Project Crossfoot
Hospital · CCN 390070

Lower Bucks Hospital

501 Bath Road, Bristol, PA 19007 · Bucks County
Part of Prime Healthcare Services · 105 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

13 admission types 16 outpatient services price file: ok
Billed per dollar paid, all admissions
4.18×
$14.4M billed against $3.4M paid across 252 Medicare discharges; the national figure is 5.03×.
2.4%
of adults in Bucks County have medical debt in collections
5.3%
uninsured in the county · state 6.5%
$107K
median household income
4.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (6 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
56
$85,689
$16,929
5.1× st 5.2×
291
Heart failure and shock with mcc
37
$44,804
$12,740
3.5× st 5.2×
193
Simple pneumonia and pleurisy with mcc
27
$45,543
$12,979
3.5× st 5.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
19
$86,348
$19,864
4.3× st 6.3×
177
Respiratory infections and inflammations with mcc
17
$66,764
$15,719
4.2× st 5.2×
074
Cranial and peripheral nerve disorders without mcc
15
$43,087
$10,083
4.3× st 6.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$26,003
$7,777
3.3× st 5.7×
280
Acute myocardial infarction, discharged alive with mcc
12
$78,746
$15,440
5.1× st 5.2×
603
Cellulitis without mcc
12
$28,323
$8,768
3.2× st 4.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
11
$28,325
$11,212
2.5× st 5.6×
682
Renal failure with mcc
11
$55,509
$15,198
3.7× st 5.4×
683
Renal failure with cc
11
$32,492
$9,049
3.6× st 5.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
11
$32,018
$8,333
3.8× st 5.7×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
28
$14,204
$2,500
5.7×
5191
Level 1 Endovascular Procedures
21
$31,216
$3,149
9.9×
5193
Level 3 Endovascular Procedures
15
$111,515
$10,603
10.5×
5431
Level 1 Nerve Procedures
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
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 2026-03-17, template 3.0, 5,933 rows scanned, 4,378 distinct code–setting items kept. 1,083 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Hc Liver Dis 10 Assays W/Nash
CPT 0003M
$2,517
$503
$524
21
clean
Hc Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2
CPT 0202U
$2,084
$416
$431
22
clean
INJ PLSM IMGE GUIDE HRVST/PR
CPT 0232T
$6,487
$439
$483
25
clean
Hc Translum Peripherl Atherectomy Brachiocephal Ea
CPT 0237T
$11,638
$11,356
$11,357
27
clean
Hc Translum Peripheral Atherectomy Iliac Artery Ea
CPT 0238T
$11,638
$18,034
$11,638
27
clean
Hc Nfct Ds Rna 4 Targets Upper Respiratory Specimen
CPT 0241U
$713
$142
$148
24
clean
Hc Perc Lamino-/Laminectomy Indir Imag Guide Lumbar
CPT 0275T
$26,108
$6,878
$7,154
23
clean
Hc Fine Needle Aspiration Bx W/Us Gdn 1St Lesion
CPT 10005
$2,897
$696
$782
28
clean
Hc Fine Needle Aspiration Bx W/Us Gdn Ea Addl
CPT 10006
$500
—
$500
6
clean
Hc Fine Needle Aspiration Bx W/Fluor Gdn 1St Lesion
CPT 10007
$2,897
$696
$782
28
clean
Hc Fine Needle Aspiration Bx W/Ct Gdn 1St Lesion
CPT 10009
$2,897
$696
$782
28
clean
Hc Fine Needle Aspiration Bx W/Ct Gdn Ea Addl
CPT 10010
$500
—
$500
6
clean
Hc Fine Needle Aspiration Bx W/Mr Gdn 1St Lesion
CPT 10011
$2,897
$696
$787
27
clean
Hc Fine Needle Aspiration Bx W/Mr Gdn Ea Addl
CPT 10012
$500
—
$500
6
clean
Hc Fine Needle Asp Wo Img Guidance
CPT 10021
$1,603
$399
$453
28
clean
Hc Image-Guided Catheter Fluid Collection Drainage
CPT 10030
$6,800
$696
$787
27
clean
Hc Acne Surgery Of Skin Abscess
CPT 10040
$766
$197
$223
27
clean
I&D Abscess Simple/Single
CPT 10060
$19,320
$197
$237
57
clean
Hc Incision & Drain Skin Abscess Complic
CPT 10061
$1,603
$399
$453
28
clean
Hc Incision & Drain Pilonidal Cyst Simpl
CPT 10080
$2,828
$696
$731
28
clean
Hc Incision & Drain Pilonidal Cyst Complicated
CPT 10081
$1,668
$696
$728
28
clean
Hc Remove Foreign Body Simple
CPT 10120
$2,749
$399
$466
28
clean
Hc Remove Foreign Body Complex
CPT 10121
$947
$1,624
$947
57
clean
Hc Incision & Drain Of Hematoma/Fluid
CPT 10140
$6,517
$1,624
$1,787
57
clean
Hc Puncture Drainage Of Lesion
CPT 10160
$1,603
$399
$453
28
clean
Hc Complex Drainage, Wound
CPT 10180
$5,040
$2,857
$2,900
28
clean
Hc Debridement, Infected Skin, Up To 10% Bsa
CPT 11000
$3,051
$399
$466
28
clean
Hc Debridement, Infected Skin, Ea Add 10% Bsa
CPT 11001
$346
—
$346
6
clean
Hc Debride Necrotic Skin/ Tissue, Genit & Perinm
CPT 11004
$2,521
—
$2,521
8
clean
Hc Debride Necrotic Skin/ Tissue, Abd Wall
CPT 11005
$3,251
—
$2,523
8
clean
Hc Debride Necrot Skin/ Tiss, Genit,Peri, Adb Wall
CPT 11006
$2,521
—
$2,521
5
clean
Hc Remove Mesh From Abd Wall For Infection
CPT 11008
$4,037
—
$3,079
10
clean
Hc Debride W Fb Remove, Fx/Disloc
CPT 11010
$2,000
$696
$782
28
clean
Hc Debride Skin Sub-Q Tiss =<20 Sq Cm
CPT 11042
$1,945
$399
$480
57
clean
Hc Debride Skin Sub-Q Tiss Muscle =<20 Sq Cm
CPT 11043
$5,040
$727
$811
28
clean
Hc Debride Skin Sub-Q Tiss Muscle Bone =<20 Sq Cm
CPT 11044
$6,517
$1,624
$1,747
28
clean
Hc Debride Skin Sub-Q Tiss Each Add 20 Sq Cm
CPT 11045
$1,228
—
$1,228
6
clean
Hc Debride Skin Sub-Q Tiss Muscle Ea Add 20 Sq Cm
CPT 11046
$1,536
—
$1,536
6
clean
Hc Debride Skin Sub-Q Tiss Musc Bn Ea 20 Sq Cm
CPT 11047
$2,355
—
$2,197
6
clean
Hc Trim Benign Hyperkeratotic Skin Lesion, Single
CPT 11055
$218
$197
$218
28
clean
Hc Trim Benign Hyperkeratotic Skin Lesion,2-4
CPT 11056
$218
$197
$218
28
clean
Hc Trim Benign Hyperkeratotic Skin Lesion,>4
CPT 11057
$418
$197
$230
28
clean
Hc Tangential Biopsy Skin Single Lesion
CPT 11102
$882
$399
$453
28
clean
Hc Tangential Biopsy Skin Ea Sep/Additional Lesion
CPT 11103
$500
—
$500
6
clean
Hc Punch Biopsy Skin Single Lesion
CPT 11104
$882
$399
$453
28
clean
Hc Punch Biopsy Skin Ea Sep/Additional Lesion
CPT 11105
$500
—
$500
6
clean
Hc Incisional Biopsy Skin Single Lesion
CPT 11106
$1,570
$727
$763
28
clean
Hc Removal Of Skin Tags, Up To 15
CPT 11200
$268
$197
$230
28
clean
Exc Tr-Ext B9+Marg 0.6-1 Cm
CPT 11401
$6,843
$399
$454
29
clean
Exc Tr-Ext B9+Marg 1.1-2 Cm
CPT 11402
$6,843
$696
$592
57
clean
Exc Tr-Ext B9+Marg 2.1-3Cm
CPT 11403
$7,188
$696
$731
29
clean
Exc tr-ext b9+marg >4.0 cm
CPT 11406
$6,402
$1,624
$1,787
29
clean
Hc Exc Skin Benig <0.5 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11420
$1,145
$1,624
$1,145
28
clean
Hc Exc Skin Benig 0.6-1 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11421
$1,301
$696
$728
28
clean
Hc Exc Skin Benig 1.1-2 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11422
$1,455
$1,624
$1,455
57
clean
Exc H-F-Nk-Sp B9+Marg 2.1-3
CPT 11423
$6,843
$1,624
$1,690
57
clean
Hc Exc Skin Benig 3.1-4 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11424
$6,517
$1,624
$1,747
28
clean
Hc Exc Skin Benig >4 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11426
$10,745
$2,857
$2,900
28
clean
Hc Exc Skin Benig <0.5 Cm Face/Head/Mucus
CPT 11440
$992
$696
$731
28
clean
Hc Exc Skin Benig 0.6-1 Cm Face/Head/Mucus
CPT 11441
$2,696
$696
$728
28
clean
Hc Exc Skin Benig 1.1-2 Cm Face/Head/Mucus
CPT 11442
$592
$696
$592
28
clean
Hc Exc Skin Benig 2.1-3 Cm Face/Head/Mucus
CPT 11443
$6,183
$1,624
$1,682
28
clean
Hc Exc Skin Benig 3.1-4 Cm Face/Head/Mucus
CPT 11444
$6,183
$1,624
$1,682
28
clean
Hc Exc Skin Benig >4 Cm Face/Head/Mucus
CPT 11446
$10,745
$2,857
$2,900
28
clean
Hc Exc Skin Malig <0.5 Cm Trnk/Arm/Leg
CPT 11600
$2,696
$696
$731
28
clean
Hc Exc Skin Malig 0.6-1 Cm Trnk/Arm/Leg
CPT 11601
$2,696
$696
$731
28
clean
Hc Exc Skin Malig 1.1-2 Cm Trnk/Arm/Leg
CPT 11602
$1,463
$399
$453
28
clean
Hc Exc Skin Malig 2.1-3 Cm Trnk/Arm/Leg
CPT 11603
$2,696
$696
$782
28
clean
Hc Exc Skin Malig 3.1-4 Cm Trnk/Arm/Leg
CPT 11604
$2,696
$696
$782
28
clean
Hc Exc Skin Malig >4 Cm Trnk/Arm/Leg
CPT 11606
$6,183
$1,624
$1,747
28
clean
Hc Exc Skin Malig <0.5 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11620
$6,183
$1,624
$1,682
28
clean
Hc Exc Skin Malig 0.6-1 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11621
$2,696
$696
$731
28
clean
Hc Exc Skin Malig 1.1-2 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11622
$2,696
$696
$731
28
clean
Hc Exc Skin Malig 2.1-3 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11623
$6,183
$1,624
$1,682
28
clean
Hc Exc Skin Malig 3.1-4 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11624
$6,183
$1,624
$1,747
28
clean
Hc Exc Skin Malig >4 Cm Scalp/Neck/Hnd/Ft/Gent
CPT 11626
$10,745
$2,857
$2,900
28
clean
Hc Trim Nail(S)
CPT 11719
$104
$58
$64
25
clean
Hc Debridement Of Nails, 1-5
CPT 11720
$169
$58
$66
27
clean
Hc Debridement Of Nails, 6 Or More
CPT 11721
$104
$58
$66
27
clean
Hc Removal Of Nail Plate
CPT 11730
$805
$197
$230
28
clean
Hc Removal Of Nail Plate, Simple, Ea Ad
CPT 11732
$1,145
—
$859
6
clean
Hc Drain Blood From Under Nail
CPT 11740
$513
$130
$152
28
clean
Hc Removal Of Nail Bed
CPT 11750
$1,603
$399
$454
57
clean
Hc Biopsy, Nail Unit (Sep Proc)
CPT 11755
$2,696
$696
$731
27
clean
Hc Reconstruc Of Nail Bed
CPT 11760
$2,525
$727
$763
28
clean
Hc Excision Of Nail Fold (Wedge), Toe
CPT 11765
$268
$399
$268
27
clean
Hc Excision Of Pilonidal Cyst, Simple
CPT 11770
$10,745
$2,857
$2,982
57
clean
Remove Pilonidal Cyst Exten
CPT 11771
$7,443
$2,857
$2,982
29
clean
Hc Excision Pilonidal Cyst/Sinus Complicated
CPT 11772
$11,624
$2,857
$2,977
28
clean
Hc Inject Skin Lesions </W 7
CPT 11900
$882
$197
$220
26
clean
Hc Repr Wnd Smp Body/Scalp/Extr <2.5 Cm
CPT 12001
$805
$197
$230
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr 2.6-7.5 Cm
CPT 12002
$805
$197
$230
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr 7.6-12.5 Cm
CPT 12004
$805
$197
$230
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr 12.6-20 Cm
CPT 12005
$1,603
$399
$466
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr 20.1-30 Cm
CPT 12006
$1,765
$399
$466
28
clean
Hc Repr Wnd Smp Body/Scalp/Extr >30.1 Cm
CPT 12007
$2,061
$197
$230
28
clean
Hc Repr Wnd Smp Face 2.6-5.0 Cm
CPT 12013
$805
$197
$230
28
clean
Hc Repr Wnd Smp Face 5.1-7.5 Cm
CPT 12014
$805
$197
$230
28
clean
Hc Repr Wnd Smp Face 7.6-12.5 Cm
CPT 12015
$372
$197
$230
28
clean
Hc Repr Wnd Smp Face 12.6-20 Cm
CPT 12016
$372
$399
$372
28
clean
Hc Repr Wnd Smp Face 20.1-30 Cm
CPT 12017
$1,463
$399
$466
28
clean
Hc Repr Wnd Smp Face >30.1 Cm
CPT 12018
$3,711
$197
$230
28
clean
Hc Treat Wnd Dehiscence, Simple Closure
CPT 12020
$2,525
$727
$763
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr <2.5 Cm
CPT 12031
$372
$399
$372
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 2.6-7.5 Cm
CPT 12032
$1,603
$399
$466
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 7.6-12.5 Cm
CPT 12034
$372
$399
$372
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 12.5-20 Cm
CPT 12035
$1,603
$399
$466
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr 20.1-30 Cm
CPT 12036
$2,266
$727
$811
28
clean
Hc Repr Wnd Intrmd Body/Scalp/Extr >30.1 Cm
CPT 12037
$12,524
$2,029
$2,121
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent <2.5 Cm
CPT 12041
$149
$399
$149
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 2.6-7.5 Cm
CPT 12042
$1,603
$399
$466
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 7.6-12.5 Cm
CPT 12044
$372
$727
$372
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 12.5-20 Cm
CPT 12045
$300
$727
$300
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent 20.1-30 Cm
CPT 12046
$3,049
$727
$811
28
clean
Hc Repr Wnd Intrmd Neck/Hnd/Ft/Gent >30.1 Cm
CPT 12047
$7,139
$2,029
$2,121
28
clean
Hc Repr Wnd Intrmd Face <2.5 Cm
CPT 12051
$1,603
$399
$453
28
clean
Hc Repr Wnd Intrmd Face 2.6-5.0 Cm
CPT 12052
$1,603
$399
$466
28
clean
Hc Repr Wnd Intrmd Face 5.1-7.5 Cm
CPT 12053
$1,603
$399
$466
28
clean
Hc Repr Wnd Intrmd Face 7.6-12.5 Cm
CPT 12054
$1,603
$399
$466
28
clean
Hc Repr Wnd Intrmd Face 12.6-20 Cm
CPT 12055
$372
$399
$372
28
clean
Hc Repr Wnd Intrmd Face 20.1-30 Cm
CPT 12056
$4,474
$399
$466
28
clean
Hc Repr Wnd Intrmd Face >30.1 Cm
CPT 12057
$5,490
$399
$466
28
clean
Hc Repr Wnd Cplx Trunk 1.1-2.5 Cm
CPT 13100
$2,266
$727
$811
28
clean
Hc Repr Wnd Cplx Trnk 2.6-7.5 Cm
CPT 13101
$2,266
$727
$811
28
clean
Hc Repr Wnd Cplx Trnk Add 5.0 Cm
CPT 13102
$851
—
$851
6
clean
Hc Repr Wnd Cplx Scalp 1.1-2.5 Cm
CPT 13120
$562
$399
$466
28
clean
Cmplx Rpr S/A/L 2.6-7.5 Cm
CPT 13121
$7,743
$399
$480
57
clean
Hc Repr Wnd Cplx Scalp Add 5.0 Cm
CPT 13122
$562
—
$562
6
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent 1.1-2.5 Cm
CPT 13131
$5,041
$399
$466
28
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent 2.6-7.5 Cm
CPT 13132
$562
$399
$466
28
clean
Hc Repr Wnd Cplx Face/Hnd/Ft/Gent Ea Add 5.0 Cm
CPT 13133
$562
—
$562
6
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip 1.1-2.5 Cm
CPT 13151
$562
$727
$562
28
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip 2.6-7.5 Cm
CPT 13152
$2,266
$727
$811
28
clean
Hc Repr Wnd Cplx Eye/Ear/Nose/Lip Ea Add 5.0 Cm
CPT 13153
$851
—
$851
6
clean
Hc Secondary Closure Surg Wound Dehiscense Complicated
CPT 13160
$7,330
$3,486
$3,486
57
clean
Tis Trnfr S/A/L 10 Sq Cm/<
CPT 14020
$10,293
$2,029
$2,131
29
clean
Hc Adjacent Tissue Trns/Reargmt F/C/C/M/N/A/G/H/F 10Sqcm/&Lt
CPT 14040
$1,716
$2,029
$1,716
28
clean
Hc Prep Wnd Trk/Ar/Lg 100 Sqcm Or 1% Peds
CPT 15002
$5,040
$727
$811
28
clean
Hc Prep Wnd Trk/Ar/Lg Ea Add 100 Sqcm Or 1% Peds
CPT 15003
$64
—
$64
3
clean
Hc Prep Wnd Head/Hnd/Ft/Gent 100 Sqcm Or 1% Peds
CPT 15004
$1,028
$399
$440
25
clean
Hc Prep Wnd Head/Hnd/Ft/Gent Ea Add 100 Sqcm
CPT 15005
$204
—
$204
3
clean
Hc Skin Pinch Graft Procedure <2 Cm
CPT 15050
$2,266
$727
$811
28
clean
Hc Split Grft,Trunk,Arm,Leg Ea 100 Sqcm
CPT 15101
$2,925
—
$2,644
6
clean
Hc Epidrm Autogrft Trnk/Arm/Leg <100 Sqcm
CPT 15110
$7,139
$2,029
$2,121
28
clean
Hc Epidrm Autogrft Trnk/Arm/Leg, Each 100 Sqcm
CPT 15111
$2,630
—
$2,282
6
clean
Hc Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm
CPT 15115
$7,139
$2,029
$2,121
28
clean
Hc Epi Autogrft Face/Nck/Hnd/Ft/Gen , Ea 100 Sqcm
CPT 15116
$1,501
—
$1,501
6
clean
Hc Split Grft,Head,Fac,Hand,Feet <100 Sqcm
CPT 15120
$12,524
$3,486
$3,539
28
clean
Hc Split Grft,Head,Fac,Hand,Feet Ea 100 Sqcm
CPT 15121
$302
—
$302
6
clean
Derm autograft facenckhfg
CPT 15135
$1,999
$3,486
$1,999
29
clean
Hc App Skn Sub Trnk/Arm/Leg Ttl 100Sqcm 1St 25 Sqcm
CPT 15271
$7,842
$727
$822
57
clean
Hc App Skn Sub Trnk/Arm/Leg Ttl 100Sqcm Ea Ad 25Qsqcm
CPT 15272
$1,556
—
$1,556
6
clean
Hc App Skn Sub Trnk/Arm/Leg >=100Sqcm 1St 100Sqcm
CPT 15273
$7,018
$2,029
$2,131
28
clean
Hc App Skn Sub Trnk/Arm/Leg >=100Sqcm Ea Add 100Sqcm
CPT 15274
$4,567
—
$2,672
6
clean
Skin Sub Graft Face/Nk/Hf/G
CPT 15275
$7,533
$727
$822
57
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt Ttl 100Sqcm Ea Ad 25Cm
CPT 15276
$1,641
—
$1,641
6
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt >=100Sqcm 1St 100Sqcm
CPT 15277
$7,018
$2,029
$2,131
28
clean
Hc App Skn Sub Head/Hnd/Ft/Gnt >=100Sqcm Ea Ad 100Sqcm
CPT 15278
$4,567
—
$2,672
6
clean
Hc Musc Myocutaneous/Fasciocutaneous Flap Lxtr
CPT 15738
$17,091
$3,486
$3,539
28
clean
Hc Abrasion, Single
CPT 15786
$766
$197
$223
27
clean
Hc Abrasion, Each Addn 4 Or Less
CPT 15787
$430
—
$430
6
clean
Hc Removal Sutures/Staples Not Requiring Anesthesia
CPT 15853
$4,909
—
$1,479
6
clean
Hc Treat Burn 1St Degree, Initial
CPT 16000
$805
$197
$223
27
clean
Hc Dress/Debride Burn <5% Total Sm
CPT 16020
$805
$197
$223
27
clean
Hc Dress/Debride Burn 5-10% Ttl Med
CPT 16025
$495
$197
$223
27
clean
Hc Dress/Debride Burn >10% Ttl Lg
CPT 16030
$545
$399
$452
27
clean
Hc Escharotomy
CPT 16035
$1,463
$399
$420
28
clean
Hc Destruc Benign/Premal,First Lesion
CPT 17000
$766
$197
$230
28
clean
Hc Destruc Benign/Premal,2-14 Lesions
CPT 17003
$970
—
$970
6
clean
Hc Destruc Benign/Premal,15+ Lesions
CPT 17004
$1,463
$399
$452
27
clean
Hc Chem Cautery Granulatn Tissue
CPT 17250
$218
$197
$218
27
clean
Hc I&D Breast Lesion
CPT 19000
$834
$696
$787
27
clean
Hc I&D Breast Lesion Add On
CPT 19001
$1,375
—
$974
6
clean
Hc Mastotomy W Explor/Drain Absc, Deep
CPT 19020
$2,500
$1,624
$1,747
28
clean
Hc Inject Ductogram/Galactogram
CPT 19030
$1,038
—
$806
6
clean
Hc Bx Breast W Device Stereotact Guide 1St Lesion
CPT 19081
$11,453
$1,624
$1,706
28
clean
Hc Bx Breast W Device Stereotact Guide Addl Lesion
CPT 19082
$11,453
—
$2,020
6
clean
Hc Bx Breast W Device Us Guide 1St Lesion
CPT 19083
$2,000
$1,624
$1,747
28
clean
Hc Bx Breast W Device Us Guide Addl Lesion
CPT 19084
$11,936
—
$2,020
6
clean
Hc Bx Breast W Device Mri Guide 1St Lesion
CPT 19085
$12,853
$1,624
$1,706
28
clean
Hc Bx Breast W Device Mri Guide Addl Lesion
CPT 19086
$12,853
—
$2,020
6
clean
Hc Bx Breast, Needle Core
CPT 19100
$6,183
$1,624
$1,682
28
clean
Hc Perq Dev Place Breast Loc 1St Les W Mammo Guid
CPT 19281
$1,200
$1,624
$1,200
27
clean
Hc Perq Device Placemt Breast Loc Ea Les W Guidnce
CPT 19282
$550
—
$550
6
clean
Hc Perq Breast Loc Dev Place Strotact Guid 1St Les
CPT 19283
$4,945
$696
$731
27
clean
Hc Perq Breast Loc Dev Place Strotact Guid Add Les
CPT 19284
$4,945
—
$1,233
6
clean
Hc Perq Breast Loc Dev Place Us Guide 1St Lesion
CPT 19285
$1,000
$696
$731
27
clean
Hc Perq Breast Loc Dev Place Us Guide Addl Lesion
CPT 19286
$500
—
$500
6
clean
Hc Perq Breast Loc Dev Place Mri Guide 1St Lesion
CPT 19287
$6,345
$696
$731
27
clean
Hc Perq Breast Loc Dev Place Mri Guide Addl Lesion
CPT 19288
$6,345
—
$1,233
6
clean
Hc Explore Wound,Neck
CPT 20100
$2,213
$530
$618
28
clean
Hc Explore Wound,Chest
CPT 20101
$7,139
$2,029
$2,131
27
clean
Hc Explore Wound Abdomen/Flank/Back
CPT 20102
$7,139
$2,029
$2,131
27
clean
Hc Explore Wound Extremity
CPT 20103
$312
$1,624
$312
28
clean
Hc Muscle Biopsy
CPT 20200
$6,183
$1,624
$1,747
28
clean
Hc Deep Muscle Biopsy
CPT 20205
$10,745
$2,857
$2,977
28
clean
Hc Needle Biopsy,Muscle
CPT 20206
$5,384
$1,624
$1,747
28
clean
Bone Biopsy Trocar/Ndl Supfc
CPT 20220
$6,843
$1,624
$1,690
57
clean
Hc Bone Biopsy,Trocar/Needle Deep
CPT 20225
$5,395
$1,624
$1,747
28
clean
Hc Bone Biopsy,Excisional Superf
CPT 20240
$10,745
$2,857
$2,900
28
clean

Showing the first 200 of 4,378 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 12041/o
error
mrf_cash_above_gross
discounted cash price $399 exceeds gross charge $149
CPT 12044/o
error
mrf_cash_above_gross
discounted cash price $727 exceeds gross charge $372
CPT 12045/o
error
mrf_cash_above_gross
discounted cash price $727 exceeds gross charge $300
CPT 12055/o
error
mrf_cash_above_gross
discounted cash price $399 exceeds gross charge $372
CPT 13151/o
error
mrf_cash_above_gross
discounted cash price $727 exceeds gross charge $562
CPT 14040/o
error
mrf_cash_above_gross
discounted cash price $2,029 exceeds gross charge $1,716
CPT 15135/o
error
mrf_cash_above_gross
discounted cash price $3,486 exceeds gross charge $1,999
CPT 19281/o
error
mrf_cash_above_gross
discounted cash price $1,624 exceeds gross charge $1,200
CPT 20103/o
error
mrf_cash_above_gross
discounted cash price $1,624 exceeds gross charge $312
CPT C9773/o
error
mrf_cash_above_gross
discounted cash price $18,034 exceeds gross charge $1,832
CPT 20693/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $2,123
CPT 20900/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $2,238
CPT G0104/o
error
mrf_cash_above_gross
discounted cash price $914 exceeds gross charge $751
CPT 20902/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $6,392
CPT 21552/o
error
mrf_cash_above_gross
discounted cash price $2,857 exceeds gross charge $2,281
CPT 23412/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $2,971
CPT 23605/o
error
mrf_cash_above_gross
discounted cash price $1,581 exceeds gross charge $326
CPT 24516/o
error
mrf_cash_above_gross
discounted cash price $12,630 exceeds gross charge $9,753
CPT 24586/o
error
mrf_cash_above_gross
discounted cash price $12,630 exceeds gross charge $10,593
CPT 25907/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,281
CPT 26445/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,971
CPT 26992/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $1,500
CPT 27062/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,511
CPT P9012/o
error
mrf_cash_above_gross
discounted cash price $71 exceeds gross charge $69
CPT P9017/o
error
mrf_cash_above_gross
discounted cash price $85 exceeds gross charge $75
CPT 27502/o
error
mrf_cash_above_gross
discounted cash price $1,581 exceeds gross charge $326
CPT P9038/o
error
mrf_cash_above_gross
discounted cash price $144 exceeds gross charge $125
CPT P9055/o
error
mrf_cash_above_gross
discounted cash price $249 exceeds gross charge $125
CPT 27687/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,270
CPT 27691/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $3,873
CPT 27698/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $5,305
CPT 27702/o
error
mrf_cash_above_gross
discounted cash price $26,693 exceeds gross charge $6,456
CPT 27720/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $2,967
CPT 27810/o
error
mrf_cash_above_gross
discounted cash price $1,581 exceeds gross charge $326
CPT 27818/o
error
mrf_cash_above_gross
discounted cash price $1,581 exceeds gross charge $326
CPT 28022/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,311
CPT 28107/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $2,196
CPT 28111/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $3,081
CPT 81215/o
error
mrf_cash_above_gross
discounted cash price $375 exceeds gross charge $282
CPT 81217/o
error
mrf_cash_above_gross
discounted cash price $375 exceeds gross charge $282
CPT 28113/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $3,081
CPT 28124/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,916
CPT 86832/o
error
mrf_cash_above_gross
discounted cash price $323 exceeds gross charge $104
CPT 86885/o
error
mrf_cash_above_gross
discounted cash price $167 exceeds gross charge $130
CPT 86886/o
error
mrf_cash_above_gross
discounted cash price $167 exceeds gross charge $156
CPT 28288/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,004
CPT 86905/o
error
mrf_cash_above_gross
discounted cash price $352 exceeds gross charge $327
CPT 28297/o
error
mrf_cash_above_gross
discounted cash price $12,630 exceeds gross charge $4,206
CPT 28298/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $3,081
CPT 86920/o
error
mrf_cash_above_gross
discounted cash price $167 exceeds gross charge $82
CPT 28300/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $3,581
CPT 86921/o
error
mrf_cash_above_gross
discounted cash price $167 exceeds gross charge $68
CPT 28525/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,331
CPT 86927/o
error
mrf_cash_above_gross
discounted cash price $167 exceeds gross charge $75
CPT 28730/o
error
mrf_cash_above_gross
discounted cash price $12,630 exceeds gross charge $2,030
CPT 28755/o
error
mrf_cash_above_gross
discounted cash price $7,138 exceeds gross charge $3,581
CPT 28805/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,540
CPT 86965/o
error
mrf_cash_above_gross
discounted cash price $167 exceeds gross charge $158
CPT 86975/o
error
mrf_cash_above_gross
discounted cash price $439 exceeds gross charge $153
CPT 86985/o
error
mrf_cash_above_gross
discounted cash price $167 exceeds gross charge $151
CPT 29705/o
error
mrf_cash_above_gross
discounted cash price $275 exceeds gross charge $209
CPT 29891/o
error
mrf_cash_above_gross
discounted cash price $3,218 exceeds gross charge $2,997
CPT 31603/o
error
mrf_cash_above_gross
discounted cash price $1,526 exceeds gross charge $1,171
CPT 31628/o
error
mrf_cash_above_gross
discounted cash price $3,667 exceeds gross charge $2,507
CPT 31629/o
error
mrf_cash_above_gross
discounted cash price $3,667 exceeds gross charge $2,308
CPT 31634/o
error
mrf_cash_above_gross
discounted cash price $6,942 exceeds gross charge $2,325
CPT 32556/o
error
mrf_cash_above_gross
discounted cash price $1,887 exceeds gross charge $1,500
CPT 33233/o
error
mrf_cash_above_gross
discounted cash price $8,141 exceeds gross charge $4,515
CPT 36468/o
error
mrf_cash_above_gross
discounted cash price $399 exceeds gross charge $223
CPT 81412/o
error
mrf_cash_above_gross
discounted cash price $2,448 exceeds gross charge $2,100
CPT 81420/o
error
mrf_cash_above_gross
discounted cash price $759 exceeds gross charge $39
CPT 36571/o
error
mrf_cash_above_gross
discounted cash price $3,106 exceeds gross charge $1,816
CPT 81443/o
error
mrf_cash_above_gross
discounted cash price $2,448 exceeds gross charge $142
CPT 36592/o
error
mrf_cash_above_gross
discounted cash price $130 exceeds gross charge $31
CPT 81490/o
error
mrf_cash_above_gross
discounted cash price $840 exceeds gross charge $39
CPT 36640/o
error
mrf_cash_above_gross
discounted cash price $3,106 exceeds gross charge $1,224
CPT 37182/o
error
mrf_cash_above_gross
discounted cash price $18,034 exceeds gross charge $5,131
CPT 37191/o
error
mrf_cash_above_gross
discounted cash price $5,474 exceeds gross charge $3,914
CPT 37229/o
error
mrf_cash_above_gross
discounted cash price $17,290 exceeds gross charge $11,638
CPT 37242/o
error
mrf_cash_above_gross
discounted cash price $18,034 exceeds gross charge $15,997
CPT 38220/o
error
mrf_cash_above_gross
discounted cash price $1,624 exceeds gross charge $1,224
CPT 38221/o
error
mrf_cash_above_gross
discounted cash price $1,624 exceeds gross charge $1,224
CPT 40800/o
error
mrf_cash_above_gross
discounted cash price $696 exceeds gross charge $268
CPT 41250/o
error
mrf_cash_above_gross
discounted cash price $439 exceeds gross charge $402
CPT 42809/o
error
mrf_cash_above_gross
discounted cash price $439 exceeds gross charge $268
CPT 43195/o
error
mrf_cash_above_gross
discounted cash price $3,792 exceeds gross charge $3,575
CPT 43215/o
error
mrf_cash_above_gross
discounted cash price $1,887 exceeds gross charge $1,225
CPT 43240/o
error
mrf_cash_above_gross
discounted cash price $5,972 exceeds gross charge $4,743
CPT 43243/o
error
mrf_cash_above_gross
discounted cash price $1,887 exceeds gross charge $1,361
CPT 43245/o
error
mrf_cash_above_gross
discounted cash price $1,887 exceeds gross charge $1,459
CPT 43246/o
error
mrf_cash_above_gross
discounted cash price $1,887 exceeds gross charge $1,014
CPT 43250/o
error
mrf_cash_above_gross
discounted cash price $1,887 exceeds gross charge $1,244
CPT 43255/o
error
mrf_cash_above_gross
discounted cash price $1,887 exceeds gross charge $1,225
CPT 43260/o
error
mrf_cash_above_gross
discounted cash price $3,792 exceeds gross charge $1,575
CPT 43261/o
error
mrf_cash_above_gross
discounted cash price $3,792 exceeds gross charge $690
CPT 43265/o
error
mrf_cash_above_gross
discounted cash price $5,972 exceeds gross charge $5,174
CPT 43753/o
error
mrf_cash_above_gross
discounted cash price $212 exceeds gross charge $147
CPT 45330/o
error
mrf_cash_above_gross
discounted cash price $914 exceeds gross charge $751
CPT 45385/o
error
mrf_cash_above_gross
discounted cash price $1,177 exceeds gross charge $1,071
CPT 45915/o
error
mrf_cash_above_gross
discounted cash price $1,177 exceeds gross charge $354
CPT 46320/o
error
mrf_cash_above_gross
discounted cash price $1,177 exceeds gross charge $354
CPT 47531/o
error
mrf_cash_above_gross
discounted cash price $3,522 exceeds gross charge $2,000
CPT 47532/o
error
mrf_cash_above_gross
discounted cash price $3,522 exceeds gross charge $2,456
CPT 85097/o
error
mrf_cash_above_gross
discounted cash price $792 exceeds gross charge $268
CPT 49446/o
error
mrf_cash_above_gross
discounted cash price $1,887 exceeds gross charge $1,789
CPT 49550/o
error
mrf_cash_above_gross
discounted cash price $3,522 exceeds gross charge $2,581
CPT 85170/o
error
mrf_cash_above_gross
discounted cash price $16 exceeds gross charge $4
CPT 50693/o
error
mrf_cash_above_gross
discounted cash price $3,467 exceeds gross charge $3,205
CPT 52001/o
error
mrf_cash_above_gross
discounted cash price $3,467 exceeds gross charge $2,511
CPT 52351/o
error
mrf_cash_above_gross
discounted cash price $3,467 exceeds gross charge $2,331
CPT 52352/o
error
mrf_cash_above_gross
discounted cash price $3,467 exceeds gross charge $2,108
CPT 52354/o
error
mrf_cash_above_gross
discounted cash price $5,274 exceeds gross charge $1,711
CPT 55100/o
error
mrf_cash_above_gross
discounted cash price $1,624 exceeds gross charge $903
CPT 58120/o
error
mrf_cash_above_gross
discounted cash price $3,184 exceeds gross charge $3,081
CPT 58350/o
error
mrf_cash_above_gross
discounted cash price $4,921 exceeds gross charge $2,040
CPT 59000/o
error
mrf_cash_above_gross
discounted cash price $906 exceeds gross charge $855
CPT 59409/o
error
mrf_cash_above_gross
discounted cash price $3,184 exceeds gross charge $1,627
CPT 61624/o
error
mrf_cash_above_gross
discounted cash price $18,034 exceeds gross charge $7,709
CPT 61626/o
error
mrf_cash_above_gross
discounted cash price $11,356 exceeds gross charge $6,873
CPT 64520/o
error
mrf_cash_above_gross
discounted cash price $870 exceeds gross charge $488
CPT 69000/o
error
mrf_cash_above_gross
discounted cash price $696 exceeds gross charge $297
CPT 87900/o
error
mrf_cash_above_gross
discounted cash price $130 exceeds gross charge $100
CPT 82664/o
error
mrf_cash_above_gross
discounted cash price $61 exceeds gross charge $48
CPT 88155/o
error
mrf_cash_above_gross
discounted cash price $14 exceeds gross charge $13
CPT 88289/o
error
mrf_cash_above_gross
discounted cash price $34 exceeds gross charge $31
CPT 88319/o
error
mrf_cash_above_gross
discounted cash price $792 exceeds gross charge $632
CPT 88333/o
error
mrf_cash_above_gross
discounted cash price $792 exceeds gross charge $176
CPT 88363/o
error
mrf_cash_above_gross
discounted cash price $28 exceeds gross charge $25
CPT 88367/o
error
mrf_cash_above_gross
discounted cash price $352 exceeds gross charge $270
CPT 88368/o
error
mrf_cash_above_gross
discounted cash price $352 exceeds gross charge $270
CPT 90473/o
error
mrf_cash_above_gross
discounted cash price $70 exceeds gross charge $61
CPT 74190/o
error
mrf_cash_above_gross
discounted cash price $537 exceeds gross charge $406
CPT 74485/o
error
mrf_cash_above_gross
discounted cash price $2,056 exceeds gross charge $1,869
CPT 93580/o
error
mrf_cash_above_gross
discounted cash price $18,034 exceeds gross charge $9,569
CPT 75605/o
error
mrf_cash_above_gross
discounted cash price $5,474 exceeds gross charge $4,361
CPT 93600/o
error
mrf_cash_above_gross
discounted cash price $7,673 exceeds gross charge $4,608
CPT 93602/o
error
mrf_cash_above_gross
discounted cash price $7,673 exceeds gross charge $4,171
CPT 93610/o
error
mrf_cash_above_gross
discounted cash price $7,673 exceeds gross charge $4,155
CPT 75746/o
error
mrf_cash_above_gross
discounted cash price $3,106 exceeds gross charge $2,605
CPT 93612/o
error
mrf_cash_above_gross
discounted cash price $7,673 exceeds gross charge $4,946
CPT 75860/o
error
mrf_cash_above_gross
discounted cash price $3,106 exceeds gross charge $2,605
CPT 93624/o
error
mrf_cash_above_gross
discounted cash price $7,673 exceeds gross charge $6,869
CPT 75870/o
error
mrf_cash_above_gross
discounted cash price $3,106 exceeds gross charge $1,061
CPT 93653/o
error
mrf_cash_above_gross
discounted cash price $25,713 exceeds gross charge $25,300
CPT 75898/o
error
mrf_cash_above_gross
discounted cash price $3,106 exceeds gross charge $548
CPT 86580/o
error
mrf_cash_above_gross
discounted cash price $28 exceeds gross charge $20
CPT 76499/o
error
mrf_cash_above_gross
discounted cash price $85 exceeds gross charge $51
CPT 94669/o
error
mrf_cash_above_gross
discounted cash price $215 exceeds gross charge $149
CPT 0238T/o
error
mrf_cash_above_gross
discounted cash price $18,034 exceeds gross charge $11,638
CPT 96373/o
error
mrf_cash_above_gross
discounted cash price $209 exceeds gross charge $165
CPT 96420/o
error
mrf_cash_above_gross
discounted cash price $324 exceeds gross charge $227
CPT 11420/o
error
mrf_cash_above_gross
discounted cash price $1,624 exceeds gross charge $1,145
CPT 78122/o
error
mrf_cash_above_gross
discounted cash price $534 exceeds gross charge $295
CPT 78305/o
error
mrf_cash_above_gross
discounted cash price $393 exceeds gross charge $254
CPT 11442/o
error
mrf_cash_above_gross
discounted cash price $696 exceeds gross charge $592
CPT 78601/o
error
mrf_cash_above_gross
discounted cash price $393 exceeds gross charge $272
CPT 97607/o
error
mrf_cash_above_gross
discounted cash price $399 exceeds gross charge $311
CPT 11765/o
error
mrf_cash_above_gross
discounted cash price $399 exceeds gross charge $268
CPT 78610/o
error
mrf_cash_above_gross
discounted cash price $534 exceeds gross charge $319
CPT 97610/o
error
mrf_cash_above_gross
discounted cash price $197 exceeds gross charge $191
CPT 78700/o
error
mrf_cash_above_gross
discounted cash price $393 exceeds gross charge $272
CPT C5273/o
error
mrf_cash_above_gross
discounted cash price $1,761 exceeds gross charge $1,500
CPT C5275/o
error
mrf_cash_above_gross
discounted cash price $589 exceeds gross charge $512
CPT 12016/o
error
mrf_cash_above_gross
discounted cash price $399 exceeds gross charge $372
CPT 12031/o
error
mrf_cash_above_gross
discounted cash price $399 exceeds gross charge $372
CPT 12034/o
error
mrf_cash_above_gross
discounted cash price $399 exceeds gross charge $372
warn
mrf_rate_without_estimate
214 of 214 percentage/algorithm rates across 106 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 80061/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 3% of the gross charge $490
CPT 83930/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $133
CPT 86684/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 8% of the gross charge $194
CPT C8904/o
info
mrf_cash_under_tenth_of_gross
cash price $275 is 9% of the gross charge $3,033
CPT 80069/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 7% of the gross charge $123
CPT 83935/o
info
mrf_cash_under_tenth_of_gross
cash price $6 is 5% of the gross charge $123
CPT 86687/o
info
mrf_cash_under_tenth_of_gross
cash price $9 is 6% of the gross charge $150
CPT C8906/o
info
mrf_cash_under_tenth_of_gross
cash price $343 is 7% of the gross charge $4,578
CPT 80074/o
info
mrf_cash_under_tenth_of_gross
cash price $47 is 3% of the gross charge $1,433
CPT 83945/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 4% of the gross charge $400
CPT 86688/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 7% of the gross charge $191
CPT C8907/o
info
mrf_cash_under_tenth_of_gross
cash price $275 is 7% of the gross charge $3,900
CPT 80076/o
info
mrf_cash_under_tenth_of_gross
cash price $8 is 1% of the gross charge $751
CPT 83951/o
info
mrf_cash_under_tenth_of_gross
cash price $64 is 7% of the gross charge $879
CPT 86689/o
info
mrf_cash_under_tenth_of_gross
cash price $19 is 4% of the gross charge $530
CPT 12056/o
info
mrf_cash_under_tenth_of_gross
cash price $399 is 9% of the gross charge $4,474
CPT 80150/o
info
mrf_cash_under_tenth_of_gross
cash price $15 is 5% of the gross charge $274
CPT 83970/o
info
mrf_cash_under_tenth_of_gross
cash price $41 is 4% of the gross charge $1,010
CPT 86692/o
info
mrf_cash_under_tenth_of_gross
cash price $17 is 9% of the gross charge $184
CPT C8910/o
info
mrf_cash_under_tenth_of_gross
cash price $234 is 7% of the gross charge $3,154
CPT 12057/o
info
mrf_cash_under_tenth_of_gross
cash price $399 is 7% of the gross charge $5,490
CPT 80156/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 2% of the gross charge $640
CPT 83986/o
info
mrf_cash_under_tenth_of_gross
cash price $3 is 3% of the gross charge $113
CPT 86694/o
info
mrf_cash_under_tenth_of_gross
cash price $14 is 10% of the gross charge $145
CPT C8912/o
info
mrf_cash_under_tenth_of_gross
cash price $343 is 8% of the gross charge $4,385
CPT 80157/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 6% of the gross charge $234
CPT 83992/o
info
mrf_cash_under_tenth_of_gross
cash price $20 is 10% of the gross charge $207
CPT 86695/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 8% of the gross charge $165
CPT C8913/o
info
mrf_cash_under_tenth_of_gross
cash price $234 is 4% of the gross charge $5,400
CPT 13131/o
info
mrf_cash_under_tenth_of_gross
cash price $399 is 8% of the gross charge $5,041
CPT 80158/o
info
mrf_cash_under_tenth_of_gross
cash price $18 is 3% of the gross charge $550
CPT 84030/o
info
mrf_cash_under_tenth_of_gross
cash price $5 is 5% of the gross charge $102
CPT 86698/o
info
mrf_cash_under_tenth_of_gross
cash price $13 is 3% of the gross charge $445

Showing the first 200 of 1,083 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. Lower Bucks Hospital — standard charges file · PA · updated 2026-03-17
    · json · 34.3M bytes · fetched 2026-08-25 · sha256 f00a9eabff8a…

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.