Project Crossfoot
Hospital · CCN 340116

Frye Regional Medical Center

420 N Center St, Hickory, NC 28601 · Catawba County
Part of Lifepoint Health · 226 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

48 admission types 53 outpatient services price file: ok 7 Medicare-file findings
Billed per dollar paid, all admissions
8.53×
$141.0M billed against $16.5M paid across 1,378 Medicare discharges; the national figure is 5.03×.
5.1%
of adults in Catawba County have medical debt in collections
12.0%
uninsured in the county · state 11.2%
$66K
median household income
6.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
37.4%
obesity in the countyⓘ
12.1%
diagnosed diabetes (PLACES)
7.1%
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
137
$107,685
$13,183
8.2× st 3.5×
274
Percutaneous and other intracardiac procedures without mcc
123
$239,203
$21,912
10.9× st 5.0×
291
Heart failure and shock with mcc
100
$61,727
$9,145
6.7× st 3.2×
193
Simple pneumonia and pleurisy with mcc
59
$64,485
$9,070
7.1× st 3.5×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
45
$134,565
$13,160
10.2× st 5.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
42
$33,411
$4,642
7.2× st 3.6×
309
Cardiac arrhythmia and conduction disorders with cc
40
$47,110
$5,699
8.3× st 3.4×
177
Respiratory infections and inflammations with mcc
40
$93,264
$11,499
8.1× st 3.3×
683
Renal failure with cc
38
$45,683
$6,528
7.0× st 3.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
32
$70,787
$7,769
9.1× st 4.6×
378
Gastrointestinal hemorrhage with cc
30
$52,323
$7,248
7.2× st 3.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
30
$81,496
$9,521
8.6× st 3.3×
190
Chronic obstructive pulmonary disease with mcc
30
$48,454
$8,354
5.8× st 3.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
29
$65,687
$7,416
8.9× st 3.6×
312
Syncope and collapse
26
$50,874
$6,365
8.0× st 3.9×
313
Chest pain
26
$59,762
$5,479
10.9× st 4.4×
308
Cardiac arrhythmia and conduction disorders with mcc
26
$62,600
$8,976
7.0× st 3.6×
682
Renal failure with mcc
26
$72,483
$10,422
7.0× st 3.3×
689
Kidney and urinary tract infections with mcc
25
$54,877
$8,197
6.7× st 3.3×
280
Acute myocardial infarction, discharged alive with mcc
25
$85,216
$10,666
8.0× st 3.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
25
$65,405
$7,178
9.1× st 4.2×
243
Permanent cardiac pacemaker implant with cc
24
$137,099
$15,210
9.0× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
24
$51,142
$5,851
8.7× st 3.6×
690
Kidney and urinary tract infections without mcc
24
$45,089
$5,835
7.7× st 3.5×
698
Other kidney and urinary tract diagnoses with mcc
23
$89,436
$11,602
7.7× st 3.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
21
$59,981
$5,780
10.4× st 3.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
21
$81,021
$12,318
6.6× st 3.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
18
$117,966
$15,399
7.7× st 3.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
17
$236,372
$31,691
7.5× st 3.6×
377
Gastrointestinal hemorrhage with mcc
16
$99,309
$11,851
8.4× st 3.7×
242
Permanent cardiac pacemaker implant with mcc
16
$212,176
$23,345
9.1× st 4.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$166,093
$21,984
7.6× st 4.7×
812
Red blood cell disorders without mcc
15
$46,443
$6,542
7.1× st 3.5×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
15
$322,755
$40,279
8.0× st 4.4×
552
Medical back problems without mcc
14
$39,415
$6,861
5.7× st 3.7×
244
Permanent cardiac pacemaker implant without cc/mcc
13
$108,576
$12,530
8.7× st 4.9×
194
Simple pneumonia and pleurisy with cc
13
$47,280
$6,085
7.8× st 3.7×
482
Hip and femur procedures except major joint without cc/mcc
13
$93,545
$10,933
8.6× st 5.0×
481
Hip and femur procedures except major joint with cc
13
$123,772
$13,844
8.9× st 4.4×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
13
$356,314
$34,697
10.3× st 4.6×
281
Acute myocardial infarction, discharged alive with cc
12
$48,798
$6,520
7.5× st 4.2×
039
Extracranial procedures without cc/mcc
12
$99,079
$8,116
12.2× st 4.5×
455
Combined anterior and posterior spinal fusion without cc/mcc
12
$208,645
$32,357
6.4× st 4.4×
460
Spinal fusion except cervical without mcc
12
$215,940
$24,274
8.9× st 4.8×
070
Other cerebrovascular disorders with mcc
12
$86,973
$10,981
7.9× st 3.3×
189
Pulmonary edema and respiratory failure
12
$88,473
$8,789
10.1× st 3.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
12
$121,815
$13,882
8.8× st 4.6×
445
Disorders of the biliary tract with cc
11
$45,523
$7,780
5.9× st 4.1×
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
261
$35,083
$2,406
14.6×
5191
Level 1 Endovascular Procedures
134
$37,730
$2,871
13.1×
5114
Level 4 Musculoskeletal Procedures
86
$57,879
$6,302
9.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
68
$16,085
$1,442
11.2×
5361
Level 1 Laparoscopy and Related Services
54
$57,073
$5,131
11.1×
5373
Level 3 Urology and Related Services
52
$20,625
$1,811
11.4×
5193
Level 3 Endovascular Procedures
52
$112,838
$9,462
11.9×
5431
Level 1 Nerve Procedures
45
$20,125
$1,687
11.9×
5375
Level 5 Urology and Related Services
45
$53,984
$4,601
11.7×
5223
Level 3 Pacemaker and Similar Procedures
44
$72,430
$9,489
7.6×
5115
Level 5 Musculoskeletal Procedures
43
$103,503
$11,688
8.9×
5213
Level 3 Electrophysiologic Procedures
41
$166,218
$21,065
7.9×
5222
Level 2 Pacemaker and Similar Procedures
41
$62,419
$7,407
8.4×
5374
Level 4 Urology and Related Services
40
$37,599
$2,976
12.6×
5192
Level 2 Endovascular Procedures
37
$65,582
$5,082
12.9×
5302
Level 2 Upper GI Procedures
36
$18,728
$1,654
11.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
27
$25,714
$2,452
10.5×
5183
Level 3 Vascular Procedures
27
$23,027
$2,835
8.1×
5194
Level 4 Endovascular Procedures
23
$132,411
$15,561
8.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
23
$41,060
$2,970
13.8×
5113
Level 3 Musculoskeletal Procedures
18
$36,586
$2,782
13.2×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
17
$48,652
$2,078
23.4×
5154
Level 4 Airway Endoscopy
14
$51,022
$3,330
15.3×
5224
Level 4 Pacemaker and Similar Procedures
14
$150,185
$17,288
8.7×
5232
Level 2 ICD and Similar Procedures
14
$214,107
$29,167
7.3×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
11
$69,764
$5,798
12.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 7/8/2026, template 3.0.0, 15,701 rows scanned, 2,035 distinct code–setting items kept. 97 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
BONE SRGRY CMPTR CT/MRI IMAG
CPT 0055T
$1
$0
$0
4
clean
TRLUML PERIP ATHRC ILIAC ART
CPT 0238T
$45,732
$18,293
$10,229
2
clean
PERQ LAMOT/LAM LUMBAR
CPT 0275T
$27,584
$11,034
$2,783
1
clean
ABLTJ PERC PLEX/TRNCL NRV
CPT 0442T
$23,801
$9,520
$5,370
1
clean
FNA BX W/US GDN 1ST LES
CPT 10005
$1,323
$529
$349
11
clean
FNA BX W/US GDN EA ADDL
CPT 10006
$1,323
$529
$230
1
clean
GUIDE CATHET FLUID DRAINAGE
CPT 10030
$4,149
$1,660
$642
1
clean
DRAINAGE OF SKIN ABSCESS
CPT 10060
$4,635
$1,854
$235
5
clean
DRAINAGE OF SKIN ABSCESS
CPT 10061
$11,335
$4,534
$2,624
2
clean
DRAINAGE OF PILONIDAL CYST
CPT 10080
$8,325
$3,330
$1,022
1
clean
REMOVE FOREIGN BODY
CPT 10120
$16,013
$6,405
$807
4
clean
DRAINAGE OF HEMATOMA/FLUID
CPT 10140
$12,062
$4,825
$1,480
3
clean
PUNCTURE DRAINAGE OF LESION
CPT 10160
$822
$329
$89
1
clean
DEB SUBQ TISSUE 20 SQ CM/<
CPT 11042
$1,500
$600
$343
29
clean
DEB MUSC/FASCIA 20 SQ CM/<
CPT 11043
$2,323
$929
$574
14
clean
DEB BONE 20 SQ CM/<
CPT 11044
$11,122
$4,449
$1,822
2
clean
DEB SUBQ TISSUE ADD-ON
CPT 11045
$920
$368
$126
15
clean
DEB MUSC/FASCIA ADD-ON
CPT 11046
$1,386
$554
$182
2
clean
TANGNTL BX SKIN SINGLE LES
CPT 11102
$822
$329
$185
1
clean
EXC TR-EXT B9+MARG 0.6-1 CM
CPT 11401
$5,483
$2,193
$608
1
clean
EXC TR-EXT B9+MARG 1.1-2 CM
CPT 11402
$5,483
$2,193
$608
1
clean
EXC TR-EXT B9+MARG 2.1-3CM
CPT 11403
$5,331
$2,132
$745
2
clean
EXC TR-EXT B9+MARG 3.1-4 CM
CPT 11404
$10,965
$4,386
$2,061
1
clean
EXC TR-EXT B9+MARG >4.0 CM
CPT 11406
$6,962
$2,785
$873
4
clean
EXC H-F-NK-SP B9+MARG 0.5/<
CPT 11420
$5,483
$2,193
$1,446
1
clean
EXC H-F-NK-SP B9+MARG 3.1-4
CPT 11424
$12,981
$5,192
$1,412
1
clean
EXC H-F-NK-SP B9+MARG >4 CM
CPT 11426
$19,923
$7,969
$5,815
1
clean
EXC FACE-MM B9+MARG 0.5 CM/<
CPT 11440
$6,533
$2,613
$646
1
clean
EXC FACE-MM B9+MARG 1.1-2 CM
CPT 11442
$12,981
$5,192
$3,651
1
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
CPT 11604
$8,111
$3,245
$1,430
1
clean
DEBRIDE NAIL 6 OR MORE
CPT 11721
$371
$148
$40
1
clean
REMOVAL OF NAIL PLATE
CPT 11730
$2,960
$1,184
$568
1
clean
REMOVE NAIL PLATE ADD-ON
CPT 11732
$4,895
$1,958
$568
1
clean
REMOVE PILONIDAL CYST SIMPLE
CPT 11770
$19,923
$7,969
$3,181
5
clean
REMOVE PILONIDAL CYST EXTEN
CPT 11771
$20,904
$8,361
$2,733
3
clean
REMOVE PILONIDAL CYST COMPL
CPT 11772
$23,853
$9,541
$2,783
5
clean
INSERT TISSUE EXPANDER(S)
CPT 11960
$5,140
$2,056
$287
1
clean
REMOVE TISSUE EXPANDER(S)
CPT 11971
$1,614
$646
$219
1
clean
REMOVE DRUG IMPLANT DEVICE
CPT 11982
$11,927
$4,771
$2,844
2
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
CPT 12031
$5,331
$2,132
$513
2
clean
INTMD RPR S/A/T/EXT 2.6-7.5
CPT 12032
$5,483
$2,193
$861
1
clean
CMPLX RPR TRUNK 2.6-7.5 CM
CPT 13101
$5,852
$2,341
$874
2
clean
CMPLX RPR TRUNK ADDL 5CM/<
CPT 13102
$5,852
$2,341
$822
2
clean
CMPLX RPR S/A/L 2.6-7.5 CM
CPT 13121
$3,601
$1,440
$500
1
clean
CMPLX RPR S/A/L ADDL 5 CM/>
CPT 13122
$3,601
$1,440
$169
1
clean
LATE CLOSURE OF WOUND
CPT 13160
$14,538
$5,815
$1,865
1
clean
TIS TRNFR TRUNK 10 SQ CM/<
CPT 14000
$10,313
$4,125
$1,590
2
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
CPT 14040
$6,490
$2,596
$1,220
1
clean
TIS TRNFR E/N/E/L10.1-30SQCM
CPT 14061
$3,300
$1,320
$1,000
1
clean
SKIN FULL GRAFT EEN & LIPS
CPT 15260
$9,681
$3,872
$1,520
1
clean
SKIN SUB GRAFT TRNK/ARM/LEG
CPT 15271
$5,390
$2,156
$1,673
4
clean
SKIN SUB GRFT T/ARM/LG CHILD
CPT 15273
$7,316
$2,926
$3,307
1
clean
SKIN SUB GRAFT FACE/NK/HF/G
CPT 15275
$5,332
$2,133
$745
2
clean
MUSCLE-SKIN GRAFT TRUNK
CPT 15734
$29,581
$11,832
$5,147
1
clean
GRFG AUTOL SOFT TISS DIR EXC
CPT 15769
$10,394
$4,157
$1,131
1
clean
DERMA-FAT-FASCIA GRAFT
CPT 15770
$4,119
$1,648
$250
1
clean
ACELLULAR DERM MATRIX IMPLT
CPT 15777
$5,939
$2,376
$2,112
1
clean
REVISION OF UPPER EYELID
CPT 15822
$17,768
$7,107
$2,472
3
clean
REVISION OF UPPER EYELID
CPT 15823
$17,966
$7,186
$2,824
8
clean
REMOVE SUTURES DIFF SURGEON
CPT 15851
$6,600
$2,640
$732
1
clean
REMOVE SACRUM PRESSURE SORE
CPT 15931
$12,062
$4,825
$2,710
1
clean
DESTRUCT B9 LESION 1-14
CPT 17110
$23,853
$9,541
$6,004
1
clean
CHEM CAUT OF GRANLTJ TISSUE
CPT 17250
$918
$367
$185
13
clean
DRAINAGE OF BREAST LESION
CPT 19000
$1,039
$416
$223
9
clean
BX BREAST 1ST LESION STRTCTC
CPT 19081
$9,338
$3,735
$1,563
22
clean
BX BREAST 1ST LESION US IMAG
CPT 19083
$8,799
$3,520
$1,775
24
clean
BX BREAST ADD LESION US IMAG
CPT 19084
$4,534
$1,814
$1,036
1
clean
BIOPSY OF BREAST OPEN
CPT 19101
$9,178
$3,671
$3,602
2
clean
REMOVAL OF BREAST LESION
CPT 19120
$15,810
$6,324
$2,803
7
clean
EXCISION BREAST LESION
CPT 19125
$10,965
$4,386
$1,193
1
clean
PERQ DEVICE BREAST 1ST IMAG
CPT 19281
$3,945
$1,578
$1,521
7
clean
PERQ DEVICE BREAST EA IMAG
CPT 19282
$3,587
$1,435
$703
1
clean
PERQ DEV BREAST 1ST US IMAG
CPT 19285
$4,799
$1,920
$661
3
clean
PARTIAL MASTECTOMY
CPT 19301
$14,819
$5,927
$3,444
15
clean
MAST SIMPLE COMPLETE
CPT 19303
$7,053
$2,821
$5,922
4
clean
MAST MOD RAD
CPT 19307
$10,924
$4,369
$1,739
4
clean
ENLARGE BREAST WITH IMPLANT
CPT 19325
$9,611
$3,844
$1,046
1
clean
DELAYED BREAST PROSTHESIS
CPT 19342
$9,611
$3,844
$1,046
1
clean
SURGERY OF BREAST CAPSULE
CPT 19370
$5,092
$2,037
$886
1
clean
BONE BIOPSY TROCAR/NEEDLE
CPT 20220
$1,880
$752
$2,071
2
clean
BONE BIOPSY TROCAR/NEEDLE
CPT 20225
$3,207
$1,283
$1,494
1
clean
INJECT SINUS TRACT FOR X-RAY
CPT 20501
$982
$393
$110
1
clean
INJ TRIGGER POINT 1/2 MUSCL
CPT 20552
$1,670
$668
$272
12
clean
INJECT TRIGGER POINTS 3/>
CPT 20553
$1,518
$607
$270
1
clean
DRAIN/INJ JOINT/BURSA W/O US
CPT 20605
$3,007
$1,203
$466
2
clean
DRAIN/INJ JOINT/BURSA W/O US
CPT 20610
$2,545
$1,018
$431
23
clean
DRAIN/INJ JOINT/BURSA W/US
CPT 20611
$3,746
$1,499
$420
1
clean
REMOVAL OF SUPPORT IMPLANT
CPT 20680
$13,619
$5,448
$2,714
9
clean
APPLY BONE FIXATION DEVICE
CPT 20692
$21,685
$8,674
$2,407
1
clean
REMOVAL OF BONE FOR GRAFT
CPT 20900
$6,436
$2,574
$905
1
clean
SP BONE ALGRFT STRUCT ADD-ON
CPT 20931
$10,271
$4,108
$1,426
9
clean
SP BONE AGRFT MORSEL ADD-ON
CPT 20937
$8,879
$3,552
$1,756
5
clean
CPTR-ASST DIR MS PX
CPT 20985
$4,673
$1,869
$0
4
clean
CLOSED TX NOSE FX W/ STABLJ
CPT 21320
$6,600
$2,640
$1,241
1
clean
CLOSED TX SEPTAL&NOSE FX
CPT 21337
$7,269
$2,908
$1,367
1
clean
BIOPSY OF NECK/CHEST
CPT 21550
$3,527
$1,411
$1,084
4
clean
EXC NECK TUM DEEP 5 CM/>
CPT 21554
$12,062
$4,825
$2,099
1
clean
EXC BACK LES SC < 3 CM
CPT 21930
$7,996
$3,198
$915
2
clean
EXC BACK LES SC 3 CM/>
CPT 21931
$11,249
$4,499
$1,644
8
clean
PERQ CERVICOTHORACIC INJECT
CPT 22510
$7,996
$3,198
$6,708
1
clean
PERQ LUMBOSACRAL INJECTION
CPT 22511
$10,965
$4,386
$2,284
2
clean
PERQ VERTEBRAL AUGMENTATION
CPT 22513
$15,556
$6,222
$5,483
7
clean
PERQ VERTEBRAL AUGMENTATION
CPT 22514
$15,992
$6,397
$6,529
7
clean
PERQ VERTEBRAL AUGMENTATION
CPT 22515
$7,269
$2,908
$3,137
2
clean
NECK SPINE FUSE&REMOV BEL C2
CPT 22551
$10,877
$4,351
$1,570
28
clean
ADDL NECK SPINE FUSION
CPT 22552
$7,425
$2,970
$1,239
18
clean
NECK SPINE FUSION
CPT 22554
$21,829
$8,732
$3,993
2
clean
LUMBAR SPINE FUSION
CPT 22630
$7,996
$3,198
$1,018
4
clean
SPINE FUSION EXTRA SEGMENT
CPT 22632
$6,777
$2,711
$1,174
2
clean
INSERT SPINE FIXATION DEVICE
CPT 22840
$9,116
$3,647
$962
1
clean
INSERT SPINE FIXATION DEVICE
CPT 22845
$9,020
$3,608
$1,192
8
clean
INSERT SPINE FIXATION DEVICE
CPT 22846
$7,187
$2,875
$1,351
1
clean
INSJ BIOMECHANICAL DEVICE
CPT 22853
$7,951
$3,180
$1,196
17
clean
EXC ABDL TUM DEEP 5 CM/>
CPT 22901
$19,923
$7,969
$3,467
1
clean
EXC ABD LES SC 3 CM/>
CPT 22903
$10,965
$4,386
$2,327
2
clean
RELEASE SHOULDER JOINT
CPT 23020
$7,581
$3,033
$911
2
clean
DRAIN SHOULDER BONE LESION
CPT 23035
$14,538
$5,815
$3,834
1
clean
EXC SHOULDER TUM DEEP 5 CM/>
CPT 23073
$14,538
$5,815
$2,593
1
clean
EXC SHOULDER LES SC < 3 CM
CPT 23075
$9,961
$3,985
$1,824
1
clean
PARTIAL REMOVAL COLLAR BONE
CPT 23120
$10,609
$4,243
$1,399
1
clean
REMOVAL OF COLLAR BONE
CPT 23125
$12,835
$5,134
$2,392
1
clean
INJECTION FOR SHOULDER X-RAY
CPT 23350
$1,603
$641
$272
15
clean
REPAIR ROTATOR CUFF ACUTE
CPT 23410
$11,276
$4,510
$2,973
1
clean
REPAIR ROTATOR CUFF CHRONIC
CPT 23412
$14,466
$5,787
$6,465
1
clean
REPAIR BICEPS TENDON
CPT 23430
$13,634
$5,454
$2,499
20
clean
REPAIR SHOULDER CAPSULE
CPT 23455
$3,565
$1,426
$670
1
clean
REPAIR SHOULDER CAPSULE
CPT 23465
$1,783
$713
$200
1
clean
RECONSTRUCT SHOULDER JOINT
CPT 23472
$29,187
$11,675
$9,140
11
clean
TREAT CLAVICLE FRACTURE
CPT 23515
$22,389
$8,955
$2,455
8
clean
TREAT CLAVICLE DISLOCATION
CPT 23550
$14,279
$5,711
$1,412
1
clean
TREAT CLAVICLE DISLOCATION
CPT 23552
$30,987
$12,395
$6,254
2
clean
TREAT HUMERUS FRACTURE
CPT 23615
$26,484
$10,593
$11,893
3
clean
TREAT HUMERUS FRACTURE
CPT 23630
$11,298
$4,519
$4,264
1
clean
FIXATION OF SHOULDER
CPT 23700
$2,543
$1,017
$100
3
clean
EXC ARM/ELBOW LES SC 3 CM/>
CPT 24071
$10,965
$4,386
$2,652
2
clean
REMOVAL OF ELBOW BURSA
CPT 24105
$22,552
$9,021
$2,983
1
clean
INJECTION FOR ELBOW X-RAY
CPT 24220
$2,268
$907
$395
3
clean
REPAIR OF BICEPS TENDON
CPT 24340
$12,762
$5,105
$1,649
4
clean
REPAIR ARM TENDON/MUSCLE
CPT 24341
$24,742
$9,897
$11,717
2
clean
REPAIR OF RUPTURED TENDON
CPT 24342
$16,804
$6,722
$7,429
2
clean
RECONSTRUCT ELBOW MED LIGMNT
CPT 24346
$14,654
$5,862
$2,755
1
clean
REPLACE ELBOW JOINT
CPT 24363
$51,266
$20,506
$16,840
1
clean
TREAT HUMERUS FRACTURE
CPT 24579
$3,565
$1,426
$670
1
clean
TREAT ELBOW FRACTURE
CPT 24586
$19,354
$7,742
$3,987
1
clean
TREAT ULNAR FRACTURE
CPT 24685
$28,933
$11,573
$6,529
1
clean
EXC FOREARM LES SC 3 CM/>
CPT 25071
$3,601
$1,440
$625
1
clean
EXC FOREARM LES SC < 3 CM
CPT 25075
$31,706
$12,682
$5,517
1
clean
BIOPSY OF WRIST JOINT
CPT 25100
$13,825
$5,530
$1,395
1
clean
REMOVE WRIST TENDON LESION
CPT 25111
$10,533
$4,213
$1,789
2
clean
REMOVE WRIST/FOREARM LESION
CPT 25116
$13,825
$5,530
$1,395
1
clean
INCISE WRIST/FOREARM TENDON
CPT 25290
$17,657
$7,063
$4,656
1
clean
REVISE WRIST JOINT
CPT 25332
$8,828
$3,531
$2,925
1
clean
REPAIR RADIUS OR ULNA
CPT 25400
$12,981
$5,192
$3,423
1
clean
REPAIR WRIST JOINTS
CPT 25447
$25,875
$10,350
$7,735
2
clean
TREAT FRACTURE RADIUS & ULNA
CPT 25565
$10,965
$4,386
$2,044
1
clean
TREAT FRACTURE RADIUS/ULNA
CPT 25575
$41,695
$16,678
$7,839
1
clean
TREAT FRACTURE RADIUS/ULNA
CPT 25605
$5,169
$2,067
$1,613
2
clean
TREAT FX RAD EXTRA-ARTICUL
CPT 25607
$3,565
$1,426
$670
1
clean
TREAT FX RAD INTRA-ARTICUL
CPT 25608
$22,932
$9,173
$2,321
4
clean
TREAT FX RADIAL 3+ FRAG
CPT 25609
$31,826
$12,730
$5,757
2
clean
TREAT WRIST BONE FRACTURE
CPT 25645
$7,424
$2,970
$979
1
clean
INCISE FINGER TENDON SHEATH
CPT 26055
$8,894
$3,558
$1,074
6
clean
EXC HAND LES SC 1.5 CM/>
CPT 26111
$16,062
$6,425
$3,020
1
clean
RELEASE PALM CONTRACTURE
CPT 26123
$19,362
$7,745
$2,940
2
clean
PARTIAL REMOVAL FINGER BONE
CPT 26236
$6,490
$2,596
$1,220
1
clean
REPAIR/GRAFT FINGER TENDON
CPT 26434
$29,308
$11,723
$5,510
1
clean
TRANSPLANT/GRAFT HAND TENDON
CPT 26483
$12,871
$5,148
$3,805
1
clean
TREAT METACARPAL FRACTURE
CPT 26615
$7,424
$2,970
$1,958
1
clean
TREAT KNUCKLE DISLOCATION
CPT 26715
$7,424
$2,970
$979
1
clean
INJECTION FOR HIP X-RAY
CPT 27093
$1,252
$501
$214
7
clean
TOTAL HIP ARTHROPLASTY
CPT 27130
$45,549
$18,220
$5,980
13
clean
TOTAL HIP ARTHROPLASTY
CPT 27132
$58,179
$23,272
$6,819
1
clean
TREAT THIGH FRACTURE
CPT 27235
$25,258
$10,103
$4,749
1
clean
ARTHRODESIS SACROILIAC JOINT
CPT 27279
$37,765
$15,106
$10,525
2
clean
EXC THIGH/KNEE TUM DEP 5CM/>
CPT 27339
$7,392
$2,957
$2,593
1
clean
NJX CNTRST KNE ARTHG/CT/MRI
CPT 27369
$1,399
$559
$140
4
clean
REPAIR OF KNEECAP TENDON
CPT 27380
$21,708
$8,683
$2,778
4
clean
REPAIR OF THIGH MUSCLE
CPT 27385
$11,463
$4,585
$2,155
1
clean
REPAIR/GRAFT OF THIGH MUSCLE
CPT 27386
$17,657
$7,063
$2,587
1
clean
REVISION OF UNSTABLE KNEECAP
CPT 27422
$11,249
$4,499
$2,108
2
clean
RECONSTRUCTION KNEE
CPT 27427
$14,972
$5,989
$2,491
7
clean
REVISION OF KNEE JOINT
CPT 27442
$42,766
$17,106
$11,998
2
clean
REVISION OF KNEE JOINT
CPT 27446
$45,038
$18,015
$11,893
3
clean
TOTAL KNEE ARTHROPLASTY
CPT 27447
$39,226
$15,690
$10,025
21
clean
REALIGNMENT OF KNEE
CPT 27455
$8,031
$3,212
$1,903
1
clean
REVISE/REPLACE KNEE JOINT
CPT 27486
$38,178
$15,271
$7,178
1
clean
TREAT KNEECAP FRACTURE
CPT 27524
$14,680
$5,872
$2,148
3
clean
TREAT KNEE FRACTURE
CPT 27536
$3,925
$1,570
$738
1
clean
TREAT KNEECAP DISLOCATION
CPT 27566
$26,318
$10,527
$3,200
3
clean
DECOMPRESSION OF LOWER LEG
CPT 27602
$8,031
$3,212
$1,903
1
clean
REMOVE LOWER LEG BONE LESION
CPT 27635
$35,645
$14,258
$3,596
1
clean
REPAIR ACHILLES TENDON
CPT 27650
$16,062
$6,425
$3,020
1
clean
REPAIR/GRAFT ACHILLES TENDON
CPT 27652
$25,742
$10,297
$1,000
1
clean
REPAIR OF ACHILLES TENDON
CPT 27654
$12,981
$5,192
$3,001
2
clean
REPAIR OF LEG TENDON EACH
CPT 27659
$8,581
$3,432
$6,465
1
clean
REPAIR OF LEG TENDON EACH
CPT 27664
$35,314
$14,126
$6,639
1
clean
TREATMENT OF ANKLE FRACTURE
CPT 27792
$17,788
$7,115
$5,078
2
clean
TREATMENT OF ANKLE FRACTURE
CPT 27814
$37,539
$15,016
$5,989
2
clean
TREATMENT OF ANKLE FRACTURE
CPT 27822
$14,834
$5,934
$2,329
1
clean
TREAT LOWER LEG FRACTURE
CPT 27827
$12,981
$5,192
$2,420
1
clean

Showing the first 200 of 2,035 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 96375/o
warn
mrf_negotiated_above_gross
highest negotiated rate $439 exceeds the gross charge $319
CPT 97014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $302 exceeds the gross charge $280
CPT 97110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $705 exceeds the gross charge $230
CPT 97113/o
warn
mrf_negotiated_above_gross
highest negotiated rate $297 exceeds the gross charge $244
CPT 97140/o
warn
mrf_negotiated_above_gross
highest negotiated rate $302 exceeds the gross charge $268
CPT 97150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $302 exceeds the gross charge $221
CPT 97530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $302 exceeds the gross charge $231
CPT 97802/o
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $165
CPT 99283/b
warn
mrf_negotiated_above_gross
highest negotiated rate $33,073 exceeds the gross charge $4,501
CPT A4648/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,176 exceeds the gross charge $1,117
CPT A9500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,487 exceeds the gross charge $1,169
CPT A9516/o
warn
mrf_negotiated_above_gross
highest negotiated rate $190 exceeds the gross charge $97
CPT A9541/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,240 exceeds the gross charge $487
CPT C1713/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,714 exceeds the gross charge $4,657
CPT C1753/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,036 exceeds the gross charge $3,846
CPT C1769/o
warn
mrf_negotiated_above_gross
highest negotiated rate $764 exceeds the gross charge $735
CPT C1781/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,630 exceeds the gross charge $2,116
CPT C1894/o
warn
mrf_negotiated_above_gross
highest negotiated rate $463 exceeds the gross charge $414
CPT C8937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $750 exceeds the gross charge $462
CPT C9600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $21,914 exceeds the gross charge $20,359
CPT C9604/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,310 exceeds the gross charge $23,074
CPT C9740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,408 exceeds the gross charge $7,392
CPT C9803/o
warn
mrf_negotiated_above_gross
highest negotiated rate $160 exceeds the gross charge $72
CPT G0121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,528 exceeds the gross charge $3,790
CPT G0279/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $34
CPT J0131/o
warn
mrf_negotiated_above_gross
highest negotiated rate $310 exceeds the gross charge $69
CPT J0690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $36
CPT J0897/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,738 exceeds the gross charge $1,008
CPT J1100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $99 exceeds the gross charge $27
CPT J1453/o
warn
mrf_negotiated_above_gross
highest negotiated rate $820 exceeds the gross charge $280
CPT J1644/o
warn
mrf_negotiated_above_gross
highest negotiated rate $187 exceeds the gross charge $80
CPT J2350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $59,646 exceeds the gross charge $14,267
CPT J2405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26 exceeds the gross charge $24
CPT J2704/o
warn
mrf_negotiated_above_gross
highest negotiated rate $126 exceeds the gross charge $32
CPT J2785/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,764 exceeds the gross charge $1,113
CPT J2795/o
warn
mrf_negotiated_above_gross
highest negotiated rate $265 exceeds the gross charge $61
CPT J2916/o
warn
mrf_negotiated_above_gross
highest negotiated rate $268 exceeds the gross charge $150
CPT J8501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $199 exceeds the gross charge $181
CPT Q9957/o
warn
mrf_negotiated_above_gross
highest negotiated rate $995 exceeds the gross charge $873
CPT Q9967/o
warn
mrf_negotiated_above_gross
highest negotiated rate $823 exceeds the gross charge $153
MS-DRG 207/i
warn
mrf_negotiated_above_gross
highest negotiated rate $628,985 exceeds the gross charge $502,508
MS-DRG 717/i
warn
mrf_negotiated_above_gross
highest negotiated rate $205,363 exceeds the gross charge $199,672
MS-DRG 789/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,112 exceeds the gross charge $5,921
MS-DRG 790/i
warn
mrf_negotiated_above_gross
highest negotiated rate $127,183 exceeds the gross charge $14,198
MS-DRG 791/i
warn
mrf_negotiated_above_gross
highest negotiated rate $39,871 exceeds the gross charge $32,624
MS-DRG 792/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,131 exceeds the gross charge $7,327
MS-DRG 793/i
warn
mrf_negotiated_above_gross
highest negotiated rate $17,873 exceeds the gross charge $8,570
MS-DRG 870/i
warn
mrf_negotiated_above_gross
highest negotiated rate $323,743 exceeds the gross charge $307,948
MS-DRG 882/i
warn
mrf_negotiated_above_gross
highest negotiated rate $31,349 exceeds the gross charge $24,646
MS-DRG 981/i
warn
mrf_negotiated_above_gross
highest negotiated rate $508,345 exceeds the gross charge $334,892
CPT 10005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,567 exceeds the gross charge $1,323
CPT 19303/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,609 exceeds the gross charge $7,053
CPT 20220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,527 exceeds the gross charge $1,880
CPT 22514/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27,104 exceeds the gross charge $15,992
CPT 22551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $30,280 exceeds the gross charge $10,877
CPT 28825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,983 exceeds the gross charge $1,744
CPT 37187/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,199 exceeds the gross charge $11,836
CPT 37200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,065 exceeds the gross charge $3,400
CPT 38500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,596 exceeds the gross charge $3,527
CPT 38525/o
warn
mrf_negotiated_above_gross
highest negotiated rate $15,432 exceeds the gross charge $9,273
CPT 42820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,473 exceeds the gross charge $7,562
CPT 42825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,815 exceeds the gross charge $5,349
CPT 43235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,073 exceeds the gross charge $3,915
CPT 43236/o
warn
mrf_negotiated_above_gross
highest negotiated rate $440 exceeds the gross charge $0
CPT 43239/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,073 exceeds the gross charge $4,207
CPT 43645/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,642 exceeds the gross charge $3,775
CPT 44979/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,049 exceeds the gross charge $7,269
CPT 45378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,073 exceeds the gross charge $3,790
CPT 45380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,073 exceeds the gross charge $3,420
CPT 47000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,073 exceeds the gross charge $3,527
CPT 47536/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,380 exceeds the gross charge $1,830
CPT 49180/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,073 exceeds the gross charge $3,054
CPT 51600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,250 exceeds the gross charge $1,088
CPT 52260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,074 exceeds the gross charge $15,984
CPT 55875/o
warn
mrf_negotiated_above_gross
highest negotiated rate $15,980 exceeds the gross charge $14,538
CPT 58558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,186 exceeds the gross charge $12,703
CPT 58563/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,186 exceeds the gross charge $12,766
CPT 61885/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,306 exceeds the gross charge $13,619
CPT 61888/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,432 exceeds the gross charge $10,965
CPT 62328/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,567 exceeds the gross charge $1,630
CPT 63685/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,188 exceeds the gross charge $13,514
CPT 64615/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,250 exceeds the gross charge $1,139
CPT 77061/o
warn
mrf_negotiated_above_gross
highest negotiated rate $305 exceeds the gross charge $37
CPT 77062/o
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $37
CPT 77063/o
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $37
CPT 77290/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,842 exceeds the gross charge $3,860
CPT 77301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,592 exceeds the gross charge $11,307
CPT 82805/o
warn
mrf_negotiated_above_gross
highest negotiated rate $741 exceeds the gross charge $525
CPT 86003/o
warn
mrf_negotiated_above_gross
highest negotiated rate $842 exceeds the gross charge $202
CPT 86359/o
warn
mrf_negotiated_above_gross
highest negotiated rate $126 exceeds the gross charge $112
CPT 86360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $146
CPT 87426/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $45
CPT 87491/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,901 exceeds the gross charge $324
CPT 88305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $967 exceeds the gross charge $946
CPT 88341/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,534 exceeds the gross charge $1,229
CPT 92960/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,857 exceeds the gross charge $2,586
CPT 93005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,960 exceeds the gross charge $692
04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 039
info
inp_charge_10x_payment
average charge $99,079 is 12.2× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $88,473 is 10.1× the total payment
MS-DRG 234
info
inp_charge_10x_payment
average charge $356,314 is 10.3× the total payment
MS-DRG 274
info
inp_charge_10x_payment
average charge $239,203 is 10.9× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $59,762 is 10.9× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $134,565 is 10.2× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $59,981 is 10.4× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    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. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    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. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    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. Frye Regional Medical Center — standard charges file · NC · updated 7/8/2026
    · csv-tall · 2.8M bytes · fetched 2026-08-26 · sha256 30d9cf406b40…

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.