Hospital · CCN 390331

Wills Eye Hospital

840 Walnut Street, Philadelphia, PA 19107 · Philadelphia County
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

12 outpatient services price file: ok

Billed per dollar paid, all admissions

—

$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.

1.6%

of adults in Philadelphia County have medical debt in collections

7.7%

uninsured in the county · state 6.5%

$60K

median household income

6.3×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (14 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

Not in the Medicare inpatient file.

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

5492

Level 2 Intraocular Procedures

1,059

$16,492

$3,947

4.2×

5491

Level 1 Intraocular Procedures

871

$10,792

$2,264

4.8×

5503

Level 3 Extraocular, Repair, and Plastic Eye Procedures

400

$8,909

$2,270

3.9×

5493

Level 3 Intraocular Procedures

206

$17,348

$5,058

3.4×

5504

Level 4 Extraocular, Repair, and Plastic Eye Procedures

$20,367

$3,756

5.4×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$3,703

$1,575

2.4×

5165

Level 5 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5494

Level 4 Intraocular Procedures

—

5495

Level 5 Intraocular Procedures

—

5496

Level 6 Intraocular Procedures

—

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-wide, last updated 03/30/2026, template 3.0.0, 590 rows scanned, 437 distinct code–setting items kept. 121 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Corneal collagen cross-linking, including the removal of the corneal epithelium and intraopera

CPT 0402T

$3,500

—

$4,008

clean

INSJ AQUEOUS DRAIN DEV 1ST

CPT 0449T

$7,000

—

$8,970

clean

Drug-eluting implant procedure(s) in the eye

CPT 0660T

$6,034

—

$6,968

clean

Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without ext

CPT 0671T

$7,740

—

$8,970

clean

Subretinal injection

CPT 0810T

$6,376

—

$7,013

clean

INCISION & DRAINAGE ABSCESS COMPLICATED/

CPT 10061

$3,525

—

$643

clean

Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips

CPT 11310

$350

—

$338

clean

EXC B9 LES MRGN XCP SK TG T/A/L 1.1-2.0

CPT 11402

$1,325

—

$1,067

clean

EXC FACE-MM B9+MARG 0.5 CM/<

CPT 11440

$1,065

—

$1,067

clean

EXC FACE-MM B9+MARG 0.6-1 CM

CPT 11441

$1,065

—

$1,067

clean

EXC FACE-MM B9+MARG 1.1-2 CM

CPT 11442

$1,825

—

$1,067

clean

EXC BENIGN LESION FACE 2.1 - 3CM

CPT 11443

$2,430

—

$2,784

clean

EXC F/E/E/N/L MAL+MRG 0.5CM<

CPT 11640

$8,900

—

$1,067

clean

EXC F/E/E/N/L MAL+MRG 0.6-1

CPT 11641

$1,065

—

$1,067

clean

EXC F/E/E/N/L MAL+MRG 1.1-2

CPT 11642

$1,065

—

$1,067

clean

EXC F/E/E/N/L MAL+MRG 2.1-3

CPT 11643

$1,825

—

$2,489

clean

EXC F/E/E/N/L MAL+MRG 3.1-4

CPT 11644

$3,525

—

$2,489

clean

EXCISION MALIGNANT LESION F/E/E/N/L >4.

CPT 11646

$3,520

—

$4,377

clean

INJECTION INTRALESIONAL UP TO & INCLUD

CPT 11900

$1,065

—

$338

clean

REPAIR OF INTERMEDIATE WOUNDS

CPT 12051

$2,325

—

$613

clean

CMPLX RPR E/N/E/L 1.1-2.5 CM

CPT 13151

$1,200

—

$1,114

clean

TIS TRNFR F/C/C/M/N/A/G/H/F

CPT 14040

$3,475

—

$3,109

clean

TIS TRNFR E/N/E/L 10 SQ CM/<

CPT 14060

$3,475

—

$3,109

clean

TIS TRNFR E/N/E/L10.1-30SQCM

CPT 14061

$3,475

—

$3,109

clean

Surg Prep/Create Recipient Site, Face/Hnd/Ft/Gen; first 100 sq cm

CPT 15004

$600

—

$685

clean

SKIN SPLT GRFT TRNK/ARM/LEG

CPT 15100

$4,740

—

$3,109

clean

SKIN SPLT GRFT T/A/L ADD-ON

CPT 15101

$4,740

—

$88

clean

SKN SPLT A-GRFT FAC/NCK/HF/G

CPT 15120

$4,740

—

$5,340

clean

SKIN FULL GRAFT TRUNK

CPT 15200

$3,475

—

$3,109

clean

SKIN FULL GRAFT TRUNK ADD-ON

CPT 15201

$3,475

—

$88

clean

SKIN FULL GRAFT SCLP/ARM/LEG

CPT 15220

$3,475

—

$3,109

clean

SKIN FULL GRAFT ADD-ON

CPT 15221

$1,200

—

$88

clean

SKIN FULL GRAFT EEN & LIPS

CPT 15260

$3,475

—

$3,109

clean

GRAFT ADD-ON 20 CM

CPT 15261

$3,475

—

$88

clean

FORMATION OF DIRECT OR TUBED PED W/W O/P

CPT 15570

$4,740

—

$3,109

clean

FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/

CPT 15574

$4,740

—

$3,109

clean

FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L

CPT 15576

$4,740

—

$3,109

clean

FOREHEAD FLAP W PRESEV OF VASCULAR O/P

CPT 15731

$6,775

—

$5,340

clean

COMPOSITE SKIN GRAFT

CPT 15760

$4,740

—

$3,109

clean

GRAFT DERMA-FAT-FASCIA O/P

CPT 15770

$4,740

—

$5,340

clean

Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms

CPT 15771

$800

—

$5,974

clean

Grafting of Autologous Fat by Liposuction 25 CC or Less

CPT 15773

$780

—

$3,478

clean

Grafting of autologous fat

CPT 15774

$2,744

—

clean

BLEPHAROPLASTY LOWER EYELID

CPT 15820

$4,740

—

$3,109

clean

BLEPHAROPLASTY LOWER EYELID WITH EXTENS

CPT 15821

$4,740

—

$3,109

clean

BLEPHAROPLASTY UPPER EYELID

CPT 15822

$4,740

—

$3,109

clean

BLEPHAROPLASTY WUUPER EYELID WITH EXCESS

CPT 15823

$4,930

—

$3,109

clean

REMOVAL OF FOREHEAD WRINKLES

CPT 15824

$4,740

—

$3,478

clean

REMOVAL OF SKIN WRINKLES

CPT 15829

$4,740

—

$5,974

clean

DESTRUCTION OF CRYOSURGERY

CPT 17110

$3,160

—

$338

clean

REMOVEOF SUPPORT IMPLANT OP

CPT 20670

$3,350

—

$2,489

clean

REMOVE IMPLANT DEEP

CPT 20680

$5,200

—

$4,377

clean

Excision, tumor, soft tissue of face and scalp, subfascial; less than 2 cm

CPT 21013

$800

—

$2,784

clean

RAD RESECTION TUMOR SOFT TISS FACE/SCALP

CPT 21015

$7,240

—

$4,377

clean

RAD RESECTION TUMOR SOFT TISS FACE/SCALP

CPT 21016

$7,240

—

$4,377

clean

MEDIAL CANTHOPEXY SEPARATE PROCEDURE

CPT 21280

$4,560

—

$4,996

clean

Lateral canthopexy

CPT 21282

$1,230

—

$5,589

clean

OPEN TX COMP FX MALAR W/INTERNAL FX&MULT

CPT 21365

$10,300

—

$8,921

clean

OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/

CPT 21390

$10,300

—

$8,921

clean

OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLAN

CPT 21407

$10,300

—

$8,921

clean

FRACTURE NASAL INFERIOR TURBINATE THERAP

CPT 30930

$5,640

—

$4,996

clean

ETHMOIDESTOMY INTRATRANASAL ANTERIOR

CPT 31200

$9,140

—

$8,921

clean

NASAL ENDOSCOPY

CPT 31231

$675

—

$336

clean

Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy

CPT 31239

$5,700

—

$6,285

clean

TEMPORAL ARTERY PROCEDURE O/P

CPT 37609

$3,661

—

$2,489

clean

EXCISE ORAL MUCOSA FOR GRAFT

CPT 40818

$725

—

$909

clean

DECOMPRESS EYE SOCKET

CPT 61330

$10,300

—

$5,589

clean

Spinal puncture, lumbar, diagnostic

CPT 62270

$1,040

—

$1,190

clean

DECOMPRESSION UNSPECIFIED NERVE O/P

CPT 64722

$4,150

—

$2,943

clean

TRANSECTION/AVULSION SUPRAORBITAL NERVE

CPT 64732

$4,150

—

$2,943

clean

TRANSECTION/AVULSION FACIAL NRV DIFFEREN

CPT 64742

$4,150

—

$2,943

clean

EVISCERATION OF OCULA CONTS WO IMPLA O/P

CPT 65091

$8,900

—

$5,924

clean

EVISCERATION OF OCULA CONTS W IMPLAN O/P

CPT 65093

$8,900

—

$5,924

clean

ENUCLEATION OF EYE WO IMPLANT O/P

CPT 65101

$8,900

—

$5,924

clean

ENUCLEAT OF EYE W IMPLT MUSCLS NOT O/P

CPT 65103

$8,900

—

$5,924

clean

REMOVE EYE/ATTACH IMPLANT

CPT 65105

$8,900

—

$5,924

clean

EXENTERATION ORBIT REMVL ORBITAL CONTENT

CPT 65110

$8,900

—

$5,924

clean

EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FL

CPT 65114

$8,900

—

$6,627

clean

INSERTION OF OCULAR IMPLANT SEC AF O/P

CPT 65140

$8,900

—

$5,924

clean

REMOVAL OF OCULAR IMPLANT

CPT 65175

$4,300

—

$5,924

clean

REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL

CPT 65205

$240

—

$224

clean

REMOVE FOREIGN BODY FROM EYE CNL W SL

CPT 65222

$240

—

$224

clean

REMOVE FOREIGN BODY FROM EYE IN/AN

CPT 65235

$3,550

—

$3,478

clean

REMOVE FOREIGN BODY FROM EYE IN/PT/NON

CPT 65265

$4,530

—

$3,478

clean

REPAIR OF EYE WOUND W WO NONPF

CPT 65270

$4,300

—

$3,583

clean

RPR LAC CJNC MOBLJ& REARGMT W/O HOSPITAL

CPT 65272

$5,265

—

$3,583

clean

RPR LAC CORNEA NONPERFOR W/WO RMVL FOREI

CPT 65275

$5,265

—

$5,924

clean

REPAIR OF EYE WOUND CN/SL/PF

CPT 65280

$7,000

—

$8,019

clean

RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ U

CPT 65285

$9,140

—

$8,019

clean

REPAIR OF EYE SOCKET WOUND

CPT 65290

$5,640

—

$5,924

clean

REMOVAL OF EYE LESION

CPT 65400

$3,550

—

$1,502

clean

BIOPSY OF CORNEA

CPT 65410

$3,550

—

$3,583

clean

REMOVAL OF EYE LESION WO GRAFT

CPT 65420

$3,550

—

$3,583

clean

PTERYGIUM- REMOVAL OF EYE LESION W GRAFT

CPT 65426

$5,265

—

$3,583

clean

CORNEAL SMEAR

CPT 65430

$550

—

$753

clean

CURETTE/TREAT CORNEA

CPT 65435

$1,950

—

$1,502

clean

RMVL CORNEAL EPITHELIUM W/APPL CHELATING

CPT 65436

$3,550

—

$3,583

clean

TREATMENT OF CORNEAL LESION

CPT 65450

$450

—

$535

clean

MULTIPLE PUNCTURES ANTERIOR CORNEA

CPT 65600

$4,300

—

$3,583

clean

CORNEAL TRANSPLANT ANT

CPT 65710

$9,300

—

$8,019

clean

PK- CORNEAL TRANSPLANT/PNT

CPT 65730

$16,721

—

$6,229

clean

PK- CORNEAL TRANSPLANT/APH

CPT 65750

$9,300

—

$8,019

clean

PK-CORNEAL TRANSPLANT/PSEUD

CPT 65755

$10,059

—

$6,229

clean

DSEK- CORNEAL TRANSPLANT/ANT/LAME

CPT 65756

$16,721

—

$6,229

clean

PREP CORNEAL ENDO ALLOGRAFT

CPT 65757

$2,700

—

$88

clean

KERATOPROSTHESIS

CPT 65770

$27,600

—

$21,860

clean

CORRECTION OF ASTIGMATISM

CPT 65772

$3,550

—

$1,502

clean

COVER EYE WMEMBRANE

CPT 65778

$3,550

—

$1,502

clean

OCULAR SURFACE RECONSTRUCTION AMNIOTIC M

CPT 65780

$9,300

—

$5,924

clean

OCULAR RECONST TRANSPLANT STM CL

CPT 65781

$9,300

—

$8,970

clean

OCCULAR SURFACE RECONSTRUCTION LIMBAL AU

CPT 65782

$9,300

—

$5,924

clean

PARACENTSIS ANT CHAM RMVL VITREOUS W/WO

CPT 65810

$5,265

—

$3,478

clean

PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/

CPT 65815

$5,265

—

$3,478

clean

GONIOTOMY- RELIEVE INNER EYE PRESSURE

CPT 65820

$5,265

—

$6,229

clean

INCISION OF EYE

CPT 65850

$5,265

—

$3,478

clean

LASER SURGERY OF EYE

CPT 65855

$1,325

—

$852

clean

INCISE INNER EYE ADHESIONS

CPT 65860

$1,325

—

$829

clean

INCISE INNER EYE ADHESIONS/INJ/GONI

CPT 65865

$3,550

—

$3,478

clean

SEVERING ADS ANT SEG INCAL SPX ANT SYNEC

CPT 65870

$5,265

—

$3,890

clean

SEVERING ADS ANT SEG INCAL SPX POST SYNE

CPT 65875

$5,265

—

$3,478

clean

REMOVE IMPLANT OF EYE

CPT 65920

$5,265

—

$3,478

clean

RMVL BLOOD CLOT ANTERIOR SEGMENT EYE

CPT 65930

$9,345

—

$3,478

clean

INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX

CPT 66020

$3,550

—

$3,478

clean

INJX ANTERIOR CHAMBER EYE MEDICATION SPX

CPT 66030

$3,550

—

$3,478

clean

EXCISION LESION SCLERA

CPT 66130

$5,265

—

$3,583

clean

GLAUCOMA SURGERY/SCL

CPT 66160

$5,265

—

$3,478

clean

GLAUCOMA SURGERY/TRABECULECTOMY

CPT 66170

$10,033

—

$3,478

clean

TRAB W/PREVIOUS TRAB- INCISION OF EYE/W

CPT 66172

$5,265

—

$3,478

clean

TRLUML DILAT AQUEOUS CANAL W/O DEVICE/ST

CPT 66174

$9,345

—

$6,968

clean

TRLUML DILAT AQUEOUS CANAL W/DEVICE/STEN

CPT 66175

$9,345

—

$8,970

clean

AQUEOUS SHUNT EXTERNAL APPROACH W/O GRAF

CPT 66179

$9,345

—

$8,019

clean

TUBE SHUNT- AQUEOUS SHUNT EXTRAOCULAR RE

CPT 66180

$16,721

—

$8,019

clean

INSERTION OF ANTERIOR SEGMENT AQUEOU O/P

CPT 66183

$9,345

—

$6,968

clean

REVISE EYE SHUNT

CPT 66185

$10,033

—

$3,478

clean

REPAIR SCLERAL STAPHYLOMA W/GRAFT

CPT 66225

$9,345

—

$8,019

clean

WOUND REVISION- REVJ/RPR OPRATIVE WOUND

CPT 66250

$8,210

—

$3,583

clean

IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES

CPT 66600

$5,265

—

$6,229

clean

IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX

CPT 66630

$5,265

—

$3,478

clean

IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX

CPT 66635

$5,265

—

$3,478

clean

REPAIR IRIS CILIARY BODY

CPT 66680

$5,265

—

$3,478

clean

SUTURE IRIS CILIARY BODY SPX RETRIEVAL S

CPT 66682

$5,265

—

$3,478

clean

DESTRUCTION CILIARY BODY

CPT 66700

$3,550

—

$3,890

clean

CPC- I-TRACK- CILIARY TRANSSLERAL THERAP

CPT 66710

$9,868

—

$3,583

clean

I-Tract CILIARY BODY DSTRJ CYCLOPHOTOCOA

CPT 66711

$5,265

—

$3,478

clean

DESTRUCTION CILIARY BODY/CRYO

CPT 66720

$3,550

—

$3,583

clean

CPC- DESTRUCTION CILIARY BODY/CYCLODIA

CPT 66740

$5,265

—

$3,583

clean

REVISION OF IRIS/LASER

CPT 66761

$1,325

—

$861

clean

REVISION OF IRIS/PHOTO

CPT 66762

$1,325

—

$861

clean

REMOVAL OF INNER EYE LESION

CPT 66770

$1,325

—

$852

clean

AFTER CATARACT LASER SURGERY

CPT 66821

$1,433

—

$852

clean

REPOSITION INTRAOCULAR LENS

CPT 66825

$5,265

—

$3,478

clean

REMOVAL OF LENS LESION

CPT 66830

$2,400

—

$3,478

clean

REMOVAL OF LENS MATERIAL/ASP

CPT 66840

$3,550

—

$3,478

clean

REMOVAL OF LENS MATERIAL/PHACO

CPT 66850

$6,575

—

$3,478

clean

REMOVAL OF LENS MATERIAL/PARS

CPT 66852

$6,575

—

$6,229

clean

EXTRACTION OF LENS/INTRA

CPT 66920

$6,575

—

$3,478

clean

EXTRACTION OF LENS/DISLOC

CPT 66930

$6,575

—

$6,229

clean

CATARACT SURGERY COMPLEX

CPT 66982

$10,376

—

$3,478

clean

CATARACT- ICAPSULAR CATARACT XTRJ INSJ I

CPT 66983

$7,240

—

$3,478

clean

CATARACT REMOVAL INSERTION OF LENS

CPT 66984

$10,376

—

$3,478

clean

INSERT LENS PROSTHESIS

CPT 66985

$7,240

—

$3,478

clean

EXCHANGE INTRAOCULAR LENS

CPT 66986

$10,033

—

$3,478

clean

EXCHANGE LENS PROSTHESIS AS SECONDARY

CPT 66990

$5,430

—

$88

clean

EYE SURGERY PROCEDURE/ANT SEG

CPT 66999

$3,450

—

$3,890

clean

RMVL VITREOUS ANT APPR PARTIAL REMOVAL

CPT 67005

$4,530

—

$3,478

clean

RMVL VITREOUS ANT APPR SUBTOT RMVL MECH

CPT 67010

$9,140

—

$3,478

clean

ASPIRATION/RELEASE VITREOUS SUBRETINAL/C

CPT 67015

$9,506

—

$3,478

clean

INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASP

CPT 67025

$9,140

—

$3,478

clean

IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL V

CPT 67027

$20,500

—

$21,026

clean

INJECTION EYE DRUG

CPT 67028

$725

—

$557

clean

DISCISSION VITREOUS STRANS PARS PLANA AP

CPT 67030

$4,530

—

$3,478

clean

LASER SURGERY EYE STRANDS

CPT 67031

$1,325

—

$852

clean

VITRECTOMY MECHANICAL PARS PLANA

CPT 67036

$16,721

—

$6,229

clean

VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLAS

CPT 67039

$16,721

—

$6,229

clean

VTRECTOMY MCHNL PARS PLNA ENDOLASER PANR

CPT 67040

$9,140

—

$6,229

clean

VITRECTOMY PARS PLANA REMOVE PRERETINAL

CPT 67041

$16,721

—

$6,229

clean

VITRECTOMY PARS PLANA REMOVE INT MEMB RE

CPT 67042

$16,721

—

$6,229

clean

VITRECTOMY PARS PLANA REMOVE SUBRETINAL

CPT 67043

$9,140

—

$6,229

clean

RPR RETINAL DTCHMNT 1/>SES CRYOTX/DTHRM

CPT 67101

$4,530

—

$3,478

clean

REPAIR DETACHED RETINA/> 1

CPT 67105

$4,100

—

$829

clean

RPR RETINAL DTCHMNT SCLERAL BUCKLING W/W

CPT 67107

$16,721

—

$6,229

clean

RPR RETINAL DTCHMNT W/VITRECTOMY ANY MET

CPT 67108

$16,721

—

$6,229

clean

RPR RETINAL DTCHMNT INJECTION AIR/OTHER

CPT 67110

$4,530

—

$3,478

clean

RPR COMPLEX RETINA DETACH VITRECT &MEMBR

CPT 67113

$16,721

—

$8,019

clean

RELEASE ENCIRCLING MATERIAL POSTERIOR SE

CPT 67115

$4,530

—

$6,229

clean

SHUNT REMOVAL- RMVL IMPLNT MATL POSTERIO

CPT 67120

$4,899

—

$3,478

clean

RMVL IMPLT MATRL POSTERIOR SEGMENT INTRA

CPT 67121

$10,033

—

$3,478

clean

TREATMENT OF RETINA/>1/CRYO

CPT 67141

$1,325

—

$535

clean

TREATMENT OF RETINA/>1/PHOTO

CPT 67145

$1,325

—

$852

clean

TREATMENT OF RETINAL LESION/>1/CRYO

CPT 67208

$1,325

—

$535

clean

TREATMENT OF RETINAL LESION/>1/PHOTO

CPT 67210

$4,100

—

$829

clean

TREATMENT OF RETINAL LESION/>1/RAD

CPT 67218

$14,899

—

$5,924

clean

TREATMENT OF CHOROID LESION

CPT 67220

$1,325

—

$829

clean

OCULAR PHOTODYNAMIC THER

CPT 67221

$1,325

—

$852

clean

EYE PHOTODYNAMIC THER ADD-ON

CPT 67225

$1,325

—

$23

clean

DESTRUCTION RETINOPATHY 1/> SESS DIATHER

CPT 67227

$4,530

—

$5,924

clean

TREATMENT OF RETINAL LESION/EXT/>1/PHOTO

CPT 67228

$1,325

—

$829

clean

REINFORCE/GRAFT EYE WALL

CPT 67255

$4,530

—

$6,229

clean

REVISE EYE MUSCLE/1 HORIZON

CPT 67311

$9,868

—

$3,583

clean

REVISE TWO EYE MUSCLES/2 HORIZON

CPT 67312

$5,640

—

$5,924

clean

Showing the first 200 of 437 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_negotiated_above_gross_systematic

105 of 404 comparable items (26%) 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. highest negotiated rate $6,968 exceeds the gross charge $4,870

warn

mrf_rate_without_estimate

493 of 493 percentage/algorithm rates across 407 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT L8610/o

info

mrf_item_fields_vary

this code and setting cover at least 51 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT L8612/o

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT Q4116/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT V2628/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT V2632/o

info

mrf_item_fields_vary

this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT V2785/o

info

mrf_item_fields_vary

this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT V2788/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT V2790/o

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 0253T/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $4,870 — part of a file-wide pattern, counted once at the file level

CPT 0402T/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,008 exceeds the gross charge $3,500 — part of a file-wide pattern, counted once at the file level

CPT 0449T/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,970 exceeds the gross charge $7,000 — part of a file-wide pattern, counted once at the file level

CPT 0660T/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $6,034 — part of a file-wide pattern, counted once at the file level

CPT 0671T/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,970 exceeds the gross charge $7,740 — part of a file-wide pattern, counted once at the file level

CPT 0810T/o

info

mrf_negotiated_above_gross

highest negotiated rate $7,013 exceeds the gross charge $6,376 — part of a file-wide pattern, counted once at the file level

CPT 11440/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,194 exceeds the gross charge $1,065 — part of a file-wide pattern, counted once at the file level

CPT 11441/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,194 exceeds the gross charge $1,065 — part of a file-wide pattern, counted once at the file level

CPT 11443/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,784 exceeds the gross charge $2,430 — part of a file-wide pattern, counted once at the file level

CPT 11641/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,194 exceeds the gross charge $1,065 — part of a file-wide pattern, counted once at the file level

CPT 11642/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,194 exceeds the gross charge $1,065 — part of a file-wide pattern, counted once at the file level

CPT 11643/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,784 exceeds the gross charge $1,825 — part of a file-wide pattern, counted once at the file level

CPT 11646/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,897 exceeds the gross charge $3,520 — part of a file-wide pattern, counted once at the file level

CPT 13151/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,246 exceeds the gross charge $1,200 — part of a file-wide pattern, counted once at the file level

CPT 15004/o

info

mrf_negotiated_above_gross

highest negotiated rate $685 exceeds the gross charge $600 — part of a file-wide pattern, counted once at the file level

CPT 15120/o

info

mrf_negotiated_above_gross

highest negotiated rate $5,974 exceeds the gross charge $4,740 — part of a file-wide pattern, counted once at the file level

CPT 15770/o

info

mrf_negotiated_above_gross

highest negotiated rate $5,974 exceeds the gross charge $4,740 — part of a file-wide pattern, counted once at the file level

CPT 15771/o

info

mrf_negotiated_above_gross

highest negotiated rate $5,974 exceeds the gross charge $800 — part of a file-wide pattern, counted once at the file level

CPT 15773/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,478 exceeds the gross charge $780 — part of a file-wide pattern, counted once at the file level

CPT 15829/o

info

mrf_negotiated_above_gross

highest negotiated rate $5,974 exceeds the gross charge $4,740 — part of a file-wide pattern, counted once at the file level

CPT 21013/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,784 exceeds the gross charge $800 — part of a file-wide pattern, counted once at the file level

CPT 21280/o

info

mrf_negotiated_above_gross

highest negotiated rate $5,589 exceeds the gross charge $4,560 — part of a file-wide pattern, counted once at the file level

CPT 21282/o

info

mrf_negotiated_above_gross

highest negotiated rate $5,589 exceeds the gross charge $1,230 — part of a file-wide pattern, counted once at the file level

CPT 21401/o

info

mrf_negotiated_above_gross

highest negotiated rate $2,616 exceeds the gross charge $1,575 — part of a file-wide pattern, counted once at the file level

CPT 31200/o

info

mrf_negotiated_above_gross

highest negotiated rate $9,979 exceeds the gross charge $9,140 — part of a file-wide pattern, counted once at the file level

CPT 31231/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $675 — part of a file-wide pattern, counted once at the file level

CPT 31239/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,285 exceeds the gross charge $5,700 — part of a file-wide pattern, counted once at the file level

CPT 40818/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,081 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 62270/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,190 exceeds the gross charge $1,040 — part of a file-wide pattern, counted once at the file level

CPT 65130/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 65135/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 65150/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 65175/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $4,300 — part of a file-wide pattern, counted once at the file level

CPT 65205/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $240 — part of a file-wide pattern, counted once at the file level

CPT 65222/o

info

mrf_negotiated_above_gross

highest negotiated rate $633 exceeds the gross charge $240 — part of a file-wide pattern, counted once at the file level

CPT 65235/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,890 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 65275/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,265 — part of a file-wide pattern, counted once at the file level

CPT 65280/o

info

mrf_negotiated_above_gross

highest negotiated rate $8,970 exceeds the gross charge $7,000 — part of a file-wide pattern, counted once at the file level

CPT 65290/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,640 — part of a file-wide pattern, counted once at the file level

CPT 65410/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,008 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 65420/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,008 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 65430/o

info

mrf_negotiated_above_gross

highest negotiated rate $753 exceeds the gross charge $550 — part of a file-wide pattern, counted once at the file level

CPT 65436/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,008 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 65450/o

info

mrf_negotiated_above_gross

highest negotiated rate $774 exceeds the gross charge $450 — part of a file-wide pattern, counted once at the file level

CPT 65775/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,008 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 65785/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $5,265 — part of a file-wide pattern, counted once at the file level

CPT 65820/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $5,265 — part of a file-wide pattern, counted once at the file level

CPT 65865/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,890 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 66020/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,890 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 66030/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,890 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 66150/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $5,265 — part of a file-wide pattern, counted once at the file level

CPT 66600/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $5,265 — part of a file-wide pattern, counted once at the file level

CPT 66700/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,890 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 66720/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,008 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 66830/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,890 exceeds the gross charge $2,400 — part of a file-wide pattern, counted once at the file level

CPT 66840/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,890 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 66852/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $6,575 — part of a file-wide pattern, counted once at the file level

CPT 66930/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $6,575 — part of a file-wide pattern, counted once at the file level

CPT 66999/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,890 exceeds the gross charge $3,450 — part of a file-wide pattern, counted once at the file level

CPT 67027/o

info

mrf_negotiated_above_gross

highest negotiated rate $23,521 exceeds the gross charge $20,500 — part of a file-wide pattern, counted once at the file level

CPT 67028/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 67115/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $4,530 — part of a file-wide pattern, counted once at the file level

CPT 67227/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $4,530 — part of a file-wide pattern, counted once at the file level

CPT 67255/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,968 exceeds the gross charge $4,530 — part of a file-wide pattern, counted once at the file level

CPT 67312/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,640 — part of a file-wide pattern, counted once at the file level

CPT 67345/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 67346/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,000 — part of a file-wide pattern, counted once at the file level

CPT 67500/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $450 — part of a file-wide pattern, counted once at the file level

CPT 67505/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 67560/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 67700/o

info

mrf_negotiated_above_gross

highest negotiated rate $833 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 67805/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 67820/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $240 — part of a file-wide pattern, counted once at the file level

CPT 67825/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 67880/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,008 exceeds the gross charge $3,550 — part of a file-wide pattern, counted once at the file level

CPT 67902/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 67906/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $4,300 — part of a file-wide pattern, counted once at the file level

CPT 67938/o

info

mrf_negotiated_above_gross

highest negotiated rate $777 exceeds the gross charge $450 — part of a file-wide pattern, counted once at the file level

CPT 67974/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $4,300 — part of a file-wide pattern, counted once at the file level

CPT 68325/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 68326/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $4,300 — part of a file-wide pattern, counted once at the file level

CPT 68330/o

info

mrf_negotiated_above_gross

highest negotiated rate $3,890 exceeds the gross charge $3,510 — part of a file-wide pattern, counted once at the file level

CPT 68335/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $6,000 — part of a file-wide pattern, counted once at the file level

CPT 68360/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,265 — part of a file-wide pattern, counted once at the file level

CPT 68440/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 68505/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 68520/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 68550/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $3,985 — part of a file-wide pattern, counted once at the file level

CPT 68745/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 68750/o

info

mrf_negotiated_above_gross

highest negotiated rate $6,627 exceeds the gross charge $5,975 — part of a file-wide pattern, counted once at the file level

CPT 68760/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 68761/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $725 — part of a file-wide pattern, counted once at the file level

CPT 68840/o

info

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $450 — part of a file-wide pattern, counted once at the file level

CPT 68841/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,008 exceeds the gross charge $100 — part of a file-wide pattern, counted once at the file level

CPT 68899/o

info

mrf_negotiated_above_gross

highest negotiated rate $535 exceeds the gross charge $450 — part of a file-wide pattern, counted once at the file level

CPT 69424/o

info

mrf_negotiated_above_gross

highest negotiated rate $5,589 exceeds the gross charge $3,600 — part of a file-wide pattern, counted once at the file level

CPT 76516/o

info

mrf_negotiated_above_gross

highest negotiated rate $176 exceeds the gross charge $135 — part of a file-wide pattern, counted once at the file level

CPT 76529/o

info

mrf_negotiated_above_gross

highest negotiated rate $147 exceeds the gross charge $135 — part of a file-wide pattern, counted once at the file level

CPT 88300/o

info

mrf_negotiated_above_gross

highest negotiated rate $49 exceeds the gross charge $30 — part of a file-wide pattern, counted once at the file level

CPT 88302/o

info

mrf_negotiated_above_gross

highest negotiated rate $63 exceeds the gross charge $50 — part of a file-wide pattern, counted once at the file level

CPT 88332/o

info

mrf_negotiated_above_gross

highest negotiated rate $36 exceeds the gross charge $30 — part of a file-wide pattern, counted once at the file level

CPT 92018/o

info

mrf_negotiated_above_gross

highest negotiated rate $4,008 exceeds the gross charge $3,692 — part of a file-wide pattern, counted once at the file level

CPT G0379/o

info

mrf_negotiated_above_gross

highest negotiated rate $1,004 exceeds the gross charge $656 — part of a file-wide pattern, counted once at the file level

CPT J3300/o

info

mrf_negotiated_above_gross

highest negotiated rate $40 exceeds the gross charge $30 — part of a file-wide pattern, counted once at the file level

CPT J9035/o

info

mrf_negotiated_above_gross

highest negotiated rate $121 exceeds the gross charge $76 — part of a file-wide pattern, counted once at the file level

CPT 15774/o

info

mrf_no_payer_rates

item is listed with a gross charge and no payer-specific rate at all

CPT V2628/o

info

mrf_no_payer_rates

item is listed with a gross charge and no payer-specific rate at all

CPT V2632/o

info

mrf_no_payer_rates

item is listed with a gross charge and no payer-specific rate at all

CPT V2785/o

info

mrf_no_payer_rates

item is listed with a gross charge and no payer-specific rate at all

CPT V2788/o

info

mrf_no_payer_rates

item is listed with a gross charge and no payer-specific rate at all

CPT V2790/o

info

mrf_no_payer_rates

item is listed with a gross charge and no payer-specific rate at all

Sources for this hospital

the files read, as fetched — not our copy of them

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)
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)
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
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)
Wills Eye Hospital — standard charges file · PA · updated 03/30/2026
· csv-wide · 322K bytes · fetched 2026-08-25 · sha256 a60f13b425da…

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.