Hospital · CCN 490040

Inova Alexandria Hospital

4320 Seminary Rd, Alexandria, VA 22304 · Alexandria city
Part of Inova Health System · 303 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

93 admission types 55 outpatient services price file: ok
Billed per dollar paid, all admissions
3.34×
$141.9M billed against $42.4M paid across 3,074 Medicare discharges; the national figure is 5.03×.
0.5%
of adults in Alexandria city have medical debt in collections
8.1%
uninsured in the county · state 7.5%
$110K
median household income
3.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
32.0%
obesity in the countyⓘ
9.9%
diagnosed diabetes (PLACES)
4.4%
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
390
$49,744
$15,620
3.2× st 4.0×
291
Heart failure and shock with mcc
213
$38,095
$10,582
3.6× st 3.7×
177
Respiratory infections and inflammations with mcc
109
$43,625
$13,303
3.3× st 3.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
86
$57,179
$17,234
3.3× st 4.2×
193
Simple pneumonia and pleurisy with mcc
83
$35,639
$11,168
3.2× st 4.0×
689
Kidney and urinary tract infections with mcc
78
$30,778
$9,563
3.2× st 3.7×
690
Kidney and urinary tract infections without mcc
65
$24,008
$6,968
3.4× st 4.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
65
$36,926
$10,635
3.5× st 4.1×
698
Other kidney and urinary tract diagnoses with mcc
63
$34,849
$12,974
2.7× st 3.7×
378
Gastrointestinal hemorrhage with cc
61
$29,208
$8,830
3.3× st 4.6×
682
Renal failure with mcc
61
$39,541
$12,162
3.3× st 4.2×
683
Renal failure with cc
61
$26,948
$8,039
3.4× st 4.0×
280
Acute myocardial infarction, discharged alive with mcc
59
$48,313
$12,640
3.8× st 4.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
57
$35,083
$8,545
4.1× st 5.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
55
$100,699
$39,387
2.6× st 4.2×
189
Pulmonary edema and respiratory failure
44
$39,502
$11,064
3.6× st 4.5×
377
Gastrointestinal hemorrhage with mcc
43
$58,697
$15,304
3.8× st 4.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
43
$23,000
$7,124
3.2× st 4.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
42
$23,473
$9,030
2.6× st 4.1×
552
Medical back problems without mcc
41
$24,963
$8,321
3.0× st 4.7×
603
Cellulitis without mcc
39
$18,239
$7,594
2.4× st 3.5×
190
Chronic obstructive pulmonary disease with mcc
37
$37,101
$9,862
3.8× st 3.6×
308
Cardiac arrhythmia and conduction disorders with mcc
37
$45,150
$10,304
4.4× st 4.2×
312
Syncope and collapse
37
$27,075
$7,734
3.5× st 4.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
37
$88,857
$20,304
4.4× st 4.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
35
$22,502
$6,756
3.3× st 4.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
34
$52,181
$15,691
3.3× st 6.9×
281
Acute myocardial infarction, discharged alive with cc
31
$39,844
$8,199
4.9× st 5.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
30
$92,755
$19,269
4.8× st 6.8×
309
Cardiac arrhythmia and conduction disorders with cc
28
$25,362
$7,520
3.4× st 4.1×
812
Red blood cell disorders without mcc
26
$29,267
$8,476
3.5× st 4.3×
870
Septicemia or severe sepsis with mv >96 hours
25
$144,838
$47,348
3.1× st 4.6×
329
Major small and large bowel procedures with mcc
25
$101,163
$37,037
2.7× st 4.5×
082
Traumatic stupor and coma >1 hour with mcc
24
$58,493
$17,891
3.3× st 3.7×
314
Other circulatory system diagnoses with mcc
23
$42,568
$18,053
2.4× st 3.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
23
$41,345
$11,321
3.7× st 4.2×
100
Seizures with mcc
23
$58,454
$17,696
3.3× st 4.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
22
$59,083
$16,492
3.6× st 5.7×
637
Diabetes with mcc
22
$33,142
$12,110
2.7× st 4.3×
811
Red blood cell disorders with mcc
22
$38,385
$11,066
3.5× st 4.7×
101
Seizures without mcc
22
$22,841
$8,188
2.8× st 4.3×
202
Bronchitis and asthma with cc/mcc
22
$29,880
$9,122
3.3× st 3.6×
481
Hip and femur procedures except major joint with cc
21
$47,613
$17,155
2.8× st 5.5×
699
Other kidney and urinary tract diagnoses with cc
21
$28,420
$9,106
3.1× st 3.8×
389
Gastrointestinal obstruction with cc
20
$22,394
$7,767
2.9× st 4.4×
551
Medical back problems with mcc
19
$46,092
$12,942
3.6× st 4.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
19
$41,314
$10,082
4.1× st 5.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
19
$32,944
$11,198
2.9× st 4.0×
085
Traumatic stupor and coma <1 hour with mcc
18
$47,087
$16,884
2.8× st 4.1×
393
Other digestive system diagnoses with mcc
18
$40,230
$13,338
3.0× st 4.3×
194
Simple pneumonia and pleurisy with cc
18
$22,814
$7,139
3.2× st 4.0×
178
Respiratory infections and inflammations with cc
18
$28,509
$8,193
3.5× st 3.7×
454
Combined anterior and posterior spinal fusion with cc
17
$155,894
$47,492
3.3× st 5.2×
445
Disorders of the biliary tract with cc
17
$30,052
$9,173
3.3× st 4.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
17
$30,552
$7,436
4.1× st 5.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
17
$82,160
$23,851
3.4× st 5.1×
472
Cervical spinal fusion with cc
16
$106,532
$22,521
4.7× st 5.8×
196
Interstitial lung disease with mcc
15
$34,322
$13,806
2.5× st 3.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
15
$47,477
$14,620
3.2× st 5.2×
057
Degenerative nervous system disorders without mcc
15
$24,357
$10,229
2.4× st 3.6×
091
Other disorders of nervous system with mcc
14
$44,542
$13,326
3.3× st 3.4×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
14
$29,091
$6,115
4.8× st 5.5×
056
Degenerative nervous system disorders with mcc
14
$50,800
$17,845
2.8× st 3.7×
444
Disorders of the biliary tract with mcc
14
$41,592
$12,843
3.2× st 4.4×
305
Hypertension without mcc
14
$29,478
$7,283
4.0× st 5.2×
282
Acute myocardial infarction, discharged alive without cc/mcc
14
$35,864
$6,494
5.5× st 6.4×
371
Major gastrointestinal disorders and peritoneal infections with mcc
14
$30,306
$12,663
2.4× st 3.8×
374
Digestive malignancy with mcc
14
$48,127
$14,297
3.4× st 3.3×
243
Permanent cardiac pacemaker implant with cc
14
$63,544
$20,012
3.2× st 5.3×
025
Craniotomy and endovascular intracranial procedures with mcc
13
$182,380
$41,740
4.4× st 4.5×
435
Malignancy of hepatobiliary system or pancreas with mcc
13
$53,737
$15,922
3.4× st 4.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
13
$122,783
$26,861
4.6× st 5.9×
054
Nervous system neoplasms with mcc
13
$25,218
$11,630
2.2× st 3.6×
299
Peripheral vascular disorders with mcc
13
$38,056
$12,550
3.0× st 4.6×
438
Disorders of pancreas except malignancy with mcc
13
$37,515
$13,269
2.8× st 3.9×
070
Other cerebrovascular disorders with mcc
13
$38,780
$13,107
3.0× st 3.9×
176
Pulmonary embolism without mcc
12
$35,545
$7,861
4.5× st 4.7×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
12
$33,836
$9,121
3.7× st 8.9×
659
Kidney and ureter procedures for non-neoplasm with mcc
12
$81,922
$19,225
4.3× st 3.9×
643
Endocrine disorders with mcc
12
$38,267
$12,851
3.0× st 4.0×
330
Major small and large bowel procedures with cc
12
$69,014
$17,956
3.8× st 5.2×
388
Gastrointestinal obstruction with mcc
12
$31,736
$13,327
2.4× st 4.0×
394
Other digestive system diagnoses with cc
12
$23,617
$9,343
2.5× st 4.3×
917
Poisoning and toxic effects of drugs with mcc
11
$57,310
$13,021
4.4× st 4.6×
069
Transient ischemia without thrombolytic
11
$30,310
$6,955
4.4× st 6.0×
460
Spinal fusion except cervical without mcc
11
$174,157
$36,005
4.8× st 6.1×
092
Other disorders of nervous system with cc
11
$42,874
$9,864
4.3× st 4.6×
103
Headaches without mcc
11
$22,611
$7,284
3.1× st 6.0×
673
Other kidney and urinary tract procedures with mcc
11
$97,515
$37,256
2.6× st 4.3×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$42,949
$11,683
3.7× st 5.1×
483
Major joint or limb reattachment procedures of upper extremities
11
$77,178
$18,988
4.1× st 7.6×
304
Hypertension with mcc
11
$36,374
$9,830
3.7× st 5.0×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
11
$149,182
$48,500
3.1× st 4.1×
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
1,065
$19,564
$2,529
7.7×
5115
Level 5 Musculoskeletal Procedures
265
$41,400
$12,001
3.5×
5302
Level 2 Upper GI Procedures
242
$5,858
$1,749
3.3×
5375
Level 5 Urology and Related Services
163
$32,967
$4,781
6.9×
5191
Level 1 Endovascular Procedures
161
$17,661
$3,033
5.8×
5361
Level 1 Laparoscopy and Related Services
140
$35,274
$5,349
6.6×
5116
Level 6 Musculoskeletal Procedures
104
$68,812
$17,437
3.9×
5183
Level 3 Vascular Procedures
101
$10,974
$2,897
3.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
97
$9,003
$1,510
6.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
84
$12,473
$2,618
4.8×
5114
Level 4 Musculoskeletal Procedures
80
$30,100
$6,642
4.5×
5303
Level 3 Upper GI Procedures
73
$7,789
$3,435
2.3×
5374
Level 4 Urology and Related Services
71
$18,994
$3,269
5.8×
5373
Level 3 Urology and Related Services
63
$8,055
$1,862
4.3×
5112
Level 2 Musculoskeletal Procedures
54
$8,335
$1,485
5.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
54
$23,084
$3,244
7.1×
5331
Complex GI Procedures
53
$11,992
$4,941
2.4×
5313
Level 3 Lower GI Procedures
52
$6,380
$2,632
2.4×
5491
Level 1 Intraocular Procedures
50
$9,149
$2,117
4.3×
5223
Level 3 Pacemaker and Similar Procedures
38
$31,944
$9,792
3.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
37
$20,369
$3,497
5.8×
5492
Level 2 Intraocular Procedures
35
$13,012
$3,813
3.4×
5182
Level 2 Vascular Procedures
32
$5,198
$1,502
3.5×
5113
Level 3 Musculoskeletal Procedures
32
$15,018
$3,035
4.9×
5414
Level 4 Gynecologic Procedures
27
$14,201
$2,932
4.8×
5193
Level 3 Endovascular Procedures
27
$63,692
$10,307
6.2×
5213
Level 3 Electrophysiologic Procedures
27
$74,419
$22,213
3.4×
5362
Level 2 Laparoscopy and Related Services
26
$58,702
$9,646
6.1×
5222
Level 2 Pacemaker and Similar Procedures
25
$31,379
$7,967
3.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
24
$34,359
$6,115
5.6×
5431
Level 1 Nerve Procedures
23
$8,661
$1,811
4.8×
5232
Level 2 ICD and Similar Procedures
13
$110,980
$30,758
3.6×
5376
Level 6 Urology and Related Services
12
$43,785
$8,636
5.1×
5415
Level 5 Gynecologic Procedures
11
$23,641
$4,326
5.5×
5416
Level 6 Gynecologic Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
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 4/1/2026, template 3.0.0, 21,427 rows scanned, 6,695 distinct code–setting items kept. 3,314 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC BLOOD TYPING RBC DNA HEA 35 AG 11 BLD GRP (PRECISETYPE HEA)
$2,395
$1,198
$799
31
clean
HC LIVER DIS 10 ASSAYS W/NASH
$2,301
$1,151
$554
31
clean
HC ONC AML DNA DETCJ/NONDETCJ
$1,289
$645
$253
31
clean
HC JAK2 GENE TRGT SEQ ALYS EXONS 12-15
$1,030
$515
$124
31
clean
HC TPMT NUDT15 GENE ANALYSIS COMMON VARIANTS
$941
$471
$475
31
clean
HC NEURO CSF PRION PRTN QUAL
$1,604
$802
$552
31
clean
Bone srgry cmptr fluor image
—
—
$1,270
11
clean
Bone srgry cmptr ct/mri imag
—
—
$1,270
11
clean
HC TRNSCATH PLC STENT VERT ART INI
$7,447
$3,724
$5,284
19
clean
HC IG PARAPROTEIN QUAL BLD/UR
$130
$65
$49
23
clean
HC NFCT BCT FNG PRST DNA >1000
$4,493
$2,247
$2,552
31
clean
Exc rectal tumor endoscopic
—
—
$5,955
29
clean
HC PQ SACROPLASTY UNI W/IMG
$13,934
$6,967
$10,768
58
clean
HC PQ SACROPLASTY BI W/IMG
$14,760
$7,380
$7,765
29
clean
HC NFCT DS SWAB SARS-COV-2
$1,223
$612
$441
31
clean
HC ATHRECTOMY PERIPH W/S&I BRACH
$28,549
$14,275
$16,359
34
clean
HC ATHRECTOMY PERIPH W/S&I ILIAC
$29,785
$14,893
$18,136
32
clean
HC DENERVATION TRANSCATH RENAL SYMP BI
$26,886
$13,443
$8,449
32
clean
HC ONC PAN CA ALYS MRD PLASMA
$20,321
$10,161
$3,998
31
clean
HC NEURO MLD COG IMPAIRMNT ALYS
$3,629
$1,815
$261
29
clean
HC INSR/RPLC CARDIAC MODULATN SYSTEM
$119,709
$59,855
$28,805
34
clean
HC PROGRAMMING DEVICE EVALUATION CARDIAC MODULATN SYSTEM
$140
$70
$60
26
clean
HC INTERROGATION DEVICE EVALUATION CARDIAC MODULATN SYSTEM
$140
$70
$60
26
clean
Waterjet prostate abltj cmpl
—
—
$9,247
29
clean
HC GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL
$110
$55
$37
18
clean
HC ABLATION PQ CRYOABL LXTR/PERPH NRV W/IMG GUID
$5,867
$2,934
$2,561
34
clean
HC ABLATION PQ CRYOABL NRV PLEXUS W/IMG GUID
$15,363
$7,682
$7,332
34
clean
Insj aqueous drain dev 1st
—
—
$5,366
27
clean
HC IMPLNT/RPLC TRNSCTH MITRAL VALVE PQ
$247
$124
$8,771
19
clean
HC IMPLNT/RPLC TRNSCTH MITRAL VALVE TRNSTHRCIC
$247
$124
$8,771
19
clean
HC REVASC FEM-POP ARTL TRNSCATH PLCMT IV STNT GRFT & CLSR
$34,169
$17,085
$12,134
34
clean
HC ELECTRO RETINOGRAPHY PATTERN W/I&R
$531
$266
$333
26
clean
HC INTRAPROC CORNR FFR W/3D FUNCT MAP
$9,246
$4,623
$5,085
13
clean
HC INSERT/RPLCMT IIMS COMPLETE SYS
$26,183
$13,092
$17,990
34
clean
HC REPAIR TRICUSPID VALVE W/CLIP INI PROSTH
$64,434
$32,217
$21,205
24
clean
HC REPAIR TRICUSPID VALVE W/CLIP EA ADDL PROSTH
$7,072
$3,536
$5,516
24
clean
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
$98,758
$49,379
$35,268
33
clean
HC ABLATION CRYO PQ MALIGNANT BREAST TUMOR(S) W/IMG
$22,038
$11,019
$5,284
34
clean
HC ABLATION IRE NOT LIVER/PROS 1+ TUMOR(S) W/IMAGE PQ
$34,572
$17,286
$10,619
31
clean
HC ARTERIALIZATION ENDOVAS TIB/PERONEAL VEIN W STNT PLCMT
$83,462
$41,731
$30,118
68
clean
HC PRQ INJ ALLGNC/TISSUE LMBR FLUORO 1ST LVL
$55,345
$27,673
$12,867
34
clean
HC PRQ INJ ALLGNC/TISSUE LMBR FLUORO EA ADDL LVL
$27,674
$13,837
$7,285
24
clean
HC PRQ INJ ALLGNC/TISSUE LMBR CT 1ST LVL
$55,345
$27,673
$12,867
34
clean
HC CT BREAST WWO 3D BI WWO IV CNTRST
$4,093
$2,047
$897
34
clean
HC TRANSCATH RMVL INTRACARDIAC MASS VIA SUCTION W/WO IMG
$12,877
$6,439
$10,186
34
clean
HC BDY SURF MAPG PM/CVDFB F/UP
$78
$39
$41
26
clean
Njx b1 sub mtrl sbchdrl dfct
—
—
$4,771
54
clean
HC TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS
$58,491
$29,246
$19,071
31
clean
HC TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT
$58,491
$29,246
$19,071
31
clean
HC TCAT INSJ PERM 2CHMBR LDLS PM R VENTR PM COMPNT
$58,491
$29,246
$19,453
31
clean
HC TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL
$58,491
$29,246
$19,453
31
clean
HC QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI ADD ON
$727
$364
$359
21
clean
HC FNA BX W/O IMAGE GUID EA ADDL LES
$1,160
$580
$1,063
21
clean
HC FNA BX W/US GUID 1ST LES
$2,185
$1,093
$1,691
34
clean
HC FNA BX W/US GUID EA ADDL LES
$1,092
$546
$1,063
21
clean
HC FNA BX W/FLUOR GUID 1ST LES
$4,152
$2,076
$1,691
34
clean
HC FNA BX W/CT GUID 1ST LES
$4,152
$2,076
$1,691
34
clean
HC FNA BX W/CT GUID EA ADDL LES
$2,167
$1,084
$1,162
21
clean
HC FNA BX W/O IMAGE GUIDANCE 1ST LESION
$1,160
$580
$1,000
34
clean
HC DRAIN CATH IMAGE GUIDED SOFT TISSUE PQ
$1,792
$896
$1,656
34
clean
HC PLCMT SFT TISS LOC PQ W/IMG 1ST LSN
$2,198
$1,099
$1,932
68
clean
HC PLCMT SFT TISS LOC PQ W/IMG EA ADDL LSN
$2,149
$1,075
$1,554
24
clean
HC SURGERY ACNE
$943
$472
$531
34
clean
HC I&D SUPRFL ABSC SMPL
$863
$432
$542
34
clean
HC I&D SUPRFL ABSC COMP
$883
$442
$981
34
clean
HC I&D PILONIDAL CYST SMPL
$1,780
$890
$1,150
34
clean
HC I&D PILONIDAL CYST CMPLX
$3,744
$1,872
$1,701
34
clean
HC FB REMOVE SUBQ SIMPLE
$1,123
$562
$876
34
clean
HC FB REMOVE SUBQ COMPLICATED
$3,342
$1,671
$2,485
34
clean
HC I&D OF HEMATOMA
$6,798
$3,399
$2,310
34
clean
HC PUNC ASP ABS HEM BUL CYST
$1,051
$526
$820
34
clean
HC I&D COMP POSTOP WOUND INF
$7,552
$3,776
$3,364
34
clean
HC DEBRIDE INFECT SKIN <=10%
$2,572
$1,286
$1,169
34
clean
HC DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10%
$2,572
$1,286
$1,162
27
clean
HC DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL
$4,657
$2,329
$2,853
24
clean
HC DEBRIDE OPEN FX SITE SKIN/SUBQ TISSUE
$2,380
$1,190
$1,705
34
clean
HC DEBRIDE SKIN MUSC AT FX SITE
$2,856
$1,428
$1,705
34
clean
HC DEBRIDE SKIN BONE AT FX SITE
$8,999
$4,500
$2,862
34
clean
HC DEBRIDE SBQ TISS 1ST 20 SQ CM OR LESS
$1,621
$811
$1,057
34
clean
HC DEBRIDE MSCL/FSA 1ST 20 SQ CM OR LESS
$1,868
$934
$1,145
34
clean
HC DEBRIDE BONE 1ST 20 SQ CM OR LESS
$3,785
$1,893
$1,859
34
clean
HC DEBRIDE SBQ TISS EA ADDL 20
$1,194
$597
$1,270
24
clean
HC DEBRIDE MSCL/FSA EA ADDL 20
$1,224
$612
$1,270
24
clean
HC DEBRIDE BONE EA ADDL 20 SQ
$2,413
$1,207
$1,512
24
clean
HC BENIGN LESION PARING
$383
$192
$299
34
clean
HC BENIGN LESION PARING 2-4
$397
$199
$310
34
clean
HC BENIGN LESION PARING 4+
$517
$259
$403
34
clean
HC BX SKIN TANGENTIAL SGL LES
$821
$411
$640
34
clean
HC BX SKIN TANGENTIAL EA SEP/ ADDL LES
$412
$206
$953
21
clean
HC BX SKIN PUNCH SGL LES
$872
$436
$682
34
clean
HC BX SKIN PUNCH EA SEP/ ADDL LES
$412
$206
$953
21
clean
HC BX SKIN INCISNL SGL LES
$1,554
$777
$1,162
34
clean
HC BX SKIN INCISNL EA SEP/ADD L LES
$914
$457
$953
21
clean
HC REMOVAL OF SKIN TAGS <= 15 LSN(S)
$632
$316
$475
34
clean
HC REMOVAL OF SKIN TAGS EACH ADD'L 10
$174
$87
$258
24
clean
HC SHAVE SGL SKIN LSN T/A/L 0.5CM/<
$632
$316
$408
34
clean
HC SHAVE SGL SKIN LSN T/A/L 0.6-1.0CM
$662
$331
$406
34
clean
HC SHAVE SGL SKIN LSN T/A/L 1.1-2.0CM
$684
$342
$419
34
clean
HC SHAVE SGL SKIN LSN T/A/L >2.0CM
$943
$472
$578
34
clean
HC SHAVE SGL SKIN LSN S/N/H/F/G 0.5CM/<
$684
$342
$419
34
clean
HC SHAVE SGL SKIN LSN S/N/H/F/G 0.6-1.0 CM
$854
$427
$497
34
clean
HC SHAVE SGL SKIN LSN S/N/H/F/G 1.1-2CM
$1,254
$627
$643
34
clean
HC SHAVE SGL SKIN LSN S/N/H/F/G >2CM
$2,305
$1,153
$1,054
34
clean
HC SHAVE SGL SKIN LSN F/E/E/N/L/M 0.5CM/<
$1,279
$640
$655
34
clean
HC SHAVE SGL SKIN LSN F/E/E/N/L/M 0.6-1.0CM
$1,306
$653
$669
34
clean
HC SHAVE SGL SKIN LSN F/E/E/N/L/M 1.1-2CM
$2,116
$1,058
$1,049
34
clean
HC SHAVE SGL SKIN LSN F/E/E/N/L/M >2CM
$2,305
$1,153
$1,054
34
clean
HC EXC B9 LES +MRGN XCP SK TG 0.5CM/<
$1,123
$562
$1,564
34
clean
HC EXC B9 LES MRGN XCP SK TG T/A/L 0.6-1.0 CM
$1,531
$766
$1,093
34
clean
HC EXC B9 LES +MRGN XCP SK TG T/A/L 1.1-2.0CM
$1,831
$916
$1,564
34
clean
HC EXC B9 LES +MRGN XCP SK TG T/A/L 2.1-3.0CM
$5,306
$2,653
$1,691
34
clean
HC EXC B9 LES +MRGN XCP SK TG T/A/L 3.1-4.0 CM
$7,084
$3,542
$2,129
34
clean
HC EXCISION TR-EXT BENIGN LESN+MARG >4.0 CM
$9,490
$4,745
$2,706
34
clean
HC EXC B9+MARG S/N/H/F/G 0.5CM/<
$9,624
$4,812
$1,935
34
clean
HC EXC B9 +MRGN S/N/H/F/G 0.6-1.0CM
$5,244
$2,622
$1,705
34
clean
HC EXC B9 LES MRGN XCP SK TG T/A/L 1.1-2.0 CM
$7,619
$3,810
$1,866
34
clean
HC EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM
$9,624
$4,812
$2,129
34
clean
HC EXC B9 LES MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM
$9,624
$4,812
$2,485
34
clean
HC EXC B9 LES MRGN XCP SK TG S/N/H/F/G >4.0CM
$10,778
$5,389
$3,364
34
clean
HC EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<
$2,383
$1,192
$1,705
34
clean
HC EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM
$2,455
$1,228
$1,705
34
clean
HC EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM
$3,174
$1,587
$1,691
34
clean
HC EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM
$9,703
$4,852
$1,866
34
clean
HC EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM
$9,996
$4,998
$1,866
34
clean
HC EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M >4.0CM
$17,244
$8,622
$3,339
34
clean
Exc skn hdrdnt ax smpl/ntrm
—
—
$4,293
64
clean
Exc skn hdrdnt ax complex
—
—
$4,293
64
clean
Exc skn hdrdnt ing smpl/ntrm
—
—
$4,293
64
clean
Exc skn hdrdnt ing complex
—
—
$4,293
64
clean
Exc skn h/p/p/u smpl/ntrm
—
—
$3,132
32
clean
HC EXC MAL LES +MRGN T/A/L 0.5CM/<
$2,392
$1,196
$1,691
34
clean
HC EXC MAL LES +MRGN T/A/L 0.6-1.0CM
$2,446
$1,223
$1,691
34
clean
HC EXC MAL LSN +MRGN T/A/L 1.1-2.0CM
$2,461
$1,231
$1,093
34
clean
HC EXC MAL LES +MRGN T/A/L 2.1-3.0CM
$5,030
$2,515
$1,691
34
clean
HC EXC MAL LES +MRGN T/A/L 3.1-4.0CM
$5,636
$2,818
$1,865
34
clean
HC EXC MAL LES +MRGN T/A/L >4CM
$8,465
$4,233
$2,706
34
clean
HC EXC MAL LSN +MRGN S/N/H/F/G 0.5CM/<
$4,883
$2,442
$1,866
34
clean
HC EXC MAL LES +MRGN S/N/H/F/G 0.6-1.0CM
$5,030
$2,515
$1,691
34
clean
HC EXC MAL LES +MRGN S/N/H/F/G 1.1-2.0CM
$5,636
$2,818
$1,691
34
clean
HC EXC MAL LES +MRGN S/N/H/F/G 2.1-3CM
$7,468
$3,734
$1,866
34
clean
HC EXC MAL LES +MRGN S/N/H/F/G 3.1-4CM
$9,996
$4,998
$2,485
34
clean
HC EXC MAL LES +MRGN S/N/H/F/G >4CM
$17,244
$8,622
$3,364
34
clean
HC EXC MAL LES +MRGN F/E/E/N/L 0.5CM/<
$4,736
$2,368
$1,705
34
clean
HC EXC MAL LSN +MRGN F/E/E/N/L 0.6-1.0 CM
$4,759
$2,380
$1,705
34
clean
HC EXC MAL LES +MRGN F/E/E/N/L 1.1-2.0CM
$4,870
$2,435
$1,705
34
clean
HC EXC MAL LES +MRGN F/E/E/N/L 2.1-3CM
$6,667
$3,334
$1,935
34
clean
HC EXC MAL LES +MRGN F/E/E/N/L 3.1-4CM
$7,084
$3,542
$2,485
34
clean
HC EXC MAL LES +MRGN F/E/E/N/L >4CM
$12,214
$6,107
$3,364
34
clean
HC TRIM NONDYST NAILS
$355
$178
$182
34
clean
HC DEBRID NAILS 1-5
$510
$255
$281
34
clean
HC DEBRID NAILS 6+
$533
$267
$294
34
clean
HC SGL AVUL NAIL PLATE
$758
$379
$508
34
clean
HC AVUL NAIL PLATE ADDL
$620
$310
$913
24
clean
HC EVAC SUBUNGUAL HEMATOMA
$337
$169
$263
34
clean
HC REMOVE NAIL BED
$2,844
$1,422
$1,057
34
clean
HC REPAIR NAIL BED
$2,130
$1,065
$1,162
34
clean
HC RECONSTRUCT NAIL BED W/GRAFT
$6,329
$3,165
$2,485
34
clean
HC EXC WEDGE NAIL FOLD TOE
$2,114
$1,057
$1,049
34
clean
HC EXC PILONIDAL CYST/SINUS SIMPLE
$11,758
$5,879
$4,402
34
clean
Remove pilonidal cyst exten
—
—
$4,309
32
clean
Remove pilonidal cyst compl
—
—
$4,309
32
clean
HC INJ INTRALESIONAL <= 7 LSN(S)
$528
$264
$412
34
clean
HC INJ INTRALESIONAL > 7 LSNS
$1,565
$783
$799
34
clean
Rplcmt tiss xpndr perm implt
—
—
$8,196
64
clean
HC RMVL TISS EXPNDR W/O IMPLANT INSRTN
$9,381
$4,691
$3,936
68
clean
HC INSERT DRUG DELIVERY IMPLANT
$1,129
$565
$623
34
clean
HC REMOVAL NONBIOGRDBLE DRUG DEL
$1,066
$533
$831
34
clean
HC REMOVAL W/REINSRT NONBIOGRDBLE
$1,066
$533
$831
34
clean
HC REPAIR SIMPLE S/N/A/G/T/EXT 2.5CM/<
$726
$363
$498
34
clean
HC REPAIR SMPL S/N/A/EXT GNTL/T/E 2.6CM-7.5CM
$844
$422
$491
34
clean
HC REPAIR SMPL S/N/AX/GEN/TRNK/EXT 7.6-12.5CM
$1,068
$534
$608
34
clean
HC REPAIR SMPL S/N/AX/GEN/TRNK/EXT 12.6-20.0CM
$1,610
$805
$1,057
34
clean
HC REPAIR SMPL S/N/AX/GEN/TRNK/EXT 20.1-30.0CM
$1,709
$855
$1,057
34
clean
HC REPAIR SMPL S/N/AX/GEN/TRNK/EXT >30.0CM
$1,772
$886
$963
34
clean
HC REPAIR SMPL F/E/E/N/L/M 2.5 CM/<
$754
$377
$453
34
clean
HC RPR F/E/E/N/L/M 2.6-5.0 CM
$1,295
$648
$664
34
clean
HC RPR F/E/E/N/L/M 5.1-7.5 CM
$1,315
$658
$725
34
clean
HC RPR F/E/E/N/L/M 7.6-12.5 CM
$1,349
$675
$744
34
clean
HC RPR FE/E/EN/L/M 12.6-20.0 CM
$1,733
$867
$1,057
34
clean
HC RPR FE/E/EN/L/M 20.1-30.0 CM
$2,237
$1,119
$1,093
34
clean
HC RPR F/E/E/N/L/M >30.0 CM
$2,248
$1,124
$913
34
clean
HC TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE
$2,645
$1,323
$1,216
34
clean
HC TX SUPERFICIAL WOUND DEHISCENCE W/PACKING
$2,485
$1,243
$1,057
34
clean
HC REPAIR INTMD S/A/T/EXT 2.5CM/<
$726
$363
$606
34
clean
HC REPAIR INTMD S/A/T/E 2.6-7.5CM
$1,241
$621
$901
34
clean
HC REPAIR INTMD S/A/T/EXT 7.6-12.5CM
$1,943
$972
$1,057
34
clean
HC REPAIR INTMD S/A/T/EXT EXCL HANDS/FEET 12.6-20CM
$2,854
$1,427
$1,057
34
clean
HC REPAIR INTMD S/A/T/EXT EXCL HANDS/FEET 20.1-30CM
$2,998
$1,499
$1,216
34
clean
HC REPAIR INTMD S/A/T/EXT EXCL HANDS/FEET >30.0 CM
$12,166
$6,083
$2,810
34
clean
HC REPAIR INTMD N/H/F/XTNL GNTL 2.5CM/<
$754
$377
$606
34
clean
HC REPAIR INTMD N/H/F/XTNL GNTL 2.6-7.5CM
$1,441
$721
$931
34
clean
HC REPAIR INTMD N/H/F/GENIT 7.6-12.5CM
$2,586
$1,293
$1,145
34
clean
HC REPAIR INTMD N/H/F/GENIT 12.6-20.0CM
$3,300
$1,650
$1,145
34
clean
HC REPAIR INTMD N/H/F/GENIT 20.1-30.0CM
$3,310
$1,655
$1,162
34
clean
HC REPAIR INTMD N/H/F/GENIT >30.0CM
$12,166
$6,083
$2,485
34
clean
HC REPAIR INTMD F/E/E/N/L/M 2.5CM/<
$1,296
$648
$901
34
clean
HC REPAIR INTMD F/E/E/N/L/M 2.6-5.0CM
$1,399
$700
$911
34
clean
HC REPAIR INTMD F/E/E/N/L/M 5.1-7.5CM
$1,484
$742
$958
34
clean
HC REPAIR INTMD F/E/E/N/L/M 7.6-12.5CM
$1,674
$837
$1,093
34
clean
HC REPAIR INTMD F/E/E/N/L/M 12.6-20.0CM
$2,212
$1,106
$1,093
34
clean

Showing the first 200 of 6,695 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 19082/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 19084/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 26020/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $1,919
CPT 19086/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 26445/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $1,919
CPT 0054T/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 26500/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,431
CPT 0055T/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 92605/b
error
mrf_negotiated_below_min
a negotiated rate of $120 is below the file's own minimum $159
CPT 26540/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $1,919
CPT 55700/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,049
CPT 92607/b
error
mrf_negotiated_below_min
a negotiated rate of $120 is below the file's own minimum $136
CPT 39599/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 26587/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,431
CPT 40500/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,048
CPT 92618/b
error
mrf_negotiated_below_min
a negotiated rate of $120 is below the file's own minimum $159
CPT 0201T/b
error
mrf_negotiated_below_min
a negotiated rate of $5,623 is below the file's own minimum $7,144
CPT 55899/b
error
mrf_negotiated_below_min
a negotiated rate of $92 is below the file's own minimum $160
CPT 26705/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 41112/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,048
CPT 26706/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 56820/b
error
mrf_negotiated_below_min
a negotiated rate of $92 is below the file's own minimum $201
CPT 34842/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 42104/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 42140/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 57022/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 92973/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 26951/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $1,919
CPT 0338T/b
error
mrf_negotiated_below_min
a negotiated rate of $5,623 is below the file's own minimum $5,702
CPT 26952/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,431
CPT 57155/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,691
CPT 0339T/b
error
mrf_negotiated_below_min
a negotiated rate of $5,623 is below the file's own minimum $5,702
CPT J0670/b
error
mrf_negotiated_below_min
a negotiated rate of $4 is below the file's own minimum $6
CPT 20205/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,431
CPT 20520/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,620
CPT 58146/b
error
mrf_negotiated_below_min
a negotiated rate of $5,623 is below the file's own minimum $7,397
CPT 43252/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $1,897
CPT 58150/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,817
CPT 43254/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $1,897
CPT 58180/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,817
CPT 0523T/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 43270/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $1,897
CPT 58548/b
error
mrf_negotiated_below_min
a negotiated rate of $7,229 is below the file's own minimum $8,426
CPT 58575/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $5,284
CPT 0569T/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 93462/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 44364/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $1,897
CPT 0628T/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 44366/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $1,897
CPT 0630T/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 99184/b
error
mrf_negotiated_below_min
a negotiated rate of $402 is below the file's own minimum $528
CPT 21011/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 21012/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 21013/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 45020/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 93571/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,108
CPT 21014/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 45390/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 10004/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $905
CPT 21120/b
error
mrf_negotiated_below_min
a negotiated rate of $3,855 is below the file's own minimum $4,817
CPT 21235/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,431
CPT 45990/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,118
CPT 10008/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 46060/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 46080/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,118
CPT 10010/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 60254/b
error
mrf_negotiated_below_min
a negotiated rate of $3,855 is below the file's own minimum $4,817
CPT 10036/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 30117/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,431
CPT 93592/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT A9502/b
error
mrf_negotiated_below_min
a negotiated rate of $136 is below the file's own minimum $178
CPT A9503/b
error
mrf_negotiated_below_min
a negotiated rate of $21 is below the file's own minimum $27
CPT 61210/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,068
CPT 61563/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 61630/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,391
CPT 21920/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 11012/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,472
CPT 21932/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 21935/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,431
CPT 36556/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 47542/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 11044/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,472
CPT 47543/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 61708/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 47544/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 11047/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 93621/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,162
CPT 36568/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 62005/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 93622/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,162
CPT 62141/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 36569/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 62201/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 93623/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,162
CPT 62223/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT J1800/b
error
mrf_negotiated_below_min
a negotiated rate of $15 is below the file's own minimum $17
CPT 93644/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,119
CPT 31531/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,431
CPT 31570/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 36580/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 49186/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $5,284
CPT 85097/b
error
mrf_negotiated_below_min
a negotiated rate of $108 is below the file's own minimum $137
CPT 36584/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 86078/b
error
mrf_negotiated_below_min
a negotiated rate of $111 is below the file's own minimum $138
CPT 31628/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 11420/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,620
CPT 11422/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 31632/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT J2175/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $13
CPT 11443/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 11444/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 32160/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 11620/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 94003/b
error
mrf_negotiated_below_min
a negotiated rate of $402 is below the file's own minimum $528
CPT 11623/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 36901/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,509
CPT 11643/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,620
CPT 36907/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 36908/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 36909/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 37185/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 32661/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 37186/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT J2470/b
error
mrf_negotiated_below_min
a negotiated rate of $7 is below the file's own minimum $10
CPT 32662/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 32663/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 49606/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 33016/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,454
CPT 37213/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,691
CPT 88172/b
error
mrf_negotiated_below_min
a negotiated rate of $44 is below the file's own minimum $57
CPT 37214/b
error
mrf_negotiated_below_min
a negotiated rate of $1,285 is below the file's own minimum $1,691
CPT 88331/b
error
mrf_negotiated_below_min
a negotiated rate of $93 is below the file's own minimum $122
CPT 88333/b
error
mrf_negotiated_below_min
a negotiated rate of $74 is below the file's own minimum $81
CPT 37252/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 88355/b
error
mrf_negotiated_below_min
a negotiated rate of $135 is below the file's own minimum $152
CPT 88361/b
error
mrf_negotiated_below_min
a negotiated rate of $176 is below the file's own minimum $194
CPT 88367/b
error
mrf_negotiated_below_min
a negotiated rate of $180 is below the file's own minimum $231
CPT 88368/b
error
mrf_negotiated_below_min
a negotiated rate of $210 is below the file's own minimum $225
CPT 89049/b
error
mrf_negotiated_below_min
a negotiated rate of $136 is below the file's own minimum $152
CPT 89220/b
error
mrf_negotiated_below_min
a negotiated rate of $41 is below the file's own minimum $54
CPT 89230/b
error
mrf_negotiated_below_min
a negotiated rate of $5 is below the file's own minimum $7
CPT 15111/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 15116/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 15272/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 33289/b
error
mrf_negotiated_below_min
a negotiated rate of $6,667 is below the file's own minimum $8,206
CPT 15274/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 15276/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 15278/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 33340/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 33361/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 33418/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 33419/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 33477/b
error
mrf_negotiated_below_min
a negotiated rate of $4,016 is below the file's own minimum $4,564
CPT 90832/b
error
mrf_negotiated_below_min
a negotiated rate of $80 is below the file's own minimum $106
CPT C9738/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,127
CPT 52001/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,149
CPT 52260/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,049
CPT 52281/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,049
CPT 52287/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,049
CPT 52310/b
error
mrf_negotiated_below_min
a negotiated rate of $1,847 is below the file's own minimum $2,049
CPT 38205/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $943
CPT 92520/b
error
mrf_negotiated_below_min
a negotiated rate of $120 is below the file's own minimum $129
CPT 53415/b
error
mrf_negotiated_below_min
a negotiated rate of $7,229 is below the file's own minimum $8,554
CPT 92521/b
error
mrf_negotiated_below_min
a negotiated rate of $120 is below the file's own minimum $146
CPT 92523/b
error
mrf_negotiated_below_min
a negotiated rate of $120 is below the file's own minimum $159
CPT 38225/b
error
mrf_negotiated_below_min
a negotiated rate of $884 is below the file's own minimum $1,061
warn
mrf_negotiated_above_gross_systematic
1,612 of 3,864 comparable items (42%) 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 $2,925 exceeds the gross charge $2,395
warn
mrf_rate_without_estimate
139 of 139 percentage/algorithm rates across 119 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 19020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25650/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28715/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54512/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 66930/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0132/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7639/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 19030/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25660/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28725/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 66982/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0153/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7644/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25675/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28730/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 38500/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 54530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 66984/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76498/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0169/b
info
mrf_item_fields_vary
this code and setting cover at least 27 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7682/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25690/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28735/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 38505/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 54600/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 66985/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76641/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92552/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7699/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19083/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 3,314 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 · 20.5M bytes · fetched 2026-08-23 · sha256 e48cef519b89…

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.