Hospital · CCN 010011

St Vincent's East

50 Medical Park East Drive, Birmingham, AL 35235 · Jefferson County
Part of Ascension Health · 286 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

51 admission types 44 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
4.24×
$81.2M billed against $19.2M paid across 1,495 Medicare discharges; the national figure is 5.03×.
6.2%
of adults in Jefferson County have medical debt in collections
9.6%
uninsured in the county · state 10.5%
$65K
median household income
6.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
37.4%
obesity in the countyⓘ
15.1%
diagnosed diabetes (PLACES)
6.6%
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
170
$64,538
$14,359
4.5× st 5.5×
291
Heart failure and shock with mcc
100
$38,133
$10,301
3.7× st 4.5×
885
Psychoses
84
$40,749
$11,243
3.6× st 5.4×
274
Percutaneous and other intracardiac procedures without mcc
82
$74,465
$21,769
3.4× st 6.3×
177
Respiratory infections and inflammations with mcc
82
$52,683
$12,831
4.1× st 5.0×
193
Simple pneumonia and pleurisy with mcc
58
$49,034
$11,135
4.4× st 5.1×
280
Acute myocardial infarction, discharged alive with mcc
42
$49,464
$12,977
3.8× st 6.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
39
$27,868
$7,135
3.9× st 5.2×
689
Kidney and urinary tract infections with mcc
36
$39,888
$10,516
3.8× st 5.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
36
$42,214
$10,693
3.9× st 4.8×
312
Syncope and collapse
32
$29,529
$7,308
4.0× st 5.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
32
$160,546
$31,867
5.0× st 5.8×
690
Kidney and urinary tract infections without mcc
31
$22,896
$7,165
3.2× st 4.3×
189
Pulmonary edema and respiratory failure
30
$42,078
$9,903
4.2× st 5.6×
682
Renal failure with mcc
29
$46,474
$11,719
4.0× st 5.3×
683
Renal failure with cc
27
$27,209
$7,498
3.6× st 4.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
26
$27,123
$8,753
3.1× st 4.9×
884
Organic disturbances and intellectual disability
25
$38,984
$13,358
2.9× st 2.9×
378
Gastrointestinal hemorrhage with cc
24
$34,918
$7,916
4.4× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
24
$123,324
$13,701
9.0× st 8.9×
309
Cardiac arrhythmia and conduction disorders with cc
24
$31,853
$6,728
4.7× st 4.9×
190
Chronic obstructive pulmonary disease with mcc
23
$33,341
$9,551
3.5× st 5.3×
194
Simple pneumonia and pleurisy with cc
22
$23,303
$7,260
3.2× st 4.0×
308
Cardiac arrhythmia and conduction disorders with mcc
22
$33,684
$10,172
3.3× st 5.0×
036
Carotid artery stent procedures without cc/mcc
20
$138,774
$13,071
10.6× st 5.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$44,655
$10,848
4.1× st 4.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
19
$21,314
$5,675
3.8× st 5.0×
603
Cellulitis without mcc
18
$18,393
$7,741
2.4× st 4.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
18
$56,817
$15,433
3.7× st 5.9×
698
Other kidney and urinary tract diagnoses with mcc
17
$36,690
$12,644
2.9× st 5.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$38,982
$8,537
4.6× st 5.9×
377
Gastrointestinal hemorrhage with mcc
17
$75,073
$13,237
5.7× st 5.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
17
$20,127
$6,929
2.9× st 4.3×
481
Hip and femur procedures except major joint with cc
16
$55,453
$15,147
3.7× st 6.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
15
$62,040
$12,960
4.8× st 6.1×
870
Septicemia or severe sepsis with mv >96 hours
15
$171,362
$46,060
3.7× st 6.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$182,929
$21,923
8.3× st 7.7×
638
Diabetes with cc
15
$29,862
$7,866
3.8× st 4.2×
305
Hypertension without mcc
15
$26,448
$6,318
4.2× st 4.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
13
$59,510
$8,875
6.7× st 5.8×
178
Respiratory infections and inflammations with cc
13
$25,311
$8,444
3.0× st 4.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
12
$84,510
$16,363
5.2× st 4.9×
331
Major small and large bowel procedures without cc/mcc
12
$66,298
$12,163
5.5× st 8.0×
273
Percutaneous and other intracardiac procedures with mcc
12
$85,721
$25,862
3.3× st 4.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
12
$154,465
$32,536
4.7× st 5.9×
394
Other digestive system diagnoses with cc
12
$23,431
$8,011
2.9× st 5.2×
313
Chest pain
11
$20,731
$6,387
3.2× st 4.8×
314
Other circulatory system diagnoses with mcc
11
$63,810
$17,125
3.7× st 5.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$77,976
$19,842
3.9× st 4.5×
521
Hip replacement with principal diagnosis of hip fracture with mcc
11
$73,099
$20,380
3.6× st 5.5×
389
Gastrointestinal obstruction with cc
11
$18,132
$6,916
2.6× 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
5191
Level 1 Endovascular Procedures
216
$47,086
$2,644
17.8×
5213
Level 3 Electrophysiologic Procedures
77
$93,587
$19,778
4.7×
5361
Level 1 Laparoscopy and Related Services
76
$38,025
$4,668
8.1×
5193
Level 3 Endovascular Procedures
71
$99,133
$8,943
11.1×
8011
Comprehensive Observation Services
70
$16,876
$2,191
7.7×
5184
Level 4 Vascular Procedures
46
$28,569
$4,508
6.3×
5223
Level 3 Pacemaker and Similar Procedures
46
$94,720
$8,752
10.8×
5194
Level 4 Endovascular Procedures
41
$108,886
$13,588
8.0×
5183
Level 3 Vascular Procedures
36
$27,461
$2,530
10.9×
5115
Level 5 Musculoskeletal Procedures
32
$48,783
$10,684
4.6×
5362
Level 2 Laparoscopy and Related Services
26
$54,142
$8,591
6.3×
5192
Level 2 Endovascular Procedures
25
$40,489
$4,676
8.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
25
$11,953
$1,353
8.8×
5302
Level 2 Upper GI Procedures
22
$16,299
$1,588
10.3×
5154
Level 4 Airway Endoscopy
20
$15,558
$3,002
5.2×
5182
Level 2 Vascular Procedures
18
$9,806
$1,337
7.3×
5375
Level 5 Urology and Related Services
18
$23,836
$4,319
5.5×
5114
Level 4 Musculoskeletal Procedures
18
$38,032
$5,708
6.7×
5374
Level 4 Urology and Related Services
16
$25,248
$2,765
9.1×
5224
Level 4 Pacemaker and Similar Procedures
16
$145,130
$15,484
9.4×
5232
Level 2 ICD and Similar Procedures
12
$221,991
$27,384
8.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5373
Level 3 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-tall, last updated 2026-04-20, template 3.0.0, 418,580 rows scanned, 3,227 distinct code–setting items kept. 1,000 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT CEREBRAL PERFUSION STUDY
$3,090
—
$2,233
11
clean
CT SACRAL AUGMENTATION-UNILAT
$9,121
—
$6,770
22
clean
CT SACRAL AUGMENTATION-BILAT
$10,509
—
$6,903
22
clean
BIOFIRE RESPIRATORY PANEL 2
$417
—
$417
46
clean
ATHERECT BRACHIOCEPH W/SI 0237T
$92,172
—
$14,387
22
clean
ATHERECTOMY ILIAC 35492
$8,356
—
$16,432
22
clean
TRANSCATHETER REMOVAL INTRACARDIAC MASS
$29,094
—
$7,093
22
clean
US FNA BX W/US GUIDE 1ST LESION
$2,115
—
$883
46
clean
US FNA BX W/US GUIDE EA ADDL LESION
$1,581
—
$1,069
12
clean
FNA BIOPSY W/O IMAGING 1ST LESION
$677
—
$427
36
clean
IMAGE GUIDED DRAIN CATH
$2,235
—
$1,017
82
clean
DRAINAGE OF ABCESS SIMPLE
$747
—
$347
36
clean
DRAINAGE OF ABSCESS COMPLICATED
$1,020
—
$506
36
clean
DRAINAGE OF PILONIDAL CYST
$851
—
$648
36
clean
I&D PILONIDAL CYST COMPLEX
$1,245
—
$680
36
clean
INCISE/REMOVE FB SUBQ SIMPLE
$677
—
$427
36
clean
INCISE/REMOVE FB SUBQ COMPLEX
$2,856
—
$1,586
36
clean
INCISION/DRAIN HEMATOMA 10140
$4,323
—
$2,065
59
clean
PUNCTURE ASPIRATION
$504
—
$374
36
clean
I&D COMPLEX POST OP WOUND INFECTION
$4,961
—
$2,790
36
clean
DEBRIDE SKIN 10% BODY SURFACE
$1,046
—
$507
36
clean
REMOVAL OF SKIN LESION
$2,357
—
$966
36
clean
OPEN FX DEBRIDE SKIN/MUSCLE/BONE
$4,961
—
$2,790
36
clean
DEBRIDE-SKIN/SUBCUTAN TISSUE
$957
—
$496
36
clean
DEBRIDMENT MUSCL/FASCIA FIRST 20 SQCM/<
$1,046
—
$696
36
clean
BIOPSY SKIN INCISIONAL 1ST LESION
$543
—
$387
24
clean
BIOPSY SKIN PUNCH 1ST LESION
$531
—
$383
24
clean
REMOVAL OF SKIN TAGS UP TO 15
$289
—
$201
38
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$2,783
1
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$2,783
1
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$2,783
1
clean
EXC BENIGN LESION SCLP/HND/FT/GEN <0.5CM
$2,856
—
$1,693
38
clean
EXC LESN BENIG SCLP/HND/FT/GEN 0.6-1.0CM
$1,245
—
$732
38
clean
EXC MALIG+MARGN F/E/EYE/NS LPS 1.1-2.0CM
$1,245
—
$784
39
clean
TRIMMING NAILS NONDYSTROPHIC
$126
—
$74
36
clean
DEBRIDEMENT OF NAIL (S) 1-5
$213
—
$100
36
clean
DEBRIDE NAILS 6 OR MORE
$293
—
$84
24
clean
AVULSION OF NAIL PLATE SINGLE
$354
—
$223
36
clean
AVULSION NAIL PLATE SNGL EA ADDL
$171
—
$124
25
clean
DRAIN HEMATOMA UNDER NAIL
$223
—
$140
36
clean
REMOVAL OF NAIL BED
$1,385
—
$609
38
clean
NAILBED REPAIR LEFT THUMB
$1,046
—
$707
480
clean
EXCISION WEDGE SKIN NAIL FOLD
$621
—
$391
36
clean
LAC REPAIR SIMPLE SCLP/HND/FT/GEN <2.5CM
$354
—
$223
36
clean
REPAIR SMPL SLP/NK/AX/GEN/TRNK 2.6-7.5CM
$354
—
$223
36
clean
LAC REPAIR SIMPLE SCALP 7.6CM-12.5CM
$354
—
$223
36
clean
LAC REPAIR SIMPLE SCALP 12.6CM-20.0CM
$677
—
$427
36
clean
LAC REPAIR SIMPLE SCALP 20.1CM-30CM
$677
—
$427
36
clean
LAC REPAIR SIMPLE SCALP >30.0CM
$354
—
$223
36
clean
LAC REPAIR SIMPLE FACE <2.5CM
$354
—
$223
36
clean
LAC REPAIR SIMPLE FACE 2.6CM-5.OCM
$354
—
$223
36
clean
LAC REPAIR SIMPLE FACE 5.1CM-7.5CM
$354
—
$223
36
clean
LAC REPAIR SIMPLE FACE 7.6CM-12.5CM
$354
—
$223
36
clean
LAC REPAIR SIMPLE FACE 12.6CM-20.0CM
$354
—
$283
36
clean
LAC REPAIR SIMPLE FACE 20.1CM-30CM
$677
—
$427
36
clean
CLOSURE WOUND DEHISCENCE SUPERFICIAL
$1,046
—
$696
36
clean
PACKING WOUND DEHISCENCE SUPERFICIAL
$677
—
$427
36
clean
REPAIR INTMD S/A/T/E 2.5 CM OR LESS
$620
—
$391
36
clean
REPAIR INTMD S/A/T/E 2.6 TO 7.5CM
$620
—
$391
36
clean
REPAIR INTMD S/A/T/E 7.6 TO 12.5CM
$620
—
$391
36
clean
REPAIR INTMD S/A/T/E 12.6 TO 20CM
$620
—
$391
36
clean
REPAIR INTMD S/A/T/E 20.1 TO 30CM
$620
—
$496
36
clean
REPAIR INTERMEDIATE S/A/T/E >30CM
$2,892
—
$1,944
36
clean
REPAIR INTMD N/H/F/GENT 2.5CM OR LESS
$620
—
$391
36
clean
REPAIR INTMD N/H/F/GENT 2.6CM TO 7.5CM
$620
—
$391
36
clean
REPAIR INTMD N/H/F/GENT 7.6CM TO 12.5CM
$620
—
$496
36
clean
LAC REPAIR INTER NK/HND/FT/GEN 12.6-20CM
$1,046
—
$696
36
clean
REPAIR INTMD FACE/MM 2.5 CM OR LESS
$620
—
$391
36
clean
REPAIR INTMD FACE/MM 2.6 CM TO 5.0
$620
—
$391
36
clean
REPAIR INTMD FACE/MM 5.1 CM TO 7.5 CM
$620
—
$391
36
clean
REPAIR INTMD FACE/MM 7.6 CM TO 12.5 CM
$620
—
$391
36
clean
LAC REPAIR INTER FACE/EAR/LIPS 12.6-20CM
$677
—
$427
36
clean
REPR LAC INTRMED FACE/EAR/LIPS 20.1-30CM
$1,335
—
$547
36
clean
REPAIR LAC COMPLEX TRUNK 2.6-7.5CM
$1,046
—
$696
36
clean
REPAIR LAC COMPLX TRUNK EA ADDL 5CM/LESS
$1,046
—
$659
25
clean
REPAIR LAC COMPLEX SCL/ARM/LEG 1.1-2.5CM
$1,046
—
$507
36
clean
REPAIR LAC COMPLEX SCL/ARM/LEG 2.6-7.5CM
$1,046
—
$507
36
clean
REPAIR LAC COMPLX SC/ARM/LEG EA ADDL 5CM
$332
—
$240
25
clean
REPR LAC COMPLX FHD/HND/FT/GEN 1.1-2.5CM
$677
—
$427
36
clean
REPR LAC COMPLX FHD/HND/FT/GEN 2.6-7.5CM
$1,046
—
$507
36
clean
REPR LAC COMPLX FHD/HND/FT/GEN ADDL 5CM
$764
—
$496
25
clean
REPAIR LAC COMPLX EYE/NOSE/EAR 1.1-2.5CM
$1,046
—
$696
36
clean
REPAIR LAC COMPLX EYE/NOSE/EAR 2.6-7.5CM
$1,046
—
$696
36
clean
SECONDARY CLOSURE WOUND- COMPLICATED
$3,296
—
$2,579
36
clean
GFT SKIN SUB F/S/E >100CM 1ST 100/1%
$1,516
—
$1,850
24
clean
GFT SKIN SUB F/S >100CM ADDL 100SQ CM
$958
—
$692
13
clean
TREATMENT OF BURN(S) INITIAL
$296
—
$193
36
clean
TREATMENT OF BURN(S) SMALL 5%
$612
—
$306
36
clean
TREATMENT OF BURN(S) MEDIUM 5-10%
$994
—
$452
36
clean
TREATMENT BURN(S) >10% LARGE
$630
—
$397
36
clean
DESTRUCT BENIGN LESION < 15
$354
—
$223
36
clean
CAUTERIZATION OF TISSUE
$380
—
$239
36
clean
US BREAST CYST ASP UNI 19000
$1,338
—
$680
23
clean
US BREAST CYST ASP UNI ADD 19001
$556
—
$376
12
clean
MG TOMO GUIDED BREAST BIOPSY
$2,806
—
$1,586
23
clean
US BREAST CORE BX UNIL 1ST LESION
$908
—
$1,450
23
clean
EXCISION CYST/LESION BREAST
$7,839
—
$3,920
36
clean
MG BREAST NDL LOC PLACEMENT ADDL LESION
$1,348
—
$912
12
clean
US BREAST NEEDLE LOC EACH ADDL 19286
$732
—
$495
12
clean
CT BIOPSY MUSCLE 20206
$4,760
—
$2,039
23
clean
CT BIOPSY BONE 20220
$30,756
—
$2,077
23
clean
CT BIOPSY BONE DEEP 20225
$9,307
—
$2,077
23
clean
REMOVE MUSCLE/TENDON SIMPLE
$1,148
—
$898
36
clean
REMOVE MUSCLE/TENDON DEEP
$3,583
—
$2,657
36
clean
INJECT TRIGGER POINT
$778
—
$389
36
clean
HF INJECT/ASPIR SMALL JT
$862
—
$386
59
clean
DRAIN/INJECT JOINT/BURSA SM W ULTRASND
$539
—
$340
36
clean
HF INJECT/ASPIR INTERMED JT
$854
—
$491
59
clean
DRAIN/INJECT JOINT/BURSA INT W ULTRASND
$585
—
$468
36
clean
ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR
$1,093
—
$448
59
clean
DRAIN/INJECT JOINT/BURSA MAJ W ULTRASND
$539
—
$340
36
clean
REMOVAL SUPERFICIAL IMPLANT
$2,856
—
$1,586
36
clean
MONITOR INTERSTITIAL FLUID PRESSURE
$1,245
—
$680
36
clean
UNL CRANIOFACIAL AND MAXILLOFACIAL PROC
$410
—
$258
35
clean
CLOSED TX FX NASAL W/O STABILIZ W/ MANIP
$2,637
—
$1,490
36
clean
CLOSED TX NASAL FX WITH STABILIZ W/MANIP
$5,581
—
$3,184
36
clean
CLOSED TX MANDIBLE FX W MANIPULATION
$2,399
—
$1,490
36
clean
CLOSED TX TMJ DISLOCATION 1ST/SBSQ LT
$461
—
$361
72
clean
US BIOPSY SOFT TISSUE NECK 21550
$4,441
—
$2,039
23
clean
US BX SOFT TISSUE BACK/FLANK
$3,094
—
$1,586
23
clean
VERTEBROPLASTY PERC INJ LUMBOSACRL W/IMG
$22,503
—
$4,078
24
clean
KYPHOPLASTY PERC THORACIC W/IMG 22513
$10,499
—
$6,836
23
clean
PERC KYPHOPLASTY THOR/LUMBAR ADDL W/IMG
$7,365
—
$4,981
12
clean
REMOVE FB SHOULDER SIMPLE W INCISION LT
$1,245
—
$900
72
clean
INJECT ARTHROGRAM SHOULDER
$553
—
$374
12
clean
CLOSD TREATMENT CLAVICLE FX W/O MANIP LT
$461
—
$361
72
clean
TX FX HUMERUS PROXIMAL W/MANIP CLSD RT
$2,725
—
$1,969
72
clean
CLOSD TX DISLOCATED SHOULDER W/O ANES LT
$461
—
$361
72
clean
CLOSD TX DISLOCATED SHOULDER W/ANES LT
$2,811
—
$2,031
72
clean
CLOSD TX DISLOCATED SHOULDER W/MANIP LT
$2,811
—
$2,031
72
clean
CL TX SHLDR DISL NECK FRACTURE BIL
$2,811
—
$1,016
72
clean
I&D UPPER ARM ELBOW BURSA
$4,778
—
$2,058
36
clean
REM FB ARM/ELBOW SIMPLE/SC W INCISION LT
$2,856
—
$2,063
72
clean
CLOSED TX HUMERUS FX W/MANIP LT
$2,811
—
$2,031
72
clean
CLOSED REDUCTION SUPRACONDYLAR FRACTURE
$1,903
—
$1,456
36
clean
CL TX OF HUM EPICONDYLAR FX WO MANI LT
$721
—
$521
72
clean
CL REDUCTN HUMERAL EPICOND W/MANIP LT
$2,725
—
$1,969
72
clean
TX CLOSED ELBOW DISLOCATION WO ANES LEFT
$461
—
$361
72
clean
TX CLOSED ELBOW DISLOCATION W/ ANES LT
$2,811
—
$2,031
72
clean
CLTX MONTEGGIA FX DISLOCATION LEFT SIDE
$2,811
—
$2,031
72
clean
CLSD TX ELBOW W/MANIPULATION LEFT
$461
—
$361
72
clean
CL TX RAD HD NECK FX W MANIPULATION LT
$1,314
—
$949
72
clean
CLOSED TX ULNAR FX W MANIPUL RT
$2,810
—
$2,030
72
clean
REPAIR FOREARM TENDON/MUSCLE LT
$5,443
—
$3,933
72
clean
CL TX RADIAL SHAFT FX W/MANIP RIGHT
$2,811
—
$2,031
72
clean
CLOSED TX ULNAR SHAFT FX W/MANIP LT
$461
—
$361
72
clean
CLOSD TX RAD/ULNA FX W/MANIPULATION LT
$2,811
—
$2,031
72
clean
CL TX DISTAL RADIAL/ULNA FRACTURE RT
$721
—
$521
72
clean
CLOSD TX FXRAD/ULNA W/MANIPULATION RT
$2,811
—
$2,031
72
clean
DRAINAGE OF FINGER ABSCESS SIMPLE
$354
—
$256
180
clean
DRAINAGE FINGER ABSCESS COMPLICATED
$2,856
—
$1,799
228
clean
REMOVAL IMPLANT OF FINGER/HAND
$2,856
—
$1,586
36
clean
TENDON REPR W/O GRFT
$5,630
—
$2,308
36
clean
CL FX HAND W/MANIPULATION LEFT
$461
—
$333
48
clean
CLOSED TX DISLOCATION THUMB W MANIP LT
$461
—
$361
72
clean
CLSD TX CARPOMETACARPAL DISL W MANIP LT
$461
—
$361
72
clean
TREAT KNUCKLE DISLOC LEFT
$461
—
$333
240
clean
CL TX PHALANG FX W/MANIP RT THUMB - F5
$461
—
$333
240
clean
CL TX ART FX MCP/IP JT W MANPLTN BIL
$5,622
—
$2,031
72
clean
OPEN FX REDUCTION FINGER
$5,630
—
$3,547
60
clean
CLOSED TX DIST PHL FX WO
$461
—
$333
276
clean
CLOSED TX FINGER FX W/MANIPULATION F4
$461
—
$333
240
clean
TREATMENT FINGER DISLCTN W/MANIP RT THMB
$461
—
$333
240
clean
AMPUTATION OF FINGER/THUMB
$2,054
—
$1,607
36
clean
AMPUTATION- FINGER/THUMB- W CLOSURE
$5,630
—
$3,143
36
clean
AMPUT DIGIT W REPAIR
$5,630
—
$3,143
36
clean
INJECT ARTHROGRAM HIP W/O ANES
$293
—
$198
12
clean
ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT
—
—
$13,111
1
clean
REVISION OF TOTAL HIP ARTHROPLASTY; BOTH COMPONENTS, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT
—
—
$13,111
1
clean
CL TX FEMORAL FX P NECK MANIP
$4,831
—
$2,004
36
clean
CLOSED TX HIP DISLOCATION WO ANES LEFT
$461
—
$361
72
clean
CLOSED TX HIP DISLOCATION W ANESTH LEFT
$3,631
—
$2,623
72
clean
CLSD TX POST HIP ARTHROPLASTY DISLCTN LT
$461
—
$361
72
clean
CLOSED TREATMENT POSTOP HIP DISLOCTN LT
$2,811
—
$2,031
72
clean
INJECT CONTRAST ARTHROGRAM KNEE
$543
—
$367
12
clean
ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)
—
—
$10,926
1
clean
REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; 1 COMPONENT
—
—
$10,926
1
clean
REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; FEMORAL AND ENTIRE TIBIAL COMPONENT
—
—
$10,926
1
clean
CL TX FEM SHAFT FX W MANIPULATION LEFT
$2,811
—
$2,031
72
clean
CL TX FEM FX CONDYL NO MANIP CL LT 27508
$499
—
$390
72
clean
CL TX FEMUR FX W MANIP LEFT
$2,811
—
$2,031
72
clean
TX FX CLSD TIBIAL PROX W/ OR W/OUT 27532
$5,518
—
$3,143
36
clean
CL TX KNEE DISLOCATION WO ANESA LEFT
$461
—
$361
72
clean
CL TX PATELLAR DISLOCAT WO ANES LEFT
$461
—
$361
72
clean
CL TX TIB SHAFT FX MANIP LEFT
$2,811
—
$2,031
72
clean
CL TX MEDIAL MALLEOLUS FX W/MANIP LEFT
$2,811
—
$2,031
72
clean
CLSD TX POSTERIOR MALLEOLUS FX W/MANIP
$2,604
—
$1,544
36
clean
CL TX DSTL FIB FX WO MANIPULATION LEFT
$461
—
$361
72
clean
CL TX DISTAL FIBULA FX W MANIP LEFT
$461
—
$361
72
clean
CL TX BIMAL ANK FX W MANIP BILAT
$5,622
—
$2,031
72
clean
CL TX TRIMALL ANK FX W MANIP LEFT
$2,811
—
$2,031
72
clean
CL TX WT BRG DISTAL TIB FX WITH MANIP LT
$2,811
—
$2,031
72
clean
CL TX ANKLE DISLOC WO ANESTH LEFT
$461
—
$361
72
clean
CL TX ANKLE DISLOC W ANESTH LEFT
$2,811
—
$2,031
72
clean
REMOVE FB FOOT SUBCUTANEOUS LEFT
$762
—
$551
72
clean
REMOVAL FOREIGN BODY FOOT DEEP
$5,654
—
$2,318
36
clean
TENOTOMY, OPEN, TENDON FLEXOR; TOE, SINGLE TENDON (SEPARATE PROCEDURE)
—
—
$2,783
1
clean
CL TX TALUS FX W MANIP LEFT
$2,811
—
$2,031
72
clean
TREAT METATARSAL FX W MANIP RT
$461
—
$361
72
clean
CL TX GREAT TOE FX WITH MANIP LEFT
$453
—
$354
72
clean

Showing the first 200 of 3,227 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
394 of 2,030 comparable items (19%) 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 $11,615 exceeds the gross charge $9,121
warn
mrf_rate_without_estimate
16,545 of 16,545 percentage/algorithm rates across 238 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 27502/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 51705/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT L8699/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27508/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 51798/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27510/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 52001/o
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 27532/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 52005/o
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 94640/o
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 27550/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 52281/o
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 27560/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 53200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 27752/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27762/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 53620/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 27768/o
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 53899/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 27786/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 54220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 27788/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 54235/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT P9612/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 27810/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27818/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 54435/o
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 Q4110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 27825/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 54450/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT Q4116/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 27840/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 55100/o
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 Q4117/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 27842/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT Q4121/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 28190/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 56405/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 28192/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 56420/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 28435/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT Q4128/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 28475/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT Q4133/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 28495/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 57200/o
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 Q4151/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT Q4159/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 28570/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 57415/o
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 28630/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT Q4166/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 58301/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT Q4183/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 29105/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT Q4196/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 29125/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 59409/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 95937/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT Q9966/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 29130/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 61070/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT Q9967/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 62270/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 29505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 29515/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 62272/o
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 62273/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 96360/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 62328/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 96361/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 29580/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 62329/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 96365/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 29799/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 64400/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 96366/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 64405/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 96367/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 30000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 64450/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 96368/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 30020/o
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 64479/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 30300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 96372/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 30901/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 64483/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 30903/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 64484/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 96374/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 64999/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 96375/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 30905/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 65205/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 96376/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 65220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 30906/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 65222/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 31238/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 67938/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 31500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 68200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 96523/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 69000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 97012/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 31502/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 69200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 69209/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 31505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 69210/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 73202/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 31525/o
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 73501/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 31530/o
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 73560/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 97032/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 73590/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 97033/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 31575/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 97035/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 31577/o
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 97110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 31603/o
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 75710/o
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 97112/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10005/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 31605/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 10021/o
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 76000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 97116/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10030/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 76604/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 10060/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76937/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 97129/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10061/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76942/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 97130/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 97140/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10080/o
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 10081/o
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 97530/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10120/o
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 97533/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10121/o
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 97535/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10140/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 97537/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 97542/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10160/o
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 10180/o
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 31653/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 97597/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 11010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 32551/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 97598/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 11012/o
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 97602/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 11042/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 32554/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 32555/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 11043/o
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 32556/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 77750/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 32557/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 33016/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 97760/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 33017/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 80299/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 33018/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80307/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 97802/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11420/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 33019/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80321/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 97804/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11421/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99151/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99152/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 11642/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99153/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 11719/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 99212/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 99215/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 11720/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 81002/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 33946/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 81025/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 99281/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 81163/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 11730/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 81220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 99282/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 34713/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 81229/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,000 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 036
info
inp_charge_10x_payment
average charge $138,774 is 10.6× the total payment

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-tall · 10.0M bytes · fetched 2026-08-23 · sha256 4556c8012947…

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.