Hospital · CCN 390322

Rothman Orthopaedic Specialty Hospital Llc

3300 Tillman Drive, Bensalem, PA 19020 · Bucks County
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

5 admission types 8 outpatient services price file: ok
Billed per dollar paid, all admissions
4.22×
$11.4M billed against $2.7M paid across 170 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
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
103
$58,263
$13,350
4.4× st 5.0×
483
Major joint or limb reattachment procedures of upper extremities
28
$71,444
$17,663
4.0× st 5.0×
468
Revision of hip or knee replacement without cc/mcc
15
$67,965
$18,620
3.7× st 5.0×
460
Spinal fusion except cervical without mcc
13
$95,273
$25,925
3.7× st 4.7×
462
Bilateral or multiple major joint procedures of lower extremity without mcc
11
$104,634
$19,886
5.3× st 3.4×
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
5115
Level 5 Musculoskeletal Procedures
713
$54,930
$12,620
4.4×
5114
Level 4 Musculoskeletal Procedures
94
$61,180
$6,902
8.9×
5116
Level 6 Musculoskeletal Procedures
77
$73,522
$17,740
4.1×
5112
Level 2 Musculoskeletal Procedures
60
$26,755
$1,525
17.5×
5431
Level 1 Nerve Procedures
36
$14,611
$1,863
7.8×
5113
Level 3 Musculoskeletal Procedures
15
$45,326
$3,123
14.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5073
Level 3 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 csv-tall, last updated 4/1/2026, template 3.0.0, 129,829 rows scanned, 1,255 distinct code–setting items kept. 313 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
NJX PLATELET PLASMA
$258
$413
$397
118
clean
I&D ABSCESS SIMPLE/SINGLE
$597
$199
$191
124
clean
INC&RMVL FB SUBQ TISS SMPL
$1,099
$383
$368
107
clean
INC&RMVL FB SUBQ TISS COMP
$4,456
$1,560
$1,500
124
clean
I&D HMTMA SEROMA/FLUID COLLJ
$796
$1,560
$1,500
124
clean
I&D COMPLEX PO WOUND INFCTJ
$2,388
$2,628
$2,527
124
clean
DEBRIDE SKIN AT FX SITE
$4,776
$690
$663
124
clean
DEB SKIN BONE AT FX SITE
$7,871
$2,628
$2,527
124
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
$3,582
$383
$368
124
clean
DBRDMT MUSC&/FSCA 1ST 20/<
$4,776
$581
$558
124
clean
DBRDMT BONE 1ST 20 SQ CM/<
$5,969
$1,560
$1,500
124
clean
DBRDMT SUBQ TISS EACH ADDL
$349
—
$26
24
clean
PARING/CUTG B9 HYPRKER LES 1
$713
$206
$198
124
clean
EXC TR-EXT B9+MARG 0.5 CM<
$1,903
$690
$663
124
clean
EXC TR-EXT B9+MARG 0.6-1 CM
$2,404
$383
$368
124
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$3,204
$690
$663
124
clean
EXC TR-EXT B9+MARG 2.1-3CM
$4,106
$690
$663
124
clean
EXC TR-EXT B9+MARG >4.0 CM
$14,423
$1,560
$1,500
124
clean
EXC H-F-NK-SP B9+MARG 0.5/<
$4,456
$1,560
$1,500
124
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$2,704
$690
$663
124
clean
EXC H-F-NK-SP B9+MARG 1.1-2
$4,456
$1,560
$1,500
124
clean
EXC H-F-NK-SP B9+MARG 2.1-3
$9,615
$1,560
$1,500
124
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
$5,209
$690
$663
124
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
$9,615
$1,560
$1,500
124
clean
DEBRIDE NAIL 1-5
$2,404
$62
$59
118
clean
AVULSION NAIL PLATE SIMPLE 1
$2,404
$206
$198
124
clean
EXCISION NAIL&NAIL MATRIX
$9,615
$383
$368
124
clean
REPAIR OF NAIL BED
$9,615
$581
$558
124
clean
RECONSTRUCTION OF NAIL BED
$19,230
—
$2,029
33
clean
WEDGE EXCISION SKN NAIL FOLD
$3,204
$414
$399
124
clean
INSERTION DRUG DLVR IMPLANT
$851
$134
$129
118
clean
REMOVE DRUG IMPLANT DEVICE
$950
$414
$398
118
clean
RPR S/N/AX/GEN/TRNK 2.5CM/<
$1,106
$206
$198
124
clean
TX SUPFC WND DEHSN SMPL CLSR
$1,890
$581
$558
124
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
$1,153
$383
$368
124
clean
INTMD RPR S/A/T/EXT 2.6-7.5
$1,567
$383
$368
124
clean
INTMD RPR N-HF/GENIT 2.5CM/<
$1,706
$414
$399
124
clean
CMPLX RPR S/A/L 2.6-7.5 CM
$6,638
$581
$558
124
clean
CMPLX RPR S/A/L ADDL 5 CM/>
$2,673
—
$81
24
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$6,638
$383
$368
124
clean
SEC CLSR SURG WND/DEHSN XTN
$5,030
$1,898
$1,825
124
clean
TIS TRNFR S/A/L 10 SQ CM/<
$8,851
$1,898
$1,825
124
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
$11,064
$1,898
$1,825
124
clean
WOUND PREP F/N/HF/G
$13,276
$581
$558
124
clean
FTH/GFT FR S/A/L 20 SQ CM/<
$17,702
$1,898
$1,825
124
clean
FTH/GFT F/C/C/M/N/AX/G/H/F20
$17,702
$1,898
$1,825
124
clean
SKIN SUB GRAFT TRNK/ARM/LEG
$9,023
$1,898
$1,825
124
clean
SKIN SUB GRAFT FACE/NK/HF/G
$9,023
$1,898
$1,825
124
clean
TRANSFER SKIN PEDICLE FLAP
$17,702
$1,898
$1,825
124
clean
MUSCLE-SKIN GRAFT ARM
$22,127
$1,898
$1,825
124
clean
MUSCLE-SKIN GRAFT LEG
$22,127
$3,903
$3,753
124
clean
ISLAND PEDICLE FLAP GRAFT
$15,489
—
$2,029
33
clean
DERMA-FAT-FASCIA GRAFT
$13,276
$3,903
$3,753
124
clean
ACELLULAR DERM MATRIX IMPLT
$4,110
—
$203
24
clean
REMOVAL SUTR/STAPLE REQ ANES
$486
$1,898
$1,825
124
clean
UNLISTD PX SKN MUC MEMB SUBQ
$5,788
$206
$213
100
clean
NIPPLE EXPLORATION
$14,230
$3,500
$3,365
124
clean
REMOVAL OF BREAST LESION
$17,077
$3,500
$3,365
124
clean
EXPL PENTRG WOUND EXTREMITY
$13,090
$690
$663
124
clean
BONE BIOPSY TROCAR/NDL SUPFC
$7,091
$1,560
$1,500
124
clean
BONE BIOPSY OPEN SUPERFICIAL
$9,818
$2,628
$2,527
124
clean
BONE BIOPSY OPEN DEEP
$19,637
—
$3,037
33
clean
RMVL FB MUSC/TDN SIMPLE
$2,387
$1,560
$1,500
124
clean
RMVL FB MUSC/TDN DEEP/COMP
$16,364
$2,628
$2,527
124
clean
THER INJECTION CARP TUNNEL
$819
$290
$278
118
clean
NJX NZM PALMAR FASCIAL CORD
$819
$290
$278
118
clean
NJX 1 TENDON SHEATH/LIGAMENT
$1,159
$290
$278
118
clean
NJX 1 TENDON ORIGIN/INSJ
$1,159
$290
$278
118
clean
NJX 1/MLT TRIGGER POINT 1/2
$1,228
$290
$278
118
clean
DRAIN/INJ JOINT/BURSA W/O US
$1,091
$290
$278
118
clean
DRAIN/INJ JOINT/BURSA W/O US
$1,159
$290
$278
118
clean
DRAIN/INJ JOINT/BURSA W/O US
$1,296
$290
$278
118
clean
DRAIN/INJ JOINT/BURSA W/US
$980
$290
$278
118
clean
TREATMENT OF BONE CYST
$3,273
$690
$663
124
clean
INSERT AND REMOVE BONE PIN
$3,068
$3,139
$3,018
124
clean
REMOVAL IMPLANT SUPERFICIAL
$17,500
$1,681
$1,616
124
clean
REMOVAL OF IMPLANT DEEP
$35,776
$2,969
$2,855
124
clean
APPL UNIPLN UNI EXT FIXJ SYS
$22,909
$6,943
$6,676
124
clean
ADJMT/REVJ EXT FIXJ SYS ANES
$25,435
$6,943
$6,676
124
clean
RMVL EXT FIXJ SYS UNDER ANES
$25,435
$1,660
$1,596
124
clean
REMOVAL OF BONE FOR GRAFT
$5,181
$6,943
$6,676
124
clean
REMOVAL OF BONE FOR GRAFT
$10,364
$6,943
$6,676
124
clean
REMOVE CARTILAGE FOR GRAFT
$7,636
$581
$558
124
clean
REMOVAL OF FASCIA FOR GRAFT
$8,182
$1,898
$1,825
124
clean
REMOVAL OF TENDON FOR GRAFT
$5,728
$6,943
$6,676
124
clean
SP BONE ALGRFT STRUCT ADD-ON
$1,817
—
$120
24
clean
SP BONE AGRFT MORSEL ADD-ON
$2,498
—
$178
24
clean
OTHER BONE GRAFT MICROVASC
$9,818
$6,750
$6,490
124
clean
CPTR-ASST DIR MS PX
$5,678
—
$154
24
clean
UNLISTED PX MUSCSKEL GENERAL
$8,470
$228
$232
100
clean
EXC BACK LES SC < 3 CM
$19,312
$1,560
$1,500
124
clean
I&D ABSCESS P-SPINE L/S/LS
$16,364
$6,750
$6,490
124
clean
REMOVE PART OF NECK VERTEBRA
$19,200
$6,750
$6,490
124
clean
PERQ VERTEBRAL AUGMENTATION
$38,625
—
$7,776
33
clean
ARTHRD ANT NTRBDY CERVICAL
$35,384
$13,668
$13,142
124
clean
ARTHRD ANT NTRBD CERVICAL EA
$31,796
—
$420
24
clean
ARTHRD ANT NTRBD MIN DSC CRV
$32,705
—
$15,340
33
clean
ARTHRD ANT NTRBD MIN DSC LUM
$32,705
$17,097
$16,439
124
clean
ARTHRD ANT NTRBD MIN DSC EA
$32,705
—
$358
24
clean
ARTHRD PST TQ 1NTRSPC CRV
$32,705
$17,097
$16,439
124
clean
ARTHRD PST TQ 1NTRSPC THRC
$41,249
$17,097
$16,439
124
clean
ARTHRD PST TQ 1NTRSPC LUMBAR
$50,573
$13,668
$13,142
124
clean
ARTHRD PST TQ 1NTRSPC EA ADD
$42,487
—
$417
24
clean
ARTHRD PST TQ 1NTRSPC LUM
$50,573
$17,922
$17,233
124
clean
ARTHRD PST TQ 1NTRSPC LM EA
$32,705
—
$340
24
clean
ARTHRD CMBN 1NTRSPC LUMBAR
$50,573
$13,668
$13,142
124
clean
ARTHRD CMBN 1NTRSPC EA ADDL
$31,752
—
$529
24
clean
ARTHRD ANT DFRM 2-3 VRT SGM
$32,705
$17,097
$16,439
124
clean
EXPLORATION OF SPINAL FUSION
$12,500
$13,268
$12,758
124
clean
INSERT SPINE FIXATION DEVICE
$2,498
—
$813
24
clean
INSERT SPINE FIXATION DEVICE
$2,498
—
$813
24
clean
INSERT SPINE FIXATION DEVICE
$2,498
—
$863
24
clean
INSERT SPINE FIXATION DEVICE
$1,817
—
$789
24
clean
INSERT SPINE FIXATION DEVICE
$2,498
—
$818
24
clean
REINSERT SPINAL FIXATION
$27,036
$17,097
$16,439
124
clean
REMOVE SPINE FIXATION DEVICE
$9,565
$13,268
$12,758
124
clean
REMOVE SPINE FIXATION DEVICE
$19,855
$13,268
$12,758
124
clean
INSJ BIOMECHANICAL DEVICE
$27,036
—
$282
24
clean
INSJ BIOMECHANICAL DEVICE
$27,036
—
$365
24
clean
TOT DISC ARTHRP 1NTRSPC CRV
$50,573
$17,922
$17,233
124
clean
TOT DISC ARTHRP 2ND LVL CRV
$16,641
—
$528
24
clean
REV RPLCM ARTHRP 1NTRSPC CRV
$32,705
$17,097
$16,439
124
clean
INSJ STABLJ DEV W/DCMPRN
$38,972
$17,922
$17,233
118
clean
INSJ STABLJ DEV W/DCMPRN
$38,972
—
$263
24
clean
UNLISTED PROCEDURE SPINE
$13,724
$228
$232
100
clean
CAPSULAR CONTRACTURE RELEASE
$25,308
$3,139
$3,018
124
clean
EXC SHOULDER LES SC 3 CM/>
$4,456
$1,560
$1,500
124
clean
EXC SHOULDER TUM DEEP 5 CM/>
$25,438
$2,628
$2,527
124
clean
EXC SHOULDER TUM DEEP < 5 CM
$22,145
$2,628
$2,527
124
clean
ARTHRT ACRMCLV/STRNCLAV JT
$31,636
—
$3,499
33
clean
CLAVICULECTOMY PARTIAL
$34,799
$3,139
$3,018
124
clean
ACROMP/ACROMIONECTOMY PRTL
$37,963
$3,139
$3,018
124
clean
PRTL EXCISION BONE PROX HUM
$31,636
$6,943
$6,676
124
clean
RESECTION HUMERAL HEAD
$31,636
$6,943
$6,676
124
clean
RADICAL RESCJ TUMOR PROX HUM
$21,550
$6,750
$6,490
124
clean
REMOVE SHOULDER FB DEEP
$4,685
—
$3,037
33
clean
SHOULDER PROSTHESIS REMOVAL
$22,145
$2,628
$2,527
124
clean
MUSCLE TRANSFER SHOULDER/ARM
$28,473
$6,943
$6,676
124
clean
INCISION OF TENDON & MUSCLE
$28,473
$6,943
$6,676
124
clean
INCISE TENDON(S) & MUSCLE(S)
$31,636
$6,943
$6,676
124
clean
REPAIR ROTATOR CUFF ACUTE
$28,473
$6,943
$6,676
124
clean
REPAIR ROTATOR CUFF CHRONIC
$31,636
$6,943
$6,676
124
clean
RELEASE OF SHOULDER LIGAMENT
$28,473
$6,943
$6,676
124
clean
REPAIR OF SHOULDER
$37,963
$6,943
$6,676
124
clean
REPAIR BICEPS TENDON
$28,473
$6,943
$6,676
124
clean
REMOVE/TRANSPLANT TENDON
$31,636
$6,943
$6,676
124
clean
REPAIR SHOULDER CAPSULE
$31,636
$6,943
$6,676
124
clean
REPAIR SHOULDER CAPSULE
$31,636
$6,943
$6,676
124
clean
REPAIR SHOULDER CAPSULE
$28,473
$6,943
$6,676
124
clean
REPAIR SHOULDER CAPSULE
$31,636
$6,943
$6,676
124
clean
REPAIR SHOULDER CAPSULE
$28,473
$6,943
$6,676
124
clean
REPAIR SHOULDER CAPSULE
$31,636
$6,943
$6,676
124
clean
RECONSTRUCT SHOULDER JOINT
$37,963
$13,668
$13,142
124
clean
RECONSTRUCT SHOULDER JOINT
$50,573
$13,668
$13,142
124
clean
REVIS RECONST SHOULDER JOINT
$39,880
$13,668
$13,142
124
clean
REVIS RECONST SHOULDER JOINT
$43,411
$13,268
$12,758
124
clean
REVISION OF COLLAR BONE
$31,636
$13,668
$13,142
124
clean
OPTX CLAVICULAR FX W/INT FIX
$28,473
$6,943
$6,676
124
clean
CLTX ACROMCLAV DISLC WO MNPJ
$6,327
$228
$234
124
clean
OPTX ACROMCLV DISLC AQT/CHRN
$28,473
$6,943
$6,676
124
clean
OPTX ACRCLV DSLC AQ/CHRN GRF
$31,636
$6,943
$6,676
124
clean
OPTX SCAPULAR FX W/INT FIXJ
$28,473
$6,943
$6,676
124
clean
OPTX PROX HUMRL FX W/INT FIX
$35,384
$13,668
$13,142
124
clean
OPTX GR HMRL TBRS FX INT FIX
$25,308
$6,943
$6,676
124
clean
CLTX SHO DSLC W/MNPJ W/ANES
$12,655
$1,544
$1,484
124
clean
MNPJ ANES SHO JT FIXJ APRATS
$12,655
$1,544
$1,484
124
clean
UNLISTED PROCEDURE SHOULDER
$21,190
$228
$232
100
clean
ARTHRT ELBW CAPSL EXC RLS
$22,145
$3,139
$3,018
124
clean
EXC ARM/ELBOW LES SC 3 CM/>
$15,818
$2,628
$2,527
124
clean
EXC ARM/ELBOW LES SC < 3 CM
$15,818
$1,560
$1,500
124
clean
EX ARM/ELBOW TUM DEEP < 5 CM
$22,145
$2,628
$2,527
124
clean
ARTHRT ELBW JT EXPL BX RMVL
$25,308
$3,139
$3,018
124
clean
ARTHRT ELBOW W/SYNOVECTOMY
$25,308
$3,139
$3,018
124
clean
EXCISION OLECRANON BURSA
$22,145
$3,139
$3,018
124
clean
EXC/CURTG B1 CST/B9 TUM HUM
$22,145
$3,139
$3,018
124
clean
EXC/CRTG B1 CST/B9 TUM RDS
$22,145
$3,139
$3,018
124
clean
EXCISION RADIAL HEAD
$28,473
$3,139
$3,018
124
clean
PARTIAL EXC BONE HUMERUS
$31,636
$3,139
$3,018
124
clean
PRTL EXC BONE RADIAL H/N
$31,636
—
$7,776
33
clean
PRTL EXC BONE OLECRN PROCESS
$31,636
$3,139
$3,018
124
clean
RADICAL RESECTION OF ELBOW
$31,636
$6,943
$6,676
124
clean
RMVL FB UPPER ARM/ELBW SUBQ
$1,582
$1,560
$1,500
124
clean
RMVL FB UPPER ARM/ELBW DEEP
$18,981
$2,628
$2,527
124
clean
MNPJ ELBOW UNDER ANES
$12,655
$1,544
$1,484
124
clean
MUSC/TDN TRANSFER UPR A/E 1
$28,473
$6,943
$6,676
124
clean
TENDON LNGTH UPR A/E EA TDN
$25,308
$3,139
$3,018
124
clean
TNOT OPN ELBW TO SHO EA TDN
$25,308
$3,139
$3,018
124
clean
TENODESIS BICEPS TDN AT ELBW
$34,401
$6,943
$6,676
124
clean
RPR TDN/MUSC UPR A/E EACH
$31,710
$6,943
$6,676
124
clean
REPAIR OF RUPTURED TENDON
$39,480
$6,943
$6,676
124
clean
REPR ELBOW LAT LIGMNT W/TISS
$31,636
$3,139
$3,018
124
clean
RECONSTRUCT ELBOW LAT LIGMNT
$30,786
$6,943
$6,676
124
clean
REPR ELBW MED LIGMNT W/TISSU
$31,636
$6,943
$6,676
124
clean
RECONSTRUCT ELBOW MED LIGMNT
$31,636
$13,668
$13,142
124
clean
REPAIR ELBOW W/DEB OPEN
$22,145
$3,139
$3,018
124
clean
REPAIR ELBOW DEB/ATTCH OPEN
$17,953
$3,139
$3,018
124
clean
RECONSTRUCT ELBOW JOINT
$37,963
—
$25,744
33
clean
REPLACE ELBOW JOINT
$37,963
$17,922
$17,233
124
clean
RECONSTRUCT HEAD OF RADIUS
$28,473
$13,668
$13,142
124
clean
RECONSTRUCT HEAD OF RADIUS
$31,636
$13,668
$13,142
124
clean

Showing the first 200 of 1,255 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 20650/o
error
mrf_cash_above_gross
discounted cash price $3,139 exceeds gross charge $3,068
CPT 95938/o
error
mrf_cash_above_gross
discounted cash price $550 exceeds gross charge $417
CPT 20900/o
error
mrf_cash_above_gross
discounted cash price $6,943 exceeds gross charge $5,181
CPT 20924/o
error
mrf_cash_above_gross
discounted cash price $6,943 exceeds gross charge $5,728
CPT G0379/o
error
mrf_cash_above_gross
discounted cash price $655 exceeds gross charge $81
CPT 22830/o
error
mrf_cash_above_gross
discounted cash price $13,268 exceeds gross charge $12,500
CPT 22850/o
error
mrf_cash_above_gross
discounted cash price $13,268 exceeds gross charge $9,565
CPT 27768/o
error
mrf_cash_above_gross
discounted cash price $1,544 exceeds gross charge $959
CPT 64910/o
error
mrf_cash_above_gross
discounted cash price $6,321 exceeds gross charge $5,678
CPT 0232T/o
error
mrf_cash_above_gross
discounted cash price $413 exceeds gross charge $258
CPT 75820/o
error
mrf_cash_above_gross
discounted cash price $1,612 exceeds gross charge $1,033
CPT 10140/o
error
mrf_cash_above_gross
discounted cash price $1,560 exceeds gross charge $796
CPT 75822/o
error
mrf_cash_above_gross
discounted cash price $1,559 exceeds gross charge $1,345
CPT 10180/o
error
mrf_cash_above_gross
discounted cash price $2,628 exceeds gross charge $2,388
CPT 76098/o
error
mrf_cash_above_gross
discounted cash price $562 exceeds gross charge $482
CPT 15850/o
error
mrf_cash_above_gross
discounted cash price $581 exceeds gross charge $486
CPT 86900/o
error
mrf_cash_above_gross
discounted cash price $134 exceeds gross charge $101
CPT 15851/o
error
mrf_cash_above_gross
discounted cash price $1,898 exceeds gross charge $486
CPT 20520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,936 exceeds the gross charge $2,387
CPT 88333/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,801 exceeds the gross charge $1,080
CPT 20650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,910 exceeds the gross charge $3,068
CPT 90656/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $5
CPT 95925/o
warn
mrf_negotiated_above_gross
highest negotiated rate $483 exceeds the gross charge $417
CPT 95938/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,919 exceeds the gross charge $417
CPT 96372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $154 exceeds the gross charge $131
CPT 20900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,071 exceeds the gross charge $5,181
CPT 99234/o
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $81
CPT 20902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,071 exceeds the gross charge $10,364
CPT C1763/o
warn
mrf_negotiated_above_gross
highest negotiated rate $906 exceeds the gross charge $283
CPT 20924/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,071 exceeds the gross charge $5,728
CPT C1897/o
warn
mrf_negotiated_above_gross
highest negotiated rate $960 exceeds the gross charge $541
CPT 20962/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,015 exceeds the gross charge $9,818
CPT G0379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,303 exceeds the gross charge $81
CPT L8699/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,729 exceeds the gross charge $1,703
CPT 22830/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,582 exceeds the gross charge $12,500
MS-DRG 402/i
warn
mrf_negotiated_above_gross
highest negotiated rate $117,915 exceeds the gross charge $80,709
CPT 22849/o
warn
mrf_negotiated_above_gross
highest negotiated rate $32,964 exceeds the gross charge $27,036
MS-DRG 427/i
warn
mrf_negotiated_above_gross
highest negotiated rate $214,078 exceeds the gross charge $133,265
MS-DRG 428/i
warn
mrf_negotiated_above_gross
highest negotiated rate $165,896 exceeds the gross charge $129,850
CPT 22850/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,582 exceeds the gross charge $9,565
MS-DRG 451/i
warn
mrf_negotiated_above_gross
highest negotiated rate $93,013 exceeds the gross charge $74,779
CPT 22852/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,582 exceeds the gross charge $19,855
MS-DRG 455/i
warn
mrf_negotiated_above_gross
highest negotiated rate $175,230 exceeds the gross charge $135,638
MS-DRG 460/i
warn
mrf_negotiated_above_gross
highest negotiated rate $112,082 exceeds the gross charge $95,298
MS-DRG 462/i
warn
mrf_negotiated_above_gross
highest negotiated rate $106,064 exceeds the gross charge $104,479
MS-DRG 467/i
warn
mrf_negotiated_above_gross
highest negotiated rate $102,899 exceeds the gross charge $77,431
MS-DRG 468/i
warn
mrf_negotiated_above_gross
highest negotiated rate $83,260 exceeds the gross charge $65,235
MS-DRG 469/i
warn
mrf_negotiated_above_gross
highest negotiated rate $103,614 exceeds the gross charge $74,632
MS-DRG 470/i
warn
mrf_negotiated_above_gross
highest negotiated rate $64,690 exceeds the gross charge $56,032
MS-DRG 472/i
warn
mrf_negotiated_above_gross
highest negotiated rate $88,275 exceeds the gross charge $86,117
MS-DRG 482/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,144 exceeds the gross charge $46,766
CPT 24200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,936 exceeds the gross charge $1,582
MS-DRG 483/i
warn
mrf_negotiated_above_gross
highest negotiated rate $79,836 exceeds the gross charge $71,190
MS-DRG 497/i
warn
mrf_negotiated_above_gross
highest negotiated rate $35,358 exceeds the gross charge $27,159
CPT 24370/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,732 exceeds the gross charge $17,345
MS-DRG 502/i
warn
mrf_negotiated_above_gross
highest negotiated rate $33,989 exceeds the gross charge $28,982
CPT 24546/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33,742 exceeds the gross charge $31,636
MS-DRG 516/i
warn
mrf_negotiated_above_gross
highest negotiated rate $60,763 exceeds the gross charge $27,153
CPT 24579/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,732 exceeds the gross charge $25,308
MS-DRG 517/i
warn
mrf_negotiated_above_gross
highest negotiated rate $50,567 exceeds the gross charge $42,721
MS-DRG 518/i
warn
mrf_negotiated_above_gross
highest negotiated rate $92,314 exceeds the gross charge $38,986
MS-DRG 520/i
warn
mrf_negotiated_above_gross
highest negotiated rate $2,321,335 exceeds the gross charge $63,065
CPT 27065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,071 exceeds the gross charge $11,129
CPT 27380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,071 exceeds the gross charge $9,738
CPT 27381/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,071 exceeds the gross charge $12,521
CPT 27418/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,071 exceeds the gross charge $11,129
CPT 27420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,071 exceeds the gross charge $12,521
CPT 27428/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,732 exceeds the gross charge $16,694
CPT 27768/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,907 exceeds the gross charge $959
CPT 28320/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,732 exceeds the gross charge $24,549
CPT 28705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33,742 exceeds the gross charge $27,617
CPT 29867/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,732 exceeds the gross charge $20,597
CPT 38220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,936 exceeds the gross charge $1,787
CPT 64605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,664 exceeds the gross charge $3,163
CPT 64640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,718 exceeds the gross charge $1,687
CPT 64910/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,900 exceeds the gross charge $5,678
CPT 70015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,752 exceeds the gross charge $1,206
CPT 70134/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,221 exceeds the gross charge $669
CPT 70310/o
warn
mrf_negotiated_above_gross
highest negotiated rate $533 exceeds the gross charge $346
CPT 74190/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,221 exceeds the gross charge $660
CPT 74485/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,672 exceeds the gross charge $3,617
CPT 75605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,438 exceeds the gross charge $6,614
CPT 75625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,058 exceeds the gross charge $6,379
CPT 75705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,438 exceeds the gross charge $8,117
CPT 75710/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,058 exceeds the gross charge $6,614
CPT 75726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,438 exceeds the gross charge $6,693
CPT 75736/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,438 exceeds the gross charge $6,614
CPT 75741/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,058 exceeds the gross charge $6,457
CPT 75805/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,974 exceeds the gross charge $4,781
CPT 75807/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,058 exceeds the gross charge $4,950
CPT 0232T/o
warn
mrf_negotiated_above_gross
highest negotiated rate $808 exceeds the gross charge $258
CPT 75820/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,519 exceeds the gross charge $1,033
CPT 10140/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,936 exceeds the gross charge $796
CPT 75822/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,935 exceeds the gross charge $1,345
CPT 75842/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,700 exceeds the gross charge $7,585
CPT 10180/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,948 exceeds the gross charge $2,388
CPT 76080/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,221 exceeds the gross charge $1,008
CPT 76098/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,221 exceeds the gross charge $482
CPT 84484/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11 exceeds the gross charge $1
CPT 11982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $999 exceeds the gross charge $950
CPT 86891/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,801 exceeds the gross charge $1,162
CPT 15850/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,093 exceeds the gross charge $486
CPT 86900/o
warn
mrf_negotiated_above_gross
highest negotiated rate $297 exceeds the gross charge $101
CPT 86920/o
warn
mrf_negotiated_above_gross
highest negotiated rate $381 exceeds the gross charge $301
CPT 15851/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,563 exceeds the gross charge $486
CPT 17999/o
info
mrf_cash_under_tenth_of_gross
cash price $206 is 4% of the gross charge $5,788
CPT 88304/o
info
mrf_cash_under_tenth_of_gross
cash price $55 is 4% of the gross charge $1,434
CPT 20103/o
info
mrf_cash_under_tenth_of_gross
cash price $690 is 5% of the gross charge $13,090
CPT 88305/o
info
mrf_cash_under_tenth_of_gross
cash price $55 is 4% of the gross charge $1,439
CPT 88312/o
info
mrf_cash_under_tenth_of_gross
cash price $55 is 5% of the gross charge $1,080
CPT 20670/o
info
mrf_cash_under_tenth_of_gross
cash price $1,681 is 10% of the gross charge $17,500
CPT 20680/o
info
mrf_cash_under_tenth_of_gross
cash price $2,969 is 8% of the gross charge $35,776
CPT 20694/o
info
mrf_cash_under_tenth_of_gross
cash price $1,660 is 7% of the gross charge $25,435
CPT 20910/o
info
mrf_cash_under_tenth_of_gross
cash price $581 is 8% of the gross charge $7,636
CPT 20999/o
info
mrf_cash_under_tenth_of_gross
cash price $228 is 3% of the gross charge $8,470
CPT 21930/o
info
mrf_cash_under_tenth_of_gross
cash price $1,560 is 8% of the gross charge $19,312
CPT P9021/o
info
mrf_cash_under_tenth_of_gross
cash price $149 is 6% of the gross charge $2,500
CPT 22899/o
info
mrf_cash_under_tenth_of_gross
cash price $228 is 2% of the gross charge $13,724
CPT 23120/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,799
CPT 23130/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,963
CPT 23540/o
info
mrf_cash_under_tenth_of_gross
cash price $228 is 4% of the gross charge $6,327
CPT 23929/o
info
mrf_cash_under_tenth_of_gross
cash price $228 is 1% of the gross charge $21,190
CPT 24075/o
info
mrf_cash_under_tenth_of_gross
cash price $1,560 is 10% of the gross charge $15,818
CPT 24140/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 10% of the gross charge $31,636
CPT 24147/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 10% of the gross charge $31,636
CPT 24343/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 10% of the gross charge $31,636
CPT 24999/o
info
mrf_cash_under_tenth_of_gross
cash price $228 is 4% of the gross charge $5,961
CPT 25000/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 25020/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $34,092
CPT 25040/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881
CPT 25071/o
info
mrf_cash_under_tenth_of_gross
cash price $1,560 is 7% of the gross charge $22,067
CPT 25075/o
info
mrf_cash_under_tenth_of_gross
cash price $1,560 is 7% of the gross charge $22,729
CPT 25076/o
info
mrf_cash_under_tenth_of_gross
cash price $1,560 is 5% of the gross charge $30,305
CPT 25085/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25101/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25105/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881
CPT 25107/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25110/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $30,305
CPT 25111/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $30,305
CPT 25112/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 4% of the gross charge $37,881
CPT 25115/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $34,092
CPT 25116/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25118/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 25120/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25125/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 4% of the gross charge $37,881
CPT 25126/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881
CPT 25215/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881
CPT 25230/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25240/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25248/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $30,305
CPT 25260/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25270/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25274/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25275/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25280/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25310/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25312/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 25447/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881
CPT 25535/o
info
mrf_cash_under_tenth_of_gross
cash price $228 is 2% of the gross charge $15,152
CPT 25650/o
info
mrf_cash_under_tenth_of_gross
cash price $228 is 3% of the gross charge $7,576
CPT 25675/o
info
mrf_cash_under_tenth_of_gross
cash price $228 is 2% of the gross charge $15,152
CPT 25999/o
info
mrf_cash_under_tenth_of_gross
cash price $228 is 4% of the gross charge $5,961
CPT 26040/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $34,092
CPT 26045/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 26055/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $30,305
CPT 26060/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 6% of the gross charge $26,516
CPT 26080/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 26110/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 8% of the gross charge $18,940
CPT 26111/o
info
mrf_cash_under_tenth_of_gross
cash price $1,560 is 8% of the gross charge $18,940
CPT 26113/o
info
mrf_cash_under_tenth_of_gross
cash price $1,560 is 7% of the gross charge $22,729
CPT 26115/o
info
mrf_cash_under_tenth_of_gross
cash price $1,560 is 8% of the gross charge $18,940
CPT 26116/o
info
mrf_cash_under_tenth_of_gross
cash price $1,560 is 7% of the gross charge $22,729
CPT 26121/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 26123/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881
CPT 26140/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $30,305
CPT 26145/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $30,305
CPT 26160/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 26180/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $30,305
CPT 26200/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 26210/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 26230/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881
CPT 26236/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $34,092
CPT 26320/o
info
mrf_cash_under_tenth_of_gross
cash price $1,681 is 9% of the gross charge $18,940
CPT 26356/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 26370/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 26410/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 26418/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 26432/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 26440/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 6% of the gross charge $24,623
CPT 26455/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 26460/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 7% of the gross charge $22,729
CPT 26480/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 26483/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881
CPT 26485/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 26489/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881
CPT 26525/o
info
mrf_cash_under_tenth_of_gross
cash price $1,544 is 5% of the gross charge $30,305
CPT 26540/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 9% of the gross charge $34,092
CPT 26541/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $41,669
CPT 26542/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $41,669
CPT 26545/o
info
mrf_cash_under_tenth_of_gross
cash price $3,139 is 8% of the gross charge $37,881

Showing the first 200 of 313 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-tall · 24.4M bytes · fetched 2026-08-26 · sha256 15a73d7ecd35…

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.