Hospital · CCN 490022

Mary Washington Hospital, Inc

1001 Sam Perry Boulevard, Fredericksburg, VA 22401 · Fredericksburg city
Part of Mary Washington Healthcare · 414 beds · 1
Secondary flow 30% to <50% to a larger urbanized area of 50,000 and greater

142 admission types 51 outpatient services price file: ok
Billed per dollar paid, all admissions
2.80×
$244.5M billed against $87.3M paid across 6,414 Medicare discharges; the national figure is 5.03×.
0.7%
of adults in Fredericksburg city have medical debt in collections
8.7%
uninsured in the county · state 7.5%
$76K
median household income
2.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
39.5%
obesity in the countyⓘ
10.2%
diagnosed diabetes (PLACES)
4.8%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
609
$40,886
$14,972
2.7× st 4.0×
291
Heart failure and shock with mcc
356
$21,250
$9,837
2.2× st 3.7×
193
Simple pneumonia and pleurisy with mcc
208
$21,906
$10,329
2.1× st 4.0×
177
Respiratory infections and inflammations with mcc
203
$28,254
$12,476
2.3× st 3.6×
689
Kidney and urinary tract infections with mcc
152
$18,252
$9,001
2.0× st 3.7×
274
Percutaneous and other intracardiac procedures without mcc
143
$99,431
$24,659
4.0× st 6.9×
280
Acute myocardial infarction, discharged alive with mcc
137
$27,168
$12,044
2.3× st 4.4×
885
Psychoses
128
$29,984
$11,179
2.7× st 2.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
115
$24,253
$8,399
2.9× st 4.1×
682
Renal failure with mcc
112
$22,924
$11,193
2.0× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
107
$116,885
$38,606
3.0× st 4.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
105
$17,486
$6,620
2.6× st 4.8×
683
Renal failure with cc
103
$16,294
$7,067
2.3× st 4.0×
603
Cellulitis without mcc
99
$15,915
$7,097
2.2× st 3.5×
690
Kidney and urinary tract infections without mcc
95
$14,613
$6,515
2.2× st 4.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
93
$26,687
$7,963
3.4× st 5.0×
378
Gastrointestinal hemorrhage with cc
92
$23,993
$7,846
3.1× st 4.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
89
$21,031
$10,070
2.1× st 4.1×
698
Other kidney and urinary tract diagnoses with mcc
88
$26,343
$12,158
2.2× st 3.7×
312
Syncope and collapse
86
$21,182
$7,016
3.0× st 4.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
83
$35,639
$14,283
2.5× st 4.2×
190
Chronic obstructive pulmonary disease with mcc
80
$21,403
$9,081
2.4× st 3.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
79
$14,531
$6,378
2.3× st 4.2×
309
Cardiac arrhythmia and conduction disorders with cc
75
$17,140
$6,026
2.8× st 4.1×
189
Pulmonary edema and respiratory failure
74
$28,147
$9,856
2.9× st 4.5×
481
Hip and femur procedures except major joint with cc
70
$42,739
$15,287
2.8× st 5.5×
377
Gastrointestinal hemorrhage with mcc
62
$45,033
$14,184
3.2× st 4.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
61
$72,579
$15,016
4.8× st 6.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
56
$81,186
$21,847
3.7× st 5.9×
308
Cardiac arrhythmia and conduction disorders with mcc
54
$24,543
$9,865
2.5× st 4.2×
164
Major chest procedures with cc
50
$35,605
$19,020
1.9× st 4.6×
194
Simple pneumonia and pleurisy with cc
47
$14,786
$6,954
2.1× st 4.0×
281
Acute myocardial infarction, discharged alive with cc
45
$21,966
$7,215
3.0× st 5.4×
552
Medical back problems without mcc
45
$19,563
$8,007
2.4× st 4.7×
638
Diabetes with cc
44
$16,194
$7,413
2.2× st 4.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
43
$41,488
$16,118
2.6× st 5.7×
163
Major chest procedures with mcc
42
$89,097
$37,203
2.4× st 3.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
41
$20,431
$10,483
1.9× st 4.0×
480
Hip and femur procedures except major joint with mcc
40
$69,311
$22,391
3.1× st 5.0×
314
Other circulatory system diagnoses with mcc
39
$29,778
$15,167
2.0× st 3.6×
313
Chest pain
39
$19,643
$5,804
3.4× st 5.4×
699
Other kidney and urinary tract diagnoses with cc
38
$15,483
$7,780
2.0× st 3.8×
394
Other digestive system diagnoses with cc
38
$21,211
$7,686
2.8× st 4.3×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
38
$183,192
$38,631
4.7× st 5.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
37
$180,807
$47,578
3.8× st 4.0×
811
Red blood cell disorders with mcc
35
$26,154
$10,806
2.4× st 4.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
35
$47,291
$16,000
3.0× st 4.3×
813
Coagulation disorders
35
$31,862
$11,295
2.8× st 3.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
34
$110,582
$35,051
3.2× st 4.1×
643
Endocrine disorders with mcc
34
$22,739
$12,854
1.8× st 4.0×
243
Permanent cardiac pacemaker implant with cc
34
$62,940
$18,556
3.4× st 5.3×
330
Major small and large bowel procedures with cc
33
$46,872
$19,512
2.4× st 5.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
33
$31,687
$10,966
2.9× st 4.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
33
$36,600
$9,385
3.9× st 5.8×
178
Respiratory infections and inflammations with cc
31
$23,657
$7,545
3.1× st 3.7×
242
Permanent cardiac pacemaker implant with mcc
31
$92,489
$25,679
3.6× st 5.1×
057
Degenerative nervous system disorders without mcc
30
$22,800
$9,642
2.4× st 3.6×
329
Major small and large bowel procedures with mcc
29
$92,516
$35,836
2.6× st 4.5×
305
Hypertension without mcc
29
$17,563
$6,500
2.7× st 5.2×
637
Diabetes with mcc
28
$22,405
$10,722
2.1× st 4.3×
602
Cellulitis with mcc
28
$22,440
$11,304
2.0× st 3.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
28
$53,362
$15,535
3.4× st 5.2×
191
Chronic obstructive pulmonary disease with cc
27
$16,840
$6,638
2.5× st 3.8×
300
Peripheral vascular disorders with cc
27
$17,655
$9,118
1.9× st 3.9×
536
Fractures of hip and pelvis without mcc
27
$14,718
$6,159
2.4× st 4.9×
236
Coronary bypass without cardiac catheterization without mcc
27
$80,203
$33,827
2.4× st 4.3×
884
Organic disturbances and intellectual disability
26
$22,158
$12,343
1.8× st 3.4×
812
Red blood cell disorders without mcc
26
$18,068
$7,361
2.5× st 4.3×
092
Other disorders of nervous system with cc
26
$19,090
$7,579
2.5× st 4.6×
660
Kidney and ureter procedures for non-neoplasm with cc
25
$27,034
$11,009
2.5× st 5.1×
315
Other circulatory system diagnoses with cc
24
$22,115
$7,864
2.8× st 3.7×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
24
$149,034
$53,273
2.8× st 7.5×
176
Pulmonary embolism without mcc
24
$18,801
$6,555
2.9× st 4.7×
948
Signs and symptoms without mcc
24
$14,564
$5,972
2.4× st 3.8×
439
Disorders of pancreas except malignancy with cc
24
$15,269
$6,929
2.2× st 5.2×
418
Laparoscopic cholecystectomy without c.d.e. with cc
24
$40,211
$12,745
3.2× st 7.1×
149
Dysequilibrium
23
$17,110
$5,940
2.9× st 6.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
23
$17,518
$6,839
2.6× st 5.2×
389
Gastrointestinal obstruction with cc
23
$17,848
$7,079
2.5× st 4.4×
644
Endocrine disorders with cc
22
$23,123
$9,062
2.6× st 3.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
22
$14,735
$4,880
3.0× st 4.4×
202
Bronchitis and asthma with cc/mcc
22
$16,088
$7,837
2.1× st 3.6×
071
Other cerebrovascular disorders with cc
22
$35,761
$7,719
4.6× st 4.2×
082
Traumatic stupor and coma >1 hour with mcc
21
$38,257
$17,196
2.2× st 3.7×
432
Cirrhosis and alcoholic hepatitis with mcc
21
$46,178
$14,745
3.1× st 4.1×
100
Seizures with mcc
21
$31,154
$16,024
1.9× st 4.2×
467
Revision of hip or knee replacement with cc
20
$73,999
$20,866
3.5× st 6.1×
270
Other major cardiovascular procedures with mcc
20
$122,685
$43,477
2.8× st 4.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
20
$61,387
$21,476
2.9× st 5.1×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
20
$106,984
$37,453
2.9× st 3.7×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
20
$21,262
$6,358
3.3× st 5.5×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
20
$65,441
$19,880
3.3× st 6.0×
435
Malignancy of hepatobiliary system or pancreas with mcc
20
$61,533
$13,998
4.4× st 4.0×
273
Percutaneous and other intracardiac procedures with mcc
20
$108,612
$28,622
3.8× st 6.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
19
$38,889
$15,071
2.6× st 6.9×
101
Seizures without mcc
19
$19,121
$7,295
2.6× st 4.3×
390
Gastrointestinal obstruction without cc/mcc
19
$11,770
$4,967
2.4× st 4.4×
870
Septicemia or severe sepsis with mv >96 hours
18
$183,113
$51,845
3.5× st 4.6×
054
Nervous system neoplasms with mcc
18
$24,852
$10,834
2.3× st 3.6×
283
Acute myocardial infarction, expired with mcc
18
$58,412
$17,270
3.4× st 4.4×
282
Acute myocardial infarction, discharged alive without cc/mcc
18
$23,289
$5,837
4.0× st 6.4×
445
Disorders of the biliary tract with cc
18
$26,701
$8,385
3.2× st 4.9×
036
Carotid artery stent procedures without cc/mcc
18
$56,424
$14,195
4.0× st 6.1×
372
Major gastrointestinal disorders and peritoneal infections with cc
18
$20,224
$8,254
2.5× st 3.6×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
18
$46,592
$17,371
2.7× st 5.3×
070
Other cerebrovascular disorders with mcc
17
$42,352
$17,696
2.4× st 3.9×
069
Transient ischemia without thrombolytic
17
$23,456
$6,373
3.7× st 6.0×
299
Peripheral vascular disorders with mcc
17
$23,992
$12,060
2.0× st 4.6×
551
Medical back problems with mcc
17
$36,476
$12,476
2.9× st 4.9×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
17
$25,376
$9,222
2.8× st 8.9×
228
Other cardiothoracic procedures with mcc
16
$157,060
$40,713
3.9× st 3.9×
393
Other digestive system diagnoses with mcc
16
$37,656
$16,514
2.3× st 4.3×
252
Other vascular procedures with mcc
16
$81,480
$25,899
3.1× st 4.1×
180
Respiratory neoplasms with mcc
15
$36,580
$14,123
2.6× st 4.2×
025
Craniotomy and endovascular intracranial procedures with mcc
15
$72,760
$33,453
2.2× st 4.5×
253
Other vascular procedures with cc
14
$61,144
$22,375
2.7× st 4.8×
083
Traumatic stupor and coma >1 hour with cc
14
$17,290
$10,381
1.7× st 3.9×
331
Major small and large bowel procedures without cc/mcc
14
$32,650
$12,665
2.6× st 7.2×
165
Major chest procedures without cc/mcc
14
$26,439
$13,936
1.9× st 3.9×
920
Complications of treatment with cc
14
$22,484
$8,232
2.7× st 4.5×
917
Poisoning and toxic effects of drugs with mcc
14
$19,301
$11,873
1.6× st 4.6×
388
Gastrointestinal obstruction with mcc
13
$21,873
$11,090
2.0× st 4.0×
521
Hip replacement with principal diagnosis of hip fracture with mcc
13
$58,720
$21,030
2.8× st 4.8×
659
Kidney and ureter procedures for non-neoplasm with mcc
13
$40,513
$19,979
2.0× st 3.9×
229
Other cardiothoracic procedures without mcc
13
$110,889
$24,202
4.6× st 7.8×
863
Postoperative and post-traumatic infections without mcc
13
$20,132
$8,414
2.4× st 2.5×
056
Degenerative nervous system disorders with mcc
13
$52,695
$16,705
3.2× st 3.7×
244
Permanent cardiac pacemaker implant without cc/mcc
12
$54,902
$13,773
4.0× st 6.7×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
12
$53,544
$24,287
2.2× st 5.3×
074
Cranial and peripheral nerve disorders without mcc
12
$18,999
$8,321
2.3× st 5.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
12
$23,135
$8,184
2.8× st 3.7×
196
Interstitial lung disease with mcc
12
$18,502
$13,648
1.4× st 3.6×
091
Other disorders of nervous system with mcc
12
$19,191
$12,506
1.5× st 3.4×
235
Coronary bypass without cardiac catheterization with mcc
12
$115,922
$43,140
2.7× st 5.3×
374
Digestive malignancy with mcc
12
$45,712
$16,364
2.8× st 3.3×
205
Other respiratory system diagnoses with mcc
11
$40,469
$14,014
2.9× st 3.0×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
11
$36,858
$12,585
2.9× st 3.9×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
11
$13,624
$6,839
2.0× st 3.8×
444
Disorders of the biliary tract with mcc
11
$63,771
$12,773
5.0× st 4.4×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
11
$31,695
$13,754
2.3× st 3.2×
085
Traumatic stupor and coma <1 hour with mcc
11
$46,202
$15,047
3.1× st 4.1×
565
Other musculoskeletal system and connective tissue diagnoses with cc
11
$21,549
$7,938
2.7× st 5.2×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
1,253
$12,647
$2,504
5.1×
5115
Level 5 Musculoskeletal Procedures
431
$31,906
$12,086
2.6×
5191
Level 1 Endovascular Procedures
379
$17,050
$3,008
5.7×
5193
Level 3 Endovascular Procedures
232
$54,296
$10,045
5.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
228
$7,650
$1,495
5.1×
5375
Level 5 Urology and Related Services
217
$17,798
$4,764
3.7×
5302
Level 2 Upper GI Procedures
197
$11,129
$1,706
6.5×
5213
Level 3 Electrophysiologic Procedures
192
$93,428
$21,999
4.2×
5374
Level 4 Urology and Related Services
180
$14,733
$3,197
4.6×
5373
Level 3 Urology and Related Services
168
$11,178
$1,866
6.0×
5361
Level 1 Laparoscopy and Related Services
136
$20,249
$5,316
3.8×
5431
Level 1 Nerve Procedures
93
$6,337
$724
8.8×
5182
Level 2 Vascular Procedures
85
$4,997
$1,452
3.4×
5362
Level 2 Laparoscopy and Related Services
84
$25,456
$9,551
2.7×
5194
Level 4 Endovascular Procedures
82
$79,647
$15,886
5.0×
5223
Level 3 Pacemaker and Similar Procedures
79
$42,187
$10,005
4.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
69
$13,696
$2,665
5.1×
5114
Level 4 Musculoskeletal Procedures
68
$22,339
$6,551
3.4×
5222
Level 2 Pacemaker and Similar Procedures
65
$41,902
$7,771
5.4×
5192
Level 2 Endovascular Procedures
64
$26,856
$5,226
5.1×
5183
Level 3 Vascular Procedures
63
$13,111
$2,913
4.5×
5153
Level 3 Airway Endoscopy
57
$10,334
$1,578
6.6×
5116
Level 6 Musculoskeletal Procedures
48
$52,729
$17,437
3.0×
5224
Level 4 Pacemaker and Similar Procedures
44
$78,924
$17,853
4.4×
5232
Level 2 ICD and Similar Procedures
42
$149,773
$30,757
4.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
38
$16,237
$3,108
5.2×
5154
Level 4 Airway Endoscopy
35
$17,402
$3,512
5.0×
5303
Level 3 Upper GI Procedures
26
$25,220
$3,591
7.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
25
$18,903
$5,725
3.3×
5112
Level 2 Musculoskeletal Procedures
16
$10,370
$1,507
6.9×
5155
Level 5 Airway Endoscopy
13
$42,603
$6,418
6.6×
5113
Level 3 Musculoskeletal Procedures
13
$17,472
$3,035
5.8×
5372
Level 2 Urology and Related Services
13
$5,886
$641
9.2×
5165
Level 5 ENT Procedures
11
$19,181
$5,491
3.5×
5184
Level 4 Vascular Procedures
11
$30,100
$5,153
5.8×
5414
Level 4 Gynecologic Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 12/30/2024, template 2.0.0, 14,122 rows scanned, 12,437 distinct code–setting items kept. 2,374 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$720
7
clean
Liver dis 10 assays w/ash
—
—
$407
11
clean
Liver dis 10 assays w/nash
$1,691
$846
$407
15
clean
Onco prst8 3 gene ur alg
—
—
$760
7
clean
Onc mrna 5 gen rsk urthl ca
—
—
$760
7
clean
Onc mrna 5 gen recr urthl ca
—
—
$760
7
clean
Adrnl cortcl tum bchm asy 25
—
—
$51
12
clean
Onc bladder mrna 209 gen alg
—
—
$53
15
clean
Onc thyr 10 microrna seq alg
—
—
$3,002
7
clean
Onc aml dna detcj/nondetcj
—
—
$195
15
clean
Glyca nuc mr spectrsc quan
—
—
$33
12
clean
Onc thyr dna&mrna 112 genes
—
—
$3,600
7
clean
Jak2 gene trgt seq alys
$410
$205
$122
19
clean
Rx metab advrs trgt seq alys
—
—
$742
7
clean
Tpmt nudt15 genes
$1,567
$784
$407
19
clean
Neuro csf prion prtn qual
$1,818
$909
$407
16
clean
Trgt gen seq dna 324 genes
—
—
$3,500
7
clean
B brgdrferi antb 5 prtn igm
—
—
$13
12
clean
Ct perfusion w/contrast cbf
$7,078
$3,539
$443
15
clean
B brgdrferi antb 12 prtn igg
—
—
$13
12
clean
Tbrf b grp antb 4 prtn igm
—
—
$13
12
clean
Tbrf b grp antb 4 prtn igg
—
—
$13
12
clean
Onc brst dux carc is 12 gene
—
—
$3,873
7
clean
Onc prst8 mrna 17 gene alg
—
—
$3,873
7
clean
Bone srgry cmptr fluor image
—
—
$2,711
4
clean
Bone srgry cmptr ct/mri imag
—
—
$2,711
4
clean
Onc merkel cll carc srm quan
—
—
$186
12
clean
Onc merkel cll carc srm +/-
—
—
$186
12
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$48
12
clean
Antb tp total&rpr ia qual
—
—
$46
12
clean
Syfls tst nontreponemal antb
$60
$30
$16
16
clean
Candida species pnl amp prb
—
—
$205
15
clean
Perq stent/chest vert art
—
—
$9,074
15
clean
Ig paraprotein qual bld/ur
$146
$73
$46
16
clean
Onc lng 5 clin rsk factr alg
—
—
$3,520
7
clean
Onc mlnma prame & linc00518
—
—
$760
7
clean
Onc cutan mlnma mrna 23 gene
—
—
$1,950
7
clean
Esw muscskel sys nos
—
—
$672
22
clean
Hered colon ca do 15 genes
—
—
$1,744
7
clean
Neph ckd mult eclia tum nec
—
—
$950
4
clean
Touch quant sensory test
—
—
$138
16
clean
Gstr emptg 7 timed brth spec
—
—
$874
4
clean
Vibrate quant sensory test
—
—
$138
16
clean
Cool quant sensory test
—
—
$162
16
clean
Gi barrett esoph 9 prtn bmrk
—
—
$4,950
7
clean
Heat quant sensory test
—
—
$138
16
clean
Iadi 16s&18s rrna genes
—
—
$219
15
clean
Trnsplj don-drv cll-fr dna
—
—
$2,753
7
clean
Crd ceramides liq chrom plsm
—
—
$79
12
clean
Hered brst ca rltd do panel
—
—
$1,304
7
clean
Nfct ds dna untrgt ngnrj seq
$7,144
$3,572
$1,198
8
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$182
12
clean
Liver ds 10 biochem asy srm
—
—
$415
12
clean
Onc sld tum alys brca1 brca2
—
—
$3,030
7
clean
Onc solid tumor 30 prtn trgt
—
—
$51
12
clean
Exc rectal tumor endoscopic
—
—
$4,911
20
clean
Perq sacral augmt unilat inj
$22,639
$11,320
$6,923
26
clean
Perq sacral augmt bilat inj
$7,573
$3,787
$6,923
26
clean
Post vert arthrplst 1 lumbar
—
—
$7,408
15
clean
Nfct ds 22 trgt sars-cov-2
$2,139
$1,070
$417
21
clean
Neuro alzheimer cell aggregj
—
—
$51
12
clean
Clear eyelid gland w/heat
—
—
$129
20
clean
Neuro alzheimer quan imaging
—
—
$186
12
clean
Njx platelet plasma
$1,139
$570
$600
24
clean
Trluml perip athrc brchiocph
$34,726
$17,363
$15,170
24
clean
Trluml perip athrc iliac art
$23,501
$11,751
$15,170
24
clean
Trgt gen seq alys pnl 311+
—
—
$3,500
7
clean
Nfct ds vir resp rna 3 trgt
—
—
$71
15
clean
Nfct ds vir resp rna 4 trgt
$319
$160
$143
19
clean
Trgt gen seq alys pnl 55-74
—
—
$5,000
7
clean
Onc thyr mut alys 10 gen&37
—
—
$435
15
clean
Onc sld org neo dna 505 gene
—
—
$2,920
7
clean
Implt/rpl crtd sns dev total
—
—
$27,305
14
clean
Implt/rpl crtd sns dev gen
—
—
$27,840
17
clean
Interrogate crtd sns dev
—
—
$53
14
clean
Interrogate crtd sns w/pgrmg
—
—
$53
14
clean
Perq lamot/lam lumbar
—
—
$7,007
20
clean
Tempr
—
—
$185
15
clean
Onc lung mrna quan pcr 11&3
—
—
$3,873
7
clean
Onc brst dux carc 7 proteins
—
—
$5,435
7
clean
Crd cad alys 3 prtn 3 param
—
—
$51
12
clean
Crd cv ds aly 4 prtn plm alg
—
—
$51
12
clean
Nfct ds bct quan antmcrb sc
—
—
$11
12
clean
Ai ds sle alys 8 igg autoant
—
—
$841
7
clean
Onc cutan sq cll ca mrna 40
—
—
$8,500
7
clean
Neph rna psttrnspl perph bld
—
—
$53
15
clean
Trgt gen seq alys pnl 83+
—
—
$53
15
clean
Onc neo xome&trns seq alys
—
—
$53
15
clean
Tear film img uni/bi w/i&r
—
—
$75
8
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,504
1
clean
Onc plsm cell do&myeloma id
—
—
$51
12
clean
Onc sld tum crcg tum cl slct
—
—
$51
12
clean
Trnscth renal symp denrv bil
—
—
$11,252
20
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$760
7
clean
Onc pan ca alys mrd plasma
—
—
$53
15
clean
Hep nafld semiq evl 28 lipid
—
—
$51
12
clean
Psyc genom alys pnl 15 gen
—
—
$1,336
7
clean
Beta amyl ab40&ab42 lc-ms/ms
—
—
$14
12
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,336
7
clean
Rx metab/pcx dna 25 gen alys
—
—
$742
7
clean
Rx metab/pcx dna 27gen rx ia
—
—
$742
7
clean
Rsa lower extr exam
—
—
$82
15
clean
Nfct ds bct/viral trail ip10
—
—
$51
12
clean
Oct brst/node i&r per spec
—
—
$1,554
1
clean
Nfct ds bv&vaginitis amp prb
$479
$240
$143
19
clean
Iadna chlmyd&gonorr amp prb
—
—
$12
12
clean
Apol1 risk variants
—
—
$53
15
clean
Onc orop/anal 17 dna ddpcr
—
—
$50
8
clean
Bia whole body
—
—
$81
14
clean
Neuro alys b-amyl 1-42&1-40
$784
$392
$198
16
clean
Onc prst8 ca alys all psa
—
—
$15
15
clean
Onc lung elisa 7 autoant alg
—
—
$53
15
clean
Neurflmnt lt chn dig ia quan
$896
$448
$12
12
clean
Onc urthl mrna 5 gen alg
—
—
$53
15
clean
Onc bldr 10 prb bldr ca
—
—
$53
15
clean
Onc bldr 10 prb recr bldr ca
—
—
$53
15
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$53
15
clean
Onc prst8 ca img alys 128
—
—
$51
12
clean
Vis field assmnt tech suppt
—
—
$54
6
clean
Tgsap sl or neo dna523&rna55
—
—
$50
8
clean
Rx metb advrs trgt sq aly 20
—
—
$53
15
clean
Hdr elctrnc skn surf brchytx
—
—
$262
16
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$693
16
clean
Mrgfus strtctc les abltj
—
—
$9,216
15
clean
Colgn cross-link crn med sep
—
—
$2,350
20
clean
Insj/rplc cardiac modulj sys
$94,055
$47,028
$11,152
24
clean
Psyc genom alys pnl 15 gen
—
—
$1,336
7
clean
Cv ds acs bld alg 5 yr score
—
—
$51
12
clean
Prgrmg eval cardiac modulj
—
—
$50
14
clean
Interro eval cardiac modulj
—
—
$50
14
clean
Waterjet prostate abltj cmpl
—
—
$6,594
20
clean
Onc pan solid tum alys dna
—
—
$50
8
clean
Gi malabs aat calpro pncrtc
—
—
$14
8
clean
Gly rcptr alpha1 igg srm/csf
$0
$0
$14
12
clean
Klhl11 antb sr/csf asy qual
—
—
$14
8
clean
Onc prst8 5 dna reg mrk pcr
—
—
$50
8
clean
Rx metab advrs vrnt alys 25
—
—
$50
8
clean
Impltj synth rnfcmt abdl wal
—
—
$6,134
12
clean
Myocrd contrast prfuj echo
—
—
$649
8
clean
Abltj perc lxtr/perph nrv
—
—
$1,991
20
clean
Abltj perc plex/trncl nrv
$18,598
$9,299
$6,799
24
clean
Insj impltbl glucose sensor
—
—
$1,365
18
clean
Rmvl impltbl glucose sensor
—
—
$246
18
clean
Remvl insj impltbl gluc sens
—
—
$1,365
18
clean
Insj aqueous drain dev 1st
—
—
$4,933
18
clean
Visual ep test for glaucoma
—
—
$117
14
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$589
16
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$541
10
clean
Tmvi percutaneous approach
$11,662
$5,831
$20,151
13
clean
Tmvi transthoracic exposure
—
—
$20,151
9
clean
Oct mid ear i&r unilateral
—
—
$45
14
clean
Oct mid ear i&r bilateral
—
—
$45
14
clean
Prep & cannulj cdvr don lung
—
—
$7,092
9
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$7,092
9
clean
Ev fempop artl revsc
—
—
$9,573
16
clean
Near ifr 2img mibmn glnd i&r
—
—
$80
14
clean
Pattern erg w/i&r
—
—
$209
16
clean
Esw integ wnd hlg 1st wnd
—
—
$541
15
clean
Esw integ wnd hlg ea addl
—
—
$541
9
clean
Ntrapx c ffr w/3d funcjl map
—
—
$991
1
clean
Insj/rplcmt compl iims
—
—
$10,933
16
clean
Prgrmg dev eval iims ip
—
—
$50
14
clean
Interrog dev eval iims ip
—
—
$50
14
clean
Car-t cll admn autologous
—
—
$1,018
14
clean
Low-level laser therapy
—
—
$39
8
clean
Antmc guide 3d print 1st gd
—
—
$89
7
clean
Evac meibomian glnd heat bi
—
—
$111
16
clean
Ttvr perq appr 1st prosth
—
—
$20,151
14
clean
Ttvr perq ea addl prosth
—
—
$20,151
14
clean
Insj/rplcmt icds ss eltrd
—
—
$31,772
16
clean
Prgrmg dev eval icds ss ip
—
—
$50
14
clean
Interrog dev eval icds ss ip
—
—
$50
14
clean
Rem interrog dev icds phys
—
—
$50
8
clean
Rem interrog dev icds tech
—
—
$50
14
clean
Abltj mal brst tum perq crtx
—
—
$2,797
16
clean
Elec alys cplx prgrmg iins
—
—
$190
14
clean
Hlth&wb coaching indiv 1st
—
—
$95
8
clean
Hlth&wb coaching indiv f-up
—
—
$95
8
clean
Ncntc r-t fluor wnd img 1st
—
—
$405
7
clean
Ire abltj 1+tum organ perq
$29,917
$14,959
$5,494
22
clean
Ire abltj 1+tumors open
—
—
$9,740
18
clean
Rem oct rta techl sprt min 8
—
—
$80
15
clean
Rem mntr pulm flu mntr setup
—
—
$81
8
clean
Rem mntr pulm flu mntr alys
—
—
$81
8
clean
Insertion of iris prosthesis
—
—
$3,246
18
clean
Insj iris prosth w/rmvl&insj
—
—
$5,225
18
clean
Insj iris prosth sec io lens
—
—
$5,225
18
clean
Cysto w/prst8 commissurotomy
—
—
$6,594
18
clean
Evasc ven artlz tibl/prnl vn
—
—
$15,777
15
clean
Auto quantification c plaque
—
—
$316
8
clean
Auto quan c plaq cptr alys
—
—
$989
3
clean
Perq njx algc fluor lmbr 1st
—
—
$7,304
16
clean
Perq njx algc fluor lmbr ea
—
—
$6,923
10
clean
Perq njx algc ct lmbr 1st
—
—
$7,304
16
clean
Ct breast w/3d bi c-/c+
—
—
$443
15
clean
Ncntc nr ifr spctrsc wnd
—
—
$54
6
clean
Tcat rmvl/dblk icar mas perq
$13,527
$6,764
$11,791
19
clean
Ttvi/rplcmt w/prstc vlv perq
—
—
$20,151
12
clean
Insj gtube perq mag gastrpxy
—
—
$1,172
16
clean
Quan mr tis wo mri 1orgn
—
—
$338
12
clean

Showing the first 200 of 12,437 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 54150/b
error
mrf_cash_above_gross
discounted cash price $3,800 exceeds gross charge $3,708
CPT 54161/b
error
mrf_cash_above_gross
discounted cash price $5,200 exceeds gross charge $3,708
CPT 58605/b
error
mrf_cash_above_gross
discounted cash price $5,500 exceeds gross charge $4,654
warn
mrf_negotiated_above_gross_systematic
2,369 of 3,007 comparable items (79%) 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 $270 exceeds the gross charge $60
warn
mrf_stale
last updated 2024-12-30, 605 days ago; the rule requires an update at least once a year
CPT 10021/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $1,057 — part of a file-wide pattern, counted once at the file level
CPT 31627/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $3,822 — part of a file-wide pattern, counted once at the file level
CPT 43238/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 64520/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $1,990 — part of a file-wide pattern, counted once at the file level
CPT 80327/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $218 — part of a file-wide pattern, counted once at the file level
CPT 83937/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $121 — part of a file-wide pattern, counted once at the file level
CPT 86668/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 90662/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $92 — part of a file-wide pattern, counted once at the file level
CPT 97602/b
info
mrf_negotiated_above_gross
highest negotiated rate $579 exceeds the gross charge $228 — part of a file-wide pattern, counted once at the file level
CPT J9271/b
info
mrf_negotiated_above_gross
highest negotiated rate $11,264 exceeds the gross charge $5,421 — part of a file-wide pattern, counted once at the file level
CPT 10030/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $1,020 — part of a file-wide pattern, counted once at the file level
CPT 31628/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,443 exceeds the gross charge $7,337 — part of a file-wide pattern, counted once at the file level
CPT 43239/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $2,745 — part of a file-wide pattern, counted once at the file level
CPT 64530/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $1,331 — part of a file-wide pattern, counted once at the file level
CPT 80329/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $126 — part of a file-wide pattern, counted once at the file level
CPT 83945/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $77 — part of a file-wide pattern, counted once at the file level
CPT 86671/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $76 — part of a file-wide pattern, counted once at the file level
CPT 90671/b
info
mrf_negotiated_above_gross
highest negotiated rate $615 exceeds the gross charge $259 — part of a file-wide pattern, counted once at the file level
CPT 97605/b
info
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $448 — part of a file-wide pattern, counted once at the file level
CPT J9272/b
info
mrf_negotiated_above_gross
highest negotiated rate $11,264 exceeds the gross charge $3,219 — part of a file-wide pattern, counted once at the file level
CPT 10035/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $1,370 — part of a file-wide pattern, counted once at the file level
CPT 31629/b
info
mrf_negotiated_above_gross
highest negotiated rate $10,712 exceeds the gross charge $7,337 — part of a file-wide pattern, counted once at the file level
CPT 43240/b
info
mrf_negotiated_above_gross
highest negotiated rate $12,849 exceeds the gross charge $8,226 — part of a file-wide pattern, counted once at the file level
CPT 64610/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,286 exceeds the gross charge $4,500 — part of a file-wide pattern, counted once at the file level
CPT 80335/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $103 — part of a file-wide pattern, counted once at the file level
CPT 83950/b
info
mrf_negotiated_above_gross
highest negotiated rate $364 exceeds the gross charge $193 — part of a file-wide pattern, counted once at the file level
CPT 86682/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $65 — part of a file-wide pattern, counted once at the file level
CPT 90677/b
info
mrf_negotiated_above_gross
highest negotiated rate $722 exceeds the gross charge $278 — part of a file-wide pattern, counted once at the file level
CPT 97606/b
info
mrf_negotiated_above_gross
highest negotiated rate $899 exceeds the gross charge $476 — part of a file-wide pattern, counted once at the file level
CPT J9293/b
info
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $73 — part of a file-wide pattern, counted once at the file level
CPT 10060/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $538 — part of a file-wide pattern, counted once at the file level
CPT 31630/b
info
mrf_negotiated_above_gross
highest negotiated rate $10,712 exceeds the gross charge $2,055 — part of a file-wide pattern, counted once at the file level
CPT 43241/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,843 — part of a file-wide pattern, counted once at the file level
CPT 64620/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $2,742 — part of a file-wide pattern, counted once at the file level
CPT 80339/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $49 — part of a file-wide pattern, counted once at the file level
CPT 83986/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $34 — part of a file-wide pattern, counted once at the file level
CPT 86684/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $73 — part of a file-wide pattern, counted once at the file level
CPT 90680/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $90 — part of a file-wide pattern, counted once at the file level
CPT 97755/b
info
mrf_negotiated_above_gross
highest negotiated rate $378 exceeds the gross charge $124 — part of a file-wide pattern, counted once at the file level
CPT J9299/b
info
mrf_negotiated_above_gross
highest negotiated rate $7,084 exceeds the gross charge $858 — part of a file-wide pattern, counted once at the file level
CPT 10061/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $538 — part of a file-wide pattern, counted once at the file level
CPT 31632/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $2,027 — part of a file-wide pattern, counted once at the file level
CPT 43242/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 64624/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,286 exceeds the gross charge $5,519 — part of a file-wide pattern, counted once at the file level
CPT 80342/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $56 — part of a file-wide pattern, counted once at the file level
CPT 83993/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $121 — part of a file-wide pattern, counted once at the file level
CPT 86689/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $133 — part of a file-wide pattern, counted once at the file level
CPT 90681/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT 97760/b
info
mrf_negotiated_above_gross
highest negotiated rate $378 exceeds the gross charge $147 — part of a file-wide pattern, counted once at the file level
CPT J9301/b
info
mrf_negotiated_above_gross
highest negotiated rate $7,084 exceeds the gross charge $496 — part of a file-wide pattern, counted once at the file level
CPT 10080/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $674 — part of a file-wide pattern, counted once at the file level
CPT 31635/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $3,501 — part of a file-wide pattern, counted once at the file level
CPT 43243/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $3,679 — part of a file-wide pattern, counted once at the file level
CPT 64625/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,286 exceeds the gross charge $5,519 — part of a file-wide pattern, counted once at the file level
CPT 80346/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $143 — part of a file-wide pattern, counted once at the file level
CPT 84030/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $86 — part of a file-wide pattern, counted once at the file level
CPT 86692/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $68 — part of a file-wide pattern, counted once at the file level
CPT 90686/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $83 — part of a file-wide pattern, counted once at the file level
CPT 97761/b
info
mrf_negotiated_above_gross
highest negotiated rate $378 exceeds the gross charge $108 — part of a file-wide pattern, counted once at the file level
CPT J9303/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,356 exceeds the gross charge $631 — part of a file-wide pattern, counted once at the file level
CPT 10081/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $1,947 — part of a file-wide pattern, counted once at the file level
CPT 31645/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $3,822 — part of a file-wide pattern, counted once at the file level
CPT 43244/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 64630/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $2,916 — part of a file-wide pattern, counted once at the file level
CPT 80347/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $71 — part of a file-wide pattern, counted once at the file level
CPT 84066/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $41 — part of a file-wide pattern, counted once at the file level
CPT 86694/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $102 — part of a file-wide pattern, counted once at the file level
CPT 90687/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $106 — part of a file-wide pattern, counted once at the file level
CPT 97763/b
info
mrf_negotiated_above_gross
highest negotiated rate $378 exceeds the gross charge $198 — part of a file-wide pattern, counted once at the file level
CPT J9305/b
info
mrf_negotiated_above_gross
highest negotiated rate $1,838 exceeds the gross charge $44 — part of a file-wide pattern, counted once at the file level
CPT 10120/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $703 — part of a file-wide pattern, counted once at the file level
CPT 31646/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $1,880 — part of a file-wide pattern, counted once at the file level
CPT 43245/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 64633/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,286 exceeds the gross charge $5,519 — part of a file-wide pattern, counted once at the file level
CPT 80353/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $149 — part of a file-wide pattern, counted once at the file level
CPT 84075/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $31 — part of a file-wide pattern, counted once at the file level
CPT 86695/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $86 — part of a file-wide pattern, counted once at the file level
CPT 90688/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $89 — part of a file-wide pattern, counted once at the file level
CPT 97802/b
info
mrf_negotiated_above_gross
highest negotiated rate $848 exceeds the gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT J9306/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,356 exceeds the gross charge $1,092 — part of a file-wide pattern, counted once at the file level
CPT 10121/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,583 — part of a file-wide pattern, counted once at the file level
CPT 31647/b
info
mrf_negotiated_above_gross
highest negotiated rate $16,553 exceeds the gross charge $14,922 — part of a file-wide pattern, counted once at the file level
CPT 43246/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 64634/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $192 — part of a file-wide pattern, counted once at the file level
CPT 80358/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $82 — part of a file-wide pattern, counted once at the file level
CPT 84080/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $99 — part of a file-wide pattern, counted once at the file level
CPT 86696/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $101 — part of a file-wide pattern, counted once at the file level
CPT 90694/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $137 — part of a file-wide pattern, counted once at the file level
CPT 97803/b
info
mrf_negotiated_above_gross
highest negotiated rate $848 exceeds the gross charge $45 — part of a file-wide pattern, counted once at the file level
CPT J9308/b
info
mrf_negotiated_above_gross
highest negotiated rate $7,084 exceeds the gross charge $385 — part of a file-wide pattern, counted once at the file level
CPT 10140/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,775 exceeds the gross charge $2,779 — part of a file-wide pattern, counted once at the file level
CPT 31648/b
info
mrf_negotiated_above_gross
highest negotiated rate $10,712 exceeds the gross charge $8,055 — part of a file-wide pattern, counted once at the file level
CPT 43247/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $2,745 — part of a file-wide pattern, counted once at the file level
CPT 64635/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,286 exceeds the gross charge $5,519 — part of a file-wide pattern, counted once at the file level
CPT 80361/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $122 — part of a file-wide pattern, counted once at the file level
CPT 84087/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $49 — part of a file-wide pattern, counted once at the file level
CPT 86698/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $59 — part of a file-wide pattern, counted once at the file level
CPT 90696/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $58 — part of a file-wide pattern, counted once at the file level
CPT 97804/b
info
mrf_negotiated_above_gross
highest negotiated rate $848 exceeds the gross charge $39 — part of a file-wide pattern, counted once at the file level
CPT J9334/b
info
mrf_negotiated_above_gross
highest negotiated rate $11,264 exceeds the gross charge $8,112 — part of a file-wide pattern, counted once at the file level
CPT 10160/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $571 — part of a file-wide pattern, counted once at the file level
CPT 31649/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,729 exceeds the gross charge $3,924 — part of a file-wide pattern, counted once at the file level
CPT 43248/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $2,745 — part of a file-wide pattern, counted once at the file level
CPT 64636/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $168 — part of a file-wide pattern, counted once at the file level
CPT 80362/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $69 — part of a file-wide pattern, counted once at the file level
CPT 84100/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $56 — part of a file-wide pattern, counted once at the file level
CPT 86701/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $96 — part of a file-wide pattern, counted once at the file level
CPT 90700/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $36 — part of a file-wide pattern, counted once at the file level
CPT 98925/b
info
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT J9357/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,356 exceeds the gross charge $850 — part of a file-wide pattern, counted once at the file level
CPT 10180/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,286 exceeds the gross charge $4,075 — part of a file-wide pattern, counted once at the file level
CPT 31651/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,729 exceeds the gross charge $4,095 — part of a file-wide pattern, counted once at the file level
CPT 43249/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 64680/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $5,023 — part of a file-wide pattern, counted once at the file level
CPT 80364/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $81 — part of a file-wide pattern, counted once at the file level
CPT 84105/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $53 — part of a file-wide pattern, counted once at the file level
CPT 86702/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $86 — part of a file-wide pattern, counted once at the file level
CPT 90707/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $90 — part of a file-wide pattern, counted once at the file level
CPT 98926/b
info
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT J9360/b
info
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $8 — part of a file-wide pattern, counted once at the file level
CPT 11042/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $1,140 — part of a file-wide pattern, counted once at the file level
CPT 31652/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,443 exceeds the gross charge $7,481 — part of a file-wide pattern, counted once at the file level
CPT 43250/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 64681/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $3,080 — part of a file-wide pattern, counted once at the file level
CPT 80369/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $63 — part of a file-wide pattern, counted once at the file level
CPT 84110/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT 86703/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $150 — part of a file-wide pattern, counted once at the file level
CPT 90710/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $240 — part of a file-wide pattern, counted once at the file level
CPT 98927/b
info
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT J9370/b
info
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $16 — part of a file-wide pattern, counted once at the file level
CPT 11043/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $949 — part of a file-wide pattern, counted once at the file level
CPT 31653/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,443 exceeds the gross charge $7,481 — part of a file-wide pattern, counted once at the file level
CPT 43251/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 64999/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $842 — part of a file-wide pattern, counted once at the file level
CPT 80375/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $38 — part of a file-wide pattern, counted once at the file level
CPT 84112/b
info
mrf_negotiated_above_gross
highest negotiated rate $364 exceeds the gross charge $295 — part of a file-wide pattern, counted once at the file level
CPT 86704/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $104 — part of a file-wide pattern, counted once at the file level
CPT 90713/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $52 — part of a file-wide pattern, counted once at the file level
CPT 98928/b
info
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT J9390/b
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $20 — part of a file-wide pattern, counted once at the file level
CPT 11044/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $3,076 — part of a file-wide pattern, counted once at the file level
CPT 31654/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,729 exceeds the gross charge $2,323 — part of a file-wide pattern, counted once at the file level
CPT 43253/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,705 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 65205/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,206 exceeds the gross charge $598 — part of a file-wide pattern, counted once at the file level
CPT 81001/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $40 — part of a file-wide pattern, counted once at the file level
CPT 84120/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $189 — part of a file-wide pattern, counted once at the file level
CPT 86705/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $112 — part of a file-wide pattern, counted once at the file level
CPT 90714/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $134 — part of a file-wide pattern, counted once at the file level
CPT 98929/b
info
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT J9395/b
info
mrf_negotiated_above_gross
highest negotiated rate $245 exceeds the gross charge $75 — part of a file-wide pattern, counted once at the file level
CPT 11045/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $538 — part of a file-wide pattern, counted once at the file level
CPT 31660/b
info
mrf_negotiated_above_gross
highest negotiated rate $15,431 exceeds the gross charge $4,409 — part of a file-wide pattern, counted once at the file level
CPT 43254/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,705 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 65220/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,206 exceeds the gross charge $710 — part of a file-wide pattern, counted once at the file level
CPT 81002/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $12 — part of a file-wide pattern, counted once at the file level
CPT 84126/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $131 — part of a file-wide pattern, counted once at the file level
CPT 86706/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $68 — part of a file-wide pattern, counted once at the file level
CPT 90715/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $235 — part of a file-wide pattern, counted once at the file level
CPT 98960/b
info
mrf_negotiated_above_gross
highest negotiated rate $848 exceeds the gross charge $199 — part of a file-wide pattern, counted once at the file level
CPT P3000/b
info
mrf_negotiated_above_gross
highest negotiated rate $280 exceeds the gross charge $56 — part of a file-wide pattern, counted once at the file level
CPT 11046/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $486 — part of a file-wide pattern, counted once at the file level
CPT 31720/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $320 — part of a file-wide pattern, counted once at the file level
CPT 43255/b
info
mrf_negotiated_above_gross
highest negotiated rate $5,866 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 65222/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,206 exceeds the gross charge $737 — part of a file-wide pattern, counted once at the file level
CPT 81003/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $32 — part of a file-wide pattern, counted once at the file level
CPT 84132/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $68 — part of a file-wide pattern, counted once at the file level
CPT 86707/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $77 — part of a file-wide pattern, counted once at the file level
CPT 90716/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $135 — part of a file-wide pattern, counted once at the file level
CPT 98975/b
info
mrf_negotiated_above_gross
highest negotiated rate $846 exceeds the gross charge $413 — part of a file-wide pattern, counted once at the file level
CPT P9012/b
info
mrf_negotiated_above_gross
highest negotiated rate $452 exceeds the gross charge $79 — part of a file-wide pattern, counted once at the file level
CPT 11047/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $1,588 — part of a file-wide pattern, counted once at the file level
CPT 31899/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $2,140 — part of a file-wide pattern, counted once at the file level
CPT 43259/b
info
mrf_negotiated_above_gross
highest negotiated rate $6,705 exceeds the gross charge $4,008 — part of a file-wide pattern, counted once at the file level
CPT 67700/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $778 — part of a file-wide pattern, counted once at the file level
CPT 81015/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $19 — part of a file-wide pattern, counted once at the file level
CPT 84133/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $80 — part of a file-wide pattern, counted once at the file level
CPT 86708/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $83 — part of a file-wide pattern, counted once at the file level
CPT 90723/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $160 — part of a file-wide pattern, counted once at the file level
CPT 98977/b
info
mrf_negotiated_above_gross
highest negotiated rate $846 exceeds the gross charge $423 — part of a file-wide pattern, counted once at the file level
CPT P9016/b
info
mrf_negotiated_above_gross
highest negotiated rate $428 exceeds the gross charge $285 — part of a file-wide pattern, counted once at the file level
CPT 11055/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $449 — part of a file-wide pattern, counted once at the file level
CPT 32400/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,775 exceeds the gross charge $1,372 — part of a file-wide pattern, counted once at the file level
CPT 43260/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,634 exceeds the gross charge $7,295 — part of a file-wide pattern, counted once at the file level
CPT 67938/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $635 — part of a file-wide pattern, counted once at the file level
CPT 81025/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $54 — part of a file-wide pattern, counted once at the file level
CPT 84134/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $103 — part of a file-wide pattern, counted once at the file level
CPT 86709/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $91 — part of a file-wide pattern, counted once at the file level
CPT 90732/b
info
mrf_negotiated_above_gross
highest negotiated rate $572 exceeds the gross charge $156 — part of a file-wide pattern, counted once at the file level
CPT 99001/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $27 — part of a file-wide pattern, counted once at the file level
CPT P9017/b
info
mrf_negotiated_above_gross
highest negotiated rate $351 exceeds the gross charge $84 — part of a file-wide pattern, counted once at the file level
CPT 11056/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $449 — part of a file-wide pattern, counted once at the file level
CPT 32408/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,775 exceeds the gross charge $4,633 — part of a file-wide pattern, counted once at the file level
CPT 43261/b
info
mrf_negotiated_above_gross
highest negotiated rate $8,634 exceeds the gross charge $7,295 — part of a file-wide pattern, counted once at the file level
CPT 69000/b
info
mrf_negotiated_above_gross
highest negotiated rate $4,450 exceeds the gross charge $755 — part of a file-wide pattern, counted once at the file level
CPT 81050/b
info
mrf_negotiated_above_gross
highest negotiated rate $270 exceeds the gross charge $25 — part of a file-wide pattern, counted once at the file level

Showing the first 200 of 2,374 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 6.5M bytes · fetched 2026-08-25 · sha256 2b6eeebb788b…

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.