This Memorial Hermann emergency department bill contains seventeen flagged charges. Five of those drive the bulk of the overcharge: a CT abdomen with contrast billed at 13× the published Medicare rate, a Level 5 emergency code with no supporting documentation, an IV-fluid line billed at 6× the lab fee, a comprehensive metabolic panel at 8× CLFS, and a chest radiograph at 10× the facility rate. All comparisons use the CMS Physician Fee Schedule and Clinical Laboratory Fee Schedule for CY2025 Houston locality.