Hospital · CCN 390062

Conemaugh Nason Medical Center

105 Nason Drive, Roaring Spring, PA 16673 · Blair County
Part of Lifepoint Health · 45 beds · 5
Metropolitan area high commuting: primary flow 30% or more to a urbanized area of 50,000 and greater

5 admission types 36 outpatient services price file: ok
Billed per dollar paid, all admissions
2.51×
$3.9M billed against $1.6M paid across 107 Medicare discharges; the national figure is 5.03×.
2.4%
of adults in Blair County have medical debt in collections
6.3%
uninsured in the county · state 6.5%
$55K
median household income
4.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
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
33
$20,377
$13,620
1.5× st 5.2×
291
Heart failure and shock with mcc
26
$13,380
$9,381
1.4× st 5.2×
467
Revision of hip or knee replacement with cc
21
$91,185
$23,148
3.9× st 4.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
14
$32,477
$13,891
2.3× st 6.9×
481
Hip and femur procedures except major joint with cc
13
$40,495
$14,462
2.8× st 6.0×
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
5191
Level 1 Endovascular Procedures
178
$9,573
$2,903
3.3×
5115
Level 5 Musculoskeletal Procedures
87
$46,780
$11,508
4.1×
8011
Comprehensive Observation Services
74
$11,011
$2,419
4.6×
5193
Level 3 Endovascular Procedures
48
$28,511
$9,477
3.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
41
$6,217
$982
6.3×
5116
Level 6 Musculoskeletal Procedures
26
$75,054
$16,034
4.7×
5361
Level 1 Laparoscopy and Related Services
24
$15,374
$5,154
3.0×
5114
Level 4 Musculoskeletal Procedures
21
$31,415
$6,390
4.9×
5223
Level 3 Pacemaker and Similar Procedures
18
$38,354
$9,532
4.0×
5113
Level 3 Musculoskeletal Procedures
18
$16,902
$2,891
5.8×
5491
Level 1 Intraocular Procedures
12
$12,886
$2,081
6.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
11
$16,337
$3,090
5.3×
5373
Level 3 Urology and Related Services
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 7/30/2026, template 3.0.0, 2,112 rows scanned, 766 distinct code–setting items kept. 1 finding against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
—
—
$200,242
18
clean
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
—
—
$148,510
18
clean
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
—
—
$149,946
21
clean
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
—
—
$189,882
21
clean
LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
—
—
$88,431
18
clean
LIVER TRANSPLANT WITHOUT MCC
—
—
$105,807
18
clean
LUNG TRANSPLANT
—
—
$444,545
18
clean
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
—
—
$102,747
18
clean
PANCREAS TRANSPLANT
—
—
$58,975
18
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
—
—
$39,444
21
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
—
—
$30,491
21
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
—
—
$20,842
21
clean
ALLOGENEIC BONE MARROW TRANSPLANT
—
—
$85,893
18
clean
AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
—
—
$41,916
18
clean
AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
—
—
$37,820
18
clean
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
—
—
$634,797
21
clean
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS
—
—
$50,426
21
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
—
—
$65,065
21
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
—
—
$56,474
21
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
—
—
$50,331
21
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
—
—
$41,440
21
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
—
—
$28,292
21
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
—
—
$32,148
21
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
—
—
$21,996
21
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
—
—
$18,014
21
clean
SPINAL PROCEDURES WITH MCC
—
—
$42,471
21
clean
SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
—
—
$24,131
21
clean
SPINAL PROCEDURES WITHOUT CC/MCC
—
—
$15,540
21
clean
VENTRICULAR SHUNT PROCEDURES WITH MCC
—
—
$31,681
21
clean
VENTRICULAR SHUNT PROCEDURES WITH CC
—
—
$15,087
21
clean
VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC
—
—
$11,781
21
clean
CAROTID ARTERY STENT PROCEDURES WITH MCC
—
—
$27,994
21
clean
CAROTID ARTERY STENT PROCEDURES WITH CC
—
—
$17,289
21
clean
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
—
—
$13,757
21
clean
EXTRACRANIAL PROCEDURES WITH MCC
—
—
$23,809
21
clean
EXTRACRANIAL PROCEDURES WITH CC
—
—
$11,735
21
clean
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
—
—
$8,338
21
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
—
—
$27,307
21
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
—
—
$15,902
21
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
—
—
$12,324
21
clean
SPINAL DISORDERS AND INJURIES WITH CC/MCC
—
—
$13,100
21
clean
SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
—
—
$7,082
21
clean
NERVOUS SYSTEM NEOPLASMS WITH MCC
—
—
$10,820
21
clean
NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
—
—
$7,237
21
clean
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
—
—
$16,812
20
clean
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
—
—
$9,384
20
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
—
—
$12,110
21
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
—
—
$8,800
21
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
—
—
$6,532
21
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
—
—
$19,940
21
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
—
—
$12,709
21
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
—
—
$10,153
21
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
—
—
$14,239
21
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
—
—
$7,171
21
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
—
—
$4,950
21
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
—
—
$10,622
21
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
—
—
$6,252
21
clean
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
—
—
$5,678
21
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
—
—
$12,040
21
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
—
—
$7,420
21
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
—
—
$5,469
21
clean
CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
—
—
$11,367
21
clean
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
—
—
$7,316
21
clean
VIRAL MENINGITIS WITH CC/MCC
—
—
$13,579
21
clean
VIRAL MENINGITIS WITHOUT CC/MCC
—
—
$5,864
21
clean
HYPERTENSIVE ENCEPHALOPATHY WITH MCC
—
—
$10,888
14
clean
HYPERTENSIVE ENCEPHALOPATHY WITH CC
—
—
$7,033
14
clean
HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
—
—
$4,705
14
clean
NONTRAUMATIC STUPOR AND COMA WITH MCC
—
—
$12,955
20
clean
NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
—
—
$6,492
20
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
—
—
$16,530
21
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
—
—
$10,095
21
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
—
—
$6,786
21
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
—
—
$16,082
21
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
—
—
$9,237
21
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
—
—
$6,496
21
clean
CONCUSSION WITH MCC
—
—
$9,777
21
clean
CONCUSSION WITH CC
—
—
$7,795
21
clean
CONCUSSION WITHOUT CC/MCC
—
—
$5,954
21
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
—
—
$12,469
21
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
—
—
$7,399
21
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
—
—
$5,759
21
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
—
—
$25,453
21
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
—
—
$18,654
21
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
—
—
$18,252
21
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
—
—
$26,122
21
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
—
—
$16,244
21
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
—
—
$9,658
21
clean
SEIZURES WITH MCC
—
—
$13,715
21
clean
SEIZURES WITHOUT MCC
—
—
$6,411
21
clean
HEADACHES WITH MCC
—
—
$8,107
21
clean
HEADACHES WITHOUT MCC
—
—
$6,048
21
clean
ORBITAL PROCEDURES WITH CC/MCC
—
—
$17,004
21
clean
ORBITAL PROCEDURES WITHOUT CC/MCC
—
—
$9,785
21
clean
EXTRAOCULAR PROCEDURES EXCEPT ORBIT
—
—
$11,101
21
clean
INTRAOCULAR PROCEDURES WITH CC/MCC
—
—
$13,077
21
clean
INTRAOCULAR PROCEDURES WITHOUT CC/MCC
—
—
$7,846
21
clean
ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
—
—
$8,413
21
clean
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
—
—
$5,683
21
clean
NEUROLOGICAL EYE DISORDERS
—
—
$5,776
21
clean
OTHER DISORDERS OF THE EYE WITH MCC
—
—
$9,569
21
clean
OTHER DISORDERS OF THE EYE WITHOUT MCC
—
—
$5,526
21
clean
SINUS AND MASTOID PROCEDURES WITH CC/MCC
—
—
$15,694
21
clean
SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
—
—
$7,343
21
clean
MOUTH PROCEDURES WITH CC/MCC
—
—
$10,582
21
clean
MOUTH PROCEDURES WITHOUT CC/MCC
—
—
$6,307
21
clean
SALIVARY GLAND PROCEDURES
—
—
$8,763
21
clean
MAJOR HEAD AND NECK PROCEDURES WITH MCC
—
—
$30,848
21
clean
MAJOR HEAD AND NECK PROCEDURES WITH CC
—
—
$15,774
21
clean
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
—
—
$11,546
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
—
—
$26,497
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
—
—
$12,275
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
—
—
$8,527
21
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
—
—
$15,314
21
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
—
—
$9,196
21
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
—
—
$5,765
21
clean
DYSEQUILIBRIUM
—
—
$5,436
21
clean
EPISTAXIS WITH MCC
—
—
$9,630
21
clean
EPISTAXIS WITHOUT MCC
—
—
$5,309
21
clean
OTITIS MEDIA AND URI WITH MCC
—
—
$8,385
21
clean
OTITIS MEDIA AND URI WITHOUT MCC
—
—
$5,250
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
—
—
$11,308
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
—
—
$6,509
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
—
—
$4,917
21
clean
DENTAL AND ORAL DISEASES WITH MCC
—
—
$12,161
21
clean
DENTAL AND ORAL DISEASES WITH CC
—
—
$6,462
21
clean
DENTAL AND ORAL DISEASES WITHOUT CC/MCC
—
—
$5,040
21
clean
MAJOR CHEST PROCEDURES WITH MCC
—
—
$73,318
21
clean
MAJOR CHEST PROCEDURES WITH CC
—
—
$18,254
21
clean
MAJOR CHEST PROCEDURES WITHOUT CC/MCC
—
—
$13,555
21
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
—
—
$26,435
21
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
—
—
$13,043
21
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
—
—
$9,882
21
clean
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
—
—
$21,058
21
clean
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
—
—
$9,737
21
clean
PULMONARY EMBOLISM WITHOUT MCC
—
—
$5,822
21
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
—
—
$11,073
21
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
—
—
$7,059
21
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
—
—
$5,368
21
clean
RESPIRATORY NEOPLASMS WITH MCC
—
—
$12,509
21
clean
RESPIRATORY NEOPLASMS WITH CC
—
—
$7,600
21
clean
RESPIRATORY NEOPLASMS WITHOUT CC/MCC
—
—
$5,452
21
clean
MAJOR CHEST TRAUMA WITH MCC
—
—
$10,841
21
clean
MAJOR CHEST TRAUMA WITH CC
—
—
$7,551
21
clean
MAJOR CHEST TRAUMA WITHOUT CC/MCC
—
—
$5,641
21
clean
PLEURAL EFFUSION WITH MCC
—
—
$11,043
21
clean
PLEURAL EFFUSION WITH CC
—
—
$7,022
21
clean
PLEURAL EFFUSION WITHOUT CC/MCC
—
—
$5,187
21
clean
PULMONARY EDEMA AND RESPIRATORY FAILURE
—
—
$8,761
21
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
—
—
$7,859
21
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
—
—
$6,056
21
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
—
—
$4,643
21
clean
SIMPLE PNEUMONIA AND PLEURISY WITH MCC
—
—
$9,319
21
clean
SIMPLE PNEUMONIA AND PLEURISY WITH CC
—
—
$5,829
21
clean
SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC
—
—
$4,475
21
clean
INTERSTITIAL LUNG DISEASE WITH MCC
—
—
$13,462
21
clean
INTERSTITIAL LUNG DISEASE WITH CC
—
—
$33,716
21
clean
INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
—
—
$5,180
21
clean
PNEUMOTHORAX WITH MCC
—
—
$12,495
21
clean
PNEUMOTHORAX WITH CC
—
—
$7,800
21
clean
PNEUMOTHORAX WITHOUT CC/MCC
—
—
$5,086
21
clean
BRONCHITIS AND ASTHMA WITH CC/MCC
—
—
$6,895
21
clean
BRONCHITIS AND ASTHMA WITHOUT CC/MCC
—
—
$4,768
21
clean
RESPIRATORY SIGNS AND SYMPTOMS
—
—
$5,738
21
clean
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
—
—
$12,968
21
clean
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
—
—
$6,683
21
clean
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
—
—
$96,772
21
clean
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
—
—
$19,449
21
clean
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17
—
—
$78,606
21
clean
OTHER HEART ASSIST SYSTEM IMPLANT
—
—
$70,360
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
—
—
$69,130
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
—
—
$47,388
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$46,476
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
—
—
$54,266
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
—
—
$37,700
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$35,634
21
clean
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
—
—
$35,781
21
clean
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
—
—
$22,778
21
clean
CORONARY BYPASS WITH PTCA WITH MCC
—
—
$60,946
21
clean
CORONARY BYPASS WITH PTCA WITHOUT MCC
—
—
$43,841
21
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
—
—
$54,033
21
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
—
—
$38,618
21
clean
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
—
—
$41,485
21
clean
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
—
—
$29,621
21
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
—
—
$34,797
21
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
—
—
$20,168
21
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
—
—
$10,012
21
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
—
—
$23,091
21
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
—
—
$15,411
21
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
—
—
$13,072
21
clean
AICD GENERATOR PROCEDURES
—
—
$32,997
21
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC
—
—
$15,785
21
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC
—
—
$10,809
21
clean
OTHER VASCULAR PROCEDURES WITH MCC
—
—
$25,228
21
clean
OTHER VASCULAR PROCEDURES WITH CC
—
—
$18,772
21
clean
OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
—
—
$12,886
21
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
—
—
$19,087
21
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
—
—
$12,028
21
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
—
—
$7,753
21
clean
CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
—
—
$22,725
21
clean

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

Findings

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

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 16.9M bytes · fetched 2026-08-26 · sha256 c6d4e73c6a75…

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.