Hospital · CCN 340073

Duke Health Raleigh Hospital

3400 Wake Forest Rd, Raleigh, NC 27609 · Wake County
Part of Duke University Health System · 186 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

23 admission types 61 outpatient services price file: ok
Billed per dollar paid, all admissions
3.58×
$31.9M billed against $8.9M paid across 530 Medicare discharges; the national figure is 5.03×.
1.3%
of adults in Wake County have medical debt in collections
8.6%
uninsured in the county · state 11.2%
$103K
median household income
4.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
29.3%
obesity in the countyⓘ
9.5%
diagnosed diabetes (PLACES)
4.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
73
$43,009
$14,278
3.0× st 3.5×
291
Heart failure and shock with mcc
52
$29,056
$10,395
2.8× st 3.2×
455
Combined anterior and posterior spinal fusion without cc/mcc
42
$155,700
$36,720
4.2× st 4.4×
460
Spinal fusion except cervical without mcc
31
$97,328
$26,597
3.7× st 4.8×
454
Combined anterior and posterior spinal fusion with cc
27
$224,269
$50,976
4.4× st 4.3×
378
Gastrointestinal hemorrhage with cc
25
$22,638
$8,119
2.8× st 3.9×
473
Cervical spinal fusion without cc/mcc
24
$51,893
$18,253
2.8× st 3.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
24
$32,670
$8,657
3.8× st 3.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
22
$23,586
$6,969
3.4× st 3.6×
193
Simple pneumonia and pleurisy with mcc
22
$34,357
$10,889
3.2× st 3.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
20
$58,644
$14,527
4.0× st 4.5×
177
Respiratory infections and inflammations with mcc
19
$36,068
$12,802
2.8× st 3.3×
483
Major joint or limb reattachment procedures of upper extremities
17
$78,333
$18,577
4.2× st 4.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
17
$49,387
$15,626
3.2× st 3.7×
812
Red blood cell disorders without mcc
16
$21,363
$7,746
2.8× st 3.5×
472
Cervical spinal fusion with cc
15
$73,644
$21,535
3.4× st 4.1×
690
Kidney and urinary tract infections without mcc
14
$22,465
$7,029
3.2× st 3.5×
603
Cellulitis without mcc
13
$16,455
$7,548
2.2× st 3.0×
698
Other kidney and urinary tract diagnoses with mcc
12
$32,296
$12,269
2.6× st 3.0×
309
Cardiac arrhythmia and conduction disorders with cc
12
$17,974
$6,582
2.7× st 3.4×
312
Syncope and collapse
11
$18,364
$7,713
2.4× st 3.9×
331
Major small and large bowel procedures without cc/mcc
11
$48,749
$12,441
3.9× st 4.4×
682
Renal failure with mcc
11
$35,627
$11,739
3.0× st 3.3×
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
407
$11,670
$2,090
5.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
133
$7,795
$1,252
6.2×
5372
Level 2 Urology and Related Services
119
$2,325
$615
3.8×
5115
Level 5 Musculoskeletal Procedures
111
$60,571
$11,558
5.2×
5116
Level 6 Musculoskeletal Procedures
102
$68,200
$16,594
4.1×
8011
Comprehensive Observation Services
93
$12,814
$2,380
5.4×
5492
Level 2 Intraocular Procedures
84
$16,160
$3,626
4.5×
5375
Level 5 Urology and Related Services
77
$26,887
$4,659
5.8×
5114
Level 4 Musculoskeletal Procedures
74
$26,008
$6,372
4.1×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
72
$12,272
$2,083
5.9×
5184
Level 4 Vascular Procedures
71
$19,385
$2,328
8.3×
5302
Level 2 Upper GI Procedures
69
$11,598
$1,693
6.8×
5191
Level 1 Endovascular Procedures
65
$22,000
$2,873
7.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
61
$18,655
$2,433
7.7×
5213
Level 3 Electrophysiologic Procedures
49
$136,214
$21,328
6.4×
5431
Level 1 Nerve Procedures
48
$10,662
$1,709
6.2×
5373
Level 3 Urology and Related Services
45
$10,090
$1,834
5.5×
5374
Level 4 Urology and Related Services
43
$15,460
$3,081
5.0×
5361
Level 1 Laparoscopy and Related Services
36
$21,417
$5,080
4.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
35
$14,619
$2,973
4.9×
5154
Level 4 Airway Endoscopy
34
$21,734
$3,293
6.6×
5113
Level 3 Musculoskeletal Procedures
34
$17,596
$2,778
6.3×
5378
Level 8 Urology and Related Services
30
$93,137
$16,744
5.6×
5165
Level 5 ENT Procedures
24
$20,892
$5,105
4.1×
5362
Level 2 Laparoscopy and Related Services
22
$38,769
$9,263
4.2×
5183
Level 3 Vascular Procedures
19
$13,544
$2,870
4.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
19
$25,870
$5,871
4.4×
5112
Level 2 Musculoskeletal Procedures
17
$8,887
$1,311
6.8×
5313
Level 3 Lower GI Procedures
17
$14,546
$2,528
5.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
17
$21,147
$3,432
6.2×
5153
Level 3 Airway Endoscopy
16
$12,453
$1,528
8.1×
5193
Level 3 Endovascular Procedures
15
$49,161
$9,346
5.3×
5465
Level 5 Neurostimulator and Related Procedures
14
$163,175
$27,876
5.9×
5627
Level 7 Radiation Therapy
12
$21,831
$7,011
3.1×
5182
Level 2 Vascular Procedures
12
$6,257
$1,346
4.6×
5414
Level 4 Gynecologic Procedures
11
$15,409
$2,815
5.5×
5471
Implantation of Drug Infusion Device
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 04/01/2026, template 3.0.0, 415,871 rows scanned, 11,140 distinct code–setting items kept. 4,376 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Level 4 Analysis RBC Antigens
$1,507
$407
$701
20
clean
Level 4 Analysis RBC Antigens
$1,507
$407
$694
20
clean
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys
$18,753
$5,063
$4,240
20
clean
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys
$18,753
$5,063
$4,711
28
clean
Foundation One
$6,407
$1,730
$3,467
28
clean
Foundation One
$6,407
$1,730
$3,146
20
clean
Cerbral Perfusion Study, CT W/ Contrast
$2,665
$720
$1,305
14
clean
Plc Vert/Carotid Stent Init S&I
$9,847
$2,659
$3,702
20
clean
Plc Vert/Carotid Stent Init S&I
$9,847
$2,659
$2,413
17
clean
Augment Sacral Inj Perc Uni
$6,337
$1,711
$4,667
26
clean
Augment Sacral Inj Perc Uni
$6,337
$1,711
$3,127
18
clean
Perq Sac Aug Uni W/WO Bal/Mech Dev 2/> Ndl W/Imag & Bx
$4,984
$1,346
$3,105
27
clean
Perq Sac Aug Uni W/WO Bal/Mech Dev 2/> Ndl W/Imag & Bx
$4,984
$1,346
$2,402
19
clean
Prp Injection Spine
$2,761
$745
$936
38
clean
Prp Injection Spine
$4,142
$1,118
$694
54
clean
Tlpa Brcp Ea Vssl S&I
$16,235
$4,383
$10,114
27
clean
Tlpa Brcp Ea Vssl S&I
$16,235
$4,383
$8,012
20
clean
Tlpa Iliac Arty Ea Vssl S&I
$16,235
$4,383
$10,114
27
clean
Tlpa Iliac Arty Ea Vssl S&I
$16,235
$4,383
$7,825
19
clean
Nfct Ds Vir Resp Rna 4 Trgt
$460
$124
$143
16
clean
Nfct Ds Vir Resp Rna 4 Trgt
$460
$124
$157
24
clean
Oncology (Solid Organ Neoplasm) Targeted Genomic Sequence Dna Analysis
$6,276
$1,695
$2,747
20
clean
Oncology (Solid Organ Neoplasm) Targeted Genomic Sequence Dna Analysis
$6,276
$1,695
$2,674
19
clean
Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve
$14,325
$3,868
$3,598
27
clean
Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve
$14,325
$3,868
$3,239
19
clean
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv
$11,773
$3,179
$6,161
27
clean
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv
$11,773
$3,179
$5,675
19
clean
Ttvr Percutaneous Approach Initial Prosthesis
$19,282
$5,206
$7,250
20
clean
Ttvr Percutaneous Approach Initial Prosthesis
$19,282
$5,206
$4,724
17
clean
Ttvr Percutaneous Approach Each Addl Prosthesis
$10,479
$2,829
$2,567
17
clean
Ttvr Percutaneous Approach Each Addl Prosthesis
$10,479
$2,829
$3,940
20
clean
Abltj Ire 1+Tum Orgn Oth/Thn Lvr/Prst8 Img Perq
$26,140
$7,058
$10,097
27
clean
Abltj Ire 1+Tum Orgn Oth/Thn Lvr/Prst8 Img Perq
$26,140
$7,058
$10,016
19
clean
Tcat Rmvl/Debulk Icar Mass Suction Device Perq
$10,961
$2,959
$5,485
27
clean
Tcat Rmvl/Debulk Icar Mass Suction Device Perq
$10,961
$2,959
$5,291
20
clean
Egd Flexible Transnasal W/Insj Intral Tube/Cath
$4,962
$1,340
$2,392
19
clean
Egd Flexible Transnasal W/Insj Intral Tube/Cath
$4,962
$1,340
$3,091
27
clean
Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm F/Up
$391
$106
$98
27
clean
Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm F/Up
$391
$106
$88
20
clean
Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt
$23,558
$6,361
$14,677
27
clean
Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt
$23,558
$6,361
$11,626
20
clean
Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial
$22,757
$6,144
$11,231
20
clean
Quan MRI Alys Brn W/Dx MRI
$3,228
$872
$811
27
clean
Quan MRI Alys Brn W/Dx MRI
$3,228
$872
$730
20
clean
Fna Bx W/O Img Gdn Ea Addl
$635
$171
$202
22
clean
Fna Bx W/O Img Gdn Ea Addl
$635
$171
$420
3
clean
Fna Bx W/US Gdn 1st Les
$1,476
$399
$677
28
clean
Fna Bx W/US Gdn 1st Les
$1,476
$399
$654
19
clean
Fna Bx W/US Gdn Ea Addl
$1,056
$285
$748
2
clean
Fna Bx W/US Gdn Ea Addl
$1,056
$285
$337
22
clean
Fna Bx W/Fluor Gdn 1st Les
$1,814
$490
$682
28
clean
Fna Bx W/Fluor Gdn 1st Les
$1,814
$490
$677
19
clean
Fna Bx W/CT Gdn 1st Les
$3,584
$968
$810
19
clean
Fna Bx W/CT Gdn 1st Les
$3,584
$968
$900
28
clean
Fna Bx W/CT Gdn Ea Addl
$2,110
$570
$848
18
clean
Fna Bx W/CT Gdn Ea Addl
$2,110
$570
$1,495
2
clean
Fna Bx W/MR Gdn 1st Les
$4,258
$1,150
$1,070
28
clean
Fna Bx W/MR Gdn 1st Les
$4,258
$1,150
$963
20
clean
Fna Bx W/MR Gdn Ea Addl
$2,448
$661
$1,621
3
clean
Fna Bx W/MR Gdn Ea Addl
$2,448
$661
$984
18
clean
Fine Needle Aspiration Bx W/O Img Gdn 1st Lesion
$460
$230
$202
54
clean
Fine Needle Aspiration Bx W/O Img Gdn 1st Lesion
$460
$230
$236
24
clean
Drain Abs/Hema/Lymph/Cyst W/Guide
$1,503
$406
$681
28
clean
Drain Abs/Hema/Lymph/Cyst W/Guide
$1,503
$406
$654
19
clean
Perq Sft Tiss Loc Device Plmt 1st Les W/Gdnce
$4,910
$1,326
$1,110
19
clean
Perq Sft Tiss Loc Device Plmt 1st Les W/Gdnce
$4,910
$1,326
$1,233
28
clean
Perq Sft Tiss Loc Device Plmt Add Les W/Gdnce
$2,388
$645
$960
18
clean
Perq Sft Tiss Loc Device Plmt Add Les W/Gdnce
$2,388
$645
$1,692
2
clean
Extraction
$175
$47
$109
28
clean
Extraction
$175
$47
$86
20
clean
Incision & Drainage Abscess Simple/Single
$506
$253
$125
33
clean
Incision & Drainage Abscess Simple/Single
$385
$193
$115
54
clean
Incision & Drainage Abscess Complicated/Multiple
$874
$437
$239
24
clean
Incision & Drainage Abscess Complicated/Multiple
$653
$327
$259
54
clean
Incision & Drainage Pilonidal Cyst Simple
$767
$384
$295
54
clean
Incision & Drainage Pilonidal Cyst Simple
$767
$384
$416
24
clean
Incision & Drainage Pilonidal Cyst Complicated
$1,051
$526
$443
54
clean
Incision & Drainage Pilonidal Cyst Complicated
$1,051
$526
$419
25
clean
Incision & Removal Foreign Body Subq Tiss Simple
$501
$251
$239
24
clean
Incision & Removal Foreign Body Subq Tiss Simple
$468
$234
$189
54
clean
Incision & Removal Foreign Body Subq Tiss Comp
$849
$425
$852
53
clean
Incision & Removal Foreign Body Subq Tiss Comp
$868
$434
$1,252
23
clean
I&D Hematoma Seroma/Fluid Collection
$518
$259
$650
54
clean
I&D Hematoma Seroma/Fluid Collection
$561
$281
$961
24
clean
Puncture Aspiration Abscess Hematoma Bulla/Cyst
$457
$229
$371
43
clean
Puncture Aspiration Abscess Hematoma Bulla/Cyst
$402
$201
$361
82
clean
Incision & Drainage Complex Po Wound Infection
$803
$402
$1,590
54
clean
Incision & Drainage Complex Po Wound Infection
$837
$419
$2,352
24
clean
Dbrdmt Extensv Eczmt/Infct Skin Up 10% Bdy Surf
$178
$89
$120
52
clean
Dbrdmt Extensv Eczmt/Infct Skin Up 10% Bdy Surf
$178
$89
$146
23
clean
Dbrd Inf Skin Each Add 10%
$374
$101
$248
3
clean
Dbrd Inf Skin Each Add 10%
$374
$101
$150
18
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Abdl Wall
$3,043
$1,522
$681
26
clean
Dbrdmt Skn Subq T/M/F Necro Infctj Abdl Wall
$3,564
$1,782
$573
5
clean
Dbrd Opn Fx Skin/Sq Tiss
$1,930
$521
$685
27
clean
Dbrd Opn Fx Skin/Sq Tiss
$1,930
$521
$436
18
clean
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc
$1,572
$786
$377
23
clean
Debride Assoc Open Fx/Disloc Skin/Muscle
$1,572
$786
$517
52
clean
Debride Assoc Open Fx/Dislo Skin/Mus/Bone
$2,204
$1,102
$851
53
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$2,204
$1,102
$630
23
clean
Debridement Subcutaneous Tissue 1st 20 Sq Cm/<
$555
$278
$269
54
clean
Debridement Subcutaneous Tissue 1st 20 Sq Cm/<
$555
$278
$320
24
clean
Debridement Muscle &/Fascia 1st 20 Sq Cm/<
$817
$409
$282
24
clean
Debridement Muscle &/Fascia 1st 20 Sq Cm/<
$817
$409
$344
54
clean
Debridement Bone 1st 20 Sq Cm/<
$1,058
$529
$1,100
24
clean
Debridement Bone 1st 20 Sq Cm/<
$962
$481
$744
54
clean
Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm
$124
$62
$78
44
clean
Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm
$124
$62
$25
7
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$222
$111
$90
48
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$256
$128
$43
7
clean
Debridement Bone Each Additional 20 Sq Cm
$451
$226
$80
8
clean
Debridement Bone Each Additional 20 Sq Cm
$373
$187
$446
44
clean
Paring/Cutting Benign Hyperkeratotic Lesion 1
$218
$109
$95
53
clean
Paring/Cutting Benign Hyperkeratotic Lesion 1
$218
$109
$118
23
clean
Paring/Cutting Benign Hyperkeratotic Lesion 2-4
$251
$126
$80
54
clean
Paring/Cutting Benign Hyperkeratotic Lesion 2-4
$251
$126
$119
24
clean
Paring/Cutting Benign Hyperkeratotic Lesion >4
$275
$138
$119
24
clean
Paring/Cutting Benign Hyperkeratotic Lesion >4
$275
$138
$85
54
clean
Tangential Biopsy Skin Single Lesion
$380
$190
$96
53
clean
Tangential Biopsy Skin Single Lesion
$380
$190
$111
29
clean
Tangential Biopsy Skin Ea Sep/Additional Lesion
$205
$103
$54
48
clean
Tangential Biopsy Skin Ea Sep/Additional Lesion
$205
$103
$44
7
clean
Punch Biopsy Skin Single Lesion
$477
$239
$146
33
clean
Punch Biopsy Skin Single Lesion
$477
$239
$170
53
clean
Punch Biopsy Skin Ea Sep/Additional Lesion
$235
$118
$57
48
clean
Punch Biopsy Skin Ea Sep/Additional Lesion
$235
$118
$57
16
clean
Incisional Biopsy Skin Single Lesion
$577
$289
$414
53
clean
Incisional Biopsy Skin Single Lesion
$577
$289
$227
29
clean
Incisional Biopsy Skin Ea Sep/Additional Lesion
$277
$139
$60
7
clean
Incisional Biopsy Skin Ea Sep/Additional Lesion
$277
$139
$60
47
clean
Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15
$280
$140
$166
82
clean
Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15
$363
$182
$181
48
clean
Rmvl Skin Tags Addl 10
$241
$65
$77
22
clean
Rmvl Skin Tags Addl 10
$241
$65
$171
2
clean
Shave Ext Lesn Trnk/Extr <=0.5cm
$321
$87
$155
19
clean
Shave Ext Lesn Trnk/Extr <=0.5cm
$321
$87
$200
28
clean
Shave Ext Lesn Trnk/Extr 0.6-1.0cm
$321
$87
$155
19
clean
Shave Ext Lesn Trnk/Extr 0.6-1.0cm
$321
$87
$191
28
clean
Shave Ext Lesn Trnk/Extr 1.1-2.0cm
$321
$87
$191
28
clean
Shave Ext Lesn Trnk/Extr 1.1-2.0cm
$321
$87
$155
19
clean
Shave Ext Lesn Trnk/Extr >2.0cm
$526
$142
$328
28
clean
Shave Ext Lesn Trnk/Extr >2.0cm
$526
$142
$260
20
clean
Shave S/N/H/F/G Lesn <=0.5cm
$277
$75
$134
19
clean
Shave S/N/H/F/G Lesn <=0.5cm
$277
$75
$173
28
clean
Shave S/N/H/F/G Lesn 0.6-1.0cm
$316
$85
$191
28
clean
Shave S/N/H/F/G Lesn 0.6-1.0cm
$316
$85
$152
19
clean
Shave S/N/H/F/G Lesn 1.1-2.0cm
$356
$96
$191
28
clean
Shave S/N/H/F/G Lesn 1.1-2.0cm
$356
$96
$172
19
clean
Shave S/N/H/F/G Lesn > 2.0cm
$526
$142
$254
19
clean
Shave S/N/H/F/G Lesn > 2.0cm
$526
$142
$328
28
clean
Shave Feeynolm Lesn <=0.5cm
$314
$85
$191
28
clean
Shave Feeynolm Lesn <=0.5cm
$314
$85
$151
19
clean
Shave Feeynolm Lesn 0.6-1.0cm
$321
$87
$191
28
clean
Shave Feeynolm Lesn 0.6-1.0cm
$321
$87
$155
19
clean
Shave Feeynolm Lesn 1.1-2.0cm
$565
$153
$272
19
clean
Shave Feeynolm Lesn 1.1-2.0cm
$565
$153
$352
28
clean
PR Excisn Lesn Tr/Limb <=0.5cm
$392
$196
$485
54
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<
$399
$200
$665
24
clean
Excisn Lesn Tr/Ext 0.6-1.0cm
$1,929
$521
$700
28
clean
Excisn Lesn Tr/Ext 0.6-1.0cm
$1,929
$521
$436
19
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 1.1-2.0 Cm
$548
$274
$436
29
clean
PR Excisn Skin Lesn Tr/Ext1.1-2cm
$526
$263
$581
54
clean
PR Excisn Lesn Tr/Ext 2.1-3.0cm
$606
$303
$485
54
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm
$708
$354
$665
24
clean
Excisn Lesn Tr/Ext 3.1-4.0cm
$4,443
$1,200
$1,594
28
clean
Excisn Lesn Tr/Ext 3.1-4.0cm
$4,443
$1,200
$1,559
19
clean
Excisn Lesn Tr/Ext >4cm
$4,443
$1,200
$1,559
19
clean
Excisn Lesn Tr/Ext >4cm
$4,443
$1,200
$1,594
28
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<
$391
$196
$1,005
29
clean
PR Excisn Lesn Sclp/Nk/Hd/Ft<=0.5
$391
$196
$1,116
54
clean
PR Excisn Lesn Sclp/Nk/Hd/Ft0.6-1
$491
$246
$677
54
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.6-1.0cm
$518
$259
$690
29
clean
PR Excisn Lesn Sclp/Nk/Hd/Ft1.1-2
$550
$275
$1,210
54
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 1.1-2.0cm
$644
$322
$1,532
24
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0cm
$745
$373
$1,005
29
clean
PR Excisn Lesn Sclp/Nk/Hd/Ft2.1-3
$628
$314
$913
54
clean
Excisn Lesn Sclp/Nk/Hd/Ft 3.1-4cm
$4,443
$1,200
$1,594
28
clean
Excisn Lesn Sclp/Nk/Hd/Ft 3.1-4cm
$4,443
$1,200
$1,559
19
clean
PR Excisn Lesn Sclp/Nk/Hd/Ft>4.0
$1,030
$515
$1,973
54
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G > 4.0cm
$1,266
$633
$2,707
24
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<
$465
$233
$677
43
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<
$439
$220
$710
72
clean
Excisn Lesn Feeynolm 0.6-1.0cm
$1,929
$521
$876
28
clean
Excisn Lesn Feeynolm 0.6-1.0cm
$1,929
$521
$677
19
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0cm
$593
$297
$593
42
clean
Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 1.1-2.0cm
$627
$314
$665
24
clean
Excisn Lesn Feeynolm 2.1-3.0cm
$4,443
$1,200
$1,559
19
clean
Excisn Lesn Feeynolm 2.1-3.0cm
$4,443
$1,200
$2,193
28
clean
Excisn Lesn Feeynolm 3.1-4.0cm
$4,443
$1,200
$1,645
22
clean
Excisn Lesn Feeynolm 3.1-4.0cm
$4,443
$1,200
$1,559
13
clean
Excisn Lesn Feeynolm >4cm
$7,787
$2,102
$2,893
22
clean
Excisn Lesn Feeynolm >4cm
$7,787
$2,102
$2,754
13
clean
Excisn Lesn Mlg Tr/Lmb <=0.5cm
$1,929
$521
$677
19
clean
Excisn Lesn Mlg Tr/Lmb <=0.5cm
$1,929
$521
$685
28
clean
Excisn Lesn Mlg Tr/Lmb 0.6-1.0cm
$1,929
$521
$685
28
clean
Excisn Lesn Mlg Tr/Lmb 0.6-1.0cm
$1,929
$521
$677
19
clean
Excsn Lesn Mlg Tr/Lmb 1.1-2cm
$1,093
$295
$393
28
clean
Excsn Lesn Mlg Tr/Lmb 1.1-2cm
$1,093
$295
$384
19
clean
Excisn Lesn Mlg Tr/Lmb 2.1-3cm
$1,929
$521
$677
19
clean
Excisn Lesn Mlg Tr/Lmb 2.1-3cm
$1,929
$521
$685
28
clean

Showing the first 200 of 11,140 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT A9601/b
warn
mrf_negotiated_above_gross
highest negotiated rate $122,430 exceeds the gross charge $27,465
CPT 20650/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,122 exceeds the gross charge $2,515
CPT A9601/o
warn
mrf_negotiated_above_gross
highest negotiated rate $122,430 exceeds the gross charge $27,465
CPT 20650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,223 exceeds the gross charge $2,515
CPT 20665/b
warn
mrf_negotiated_above_gross
highest negotiated rate $394 exceeds the gross charge $233
CPT A9611/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,622,250 exceeds the gross charge $14,592
CPT 20665/o
warn
mrf_negotiated_above_gross
highest negotiated rate $396 exceeds the gross charge $233
CPT A9611/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,622,250 exceeds the gross charge $14,592
CPT 52332/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,358 exceeds the gross charge $6,180
CPT 29305/b
warn
mrf_negotiated_above_gross
highest negotiated rate $262 exceeds the gross charge $228
CPT 52351/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,426 exceeds the gross charge $3,153
CPT 29305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $264 exceeds the gross charge $228
CPT 53020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,309 exceeds the gross charge $3,403
CPT 95937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $332 exceeds the gross charge $291
CPT J7525/o
warn
mrf_negotiated_above_gross
highest negotiated rate $765 exceeds the gross charge $622
CPT 29325/b
warn
mrf_negotiated_above_gross
highest negotiated rate $262 exceeds the gross charge $228
CPT 11300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $394 exceeds the gross charge $321
CPT 29325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $264 exceeds the gross charge $228
CPT 11300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $397 exceeds the gross charge $321
CPT 53855/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,020 exceeds the gross charge $633
CPT 53855/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,035 exceeds the gross charge $633
CPT 95961/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,003 exceeds the gross charge $931
CPT 20982/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12,688 exceeds the gross charge $9,035
CPT 95961/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,011 exceeds the gross charge $931
CPT 20982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,782 exceeds the gross charge $9,035
CPT 20983/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,045 exceeds the gross charge $5,837
CPT 20983/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,097 exceeds the gross charge $5,837
CPT 54161/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,020 exceeds the gross charge $526
CPT 11404/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,785 exceeds the gross charge $4,443
CPT 54161/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,668 exceeds the gross charge $526
CPT 54163/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,020 exceeds the gross charge $526
CPT 21315/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,256 exceeds the gross charge $2,050
CPT 54163/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,664 exceeds the gross charge $526
CPT 41010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,461 exceeds the gross charge $1,112
CPT 69610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,472 exceeds the gross charge $1,222
CPT Q9956/o
warn
mrf_negotiated_above_gross
highest negotiated rate $377 exceeds the gross charge $124
CPT 21356/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,834 exceeds the gross charge $2,747
CPT 41010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,472 exceeds the gross charge $1,112
CPT 21356/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,877 exceeds the gross charge $2,747
CPT 95992/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $165
CPT 90912/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $182
CPT 90913/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $100
CPT 21450/b
warn
mrf_negotiated_above_gross
highest negotiated rate $502 exceeds the gross charge $345
CPT 54512/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,401 exceeds the gross charge $2,972
CPT 21450/o
warn
mrf_negotiated_above_gross
highest negotiated rate $506 exceeds the gross charge $345
CPT 54512/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,426 exceeds the gross charge $2,972
CPT 54600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,401 exceeds the gross charge $2,985
CPT 96138/o
warn
mrf_negotiated_above_gross
highest negotiated rate $847 exceeds the gross charge $548
CPT 54600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,426 exceeds the gross charge $2,985
CPT 11441/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,238 exceeds the gross charge $1,929
CPT 21550/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,598 exceeds the gross charge $1,391
CPT 29700/b
warn
mrf_negotiated_above_gross
highest negotiated rate $262 exceeds the gross charge $174
CPT J7799/o
warn
mrf_negotiated_above_gross
highest negotiated rate $284 exceeds the gross charge $63
CPT 21550/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,610 exceeds the gross charge $1,391
CPT 29700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $264 exceeds the gross charge $174
CPT 91010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,498 exceeds the gross charge $1,821
CPT 11443/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,827 exceeds the gross charge $4,443
CPT 21931/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,665 exceeds the gross charge $4,133
CPT 29705/b
warn
mrf_negotiated_above_gross
highest negotiated rate $262 exceeds the gross charge $209
CPT 41115/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,832 exceeds the gross charge $1,822
CPT 71271/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,452 exceeds the gross charge $770
CPT 22513/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,045 exceeds the gross charge $6,825
CPT 29705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $264 exceeds the gross charge $209
CPT 55110/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,401 exceeds the gross charge $2,972
CPT 71271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $887 exceeds the gross charge $770
CPT 22513/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,265 exceeds the gross charge $6,825
CPT 29740/b
warn
mrf_negotiated_above_gross
highest negotiated rate $262 exceeds the gross charge $209
CPT 55110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,426 exceeds the gross charge $2,972
CPT 72131/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,779 exceeds the gross charge $1,693
CPT 96366/o
warn
mrf_negotiated_above_gross
highest negotiated rate $177 exceeds the gross charge $168
CPT 22514/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,045 exceeds the gross charge $6,825
CPT 29740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $264 exceeds the gross charge $209
CPT 72198/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,536 exceeds the gross charge $1,427
CPT 96368/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,182 exceeds the gross charge $345
CPT C9779/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,752 exceeds the gross charge $2,470
CPT 22514/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,737 exceeds the gross charge $6,825
CPT 72198/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,536 exceeds the gross charge $1,427
CPT 91040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,486 exceeds the gross charge $1,821
CPT C9779/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,780 exceeds the gross charge $2,470
CPT 23505/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,578 exceeds the gross charge $822
CPT D0171/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $29
CPT 23505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,590 exceeds the gross charge $822
CPT D0251/o
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $30
CPT 41821/o
warn
mrf_negotiated_above_gross
highest negotiated rate $296 exceeds the gross charge $234
CPT 91200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $694 exceeds the gross charge $482
CPT D0350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $53
CPT 41874/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,748 exceeds the gross charge $1,466
CPT 96375/o
warn
mrf_negotiated_above_gross
highest negotiated rate $599 exceeds the gross charge $403
CPT D1330/o
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $31
CPT 41899/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,423 exceeds the gross charge $287
CPT 56440/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $1,940
CPT 96376/o
warn
mrf_negotiated_above_gross
highest negotiated rate $812 exceeds the gross charge $345
CPT D1354/o
warn
mrf_negotiated_above_gross
highest negotiated rate $155 exceeds the gross charge $58
CPT 30310/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,198 exceeds the gross charge $1,950
CPT 56440/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,159 exceeds the gross charge $1,940
CPT 96380/b
warn
mrf_negotiated_above_gross
highest negotiated rate $47 exceeds the gross charge $23
CPT D2393/o
warn
mrf_negotiated_above_gross
highest negotiated rate $301 exceeds the gross charge $276
CPT 30310/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,222 exceeds the gross charge $1,950
CPT 56441/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,135 exceeds the gross charge $1,956
CPT 84999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $906 exceeds the gross charge $112
CPT 96380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $47 exceeds the gross charge $23
CPT D3110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $81
CPT 56441/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,159 exceeds the gross charge $1,956
CPT 85097/b
warn
mrf_negotiated_above_gross
highest negotiated rate $806 exceeds the gross charge $370
CPT 96381/b
warn
mrf_negotiated_above_gross
highest negotiated rate $40 exceeds the gross charge $23
CPT D3221/o
warn
mrf_negotiated_above_gross
highest negotiated rate $266 exceeds the gross charge $212
CPT 56740/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,059 exceeds the gross charge $2,006
CPT 85097/o
warn
mrf_negotiated_above_gross
highest negotiated rate $812 exceeds the gross charge $370
CPT 96381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $40 exceeds the gross charge $23
CPT D4341/o
warn
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $256
CPT 56740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,448 exceeds the gross charge $2,006
CPT 96411/o
warn
mrf_negotiated_above_gross
highest negotiated rate $621 exceeds the gross charge $575
CPT D4381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $184 exceeds the gross charge $88
CPT 23675/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,578 exceeds the gross charge $378
CPT 57155/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,868 exceeds the gross charge $1,443
CPT D6062/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,042 exceeds the gross charge $950
CPT 23675/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,590 exceeds the gross charge $378
CPT 42310/b
warn
mrf_negotiated_above_gross
highest negotiated rate $502 exceeds the gross charge $305
CPT 57155/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,904 exceeds the gross charge $1,443
CPT D7140/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,709 exceeds the gross charge $228
CPT 42310/o
warn
mrf_negotiated_above_gross
highest negotiated rate $506 exceeds the gross charge $305
CPT 57170/b
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $53
CPT 92018/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,540 exceeds the gross charge $262
CPT 96523/o
warn
mrf_negotiated_above_gross
highest negotiated rate $379 exceeds the gross charge $328
CPT D7410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,640 exceeds the gross charge $820
CPT 42400/b
warn
mrf_negotiated_above_gross
highest negotiated rate $694 exceeds the gross charge $399
CPT 57170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $53
CPT 97012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $118
CPT D9971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,097 exceeds the gross charge $175
CPT 42400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $699 exceeds the gross charge $399
CPT 57410/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,135 exceeds the gross charge $1,864
CPT 92019/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,671 exceeds the gross charge $262
CPT 97016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $169
CPT 57410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,242 exceeds the gross charge $1,864
CPT 97032/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $108
CPT 24341/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,873 exceeds the gross charge $4,518
CPT 97033/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $114
CPT 24341/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,097 exceeds the gross charge $4,518
CPT 97035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $106
CPT 57456/o
warn
mrf_negotiated_above_gross
highest negotiated rate $863 exceeds the gross charge $813
CPT 97110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $162
CPT 31267/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,877 exceeds the gross charge $3,760
CPT 57461/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,162 exceeds the gross charge $5,828
CPT 92504/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $0
CPT 97112/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $150
CPT 11920/b
warn
mrf_negotiated_above_gross
highest negotiated rate $604 exceeds the gross charge $490
CPT 24538/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,045 exceeds the gross charge $4,259
CPT 57510/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,135 exceeds the gross charge $2,097
CPT 97113/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $180
CPT 11920/o
warn
mrf_negotiated_above_gross
highest negotiated rate $608 exceeds the gross charge $490
CPT 24538/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,097 exceeds the gross charge $4,259
CPT 31296/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,877 exceeds the gross charge $3,760
CPT 57510/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,159 exceeds the gross charge $2,097
CPT 97116/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $140
CPT 42960/b
warn
mrf_negotiated_above_gross
highest negotiated rate $502 exceeds the gross charge $149
CPT 57720/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,135 exceeds the gross charge $2,327
CPT 97124/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $126
CPT 11980/b
warn
mrf_negotiated_above_gross
highest negotiated rate $394 exceeds the gross charge $236
CPT 42960/o
warn
mrf_negotiated_above_gross
highest negotiated rate $506 exceeds the gross charge $149
CPT 57720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,159 exceeds the gross charge $2,327
CPT 92519/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,460 exceeds the gross charge $1,870
CPT 97129/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $214
CPT 11980/o
warn
mrf_negotiated_above_gross
highest negotiated rate $396 exceeds the gross charge $236
CPT 24565/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,578 exceeds the gross charge $390
CPT 42975/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,701 exceeds the gross charge $520
CPT 97130/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $214
CPT 24565/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,590 exceeds the gross charge $390
CPT 42975/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,778 exceeds the gross charge $520
CPT 86485/b
warn
mrf_negotiated_above_gross
highest negotiated rate $51 exceeds the gross charge $30
CPT 97140/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $163
CPT J3244/o
warn
mrf_negotiated_above_gross
highest negotiated rate $507 exceeds the gross charge $195
CPT 58300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $592 exceeds the gross charge $462
CPT 86485/o
warn
mrf_negotiated_above_gross
highest negotiated rate $51 exceeds the gross charge $30
CPT 97150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $127
CPT 86580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $30
CPT 97161/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $221
CPT 31526/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,712 exceeds the gross charge $2,657
CPT 43237/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,613 exceeds the gross charge $6,319
CPT 92577/b
warn
mrf_negotiated_above_gross
highest negotiated rate $523 exceeds the gross charge $208
CPT 97164/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $178
CPT 31535/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,547 exceeds the gross charge $3,369
CPT 58345/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,135 exceeds the gross charge $1,956
CPT 92577/o
warn
mrf_negotiated_above_gross
highest negotiated rate $527 exceeds the gross charge $208
CPT 97165/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $221
CPT 31535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,663 exceeds the gross charge $3,369
CPT 58345/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,159 exceeds the gross charge $1,956
CPT 92587/o
warn
mrf_negotiated_above_gross
highest negotiated rate $609 exceeds the gross charge $554
CPT 97168/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $178
CPT 43244/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,265 exceeds the gross charge $6,319
CPT 58558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,751 exceeds the gross charge $5,327
CPT 97530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $163
CPT 92608/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $150
CPT 97533/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $235
CPT 58999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $77
CPT 97535/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $164
MS-DRG 003/i
warn
mrf_negotiated_above_gross
highest negotiated rate $2,066,053 exceeds the gross charge $713,587
CPT 31599/b
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $107
CPT 43247/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,420 exceeds the gross charge $3,010
CPT 58999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,259 exceeds the gross charge $77
CPT 86703/b
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $39

Showing the first 200 of 4,376 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 950.0M bytes · fetched 2026-08-23 · sha256 43eadab89157…

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.