Project Crossfoot
Hospital · CCN 400128

HOSPITAL PAVIA HATO REY, INC

AVE PONCE DE LEON 435, HATO REY, PR 00919

price file: ok
Billed per dollar paid, all admissions
—
$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.
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.
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2025-04-10, template 3.0.0, 265 rows scanned, 265 distinct code–setting items kept. 39 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Exam of Esophagus, Stomach, and Upper Small Intestine with Biopsy Using Endoscope Inserted Through Mouth
CPT 43239
$316
$316
—
0
clean
Exam of Entire Large Intestine with Biopsy Using Colonoscope
CPT 45380
$316
$316
—
0
clean
X-Ray of Face Bones, 1-2 Views
CPT 70140
$75
$75
$12
28
clean
X-Ray of Face Bones, 3 or More Views
CPT 70150
$119
$119
$18
27
clean
X-Ray of Nose Bones
CPT 70160
$79
$79
$12
28
clean
X-Ray of Paranasal Sinuses, 1-2 Views
CPT 70210
$79
$79
$12
28
clean
X-Ray of Paranasal Sinuses, 3 or More Views
CPT 70220
$119
$119
$17
28
clean
X-Ray of Skull Bones, 1-3 Views
CPT 70250
$55
$55
$14
28
clean
X-Ray of Skull Bones, 4 or More Views
CPT 70260
$119
$119
$20
28
clean
X-Ray of Soft Tissue of The Neck
CPT 70360
$119
$119
$10
28
clean
CAT Scan of Head or Brain Without Contrast
CPT 70450
$703
$703
$117
29
clean
CAT Scan of Head or Brain With Contrast
CPT 70460
$730
$730
$124
29
clean
CAT Scan of Head or Brain With and Without Contrast
CPT 70470
$825
$825
$136
28
clean
CAT Scan of Eye, Ear, or Sella Turcica Without Contrast
CPT 70480
$703
$703
$124
29
clean
CAT Scan of Facial Bones Without Contrast
CPT 70486
$703
$703
$124
29
clean
CAT Scan of Soft Tissue of the Neck Without Contrast
CPT 70490
$703
$703
$124
29
clean
CAT Scan of Soft Tissue of the Neck With Contrast
CPT 70491
$730
$730
$137
29
clean
CAT Scan of Soft Tissue of the Neck With and Without Contrast
CPT 70492
$825
$825
$151
28
clean
CAT Scan of Blood Vessels in Neck With Contrast
CPT 70498
$654
$654
$150
16
clean
MRI of Face or Neck With and Without Contrast
CPT 70543
$770
$770
$310
27
clean
MRI of Blood Vessels of Head Without Contrast
CPT 70544
$1,457
$1,457
$244
21
clean
MRI of Blood Vessels of Head With Contrast
CPT 70545
$798
$798
$271
21
clean
MRI of Brain Without Contrast
CPT 70551
$1,457
$1,457
$274
28
clean
MRI of Brain With Contrast
CPT 70552
$1,788
$1,788
$280
28
clean
MRI of Brain With and Without Contrast
CPT 70553
$1,788
$1,788
$297
27
clean
X-Ray of Chest, 1 View
CPT 71045
$85
$85
$10
21
clean
X-Ray of Chest, 2 Views
CPT 71046
$88
$88
$15
21
clean
X-Ray of Ribs on One Side, 2 Views
CPT 71100
$109
$109
$14
28
clean
X-Ray of Ribs one On Side and Chest, 3 or More Views
CPT 71101
$44
$44
$15
25
clean
X-Ray of Ribs on Both Sides, 3 or More Views
CPT 71110
$128
$128
$17
28
clean
X-Ray of Ribs on Both Sides and Chest, 4 or More Views
CPT 71111
$55
$55
$19
26
clean
CAT Scan of Chest Without Contrast
CPT 71250
$712
$712
$131
29
clean
CAT Scan of Chest With Contrast
CPT 71260
$805
$805
$140
29
clean
CAT Scan of Chest With and Without Contrast
CPT 71270
$955
$955
$156
29
clean
CAT Scan of Blood Vessels in Chest With Contrast
CPT 71275
$677
$677
$150
20
clean
X-Ray of Neck, 2 or 3 Views
CPT 72040
$88
$88
$13
28
clean
X-Ray of Neck, 4 or 5 Views
CPT 72050
$119
$119
$18
28
clean
X-Ray of Mid Back, 2 Views
CPT 72070
$99
$99
$13
28
clean
X-Ray of Mid Back, 3 Views
CPT 72072
$45
$45
$15
25
clean
X-Ray of Mid Back, 4 or More Views
CPT 72074
$50
$50
$20
27
clean
X-Ray of Mid/Lower Back Junction
CPT 72080
$99
$99
$13
28
clean
X-Ray of Entire Back for Scoliosis Evaluation, 2-3 Views
CPT 72082
$99
$99
$32
17
clean
X-Ray of Lower Back, 2-3 Views
CPT 72100
$99
$99
$15
28
clean
X-Ray of Lower Back, Minimum of 4 Views
CPT 72110
$148
$148
$23
28
clean
X-Ray of Lower Back, Minimum of 6 Views
CPT 72114
$177
$177
$25
27
clean
CAT Scan of Neck Spine Without Contrast
CPT 72125
$712
$712
$124
29
clean
CAT Scan of Mid Spine Without Contrast
CPT 72128
$805
$805
$131
29
clean
CAT Scan of Lower Spine Without Contrast
CPT 72131
$712
$712
$124
29
clean
MRI of Upper Spinal Canal Without Contrast
CPT 72141
$1,457
$1,457
$244
28
clean
MRI of Middle Spinal Canal Without Contrast
CPT 72146
$1,457
$1,457
$252
28
clean
MRI of Middle Spinal Canal With Contrast
CPT 72147
$1,788
$1,788
$278
28
clean
MRI of Lower Spinal Canal Without Contrast
CPT 72148
$1,457
$1,457
$274
28
clean
MRI of Lower Spinal Canal With Contrast
CPT 72149
$1,457
$1,457
$281
28
clean
MRI of Upper Spinal Canal With and Without Contrast
CPT 72156
$1,788
$1,788
$299
27
clean
MRI of Middle Spinal Canal With and Without Contrast
CPT 72157
$1,788
$1,788
$288
27
clean
MRI of Lower Spinal Canal With and Without Contrast
CPT 72158
$1,788
$1,788
$288
27
clean
X-Ray of Pelvis, 1-2 Views
CPT 72170
$64
$64
$12
28
clean
X-Ray of Pelvis, 3 or More Views
CPT 72190
$66
$66
$16
28
clean
CAT Scan of Pelvis Without Contrast
CPT 72192
$703
$703
$123
29
clean
CAT Scan of Pelvis With Contrast
CPT 72193
$786
$786
$150
29
clean
CAT Scan of Pelvis With and Without Contrast
CPT 72194
$899
$899
$161
28
clean
MRI of Pelvis Without Contrast
CPT 72195
$1,371
$1,371
$276
27
clean
MRI of Pelvis With Contrast
CPT 72196
$1,457
$1,457
$279
28
clean
MRI of Pelvis With and Without Contrast
CPT 72197
$1,503
$1,503
$310
27
clean
X-Ray of Sacroiliac Joints, 1-2 Views
CPT 72200
$109
$109
$12
28
clean
X-Ray of Sacroiliac Joints, 3 or More Views
CPT 72202
$109
$109
$16
27
clean
X-Ray of Tailbone
CPT 72220
$79
$79
$12
28
clean
X-Ray of Collarbone
CPT 73000
$70
$70
$11
26
clean
X-Ray of Shoulder, 1 View
CPT 73020
$70
$70
$9
28
clean
X-Ray of Shoulder, 2 or More Views
CPT 73030
$88
$88
$12
28
clean
X-Ray of Upper Arm
CPT 73060
$79
$79
$12
28
clean
X-Ray of Elbow , 2 Views
CPT 73070
$79
$79
$12
28
clean
X-Ray of Elbow, 3 or More Views
CPT 73080
$99
$99
$15
28
clean
X-Ray of Lower Arm
CPT 73090
$88
$88
$12
28
clean
X-Ray of Wrist, 2 Views
CPT 73100
$99
$99
$12
28
clean
X-Ray of Wrist, 3 or More Views
CPT 73110
$99
$99
$15
28
clean
X-Ray of Hand, 2 Views
CPT 73120
$66
$66
$12
28
clean
X-Ray of Hand, 3 or More Views
CPT 73130
$79
$79
$15
28
clean
X-Ray of Fingers
CPT 73140
$58
$58
$10
28
clean
CAT Scan of Arm Without Contrast
CPT 73200
$703
$703
$138
29
clean
MRI of Arm Without Contrast
CPT 73218
$1,457
$1,457
$239
28
clean
MRI of Arm Without Contrast
CPT 73221
$1,457
$1,457
$239
28
clean
X-Ray of Single Hip, 1 View
CPT 73501
$61
$61
$11
20
clean
X-Ray of Single Hip, 2-3 Views
CPT 73502
$88
$88
$16
20
clean
X-Ray of Single Hip, 4 or More Views
CPT 73503
$88
$88
$20
13
clean
X-Ray of Both Hips, 2 Views
CPT 73521
$170
$170
$18
19
clean
X-Ray of Both Hips, 3-4 Views
CPT 73522
$170
$170
$24
14
clean
X-Ray of Upper Leg, 1 View
CPT 73551
$61
$61
$11
19
clean
X-Ray of Upper Leg, 2 or More Views
CPT 73552
$88
$88
$15
20
clean
X-Ray of Knee, 1 or 2 Views
CPT 73560
$79
$79
$12
28
clean
X-Ray of Knee, 3 Views
CPT 73562
$79
$79
$14
28
clean
X-Ray of Knee, 4 or More Views
CPT 73564
$46
$46
$16
25
clean
X-Ray of Both Knees with Standing Views
CPT 73565
$79
$79
$14
28
clean
X-Ray of Lower Leg
CPT 73590
$79
$79
$12
28
clean
X-Ray of Ankle, 2 Views
CPT 73600
$79
$79
$12
28
clean
X-Ray of Ankle, 3 or More Views
CPT 73610
$99
$99
$15
28
clean
X-Ray of Foot, 2 Views
CPT 73620
$79
$79
$12
28
clean
X-Ray of Foot, 3 or More Views
CPT 73630
$88
$88
$15
28
clean
X-Ray of Heel
CPT 73650
$58
$58
$12
28
clean
X-Ray of Toes
CPT 73660
$66
$66
$10
28
clean
CAT Scan of Leg Without Contrast
CPT 73700
$703
$703
$131
29
clean
MRI of Leg Not Including Joint Without Contrast
CPT 73718
$1,457
$1,457
$260
27
clean
MRI of Leg Not Including Joint With Contrast
CPT 73719
$1,457
$1,457
$301
27
clean
MRI of Leg Joint Without Contrast
CPT 73721
$1,224
$1,224
$252
28
clean
MRI of Leg Joint With Contrast
CPT 73722
$1,457
$1,457
$279
28
clean
MRI of Leg Joint With and Without Contrast
CPT 73723
$1,457
$1,457
$299
28
clean
X-Ray of Abdomen, 1 View
CPT 74018
$70
$70
$11
20
clean
X-Ray of Abdomen, 2 Views
CPT 74019
$99
$99
$14
20
clean
X-Ray of Abdomen, 3 or More Views
CPT 74021
$85
$85
$17
20
clean
CAT Scan of Abdomen Without Contrast
CPT 74150
$703
$703
$123
29
clean
CAT Scan of Abdomen With Contrast
CPT 74160
$805
$805
$150
29
clean
CAT Scan of Abdomen With and Without Contrast
CPT 74170
$937
$937
$160
28
clean
CAT Scan of Abdomen and Pelvis Without Contrast
CPT 74176
$937
$937
$143
20
clean
CAT Scan of Abdomen and Pelvis With Contrast
CPT 74177
$955
$955
$195
20
clean
CAT Scan of Abdomen and Pelvis With and Without Contrast
CPT 74178
$955
$955
$200
21
clean
MRI of Abdomen Without Contrast
CPT 74181
$1,457
$1,457
$252
28
clean
MRI of Abdomen With Contrast
CPT 74182
$1,788
$1,788
$310
27
clean
MRI of Abdomen With and Without Contrast
CPT 74183
$1,788
$1,788
$310
28
clean
Ultrasound of Soft Tissue of Head and Neck
CPT 76536
$225
$225
$35
29
clean
Ultrasound of Breast
CPT 76641
$89
$89
$39
21
clean
Complete Ultrasound of Abdomen
CPT 76700
$265
$265
$48
29
clean
Complete Ultrasound of Kidneys, Aorta, and Lymph Nodes
CPT 76770
$318
$318
$46
29
clean
External Ultrasound of Pregnant Uterus in 1st Trimester
CPT 76801
$199
$199
$44
28
clean
External Ultrasound of Pregnant Uterus in 2nd or 3rd Trimester
CPT 76805
$199
$199
$48
29
clean
Vaginal Ultrasound of Pregnant Uterus in 1st Trimester
CPT 76817
$199
$199
$46
27
clean
Ultrasound of Non-Pregnant Uterus
CPT 76830
$169
$169
$50
29
clean
Complete Ultrasound of Female Pelvis Unrelated to Pregnancy
CPT 76856
$169
$169
$41
29
clean
Ultrasound of Scrotum
CPT 76870
$166
$166
$37
29
clean
Ultrasound of Pelvic Cavity Via Rectum
CPT 76872
$166
$166
$50
28
clean
MRI of Both Breasts With and Without Contrast
CPT 77049
$1,788
$1,788
$234
19
clean
Diagnostic Mammogram of One Breast
CPT 77065
$225
$225
$43
17
clean
Diagnostic Mammogram of Both Breasts
CPT 77066
$290
$290
$54
17
clean
Screening Mammogram
CPT 77067
$245
$245
$51
16
clean
X-Ray for Measurement of Bone Age
CPT 77072
$81
$81
$11
8
clean
Measurement of Bone Density Using Dual-Energy X-Rays of Hips, Pelvis, And/or Spine
CPT 77080
$125
$125
$38
22
clean
Nuclear Medicine Scan of Thyroid
CPT 78013
$300
$300
$75
17
clean
Nuclear Medicine Study of Parathyroid Gland
CPT 78070
$774
$774
$72
25
clean
Nuclear Medicine Study of Lymph Nodes
CPT 78195
$436
$436
$96
25
clean
Nuclear Medicine Study of Liver and Bile Ducts
CPT 78227
$795
$795
$190
24
clean
Nuclear Medicine Study of Stomach Emptying
CPT 78264
$695
$695
$110
25
clean
Nuclear Medicine Study of Bones And/or Joints in Whole Body
CPT 78306
$657
$657
$104
27
clean
Nuclear Medicine Study of Bones And/or Joints With Delayed Images in 3 Phases
CPT 78315
$834
$834
$105
26
clean
Multiple SPECT Scans of Heart Muscle
CPT 78452
$2,059
$2,059
$260
22
clean
Single Nuclear Medicine Study To Evaluate Blood Ejection From The Heart During Specific Phases of Heart Cycle
CPT 78472
$891
$891
$125
24
clean
Complete Nuclear Medicine Study of Kidney Without Drug Administration
CPT 78707
$924
$924
$151
25
clean
Nuclear Medicine Study To Locate Tumor or Infection With Whole Body Imaging Completed In a Single Day
CPT 78802
$1,095
$1,095
$124
26
clean
SPECT Scan To Locate Tumor or Infection
CPT 78803
$1,095
$1,095
$165
23
clean
Lab Test - Basic Metabolic Panel with Total Calcium
CPT 80048
$77
$77
$12
27
clean
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$95
$95
$17
28
clean
Lab Test - Panel for Pregnant Patients without HIV Testing
CPT 80055
$115
$115
$57
22
clean
Lab Test - Cholesterol Panel
CPT 80061
$96
$96
$25
29
clean
Lab Test - Kidney Function Panel
CPT 80069
$68
$68
$14
28
clean
Lab Test - Liver Function Panel
CPT 80076
$70
$70
$12
28
clean
Lab Test - Total Digoxin Level
CPT 80162
$93
$93
$23
28
clean
Lab Test - Total Valproic Acid Level
CPT 80164
$40
$40
$25
28
clean
Lab Test - Lithium Level
CPT 80178
$20
$20
$11
28
clean
Lab Test - Total Phenytoin Level
CPT 80185
$93
$93
$19
28
clean
Lab Test - Manual Analysis of Urine By Dipstick With Microscope Evaluation
CPT 81000
$23
$23
$5
24
clean
Lab Test - Machine Analysis of Urine By Dipstick with Microscope Evaluation
CPT 81001
$15
$15
$5
29
clean
Lab Test - Pituitary Hormone Level
CPT 82024
$327
$327
$70
28
clean
Lab Test - Amylase Enzyme Level
CPT 82150
$304
$304
$10
28
clean
Lab Test - Angiotensin Converting Enzyme Level
CPT 82164
$83
$83
$30
28
clean
Lab Test - Total Bilirubin Level
CPT 82247
$70
$70
$7
27
clean
Lab Test - Direct Bilirubin Level
CPT 82248
$70
$70
$8
27
clean
Lab Test - Identification of Hidden Blood in Stool Sample Using Chemical Reagent for Colon Cancer Screening
CPT 82270
$20
$20
—
0
clean
Lab Test - Identification of Hidden Blood in Stool Using Immunoassay
CPT 82274
$30
$30
$18
19
clean
Lab Test - Vitamin D-3 Level
CPT 82306
$85
$85
$62
28
clean
Lab Test - Total Calcium Level in Blood
CPT 82310
$35
$35
$7
28
clean
Lab Test - Ionized Calcium Level
CPT 82330
$179
$179
$25
28
clean
Lab Test - Calcium Level in Urine
CPT 82340
$35
$35
$7
28
clean
Lab Test - Total Cholesterol Level
CPT 82465
$35
$35
$6
28
clean
Lab Test - Cortisol Hormone Level
CPT 82533
$285
$285
$26
28
clean
Lab Test - Creatine Level
CPT 82540
$83
$83
$6
30
clean
Lab Test - Creatinine Level in Blood Sample
CPT 82565
$15
$15
$7
28
clean
Lab Test - Creatinine Level in Sample Other Than Blood
CPT 82570
$47
$47
$6
28
clean
Lab Test - Calculation of Creatinine Clearance
CPT 82575
$47
$47
$11
28
clean
Lab Test - Vitamin B-12 Level
CPT 82607
$32
$32
$20
28
clean
Lab Test - Vitamin D Level
CPT 82652
$500
$500
$89
25
clean
Lab Test - Estradiol Hormone Level
CPT 82670
$61
$61
$46
27
clean
Lab Test - Estrogen Hormone Level
CPT 82672
$250
$250
$32
28
clean
Lab Test - Estriol Hormone Level
CPT 82677
$89
$89
$36
27
clean
Lab Test - Ferritin Level
CPT 82728
$29
$29
$18
28
clean
Lab Test - Folic Acid Level
CPT 82746
$32
$32
$20
28
clean
Lab Test - Glucose Level in Body Fluid Other Than Blood
CPT 82945
$23
$23
$5
26
clean
Lab Test - Glucose Level in Blood
CPT 82947
$15
$15
$6
29
clean
Lab Test - Glucose Level in Blood Using Strip
CPT 82948
$13
$13
$5
22
clean
Lab Test - Glucose Level Following Sugar Intake
CPT 82950
$105
$105
$11
28
clean
Lab Test - Glucose Level Following Sugar Intake
CPT 82951
$105
$105
$11
28
clean
Lab Test - FSH Hormone Level
CPT 83001
$32
$32
$27
28
clean
Lab Test - LH Hormone Level
CPT 83002
$112
$112
$25
28
clean
Lab Test - Hemoglobin A1c Level
CPT 83036
$25
$25
$15
28
clean
Lab Test - Hydroxyprogestone 17-D Level
CPT 83498
$60
$60
$49
26
clean
Lab Test - Iron Level
CPT 83540
$7
$7
$8
28
clean
Lab Test - LDH Enzyme Level
CPT 83615
$47
$47
$12
29
clean
Lab Test - LDH Enzyme Level
CPT 83625
$47
$47
$12
29
clean
Lab Test - Lipase Enzyme Level
CPT 83690
$47
$47
$8
28
clean
Lab Test - LDL Cholesterol Level
CPT 83721
$70
$70
$15
26
clean
Lab Test - Magnesium Level
CPT 83735
$47
$47
$9
28
clean
Lab Test - Parathyroid Hormone Level
CPT 83970
$361
$361
$75
27
clean
Lab Test - PKU Test
CPT 84030
$60
$60
$13
29
clean

Showing the first 200 of 265 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
30 of 258 comparable items (12%) 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 $1,300 exceeds the gross charge $770
warn
mrf_stale
last updated 2025-04-10, 504 days ago; the rule requires an update at least once a year
CPT 70543/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,300 exceeds the gross charge $770 — part of a file-wide pattern, counted once at the file level
CPT 76641/o
info
mrf_negotiated_above_gross
highest negotiated rate $98 exceeds the gross charge $89 — part of a file-wide pattern, counted once at the file level
CPT 80050/o
info
mrf_negotiated_above_gross
highest negotiated rate $90 exceeds the gross charge $75 — part of a file-wide pattern, counted once at the file level
CPT 80055/o
info
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $115 — part of a file-wide pattern, counted once at the file level
CPT 80164/o
info
mrf_negotiated_above_gross
highest negotiated rate $50 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 80178/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT 82274/o
info
mrf_negotiated_above_gross
highest negotiated rate $48 exceeds the gross charge $30 — part of a file-wide pattern, counted once at the file level
CPT 82306/o
info
mrf_negotiated_above_gross
highest negotiated rate $130 exceeds the gross charge $85 — part of a file-wide pattern, counted once at the file level
CPT 82570/o
info
mrf_negotiated_above_gross
highest negotiated rate $50 exceeds the gross charge $47 — part of a file-wide pattern, counted once at the file level
CPT 82607/o
info
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $32 — part of a file-wide pattern, counted once at the file level
CPT 82670/o
info
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $61 — part of a file-wide pattern, counted once at the file level
CPT 82728/o
info
mrf_negotiated_above_gross
highest negotiated rate $40 exceeds the gross charge $29 — part of a file-wide pattern, counted once at the file level
CPT 82746/o
info
mrf_negotiated_above_gross
highest negotiated rate $46 exceeds the gross charge $32 — part of a file-wide pattern, counted once at the file level
CPT 83001/o
info
mrf_negotiated_above_gross
highest negotiated rate $70 exceeds the gross charge $32 — part of a file-wide pattern, counted once at the file level
CPT 83036/o
info
mrf_negotiated_above_gross
highest negotiated rate $30 exceeds the gross charge $25 — part of a file-wide pattern, counted once at the file level
CPT 83498/o
info
mrf_negotiated_above_gross
highest negotiated rate $100 exceeds the gross charge $60 — part of a file-wide pattern, counted once at the file level
CPT 83540/o
info
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $7 — part of a file-wide pattern, counted once at the file level
CPT 84030/o
info
mrf_negotiated_above_gross
highest negotiated rate $100 exceeds the gross charge $60 — part of a file-wide pattern, counted once at the file level
CPT 84146/o
info
mrf_negotiated_above_gross
highest negotiated rate $62 exceeds the gross charge $32 — part of a file-wide pattern, counted once at the file level
CPT 84153/o
info
mrf_negotiated_above_gross
highest negotiated rate $120 exceeds the gross charge $30 — part of a file-wide pattern, counted once at the file level
CPT 84157/o
info
mrf_negotiated_above_gross
highest negotiated rate $50 exceeds the gross charge $18 — part of a file-wide pattern, counted once at the file level
CPT 84166/o
info
mrf_negotiated_above_gross
highest negotiated rate $50 exceeds the gross charge $38 — part of a file-wide pattern, counted once at the file level
CPT 84403/o
info
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $48 — part of a file-wide pattern, counted once at the file level
CPT 84425/o
info
mrf_negotiated_above_gross
highest negotiated rate $100 exceeds the gross charge $37 — part of a file-wide pattern, counted once at the file level
CPT 84432/o
info
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $38 — part of a file-wide pattern, counted once at the file level
CPT 84439/o
info
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT 84443/o
info
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35 — part of a file-wide pattern, counted once at the file level
CPT 84703/o
info
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $35 — part of a file-wide pattern, counted once at the file level
CPT 85240/o
info
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $141 — part of a file-wide pattern, counted once at the file level
CPT 85384/o
info
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $35 — part of a file-wide pattern, counted once at the file level
CPT 43239/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 45380/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82270/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 86769/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 87635/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 90837/o
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 90853/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
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. HOSPITAL PAVIA HATO REY, INC — standard charges file · PR · updated 2025-04-10
    · json · 950K bytes · fetched 2026-08-27 · sha256 679b63a991b7…

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.