Hospital · CCN 390096

Penn State Health St. Joseph

2500 Bernville Road, Reading, PA 19605 · Berks County
Part of Penn State Health Milton S Hershey Medical Center · 132 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

42 admission types 47 outpatient services price file: ok
Billed per dollar paid, all admissions
4.95×
$75.3M billed against $15.2M paid across 1,281 Medicare discharges; the national figure is 5.03×.
6.0%
of adults in Berks County have medical debt in collections
7.5%
uninsured in the county · state 6.5%
$76K
median household income
4.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 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
291
Heart failure and shock with mcc
184
$47,457
$10,887
4.4× st 5.2×
871
Septicemia or severe sepsis without mv >96 hours with mcc
142
$68,489
$15,604
4.4× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
54
$36,885
$8,355
4.4× st 5.5×
378
Gastrointestinal hemorrhage with cc
53
$56,801
$8,345
6.8× st 6.1×
690
Kidney and urinary tract infections without mcc
47
$26,735
$6,859
3.9× st 5.3×
190
Chronic obstructive pulmonary disease with mcc
43
$40,581
$9,546
4.3× st 5.5×
603
Cellulitis without mcc
42
$30,298
$7,513
4.0× st 4.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
42
$32,408
$7,110
4.6× st 5.7×
189
Pulmonary edema and respiratory failure
37
$51,639
$10,609
4.9× st 5.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
36
$28,268
$6,791
4.2× st 5.7×
177
Respiratory infections and inflammations with mcc
36
$59,980
$13,521
4.4× st 5.2×
193
Simple pneumonia and pleurisy with mcc
31
$63,070
$11,826
5.3× st 5.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
28
$46,923
$9,227
5.1× st 6.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
27
$128,579
$18,188
7.1× st 6.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
26
$178,257
$36,864
4.8× st 6.4×
689
Kidney and urinary tract infections with mcc
26
$45,644
$9,932
4.6× st 5.3×
312
Syncope and collapse
26
$35,587
$7,123
5.0× st 5.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
25
$55,648
$8,705
6.4× st 6.3×
194
Simple pneumonia and pleurisy with cc
25
$31,824
$7,034
4.5× st 5.6×
274
Percutaneous and other intracardiac procedures without mcc
24
$144,222
$24,683
5.8× st 6.2×
280
Acute myocardial infarction, discharged alive with mcc
24
$66,572
$13,053
5.1× st 5.2×
309
Cardiac arrhythmia and conduction disorders with cc
23
$30,422
$6,475
4.7× st 5.4×
683
Renal failure with cc
21
$38,145
$7,809
4.9× st 5.4×
682
Renal failure with mcc
21
$85,378
$14,373
5.9× st 5.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
19
$94,400
$17,799
5.3× st 6.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
16
$24,440
$4,958
4.9× st 5.4×
377
Gastrointestinal hemorrhage with mcc
16
$101,039
$14,089
7.2× st 5.9×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$206,100
$27,414
7.5× st 6.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
15
$169,020
$35,963
4.7× st 5.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
14
$69,237
$14,602
4.7× st 6.0×
552
Medical back problems without mcc
13
$33,679
$8,309
4.1× st 5.5×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
13
$23,713
$7,059
3.4× st 5.5×
305
Hypertension without mcc
13
$25,660
$7,066
3.6× st 5.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$49,797
$11,496
4.3× st 6.2×
202
Bronchitis and asthma with cc/mcc
12
$33,686
$8,169
4.1× st 5.7×
308
Cardiac arrhythmia and conduction disorders with mcc
12
$35,800
$9,865
3.6× st 5.4×
481
Hip and femur procedures except major joint with cc
12
$76,758
$16,435
4.7× st 6.0×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$74,895
$11,071
6.8× st 5.8×
812
Red blood cell disorders without mcc
11
$54,313
$7,816
6.9× st 6.3×
281
Acute myocardial infarction, discharged alive with cc
11
$56,059
$7,746
7.2× st 6.6×
602
Cellulitis with mcc
11
$54,033
$11,908
4.5× st 4.9×
638
Diabetes with cc
11
$37,247
$7,858
4.7× 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
5191
Level 1 Endovascular Procedures
209
$22,269
$2,936
7.6×
8011
Comprehensive Observation Services
153
$14,699
$2,419
6.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
118
$14,557
$1,461
10.0×
5213
Level 3 Electrophysiologic Procedures
90
$209,629
$21,601
9.7×
5193
Level 3 Endovascular Procedures
79
$93,081
$9,917
9.4×
5183
Level 3 Vascular Procedures
72
$22,812
$2,856
8.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
57
$22,569
$2,591
8.7×
5361
Level 1 Laparoscopy and Related Services
57
$48,121
$5,188
9.3×
5373
Level 3 Urology and Related Services
55
$20,446
$1,857
11.0×
5223
Level 3 Pacemaker and Similar Procedures
47
$81,332
$9,558
8.5×
5374
Level 4 Urology and Related Services
42
$30,075
$3,179
9.5×
5192
Level 2 Endovascular Procedures
37
$30,382
$5,212
5.8×
5114
Level 4 Musculoskeletal Procedures
30
$78,531
$6,523
12.0×
5375
Level 5 Urology and Related Services
26
$43,087
$4,718
9.1×
5112
Level 2 Musculoskeletal Procedures
24
$16,646
$1,417
11.7×
5415
Level 5 Gynecologic Procedures
23
$51,296
$4,535
11.3×
5115
Level 5 Musculoskeletal Procedures
23
$118,130
$11,985
9.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
21
$29,801
$3,155
9.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
21
$47,855
$3,476
13.8×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
20
$83,313
$5,946
14.0×
5414
Level 4 Gynecologic Procedures
20
$25,937
$2,737
9.5×
5222
Level 2 Pacemaker and Similar Procedures
19
$67,456
$7,747
8.7×
5372
Level 2 Urology and Related Services
19
$4,398
$623
7.1×
5194
Level 4 Endovascular Procedures
19
$110,228
$10,164
10.8×
5232
Level 2 ICD and Similar Procedures
16
$275,206
$29,909
9.2×
5182
Level 2 Vascular Procedures
15
$11,292
$1,461
7.7×
5464
Level 4 Neurostimulator and Related Procedures
14
$189,704
$19,899
9.5×
5416
Level 6 Gynecologic Procedures
13
$148,842
$6,890
21.6×
5302
Level 2 Upper GI Procedures
13
$17,576
$1,735
10.1×
5313
Level 3 Lower GI Procedures
12
$26,903
$2,391
11.3×
5154
Level 4 Airway Endoscopy
11
$33,845
$3,415
9.9×
5462
Level 2 Neurostimulator and Related Procedures
11
$62,270
$6,236
10.0×
5431
Level 1 Nerve Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related 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 3/27/2026, template 3.0.0, 76,136 rows scanned, 8,842 distinct code–setting items kept. 1,885 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
0035U 14-3-3 PROTEIN TAU
$3,516
$915
$617
40
clean
CT Cerebral Perfusion Study
$1,993
$518
$1,036
16
clean
Stent Procedures All Inclusive -> Stent ext vert/inthor carotid initial
$21,605
$5,619
$10,872
19
clean
0184T Exc Rect Tumor Transanal
$38,693
$10,064
$7,039
40
clean
CT Sacroplasty Unilateral
$46,434
$12,077
$8,413
160
clean
CT Sacroplasty Bilateral
$46,434
$12,077
$8,413
120
clean
0202T Post vert arthplsty incl flscpy, 1 lvl
$94,657
$24,620
$14,886
40
clean
Respiratory Virus Panel.
$2,709
$705
$475
40
clean
Perfusion Technical Procedure Charges -> Platlete Rich Plasma Service
$300
$78
$424
160
clean
Atherectomy Procedures -> 0237T Athrectomy Brachiocephalic
$73,714
$19,173
$13,385
40
clean
Atherectomy Procedures -> 0238T Athrectomy Iliac
$116,719
$30,359
$21,255
80
clean
0266T ImpRplc BaroActSys Total Sys
$292,503
$76,080
$152,009
16
clean
0268T ImpRplc BaroActSys Gen Only
$198,078
$51,520
$102,938
16
clean
0272T Dev Eval BaroActSys InterpReport
$1,017
$265
$529
16
clean
0273T Dev Eval BaroActSys Programming
$1,017
$265
$529
16
clean
0275T Min Invasive Lumbar Decompr (MILD)
$46,434
$12,077
$24,131
16
clean
0402T Colgn Cross Link Cornea Med Sep
$15,164
$3,944
$2,757
40
clean
PPM Procedure Charges -> 0408T INSJ/RPLC CARDIAC MODULJ SYS
$208,400
$54,205
$36,394
40
clean
0418T Interog Dev Evl Pers Perm Card
$242
$63
$43
40
clean
0421T Transurethral Waterjet Ablation Prost
$60,106
$15,634
$31,236
16
clean
0437T Synth Mesh Implant Abd Wall
$5,510
$1,433
$2,863
16
clean
0441T Cryoblation Lower Extrem Nerves
$12,693
$3,301
$2,264
40
clean
0442T Cryoblation Truncal Nerves
$41,626
$10,827
$9,946
40
clean
0505T Endovenous Fempop Arterial Revsc
$73,714
$19,173
$13,385
40
clean
0523T Coronary FFR
$812
$211
$422
16
clean
0571T Insert Replacemt ICDS SS Electrode
$208,400
$54,205
$36,394
40
clean
0575T Prog Dev Eval ICDS SS Eltrd In Per
$242
$63
$43
40
clean
0576T Inter Dev Eval ICDS SS Eltrd In Per
$242
$63
$43
40
clean
0578T Remote Interrog Dev ICDS By Phys
$242
$63
$43
80
clean
CT Ablation Pulsed Electrical Field
$67,673
$17,602
$12,325
80
clean
0620T Evasc Ven Artlz Tibl/Prnl Vn
$227,503
$59,174
$51,070
40
clean
0650T RmteProgDev Eval SCCcard Rhythm
$242
$63
$43
40
clean
0654T EGD Flex Transnas W Inst Tube/Cath
$24,729
$6,432
$4,470
40
clean
0671T Ins Ant Aqu Drain Dev W/O Ext Res
$33,538
$8,723
$6,170
40
clean
0673T Ablatn B9 Thyroid Nodul Perc Laser
$10,532
$2,739
$1,915
40
clean
US* QUANTITATIVE
$572
$149
$297
16
clean
0780T Fecal Microbiota Rectal Enema
$838
$218
$154
40
clean
0804T Prgrmg evl leadlesss PM 2chmbr IP Aveir
$242
$63
$43
40
clean
0826T Prgrmg Evl Ldls Pm 1 Chmbr Ip
$242
$63
$43
80
clean
10004 Fna Bx W/o Img Gdn Ea Addl
$56
$15
$29
16
clean
IR FNA Thyroid
$4,573
$1,189
$821
240
clean
US FNA BX EACH ADDTL LESION
$47
$12
$24
32
clean
NVI Fine Needle Aspiration
$4,573
$1,189
$821
80
clean
CT Fine Needle Aspiration w/ Guidance
$4,573
$1,189
$821
80
clean
10010 FNA Bx W/Ct Gdn Ea Addl
$929
$242
$483
16
clean
FNA SUPERFICIAL TISSUE
$2,597
$675
$471
80
clean
CT Drain Soft Tissue Fluid w/Cath Perc
$4,573
$1,189
$821
160
clean
NVI Fiducial Marker Placement
$4,573
$1,189
$821
160
clean
PERQ DEV SOFT TISS ADD IM
$2,266
$589
$1,178
16
clean
10040 Acne Surgery
$1,292
$336
$233
40
clean
I&D ABSCESS;SIMPLE/SINGLE
$1,292
$336
$233
200
clean
I&D ABSCESS;COMPLEX/MULTI
$2,597
$675
$471
200
clean
I&D PILONIDAL CYST;SIMPLE
$4,573
$1,189
$821
80
clean
I&D PILONIDAL CYST;COMPLX
$4,573
$1,189
$821
80
clean
REMOVAL FOREIGN BODY;SIMP
$2,597
$675
$471
120
clean
REMOVAL FOREIGN BODY;COMP
$10,532
$2,739
$1,915
120
clean
10140 INCISION & DRAINAGE HEMATOMA SIMPLE
$10,532
$2,739
$1,915
360
clean
PUNCTURE ASPIRATION CYST
$2,597
$675
$471
520
clean
I&D COMPLEX POST-OP WOUND
$18,603
$4,839
$3,368
80
clean
SKIN DEBRIDE TO 10% BODY
$3,979
$1,035
$471
80
clean
11001 Skin Debride Ea Add 10%
$280
$73
$146
16
clean
11004 Debrid Of Skin, Sub Tis, Mus & Fas
$8,962
$2,331
$4,510
19
clean
11005 Debrid Of Skin, Sub Tis, Abd Wall
$7,293
$1,897
$3,670
19
clean
11006 Debrid Of Skin, Sub Tis, Ext Genit
$6,605
$1,718
$3,324
19
clean
11008 Rem Pros Material Or Mesh
$9,282
$2,414
$4,671
19
clean
11010 Debride Skin, Fx
$4,573
$1,189
$821
40
clean
11011 Debride Skin,Muscle, Fx
$4,573
$1,189
$821
40
clean
11012 Debride Skin/Musc/Bone,Fx
$18,603
$4,839
$3,368
40
clean
DEBRIDE;SKIN/SUBQ TISSUE
$2,597
$675
$471
200
clean
11043 DEBRIDE SKIN SUBQ MUSC 20CM<
$3,979
$1,035
$857
160
clean
DEBRID;SKIN SUBQ MUS BONE
$10,532
$2,739
$1,915
200
clean
DEBR SKIN SUBC TISS EA AD
$91
$24
$47
64
clean
11046 DEBRID SKIN SUBQ MUSC ADD 20CM
$91
$24
$47
48
clean
11047 DEBRIDEMENT BONE ADD 20 SQCM
$412
$107
$214
48
clean
11055 PARING CUTTING BENIGN LESION 1
$1,292
$336
$233
160
clean
11056 PARING CUTTING BENIGN LESION 2-4
$1,292
$336
$233
160
clean
11057 PARING CUTTING BENIGN LESION >4
$1,292
$336
$233
120
clean
11102 TANGENTIAL BIOSPY OF SKIN 1 LESION
$1,292
$336
$424
240
clean
IR* BX SKIN - TANGENTIAL EA ADD
$97
$25
$50
48
clean
11104 PUNCH BIOPSY OF SKIN SINGLE LESION
$2,597
$675
$471
280
clean
11105 PUNCH BX SKIN EA SEP/ADDL
$61
$16
$32
96
clean
11106 INCISIONAL BIOPSY OF SKIN 1 LESION
$3,979
$1,035
$857
240
clean
IR* BX SKIN - INCISIONAL EA ADD
$67
$17
$35
48
clean
11200 Exc Tags Up To 15
$1,292
$336
$233
40
clean
11201 Exc Tags Ea Add 10
$31
$8
$16
16
clean
11300 Shv Ep/Drm T/A/L 0.5cm Or Less
$2,597
$675
$471
40
clean
11301 Shv Ep/Drm T/A/L 0.6-1.0 cm
$1,292
$336
$233
120
clean
11302 Shv Ep/Drm T/A/L 1.1-2.0cm
$1,292
$336
$233
40
clean
11303 Shv Ep/Drm T/A/L Over 2.0 cm
$2,597
$675
$471
40
clean
11305 Shv Ep/Drm S/N/Hn 0.5cm Or Less
$1,292
$336
$233
40
clean
11306 Shv Ep/Drm S/N/Hn 0.6-1.0cm
$1,292
$336
$233
40
clean
11307 Shv Ep/Drm S/N/Hn 1.1-2.0 cm
$1,292
$336
$233
40
clean
11308 Shv Ep/Drm S/N/Hn > 2.0cm
$2,597
$675
$471
40
clean
11310 Shv Ep/Drm F/E/Lp 0.5cm Or Less
$1,292
$336
$233
40
clean
11311 Shv Ep/Drm F/E/Lp 0.6-1.0 cm
$1,292
$336
$233
80
clean
11312 Shv Ep/Drm F/E/Lp 1.1-2.0 cm
$2,597
$675
$471
40
clean
11313 Shv Ep/Drm F/E/Lp Over 2.0 cm
$2,597
$675
$471
80
clean
11400 Lesion Benign Trunkarm Leg 0.5cm
$4,573
$1,189
$821
40
clean
EXC BEN LES TRK 0.6-1.0
$2,597
$675
$471
80
clean
11402 Lesion Benign Trunk Arm Leg 1.1-2.0cm
$4,573
$1,189
$821
80
clean
11403 Lesion Benign Trunk Arm Leg 2.1-3.0cm
$4,573
$1,189
$821
40
clean
11404 Lesion Benign Trunk Arm Leg 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11406 Lesion Benign Trunk Arm Leg 4.0cm Lge
$10,532
$2,739
$1,915
40
clean
11420 Les Ben Scalp Nk Hd Ft Gent 0.5cm
$10,532
$2,739
$1,915
40
clean
11421 Les Ben Scalp Nk Hd Ft Gent 0.6-1.0cm
$4,573
$1,189
$821
40
clean
11422 Les Ben Scalp Nk Hd Ft Gent 1.1-2.0cm
$10,532
$2,739
$1,915
40
clean
11423 Les Ben Scalp Nk Hd Ft Gent 2.1-3.0cm
$10,532
$2,739
$1,915
40
clean
11424 Les Ben Scalp Nk Hd Ft Gent 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11426 Les Ben Scalp Nk Hd Ft Gent 4.0cm Lge
$18,603
$4,839
$3,368
80
clean
11440 Les Ben Face Ear Lip Lid Nos 0.5cm
$4,573
$1,189
$821
40
clean
11441 Les Ben Face Ear Lip Lid Nos 0.6-1.0cm
$4,573
$1,189
$821
80
clean
11442 Les Ben Face Ear Lip Lid Nos 1.1-2.0cm
$4,573
$1,189
$821
40
clean
11443 Les Ben Face Ear Lip Lid Nos 2.1-3.0cm
$10,532
$2,739
$1,915
40
clean
11444 Les Ben Face Ear Lip Lid Nos 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11446 Les Ben Face Ear Lip Lid Nos 4.0cm Lge
$18,603
$4,839
$3,368
40
clean
11450 Exc Hidradinitis Axillary Prim Sut
$18,603
$4,839
$3,368
40
clean
11451 Exc Hidradentis W/Comp Cl
$18,603
$4,839
$3,368
40
clean
11462 Exc Hidradinitis Inguinal Prim Sut
$18,603
$4,839
$3,368
40
clean
11463 Exc Hidradinitis With Complex Closure
$18,603
$4,839
$3,368
40
clean
11470 Exc Hidradinitis Perianal Pri Clos
$18,603
$4,839
$3,368
40
clean
11471 Exc Hidradinitis Perianal Oth Clos
$18,603
$4,839
$3,368
40
clean
11600 Lesion Malign Trunk Arm Leg 0.5cm
$4,573
$1,189
$821
40
clean
11601 Lesion Malign Trunk Arm Leg 0.6-1.0cm
$4,573
$1,189
$821
40
clean
11602 Lesion Malign Trunk Arm Leg 1.1-2.0cm
$2,597
$675
$471
80
clean
11603 Lesion Malign Trunk Arm Leg 2.1-3.0cm
$4,573
$1,189
$821
80
clean
11604 Lesion Malign Trunk Arm Leg 3.1-4.0cm
$4,573
$1,189
$821
80
clean
11606 Lesion Malign Trunk Arm Leg 4.0cm Lge
$10,532
$2,739
$1,915
40
clean
11620 Les Mal Scalp Nk Hd Ft Gent 0.5cm
$10,532
$2,739
$1,915
40
clean
11621 Les Mal Scalp Nk Hd Ft Gent 0.6-1.0cm
$4,573
$1,189
$821
40
clean
11622 Les Mal Scalp Nk Hd Ft Gent 1.1-2.0cm
$4,573
$1,189
$821
80
clean
11623 Les Mal Scalp Nk Hd Ft Gent 2.1-3.0cm
$10,532
$2,739
$1,915
40
clean
11624 Les Mal Scalp Nk Hd Ft Gent 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11626 Les Mal Scalp Nk Hd Ft Gent 4.0cm Lge
$18,603
$4,839
$3,368
40
clean
11640 Les Mal Face Ear Lip Lid Nos 0.5cm
$4,573
$1,189
$821
40
clean
11641 Les Mal Face Ear Lip Lid Nos 0.6-1.0cm
$4,573
$1,189
$821
40
clean
11642 Les Mal Face Ear Lip Lid Nos 1.1-2.0cm
$4,573
$1,189
$821
80
clean
11643 Les Mal Face Ear Lip Lid Nos 2.1-3.0cm
$10,532
$2,739
$1,915
40
clean
11644 Les Mal Face Ear Lip Lid Nos 3.1-4.0cm
$10,532
$2,739
$1,915
40
clean
11646 Les Mal Face Ear Lip Lid Nos 4.0cm Lge
$18,603
$4,839
$3,368
40
clean
TRIM NONDYSTROPHIC NAILS
$386
$100
$68
200
clean
DEBR NAIL ANY METHOD 1-5
$386
$100
$68
200
clean
11721 DEBR4IDE NAILS 6 OR MORE
$386
$100
$68
160
clean
NAIL AVULSION SIMPLE;SING
$1,292
$336
$233
200
clean
11732 AVUL EA ADDITIONAL NAIL PLATE
$49
$13
$25
48
clean
EVAC SUBUNGUAL HEMATOMA
$838
$218
$154
120
clean
NAIL EXCISION
$2,597
$675
$471
160
clean
11755 Biopsy Of Nail Unit
$4,573
$1,189
$821
40
clean
REPAIR NAIL BED
$3,979
$1,035
$857
80
clean
11762 Recons Of Nail Bed W Graft
$11,890
$3,093
$2,392
40
clean
WEDGE EXCISION SKIN NAIL
$2,597
$675
$471
80
clean
11770 Excision Pilonidal Cyst Sinus Simple
$18,603
$4,839
$3,368
40
clean
11771 Excision Pilonidal Cyst Sinus Exten
$18,603
$4,839
$3,368
40
clean
11772 Excision Pilonidal Cyst Sinus Compl
$18,603
$4,839
$3,368
40
clean
11900 Inj Intralesional Up To 7
$1,292
$336
$233
40
clean
11901 Inj Intralesional More Than 7
$1,292
$336
$233
40
clean
11920 Tattoo Cor Col Def 6.0sq cm Or Less
$3,979
$1,035
$857
40
clean
11921 Tattooing Color Def6.1-20 Provider
$3,979
$1,035
$857
40
clean
11951 Subcut Inj Filling Material 1.1-5Cc
$3,979
$1,035
$857
40
clean
11960 Ins Tissue Expand Subsq Expan
$23,796
$6,189
$4,109
40
clean
11970 Rep Tissue Expander W Perm Prosthesis
$46,434
$12,077
$8,413
40
clean
11971 Rem Tissue Expander W/O Insert Prosthesis
$18,603
$4,839
$3,368
40
clean
11981 Insertion, Drug-Delivery Implant
$838
$218
$154
40
clean
11982 REM NON BIO DRUG DELIVER IMPL
$2,594
$675
$518
80
clean
11983 Remval W/Insertion Beads
$2,594
$675
$518
40
clean
SIM RPR TRK UP TO 2.5 CM
$1,292
$336
$233
200
clean
SIM REP TRK/LMB 2.6-7.5
$1,292
$336
$233
160
clean
SIM REP TRK/LMB 7.6-12.5
$1,292
$336
$233
80
clean
SIM REP TRK/LMB 12.6-20.0
$2,597
$675
$471
80
clean
RPR TRK LM NK SC 20.1-30C
$2,597
$675
$471
80
clean
SIM REP TR LM >30.0
$1,292
$336
$233
80
clean
SIM REP FACE EAR EYE 2.5
$1,292
$336
$233
160
clean
SIM REP FACE EAR EYE 2.6-
$1,292
$336
$233
160
clean
SIM REP FACE EAR EYE 5.1-
$1,292
$336
$233
80
clean
SIM REP FACE EAR EYE 7.6-
$1,292
$336
$233
80
clean
SIM REP FACE EAR EYE 12.6
$2,597
$675
$471
80
clean
SIM REP FACE EAR EYE 20.1
$2,597
$675
$471
80
clean
12018 Sim Rep Face Ear Lip Lid Nose >30.0cm
$1,292
$336
$233
40
clean
TX WOUND DEHISCENCE; SIMP
$3,979
$1,035
$857
120
clean
TX WOUND DEHIS; W/PACKING
$2,597
$675
$471
80
clean
INT RPR SCL TRK HD FT 2.5
$2,597
$675
$471
160
clean
INT REP SCL TK HD FT 2.6-
$2,597
$675
$471
120
clean
INT REP SCL TK HD FT 7.6-
$2,597
$675
$471
80
clean
INT REP SC TK HD FT 12.6-
$2,597
$675
$471
80
clean
INT REP SC TK HD FT 20.1-
$3,979
$1,035
$857
80
clean
INT REP SC TK HD FT>30.0
$11,890
$3,093
$2,392
80
clean
INT REP NK HN FT GEN 2.5
$2,597
$675
$471
80
clean
INT REP NK HN FT GEN 2.6-
$2,597
$675
$471
80
clean
INT REP NK HN FT GEN 7.6-
$3,979
$1,035
$857
80
clean
12045 Int Rep Neck Hand Ft Gen 12.6-20cm
$3,979
$1,035
$857
80
clean
12046 Int Rep Neck Hands Ft Gent 20.1-30cm
$3,979
$1,035
$857
40
clean
12047 Int Rep Neck Hands Feet Genit >30cm
$11,890
$3,093
$2,392
40
clean
INT REP FACE EAR EYE 2.5
$2,597
$675
$471
120
clean
INT REP FACE EAR EYE 2.6-
$2,597
$675
$471
80
clean
INT REP FACE EAR EYE 5.1-
$2,597
$675
$471
80
clean
INT RPR FACE EAR EYE 7.6-
$2,597
$675
$471
80
clean
INT RPR FACE EAR 12.6-20C
$2,597
$675
$471
80
clean
12056 INT REP FACE EAR LIP LID 20.1-30CM
$2,597
$675
$471
80
clean
12057 Int Rep Fc Er Ld Lp >30.0cm
$2,597
$675
$471
40
clean
COMPLEX REPAIR TRUNK 1.1-2.5CM
$3,979
$1,035
$857
80
clean
COMPLEX REPAIR TRNK 2.6-7.5CM
$3,979
$1,035
$857
80
clean

Showing the first 200 of 8,842 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT J7500/b
error
mrf_negotiated_above_max
a negotiated rate of $3 is above the file's own maximum $0
CPT J7504/b
error
mrf_negotiated_above_max
a negotiated rate of $14,225 is above the file's own maximum $0
CPT J0285/b
error
mrf_negotiated_above_max
a negotiated rate of $182 is above the file's own maximum $8
CPT J0287/b
error
mrf_negotiated_above_max
a negotiated rate of $43 is above the file's own maximum $1
CPT J7608/b
error
mrf_negotiated_above_max
a negotiated rate of $37 is above the file's own maximum $0
CPT J0391/b
error
mrf_negotiated_above_max
a negotiated rate of $218 is above the file's own maximum $3
CPT J0475/b
error
mrf_negotiated_above_max
a negotiated rate of $761 is above the file's own maximum $1
CPT J9011/b
error
mrf_negotiated_above_max
a negotiated rate of $217 is above the file's own maximum $88
CPT J9038/b
error
mrf_negotiated_above_max
a negotiated rate of $234 is above the file's own maximum $214
CPT J0600/b
error
mrf_negotiated_above_max
a negotiated rate of $26,915 is above the file's own maximum $0
CPT J9042/b
error
mrf_negotiated_above_max
a negotiated rate of $1,086 is above the file's own maximum $596
CPT J9043/b
error
mrf_negotiated_above_max
a negotiated rate of $955 is above the file's own maximum $114
CPT 90380/b
error
mrf_negotiated_above_max
a negotiated rate of $667 is above the file's own maximum $0
CPT 90620/b
error
mrf_negotiated_above_max
a negotiated rate of $284 is above the file's own maximum $0
CPT J9048/b
error
mrf_negotiated_above_max
a negotiated rate of $69 is above the file's own maximum $7
CPT 90633/b
error
mrf_negotiated_above_max
a negotiated rate of $46 is above the file's own maximum $0
CPT J0666/b
error
mrf_negotiated_above_max
a negotiated rate of $6 is above the file's own maximum $1
CPT 90647/b
error
mrf_negotiated_above_max
a negotiated rate of $36 is above the file's own maximum $0
CPT 90648/b
error
mrf_negotiated_above_max
a negotiated rate of $15 is above the file's own maximum $0
CPT 90651/b
error
mrf_negotiated_above_max
a negotiated rate of $368 is above the file's own maximum $0
CPT 90656/b
error
mrf_negotiated_above_max
a negotiated rate of $80 is above the file's own maximum $0
CPT 90662/b
error
mrf_negotiated_above_max
a negotiated rate of $305 is above the file's own maximum $0
MS-DRG 795/i
error
mrf_negotiated_above_max
a negotiated rate of $6,099 is above the file's own maximum $4,185
CPT 90677/b
error
mrf_negotiated_above_max
a negotiated rate of $1,186 is above the file's own maximum $0
CPT 90700/b
error
mrf_negotiated_above_max
a negotiated rate of $33 is above the file's own maximum $0
CPT J9150/b
error
mrf_negotiated_above_max
a negotiated rate of $91 is above the file's own maximum $12
CPT 90713/b
error
mrf_negotiated_above_max
a negotiated rate of $53 is above the file's own maximum $0
CPT J9153/b
error
mrf_negotiated_above_max
a negotiated rate of $1,076 is above the file's own maximum $492
CPT 90732/b
error
mrf_negotiated_above_max
a negotiated rate of $492 is above the file's own maximum $0
CPT 90734/b
error
mrf_negotiated_above_max
a negotiated rate of $199 is above the file's own maximum $0
CPT 90744/b
error
mrf_negotiated_above_max
a negotiated rate of $120 is above the file's own maximum $0
CPT J9200/b
error
mrf_negotiated_above_max
a negotiated rate of $17,338 is above the file's own maximum $0
CPT J9202/b
error
mrf_negotiated_above_max
a negotiated rate of $3,081 is above the file's own maximum $0
CPT 91322/b
error
mrf_negotiated_above_max
a negotiated rate of $596 is above the file's own maximum $0
CPT J0840/b
error
mrf_negotiated_above_max
a negotiated rate of $7,681 is above the file's own maximum $0
CPT J9203/b
error
mrf_negotiated_above_max
a negotiated rate of $994 is above the file's own maximum $300
CPT J9204/b
error
mrf_negotiated_above_max
a negotiated rate of $1,044 is above the file's own maximum $263
CPT J0870/b
error
mrf_negotiated_above_max
a negotiated rate of $240 is above the file's own maximum $214
CPT J9214/b
error
mrf_negotiated_above_max
a negotiated rate of $34 is above the file's own maximum $1
CPT J9217/b
error
mrf_negotiated_above_max
a negotiated rate of $741 is above the file's own maximum $1
CPT J9223/b
error
mrf_negotiated_above_max
a negotiated rate of $870 is above the file's own maximum $6
CPT J9228/b
error
mrf_negotiated_above_max
a negotiated rate of $771 is above the file's own maximum $1
CPT J9260/b
error
mrf_negotiated_above_max
a negotiated rate of $12 is above the file's own maximum $10
CPT J1162/b
error
mrf_negotiated_above_max
a negotiated rate of $21,707 is above the file's own maximum $0
CPT J9266/b
error
mrf_negotiated_above_max
a negotiated rate of $119,381 is above the file's own maximum $0
CPT J9268/b
error
mrf_negotiated_above_max
a negotiated rate of $10,954 is above the file's own maximum $0
CPT J9272/b
error
mrf_negotiated_above_max
a negotiated rate of $1,024 is above the file's own maximum $305
CPT J9273/b
error
mrf_negotiated_above_max
a negotiated rate of $793 is above the file's own maximum $1
CPT J9298/b
error
mrf_negotiated_above_max
a negotiated rate of $831 is above the file's own maximum $6
CPT J1290/b
error
mrf_negotiated_above_max
a negotiated rate of $1,554 is above the file's own maximum $0
MS-DRG 217/i
error
mrf_negotiated_above_max
a negotiated rate of $156,584 is above the file's own maximum $154,966
MS-DRG 218/i
error
mrf_negotiated_above_max
a negotiated rate of $156,584 is above the file's own maximum $140,741
CPT J1326/b
error
mrf_negotiated_above_max
a negotiated rate of $142 is above the file's own maximum $88
MS-DRG 221/i
error
mrf_negotiated_above_max
a negotiated rate of $114,395 is above the file's own maximum $105,562
MS-DRG 229/i
error
mrf_negotiated_above_max
a negotiated rate of $108,687 is above the file's own maximum $94,206
CPT J1410/b
error
mrf_negotiated_above_max
a negotiated rate of $1,647 is above the file's own maximum $37
CPT J9351/b
error
mrf_negotiated_above_max
a negotiated rate of $11 is above the file's own maximum $6
CPT J9352/b
error
mrf_negotiated_above_max
a negotiated rate of $1,642 is above the file's own maximum $37
CPT J1670/b
error
mrf_negotiated_above_max
a negotiated rate of $2,491 is above the file's own maximum $0
CPT J1742/b
error
mrf_negotiated_above_max
a negotiated rate of $724 is above the file's own maximum $3
CPT J1950/b
error
mrf_negotiated_above_max
a negotiated rate of $7,267 is above the file's own maximum $0
CPT J2265/b
error
mrf_negotiated_above_max
a negotiated rate of $11 is above the file's own maximum $2
CPT J2353/b
error
mrf_negotiated_above_max
a negotiated rate of $855 is above the file's own maximum $1
CPT Q5129/b
error
mrf_negotiated_above_max
a negotiated rate of $168 is above the file's own maximum $88
CPT Q5130/b
error
mrf_negotiated_above_max
a negotiated rate of $579 is above the file's own maximum $2
CPT J2561/b
error
mrf_negotiated_above_max
a negotiated rate of $5 is above the file's own maximum $1
CPT Q9968/b
error
mrf_negotiated_above_max
a negotiated rate of $37 is above the file's own maximum $3
CPT J2760/b
error
mrf_negotiated_above_max
a negotiated rate of $1,814 is above the file's own maximum $0
CPT J3101/b
error
mrf_negotiated_above_max
a negotiated rate of $723 is above the file's own maximum $1
CPT J3105/b
error
mrf_negotiated_above_max
a negotiated rate of $31 is above the file's own maximum $13
CPT J3260/b
error
mrf_negotiated_above_max
a negotiated rate of $10 is above the file's own maximum $8
CPT C9293/b
error
mrf_negotiated_above_max
a negotiated rate of $480 is above the file's own maximum $1
CPT J3424/b
error
mrf_negotiated_above_max
a negotiated rate of $22 is above the file's own maximum $2
CPT C9460/b
error
mrf_negotiated_above_max
a negotiated rate of $84 is above the file's own maximum $3
CPT C9482/b
error
mrf_negotiated_above_max
a negotiated rate of $105 is above the file's own maximum $3
CPT J0209/b
error
mrf_negotiated_above_max
a negotiated rate of $115 is above the file's own maximum $5
error
mrf_negotiated_below_min_systematic
851 of 8,481 comparable items (10%) 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. a negotiated rate of $0 is below the file's own minimum $38
CPT 44345/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19,589 exceeds the gross charge $9,321
CPT 76827/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 44346/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19,589 exceeds the gross charge $9,321
CPT 76830/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT J0270/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1 exceeds the gross charge $0
CPT 44602/b
warn
mrf_negotiated_above_gross
highest negotiated rate $21,312 exceeds the gross charge $9,022
CPT 76831/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT J7500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $0
CPT 47555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $35,786 exceeds the gross charge $22,939
CPT 76856/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 49010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $35,786 exceeds the gross charge $9,321
CPT 76857/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 49255/b
warn
mrf_negotiated_above_gross
highest negotiated rate $35,786 exceeds the gross charge $24,468
CPT 76870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT J7504/b
warn
mrf_negotiated_above_gross
highest negotiated rate $14,225 exceeds the gross charge $0
CPT 76872/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 51840/b
warn
mrf_negotiated_above_gross
highest negotiated rate $27,653 exceeds the gross charge $12,912
CPT 76881/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 56630/b
warn
mrf_negotiated_above_gross
highest negotiated rate $27,653 exceeds the gross charge $12,912
CPT 76882/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT J7510/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2 exceeds the gross charge $1
CPT 61215/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 76885/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 61624/b
warn
mrf_negotiated_above_gross
highest negotiated rate $101,334 exceeds the gross charge $47,039
CPT 76999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 61885/b
warn
mrf_negotiated_above_gross
highest negotiated rate $170,576 exceeds the gross charge $139,389
CPT 77047/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 61891/b
warn
mrf_negotiated_above_gross
highest negotiated rate $170,576 exceeds the gross charge $139,389
CPT 77072/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 62230/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77073/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 62350/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77075/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 63741/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77076/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 64568/b
warn
mrf_negotiated_above_gross
highest negotiated rate $243,482 exceeds the gross charge $198,078
CPT 77080/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 64840/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77081/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 64856/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77407/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,132 exceeds the gross charge $1,709
CPT 64864/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77412/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,054 exceeds the gross charge $1,709
CPT 64885/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,132 exceeds the gross charge $1,709
CPT 64886/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 77750/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,132 exceeds the gross charge $1,709
CPT 64890/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78459/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,157 exceeds the gross charge $6,527
CPT 64891/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78580/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,210 exceeds the gross charge $2,009
CPT 64892/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78582/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,001 exceeds the gross charge $2,691
CPT 64895/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78597/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,210 exceeds the gross charge $2,009
CPT 64896/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78608/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,905 exceeds the gross charge $7,293
CPT 64897/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78740/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,210 exceeds the gross charge $2,009
CPT 64898/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78815/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,905 exceeds the gross charge $7,293
CPT 64905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 78816/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,905 exceeds the gross charge $7,293
CPT 64907/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 64910/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 64911/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 64912/b
warn
mrf_negotiated_above_gross
highest negotiated rate $48,511 exceeds the gross charge $41,626
CPT 86581/b
warn
mrf_negotiated_above_gross
highest negotiated rate $348 exceeds the gross charge $94
CPT 70030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70110/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70150/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70160/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70250/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70330/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70336/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 70360/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 70390/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 70450/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70460/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70470/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70480/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70481/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70482/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70486/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70487/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70490/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 70491/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70492/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70496/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70498/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890
CPT 70540/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 70542/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 70543/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 70544/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 70545/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 70546/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 90870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,747 exceeds the gross charge $3,449
CPT 70547/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 90899/b
warn
mrf_negotiated_above_gross
highest negotiated rate $207 exceeds the gross charge $194
CPT 70548/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 91035/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,747 exceeds the gross charge $3,449
CPT 70549/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 91065/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 70551/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,319 exceeds the gross charge $1,209
CPT 91112/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,014 exceeds the gross charge $2,100
CPT 70552/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 70553/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,929 exceeds the gross charge $1,786
CPT 71045/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 92538/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 71046/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 92540/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 71047/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 92550/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 71100/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 92579/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,194 exceeds the gross charge $1,017
CPT 71101/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 92588/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,063 exceeds the gross charge $2,024
CPT 71111/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 71120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 71130/b
warn
mrf_negotiated_above_gross
highest negotiated rate $481 exceeds the gross charge $440
CPT 71250/b
warn
mrf_negotiated_above_gross
highest negotiated rate $578 exceeds the gross charge $532
CPT 71260/b
warn
mrf_negotiated_above_gross
highest negotiated rate $970 exceeds the gross charge $890

Showing the first 200 of 1,885 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. · csv-wide · 107.8M bytes · fetched 2026-08-25 · sha256 517a99b67e4d…

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.