Hospital · CCN 340184

Haywood Regional Medical Center

262 Leroy George Drive, Clyde, NC 28721 · Haywood County
Part of Lifepoint Health · 121 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

34 admission types 44 outpatient services price file: ok
Billed per dollar paid, all admissions
4.60×
$41.1M billed against $8.9M paid across 846 Medicare discharges; the national figure is 5.03×.
3.6%
of adults in Haywood County have medical debt in collections
12.2%
uninsured in the county · state 11.2%
$65K
median household income
4.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
33.3%
obesity in the countyⓘ
12.4%
diagnosed diabetes (PLACES)
8.3%
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
109
$52,014
$13,352
3.9× st 3.5×
291
Heart failure and shock with mcc
80
$32,662
$9,107
3.6× st 3.2×
193
Simple pneumonia and pleurisy with mcc
60
$51,065
$9,513
5.4× st 3.5×
177
Respiratory infections and inflammations with mcc
40
$44,846
$11,964
3.7× st 3.3×
190
Chronic obstructive pulmonary disease with mcc
36
$41,439
$8,203
5.1× st 3.6×
683
Renal failure with cc
32
$33,250
$6,925
4.8× st 3.4×
378
Gastrointestinal hemorrhage with cc
29
$40,864
$7,336
5.6× st 3.9×
460
Spinal fusion except cervical without mcc
27
$142,502
$24,852
5.7× st 4.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
26
$34,518
$7,511
4.6× st 3.6×
690
Kidney and urinary tract infections without mcc
25
$29,396
$6,175
4.8× st 3.5×
189
Pulmonary edema and respiratory failure
24
$36,349
$9,045
4.0× st 3.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
22
$14,127
$4,611
3.1× st 3.6×
698
Other kidney and urinary tract diagnoses with mcc
21
$54,724
$12,291
4.5× st 3.0×
682
Renal failure with mcc
20
$33,594
$10,032
3.3× st 3.3×
603
Cellulitis without mcc
20
$28,725
$6,733
4.3× st 3.0×
689
Kidney and urinary tract infections with mcc
19
$33,389
$8,199
4.1× st 3.3×
389
Gastrointestinal obstruction with cc
19
$31,322
$6,265
5.0× st 3.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
18
$77,517
$14,558
5.3× st 4.6×
481
Hip and femur procedures except major joint with cc
18
$73,016
$14,353
5.1× st 4.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$41,091
$7,502
5.5× st 4.2×
390
Gastrointestinal obstruction without cc/mcc
17
$19,416
$4,597
4.2× st 3.3×
280
Acute myocardial infarction, discharged alive with mcc
15
$40,122
$10,936
3.7× st 3.6×
194
Simple pneumonia and pleurisy with cc
15
$30,520
$6,447
4.7× st 3.7×
468
Revision of hip or knee replacement without cc/mcc
14
$142,229
$18,614
7.6× st 5.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
14
$110,846
$29,783
3.7× st 3.6×
536
Fractures of hip and pelvis without mcc
14
$21,764
$5,959
3.7× st 3.6×
377
Gastrointestinal hemorrhage with mcc
13
$63,777
$12,721
5.0× st 3.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
13
$79,413
$13,289
6.0× st 4.5×
467
Revision of hip or knee replacement with cc
13
$139,283
$22,356
6.2× st 4.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$33,041
$9,805
3.4× st 3.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
11
$26,635
$6,088
4.4× st 3.6×
313
Chest pain
11
$25,025
$5,657
4.4× st 4.4×
312
Syncope and collapse
11
$31,181
$6,639
4.7× st 3.9×
069
Transient ischemia without thrombolytic
11
$26,457
$6,191
4.3× st 4.7×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5372
Level 2 Urology and Related Services
363
$1,474
$595
2.5×
5115
Level 5 Musculoskeletal Procedures
166
$62,009
$11,405
5.4×
8011
Comprehensive Observation Services
158
$26,023
$2,358
11.0×
5491
Level 1 Intraocular Procedures
142
$12,477
$2,028
6.2×
5373
Level 3 Urology and Related Services
124
$16,840
$1,752
9.6×
5183
Level 3 Vascular Procedures
92
$25,262
$2,726
9.3×
5375
Level 5 Urology and Related Services
77
$35,080
$4,503
7.8×
5361
Level 1 Laparoscopy and Related Services
60
$35,957
$5,021
7.2×
5191
Level 1 Endovascular Procedures
54
$28,012
$2,802
10.0×
5431
Level 1 Nerve Procedures
47
$12,762
$1,652
7.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
46
$16,720
$1,411
11.9×
5302
Level 2 Upper GI Procedures
46
$12,918
$1,656
7.8×
5114
Level 4 Musculoskeletal Procedures
42
$39,855
$6,151
6.5×
5374
Level 4 Urology and Related Services
40
$31,014
$3,034
10.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
30
$25,535
$3,011
8.5×
5223
Level 3 Pacemaker and Similar Procedures
27
$89,104
$9,287
9.6×
5193
Level 3 Endovascular Procedures
27
$83,444
$9,273
9.0×
5116
Level 6 Musculoskeletal Procedures
26
$77,213
$16,184
4.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
23
$23,096
$2,473
9.3×
5112
Level 2 Musculoskeletal Procedures
23
$12,437
$1,399
8.9×
5113
Level 3 Musculoskeletal Procedures
19
$22,861
$2,817
8.1×
5362
Level 2 Laparoscopy and Related Services
18
$47,306
$8,954
5.3×
5493
Level 3 Intraocular Procedures
17
$19,851
$4,548
4.4×
5222
Level 2 Pacemaker and Similar Procedures
17
$43,842
$7,047
6.2×
5462
Level 2 Neurostimulator and Related Procedures
15
$31,780
$4,563
7.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
14
$46,554
$5,675
8.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
12
$25,816
$3,317
7.8×
5464
Level 4 Neurostimulator and Related Procedures
11
$73,865
$18,992
3.9×
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 7/30/2026, template 3.0.0, 792 rows scanned, 766 distinct code–setting items kept. 1 finding against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
—
—
$234,929
24
clean
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
—
—
$108,589
24
clean
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
—
—
$181,740
29
clean
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
—
—
$142,524
29
clean
LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
—
—
$93,145
24
clean
LIVER TRANSPLANT WITHOUT MCC
—
—
$74,746
24
clean
LUNG TRANSPLANT
—
—
$216,976
24
clean
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
—
—
$72,734
24
clean
PANCREAS TRANSPLANT
—
—
$64,825
24
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
—
—
$44,135
29
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
—
—
$35,271
29
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
—
—
$27,959
29
clean
ALLOGENEIC BONE MARROW TRANSPLANT
—
—
$100,541
25
clean
AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
—
—
$49,501
25
clean
AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
—
—
$45,446
25
clean
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
—
—
$424,913
29
clean
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS
—
—
$69,220
29
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
—
—
$76,343
29
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
—
—
$51,360
29
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
—
—
$31,793
29
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
—
—
$55,595
29
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
—
—
$37,673
29
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
—
—
$39,945
29
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
—
—
$26,011
29
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
—
—
$21,106
29
clean
SPINAL PROCEDURES WITH MCC
—
—
$58,293
29
clean
SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
—
—
$26,957
29
clean
SPINAL PROCEDURES WITHOUT CC/MCC
—
—
$16,317
29
clean
VENTRICULAR SHUNT PROCEDURES WITH MCC
—
—
$37,483
29
clean
VENTRICULAR SHUNT PROCEDURES WITH CC
—
—
$15,841
29
clean
VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC
—
—
$12,608
29
clean
CAROTID ARTERY STENT PROCEDURES WITH MCC
—
—
$35,063
29
clean
CAROTID ARTERY STENT PROCEDURES WITH CC
—
—
$18,391
29
clean
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
—
—
$14,541
29
clean
EXTRACRANIAL PROCEDURES WITH MCC
—
—
$31,940
29
clean
EXTRACRANIAL PROCEDURES WITH CC
—
—
$15,742
29
clean
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
—
—
$10,642
29
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
—
—
$32,302
29
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
—
—
$19,285
29
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
—
—
$13,056
29
clean
SPINAL DISORDERS AND INJURIES WITH CC/MCC
—
—
$17,573
29
clean
SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
—
—
$9,500
29
clean
NERVOUS SYSTEM NEOPLASMS WITH MCC
—
—
$14,184
29
clean
NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
—
—
$8,133
29
clean
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
—
—
$18,633
28
clean
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
—
—
$10,542
28
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
—
—
$16,586
29
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
—
—
$10,381
29
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
—
—
$8,537
29
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
—
—
$26,749
29
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
—
—
$15,897
29
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
—
—
$13,620
29
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
—
—
$19,511
29
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
—
—
$9,802
29
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
—
—
$6,640
29
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
—
—
$12,700
29
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
—
—
$7,232
29
clean
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
—
—
$6,770
29
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
—
—
$16,152
29
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
—
—
$9,696
29
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
—
—
$6,408
29
clean
CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
—
—
$13,421
29
clean
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
—
—
$8,638
29
clean
VIRAL MENINGITIS WITH CC/MCC
—
—
$14,367
29
clean
VIRAL MENINGITIS WITHOUT CC/MCC
—
—
$6,790
29
clean
HYPERTENSIVE ENCEPHALOPATHY WITH MCC
—
—
$21,808
22
clean
HYPERTENSIVE ENCEPHALOPATHY WITH CC
—
—
$13,864
22
clean
HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
—
—
$10,550
22
clean
NONTRAUMATIC STUPOR AND COMA WITH MCC
—
—
$14,517
28
clean
NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
—
—
$5,907
28
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
—
—
$22,056
29
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
—
—
$12,064
29
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
—
—
$7,692
29
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
—
—
$16,887
29
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
—
—
$10,089
29
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
—
—
$7,408
29
clean
CONCUSSION WITH MCC
—
—
$11,658
29
clean
CONCUSSION WITH CC
—
—
$8,882
29
clean
CONCUSSION WITHOUT CC/MCC
—
—
$7,987
29
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
—
—
$17,039
29
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
—
—
$9,925
29
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
—
—
$6,753
29
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
—
—
$34,145
29
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
—
—
$21,739
29
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
—
—
$21,739
29
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
—
—
$35,042
29
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
—
—
$22,265
29
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
—
—
$13,218
29
clean
SEIZURES WITH MCC
—
—
$15,065
29
clean
SEIZURES WITHOUT MCC
—
—
$7,325
29
clean
HEADACHES WITH MCC
—
—
$9,057
29
clean
HEADACHES WITHOUT MCC
—
—
$7,034
29
clean
ORBITAL PROCEDURES WITH CC/MCC
—
—
$22,165
29
clean
ORBITAL PROCEDURES WITHOUT CC/MCC
—
—
$13,127
29
clean
EXTRAOCULAR PROCEDURES EXCEPT ORBIT
—
—
$12,830
29
clean
INTRAOCULAR PROCEDURES WITH CC/MCC
—
—
$17,542
29
clean
INTRAOCULAR PROCEDURES WITHOUT CC/MCC
—
—
$10,526
29
clean
ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
—
—
$9,126
29
clean
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
—
—
$6,518
29
clean
NEUROLOGICAL EYE DISORDERS
—
—
$6,769
29
clean
OTHER DISORDERS OF THE EYE WITH MCC
—
—
$11,819
29
clean
OTHER DISORDERS OF THE EYE WITHOUT MCC
—
—
$6,736
29
clean
SINUS AND MASTOID PROCEDURES WITH CC/MCC
—
—
$21,053
29
clean
SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
—
—
$9,850
29
clean
MOUTH PROCEDURES WITH CC/MCC
—
—
$11,430
29
clean
MOUTH PROCEDURES WITHOUT CC/MCC
—
—
$8,598
29
clean
SALIVARY GLAND PROCEDURES
—
—
$11,989
29
clean
MAJOR HEAD AND NECK PROCEDURES WITH MCC
—
—
$40,725
29
clean
MAJOR HEAD AND NECK PROCEDURES WITH CC
—
—
$18,247
29
clean
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
—
—
$14,645
29
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
—
—
$29,152
29
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
—
—
$13,092
29
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
—
—
$9,395
29
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
—
—
$15,869
29
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
—
—
$10,637
29
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
—
—
$7,733
29
clean
DYSEQUILIBRIUM
—
—
$7,157
29
clean
EPISTAXIS WITH MCC
—
—
$10,288
29
clean
EPISTAXIS WITHOUT MCC
—
—
$6,559
29
clean
OTITIS MEDIA AND URI WITH MCC
—
—
$9,550
29
clean
OTITIS MEDIA AND URI WITHOUT MCC
—
—
$6,162
29
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
—
—
$13,417
29
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
—
—
$7,421
29
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
—
—
$5,781
29
clean
DENTAL AND ORAL DISEASES WITH MCC
—
—
$16,656
29
clean
DENTAL AND ORAL DISEASES WITH CC
—
—
$7,611
29
clean
DENTAL AND ORAL DISEASES WITHOUT CC/MCC
—
—
$5,915
29
clean
MAJOR CHEST PROCEDURES WITH MCC
—
—
$43,842
29
clean
MAJOR CHEST PROCEDURES WITH CC
—
—
$23,162
29
clean
MAJOR CHEST PROCEDURES WITHOUT CC/MCC
—
—
$16,462
29
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
—
—
$36,263
29
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
—
—
$17,497
29
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
—
—
$12,139
29
clean
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
—
—
$28,877
29
clean
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
—
—
$13,327
29
clean
PULMONARY EMBOLISM WITHOUT MCC
—
—
$7,615
29
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
—
—
$13,685
29
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
—
—
$9,221
29
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
—
—
$6,526
29
clean
RESPIRATORY NEOPLASMS WITH MCC
—
—
$17,134
29
clean
RESPIRATORY NEOPLASMS WITH CC
—
—
$9,961
29
clean
RESPIRATORY NEOPLASMS WITHOUT CC/MCC
—
—
$7,313
29
clean
MAJOR CHEST TRAUMA WITH MCC
—
—
$13,612
29
clean
MAJOR CHEST TRAUMA WITH CC
—
—
$8,902
29
clean
MAJOR CHEST TRAUMA WITHOUT CC/MCC
—
—
$7,631
29
clean
PLEURAL EFFUSION WITH MCC
—
—
$13,748
29
clean
PLEURAL EFFUSION WITH CC
—
—
$9,124
29
clean
PLEURAL EFFUSION WITHOUT CC/MCC
—
—
$6,958
29
clean
PULMONARY EDEMA AND RESPIRATORY FAILURE
—
—
$10,335
29
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
—
—
$9,269
29
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
—
—
$7,468
29
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
—
—
$5,970
29
clean
SIMPLE PNEUMONIA AND PLEURISY WITH MCC
—
—
$10,735
29
clean
SIMPLE PNEUMONIA AND PLEURISY WITH CC
—
—
$6,820
29
clean
SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC
—
—
$5,258
29
clean
INTERSTITIAL LUNG DISEASE WITH MCC
—
—
$18,310
29
clean
INTERSTITIAL LUNG DISEASE WITH CC
—
—
$11,601
29
clean
INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
—
—
$6,949
29
clean
PNEUMOTHORAX WITH MCC
—
—
$13,307
29
clean
PNEUMOTHORAX WITH CC
—
—
$8,684
29
clean
PNEUMOTHORAX WITHOUT CC/MCC
—
—
$6,129
29
clean
BRONCHITIS AND ASTHMA WITH CC/MCC
—
—
$7,799
29
clean
BRONCHITIS AND ASTHMA WITHOUT CC/MCC
—
—
$5,605
29
clean
RESPIRATORY SIGNS AND SYMPTOMS
—
—
$6,755
29
clean
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
—
—
$13,769
29
clean
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
—
—
$7,645
29
clean
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
—
—
$61,195
29
clean
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
—
—
$21,379
29
clean
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17
—
—
$105,501
29
clean
OTHER HEART ASSIST SYSTEM IMPLANT
—
—
$73,433
29
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
—
—
$94,913
29
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
—
—
$63,794
29
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$63,794
29
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
—
—
$67,413
29
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
—
—
$43,933
29
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$36,775
29
clean
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
—
—
$48,000
29
clean
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
—
—
$29,538
29
clean
CORONARY BYPASS WITH PTCA WITH MCC
—
—
$73,410
29
clean
CORONARY BYPASS WITH PTCA WITHOUT MCC
—
—
$58,819
29
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
—
—
$60,492
29
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
—
—
$45,700
29
clean
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
—
—
$49,096
29
clean
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
—
—
$35,228
29
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
—
—
$41,175
29
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
—
—
$24,522
29
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
—
—
$13,431
29
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
—
—
$30,977
29
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
—
—
$20,674
29
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
—
—
$17,536
29
clean
AICD GENERATOR PROCEDURES
—
—
$40,871
29
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC
—
—
$16,223
29
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC
—
—
$13,693
29
clean
OTHER VASCULAR PROCEDURES WITH MCC
—
—
$31,524
29
clean
OTHER VASCULAR PROCEDURES WITH CC
—
—
$22,366
29
clean
OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
—
—
$15,506
29
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
—
—
$26,146
29
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
—
—
$13,652
29
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
—
—
$9,137
29
clean
CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
—
—
$30,485
29
clean

Showing the first 200 of 766 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
10,724 of 10,724 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

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 · 12.2M bytes · fetched 2026-08-26 · sha256 a2adc3d7c10a…

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.