Project Crossfoot
Hospital · CCN 360085

Ohio State University Hospitals

410 West 10th Avenue, Columbus, OH 43210 · Franklin County
Part of The Ohio State University Wexner Medical Center · 1,012 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

194 admission types 66 outpatient services price file: ok
Billed per dollar paid, all admissions
4.08×
$635.6M billed against $155.9M paid across 6,522 Medicare discharges; the national figure is 5.03×.
4.2%
of adults in Franklin County have medical debt in collections
8.2%
uninsured in the county · state 7.1%
$72K
median household income
4.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (10 in the inpatient or outpatient file)ⓘ
33.7%
obesity in the countyⓘ
11.8%
diagnosed diabetes (PLACES)
5.6%
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
291
Heart failure and shock with mcc
298
$54,612
$14,582
3.7× st 4.0×
871
Septicemia or severe sepsis without mv >96 hours with mcc
209
$86,903
$21,687
4.0× st 4.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
135
$73,300
$19,739
3.7× st 4.3×
274
Percutaneous and other intracardiac procedures without mcc
121
$89,865
$28,464
3.2× st 4.2×
309
Cardiac arrhythmia and conduction disorders with cc
114
$22,045
$7,696
2.9× st 4.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
109
$34,096
$10,296
3.3× st 4.8×
177
Respiratory infections and inflammations with mcc
100
$75,242
$17,380
4.3× st 3.9×
698
Other kidney and urinary tract diagnoses with mcc
94
$54,572
$16,621
3.3× st 3.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
93
$102,166
$23,509
4.3× st 4.4×
699
Other kidney and urinary tract diagnoses with cc
84
$37,866
$10,656
3.6× st 3.7×
193
Simple pneumonia and pleurisy with mcc
79
$44,349
$13,323
3.3× st 3.9×
314
Other circulatory system diagnoses with mcc
69
$79,329
$23,269
3.4× st 4.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
66
$24,906
$8,262
3.0× st 3.9×
280
Acute myocardial infarction, discharged alive with mcc
65
$79,085
$17,531
4.5× st 4.5×
689
Kidney and urinary tract infections with mcc
65
$42,202
$13,149
3.2× st 3.7×
377
Gastrointestinal hemorrhage with mcc
64
$60,684
$17,359
3.5× st 4.8×
683
Renal failure with cc
62
$26,596
$9,748
2.7× st 3.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
62
$16,445
$6,258
2.6× st 4.0×
308
Cardiac arrhythmia and conduction disorders with mcc
60
$39,830
$12,356
3.2× st 4.4×
552
Medical back problems without mcc
59
$35,871
$9,890
3.6× st 3.8×
682
Renal failure with mcc
58
$60,695
$17,047
3.6× st 3.9×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
58
$335,189
$79,091
4.2× st 3.6×
378
Gastrointestinal hemorrhage with cc
57
$35,582
$10,210
3.5× st 4.8×
101
Seizures without mcc
57
$27,863
$9,599
2.9× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
57
$229,211
$60,753
3.8× st 4.2×
432
Cirrhosis and alcoholic hepatitis with mcc
56
$72,589
$20,302
3.6× st 4.0×
312
Syncope and collapse
55
$30,290
$9,028
3.4× st 4.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
55
$55,673
$15,365
3.6× st 4.2×
189
Pulmonary edema and respiratory failure
55
$43,485
$12,913
3.4× st 4.2×
454
Combined anterior and posterior spinal fusion with cc
55
$249,375
$61,835
4.0× st 3.4×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
54
$195,781
$49,166
4.0× st 4.3×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
53
$143,723
$40,772
3.5× st 4.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
53
$44,540
$10,797
4.1× st 5.4×
652
Kidney transplant
52
$265,510
$30,673
8.7× st 6.2×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
52
$17,345
$9,332
1.9× st 3.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
51
$45,799
$13,099
3.5× st 4.0×
330
Major small and large bowel procedures with cc
51
$119,643
$22,427
5.3× st 4.5×
603
Cellulitis without mcc
51
$27,292
$9,690
2.8× st 3.5×
057
Degenerative nervous system disorders without mcc
50
$46,659
$14,080
3.3× st 3.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
49
$82,987
$17,665
4.7× st 5.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
49
$86,097
$25,438
3.4× st 4.7×
481
Hip and femur procedures except major joint with cc
49
$115,758
$20,804
5.6× st 5.1×
690
Kidney and urinary tract infections without mcc
48
$24,364
$8,701
2.8× st 3.8×
071
Other cerebrovascular disorders with cc
45
$42,260
$11,436
3.7× st 4.1×
870
Septicemia or severe sepsis with mv >96 hours
45
$236,894
$65,409
3.6× st 4.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
44
$101,654
$26,843
3.8× st 5.2×
056
Degenerative nervous system disorders with mcc
42
$75,902
$25,227
3.0× st 4.0×
329
Major small and large bowel procedures with mcc
41
$202,306
$45,537
4.4× st 4.2×
393
Other digestive system diagnoses with mcc
41
$73,109
$17,822
4.1× st 4.1×
811
Red blood cell disorders with mcc
41
$56,291
$15,167
3.7× st 4.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
41
$57,459
$18,288
3.1× st 5.9×
483
Major joint or limb reattachment procedures of upper extremities
40
$111,575
$22,603
4.9× st 4.8×
025
Craniotomy and endovascular intracranial procedures with mcc
40
$196,165
$42,275
4.6× st 4.6×
467
Revision of hip or knee replacement with cc
40
$137,276
$30,575
4.5× st 4.4×
100
Seizures with mcc
39
$61,549
$19,267
3.2× st 4.3×
919
Complications of treatment with mcc
39
$53,704
$17,938
3.0× st 3.8×
637
Diabetes with mcc
38
$46,506
$14,033
3.3× st 4.4×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
38
$924,612
$205,968
4.5× st 4.3×
460
Spinal fusion except cervical without mcc
37
$160,996
$33,709
4.8× st 4.1×
070
Other cerebrovascular disorders with mcc
37
$66,157
$18,709
3.5× st 3.9×
273
Percutaneous and other intracardiac procedures with mcc
36
$167,876
$41,281
4.1× st 4.4×
243
Permanent cardiac pacemaker implant with cc
36
$90,658
$21,031
4.3× st 4.6×
638
Diabetes with cc
35
$25,186
$9,503
2.7× st 4.0×
205
Other respiratory system diagnoses with mcc
34
$55,297
$16,389
3.4× st 4.2×
005
Liver transplant with mcc or intestinal transplant
34
$490,000
$98,497
5.0× st 5.0×
884
Organic disturbances and intellectual disability
33
$65,890
$17,129
3.8× st 3.1×
394
Other digestive system diagnoses with cc
33
$29,290
$10,381
2.8× st 4.2×
194
Simple pneumonia and pleurisy with cc
32
$20,533
$8,243
2.5× st 4.2×
235
Coronary bypass without cardiac catheterization with mcc
31
$285,914
$55,571
5.1× st 4.1×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
31
$231,751
$55,214
4.2× st 4.1×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
31
$110,487
$21,242
5.2× st 4.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
31
$30,907
$9,144
3.4× st 4.2×
660
Kidney and ureter procedures for non-neoplasm with cc
30
$88,160
$13,783
6.4× st 5.0×
092
Other disorders of nervous system with cc
30
$45,051
$10,975
4.1× st 4.5×
673
Other kidney and urinary tract procedures with mcc
29
$177,801
$45,619
3.9× st 4.5×
270
Other major cardiovascular procedures with mcc
29
$295,667
$64,238
4.6× st 4.6×
920
Complications of treatment with cc
29
$28,828
$10,050
2.9× st 3.6×
315
Other circulatory system diagnoses with cc
28
$39,258
$10,408
3.8× st 4.4×
091
Other disorders of nervous system with mcc
28
$78,096
$19,712
4.0× st 3.8×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
28
$66,172
$19,720
3.4× st 4.1×
472
Cervical spinal fusion with cc
28
$137,576
$29,603
4.6× st 4.4×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
28
$138,914
$23,281
6.0× st 5.1×
026
Craniotomy and endovascular intracranial procedures with cc
27
$124,552
$27,133
4.6× st 4.3×
418
Laparoscopic cholecystectomy without c.d.e. with cc
27
$94,582
$15,952
5.9× st 5.9×
326
Stomach, esophageal and duodenal procedures with mcc
27
$201,034
$50,105
4.0× st 4.1×
300
Peripheral vascular disorders with cc
27
$32,766
$10,724
3.1× st 4.2×
602
Cellulitis with mcc
26
$61,527
$16,338
3.8× st 3.5×
389
Gastrointestinal obstruction with cc
26
$23,856
$8,638
2.8× st 3.9×
086
Traumatic stupor and coma <1 hour with cc
26
$37,778
$12,242
3.1× st 3.9×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
25
$386,603
$81,691
4.7× st 4.6×
907
Other o.r. procedures for injuries with mcc
25
$182,313
$50,293
3.6× st 3.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
25
$46,680
$14,533
3.2× st 4.4×
445
Disorders of the biliary tract with cc
25
$52,246
$11,743
4.4× st 4.5×
191
Chronic obstructive pulmonary disease with cc
25
$29,319
$8,622
3.4× st 4.5×
281
Acute myocardial infarction, discharged alive with cc
24
$36,438
$9,842
3.7× st 5.2×
433
Cirrhosis and alcoholic hepatitis with cc
24
$35,753
$11,244
3.2× st 4.4×
176
Pulmonary embolism without mcc
24
$27,620
$8,494
3.3× st 4.6×
252
Other vascular procedures with mcc
24
$185,856
$39,147
4.7× st 5.0×
305
Hypertension without mcc
24
$28,718
$7,866
3.7× st 4.6×
438
Disorders of pancreas except malignancy with mcc
23
$39,457
$16,834
2.3× st 3.6×
388
Gastrointestinal obstruction with mcc
23
$46,805
$14,736
3.2× st 3.9×
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
23
$287,016
$55,220
5.2× st 3.8×
885
Psychoses
22
$71,666
$17,197
4.2× st 2.7×
813
Coagulation disorders
22
$67,955
$17,077
4.0× st 4.6×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
22
$152,079
$30,026
5.1× st 5.3×
659
Kidney and ureter procedures for non-neoplasm with mcc
22
$154,508
$30,815
5.0× st 5.1×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
22
$198,584
$39,926
5.0× st 4.4×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
21
$149,807
$28,402
5.3× st 4.5×
519
Back and neck procedures except spinal fusion with cc
21
$91,675
$17,718
5.2× st 4.9×
190
Chronic obstructive pulmonary disease with mcc
21
$33,106
$11,940
2.8× st 4.4×
074
Cranial and peripheral nerve disorders without mcc
21
$51,186
$11,659
4.4× st 4.1×
178
Respiratory infections and inflammations with cc
21
$37,644
$10,662
3.5× st 4.3×
299
Peripheral vascular disorders with mcc
21
$81,265
$18,381
4.4× st 4.6×
354
Hernia procedures except inguinal and femoral with cc
21
$72,881
$17,553
4.2× st 4.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
20
$28,159
$9,307
3.0× st 4.3×
948
Signs and symptoms without mcc
20
$27,988
$8,463
3.3× st 4.0×
327
Stomach, esophageal and duodenal procedures with cc
20
$86,867
$22,256
3.9× st 4.5×
277
Cardiac defibrillator implant without mcc
19
$186,096
$41,573
4.5× st 3.6×
546
Connective tissue disorders with cc
19
$34,888
$11,974
2.9× st 4.2×
480
Hip and femur procedures except major joint with mcc
19
$165,796
$27,634
6.0× st 5.1×
083
Traumatic stupor and coma >1 hour with cc
19
$50,186
$13,160
3.8× st 4.5×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
19
$426,178
$125,318
3.4× st 4.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
19
$45,380
$11,208
4.0× st 4.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
18
$110,841
$19,929
5.6× st 4.9×
207
Respiratory system diagnosis with ventilator support >96 hours
18
$262,992
$67,943
3.9× st 4.3×
463
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
18
$251,363
$53,525
4.7× st 4.8×
276
Cardiac defibrillator implant with mcc or carotid sinus neurostimulator
18
$234,457
$55,443
4.2× st 3.7×
453
Combined anterior and posterior spinal fusion with mcc
18
$432,585
$116,442
3.7× st 3.5×
103
Headaches without mcc
18
$34,865
$9,471
3.7× st 3.9×
917
Poisoning and toxic effects of drugs with mcc
18
$84,388
$17,727
4.8× st 5.1×
372
Major gastrointestinal disorders and peritoneal infections with cc
17
$29,584
$11,516
2.6× st 3.4×
650
Kidney transplant with hemodialysis with mcc
17
$315,860
$39,595
8.0× st 8.0×
551
Medical back problems with mcc
16
$46,017
$16,811
2.7× st 3.8×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
16
$98,840
$24,451
4.0× st 4.6×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
16
$28,820
$7,503
3.8× st 5.5×
032
Ventricular shunt procedures with cc
16
$70,598
$20,586
3.4× st 3.4×
812
Red blood cell disorders without mcc
16
$29,402
$9,951
3.0× st 4.6×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
16
$138,820
$31,964
4.3× st 4.2×
271
Other major cardiovascular procedures with cc
16
$197,525
$34,712
5.7× st 4.9×
196
Interstitial lung disease with mcc
16
$56,718
$17,867
3.2× st 3.1×
242
Permanent cardiac pacemaker implant with mcc
16
$118,645
$37,926
3.1× st 4.4×
269
Aortic and heart assist procedures except pulsation balloon without mcc
16
$235,920
$42,123
5.6× st 4.7×
444
Disorders of the biliary tract with mcc
15
$70,674
$16,999
4.2× st 4.3×
228
Other cardiothoracic procedures with mcc
15
$190,051
$54,664
3.5× st 3.9×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
15
$273,671
$55,303
4.9× st 4.1×
336
Peritoneal adhesiolysis with cc
15
$108,811
$20,334
5.4× st 4.2×
371
Major gastrointestinal disorders and peritoneal infections with mcc
15
$77,721
$21,860
3.6× st 3.5×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
15
$236,630
$49,796
4.8× st 4.4×
240
Amputation for circulatory system disorders except upper limb and toe with cc
15
$131,137
$30,416
4.3× st 4.3×
253
Other vascular procedures with cc
15
$152,368
$25,449
6.0× st 4.9×
386
Inflammatory bowel disease with cc
15
$25,566
$10,293
2.5× st 4.0×
163
Major chest procedures with mcc
15
$177,599
$53,486
3.3× st 3.9×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
14
$251,892
$58,427
4.3× st 3.8×
158
Dental and oral diseases with cc
14
$31,728
$9,486
3.3× st 3.6×
186
Pleural effusion with mcc
14
$45,117
$14,751
3.1× st 3.1×
292
Heart failure and shock with cc
14
$40,699
$9,960
4.1× st 5.2×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
14
$98,177
$19,214
5.1× st 4.9×
283
Acute myocardial infarction, expired with mcc
14
$103,623
$21,713
4.8× st 5.7×
304
Hypertension with mcc
14
$30,913
$11,334
2.7× st 4.6×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
14
$39,988
$17,359
2.3× st 2.9×
862
Postoperative and post-traumatic infections with mcc
13
$52,827
$18,647
2.8× st 4.2×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
13
$43,927
$14,839
3.0× st 2.6×
202
Bronchitis and asthma with cc/mcc
13
$21,347
$9,431
2.3× st 4.7×
908
Other o.r. procedures for injuries with cc
13
$66,348
$19,485
3.4× st 4.5×
236
Coronary bypass without cardiac catheterization without mcc
13
$234,939
$36,493
6.4× st 5.5×
331
Major small and large bowel procedures without cc/mcc
13
$85,138
$15,285
5.6× st 4.8×
035
Carotid artery stent procedures with cc
13
$69,979
$22,917
3.1× st 4.6×
206
Other respiratory system diagnoses without mcc
13
$54,775
$10,221
5.4× st 5.0×
069
Transient ischemia without thrombolytic
13
$30,962
$8,504
3.6× st 4.9×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
12
$201,379
$37,482
5.4× st 5.4×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
12
$94,456
$21,528
4.4× st 5.2×
029
Spinal procedures with cc or spinal neurostimulators
12
$145,715
$30,842
4.7× st 3.5×
880
Acute adjustment reaction and psychosocial dysfunction
12
$28,803
$10,012
2.9× st 3.5×
928
Full thickness burn with skin graft or inhalation injury with cc/mcc
12
$126,294
$60,918
2.1× st 2.1×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
12
$163,571
$37,349
4.4× st 4.1×
554
Bone diseases and arthropathies without mcc
12
$19,229
$8,397
2.3× st 3.8×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
12
$77,854
$21,169
3.7× st 4.5×
116
Intraocular procedures with cc/mcc
12
$61,500
$16,741
3.7× st 3.7×
184
Major chest trauma with cc
12
$39,319
$10,457
3.8× st 4.4×
164
Major chest procedures with cc
12
$82,460
$22,859
3.6× st 4.2×
560
Aftercare, musculoskeletal system and connective tissue with cc
12
$29,085
$11,288
2.6× st 2.6×
607
Minor skin disorders without mcc
11
$22,353
$9,471
2.4× st 2.4×
935
Non-extensive burns
11
$69,983
$20,144
3.5× st 3.5×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
11
$44,240
$11,699
3.8× st 4.2×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
11
$127,693
$26,230
4.9× st 5.7×
275
Cardiac defibrillator implant with cardiac catheterization and mcc
11
$239,313
$57,675
4.1× st 4.2×
643
Endocrine disorders with mcc
11
$65,504
$16,086
4.1× st 4.7×
153
Otitis media and uri without mcc
11
$22,532
$7,830
2.9× st 2.9×
674
Other kidney and urinary tract procedures with cc
11
$67,011
$21,900
3.1× st 4.6×
149
Dysequilibrium
11
$29,377
$8,078
3.6× st 4.8×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
11
$35,273
$10,621
3.3× st 3.2×
082
Traumatic stupor and coma >1 hour with mcc
11
$109,020
$23,809
4.6× st 4.3×
244
Permanent cardiac pacemaker implant without cc/mcc
11
$56,139
$16,787
3.3× st 4.4×
863
Postoperative and post-traumatic infections without mcc
11
$35,266
$10,261
3.4× st 3.6×
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
1,153
$10,020
$2,085
4.8×
8011
Comprehensive Observation Services
1,072
$16,003
$2,414
6.6×
5302
Level 2 Upper GI Procedures
506
$8,263
$1,687
4.9×
5191
Level 1 Endovascular Procedures
468
$14,699
$2,841
5.2×
5213
Level 3 Electrophysiologic Procedures
283
$103,788
$20,984
4.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
240
$9,506
$1,425
6.7×
5492
Level 2 Intraocular Procedures
234
$22,180
$3,649
6.1×
5114
Level 4 Musculoskeletal Procedures
202
$48,293
$6,320
7.6×
5154
Level 4 Airway Endoscopy
201
$19,404
$3,361
5.8×
5431
Level 1 Nerve Procedures
190
$14,663
$1,740
8.4×
5183
Level 3 Vascular Procedures
188
$12,883
$2,837
4.5×
5115
Level 5 Musculoskeletal Procedures
171
$70,152
$11,737
6.0×
5361
Level 1 Laparoscopy and Related Services
148
$46,260
$5,124
9.0×
5375
Level 5 Urology and Related Services
138
$34,031
$4,623
7.4×
5113
Level 3 Musculoskeletal Procedures
136
$23,246
$2,871
8.1×
5331
Complex GI Procedures
127
$27,702
$4,987
5.6×
5373
Level 3 Urology and Related Services
123
$8,362
$1,754
4.8×
5116
Level 6 Musculoskeletal Procedures
113
$86,537
$16,690
5.2×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
104
$14,259
$2,097
6.8×
5184
Level 4 Vascular Procedures
102
$32,117
$4,545
7.1×
5374
Level 4 Urology and Related Services
97
$21,869
$3,129
7.0×
5303
Level 3 Upper GI Procedures
94
$17,709
$3,390
5.2×
5155
Level 5 Airway Endoscopy
94
$34,907
$6,091
5.7×
5165
Level 5 ENT Procedures
92
$40,987
$5,219
7.9×
5313
Level 3 Lower GI Procedures
90
$13,304
$2,374
5.6×
5362
Level 2 Laparoscopy and Related Services
85
$67,700
$9,144
7.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
84
$28,718
$3,061
9.4×
5193
Level 3 Endovascular Procedures
83
$40,125
$9,747
4.1×
5465
Level 5 Neurostimulator and Related Procedures
77
$107,204
$27,449
3.9×
5223
Level 3 Pacemaker and Similar Procedures
73
$34,168
$9,469
3.6×
5153
Level 3 Airway Endoscopy
67
$6,170
$1,512
4.1×
5232
Level 2 ICD and Similar Procedures
67
$109,155
$29,024
3.8×
5112
Level 2 Musculoskeletal Procedures
64
$11,176
$1,442
7.7×
5464
Level 4 Neurostimulator and Related Procedures
60
$100,800
$19,586
5.1×
5182
Level 2 Vascular Procedures
60
$4,732
$1,410
3.4×
5222
Level 2 Pacemaker and Similar Procedures
53
$24,340
$7,510
3.2×
5462
Level 2 Neurostimulator and Related Procedures
50
$33,765
$6,138
5.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
40
$23,446
$2,550
9.2×
5166
Cochlear Implant Procedure
40
$136,598
$30,007
4.6×
5192
Level 2 Endovascular Procedures
39
$24,773
$5,130
4.8×
5376
Level 6 Urology and Related Services
37
$42,761
$8,131
5.3×
5164
Level 4 ENT Procedures
36
$20,275
$2,828
7.2×
5414
Level 4 Gynecologic Procedures
29
$22,636
$2,653
8.5×
5415
Level 5 Gynecologic Procedures
27
$49,472
$4,339
11.4×
5493
Level 3 Intraocular Procedures
27
$36,195
$4,691
7.7×
5194
Level 4 Endovascular Procedures
25
$59,523
$15,706
3.8×
5231
Level 1 ICD and Similar Procedures
22
$81,553
$20,217
4.0×
5416
Level 6 Gynecologic Procedures
22
$77,373
$6,782
11.4×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
21
$32,878
$3,470
9.5×
5432
Level 2 Nerve Procedures
20
$43,533
$5,979
7.3×
5224
Level 4 Pacemaker and Similar Procedures
16
$58,218
$16,461
3.5×
5471
Implantation of Drug Infusion Device
14
$78,625
$14,949
5.3×
5461
Level 1 Neurostimulator and Related Procedures
11
$23,890
$2,833
8.4×
5212
Level 2 Electrophysiologic Procedures
11
$40,281
$6,703
6.0×
5627
Level 7 Radiation Therapy
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via wexnermedical.osu.edu/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 7/1/2026, template 3.0.0, 2,366,510 rows scanned, 6,174 distinct code–setting items kept. 986 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC SO LIVER DISEASE 10 ASSAYS
CPT 0003M
$1,186
—
$503
37
clean
HC ANESTHESIA FOR ECT
CPT 00104
$2,125
—
$828
31
clean
HC SO ADRENAL MASS PANEL 24HR URINE
CPT 0015M
$3,638
—
$1,501
37
clean
HC JAK2 GENE TRGT SEQ ALYS
CPT 0027U
$623
—
$235
74
clean
HC SO TPMT NUDT15 GENE ANALYSIS
CPT 0034U
$1,749
—
$660
37
clean
HC SO RT QUAKING INDUCED CONVERSION
CPT 0035U
$2,233
—
$842
37
clean
HC CT CEREBRAL PERFUSION ANALYSIS
CPT 0042T
$1,285
—
$643
31
clean
HC SO ONC MERKEL CELL CARC DETCJ ANTB SMALL T
CPT 0058U
$973
—
$371
37
clean
HC SO ONC MERKEL CELL CARC DETCJ ANTB VP1
CPT 0059U
$973
—
$371
37
clean
HC ANTB TP TOTAL&RPR IA QUAL
CPT 0064U
$133
—
$50
37
clean
HC PLACEMENT TRANSCATH EXTRACRANIAL VERTEBRAL ARTERY STENT INITIAL VESSEL
CPT 0075T
$10,802
—
$4,208
31
clean
HC SO MGUS
CPT 0077U
$200
—
$75
37
clean
HC SO INFECTIOUS DISEASE DNA UNTARGETED NEXT GENERATION SEQ
CPT 0152U
$5,315
—
$2,246
37
clean
HC EXCISION RECTAL TUMOR TRANSANAL ENDOSCOPIC MICROSURGICAL APPROACH INCLUDING MUSCULARIS PROPRIA
CPT 0184T
$8,974
—
$3,792
37
clean
HC INFCT DS BCT VIR RESPIR DNA RNA 22 TRGT SARSCOV2
CPT 0202U
$2,917
—
$1,012
74
clean
HC INJECTION PLATELET RICH PLASMA W/ GUIDANCE
CPT 0232T
$1,958
—
$827
37
clean
HC ATHERECTOMY BRACHIOCEPHALIC TRUNK & BRANCHES OPEN OR PERCUTANEOUS
CPT 0237T
$19,387
—
$8,336
37
clean
HC ATHERECTOMY ILIAC ARTERY OPEN OR PERCUTANEOUS
CPT 0238T
$27,094
—
$11,650
37
clean
HC TRANSCUTANEOUS ELECT MOD PAIN REPROCESS EACH SESSION
CPT 0278T
$329
—
$126
34
clean
HC TRANSCATH RENAL SYMP DENERV PERCU W/ ART PUNC CATH PLCMT RENAL ART W/ FLUORO & RAD S&I BILATERAL
CPT 0339T
$12,196
—
$5,153
37
clean
HC BIOIMPEDANCE WHOLE BODY
CPT 0358T
$215
—
$75
37
clean
HC COLLAGEN CROSSLINKING CORNEA
CPT 0402T
$3,515
—
$1,481
34
clean
HC INSERT/REPLACE PERM CARDIAC MODULATION SYSTEM PULSE GENERATOR W/ TRANVENOUS ELECTRODES
CPT 0408T
$62,948
—
$26,596
37
clean
HC SO GLYCINE RECEPTOR ALPHA 1 IGG
CPT 0431U
$381
—
$132
37
clean
HC SO KLHL11 ANTIBODY SERUM/CSF ASSAY QUAL
CPT 0432U
$93
—
$39
37
clean
HC SO NEUROFILAMENT LIGHT CHAIN ULTRA-SENSITIVE IMMUNOASSAY
CPT 0443U
$585
—
$221
37
clean
HC FRACTIONAL ABLATIVE LASER FENESTRATION FIRST 100 SQ CM
CPT 0479T
$1,697
—
$715
34
clean
HC FRACTIONAL ABLATIVE LASER FENESTRATION EA ADDL 100 SQCM
CPT 0480T
$1,028
—
$401
31
clean
HC TRANSCATHETER MITRAL VALVE REPLACEMENT PERCUTANEOUS APPROACH
CPT 0483T
$8,991
—
$3,503
31
clean
HC TRANSCATHETER MITRAL VALVE REPLACEMENT TRANSTHORACIC/TRANSAPICAL APPROACH
CPT 0484T
$38,786
—
$15,111
31
clean
HC NEAR INFRARED DUAL IMAGING MEIBOMIAN GLANDS
CPT 0507T
$166
—
$70
34
clean
HC ELECTRORETINOGRAPHY PATTERN
CPT 0509T
$692
—
$261
34
clean
HC REPAIR TRICUSPID VALVE TRANSCATH W/ CLIP INITIAL
CPT 0569T
$16,361
—
$6,374
31
clean
HC REPAIR TRICUSPID VALVE TRANSCATH W/ CLIP EA ADDL
CPT 0570T
$2,554
—
$995
31
clean
HC INSERT/REPLACE IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR SYSTEM W/ INSERTION SUBSTERNAL ELECTRODE(S)
CPT 0571T
$35,978
—
$15,471
37
clean
HC PROGRAMMING DEVICE EVALUATION (IN PERSON) ICD W/SUBSTERNAL ELECTRODE
CPT 0575T
$89
—
$37
37
clean
HC INTERROGATION DEVICE EVALUATION (IN PERSON) ICD W/SUBSTERNAL ELECTRODE
CPT 0576T
$89
—
$37
37
clean
HC INTERROGATION DEVICE EVALUATION ICD REMOTE UP TO 90 DAYS
CPT 0579T
$71
—
$31
37
clean
HC ABLATION CRYO BREAST TUMOR MALIGNANT
CPT 0581T
$9,519
—
$4,022
37
clean
HC ANALYSIS AND PROGRAMMING COMPLEX POSTERIOR TIBIAL NERVE
CPT 0590T
$654
—
$274
37
clean
HC ABLATION IRE 1+ TUMORS PER ORGAN EXCL LIVER/PROSTATE W/ IMG GUID IF PERFORMED PERQ
CPT 0600T
$15,712
—
$6,638
37
clean
HC OPTICAL COHERENCE TOMOGRAPHY RETINA REMOTE MIN 8 DAILY RECORDINGS EACH 30 DAYS
CPT 0605T
$155
—
$60
31
clean
HC TRANSCATH REMOVAL/DEBULKING INTRACARDIAC MASS SUCTION DEVICE PERQ
CPT 0644T
$9,569
—
$4,043
37
clean
HC TRANSCATHETER TRICUSPID VALVE REPLACEMENT PERCUTANEOUS WITH RHC AND ANIGOGRAPHY
CPT 0646T
$8,483
—
$3,305
31
clean
HC SCRM PROGRAMMING & ADJUSTMENT REMOTE
CPT 0650T
$115
—
$40
37
clean
HC EGD FLEXIBLE TRANSNASAL W/ PLACEMENT TUBE/CATH
CPT 0654T
$5,699
—
$2,408
37
clean
HC TEMPERATURE SENSORY MONITORED SCALP COOLING
CPT 0663T
$25
—
$10
31
clean
HC HISTOTRIPSY MALIGNANT HEPATOCELLULAR TISS W/ IMG GUID
CPT 0686T
$25,318
—
$10,697
37
clean
HC DGTZ GLASS MCRSCP SLD LEVEL II SURG PATH
CPT 0751T
—
—
$1
9
clean
HC DGTZ GLASS MCRSCP SLD LEVEL III SURG PATH
CPT 0752T
$1
—
$1
31
clean
HC DGTZ GLASS MCRSCP SLD LEVEL IV SURG PATH
CPT 0753T
$1
—
$1
31
clean
HC DGTZ GLASS MCRSCP SLD LEVEL V SURG PATH
CPT 0754T
$1
—
$1
31
clean
HC DGTZ GLASS MCRSCP SLD SPEC STAIN GRP I MICROORG
CPT 0756T
$1
—
$1
31
clean
HC DGTZ GLASS MCRSCP SLD SPEC STAIN GRP II ALL OTHER
CPT 0757T
$1
—
$1
31
clean
HC DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN
CPT 0760T
$1
—
$1
31
clean
HC DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1
CPT 0761T
$1
—
$1
31
clean
HC DGTZ GLASS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB
CPT 0762T
$1
—
$1
31
clean
HC DGTZ GLASS MCRSCP SLD M/PHMTRC ALYS TUM IMHCHEM
CPT 0763T
$1
—
$1
31
clean
HC INSTILLATION FECAL MICROBIOTA SUSP VIA RECTAL ENEMA
CPT 0780T
$246
—
$104
37
clean
HC TRANSCATH INSERT DUAL CHAMBER LEADLESS PACEMAKER COMPLETE SYSTEM
CPT 0795T
$44,394
—
$18,756
37
clean
HC TRANSCATH INSERT DUAL CHAMBER LEADLESS PACEMAKER RIGHT ATRIAL COMPONENT
CPT 0796T
$39,958
—
$16,882
37
clean
HC TRANSCATH INSERT DUAL CHAMBER LEADLESS PACEMAKER RIGHT VENTRICULAR COMPONENT
CPT 0797T
$39,958
—
$16,882
37
clean
HC PROGRAMMING DEVICE EVALUATION (IN PERSON) DUAL CHAMBER LEADLESS PACEMAKER
CPT 0804T
$86
—
$37
37
clean
HC OPEN INSERT/REPLACE NEUROSTIM SYSTEM GEN/RECIEVER & ELECTRODE POSTERIOR TIBIAL NERVE SUBFASCIAL
CPT 0817T
$31,265
—
$13,209
37
clean
HC REVISION/REMOVAL NEUROSTIMULATION SYSTEM POSTERIOR TIBIAL NERVE SUBCUTANEOUS
CPT 0818T
$5,168
—
$2,183
37
clean
HC TRANSCATH INSERT SINGLE CHAMBER LEADLESS PACEMAKER RIGHT ATRIAL COMPONENT
CPT 0823T
$36,521
—
$15,430
37
clean
HC PROGRAMMING DEVICE EVALUATION (IN PERSON) SINGLE CHAMBER LEADLESS PACEMAKER
CPT 0826T
$85
—
$37
37
clean
HC CANNULATION LIVER ALLOGRAFT
CPT 0894T
$3,963
—
$1,544
31
clean
HC CONNECTION LIVER ALLOGRAFT TO PERFUSION DEVICE INITIAL 4 HRS
CPT 0895T
$1,447
—
$564
31
clean
HC CONNECTION LIVER ALLOGRAFT TO PERFUSION DEVICE EA ADDL HR
CPT 0896T
$36
—
$14
31
clean
HC FINE NEEDLE ASPIRATION BX EACH ADDL LESION
CPT 10004
$713
—
$273
32
clean
HC FINE NEEDLE ASPIRATION BX W/ ULTRASOUND GUIDANCE FIRST LESION
CPT 10005
$4,288
—
$1,400
38
clean
HC FINE NEEDLE ASPIRATION BX W/ ULTRASOUND GUIDANCE EACH ADDL LESION
CPT 10006
$2,908
—
$1,115
32
clean
HC FINE NEEDLE ASPIRATION BX W/ FLUORO GUIDANCE FIRST LESION
CPT 10007
$1,333
—
$435
38
clean
HC FINE NEEDLE ASPIRATION BX W/ CT GUIDANCE FIRST LESION
CPT 10009
$2,843
—
$929
38
clean
HC FINE NEEDLE ASPIRATION BX W/ CT GUIDANCE EACH ADDL LESION
CPT 10010
$1,179
—
$452
32
clean
HC FINE NEEDLE ASPIRATION BX W/ MRI GUIDANCE FIRST LESION
CPT 10011
$1,760
—
$741
38
clean
HC FINE NEEDLE ASPIRATION BX W/ MRI GUIDANCE EACH ADDL LESION
CPT 10012
$1,169
—
$448
32
clean
HC FINE NEEDLE ASPIRATION BX FIRST LESION
CPT 10021
$1,379
—
$519
35
clean
HC CATHETER DRAINAGE SOFT TISSUE PERCUTANEOUS W/ GUIDANCE
CPT 10030
$1,891
—
$712
34
clean
HC PLACEMENT LOCALIZATION DEVICE PERCUTANEOUS W/ IMAGING GUIDANCE FIRST LESION
CPT 10035
$3,704
—
$1,285
37
clean
HC PLACEMENT LOCALIZATION DEVICE PERCUTANEOUS W/ IMAGING GUIDANCE EA ADDL LESION
CPT 10036
$713
—
$278
31
clean
HC ACNE SURGERY
CPT 10040
$386
—
$145
34
clean
HC I&D ABSCESS SIMPLE
CPT 10060
$625
—
$235
34
clean
HC I&D ABSCESS COMPLICATED
CPT 10061
$958
—
$361
34
clean
HC I&D PILONIDAL CYST SIMPLE
CPT 10080
$1,135
—
$428
34
clean
HC I&D PILONIDAL CYST COMPLEX
CPT 10081
$1,987
—
$749
34
clean
HC REMOVAL FB SUBCUTANEOUS SIMPLE
CPT 10120
$1,000
—
$347
37
clean
HC REMOVAL FB SUBCUTANEOUS COMPLICATED
CPT 10121
$2,523
—
$950
34
clean
HC I&D HEMATOMA SEROMA OR FLUID
CPT 10140
$4,078
—
$1,536
34
clean
HC PUNCTURE ASPIRATION ABSCESS HEMATOMA OR CYST
CPT 10160
$1,059
—
$367
37
clean
HC I&D POST-OP WOUND COMPLEX
CPT 10180
$5,312
—
$2,001
34
clean
HC DEBRIDEMENT ECZEMA/INFECTED SKIN UP TO 10% BSA
CPT 11000
$955
—
$360
34
clean
HC DEBRIDEMENT ECZEMA/INFECTED SKIN EACH ADDL 10% BSA
CPT 11001
$169
—
$66
31
clean
HC DEBRIDEMENT W FOREIGN MAT REMOVAL AT OPEN FX OR DISLOCATION SKIN/SUBQ TISSUE
CPT 11010
$1,676
—
$631
34
clean
HC DEBRIDEMENT W FOREIGN MAT REMOVAL AT OPEN FX OR DISLOCATION SKIN/SUBQ TISSUE/MUSCLE/FASCIA
CPT 11011
$1,564
—
$589
34
clean
HC DEBRIDEMENT W FOREIGN MAT REMOVAL AT OPEN FX OR DISLOCATION SKIN/SUBQ TISSUE/MUSCLE/FASCIA/BONE
CPT 11012
$4,294
—
$1,618
34
clean
HC DEBRIDEMENT SUBQ TISSUE 1ST 20 SQ CM
CPT 11042
$945
—
$356
34
clean
HC DEBRIDEMENT MUSCLE/FASCIA 1ST 20 SQ CM
CPT 11043
$1,351
—
$509
34
clean
HC DEBRIDEMENT BONE 1ST 20 SQ CM
CPT 11044
$3,601
—
$1,357
34
clean
HC DEBRIDEMENT SUBCUT TISSUE EA ADDL 20 CM
CPT 11045
$164
—
$64
31
clean
HC DEBRIDEMENT MUSCLE & FASCIA EA ADDL 20 CM
CPT 11046
$216
—
$84
31
clean
HC DEBRIDEMENT BONE EA ADDL 20 CM
CPT 11047
$382
—
$149
31
clean
HC REMOVAL CORN OR CALLUS 1 LESION
CPT 11055
$320
—
$121
34
clean
HC REMOVAL CORN OR CALLUS 2-4 LESIONS
CPT 11056
$378
—
$142
34
clean
HC REMOVAL CORN OR CALLUS >4 LESIONS
CPT 11057
$435
—
$164
34
clean
HC BX SKIN TANGENTIAL FIRST LESION
CPT 11102
$585
—
$220
34
clean
HC BX SKIN TANGENITAL EACH ADDL LESION
CPT 11103
$246
—
$96
31
clean
HC BX SKIN PUNCH FIRST LESION
CPT 11104
$975
—
$367
34
clean
HC BX SKIN PUNCH EACH ADDL LESION
CPT 11105
$315
—
$123
31
clean
HC BX SKIN INCISIONAL FIRST LESION
CPT 11106
$1,525
—
$574
34
clean
HC BX SKIN INCISIONAL EACH ADDL LESION
CPT 11107
$373
—
$145
31
clean
HC REMOVAL SKIN TAGS <=15 LESIONS
CPT 11200
$491
—
$185
34
clean
HC REMOVAL SKIN TAGS EACH ADDL 10 LESIONS
CPT 11201
$149
—
$58
31
clean
HC EXC BEN LESION TRUNK/EXTREMITIES <0.5 CM
CPT 11400
$1,048
—
$395
34
clean
HC EXC BEN LESION TRUNK/EXTREMITIES 0.6-1.0 CM
CPT 11401
$1,611
—
$607
34
clean
HC EXC BEN LESION TRUNK/EXTREMITIES 1.1-2.0 CM
CPT 11402
$1,687
—
$636
34
clean
HC EXC BEN LESION TRUNK/EXTREMITIES 2.1-3.0 CM
CPT 11403
$2,843
—
$1,071
34
clean
HC EXC BEN LESION TRUNK/EXTREMITIES 3.1-4.0 CM
CPT 11404
$3,268
—
$1,231
34
clean
HC EXC BEN LESION TRUNK/EXTREMITIES >4.0 CM
CPT 11406
$4,505
—
$1,697
34
clean
HC EXC BEN LESION SC/NE/HA/FE/GEN <0.5 CM
CPT 11420
$2,896
—
$1,091
34
clean
HC EXC BEN LESION SC/NE/HA/FE/GEN 0.6-1.0 CM
CPT 11421
$3,063
—
$1,154
34
clean
HC EXC BEN LESION SC/NE/HA/FE/GEN 1.1-2.0 CM
CPT 11422
$3,205
—
$1,207
34
clean
HC EXC BEN LESION SC/NE/HA/FE/GEN 2.1-3.0 CM
CPT 11423
$3,705
—
$1,396
34
clean
HC EXC BEN LESION SC/NE/HA/FE/GEN 3.1-4.0 CM
CPT 11424
$4,039
—
$1,521
34
clean
HC EXC BEN LESION SC/NE/HA/FE/GEN >4.0 CM
CPT 11426
$7,111
—
$2,679
34
clean
HC EXC BEN LESION FACE & MUC MEMB <0.5 CM
CPT 11440
$1,381
—
$520
34
clean
HC EXC BEN LESION FACE & MUC MEMB 0.6-1.0 CM
CPT 11441
$1,903
—
$717
34
clean
HC EXC BEN LESION FACE & MUC MEMB 1.1-2.0 CM
CPT 11442
$2,100
—
$791
34
clean
HC EXC BEN LESION FACE & MUC MEMB 2.1-3.0 CM
CPT 11443
$2,442
—
$920
34
clean
HC EXC BEN LESION FACE & MUC MEMB 3.1-4.0 CM
CPT 11444
$3,079
—
$1,160
34
clean
HC EXC BEN LESION FACE & MUC MEMB >4.0 CM
CPT 11446
$4,294
—
$1,618
34
clean
HC EXC MAL LESION TRUNK/EXTREMITIES 0.5 CM OR LESS
CPT 11600
$1,048
—
$395
34
clean
HC EXC MAL LESION TRUNK/EXTREMITIES 0.6 - 1.0 CM
CPT 11601
$1,549
—
$584
34
clean
HC EXC MAL LESION TRUNK/EXTREMITIES 1.1 - 2.0 CM
CPT 11602
$1,650
—
$622
34
clean
HC EXC MAL LESION TRUNK/EXTREMITIES 2.1-3.0 CM
CPT 11603
$2,534
—
$955
34
clean
HC EXC MAL LESION TRUNK/EXTREMITIES 3.1 - 4.0 CM
CPT 11604
$2,809
—
$1,058
34
clean
HC EXC MAL LESION TRUNK/EXTREMITIES > 4.0 CM
CPT 11606
$4,130
—
$1,556
34
clean
HC EXC MAL LESION SC/NE/FE/GEN 0.5 CM OR LESS
CPT 11620
$1,769
—
$666
34
clean
HC EXC MAL LESION SC/NE/FE/GEN 0.6 -1.0 CM
CPT 11621
$2,094
—
$789
34
clean
HC EXC MAL LESION SC/NE/FE/GEN 1.1 -2.0 CM
CPT 11622
$2,347
—
$884
34
clean
HC EXC MAL LESION SC/NE/FE/GEN 2.1 - 3.0 CM
CPT 11623
$3,286
—
$1,238
34
clean
HC EXC MAL LESION SC/NE/FE/GEN 3.1 - 4.0 CM
CPT 11624
$3,755
—
$1,415
34
clean
HC EXC MAL LESION SC/NE/HA/FE/GEN >4.0 CM
CPT 11626
$6,803
—
$2,563
34
clean
HC EXC MAL LESION F/E/E/N/L 0.5 CM OR LESS
CPT 11640
$1,541
—
$581
34
clean
HC EXC MAL LESION F/E/E/N/L 0.6 -1.0 CM
CPT 11641
$1,767
—
$666
34
clean
HC EXC MAL LESION F/E/E/N/L 1.1 - 2.0 CM
CPT 11642
$2,212
—
$833
34
clean
HC EXC MAL LESION F/E/E/N/L 2.1 - 3.0 CM
CPT 11643
$2,393
—
$901
34
clean
HC EXC MAL LESION F/E/E/N/L 3.1 - 4.0 CM
CPT 11644
$2,967
—
$1,118
34
clean
HC EXC MAL LESION F/E/E/N/L > 4.0 CM
CPT 11646
$4,294
—
$1,618
34
clean
HC TRIM NONDYSTROPHIC NAILS ANY NUMBER
CPT 11719
$146
—
$55
34
clean
HC DEBRIDEMENT NAILS 1-5
CPT 11720
$169
—
$64
34
clean
HC DEBRIDEMENT NAILS 6+
CPT 11721
$193
—
$73
34
clean
HC AVULSION NAIL PLATE SINGLE
CPT 11730
$443
—
$167
34
clean
HC AVULSION NAIL PLATE EACH ADDL
CPT 11732
$133
—
$52
31
clean
HC DRAINAGE SUBUNGUAL HEMATOMA
CPT 11740
$284
—
$107
34
clean
HC EXCISION NAIL MATRIX
CPT 11750
$644
—
$243
34
clean
HC BIOPSY NAIL UNIT
CPT 11755
$1,609
—
$606
34
clean
HC REPAIR NAIL BED
CPT 11760
$1,093
—
$412
34
clean
HC INJECTION SKIN LESIONS =< 7 LESIONS
CPT 11900
$548
—
$206
34
clean
HC INJECTION SKIN LESIONS >7 LESIONS
CPT 11901
$840
—
$316
34
clean
HC TATTOOING INTRADERMAL <= 6 SQ CM TOTAL AREA
CPT 11920
$1,625
—
$612
34
clean
HC TATTOOING INTRADERMAL > 6 SQ CM <= 20 SQ CM TOTAL AREA
CPT 11921
$1,961
—
$739
34
clean
HC TATTOOING INTRADERMAL EA ADDITIONAL 20.0 CM
CPT 11922
$539
—
$210
31
clean
HC SUBQ INJECTION OF FILLING MATERIAL 1.1-5.0CC
CPT 11951
$1,993
—
$751
34
clean
HC IMPLANT HORMONE PELLET SUBCUTANEOUS
CPT 11980
$727
—
$274
34
clean
HC INSERTION DRUG DELIVERY IMPLANT
CPT 11981
$257
—
$97
34
clean
HC REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
CPT 11982
$661
—
$249
34
clean
HC REMOVAL W/ REINSERTION NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
CPT 11983
$661
—
$249
34
clean
HC REP SIMP SC/NE/AX/GEN/TR/EXT <2.5 CM
CPT 12001
$406
—
$153
34
clean
HC REP SIMP SC/NE/AX/GEN/TR/EXT 2.6-7.5 CM
CPT 12002
$529
—
$199
34
clean
HC REP SIMP SC/NE/AX/GEN/TR/EXT 7.6-12.5 CM
CPT 12004
$664
—
$250
34
clean
HC REP SIMP SC/NE/AX/GEN/TR/EXT 12.6-20.0 CM
CPT 12005
$827
—
$312
34
clean
HC REP SIMP SC/NE/AX/GEN/TR/EXT 20.1-30.0 CM
CPT 12006
$1,006
—
$379
34
clean
HC REP SIMP SC/NE/AX/GEN/TR/EXT >30.0 CM
CPT 12007
$1,233
—
$464
34
clean
HC REP SIMP FACE & MUC MEMB <2.5 CM
CPT 12011
$407
—
$153
34
clean
HC REP SIMP FACE & MUC MEMB 2.6-5.0 CM
CPT 12013
$417
—
$157
34
clean
HC REP SIMP FACE & MUC MEMB 5.1-7.5 CM
CPT 12014
$539
—
$203
34
clean
HC REP SIMP FACE & MUC MEMB 7.6-12.5 CM
CPT 12015
$674
—
$254
34
clean
HC REP SIMP FACE & MUC MEMB 12.6-20.0 CM
CPT 12016
$914
—
$344
34
clean
HC REP SIMP FACE & MUC MEMB 20.1-30.0 CM
CPT 12017
$1,154
—
$435
34
clean
HC REP SIMP FACE & MUC MEMB >30.0 CM
CPT 12018
$1,301
—
$490
34
clean
HC TREATMENT WOUND DEHISCENCE SIMPLE CLOSURE
CPT 12020
$1,093
—
$412
34
clean
HC TREATMENT WOUND DEHISCENCE W/ PACKING
CPT 12021
$841
—
$317
34
clean
HC REPAIR INT WOUND SCALP/AXILLAE/TRUNK/EXTREMITIES < = 2.5 CM
CPT 12031
$841
—
$317
34
clean
HC REPAIR INT WOUND SCALP/AXILLAE/TRUNK/EXTREMITIES 2.6 CM TO 7.5 CM
CPT 12032
$1,041
—
$392
34
clean
HC REPAIR INT WOUND SCALP/AXILLAE/TRUNK/EXTREMITIES 7.6 CM TO 12.5 CM
CPT 12034
$1,136
—
$428
34
clean
HC REPAIR INT WOUND SCALP/AXILLAE/TRUNK/EXTREMITIES 12.6 CM TO 20.0 CM
CPT 12035
$1,416
—
$533
34
clean
HC REPAIR INT WOUND SCALP/AXILLAE/TRUNK/EXTREMITIES 20.1 CM TO 30.0 CM
CPT 12036
$1,705
—
$642
34
clean
HC REPAIR INT WOUND SCALP/AXILLAE/TRUNK/EXTREMITIES > 30.0 CM
CPT 12037
$3,050
—
$1,149
34
clean
HC REPAIR INT WOUND NECK HANDS FEET OR EXTERNAL GENITALIA 2.5 CM OR LESS
CPT 12041
$719
—
$271
34
clean
HC REPAIR INT WOUND NECK HANDS FEET OR EXTERNAL GENITALIA 2.6 CM TO 7.5 CM
CPT 12042
$936
—
$353
34
clean
HC REPAIR INT WOUND NECK HANDS FEET OR EXTERNAL GENITALIA 7.6 CM TO 12.5 CM
CPT 12044
$1,093
—
$412
34
clean
HC REPAIR INT WOUND NECK HANDS FEET OR EXTERNAL GENITALIA 12.6 CM TO 20 CM
CPT 12045
$1,283
—
$483
34
clean
HC REPAIR INT WOUND NECK HANDS FEET OR EXTERNAL GENITALIA 20.1 CM TO 30 CM
CPT 12046
$1,418
—
$534
34
clean
HC REPAIR INT WOUND NECK HANDS FEET OR EXTERNAL GENITALIA 30.1 CM OR MORE
CPT 12047
$3,050
—
$1,149
34
clean
HC REPAIR INT WOUND FACE EARS EYELIDS NOSE LIPS OR MUCOUS MEMBRN 2.5 CM OR LESS
CPT 12051
$656
—
$247
34
clean
HC REPAIR INT WOUND FACE EARS EYELIDS NOSE LIPS OR MUCOUS MEMBRN 2.6 CM TO 5.0 CM
CPT 12052
$832
—
$313
34
clean
HC REPAIR INT WOUND FACE EARS EYELIDS NOSE LIPS OR MUCOUS MEMBRN 5.1 CM TO 7.5 CM
CPT 12053
$857
—
$323
34
clean
HC REPAIR INT WOUND FACE EARS EYELIDS NOSE LIPS OR MUCOUS MEMBRN 7.6 CM TO 12.5 CM
CPT 12054
$862
—
$325
34
clean

Showing the first 200 of 6,174 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 86231/o
warn
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $28
CPT G0260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,306 exceeds the gross charge $1,785
CPT J3396/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $35
CPT 86258/o
warn
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $28
CPT G0330/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,665 exceeds the gross charge $4,901
CPT J3410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $16
CPT Q9992/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,619 exceeds the gross charge $6,161
CPT 86362/o
warn
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $28
CPT 86363/o
warn
mrf_negotiated_above_gross
highest negotiated rate $95 exceeds the gross charge $59
CPT G0379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,367 exceeds the gross charge $635
CPT 86581/o
warn
mrf_negotiated_above_gross
highest negotiated rate $231 exceeds the gross charge $101
CPT S0191/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $0
CPT 86860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $353
CPT G0482/o
warn
mrf_negotiated_above_gross
highest negotiated rate $499 exceeds the gross charge $398
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,153 exceeds the gross charge $644
CPT 86890/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $358
CPT 86920/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $341
CPT H2019/o
warn
mrf_negotiated_above_gross
highest negotiated rate $613 exceeds the gross charge $76
CPT 86923/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $461
CPT 86960/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $253
MS-DRG 027/i
warn
mrf_negotiated_above_gross
highest negotiated rate $131,098 exceeds the gross charge $109,976
CPT 86965/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $253
MS-DRG 075/i
warn
mrf_negotiated_above_gross
highest negotiated rate $43,861 exceeds the gross charge $29,531
CPT 86970/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $113
CPT J7030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $4
MS-DRG 179/i
warn
mrf_negotiated_above_gross
highest negotiated rate $17,270 exceeds the gross charge $15,293
CPT 86971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $269
MS-DRG 192/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,685 exceeds the gross charge $11,123
CPT 86972/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $253
CPT J7131/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1 exceeds the gross charge $0
MS-DRG 256/i
warn
mrf_negotiated_above_gross
highest negotiated rate $38,838 exceeds the gross charge $35,346
CPT 86977/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $253
MS-DRG 293/i
warn
mrf_negotiated_above_gross
highest negotiated rate $12,947 exceeds the gross charge $12,110
CPT 86978/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $131
MS-DRG 319/i
warn
mrf_negotiated_above_gross
highest negotiated rate $102,084 exceeds the gross charge $73,866
CPT 86985/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $310
CPT J7179/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $0
MS-DRG 541/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,011 exceeds the gross charge $5,278
MS-DRG 695/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,163 exceeds the gross charge $17,459
CPT 87154/o
warn
mrf_negotiated_above_gross
highest negotiated rate $547 exceeds the gross charge $495
MS-DRG 724/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,998 exceeds the gross charge $13,364
CPT 87426/o
warn
mrf_negotiated_above_gross
highest negotiated rate $89 exceeds the gross charge $54
MS-DRG 725/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,767 exceeds the gross charge $21,839
CPT 87476/o
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $54
MS-DRG 745/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,019 exceeds the gross charge $3,375
CPT 87811/o
warn
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $75
MS-DRG 756/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,970 exceeds the gross charge $14,376
CPT 88182/o
warn
mrf_negotiated_above_gross
highest negotiated rate $261 exceeds the gross charge $144
MS-DRG 757/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,753 exceeds the gross charge $13,690
MS-DRG 758/i
warn
mrf_negotiated_above_gross
highest negotiated rate $22,394 exceeds the gross charge $21,753
CPT 88261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $663 exceeds the gross charge $429
MS-DRG 779/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,244 exceeds the gross charge $12,831
CPT 88399/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $104
MS-DRG 789/i
warn
mrf_negotiated_above_gross
highest negotiated rate $36,632 exceeds the gross charge $5,744
CPT 89240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $54
MS-DRG 790/i
warn
mrf_negotiated_above_gross
highest negotiated rate $120,808 exceeds the gross charge $9,307
CPT 89398/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $65
MS-DRG 791/i
warn
mrf_negotiated_above_gross
highest negotiated rate $82,503 exceeds the gross charge $10,289
MS-DRG 792/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,782 exceeds the gross charge $10,565
CPT 90611/o
warn
mrf_negotiated_above_gross
highest negotiated rate $272 exceeds the gross charge $0
CPT J7308/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,291 exceeds the gross charge $1,157
MS-DRG 793/i
warn
mrf_negotiated_above_gross
highest negotiated rate $84,751 exceeds the gross charge $9,091
MS-DRG 794/i
warn
mrf_negotiated_above_gross
highest negotiated rate $29,999 exceeds the gross charge $9,071
MS-DRG 895/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,856 exceeds the gross charge $12,376
MS-DRG 933/i
warn
mrf_negotiated_above_gross
highest negotiated rate $89,076 exceeds the gross charge $85,354
MS-DRG 934/i
warn
mrf_negotiated_above_gross
highest negotiated rate $50,565 exceeds the gross charge $42,731
CPT J7326/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,749 exceeds the gross charge $1,615
MS-DRG 951/i
warn
mrf_negotiated_above_gross
highest negotiated rate $12,718 exceeds the gross charge $11,947
CPT J7351/o
warn
mrf_negotiated_above_gross
highest negotiated rate $708 exceeds the gross charge $630
CPT J0558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $57
CPT 90832/o
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $263
CPT 90834/o
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $312
CPT 90837/o
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $386
CPT 90839/o
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $377
CPT 90840/o
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $157
CPT J0588/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17 exceeds the gross charge $15
CPT J7608/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $12
CPT 90863/o
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $144
CPT 90899/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,038 exceeds the gross charge $741
CPT J7686/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,623 exceeds the gross charge $577
CPT 91299/o
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $252
CPT J0600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,566 exceeds the gross charge $33
CPT 93306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,594 exceeds the gross charge $2,444
CPT 93307/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,594 exceeds the gross charge $1,444
CPT 93308/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,153 exceeds the gross charge $991
CPT 93312/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,594 exceeds the gross charge $2,186
CPT 93350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,594 exceeds the gross charge $1,783
CPT 94150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $252
CPT J0668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $1
CPT J9021/o
warn
mrf_negotiated_above_gross
highest negotiated rate $186 exceeds the gross charge $182
CPT 94642/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $519
CPT 95705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $570 exceeds the gross charge $546
CPT 96156/o
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $218
CPT J9029/o
warn
mrf_negotiated_above_gross
highest negotiated rate $212,874 exceeds the gross charge $198,961
CPT 96158/o
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $263
CPT 96159/o
warn
mrf_negotiated_above_gross
highest negotiated rate $453 exceeds the gross charge $155
CPT 97602/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $383
CPT J9042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $889 exceeds the gross charge $879
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $454 exceeds the gross charge $419
CPT 99282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $886 exceeds the gross charge $775
CPT 0003M/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,264 exceeds the gross charge $1,186
CPT 99284/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,142 exceeds the gross charge $2,303
CPT 0184T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,600 exceeds the gross charge $8,974
CPT 99285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,529 exceeds the gross charge $3,403
CPT 0234T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $37,182 exceeds the gross charge $25,625
CPT 0236T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $37,182 exceeds the gross charge $24,834
CPT 0237T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $37,182 exceeds the gross charge $19,387
CPT 0238T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $59,088 exceeds the gross charge $27,094
CPT 0331T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,035 exceeds the gross charge $3,032
CPT 0332T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,035 exceeds the gross charge $3,266
CPT 0338T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,447 exceeds the gross charge $9,756
CPT 0339T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,447 exceeds the gross charge $12,196
CPT 0342T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,124 exceeds the gross charge $9,996
CPT 0402T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,782 exceeds the gross charge $3,515
CPT 0408T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $101,171 exceeds the gross charge $62,948
CPT 0409T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71,771 exceeds the gross charge $59,950
CPT 0410T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26,518 exceeds the gross charge $20,341
CPT 0411T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26,518 exceeds the gross charge $20,341
CPT 0412T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $8,066
CPT 0413T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $8,066
CPT 0414T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71,771 exceeds the gross charge $63,458
CPT J9200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,092 exceeds the gross charge $4,277
CPT 0416T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,629 exceeds the gross charge $5,892
CPT 0479T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,306 exceeds the gross charge $1,697
CPT 0507T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $166
CPT 0515T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71,771 exceeds the gross charge $47,594
CPT A9563/o
warn
mrf_negotiated_above_gross
highest negotiated rate $969 exceeds the gross charge $842
CPT 0516T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33,724 exceeds the gross charge $17,911
CPT 0517T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33,724 exceeds the gross charge $18,247
CPT 0518T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $6,711
CPT 0519T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33,724 exceeds the gross charge $18,247
CPT 0520T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33,724 exceeds the gross charge $18,247
CPT 0571T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $101,171 exceeds the gross charge $35,978
CPT 0572T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26,518 exceeds the gross charge $8,155
CPT 0573T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $3,683
CPT J9229/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,329 exceeds the gross charge $9,116
CPT 0574T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $3,683
CPT C1717/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,153 exceeds the gross charge $1,076
CPT 0581T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,682 exceeds the gross charge $9,519
CPT C1719/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,882 exceeds the gross charge $91
CPT J9248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,633 exceeds the gross charge $2,576
CPT 0587T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20,465 exceeds the gross charge $9,420
CPT 0588T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,241 exceeds the gross charge $5,168
CPT 0600T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $34,300 exceeds the gross charge $15,712
CPT 0644T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,447 exceeds the gross charge $9,569
CPT 0653T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,053 exceeds the gross charge $2,837
CPT J9266/o
warn
mrf_negotiated_above_gross
highest negotiated rate $94,139 exceeds the gross charge $72,647
CPT 0654T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,394 exceeds the gross charge $5,699
CPT 0692T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,900 exceeds the gross charge $4,100
CPT J9269/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,182 exceeds the gross charge $1,055
CPT 0699T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,494 exceeds the gross charge $5,096
CPT J1440/o
warn
mrf_negotiated_above_gross
highest negotiated rate $214 exceeds the gross charge $185
CPT 0780T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $288 exceeds the gross charge $246
CPT 0795T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61,971 exceeds the gross charge $44,394
CPT 0796T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61,971 exceeds the gross charge $39,958
CPT 0797T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61,971 exceeds the gross charge $39,958
CPT 0798T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,088 exceeds the gross charge $7,263
CPT 0799T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,088 exceeds the gross charge $5,487
CPT 0800T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,088 exceeds the gross charge $5,487
CPT 0801T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61,971 exceeds the gross charge $44,394
CPT 0802T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61,971 exceeds the gross charge $33,539
CPT 0803T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61,971 exceeds the gross charge $33,539
CPT 0813T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,882 exceeds the gross charge $2,478
CPT 0817T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $62,547 exceeds the gross charge $31,265
CPT 0818T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,241 exceeds the gross charge $5,168
CPT 0819T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,241 exceeds the gross charge $5,349
CPT 0823T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61,971 exceeds the gross charge $36,521
CPT 0824T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,088 exceeds the gross charge $5,447
CPT 0825T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $61,971 exceeds the gross charge $33,296
CPT 0861T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $6,711
CPT 0862T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,629 exceeds the gross charge $3,740
CPT 0863T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,629 exceeds the gross charge $3,740
CPT 0913T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $37,182 exceeds the gross charge $13,581
CPT 0915T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $101,171 exceeds the gross charge $45,821
CPT 0916T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71,771 exceeds the gross charge $32,080
CPT J9381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $17
CPT 0917T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26,518 exceeds the gross charge $11,828
CPT J1726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $64 exceeds the gross charge $5
CPT 0918T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $26,518 exceeds the gross charge $11,828
CPT 0919T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $5,201
CPT 0920T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $5,201
CPT 0921T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $5,201
CPT 0922T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,106 exceeds the gross charge $5,201
CPT 0923T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $71,771 exceeds the gross charge $32,080
CPT 0924T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,018 exceeds the gross charge $1,414
CPT 0925T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,629 exceeds the gross charge $3,137
CPT 0930T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,035 exceeds the gross charge $1,800
CPT 0931T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,035 exceeds the gross charge $2,301
CPT 0933T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,376 exceeds the gross charge $4,597
CPT 10011/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,306 exceeds the gross charge $1,760
CPT 21088/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,665 exceeds the gross charge $6,502
CPT J1944/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11 exceeds the gross charge $9
CPT 21089/o
warn
mrf_negotiated_above_gross
highest negotiated rate $865 exceeds the gross charge $161
CPT 24999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $865 exceeds the gross charge $213
CPT 26989/o
warn
mrf_negotiated_above_gross
highest negotiated rate $865 exceeds the gross charge $457
CPT 27299/o
warn
mrf_negotiated_above_gross
highest negotiated rate $865 exceeds the gross charge $457
CPT 27599/o
warn
mrf_negotiated_above_gross
highest negotiated rate $865 exceeds the gross charge $213
CPT 31899/o
warn
mrf_negotiated_above_gross
highest negotiated rate $576 exceeds the gross charge $284
CPT 32999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,018 exceeds the gross charge $1,240
CPT J2277/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,820 exceeds the gross charge $116

Showing the first 200 of 986 findings, errors first — every finding as JSON →

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. Ohio State University Wexner Medical Center — standard charges file · OH · updated 7/1/2026
    found via cms-hpt.txt · csv-tall · 22.0M bytes · fetched 2026-08-22 · sha256 369f5f900c53…

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.