mcc
17
$402,751
$57,253
7.0× st 5.6×
153
Otitis media and uri without mcc
17
$85,260
$11,319
7.5× st 6.6×
963
Other multiple significant trauma with mcc
17
$299,489
$46,373
6.5× st 5.6×
463
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
17
$463,547
$77,687
6.0× st 6.6×
037
Extracranial procedures with mcc
17
$314,956
$53,793
5.9× st 6.0×
398
Appendix procedures with cc
17
$130,727
$20,338
6.4× st 6.3×
154
Other ear, nose, mouth and throat diagnoses with mcc
17
$148,757
$21,164
7.0× st 7.0×
867
Other infectious and parasitic diseases diagnoses with mcc
17
$339,475
$45,606
7.4× st 6.8×
073
Cranial and peripheral nerve disorders with mcc
17
$199,124
$26,331
7.6× st 5.5×
355
Hernia procedures except inguinal and femoral without cc/mcc
17
$155,296
$17,856
8.7× st 5.6×
571
Skin debridement with cc
17
$189,177
$24,691
7.7× st 6.0×
623
Skin grafts and wound debridement for endocrine, nutritional and metabolic disorders wit
17
$226,127
$32,490
7.0× st 5.9×
674
Other kidney and urinary tract procedures with cc
16
$265,194
$33,759
7.9× st 5.6×
559
Aftercare, musculoskeletal system and connective tissue with mcc
16
$133,486
$24,378
5.5× st 6.5×
328
Stomach, esophageal and duodenal procedures without cc/mcc
16
$169,144
$22,710
7.4× st 4.6×
187
Pleural effusion with cc
16
$107,949
$13,892
7.8× st 6.1×
621
O.r. procedures for obesity without cc/mcc
16
$188,423
$21,998
8.6× st 6.4×
020
Intracranial vascular procedures with principal diagnosis hemorrhage with mcc
16
$580,001
$115,088
5.0× st 3.7×
200
Pneumothorax with cc
16
$85,084
$16,684
5.1× st 6.0×
546
Connective tissue disorders with cc
16
$164,425
$21,920
7.5× st 7.6×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
16
$132,525
$14,196
9.3× st 5.2×
974
Hiv with major related condition with mcc
16
$214,052
$39,091
5.5× st 5.1×
606
Minor skin disorders with mcc
16
$138,864
$25,151
5.5× st 5.5×
055
Nervous system neoplasms without mcc
15
$127,422
$15,347
8.3× st 8.1×
728
Inflammation of the male reproductive system without mcc
15
$85,853
$12,714
6.8× st 6.8×
093
Other disorders of nervous system without cc/mcc
15
$78,570
$11,372
6.9× st 6.6×
829
Myeloproliferative disorders or poorly differentiated neoplasms with other procedures wi
15
$252,469
$45,339
5.6× st 5.6×
195
Simple pneumonia and pleurisy without cc/mcc
15
$56,773
$10,226
5.6× st 6.0×
402
Single level combined anterior and posterior spinal fusion except cervical
15
$433,883
$51,501
8.4× st 4.6×
540
Osteomyelitis with cc
15
$146,538
$17,780
8.2× st 8.2×
427
Multiple level combined anterior and posterior spinal fusion except cervical with cc
15
$888,952
$117,129
7.6× st 4.5×
357
Other digestive system o.r. procedures with cc
15
$176,296
$31,023
5.7× st 5.0×
656
Kidney and ureter procedures for neoplasm with mcc
15
$243,289
$42,297
5.8× st 6.1×
669
Transurethral procedures with cc
15
$138,322
$21,684
6.4× st 6.4×
351
Inguinal and femoral hernia procedures with cc
14
$167,093
$20,306
8.2× st 6.6×
596
Major skin disorders without mcc
14
$100,015
$15,213
6.6× st 6.4×
199
Pneumothorax with mcc
14
$170,253
$27,143
6.3× st 5.2×
565
Other musculoskeletal system and connective tissue diagnoses with cc
14
$84,908
$14,460
5.9× st 5.7×
539
Osteomyelitis with mcc
14
$171,113
$31,119
5.5× st 6.0×
658
Kidney and ureter procedures for neoplasm without cc/mcc
14
$178,584
$22,749
7.9× st 4.5×
473
Cervical spinal fusion without cc/mcc
14
$272,028
$42,185
6.4× st 4.6×
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
14
$762,309
$102,326
7.5× st 4.6×
456
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
14
$979,487
$139,062
7.0× st 4.7×
268
Aortic and heart assist procedures except pulsation balloon with mcc
14
$937,441
$129,018
7.3× st 6.3×
828
Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedur
13
$182,285
$21,098
8.6× st 8.6×
141
Major head and neck procedures with cc
13
$172,756
$29,104
5.9× st 5.4×
426
Multiple level combined anterior and posterior spinal fusion except cervical with mcc or
13
$855,140
$148,820
5.7× st 5.4×
395
Other digestive system diagnoses without cc/mcc
13
$67,820
$10,559
6.4× st 5.3×
560
Aftercare, musculoskeletal system and connective tissue with cc
13
$101,103
$14,110
7.2× st 6.3×
236
Coronary bypass without cardiac catheterization without mcc
13
$284,983
$50,035
5.7× st 4.5×
500
Soft tissue procedures with mcc
13
$266,647
$47,402
5.6× st 5.6×
307
Cardiac congenital and valvular disorders without mcc
13
$91,062
$13,703
6.6× st 6.8×
686
Kidney and urinary tract neoplasms with mcc
12
$142,729
$26,510
5.4× st 6.8×
385
Inflammatory bowel disease with mcc
12
$190,153
$25,229
7.5× st 7.5×
620
O.r. procedures for obesity with cc
12
$173,459
$25,198
6.9× st 6.9×
579
Other skin, subcutaneous tissue and breast procedures with mcc
12
$216,863
$38,992
5.6× st 5.5×
820
Lymphoma and leukemia with major o.r. procedures with mcc
12
$384,830
$81,420
4.7× st 4.7×
369
Major esophageal disorders with cc
12
$102,499
$15,953
6.4× st 6.5×
628
Other endocrine, nutritional and metabolic o.r. procedures with mcc
12
$358,944
$61,992
5.8× st 5.8×
654
Major bladder procedures with cc
12
$293,668
$40,580
7.2× st 4.5×
451
Single level spinal fusion except cervical without mcc
11
$375,930
$45,632
8.2× st 4.4×
014
Allogeneic bone marrow transplant
11
$808,424
$156,372
5.2× st 4.5×
988
Non-extensive o.r. procedures unrelated to principal diagnosis with cc
11
$182,510
$25,227
7.2× st 5.8×
005
Liver transplant with mcc or intestinal transplant
11
$1,585,104
$183,039
8.7× st 6.1×
031
Ventricular shunt procedures with mcc
11
$313,567
$44,366
7.1× st 6.4×
918
Poisoning and toxic effects of drugs without mcc
11
$82,269
$13,445
6.1× st 4.6×
279
Ultrasound accelerated and other thrombolysis of peripheral vascular structures without
11
$383,928
$48,168
8.0× st 4.3×
941
O.r. procedures with diagnoses of other contact with health services without cc/mcc
11
$202,206
$24,541
8.2× st 8.2×
353
Hernia procedures except inguinal and femoral with mcc
11
$255,932
$48,513
5.3× st 5.5×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
11
$245,621
$23,940
10.3× st 6.2×
737
Uterine and adnexa procedures for ovarian or adnexal malignancy with cc
11
$176,451
$34,674
5.1× st 5.3×
743
Uterine and adnexa procedures for non-malignancy without cc/mcc
11
$151,292
$18,826
8.0× st 6.4×
744
D&c, conization, laparoscopy and tubal interruption with cc/mcc
11
$156,529
$26,245
6.0× st 6.0×
754
Malignancy, female reproductive system with mcc
11
$213,656
$26,394
8.1× st 7.4×
275
Cardiac defibrillator implant with cardiac catheterization and mcc
11
$801,338
$128,655
6.2× st 5.6×
823
Lymphoma and non-acute leukemia with other procedures with mcc
11
$646,615
$91,174
7.1× st 6.1×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
11
$334,711
$43,079
7.8× st 3.3×
843
Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mc
11
$152,501
$24,561
6.2× st 7.5×
615
Adrenal and pituitary procedures without cc/mcc
11
$165,888
$19,055
8.7× st 5.0×
158
Dental and oral diseases with cc
11
$139,979
$16,965
8.3× st 7.6×
157
Dental and oral diseases with mcc
11
$150,651
$31,297
4.8× st 5.5×
597
Malignant breast disorders with mcc
11
$150,854
$21,544
7.0× st 7.0×
125
Other disorders of the eye without mcc
11
$59,764
$11,278
5.3× st 6.3×
352
Inguinal and femoral hernia procedures without cc/mcc
11
$128,314
$14,959
8.6× st 8.6×
301
Peripheral vascular disorders without cc/mcc
11
$60,799
$9,984
6.1× st 6.5×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
2,823
$43,280
$3,061
14.1×
5191
Level 1 Endovascular Procedures
1,928
$39,044
$3,649
10.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
1,796
$26,239
$1,801
14.6×
5491
Level 1 Intraocular Procedures
1,763
$37,012
$2,615
14.2×
5302
Level 2 Upper GI Procedures
1,238
$32,122
$2,134
15.1×
5115
Level 5 Musculoskeletal Procedures
1,083
$188,372
$14,679
12.8×
5213
Level 3 Electrophysiologic Procedures
1,080
$358,685
$26,587
13.5×
5193
Level 3 Endovascular Procedures
1,022
$133,815
$12,317
10.9×
5114
Level 4 Musculoskeletal Procedures
860
$84,600
$8,004
10.6×
5361
Level 1 Laparoscopy and Related Services
843
$85,567
$6,470
13.2×
5375
Level 5 Urology and Related Services
747
$59,145
$5,785
10.2×
5374
Level 4 Urology and Related Services
675
$39,906
$3,920
10.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
608
$38,366
$3,155
12.2×
5222
Level 2 Pacemaker and Similar Procedures
596
$108,649
$9,532
11.4×
5431
Level 1 Nerve Procedures
589
$20,278
$2,148
9.4×
5113
Level 3 Musculoskeletal Procedures
587
$37,928
$3,583
10.6×
5112
Level 2 Musculoskeletal Procedures
526
$20,109
$1,805
11.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
433
$43,928
$4,264
10.3×
5223
Level 3 Pacemaker and Similar Procedures
405
$147,084
$11,955
12.3×
5362
Level 2 Laparoscopy and Related Services
401
$139,765
$11,488
12.2×
5154
Level 4 Airway Endoscopy
382
$61,956
$4,209
14.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
380
$55,839
$3,847
14.5×
5183
Level 3 Vascular Procedures
368
$40,404
$3,542
11.4×
5414
Level 4 Gynecologic Procedures
350
$37,643
$3,489
10.8×
5313
Level 3 Lower GI Procedures
347
$39,908
$3,135
12.7×
5376
Level 6 Urology and Related Services
337
$133,824
$10,344
12.9×
5194
Level 4 Endovascular Procedures
325
$210,714
$19,344
10.9×
5492
Level 2 Intraocular Procedures
323
$79,838
$4,546
17.6×
5192
Level 2 Endovascular Procedures
310
$72,718
$6,403
11.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
293
$74,839
$7,303
10.2×
5373
Level 3 Urology and Related Services
289
$27,027
$2,281
11.9×
5165
Level 5 ENT Procedures
259
$65,316
$6,541
10.0×
5184
Level 4 Vascular Procedures
217
$51,845
$6,144
8.4×
5155
Level 5 Airway Endoscopy
188
$111,761
$7,675
14.6×
5232
Level 2 ICD and Similar Procedures
183
$378,354
$36,536
10.4×
5116
Level 6 Musculoskeletal Procedures
162
$236,778
$20,460
11.6×
5627
Level 7 Radiation Therapy
156
$151,394
$8,723
17.4×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
149
$28,314
$2,632
10.8×
5303
Level 3 Upper GI Procedures
139
$51,191
$4,232
12.1×
5224
Level 4 Pacemaker and Similar Procedures
128
$246,816
$21,879
11.3×
5182
Level 2 Vascular Procedures
124
$29,785
$1,774
16.8×
5331
Complex GI Procedures
113
$82,963
$6,316
13.1×
5465
Level 5 Neurostimulator and Related Procedures
106
$420,885
$34,537
12.2×
5153
Level 3 Airway Endoscopy
103
$30,673
$1,912
16.0×
5493
Level 3 Intraocular Procedures
98
$76,283
$5,887
13.0×
5464
Level 4 Neurostimulator and Related Procedures
73
$312,747
$24,565
12.7×
5372
Level 2 Urology and Related Services
72
$14,584
$769
19.0×
5415
Level 5 Gynecologic Procedures
70
$57,018
$5,536
10.3×
5231
Level 1 ICD and Similar Procedures
50
$259,231
$26,461
9.8×
5164
Level 4 ENT Procedures
47
$37,841
$3,626
10.4×
5432
Level 2 Nerve Procedures
46
$64,502
$7,422
8.7×
5166
Cochlear Implant Procedure
45
$397,717
$36,907
10.8×
5462
Level 2 Neurostimulator and Related Procedures
40
$94,600
$7,547
12.5×
5416
Level 6 Gynecologic Procedures
37
$88,389
$8,508
10.4×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
35
$126,483
$10,604
11.9×
5212
Level 2 Electrophysiologic Procedures
31
$140,140
$8,406
16.7×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
28
$169,336
$19,793
8.6×
5461
Level 1 Neurostimulator and Related Procedures
28
$38,398
$3,722
10.3×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
28
$31,507
$4,231
7.4×
5463
Level 3 Neurostimulator and Related Procedures
27
$104,570
$14,806
7.1×
5378
Level 8 Urology and Related Services
25
$293,855
$22,657
13.0×
5200
Implantation Wireless PA Pressure Monitor
18
$314,819
$32,626
9.6×
5163
Level 3 ENT Procedures
16
$18,100
$1,718
10.5×
5471
Implantation of Drug Infusion Device
15
$188,810
$18,807
10.0×
5377
Level 7 Urology and Related Services
11
$160,629
$14,420
11.1×
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via nyulangone.org/cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-01-01, template 3.0.0, 12,382 rows scanned, 7,716 distinct code–setting items kept. 4,508 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC DNA HEA 35 AG 11 BLD GRP
$756
$864
$720
319
clean
HC TPMT NUDT15 GENES
$2,926
$559
$1,170
331
clean
HC NEURO CSF PRION PRTN QUAL
$2,927
$649
$1,358
331
clean
HC TRGT GEN SEQ DNA 324 GENES
$17,640
$4,200
$8,785
331
clean
HC CT PERFUSION W/CONTRAST CBF
$1,102
$209
$661
322
clean
BONE SRGRY CMPTR FLUOR IMAGE
$29,343
$5,575
$7,163
365
clean
BONE SRGRY CMPTR CT/MRI IMAG
$29,343
$5,575
$7,163
365
clean
HC PERQ STENT/CHEST VERT ART
$6,189
$1,176
$6,908
317
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$4,950
197
clean
HC INFECTIOUS DISEASE DNA UNTARGETED NEXT-GEN SEQUENCING
$6,379
$2,551
$2,169
325
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$7,044
346
clean
HC PERQ SACRAL AUGMT UNILAT INJ
$6,043
$1,148
$8,453
406
clean
HC PERQ SACRAL AUGMT BILAT INJ
$6,043
$1,148
$8,453
406
clean
HC NFCT DS 22 TRGT SARS-COV-2
$1,050
$500
$417
331
clean
HC NJX PLATELET PLASMA
$2,834
$538
$2,210
696
clean
HC CATH/EP TRLUML PERIP ATHR BRCHIO
$28,228
$5,363
$15,598
395
clean
HC CATH/EP TRLUM PERIP ATHR ILC ART
$28,228
$5,363
$21,248
742
clean
HC TRGT GEN SEQ ALYS PNL 311+
$10,500
$4,200
$6,300
325
clean
HC PERQ LAMOT/LAM LUMBAR
$23,137
$4,396
$18,047
740
clean
HC TRANSCATH RENAL SYMP DENERV BILAT
$10,363
$1,969
$7,565
400
clean
MRGFUS STRTCTC LES ABLTJ
—
—
$15,091
228
clean
HC INSJ/RPLC CARDIAC MODULJ SYS
$83,802
$15,922
$37,938
740
clean
HC PRGRMG EVAL CARDIAC MODULJ
$135
$26
$99
394
clean
HC INTERRO EVAL CARDIAC MODULJ
$135
$26
$99
394
clean
WATERJET PROSTATE ABLTJ CMPL
—
—
$10,942
346
clean
HC GLYCINE RECEPTOR ALPHA1 SRM/CSF
$1,575
$44
$75
405
clean
HC KELCH-LIKE PROTEIN 11 ANTB SR/CSF ASY QUAL
$1,575
$44
$75
374
clean
ABLTJ PERC LXTR/PERPH NRV
$17,950
$2,736
$6,487
752
clean
ABLTJ PERC PLEX/TRNCL NRV
$16,151
$3,069
$7,578
752
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
$6,487
346
clean
HC TMVI PERCUTANEOUS APPROACH
$44,459
$8,447
$14,113
323
clean
HC TMVI TRANSTHORACIC EXPOSURE
$44,459
$8,447
$14,113
323
clean
HC CATH/EP EV FEMPOP ARTL REVSC
$40,260
$7,649
$20,884
406
clean
HC NTRAPX C FFR W/3D FUNCJL MAP
$1,500
$285
$2,454
415
clean
RF SPECTRSC NTRAOP MRGN ASMT
—
—
$13,586
151
clean
EVAC MEIBOMIAN GLND HEAT BI
—
—
$387
309
clean
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$112,979
$21,466
$15,563
725
clean
HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
$2,042
$388
$349
399
clean
HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
$2,042
$388
$220
405
clean
HC REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP
$2,042
$388
$402
322
clean
HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH
$2,042
$388
$205
399
clean
IRE ABLTJ 1+TUM ORGAN PERQ
—
—
$12,320
334
clean
HC CATH/EP TCAT RMVL/DBLK ICAR MAS PERQ
$19,168
$3,642
$7,263
730
clean
HC TTVI/RPLCMT W/PRSTC VLV PERQ
$24,276
$4,612
$14,566
540
clean
EGD FLX TRANSNASAL TUBE/CATH
—
—
$6,487
334
clean
IMPLT ANT SGM IO NBIO RX SYS
—
—
$7,163
310
clean
HC CC SCALP COOL PLMT MNTR RMVL
$451
$86
$293
296
clean
INSJ ANT SGM AQ DRG DEV 1+
—
—
$6,487
346
clean
HISTOTRIPSY MAL HEPATCEL TIS
—
—
$11,080
315
clean
HC DGTZ GLS MCRSCP SLD LEVEL II SURG PATH
$63
$12
$46
290
clean
HC DGTZ GLS MCRSCP SLD LEVEL III SURG PATH
$143
$27
$104
290
clean
HC DGTZ GLS MCRSCP SLD LEVEL IV SURG PATH
$164
$31
$120
290
clean
HC DGTZ GLS MCRSCP SLD LEVEL V SURG PATH
$183
$35
$134
292
clean
HC DGTZ GLS MCRSCP SLD SPEC STAIN GRP I MICROORG
$52
$10
$38
290
clean
HC DGTZ GLS MCRSCP SLD SPEC STAIN GRP II ALL OTH
$32
$6
$25
290
clean
HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN
$81
$15
$59
292
clean
HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1
$34
$7
$27
292
clean
HC DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB
$66
$12
$48
292
clean
HC DGTZ GLS MCRSCP SLD M/PHMTRC ALYS TUMOR IMHCHEM
$47
$9
$34
292
clean
HC CATH/EP TCAT INS 2CHMBR LDLS PM CMPL
$66,914
$12,714
$22,567
738
clean
HC CATH/EP TCAT INS 2CHMBR LDLS PM RA
$66,914
$12,714
$20,884
738
clean
HC CATH/EP TCAT INS 2CHMBR LDLS PM RV
$66,914
$12,714
$22,567
399
clean
HC CATH/EP TCAT INS 1CHMBR LDLS PM RA
$19,168
$3,642
$20,884
738
clean
HC CATH/EP PRGRMG EVL LDLS PM 1CHMBR IP
$19,168
$3,642
$9,967
375
clean
HC DGTZ GLS MCRSCP SLD CYTP SMEARS W/INTERPJ
$40
$8
$29
292
clean
HC DGTZ GLS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ
$29
$6
$21
292
clean
HC DGTZ GLS MCRSCP SLD CYTP FNA INTERPJ&REPRT
$94
$18
$69
292
clean
HC DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN
$47
$9
$34
292
clean
HC QUAN MRI ALYS BRN W/DX MRI
$842
$160
$566
399
clean
HC FNA BX W/O IMG GDN EA ADDL
$3,181
$604
$2,481
324
clean
FNA BX W/US GDN 1ST LES
$6,346
$1,206
$4,100
763
clean
FNA BX W/US GDN EA ADDL
$3,335
$634
$4,100
600
clean
HC FNA BX W/FLUOR GDN 1ST LES
$5,002
$950
$3,902
406
clean
FNA BX W/CT GDN 1ST LES
$5,002
$950
$3,902
763
clean
HC FNA BX W/CT GDN EA ADDL
$3,335
$634
$4,100
324
clean
HC FNA BX W/MR GDN 1ST LES
$5,002
$950
$3,902
406
clean
HC FNA BX W/MR GDN EA ADDL
$3,335
$634
$4,100
317
clean
FNA BX W/O IMG GDN 1ST LES
$6,346
$1,206
$1,699
719
clean
HC GUIDE CATHET FLUID DRAINAGE
$3,948
$750
$2,434
719
clean
HC PERQ DEV SOFT TISS 1ST LESION
$8,125
$1,544
$4,100
763
clean
HC PERQ DEV SOFT TISS ADD LESION
$2,116
$402
$4,100
600
clean
HC ACNE SURGERY
$757
$144
$590
384
clean
HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
$6,346
$1,206
$1,352
719
clean
HC INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLE
$2,241
$426
$1,748
763
clean
HC I&D PILONID CYST; SIMPLE
$1,009
$192
$1,175
719
clean
HC I&D PILONID CYST; CPLX
$1,655
$314
$1,991
719
clean
HC INCISION&REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$4,741
$901
$1,352
719
clean
HC INC & REM FB SQ; COMPL
$4,979
$946
$3,884
763
clean
HC I&D HMTMA SEROMA/FLUID COLLJ
$2,893
$550
$2,257
719
clean
HC PUNCTURE ASPIR ABSC HMTMA BULLA
$2,596
$493
$1,352
719
clean
HC I&D CPLX POSTOP WND INF
$7,090
$1,347
$5,530
763
clean
DBRDMT ECZ/INFECTED SKIN<10%
$785
$149
$1,794
719
clean
DBRDMT SKIN ABDOMINAL WALL
—
—
$4,206
275
clean
DEBRIDE SKIN AT FX SITE
$2,389
$454
$2,242
763
clean
DEBRIDE SKIN MUSC AT FX SITE
$2,541
$483
$2,242
763
clean
DEB SKIN BONE AT FX SITE
$3,579
$680
$4,206
763
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
$7,857
$1,493
$4,100
763
clean
DBRDMT MUSC&/FSCA 1ST 20/<
$20,147
$3,828
$4,100
763
clean
DBRDMT BONE 1ST 20 SQ CM/<
$30,018
$5,703
$6,091
763
clean
DBRDMT SUBQ TISS EACH ADDL
$3,425
$651
$6,487
600
clean
DBRDMT MUSC&/FSCA EA ADDL
$7,052
$1,340
$6,487
600
clean
DBRDMT BONE EACH ADDL
$12,491
$2,373
$6,593
600
clean
HC PARING/CUTG B9 HYPRKER LES, SINGLE
$6,346
$1,206
$4,100
384
clean
HC PARING/CUTG B9 HYPRKER LES, 2-4
$6,346
$1,206
$4,100
384
clean
HC PARING/CUTG B9 HYPRKER LES, > 4
$4,264
$810
$3,112
384
clean
HC TANGNTL BX SKIN SINGLE LES
$6,346
$1,206
$4,100
384
clean
HC TANGNTL BX SKIN EA SEP/ADDL
$621
$118
$2,050
324
clean
HC PUNCH BX SKIN SINGLE LESION
$6,346
$1,206
$2,050
719
clean
HC PUNCH BX SKIN EA SEP/ADDL
$621
$118
$4,100
600
clean
HC INCAL BX SKN SINGLE LES
$1,657
$315
$2,050
763
clean
HC INCAL BX SKN EA SEP/ADDL
$1,935
$368
$2,050
324
clean
HC REMOVAL OF SKIN TAGS, UP TO 15
$634
$120
$1,175
719
clean
HC REMOVE SKIN TAGS EA ADD 10
$317
$60
$1,175
324
clean
HC SHAVING SKIN LES 1 TRUNK/ARM/LEG DIAM 0.5CM/<
$294
$56
$1,175
719
clean
HC SHVG SKIN LES 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM
$493
$94
$522
384
clean
HC SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM
$524
$99
$522
384
clean
HC SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM
$624
$118
$522
384
clean
HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<
$1,059
$201
$826
384
clean
HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM
$434
$82
$522
384
clean
HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM
$557
$106
$522
384
clean
HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM
$618
$117
$1,175
719
clean
HC SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<
$396
$75
$1,175
719
clean
HC SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM
$546
$104
$522
384
clean
HC SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM
$657
$125
$522
384
clean
HC SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM
$843
$160
$657
384
clean
EXC TR-EXT B9+MARG 0.5 CM<
$1,520
$289
$2,050
763
clean
EXC TR-EXT B9+MARG 0.6-1 CM
$3,572
$679
$2,786
763
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$6,346
$1,206
$4,100
763
clean
EXC TR-EXT B9+MARG 2.1-3CM
$5,064
$962
$3,950
763
clean
EXC TR-EXT B9+MARG 3.1-4 CM
$5,574
$1,059
$4,347
763
clean
EXC TR-EXT B9+MARG >4.0 CM
$8,478
$1,611
$6,487
763
clean
EXC H-F-NK-SP B9+MARG 0.5/<
$3,674
$698
$3,774
763
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$4,290
$815
$3,347
763
clean
EXC H-F-NK-SP B9+MARG 1.1-2
$5,234
$995
$4,083
763
clean
EXC H-F-NK-SP B9+MARG 2.1-3
$6,092
$1,158
$4,752
763
clean
EXC H-F-NK-SP B9+MARG 3.1-4
$6,951
$1,321
$5,421
763
clean
EXC H-F-NK-SP B9+MARG >4 CM
$10,598
$2,014
$6,487
763
clean
EXC FACE-MM B9+MARG 0.5 CM/<
$2,854
$542
$2,226
763
clean
EXC FACE-MM B9+MARG 0.6-1 CM
$3,049
$579
$2,378
763
clean
EXC FACE-MM B9+MARG 1.1-2 CM
$3,379
$642
$2,636
763
clean
EXC FACE-MM B9+MARG 2.1-3 CM
$4,121
$783
$3,774
763
clean
EXC FACE-MM B9+MARG 3.1-4 CM
$5,274
$1,002
$4,114
763
clean
EXC FACE-MM B9+MARG >4 CM
$7,582
$1,441
$6,151
763
clean
EXC SKN HDRDNT AX SMPL/NTRM
$2,724
$518
$6,151
763
clean
EXC SKN HDRDNT AX COMPLEX
$9,758
$1,854
$6,487
763
clean
EXC SKN HDRDNT ING SMPL/NTRM
$9,196
$1,747
$6,487
763
clean
EXC SKN HDRDNT ING COMPLEX
$9,758
$1,854
$6,487
763
clean
EXC SKN H/P/P/U SMPL/NTRM
$9,758
$1,854
$6,487
763
clean
EXC SKN H/P/P/U COMPLEX
$9,758
$1,854
$6,487
763
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
$4,523
$859
$3,528
763
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
$5,637
$1,071
$4,100
763
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
$6,195
$1,177
$4,100
763
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
$7,371
$1,401
$4,100
763
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
$8,178
$1,554
$4,100
763
clean
EXC TR-EXT MAL+MARG >4 CM
$12,142
$2,307
$6,487
763
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
$1,465
$278
$3,774
763
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
$1,952
$371
$2,050
763
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
$1,473
$280
$2,050
763
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
$3,922
$745
$3,774
719
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
$5,408
$1,028
$4,218
763
clean
EXC S/N/H/F/G MAL+MRG >4 CM
$7,184
$1,365
$6,151
763
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
$1,495
$284
$2,050
763
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
$5,638
$1,071
$4,100
763
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
$2,188
$416
$2,050
763
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
$3,922
$745
$3,774
763
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
$5,408
$1,028
$4,218
763
clean
EXC F/E/E/N/L MAL+MRG >4 CM
$7,184
$1,365
$6,151
763
clean
HC TRIM NAIL(S)
$219
$42
$232
384
clean
HC DEBRIDE NAIL, 1-5
$6,346
$1,206
$4,100
384
clean
HC DEBRIDE NAIL, 6 OR MORE
$6,346
$1,206
$4,100
384
clean
HC REMOVAL OF NAIL PLATE
$1,552
$295
$1,210
719
clean
HC REMOVE NAIL PLATE, ADD-ON
$621
$118
$4,100
600
clean
HC DRAIN BLOOD FROM UNDER NAIL
$279
$53
$232
384
clean
HC REMOVAL OF NAIL BED
$1,475
$280
$2,050
763
clean
BIOPSY NAIL UNIT
$2,008
$382
$2,050
763
clean
HC REPAIR OF NAIL BED
$2,281
$433
$1,434
719
clean
HC RECONST NAIL BED W GRFT
$5,714
$1,086
$4,286
719
clean
EXCISION OF NAIL FOLD TOE
$795
$151
$620
719
clean
HC EXC PILONID CYST; SMPL
$7,845
$1,491
$6,119
763
clean
HC EXCISION PILONIDAL CYST/SINUS EXTENSIVE
$3,710
$705
$6,151
763
clean
REMOVE PILONIDAL CYST COMPL
—
—
$6,487
357
clean
HC INJECTION INTO SKIN LESIONS
$6,346
$1,206
$1,352
719
clean
HC ADDED SKIN LESIONS INJECTION
$4,610
$876
$1,352
719
clean
HC SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC
$642
$122
$911
384
clean
INSERT TISSUE EXPANDER(S)
—
—
$6,487
357
clean
RPLCMT TISS XPNDR PERM IMPLT
—
—
$8,453
357
clean
HC RMVL TIS XPNDR WO INSJ IMPLT
$8,849
$1,681
$6,487
763
clean
HC SQ HORMONE PELLET IMPL
$463
$88
$911
384
clean
HC INSERTION DRUG DLVR IMPLANT
$601
$114
$1,175
719
clean
HC REMOVE DRUG IMPLANT
$601
$114
$1,175
719
clean
HC REMOVE W INS DRUG IMPLANT
$824
$157
$1,175
719
clean
HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<
$6,346
$1,206
$1,562
719
clean
HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM
$2,089
$397
$1,562
719
clean
HC SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM
$2,608
$496
$1,562
719
clean
HC RPR S/N/A/GEN/TRK12.6-20.0CM
$3,518
$668
$2,568
406
clean
HC RPR S/N/A/GEN/TRK20.1-30.0CM
$1,016
$193
$792
406
clean
HC RPR S/N/A/GEN/TKR > 30CM
$1,000
$190
$1,562
763
clean
HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<
$13,538
$2,572
$1,562
719
clean
HC SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CM
$1,025
$195
$800
384
clean
HC RPR F/E/E/N/L/M 5.1-7.5 CM
$1,287
$245
$1,004
384
clean

Showing the first 200 of 7,716 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 82664/b
error
mrf_cash_above_gross
discounted cash price $74 exceeds gross charge $65
CPT 81266/b
error
mrf_cash_above_gross
discounted cash price $366 exceeds gross charge $305
CPT 86826/b
error
mrf_cash_above_gross
discounted cash price $44 exceeds gross charge $37
CPT 43999/b
error
mrf_cash_above_gross
discounted cash price $6,000 exceeds gross charge $2,673
CPT 86008/b
error
mrf_cash_above_gross
discounted cash price $22 exceeds gross charge $12
CPT 81432/b
error
mrf_cash_above_gross
discounted cash price $1,565 exceeds gross charge $1,070
CPT 86053/b
error
mrf_cash_above_gross
discounted cash price $45 exceeds gross charge $19
CPT 31238/b
error
mrf_cash_above_gross
discounted cash price $3,845 exceeds gross charge $1,970
CPT 0001U/b
error
mrf_cash_above_gross
discounted cash price $864 exceeds gross charge $756
CPT 0087U/b
error
mrf_cash_above_gross
discounted cash price $3,791 exceeds gross charge $3,159
CPT 86231/b
error
mrf_cash_above_gross
discounted cash price $15 exceeds gross charge $6
CPT 0088U/b
error
mrf_cash_above_gross
discounted cash price $3,791 exceeds gross charge $3,159
CPT 81595/b
error
mrf_cash_above_gross
discounted cash price $3,888 exceeds gross charge $3,240
CPT 97803/b
error
mrf_cash_above_gross
discounted cash price $46 exceeds gross charge $40
CPT 86363/b
error
mrf_cash_above_gross
discounted cash price $45 exceeds gross charge $19
warn
mrf_negotiated_above_gross_systematic
3,983 of 5,490 comparable items (73%) 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 $1,836 exceeds the gross charge $756
warn
mrf_rate_without_estimate
171,513 of 171,513 percentage/algorithm rates across 3,175 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 81173/b
info
mrf_cash_under_tenth_of_gross
cash price $362 is 10% of the gross charge $3,685
CPT 86618/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 9% of the gross charge $228
CPT 81177/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81178/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 87535/b
info
mrf_cash_under_tenth_of_gross
cash price $42 is 6% of the gross charge $694
CPT 81179/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81180/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 84392/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 8% of the gross charge $87
CPT 81181/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81182/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81183/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81184/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81187/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81188/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 84436/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 8% of the gross charge $98
CPT 81191/b
info
mrf_cash_under_tenth_of_gross
cash price $249 is 8% of the gross charge $3,008
CPT 81192/b
info
mrf_cash_under_tenth_of_gross
cash price $249 is 8% of the gross charge $3,008
CPT 84439/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 7% of the gross charge $149
CPT 81193/b
info
mrf_cash_under_tenth_of_gross
cash price $249 is 8% of the gross charge $3,008
CPT 81194/b
info
mrf_cash_under_tenth_of_gross
cash price $622 is 8% of the gross charge $7,519
CPT 81200/b
info
mrf_cash_under_tenth_of_gross
cash price $57 is 3% of the gross charge $2,174
CPT 82397/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 8% of the gross charge $221
CPT 87594/b
info
mrf_cash_under_tenth_of_gross
cash price $42 is 9% of the gross charge $486
CPT 87623/b
info
mrf_cash_under_tenth_of_gross
cash price $42 is 8% of the gross charge $515
CPT 81204/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 84466/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $171
CPT 81209/b
info
mrf_cash_under_tenth_of_gross
cash price $47 is 2% of the gross charge $2,906
CPT 84481/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 8% of the gross charge $247
CPT 86688/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 9% of the gross charge $191
CPT 84485/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $217
CPT 82525/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $191
CPT 84550/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 10% of the gross charge $56
CPT 84577/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 7% of the gross charge $297
CPT 81234/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81236/b
info
mrf_cash_under_tenth_of_gross
cash price $339 is 5% of the gross charge $7,122
CPT 82565/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $72
CPT 86710/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 7% of the gross charge $218
CPT 82570/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $77
CPT 84597/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 7% of the gross charge $237
CPT 86713/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $224
CPT 81242/b
info
mrf_cash_under_tenth_of_gross
cash price $44 is 2% of the gross charge $2,174
CPT 81244/b
info
mrf_cash_under_tenth_of_gross
cash price $54 is 3% of the gross charge $1,901
CPT 84703/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 4% of the gross charge $234
CPT 81251/b
info
mrf_cash_under_tenth_of_gross
cash price $57 is 3% of the gross charge $2,174
CPT 81252/b
info
mrf_cash_under_tenth_of_gross
cash price $121 is 3% of the gross charge $4,372
CPT 86747/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 10% of the gross charge $181
CPT 81253/b
info
mrf_cash_under_tenth_of_gross
cash price $74 is 6% of the gross charge $1,188
CPT 81254/b
info
mrf_cash_under_tenth_of_gross
cash price $42 is 4% of the gross charge $951
CPT 81255/b
info
mrf_cash_under_tenth_of_gross
cash price $62 is 3% of the gross charge $2,174
CPT 81257/b
info
mrf_cash_under_tenth_of_gross
cash price $123 is 8% of the gross charge $1,461
CPT 85025/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 7% of the gross charge $139
CPT 81260/b
info
mrf_cash_under_tenth_of_gross
cash price $47 is 2% of the gross charge $2,174
CPT 81262/b
info
mrf_cash_under_tenth_of_gross
cash price $82 is 3% of the gross charge $2,376
CPT 85048/b
info
mrf_cash_under_tenth_of_gross
cash price $3 is 6% of the gross charge $53
CPT 82679/b
info
mrf_cash_under_tenth_of_gross
cash price $30 is 10% of the gross charge $313
CPT 82705/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 10% of the gross charge $64
CPT 81271/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 82710/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 8% of the gross charge $260
CPT 85210/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 10% of the gross charge $158
CPT 81275/b
info
mrf_cash_under_tenth_of_gross
cash price $232 is 8% of the gross charge $2,843
CPT 82726/b
info
mrf_cash_under_tenth_of_gross
cash price $24 is 8% of the gross charge $309
CPT 85230/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 10% of the gross charge $217
CPT 86813/b
info
mrf_cash_under_tenth_of_gross
cash price $70 is 8% of the gross charge $843
CPT 85240/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 7% of the gross charge $296
CPT 81278/b
info
mrf_cash_under_tenth_of_gross
cash price $249 is 8% of the gross charge $3,008
CPT 85245/b
info
mrf_cash_under_tenth_of_gross
cash price $28 is 10% of the gross charge $287
CPT 85246/b
info
mrf_cash_under_tenth_of_gross
cash price $28 is 9% of the gross charge $323
CPT 81284/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 85250/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 10% of the gross charge $233
CPT 81290/b
info
mrf_cash_under_tenth_of_gross
cash price $47 is 2% of the gross charge $2,174
CPT 85270/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 8% of the gross charge $258
CPT 82784/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 7% of the gross charge $150
CPT 81294/b
info
mrf_cash_under_tenth_of_gross
cash price $243 is 10% of the gross charge $2,543
CPT 85291/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 9% of the gross charge $116
CPT 81295/b
info
mrf_cash_under_tenth_of_gross
cash price $458 is 7% of the gross charge $6,416
CPT 82787/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 4% of the gross charge $236
CPT 81297/b
info
mrf_cash_under_tenth_of_gross
cash price $256 is 4% of the gross charge $6,415
CPT 85300/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $206
CPT 86850/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 3% of the gross charge $395
CPT 85303/b
info
mrf_cash_under_tenth_of_gross
cash price $17 is 7% of the gross charge $252
CPT 81302/b
info
mrf_cash_under_tenth_of_gross
cash price $633 is 10% of the gross charge $6,503
CPT 86880/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $89
CPT 81303/b
info
mrf_cash_under_tenth_of_gross
cash price $144 is 10% of the gross charge $1,462
CPT 85306/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $230
CPT 81304/b
info
mrf_cash_under_tenth_of_gross
cash price $180 is 7% of the gross charge $2,733
CPT 85307/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 10% of the gross charge $188
CPT 86885/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 4% of the gross charge $187
CPT 86886/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $131
CPT 85347/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 6% of the gross charge $86
CPT 86900/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 1% of the gross charge $294
CPT 88267/b
info
mrf_cash_under_tenth_of_gross
cash price $226 is 8% of the gross charge $2,922
CPT 81312/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 82948/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $76
CPT 85362/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 8% of the gross charge $99
CPT 86901/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 1% of the gross charge $294
CPT 82950/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 7% of the gross charge $77
CPT 86902/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 4% of the gross charge $180
CPT 86905/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $180
CPT 82955/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 9% of the gross charge $129
CPT 81322/b
info
mrf_cash_under_tenth_of_gross
cash price $56 is 6% of the gross charge $913
CPT 85384/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 10% of the gross charge $117
CPT 81326/b
info
mrf_cash_under_tenth_of_gross
cash price $56 is 2% of the gross charge $2,253
CPT 82977/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 9% of the gross charge $94
CPT 81329/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81330/b
info
mrf_cash_under_tenth_of_gross
cash price $56 is 3% of the gross charge $2,174
CPT 81331/b
info
mrf_cash_under_tenth_of_gross
cash price $61 is 5% of the gross charge $1,232
CPT 81333/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 85420/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 7% of the gross charge $106
CPT 81336/b
info
mrf_cash_under_tenth_of_gross
cash price $362 is 10% of the gross charge $3,685
CPT 81338/b
info
mrf_cash_under_tenth_of_gross
cash price $180 is 9% of the gross charge $2,076
CPT 81341/b
info
mrf_cash_under_tenth_of_gross
cash price $60 is 3% of the gross charge $2,376
CPT 85520/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 5% of the gross charge $295
CPT 81343/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 81344/b
info
mrf_cash_under_tenth_of_gross
cash price $164 is 9% of the gross charge $1,931
CPT 85540/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $143
CPT 87070/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $178
CPT 85610/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 3% of the gross charge $172
CPT 87077/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $144
CPT 83080/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 6% of the gross charge $347
CPT 87081/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 7% of the gross charge $113
CPT 85613/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 6% of the gross charge $207
CPT 83090/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $226
CPT 87086/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $131
CPT 85652/b
info
mrf_cash_under_tenth_of_gross
cash price $3 is 8% of the gross charge $40
CPT 87102/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 7% of the gross charge $138
CPT 81377/b
info
mrf_cash_under_tenth_of_gross
cash price $114 is 8% of the gross charge $1,378
CPT 81379/b
info
mrf_cash_under_tenth_of_gross
cash price $402 is 7% of the gross charge $5,864
CPT 83516/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $192
CPT 81380/b
info
mrf_cash_under_tenth_of_gross
cash price $213 is 8% of the gross charge $2,604
CPT 83519/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $236
CPT 83520/b
info
mrf_cash_under_tenth_of_gross
cash price $21 is 6% of the gross charge $343
CPT 85732/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $137
CPT 81383/b
info
mrf_cash_under_tenth_of_gross
cash price $131 is 9% of the gross charge $1,447
CPT 87116/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 10% of the gross charge $131
CPT 81400/b
info
mrf_cash_under_tenth_of_gross
cash price $77 is 6% of the gross charge $1,330
CPT 83528/b
info
mrf_cash_under_tenth_of_gross
cash price $24 is 6% of the gross charge $427
CPT 80048/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 6% of the gross charge $179
CPT 86003/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 8% of the gross charge $74
CPT 80053/b
info
mrf_cash_under_tenth_of_gross
cash price $13 is 4% of the gross charge $326
CPT 83550/b
info
mrf_cash_under_tenth_of_gross
cash price $10 is 10% of the gross charge $106
CPT 88741/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 0% of the gross charge $3,461
CPT 86021/b
info
mrf_cash_under_tenth_of_gross
cash price $18 is 8% of the gross charge $216
CPT 83615/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $132
CPT 87168/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $71
CPT 89050/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 9% of the gross charge $66
CPT 80143/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 81413/b
info
mrf_cash_under_tenth_of_gross
cash price $702 is 4% of the gross charge $16,040
CPT 86023/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 7% of the gross charge $212
CPT 87169/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 9% of the gross charge $57
CPT 89051/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 5% of the gross charge $124
CPT 80151/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 87172/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 7% of the gross charge $75
CPT 86038/b
info
mrf_cash_under_tenth_of_gross
cash price $15 is 9% of the gross charge $158
CPT 89060/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 8% of the gross charge $110
CPT 83662/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 4% of the gross charge $557
CPT 87177/b
info
mrf_cash_under_tenth_of_gross
cash price $11 is 9% of the gross charge $114
CPT 83663/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 6% of the gross charge $356
CPT 80161/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 83664/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 2% of the gross charge $1,464
CPT 83670/b
info
mrf_cash_under_tenth_of_gross
cash price $12 is 5% of the gross charge $228
CPT 83690/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 6% of the gross charge $128
CPT 80167/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 86060/b
info
mrf_cash_under_tenth_of_gross
cash price $9 is 9% of the gross charge $98
CPT 81455/b
info
mrf_cash_under_tenth_of_gross
cash price $46 is 1% of the gross charge $4,598
CPT 87205/b
info
mrf_cash_under_tenth_of_gross
cash price $5 is 4% of the gross charge $118
CPT 86140/b
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $126
CPT 87207/b
info
mrf_cash_under_tenth_of_gross
cash price $7 is 7% of the gross charge $98
CPT 80178/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 9% of the gross charge $84
CPT 80179/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 83835/b
info
mrf_cash_under_tenth_of_gross
cash price $20 is 7% of the gross charge $282
CPT 90791/b
info
mrf_cash_under_tenth_of_gross
cash price $46 is 6% of the gross charge $720
CPT 80181/b
info
mrf_cash_under_tenth_of_gross
cash price $22 is 9% of the gross charge $250
CPT 87254/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 9% of the gross charge $274
CPT 90832/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 2% of the gross charge $1,047
CPT 86200/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 9% of the gross charge $178
CPT 83930/b
info
mrf_cash_under_tenth_of_gross
cash price $8 is 9% of the gross charge $87
CPT 90853/b
info
mrf_cash_under_tenth_of_gross
cash price $23 is 8% of the gross charge $274
CPT 80197/b
info
mrf_cash_under_tenth_of_gross
cash price $16 is 9% of the gross charge $184
CPT 86255/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 6% of the gross charge $243
CPT 86256/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $205
CPT 90880/b
info
mrf_cash_under_tenth_of_gross
cash price $46 is 6% of the gross charge $732
CPT 83986/b
info
mrf_cash_under_tenth_of_gross
cash price $4 is 7% of the gross charge $61
CPT 87305/b
info
mrf_cash_under_tenth_of_gross
cash price $14 is 9% of the gross charge $165

Showing the first 200 of 4,508 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 062
info
inp_charge_10x_payment
average charge $245,621 is 10.3× the total payment
MS-DRG 650
info
inp_charge_10x_payment
average charge $1,073,445 is 11.1× the total payment
MS-DRG 652
info
inp_charge_10x_payment
average charge $885,619 is 14.3× the total payment
MS-DRG 863
info
inp_charge_10x_payment
average charge $170,909 is 11.9× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. found via cms-hpt.txt · csv-wide · 482.3M bytes · fetched 2026-08-21 · sha256 21f50aeb8d49…

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.