Hospital · CCN 370023

Duncan Regional Hospital, Inc

2621 Whisenant Dr, Duncan, OK 73533 · Stephens County
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

34 admission types 43 outpatient services price file: ok
Billed per dollar paid, all admissions
4.20×
$43.0M billed against $10.2M paid across 1,099 Medicare discharges; the national figure is 5.03×.
11.0%
of adults in Stephens County have medical debt in collections
14.4%
uninsured in the county · state 14.3%
$57K
median household income
4.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
39.1%
obesity in the countyⓘ
14.2%
diagnosed diabetes (PLACES)
8.8%
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
211
$50,630
$13,554
3.7× st 4.7×
291
Heart failure and shock with mcc
110
$34,856
$8,988
3.9× st 4.5×
193
Simple pneumonia and pleurisy with mcc
65
$38,561
$9,083
4.2× st 5.2×
194
Simple pneumonia and pleurisy with cc
53
$26,050
$5,896
4.4× st 5.2×
690
Kidney and urinary tract infections without mcc
51
$27,920
$5,763
4.8× st 4.5×
177
Respiratory infections and inflammations with mcc
49
$43,880
$11,440
3.8× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
42
$26,163
$5,614
4.7× st 4.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
42
$28,850
$7,233
4.0× st 4.3×
190
Chronic obstructive pulmonary disease with mcc
39
$35,280
$7,817
4.5× st 6.0×
189
Pulmonary edema and respiratory failure
34
$42,381
$8,697
4.9× st 5.1×
378
Gastrointestinal hemorrhage with cc
31
$30,588
$6,986
4.4× st 5.4×
683
Renal failure with cc
29
$26,543
$6,678
4.0× st 4.5×
481
Hip and femur procedures except major joint with cc
28
$60,192
$14,190
4.2× st 5.8×
689
Kidney and urinary tract infections with mcc
23
$28,228
$8,073
3.5× st 4.5×
682
Renal failure with mcc
21
$42,452
$10,439
4.1× st 4.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
20
$34,201
$7,118
4.8× st 5.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
19
$25,709
$5,612
4.6× st 4.9×
389
Gastrointestinal obstruction with cc
19
$26,905
$5,765
4.7× st 4.3×
178
Respiratory infections and inflammations with cc
17
$37,208
$7,043
5.3× st 5.1×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$38,706
$8,510
4.5× st 5.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
17
$83,324
$14,600
5.7× st 5.9×
603
Cellulitis without mcc
16
$30,186
$6,423
4.7× st 4.6×
191
Chronic obstructive pulmonary disease with cc
14
$23,703
$6,062
3.9× st 6.6×
309
Cardiac arrhythmia and conduction disorders with cc
14
$24,351
$5,415
4.5× st 4.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
13
$31,684
$8,974
3.5× st 4.7×
638
Diabetes with cc
13
$26,720
$6,353
4.2× st 5.0×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
12
$25,690
$6,353
4.0× st 3.9×
536
Fractures of hip and pelvis without mcc
12
$27,291
$5,704
4.8× st 5.3×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
12
$81,426
$12,955
6.3× st 5.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
12
$63,536
$13,917
4.6× st 5.6×
330
Major small and large bowel procedures with cc
11
$77,838
$16,287
4.8× st 5.1×
180
Respiratory neoplasms with mcc
11
$54,220
$11,738
4.6× st 5.2×
439
Disorders of pancreas except malignancy with cc
11
$30,200
$6,791
4.4× st 5.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$44,691
$9,737
4.6× st 5.2×
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
344
$19,817
$2,479
8.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
149
$11,878
$1,467
8.1×
5302
Level 2 Upper GI Procedures
139
$8,354
$1,697
4.9×
5115
Level 5 Musculoskeletal Procedures
112
$67,647
$11,958
5.7×
5183
Level 3 Vascular Procedures
87
$17,116
$2,900
5.9×
5114
Level 4 Musculoskeletal Procedures
80
$51,294
$6,444
8.0×
5361
Level 1 Laparoscopy and Related Services
66
$28,816
$5,249
5.5×
5113
Level 3 Musculoskeletal Procedures
61
$19,312
$2,906
6.6×
5431
Level 1 Nerve Procedures
50
$15,267
$1,757
8.7×
5462
Level 2 Neurostimulator and Related Procedures
43
$20,619
$3,473
5.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
39
$12,314
$2,585
4.8×
5153
Level 3 Airway Endoscopy
36
$8,937
$1,544
5.8×
5191
Level 1 Endovascular Procedures
31
$19,317
$2,970
6.5×
5184
Level 4 Vascular Procedures
30
$16,825
$4,999
3.4×
5116
Level 6 Musculoskeletal Procedures
25
$82,253
$16,307
5.0×
5182
Level 2 Vascular Procedures
24
$8,877
$1,457
6.1×
5112
Level 2 Musculoskeletal Procedures
24
$10,520
$1,462
7.2×
5491
Level 1 Intraocular Procedures
20
$10,989
$2,036
5.4×
5374
Level 4 Urology and Related Services
20
$19,264
$3,172
6.1×
5154
Level 4 Airway Endoscopy
19
$14,648
$3,407
4.3×
5313
Level 3 Lower GI Procedures
19
$12,843
$2,555
5.0×
5193
Level 3 Endovascular Procedures
19
$48,873
$10,000
4.9×
5375
Level 5 Urology and Related Services
17
$24,463
$4,707
5.2×
5222
Level 2 Pacemaker and Similar Procedures
17
$29,366
$7,367
4.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
15
$20,097
$3,147
6.4×
5155
Level 5 Airway Endoscopy
15
$32,898
$6,227
5.3×
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-03-14, template 3.0.0, 29,946 rows scanned, 18,811 distinct code–setting items kept. 1,683 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
FNA BX W/O IMG GDN EA ADDL
—
—
$2,255
5
clean
FINE NEEDLE ASPIRATION - U/S
$2,784
$1,434
$2,255
19
clean
FINE NEEDLE ASP ADDT'L LES-U/S
$1,566
—
$1,409
18
clean
FINE NEEDLE ASPIRATION-FLUORO
$2,784
$1,434
$2,255
19
clean
FINE NEEDLE ASPIRATION - CT
$2,784
$1,434
$2,255
19
clean
FNA BX W/CT GDN EA ADDL
—
—
$2,255
5
clean
FINE NEEDLE ASPIRATION - MRI
$2,784
$1,434
$2,255
19
clean
FNA BX W/MR GDN EA ADDL
—
—
$2,255
5
clean
FINE NEEDLE ASPIRATION W/O IMG
$1,700
$815
$1,530
19
clean
IMAGE GUIDED FLD DRAINAGE-CATH
$2,457
$1,434
$1,752
19
clean
PERQ LOCALIZ DEVICE SOF T TISS
$1,362
$1,434
$1,175
19
clean
PLMT SFT TISS LOCLZJ DEV EA
—
—
$1,175
5
clean
ACNE SURGERY
—
$405
$1,175
7
clean
I & D ABSCESS-SIMPLE
$872
$405
$803
38
clean
I & D ABSCESS-COMPL OR MULT
$1,006
$815
$1,039
38
clean
I&D PILONIDAL CYST SIMPLE
$845
$1,434
$761
19
clean
I&D PILONIDAL CYST COMPLEX
$1,871
$1,434
$1,684
19
clean
INCISION & REMOV FB SUBQ SIMP
$1,006
$815
$1,116
38
clean
INCISION & REMOV FB SUBQ COMPL
$3,575
$3,303
$3,218
19
clean
I&D HEMATOMA OR SEROMA
$2,153
$3,303
$1,722
38
clean
PUNCT ASP ABSC-HEMATOMA-CYST
$1,006
$815
$946
57
clean
I & D POSTOP WOUND INF COMPLEX
$3,371
$5,835
$2,865
38
clean
DBRDMT ECZ/INFECTED SKIN<10%
—
$1,248
$1,044
7
clean
DBRDMT ECZ/INFCT SKN EA ADDL
—
—
$1,044
5
clean
DBRDMT SKIN XTRNL GENT&PER
—
—
$3,862
5
clean
DBRDMT SKIN ABDOMINAL WALL
—
—
$3,862
5
clean
DBRDMT SKIN XTRNL GENT PER
—
—
$3,862
5
clean
RMV PRSTC MTRL/MESH ABD WALL
—
—
—
0
clean
DEBRIDE SKN/SQ AT OPEN FX SITE
$1,717
$1,434
$1,545
19
clean
DEBRIDE SKIN MUSC AT FX SITE
—
$1,434
$11,655
7
clean
DEB SKIN BONE AT FX SITE
—
$5,835
$7,557
7
clean
DEBRIDE SKIN & SUB Q 1ST 20 CM
$1,381
$815
$991
38
clean
DEBRIDE MUSCLE/FASC 1ST 20 CM
$1,662
$1,248
$1,496
19
clean
DEBRIDE SKIN SUB MUSC & BONE
$4,066
$3,303
$3,659
19
clean
DEBRIDE SKIN & SUBQ ADDTL 20CM
$1,142
—
$1,010
18
clean
DEBRIDE MUSC/FASC ADDTL 20CM
$1,662
—
$1,496
18
clean
DEBRIDE BONE ADDITIONAL 20 CM
$3,363
—
$3,027
18
clean
TRIM SKIN LESION
$291
$405
$262
19
clean
TRIM SKIN LESION 2-4
$570
$405
$513
19
clean
TRIM SKIN LESIONS > 4
$662
$405
$596
19
clean
TANGENTIAL BIOPSY OF SKIN
$2,957
$405
$2,567
38
clean
TANGNTL BX SKIN EA SEP/ADDL
—
—
$3,661
5
clean
PUNCH BIOPSY OF SKIN
$2,957
$815
$2,661
38
clean
PUNCH BX SKIN EA ADDTL
$1,478
—
$1,330
18
clean
INCISION BX OF SKIN-SINGLE LES
$3,575
$1,248
$3,332
38
clean
INCAL BX SKN EA SEP/ADDL
—
—
$3,661
5
clean
REMOVAL SKIN TAGS<= 15 LESIONS
$2,885
$405
$1,875
38
clean
RMVL SKIN TAGS EA ADDL 10
—
—
$1,044
5
clean
SHAVE SKIN LESION 0.5 CM/<
—
$815
$1,044
7
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$405
$1,044
7
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$405
$1,044
7
clean
SHAVE SKIN LESION >2.0 CM
—
$815
$1,044
7
clean
SHAVE SKIN LESION 0.5 CM/<
—
$405
$1,044
7
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$405
$1,044
7
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$405
$1,044
7
clean
SHAVE SKIN LESION >2.0 CM
—
$815
$1,044
7
clean
SHAVE SKIN LESION 0.5 CM/<
—
$405
$1,044
7
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
$405
$1,044
7
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
$815
$1,044
7
clean
SHAVE SKIN LESION >2.0 CM
—
$815
$1,044
7
clean
EXC TR-EXT B9+MARG 0.5 CM<
—
$1,434
$3,661
7
clean
EXC TR-EXT B9+MARG 0.6-1 CM
—
$815
$3,661
7
clean
EXC TR-EXT B9+MARG 1.1-2 CM
—
$1,434
$3,661
7
clean
EXC TR-EXT B9+MARG 2.1-3CM
—
$1,434
$3,661
7
clean
EXC BEN LESION TRU/EXT 3.1-4CM
$2,975
$3,303
$2,678
19
clean
EXC TR-EXT B9+MARG >4.0 CM
—
$3,303
$7,557
7
clean
EXC H-F-NK-SP B9+MARG 0.5/<
—
$3,303
$3,661
7
clean
EXC BLES S/N/EX/G;0.6-1.0CM
$2,690
$1,434
$2,421
19
clean
EXC BLES S/N/EX/G;1.1-2.0CM
$3,575
$3,303
$3,218
19
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
$3,303
$3,661
7
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
$3,303
$7,557
7
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
$5,835
$7,557
7
clean
EXC FACE-MM B9+MARG 0.5 CM/<
—
$1,434
$3,661
7
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
$1,434
$3,661
7
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
$1,434
$3,661
7
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
$3,303
$7,557
7
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
$3,303
$7,557
7
clean
EXC FACE-MM B9+MARG >4 CM
—
$5,835
$7,557
7
clean
EXC SKN HDRDNT AX SMPL/NTRM
—
$5,835
$7,557
7
clean
EXC SKN HDRDNT AX COMPLEX
—
$5,835
$7,557
7
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
$5,835
$7,557
7
clean
EXC SKN HDRDNT ING COMPLEX
—
$5,835
$7,557
7
clean
EXC SKN H/P/P/U SMPL/NTRM
—
$5,835
$7,557
7
clean
EXC SKN H/P/P/U COMPLEX
—
$5,835
$7,557
7
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
$1,434
$3,661
7
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
$1,434
$3,661
7
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
$815
$3,661
7
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
$1,434
$3,661
7
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
$1,434
$3,661
7
clean
EXC TR-EXT MAL+MARG >4 CM
—
$3,303
$7,557
7
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
$3,303
$3,661
7
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
$1,434
$3,661
7
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
$1,434
$3,661
7
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
$3,303
$3,661
7
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
$3,303
$3,661
7
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
$5,835
$7,557
7
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
$1,434
$3,661
7
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
$1,434
$3,661
7
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
$1,434
$3,661
7
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
$3,303
$7,557
7
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
$3,303
$7,557
7
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
$5,835
$7,557
7
clean
TRIMMING NONDYSTROPHIC NAILS
$438
$121
$365
19
clean
DEBRIDE NAIL ANY METHOD 1-5
$404
$121
$347
38
clean
DEBRIDE NAIL ANY METHOD 6 OR >
$438
$121
$365
38
clean
AVULS NAIL PLATE PART OR COMP
$816
$405
$734
38
clean
AVULSE NAIL PLATE-EA ADDTL
$816
—
$734
36
clean
EVACUATION SUBUNGUAL HEMATOMA
$438
$263
$365
19
clean
EXCISION OF NAIL MATRIX
$3,576
$815
$3,218
38
clean
BIOPSY NAIL UNIT
—
$1,434
$3,661
7
clean
REPAIR OF NAIL BED
$710
$1,248
$639
19
clean
RECONSTRUCTION OF NAIL BED
—
$3,729
$7,506
7
clean
WEDGE EXCISION OF SKIN OF NAIL
$663
$815
$597
19
clean
REMOVE PILONIDAL CYST SIMPLE
—
$5,835
$7,557
7
clean
REMOVE PILONIDAL CYST EXTEN
—
$5,835
$7,557
7
clean
REMOVE PILONIDAL CYST COMPL
—
$5,835
$7,557
7
clean
INJECTION INTO SKIN LESION =<7
$399
$405
$359
19
clean
INJECT SKIN LESIONS >7
—
$405
$1,044
7
clean
CORRECT SKIN COLOR 6.0 CM/<
—
$1,248
$2,883
7
clean
CORRECT SKN COLOR 6.1-20.0CM
—
$1,248
$2,883
7
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$2,883
5
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
$1,248
$1,085
7
clean
INSERT TISSUE EXPANDER(S)
—
$7,464
$10,401
7
clean
RPLCMT TISS XPNDR PERM IMPLT
—
$14,565
$10,401
7
clean
RMVL TIS XPNDR WO INSJ IMPLT
—
$5,835
$7,557
7
clean
IMPLANT HORMONE PELLET(S)
—
$814
$1,085
7
clean
INSERTION DRUG DLVR IMPLANT
—
$263
$2,332
7
clean
REMOVE DRUG IMPLANT DEVICE
—
$814
$1,175
7
clean
REMOVE/INSERT DRUG IMPLANT
—
$814
$2,883
7
clean
REP SUPERFIAL WOUND 2.5 OR <
$538
$405
$517
38
clean
REP SUPERFICIAL WOUND 2.6-7.5
$673
$405
$606
38
clean
SIMPLE REPAIR 7.6 - 12.5CM
$773
$405
$696
19
clean
SIMPLE REPAIR 12.6 - 20.0CM
$815
$815
$734
19
clean
SIMPLE REPAIR 20.1 - 30.0CM
$2,088
$815
$1,879
19
clean
SIMPLE REPAIR OVER 30.0CM
$4,286
$405
$3,857
19
clean
SIMPLE REPAIR 2.5CM OR LESS
$537
$405
$483
19
clean
SIMPLE REPAIR 2.6 - 5.0CM
$673
$405
$606
19
clean
SIMPLE REPAIR 5.1 - 7.5CM
$773
$405
$696
19
clean
SIMPLE REPAIR 7.6 - 12.5CM
$815
$405
$734
19
clean
SIMPLE REPAIR 12.6 - 20.0CM
$815
$815
$734
19
clean
SIMPLE REPAIR 20.0 - 30.0CM
$2,088
$815
$1,879
19
clean
SIMPLE REPAIR OVER 30.0CM
$4,286
$405
$3,857
19
clean
SIMPLE CLOSE WOUND DEHISCENCE
$2,088
$1,248
$1,879
19
clean
PACKING OF WOUND DEHISCENCE
$815
$815
$734
19
clean
LAY CLOS SC/AX/TR/EXT 2.5 OR <
$740
$815
$666
38
clean
LAY CLOS SC/AX/TR/EXT 2.6-7.5
$816
$815
$734
38
clean
LAY CLOS SC/AX/TR/EXT 7.6-12.5
$2,087
$815
$1,878
38
clean
LAYER CLOSURE 12.6 TO 20.0CM
$2,088
$815
$1,879
19
clean
LAYER CLOSURE 20.1 - 30.0CM
$2,088
$1,248
$1,879
19
clean
LAYER CLOSURE OVER 30.0CM
$3,929
$3,729
$3,536
19
clean
LAYER CLOSURE 2.5CM OR LESS
$740
$815
$666
19
clean
LAYER CLOSURE 2.6 - 7.5CM
$815
$815
$734
19
clean
LAYER CLOSURE 7.6 - 12.5CM
$2,088
$1,248
$1,591
19
clean
LAYER CLOSURE 12.6 - 20.0CM
$2,088
$1,248
$1,879
19
clean
LAYER CLOSURE 20.1 - 30.0CM
$2,088
$1,248
$1,879
19
clean
LAYER CLOSURE OVER 30.0CM
$2,239
$3,729
$2,015
19
clean
LAYER CLOSURE 2.5CM OR LESS
$740
$815
$666
19
clean
LAYER CLOSURE 2.6 - 5.0CM
$815
$815
$734
19
clean
LAYER CLOSURE 5.1 - 7.5CM
$815
$815
$734
19
clean
LAYER CLOSURE 7.6 - 12.5CM
$2,088
$815
$1,420
19
clean
LAYER CLOSURE 12.6 - 20.0CM
$2,088
$815
$1,879
19
clean
LAYER CLOSURE 20.1 TO 30.0CM
$2,088
$815
$1,879
19
clean
LAYER CLOSURE OVER 30.0CM
$4,285
$815
$3,857
19
clean
COMPLEX REPAIR TRUNK 1.1-2.5CM
$1,835
$1,248
$1,652
19
clean
COMPLEX REPAIR TRUNK 2.6-7.5CM
$2,088
$1,248
$1,879
19
clean
COMPLEX REPAIR TRUNK EACH ADD
$2,088
—
$1,879
18
clean
COMPLEX REPAIR 1.1 - 2.5CM
$710
$1,248
$639
19
clean
REPAIR COMPLEX 2.6 - 7.5CM
$2,093
$1,248
$1,591
19
clean
COMPLEX REPAIR EACH ADDL 5 CM
$2,093
—
$1,520
18
clean
COMPLEX REPAIR 1.1 - 2.5CM
$815
$815
$734
19
clean
COMPLEX REPAIR 2.6 - 7.5CM
$815
$1,248
$734
19
clean
COMPLEX REPAIR EACH ADDL 5 CM
$2,088
—
$1,879
18
clean
COMPLEX REPAIR 1.1 - 2.5CM
$2,088
$1,248
$1,879
19
clean
COMPLEX REPAIR 2.6 - 7.5CM
$4,285
$1,248
$3,428
19
clean
COMPLEX REPAIR EACH ADDL 5CM
$4,285
—
$3,535
18
clean
SECONDARY CLOSURE OF WOUND
$5,976
$3,729
$5,378
19
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
$3,729
$7,506
7
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
$3,729
$10,401
7
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
$3,729
$10,401
7
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
$3,729
$10,401
7
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
$3,729
$10,401
7
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
$3,729
$10,401
7
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
—
$3,729
$10,401
7
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
$3,729
$10,401
7
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
$7,464
$10,401
7
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$10,401
5
clean
FILLETED FINGER/TOE FLAP
—
$3,729
$10,401
7
clean
WOUND PREP TRK/ARM/LEG
—
$3,729
$7,557
7
clean
WOUND PREP ADDL 100 CM
—
—
$7,557
5
clean
WND PREP F/N/H/F/G 100 SQ CM
$5,204
$1,248
$4,684
19
clean
WND PREP F/N/HF/G ADDL CM
—
—
$7,557
5
clean
HARVEST CULTURED SKIN GRAFT
—
$3,729
$7,506
7
clean
PINCH GRAFT SM-DEFECT TO 2CM
$732
$1,248
$659
19
clean
SKIN SPLT GRFT TRNK/ARM/LEG
—
$3,729
$10,401
7
clean
SKIN SPLT GRFT T/A/L ADD-ON
—
—
$10,401
5
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
—
$3,729
$10,401
7
clean
EPIDRM AUTOGRFT T/A/L ADD-ON
—
—
$10,401
5
clean
EPIDRM A-GRFT FACE/NCK/HF/G
—
$3,729
$10,401
7
clean
EPIDRM A-GRFT F/N/HF/G ADDL
—
—
$7,506
5
clean
SKN SPLT A-GRFT FAC/NCK/HF/G
—
$7,464
$10,401
7
clean

Showing the first 200 of 18,811 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_cash_above_gross_systematic
186 of 1,274 comparable items (15%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. discounted cash price $1,434 exceeds gross charge $1,362
warn
mrf_negotiated_above_gross_systematic
627 of 1,686 comparable items (37%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $3,363 exceeds the gross charge $2,784
warn
mrf_rate_without_estimate
202,942 of 202,942 percentage/algorithm rates across 16,499 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 28510/o
info
mrf_cash_above_gross
discounted cash price $489 exceeds gross charge $313 — part of a file-wide pattern, counted once at the file level
CPT 81406/o
info
mrf_cash_above_gross
discounted cash price $606 exceeds gross charge $390 — part of a file-wide pattern, counted once at the file level
CPT 28540/o
info
mrf_cash_above_gross
discounted cash price $489 exceeds gross charge $366 — part of a file-wide pattern, counted once at the file level
CPT 28575/o
info
mrf_cash_above_gross
discounted cash price $6,615 exceeds gross charge $3,137 — part of a file-wide pattern, counted once at the file level
CPT 81515/o
info
mrf_cash_above_gross
discounted cash price $563 exceeds gross charge $552 — part of a file-wide pattern, counted once at the file level
CPT 10035/o
info
mrf_cash_above_gross
discounted cash price $1,434 exceeds gross charge $1,362 — part of a file-wide pattern, counted once at the file level
CPT 29086/o
info
mrf_cash_above_gross
discounted cash price $322 exceeds gross charge $107 — part of a file-wide pattern, counted once at the file level
CPT 10080/o
info
mrf_cash_above_gross
discounted cash price $1,434 exceeds gross charge $845 — part of a file-wide pattern, counted once at the file level
CPT 10180/o
info
mrf_cash_above_gross
discounted cash price $5,835 exceeds gross charge $3,371 — part of a file-wide pattern, counted once at the file level
CPT 11055/o
info
mrf_cash_above_gross
discounted cash price $405 exceeds gross charge $291 — part of a file-wide pattern, counted once at the file level
CPT 30300/o
info
mrf_cash_above_gross
discounted cash price $263 exceeds gross charge $260 — part of a file-wide pattern, counted once at the file level
CPT 11404/o
info
mrf_cash_above_gross
discounted cash price $3,303 exceeds gross charge $2,975 — part of a file-wide pattern, counted once at the file level
CPT 87507/o
info
mrf_cash_above_gross
discounted cash price $893 exceeds gross charge $724 — part of a file-wide pattern, counted once at the file level
CPT 64628/o
info
mrf_cash_above_gross
discounted cash price $26,233 exceeds gross charge $20,831 — part of a file-wide pattern, counted once at the file level
CPT 87625/o
info
mrf_cash_above_gross
discounted cash price $87 exceeds gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 11760/o
info
mrf_cash_above_gross
discounted cash price $1,248 exceeds gross charge $710 — part of a file-wide pattern, counted once at the file level
CPT 32550/o
info
mrf_cash_above_gross
discounted cash price $7,195 exceeds gross charge $6,168 — part of a file-wide pattern, counted once at the file level
CPT 11765/o
info
mrf_cash_above_gross
discounted cash price $815 exceeds gross charge $663 — part of a file-wide pattern, counted once at the file level
CPT 87634/o
info
mrf_cash_above_gross
discounted cash price $150 exceeds gross charge $146 — part of a file-wide pattern, counted once at the file level
CPT 11900/o
info
mrf_cash_above_gross
discounted cash price $405 exceeds gross charge $399 — part of a file-wide pattern, counted once at the file level
CPT 65205/o
info
mrf_cash_above_gross
discounted cash price $263 exceeds gross charge $228 — part of a file-wide pattern, counted once at the file level
CPT 32556/o
info
mrf_cash_above_gross
discounted cash price $3,868 exceeds gross charge $3,452 — part of a file-wide pattern, counted once at the file level
CPT 65210/o
info
mrf_cash_above_gross
discounted cash price $814 exceeds gross charge $632 — part of a file-wide pattern, counted once at the file level
CPT 65220/o
info
mrf_cash_above_gross
discounted cash price $814 exceeds gross charge $632 — part of a file-wide pattern, counted once at the file level
CPT J9228/o
info
mrf_cash_above_gross
discounted cash price $367 exceeds gross charge $34 — part of a file-wide pattern, counted once at the file level
CPT 65222/o
info
mrf_cash_above_gross
discounted cash price $263 exceeds gross charge $228 — part of a file-wide pattern, counted once at the file level
CPT 88172/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $290 — part of a file-wide pattern, counted once at the file level
CPT 33215/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $4,505 — part of a file-wide pattern, counted once at the file level
CPT 65435/o
info
mrf_cash_above_gross
discounted cash price $1,975 exceeds gross charge $1,800 — part of a file-wide pattern, counted once at the file level
CPT 88184/o
info
mrf_cash_above_gross
discounted cash price $733 exceeds gross charge $313 — part of a file-wide pattern, counted once at the file level
CPT J9268/o
info
mrf_cash_above_gross
discounted cash price $5,571 exceeds gross charge $4,922 — part of a file-wide pattern, counted once at the file level
CPT 33216/o
info
mrf_cash_above_gross
discounted cash price $16,873 exceeds gross charge $12,835 — part of a file-wide pattern, counted once at the file level
CPT 67028/o
info
mrf_cash_above_gross
discounted cash price $676 exceeds gross charge $536 — part of a file-wide pattern, counted once at the file level
CPT 68200/o
info
mrf_cash_above_gross
discounted cash price $814 exceeds gross charge $517 — part of a file-wide pattern, counted once at the file level
CPT 33274/o
info
mrf_cash_above_gross
discounted cash price $38,882 exceeds gross charge $34,859 — part of a file-wide pattern, counted once at the file level
CPT 69000/o
info
mrf_cash_above_gross
discounted cash price $1,434 exceeds gross charge $845 — part of a file-wide pattern, counted once at the file level
CPT 12031/o
info
mrf_cash_above_gross
discounted cash price $815 exceeds gross charge $740 — part of a file-wide pattern, counted once at the file level
CPT 33285/o
info
mrf_cash_above_gross
discounted cash price $16,873 exceeds gross charge $9,216 — part of a file-wide pattern, counted once at the file level
CPT 69005/o
info
mrf_cash_above_gross
discounted cash price $3,303 exceeds gross charge $1,977 — part of a file-wide pattern, counted once at the file level
CPT 69200/o
info
mrf_cash_above_gross
discounted cash price $263 exceeds gross charge $260 — part of a file-wide pattern, counted once at the file level
CPT 35206/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $3,197 — part of a file-wide pattern, counted once at the file level
CPT 35207/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $3,320 — part of a file-wide pattern, counted once at the file level
CPT 88319/o
info
mrf_cash_above_gross
discounted cash price $1,666 exceeds gross charge $704 — part of a file-wide pattern, counted once at the file level
CPT 12041/o
info
mrf_cash_above_gross
discounted cash price $815 exceeds gross charge $740 — part of a file-wide pattern, counted once at the file level
CPT 88333/o
info
mrf_cash_above_gross
discounted cash price $1,666 exceeds gross charge $712 — part of a file-wide pattern, counted once at the file level
CPT 83698/o
info
mrf_cash_above_gross
discounted cash price $99 exceeds gross charge $67 — part of a file-wide pattern, counted once at the file level
CPT 88344/o
info
mrf_cash_above_gross
discounted cash price $733 exceeds gross charge $375 — part of a file-wide pattern, counted once at the file level
CPT 12047/o
info
mrf_cash_above_gross
discounted cash price $3,729 exceeds gross charge $2,239 — part of a file-wide pattern, counted once at the file level
CPT 88346/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $313 — part of a file-wide pattern, counted once at the file level
CPT 12051/o
info
mrf_cash_above_gross
discounted cash price $815 exceeds gross charge $740 — part of a file-wide pattern, counted once at the file level
CPT 88348/o
info
mrf_cash_above_gross
discounted cash price $1,666 exceeds gross charge $441 — part of a file-wide pattern, counted once at the file level
CPT 88355/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $272 — part of a file-wide pattern, counted once at the file level
CPT L1850/o
info
mrf_cash_above_gross
discounted cash price $664 exceeds gross charge $424 — part of a file-wide pattern, counted once at the file level
CPT 36223/o
info
mrf_cash_above_gross
discounted cash price $11,021 exceeds gross charge $10,458 — part of a file-wide pattern, counted once at the file level
CPT 88361/o
info
mrf_cash_above_gross
discounted cash price $733 exceeds gross charge $636 — part of a file-wide pattern, counted once at the file level
CPT 88365/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $172 — part of a file-wide pattern, counted once at the file level
CPT 13120/o
info
mrf_cash_above_gross
discounted cash price $1,248 exceeds gross charge $710 — part of a file-wide pattern, counted once at the file level
CPT 88367/o
info
mrf_cash_above_gross
discounted cash price $733 exceeds gross charge $313 — part of a file-wide pattern, counted once at the file level
CPT 88368/o
info
mrf_cash_above_gross
discounted cash price $733 exceeds gross charge $313 — part of a file-wide pattern, counted once at the file level
CPT 13132/o
info
mrf_cash_above_gross
discounted cash price $1,248 exceeds gross charge $815 — part of a file-wide pattern, counted once at the file level
CPT 36251/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $6,284 — part of a file-wide pattern, counted once at the file level
CPT C5273/o
info
mrf_cash_above_gross
discounted cash price $3,729 exceeds gross charge $2,241 — part of a file-wide pattern, counted once at the file level
CPT 15050/o
info
mrf_cash_above_gross
discounted cash price $1,248 exceeds gross charge $732 — part of a file-wide pattern, counted once at the file level
CPT 36482/o
info
mrf_cash_above_gross
discounted cash price $11,021 exceeds gross charge $7,828 — part of a file-wide pattern, counted once at the file level
CPT 15271/o
info
mrf_cash_above_gross
discounted cash price $3,729 exceeds gross charge $2,241 — part of a file-wide pattern, counted once at the file level
CPT 36555/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $3,105 — part of a file-wide pattern, counted once at the file level
CPT 90791/o
info
mrf_cash_above_gross
discounted cash price $328 exceeds gross charge $236 — part of a file-wide pattern, counted once at the file level
CPT 15273/o
info
mrf_cash_above_gross
discounted cash price $7,464 exceeds gross charge $3,929 — part of a file-wide pattern, counted once at the file level
CPT 90832/o
info
mrf_cash_above_gross
discounted cash price $328 exceeds gross charge $307 — part of a file-wide pattern, counted once at the file level
CPT 90834/o
info
mrf_cash_above_gross
discounted cash price $328 exceeds gross charge $315 — part of a file-wide pattern, counted once at the file level
CPT 15275/o
info
mrf_cash_above_gross
discounted cash price $3,729 exceeds gross charge $2,241 — part of a file-wide pattern, counted once at the file level
CPT 36573/o
info
mrf_cash_above_gross
discounted cash price $3,167 exceeds gross charge $2,905 — part of a file-wide pattern, counted once at the file level
CPT 15277/o
info
mrf_cash_above_gross
discounted cash price $3,729 exceeds gross charge $2,241 — part of a file-wide pattern, counted once at the file level
CPT 36584/o
info
mrf_cash_above_gross
discounted cash price $3,167 exceeds gross charge $2,834 — part of a file-wide pattern, counted once at the file level
CPT P9612/o
info
mrf_cash_above_gross
discounted cash price $19 exceeds gross charge $9 — part of a file-wide pattern, counted once at the file level
CPT 91010/o
info
mrf_cash_above_gross
discounted cash price $1,082 exceeds gross charge $769 — part of a file-wide pattern, counted once at the file level
CPT 36590/o
info
mrf_cash_above_gross
discounted cash price $3,167 exceeds gross charge $1,460 — part of a file-wide pattern, counted once at the file level
CPT 36591/o
info
mrf_cash_above_gross
discounted cash price $263 exceeds gross charge $158 — part of a file-wide pattern, counted once at the file level
CPT 36592/o
info
mrf_cash_above_gross
discounted cash price $263 exceeds gross charge $158 — part of a file-wide pattern, counted once at the file level
CPT 36680/o
info
mrf_cash_above_gross
discounted cash price $814 exceeds gross charge $632 — part of a file-wide pattern, counted once at the file level
CPT 19281/o
info
mrf_cash_above_gross
discounted cash price $3,303 exceeds gross charge $1,059 — part of a file-wide pattern, counted once at the file level
CPT 36902/o
info
mrf_cash_above_gross
discounted cash price $11,624 exceeds gross charge $10,728 — part of a file-wide pattern, counted once at the file level
CPT 19283/o
info
mrf_cash_above_gross
discounted cash price $1,434 exceeds gross charge $1,098 — part of a file-wide pattern, counted once at the file level
CPT 36903/o
info
mrf_cash_above_gross
discounted cash price $23,121 exceeds gross charge $21,685 — part of a file-wide pattern, counted once at the file level
CPT 85097/o
info
mrf_cash_above_gross
discounted cash price $1,666 exceeds gross charge $704 — part of a file-wide pattern, counted once at the file level
CPT 19287/o
info
mrf_cash_above_gross
discounted cash price $1,434 exceeds gross charge $1,395 — part of a file-wide pattern, counted once at the file level
CPT 36904/o
info
mrf_cash_above_gross
discounted cash price $11,624 exceeds gross charge $11,264 — part of a file-wide pattern, counted once at the file level
CPT 20206/o
info
mrf_cash_above_gross
discounted cash price $3,303 exceeds gross charge $2,968 — part of a file-wide pattern, counted once at the file level
CPT 36905/o
info
mrf_cash_above_gross
discounted cash price $23,121 exceeds gross charge $21,685 — part of a file-wide pattern, counted once at the file level
CPT 37184/o
info
mrf_cash_above_gross
discounted cash price $36,610 exceeds gross charge $21,341 — part of a file-wide pattern, counted once at the file level
CPT 20240/o
info
mrf_cash_above_gross
discounted cash price $5,835 exceeds gross charge $4,912 — part of a file-wide pattern, counted once at the file level
CPT 37187/o
info
mrf_cash_above_gross
discounted cash price $23,121 exceeds gross charge $16,601 — part of a file-wide pattern, counted once at the file level
CPT Q9969/o
info
mrf_cash_above_gross
discounted cash price $20 exceeds gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT G0379/o
info
mrf_cash_above_gross
discounted cash price $1,250 exceeds gross charge $767 — part of a file-wide pattern, counted once at the file level
CPT 37213/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $6,066 — part of a file-wide pattern, counted once at the file level
CPT 37214/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $4,697 — part of a file-wide pattern, counted once at the file level
CPT 74485/o
info
mrf_cash_above_gross
discounted cash price $4,176 exceeds gross charge $3,625 — part of a file-wide pattern, counted once at the file level
CPT 75605/o
info
mrf_cash_above_gross
discounted cash price $11,021 exceeds gross charge $8,358 — part of a file-wide pattern, counted once at the file level
CPT J0257/o
info
mrf_cash_above_gross
discounted cash price $11 exceeds gross charge $2 — part of a file-wide pattern, counted once at the file level
CPT 75625/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $5,726 — part of a file-wide pattern, counted once at the file level
CPT 20982/o
info
mrf_cash_above_gross
discounted cash price $26,233 exceeds gross charge $12,273 — part of a file-wide pattern, counted once at the file level
CPT 37225/o
info
mrf_cash_above_gross
discounted cash price $36,610 exceeds gross charge $25,530 — part of a file-wide pattern, counted once at the file level
CPT 75630/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $6,183 — part of a file-wide pattern, counted once at the file level
CPT 93624/o
info
mrf_cash_above_gross
discounted cash price $15,471 exceeds gross charge $10,221 — part of a file-wide pattern, counted once at the file level
CPT 93797/o
info
mrf_cash_above_gross
discounted cash price $257 exceeds gross charge $226 — part of a file-wide pattern, counted once at the file level
CPT 75710/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $5,726 — part of a file-wide pattern, counted once at the file level
CPT 21480/o
info
mrf_cash_above_gross
discounted cash price $489 exceeds gross charge $313 — part of a file-wide pattern, counted once at the file level
CPT 37229/o
info
mrf_cash_above_gross
discounted cash price $36,610 exceeds gross charge $25,530 — part of a file-wide pattern, counted once at the file level
CPT 75716/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $5,726 — part of a file-wide pattern, counted once at the file level
CPT 37230/o
info
mrf_cash_above_gross
discounted cash price $36,610 exceeds gross charge $25,530 — part of a file-wide pattern, counted once at the file level
CPT 75736/o
info
mrf_cash_above_gross
discounted cash price $11,021 exceeds gross charge $8,358 — part of a file-wide pattern, counted once at the file level
CPT 75741/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $5,726 — part of a file-wide pattern, counted once at the file level
CPT 22869/o
info
mrf_cash_above_gross
discounted cash price $26,233 exceeds gross charge $20,658 — part of a file-wide pattern, counted once at the file level
CPT 75743/o
info
mrf_cash_above_gross
discounted cash price $6,417 exceeds gross charge $5,726 — part of a file-wide pattern, counted once at the file level
CPT 94070/o
info
mrf_cash_above_gross
discounted cash price $635 exceeds gross charge $558 — part of a file-wide pattern, counted once at the file level
CPT 37248/o
info
mrf_cash_above_gross
discounted cash price $11,624 exceeds gross charge $8,195 — part of a file-wide pattern, counted once at the file level
CPT 75820/o
info
mrf_cash_above_gross
discounted cash price $3,167 exceeds gross charge $2,052 — part of a file-wide pattern, counted once at the file level
CPT 94618/o
info
mrf_cash_above_gross
discounted cash price $263 exceeds gross charge $204 — part of a file-wide pattern, counted once at the file level
CPT 94642/o
info
mrf_cash_above_gross
discounted cash price $415 exceeds gross charge $351 — part of a file-wide pattern, counted once at the file level
CPT 38222/o
info
mrf_cash_above_gross
discounted cash price $5,835 exceeds gross charge $4,566 — part of a file-wide pattern, counted once at the file level
CPT 24505/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $1,911 — part of a file-wide pattern, counted once at the file level
CPT 94668/o
info
mrf_cash_above_gross
discounted cash price $263 exceeds gross charge $202 — part of a file-wide pattern, counted once at the file level
CPT 24535/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $1,911 — part of a file-wide pattern, counted once at the file level
CPT 40800/o
info
mrf_cash_above_gross
discounted cash price $1,434 exceeds gross charge $845 — part of a file-wide pattern, counted once at the file level
CPT 94669/o
info
mrf_cash_above_gross
discounted cash price $415 exceeds gross charge $320 — part of a file-wide pattern, counted once at the file level
CPT 24620/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $2,415 — part of a file-wide pattern, counted once at the file level
CPT 94726/o
info
mrf_cash_above_gross
discounted cash price $635 exceeds gross charge $324 — part of a file-wide pattern, counted once at the file level
CPT 41250/o
info
mrf_cash_above_gross
discounted cash price $814 exceeds gross charge $414 — part of a file-wide pattern, counted once at the file level
CPT 95070/o
info
mrf_cash_above_gross
discounted cash price $1,082 exceeds gross charge $1,071 — part of a file-wide pattern, counted once at the file level
CPT 25505/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $2,415 — part of a file-wide pattern, counted once at the file level
CPT J1212/o
info
mrf_cash_above_gross
discounted cash price $1,459 exceeds gross charge $754 — part of a file-wide pattern, counted once at the file level
CPT 25520/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $2,447 — part of a file-wide pattern, counted once at the file level
CPT 42809/o
info
mrf_cash_above_gross
discounted cash price $814 exceeds gross charge $639 — part of a file-wide pattern, counted once at the file level
CPT 25565/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $2,264 — part of a file-wide pattern, counted once at the file level
CPT 77091/o
info
mrf_cash_above_gross
discounted cash price $180 exceeds gross charge $169 — part of a file-wide pattern, counted once at the file level
CPT 95907/o
info
mrf_cash_above_gross
discounted cash price $319 exceeds gross charge $315 — part of a file-wide pattern, counted once at the file level
CPT 25605/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $2,697 — part of a file-wide pattern, counted once at the file level
CPT 43266/o
info
mrf_cash_above_gross
discounted cash price $12,137 exceeds gross charge $8,962 — part of a file-wide pattern, counted once at the file level
CPT 95908/o
info
mrf_cash_above_gross
discounted cash price $635 exceeds gross charge $541 — part of a file-wide pattern, counted once at the file level
CPT 43752/o
info
mrf_cash_above_gross
discounted cash price $814 exceeds gross charge $632 — part of a file-wide pattern, counted once at the file level
CPT 26011/o
info
mrf_cash_above_gross
discounted cash price $3,303 exceeds gross charge $2,385 — part of a file-wide pattern, counted once at the file level
CPT 95911/o
info
mrf_cash_above_gross
discounted cash price $1,082 exceeds gross charge $998 — part of a file-wide pattern, counted once at the file level
CPT 26236/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $1,838 — part of a file-wide pattern, counted once at the file level
CPT 95912/o
info
mrf_cash_above_gross
discounted cash price $1,082 exceeds gross charge $1,054 — part of a file-wide pattern, counted once at the file level
CPT 47531/o
info
mrf_cash_above_gross
discounted cash price $7,195 exceeds gross charge $6,098 — part of a file-wide pattern, counted once at the file level
CPT 96112/o
info
mrf_cash_above_gross
discounted cash price $319 exceeds gross charge $312 — part of a file-wide pattern, counted once at the file level
CPT 96360/o
info
mrf_cash_above_gross
discounted cash price $430 exceeds gross charge $416 — part of a file-wide pattern, counted once at the file level
CPT 49423/o
info
mrf_cash_above_gross
discounted cash price $3,868 exceeds gross charge $3,766 — part of a file-wide pattern, counted once at the file level
CPT 27197/o
info
mrf_cash_above_gross
discounted cash price $489 exceeds gross charge $355 — part of a file-wide pattern, counted once at the file level
CPT 96373/o
info
mrf_cash_above_gross
discounted cash price $430 exceeds gross charge $284 — part of a file-wide pattern, counted once at the file level
CPT 27279/o
info
mrf_cash_above_gross
discounted cash price $37,494 exceeds gross charge $27,137 — part of a file-wide pattern, counted once at the file level
CPT 50200/o
info
mrf_cash_above_gross
discounted cash price $3,303 exceeds gross charge $2,385 — part of a file-wide pattern, counted once at the file level
CPT 27502/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $2,714 — part of a file-wide pattern, counted once at the file level
CPT 27503/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $1,911 — part of a file-wide pattern, counted once at the file level
CPT 96413/o
info
mrf_cash_above_gross
discounted cash price $676 exceeds gross charge $455 — part of a file-wide pattern, counted once at the file level
CPT 50436/o
info
mrf_cash_above_gross
discounted cash price $7,032 exceeds gross charge $4,201 — part of a file-wide pattern, counted once at the file level
CPT 96450/o
info
mrf_cash_above_gross
discounted cash price $676 exceeds gross charge $505 — part of a file-wide pattern, counted once at the file level
CPT 27752/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $3,103 — part of a file-wide pattern, counted once at the file level
CPT 86885/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $244 — part of a file-wide pattern, counted once at the file level
CPT 27762/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $3,103 — part of a file-wide pattern, counted once at the file level
CPT 86886/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $272 — part of a file-wide pattern, counted once at the file level
CPT 27768/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $1,911 — part of a file-wide pattern, counted once at the file level
CPT 86900/o
info
mrf_cash_above_gross
discounted cash price $263 exceeds gross charge $130 — part of a file-wide pattern, counted once at the file level
CPT 27781/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $2,415 — part of a file-wide pattern, counted once at the file level
CPT 55100/o
info
mrf_cash_above_gross
discounted cash price $3,303 exceeds gross charge $1,663 — part of a file-wide pattern, counted once at the file level
CPT 86901/o
info
mrf_cash_above_gross
discounted cash price $80 exceeds gross charge $75 — part of a file-wide pattern, counted once at the file level
CPT 86902/o
info
mrf_cash_above_gross
discounted cash price $733 exceeds gross charge $298 — part of a file-wide pattern, counted once at the file level
CPT 27810/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $1,911 — part of a file-wide pattern, counted once at the file level
CPT 81207/o
info
mrf_cash_above_gross
discounted cash price $310 exceeds gross charge $276 — part of a file-wide pattern, counted once at the file level
CPT 27818/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $1,911 — part of a file-wide pattern, counted once at the file level
CPT 81220/o
info
mrf_cash_above_gross
discounted cash price $1,192 exceeds gross charge $680 — part of a file-wide pattern, counted once at the file level
CPT 86920/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $244 — part of a file-wide pattern, counted once at the file level
CPT 59000/o
info
mrf_cash_above_gross
discounted cash price $1,775 exceeds gross charge $1,420 — part of a file-wide pattern, counted once at the file level
CPT 81229/o
info
mrf_cash_above_gross
discounted cash price $2,485 exceeds gross charge $190 — part of a file-wide pattern, counted once at the file level
CPT 86921/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $164 — part of a file-wide pattern, counted once at the file level
CPT J2426/o
info
mrf_cash_above_gross
discounted cash price $30 exceeds gross charge $24 — part of a file-wide pattern, counted once at the file level
CPT 86922/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $202 — part of a file-wide pattern, counted once at the file level
CPT 28232/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $2,338 — part of a file-wide pattern, counted once at the file level
CPT 60699/o
info
mrf_cash_above_gross
discounted cash price $11,895 exceeds gross charge $8,945 — part of a file-wide pattern, counted once at the file level
CPT 81279/o
info
mrf_cash_above_gross
discounted cash price $397 exceeds gross charge $354 — part of a file-wide pattern, counted once at the file level
CPT 86927/o
info
mrf_cash_above_gross
discounted cash price $349 exceeds gross charge $290 — part of a file-wide pattern, counted once at the file level
CPT 28435/o
info
mrf_cash_above_gross
discounted cash price $3,263 exceeds gross charge $1,654 — part of a file-wide pattern, counted once at the file level
CPT 81339/o
info
mrf_cash_above_gross
discounted cash price $397 exceeds gross charge $354 — part of a file-wide pattern, counted once at the file level
CPT J2690/o
info
mrf_cash_above_gross
discounted cash price $373 exceeds gross charge $185 — part of a file-wide pattern, counted once at the file level
CPT 28475/o
info
mrf_cash_above_gross
discounted cash price $489 exceeds gross charge $333 — part of a file-wide pattern, counted once at the file level
CPT 81350/o
info
mrf_cash_above_gross
discounted cash price $501 exceeds gross charge $386 — part of a file-wide pattern, counted once at the file level
CPT J2850/o
info
mrf_cash_under_tenth_of_gross
cash price $87 is 3% of the gross charge $2,651
CPT J3095/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 0% of the gross charge $3,548
CPT 82009/o
info
mrf_cash_under_tenth_of_gross
cash price $10 is 9% of the gross charge $109
CPT J3101/o
info
mrf_cash_under_tenth_of_gross
cash price $331 is 1% of the gross charge $33,064
CPT J3111/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 0% of the gross charge $9,430
CPT J3262/o
info
mrf_cash_under_tenth_of_gross
cash price $12 is 0% of the gross charge $15,510
CPT J3304/o
info
mrf_cash_under_tenth_of_gross
cash price $37 is 1% of the gross charge $3,895
CPT J3357/o
info
mrf_cash_under_tenth_of_gross
cash price $318 is 1% of the gross charge $62,602
CPT J3358/o
info
mrf_cash_under_tenth_of_gross
cash price $26 is 0% of the gross charge $9,811
CPT 87205/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 7% of the gross charge $136
CPT 29260/o
info
mrf_cash_under_tenth_of_gross
cash price $121 is 10% of the gross charge $1,229

Showing the first 200 of 1,683 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 86.5M bytes · fetched 2026-08-26 · sha256 113891f1fedf…

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.