What the hospital's price-transparency file says
Found via /cms-hpt.txt,
the file itself ↗ read as csv-tall,
last updated 2026-08-01, template 3.0.0,
141,026 rows scanned, 225 distinct code–setting items kept.
30 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
COLLECTION FEE
$32
—
—
0
clean
CHEM 8 BASIC METABOLIC PANEL
$23
—
—
0
clean
ELECTROLYTYE PROFILE
$67
—
—
0
clean
CHEM 14 (COMPREHENSIVE METABOLIC PANEL)
$140
—
—
0
clean
LIPID GROUP PROFILE #2
$128
—
—
0
clean
RENAL PROFILE
$46
—
—
0
clean
LIVER PROFILE
$75
—
—
0
clean
HEPATIC FUNCTION PANEL
$31
—
—
0
clean
CARBAMAZEPINE
$178
—
—
0
clean
CYCLOSPORINE LEVEL KC
$209
—
—
0
clean
CLOZAPINE (CLOZARIL)
$154
—
—
0
clean
VALPROIC
$188
—
—
0
clean
LAMOTRIGINE (LAMICTAL)
$121
—
—
0
clean
LEVETIRACETAM (KEPPRA)
$146
—
—
0
clean
OXCARBAZEPINE AS METABOLITE (SERUM/PLASMA)
$129
—
—
0
clean
PHENOBARBITAL, FREE, SERUM OR PLASMA
$106
—
—
0
clean
DILANTIN (PHENYTOIN)SERUM
$181
—
—
0
clean
TOPIRAMATE
$161
—
—
0
clean
VANCO MYCIN TROUGH
$87
—
—
0
clean
ACETAM SC ACETAMINOPHEN SCREEN SERUM
$70
—
—
0
clean
URINALYSIS W/REFLEX MICROSCOPIC EXAM
$11
—
—
0
clean
URINALYSIS, COMPLETE
$75
—
—
0
clean
URINALYSIS W/ MICROSCOPIC
$26
—
—
0
clean
UCG PREG URINE TEST
$65
—
—
0
clean
FSH (FOL STIM HORMONE)
$170
—
—
0
clean
ACTH, PLASMA
$172
—
—
0
clean
AFP, SERUM, TUMOR MARKER
$87
—
—
0
clean
AMMONIA LEVEL(BLOOD)
$135
—
—
0
clean
AMYLASE, URINE
$90
—
—
0
clean
HEAVY METALS PROFILE 1
$821
—
—
0
clean
BILIRUBIN TOTAL
$16
—
—
0
clean
BILIRUBIN DIRECT
$16
—
—
0
clean
CULTURE-BLOOD STOOL
$49
—
—
0
clean
FIT (FECAL IMMUNOCHEMICAL)
$85
—
—
0
clean
VITAMIN D, 25-HYDROXY TOTAL
$153
—
—
0
clean
CALCIUM IONIZED
$91
—
—
0
clean
CORTISOL, SERUM OR PLASMA
$196
—
—
0
clean
ANAFRANIL LEVEL
$191
—
—
0
clean
CPK LEVEL
$52
—
—
0
clean
CREATININE
$25
—
—
0
clean
B-12 VITAMIN LEVEL
$188
—
—
0
clean
ESTRADIOL,SERUM OR PLASMA
$333
—
—
0
clean
FERRITIN
$268
—
—
0
clean
FOLATE, SERUM OR PLASMA
$208
—
—
0
clean
GLUCOSE TOL TEST - 4 HR
$202
—
—
0
clean
GAMMA GLUTAMYL TRANSFERASE (GGT)
$31
—
—
0
clean
FOLLICLE STIMULATING HORMONE - FSH, SERUM
$93
—
—
0
clean
LH/FSH GROUP
$244
—
—
0
clean
HAPTOGLOBIN
$69
—
—
0
clean
HGB ELECTROPHORESIS
$159
—
—
0
clean
A1C HEMOGLOBIN (GLYCOSYLATED)
$85
—
—
0
clean
17-HYDROXYPROGESTERONE
$265
—
—
0
clean
PROGRAF LEVEL
$730
—
—
0
clean
IRON GROUP
$52
—
—
0
clean
IRON BINDING CAPACITY
$106
—
—
0
clean
LDH LACTATE DEHYDROGENASE
$21
—
—
0
clean
LEAD LEVEL
$74
—
—
0
clean
HDL & LDL CHOLESTEROL
$75
—
—
0
clean
MAGNESIUM, URINE
$81
—
—
0
clean
BRAIN PEP (BNP)
$91
—
—
0
clean
CARBOHYDRATE-DEF TRANSFERRIN CDT ULTRAQUANT
$328
—
—
0
clean
METHYLMALONIC ACID
$331
—
—
0
clean
OSMOLALITY SERUM/PLASMA
$84
—
—
0
clean
PARATHYROOID HORMONE/ CALCIUM
$161
—
—
0
clean
PHOSPHOUS LEVEL
$46
—
—
0
clean
POTASSIUM, PLASMA
$41
—
—
0
clean
PRE ALBUMIN
$95
—
—
0
clean
PROGESTERONE, SERUM
$93
—
—
0
clean
PROLACTIN LEVEL
$191
—
—
0
clean
PSA-PROSTATIC SPEC ANTIGE
$128
—
—
0
clean
PROTEIN, TOTAL
$61
—
—
0
clean
PTOTEIN, TOTAL, URINE
$33
—
—
0
clean
SEX HORM BINDING GLOB
$107
—
—
0
clean
SODIUM URINE RANDOM
$10
—
—
0
clean
TESTOSTERONE LEVEL
$402
—
—
0
clean
THYROXINE (T4)
$9
—
—
0
clean
TSH-THYROID STIM HORMONE
$128
—
—
0
clean
AST (SGOT)
$31
—
—
0
clean
T3 UPTAKE
$25
—
—
0
clean
T3, FREE TOTAL (TRIIODOTHYRONINE)
$73
—
—
0
clean
T3, FREE (TRIIODOTHYRONINE)
$8
—
—
0
clean
TROPONIN-I
$81
—
—
0
clean
URIC ACID
$25
—
—
0
clean
ZINC LEVEL
$93
—
—
0
clean
HCG,BETA SUBUNITE,SERUM Q
$159
—
—
0
clean
BETA-HCG PREGNANCY TEST
$27
—
—
0
clean
BLEEDING TIME
$55
—
—
0
clean
WBC DIFFERENTIAL COUNT, MANUAL
$21
—
—
0
clean
HCT DET HEMATOCRIT
$7
—
—
0
clean
CBC W/5 PART DIFF
$66
—
—
0
clean
CBC W/O DIFFERENTIAL
$51
—
—
0
clean
RETICULOCYTE COUNT
$44
—
—
0
clean
IPF LEVEL IMMATURE PLATELET FRACTION
$97
—
—
0
clean
D-DIMER, QUANTITATIVE
$87
—
—
0
clean
PT - PROTHROMBIN TIME
$49
—
—
0
clean
SEDIMENTATION RATE
$40
—
—
0
clean
ERYTHROCYTE SEDIMENTATION RATE (ESR) (SED RATE)
$23
—
—
0
clean
PTT - PATRIAL THROMOBOPLA
$65
—
—
0
clean
PLATELET AUTOANTIBODY - (PLT AUTOBA)
$191
—
—
0
clean
ANTINUCLEAR ANTIBODY SCRE
$106
—
—
0
clean
ANTI-STREPTOLYSIN O TITER (ASO)
$11
—
—
0
clean
C-REACTIVE PROTEIN (CRP) QUANT
$57
—
—
0
clean
ANTI-DSDNA ANTIBODIES
$65
—
—
0
clean
SJOGRENS SSA/SSB ANTIBODIES (ANTI-RO/ANIT-LA)
$125
—
—
0
clean
PHOSPHOLIPASE A2REC. IGG RFLX TITER
$254
—
—
0
clean
LYMPH CD4 T4PERCENT/ABSOLUTE/WBC COUNT FLOW
$99
—
—
0
clean
TPO AB - THYROID PEROXIDASE ANTIBODY
$65
—
—
0
clean
RA FACTOR (RHEUMATOID FACTOR)
$31
—
—
0
clean
LYME AB IGG AND IGM
$92
—
—
0
clean
VARICELLA ZOSTER
$191
—
—
0
clean
HERPES SIMVIR 1/2 ABIGG
$274
—
—
0
clean
HEP BCOR T
$102
—
—
0
clean
HEPATITIS DIAGNOSTIC PANEL
$348
—
—
0
clean
TPPA (TREPONEMA PALLIDUM AB, PARTICLE AGGLUTINATION)
$105
—
—
0
clean
THYROID ANTIBODY GROUP
$159
—
—
0
clean
ANTIBODY IDENTIFICATION
$19
—
—
0
clean
BLOOD CULTURE
$163
—
—
0
clean
C&S CULTURE & SENSITIVITY
$65
—
—
0
clean
URINE REFLEX CULTURE
$85
—
—
0
clean
OVA + PARASITE
$99
—
—
0
clean
CULTURE SENSIVITITY
$83
—
—
0
clean
FUNGAL TISSUE EXAM - KOH
$52
—
—
0
clean
HIV AG/AB 4TH GEN
$42
—
—
0
clean
CLOSTRIDIUM DIFFICILE ANALYZER
$53
—
—
0
clean
CT/GC URINE CHLAMYDIA/GONORRHEA
$97
—
—
0
clean
FLU A/B PCR
$323
—
—
0
clean
HCV INDEX/ QUANT REFLEX TO GENOTYPE
$290
—
—
0
clean
HIV QT PCR (HIV 1 RNA PCR)
$516
—
—
0
clean
HIV 1 & 2 ANTIBODIES
$202
—
—
0
clean
HPV APTIMA
$188
—
—
0
clean
SARS-COV-2
$120
—
—
0
clean
HIV GENOTYPE SEQUENCEING
$450
—
—
0
clean
HEP C VIRAL RNA GENO 1 NS5A DRUG RESISTANT
$653
—
—
0
clean
PSYCHIATRIC DX EVALUATION
$297
—
—
0
clean
PSYCHOTHERAPY INDIVIDUAL 30 MIN.
$112
—
—
0
clean
PSYCHOTHERAPY INDIVIDUAL 45 MIN.
$170
—
—
0
clean
PSYCHOTHERAPY INDIVIDUAL 60 MIN
$255
—
—
0
clean
FAMILY GROUP
$265
—
—
0
clean
PROCESS GROUP
$308
—
—
0
clean
SPEECH PATH/VISIT
$128
—
—
0
clean
SPEECH THERAPY GROUP
$53
—
—
0
clean
EVAL SPEECH FLUENCY
$144
—
—
0
clean
EVAL SPEECH SOUND PRODUCTION
$125
—
—
0
clean
EVAL LANGUAGE COMPREHENSION/EXPRESSION
$250
—
—
0
clean
BH/QUAL ANALYSIS VOICE/RESONANCE
$120
—
—
0
clean
TRTMT SWALL DYSF FEEDING
$115
—
—
0
clean
THERAPEUTIC SERVICES-SPEECH GENERATING DEVICES
$255
—
—
0
clean
ASSESSMENT OF APHASIA (60 MIN)
$255
—
—
0
clean
PSYCH TESTING-BNCE
$430
—
—
0
clean
STANDARD COGNITIVE TESTING PER HR
$200
—
—
0
clean
PT-ELEC STIM
$32
—
—
0
clean
THERAPEUTIC EXERCISE
$69
—
—
0
clean
PT NEUROMUSCULAR REEDUCATION
$56
—
—
0
clean
PT GAIT TRAINING
$53
—
—
0
clean
PT-MASSAGE
$43
—
—
0
clean
ST COGNITIVE SKILLS DEVELOPMENT
$38
—
—
0
clean
ST COGNITIVE SKILLS ADDT'L 15 MIN
$20
—
—
0
clean
PT-MANUAL THPY TECH
$80
—
—
0
clean
PHYSICAL THERAPY GROUP
$250
—
—
0
clean
PHYSICAL THERAPY EVAL: LOW COMPLEXITY
$175
—
—
0
clean
PHYSICAL THERAPY EVAL: MODERATE COMPLEXITY
$175
—
—
0
clean
PHYSICAL THERAPY EVAL: HIGH COMPLEXITY
$175
—
—
0
clean
RE-EVAL PHYSICAL THERAPY
$175
—
—
0
clean
OCCUP THERAPY EVAL: LOW COMPLEXITY
$239
—
—
0
clean
OCCUP THERAPY EVAL: MODERATE COMPLEXITY
$239
—
—
0
clean
OCCUP THERAPY EVAL: HIGH COMPLEXITY
$239
—
—
0
clean
RE-EVAL OCCUP THERAPY
$117
—
—
0
clean
PT-THERAPEUTIC ACT
$53
—
—
0
clean
PT-SENSORY INTEG TECH
$48
—
—
0
clean
PT-ADL-ACT OF DLY LVG
$57
—
—
0
clean
PT-COMM REINTEG
$50
—
—
0
clean
PT-WC MGMT/PROP
$50
—
—
0
clean
PT-SPLINTING/CASTING
$62
—
—
0
clean
ORTHO/PROSTHETICS TRAINING
$53
—
—
0
clean
CHEM 22/SMAC
$85
—
—
0
clean
T7-THYROID PROFILE
$85
—
—
0
clean
CBC/CHEM14/T4/T3UP/T4/RPR
$330
—
—
0
clean
OPIATE SCREEN, URINE
$108
—
—
0
clean
DRUG SCREEN URINE,CLINICAL W/GCMS CONF.
$181
—
—
0
clean
DRUG SCREEN, URINE
$191
—
—
0
clean
BLOOD ALCOHOL,ETHYL,B/S
$194
—
—
0
clean
ACETAMINOPHEN
$285
—
—
0
clean
AMITRIPTYLINE LEVEL (ELAVIL)
$139
—
—
0
clean
TOFRANIL/IMIPRAMINE
$85
—
—
0
clean
DESI/IMIPRAMINE (SERUM)
$293
—
—
0
clean
BUPROPION S/P (WELLBUTRIN,ZYBAN)
$203
—
—
0
clean
LACOSAMIDE LEVEL
$227
—
—
0
clean
PHENOBARBITAL LEVEL
$80
—
—
0
clean
CLONAPIN/CLANAZEPAM
$255
—
—
0
clean
OPIATES, EXPANDED URINE
$305
—
—
0
clean
RETICULOCYTE (RETIC) COUNT
$27
—
—
0
clean
Showing the first 200 of 225 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
7,512 of 7,512 percentage/algorithm rates across 225 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 80053/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 80074/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 80091/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 80156/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 80162/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 80164/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 80303/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 80307/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 80335/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 80337/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 82150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 82270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 82533/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 82550/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 83550/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 86235/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 86780/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 87070/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 90853/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 90863/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 96100/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 96102/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 96116/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 96150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 97110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 97530/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 97535/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 98960/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 99367/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item