Hospital · CCN 030013

Yuma Regional Medical Center

2400 South Avenue A, Yuma, AZ 85364 · Yuma County
Part of Yuma Regional Medical Center · 430 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

74 admission types 54 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
4.69×
$173.3M billed against $37.0M paid across 2,459 Medicare discharges; the national figure is 5.03×.
1.3%
of adults in Yuma County have medical debt in collections
16.7%
uninsured in the county · state 12.7%
$61K
median household income
4.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
37.4%
obesity in the countyⓘ
14.5%
diagnosed diabetes (PLACES)
7.9%
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
350
$68,707
$16,927
4.1× st 5.0×
291
Heart failure and shock with mcc
159
$48,988
$11,242
4.4× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
113
$49,220
$9,033
5.4× st 5.0×
193
Simple pneumonia and pleurisy with mcc
99
$48,027
$11,319
4.2× st 5.1×
177
Respiratory infections and inflammations with mcc
75
$56,992
$14,544
3.9× st 4.8×
280
Acute myocardial infarction, discharged alive with mcc
60
$69,926
$13,879
5.0× st 6.0×
189
Pulmonary edema and respiratory failure
60
$44,506
$10,733
4.1× st 5.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
54
$160,512
$42,462
3.8× st 4.8×
378
Gastrointestinal hemorrhage with cc
51
$46,332
$8,738
5.3× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
51
$51,132
$8,726
5.9× st 6.6×
274
Percutaneous and other intracardiac procedures without mcc
48
$80,173
$27,602
2.9× st 6.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
47
$155,186
$17,067
9.1× st 7.9×
683
Renal failure with cc
43
$40,238
$7,864
5.1× st 5.3×
698
Other kidney and urinary tract diagnoses with mcc
43
$55,223
$14,346
3.8× st 4.7×
682
Renal failure with mcc
41
$47,880
$12,675
3.8× st 4.8×
481
Hip and femur procedures except major joint with cc
40
$86,374
$17,372
5.0× st 6.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
38
$145,654
$41,311
3.5× st 6.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
35
$40,584
$6,887
5.9× st 5.9×
194
Simple pneumonia and pleurisy with cc
35
$39,401
$7,204
5.5× st 5.0×
389
Gastrointestinal obstruction with cc
34
$38,918
$7,009
5.6× st 5.2×
309
Cardiac arrhythmia and conduction disorders with cc
34
$40,229
$6,561
6.1× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
33
$49,234
$11,427
4.3× st 4.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
29
$60,119
$17,117
3.5× st 5.2×
281
Acute myocardial infarction, discharged alive with cc
28
$61,778
$7,930
7.8× st 7.3×
885
Psychoses
28
$37,452
$12,280
3.1× st 2.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
27
$106,573
$23,366
4.6× st 5.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
27
$108,555
$18,172
6.0× st 6.4×
308
Cardiac arrhythmia and conduction disorders with mcc
25
$51,947
$10,439
5.0× st 5.8×
329
Major small and large bowel procedures with mcc
25
$184,518
$40,346
4.6× st 5.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
23
$30,396
$5,004
6.1× st 6.3×
690
Kidney and urinary tract infections without mcc
23
$37,658
$6,690
5.6× st 5.0×
603
Cellulitis without mcc
23
$35,759
$7,728
4.6× st 4.3×
689
Kidney and urinary tract infections with mcc
23
$47,706
$10,138
4.7× st 4.9×
482
Hip and femur procedures except major joint without cc/mcc
22
$81,940
$13,674
6.0× st 5.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
21
$35,000
$6,844
5.1× st 5.7×
812
Red blood cell disorders without mcc
21
$44,608
$7,989
5.6× st 5.5×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
21
$43,133
$6,078
7.1× st 7.0×
039
Extracranial procedures without cc/mcc
21
$94,089
$10,704
8.8× st 8.4×
190
Chronic obstructive pulmonary disease with mcc
21
$37,556
$9,583
3.9× st 5.4×
229
Other cardiothoracic procedures without mcc
21
$121,504
$27,969
4.3× st 7.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
21
$214,031
$25,771
8.3× st 7.5×
390
Gastrointestinal obstruction without cc/mcc
19
$29,559
$5,018
5.9× st 5.1×
330
Major small and large bowel procedures with cc
19
$138,006
$20,791
6.6× st 6.2×
377
Gastrointestinal hemorrhage with mcc
19
$65,304
$15,522
4.2× st 5.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
19
$96,618
$17,617
5.5× st 5.3×
070
Other cerebrovascular disorders with mcc
18
$63,921
$15,502
4.1× st 5.7×
637
Diabetes with mcc
17
$49,377
$12,594
3.9× st 4.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$45,985
$12,183
3.8× st 5.3×
388
Gastrointestinal obstruction with mcc
16
$60,929
$13,018
4.7× st 4.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
15
$122,597
$18,883
6.5× st 5.6×
699
Other kidney and urinary tract diagnoses with cc
15
$39,981
$8,872
4.5× st 4.1×
186
Pleural effusion with mcc
15
$57,433
$13,444
4.3× st 4.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
15
$107,273
$14,212
7.5× st 6.5×
870
Septicemia or severe sepsis with mv >96 hours
15
$187,256
$59,622
3.1× st 4.4×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$49,663
$11,057
4.5× st 4.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
15
$73,019
$9,365
7.8× st 7.5×
253
Other vascular procedures with cc
14
$166,491
$22,820
7.3× st 5.9×
811
Red blood cell disorders with mcc
13
$55,250
$12,245
4.5× st 5.2×
180
Respiratory neoplasms with mcc
13
$54,988
$15,128
3.6× st 3.9×
300
Peripheral vascular disorders with cc
13
$35,016
$9,237
3.8× st 4.1×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
13
$62,169
$15,916
3.9× st 3.7×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$69,753
$13,292
5.2× st 5.5×
176
Pulmonary embolism without mcc
12
$34,190
$7,120
4.8× st 6.0×
282
Acute myocardial infarction, discharged alive without cc/mcc
12
$69,248
$6,665
10.4× st 7.9×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
12
$102,531
$20,308
5.0× st 4.7×
252
Other vascular procedures with mcc
12
$223,057
$27,346
8.2× st 5.6×
480
Hip and femur procedures except major joint with mcc
12
$131,740
$23,624
5.6× st 5.9×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
12
$84,974
$16,967
5.0× st 4.4×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$165,032
$41,715
4.0× st 5.0×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$64,209
$15,506
4.1× st 4.7×
445
Disorders of the biliary tract with cc
11
$82,647
$9,519
8.7× st 6.1×
036
Carotid artery stent procedures without cc/mcc
11
$65,466
$15,497
4.2× st 7.2×
243
Permanent cardiac pacemaker implant with cc
11
$106,834
$19,499
5.5× st 5.5×
602
Cellulitis with mcc
11
$41,253
$12,810
3.2× st 4.6×
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
2,412
$26,832
$2,855
9.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
463
$9,317
$1,666
5.6×
5191
Level 1 Endovascular Procedures
379
$47,902
$3,390
14.1×
5372
Level 2 Urology and Related Services
219
$2,423
$287
8.4×
5193
Level 3 Endovascular Procedures
196
$97,247
$11,475
8.5×
5183
Level 3 Vascular Procedures
184
$24,616
$3,329
7.4×
5361
Level 1 Laparoscopy and Related Services
182
$45,810
$6,026
7.6×
5302
Level 2 Upper GI Procedures
156
$16,402
$1,977
8.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
155
$16,569
$2,929
5.7×
5115
Level 5 Musculoskeletal Procedures
139
$88,328
$13,722
6.4×
5192
Level 2 Endovascular Procedures
136
$49,824
$5,969
8.3×
5373
Level 3 Urology and Related Services
136
$10,450
$1,627
6.4×
5114
Level 4 Musculoskeletal Procedures
119
$53,955
$7,371
7.3×
5182
Level 2 Vascular Procedures
98
$9,069
$1,659
5.5×
5374
Level 4 Urology and Related Services
94
$26,251
$3,641
7.2×
5375
Level 5 Urology and Related Services
86
$27,762
$5,404
5.1×
5112
Level 2 Musculoskeletal Procedures
77
$12,679
$1,607
7.9×
5113
Level 3 Musculoskeletal Procedures
66
$19,738
$3,090
6.4×
5194
Level 4 Endovascular Procedures
64
$136,398
$18,271
7.5×
5223
Level 3 Pacemaker and Similar Procedures
50
$56,784
$11,139
5.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
48
$26,648
$3,981
6.7×
5153
Level 3 Airway Endoscopy
47
$5,954
$1,016
5.9×
5116
Level 6 Musculoskeletal Procedures
46
$104,046
$19,416
5.4×
5491
Level 1 Intraocular Procedures
38
$15,829
$2,383
6.6×
5313
Level 3 Lower GI Procedures
37
$18,105
$2,931
6.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
35
$36,251
$3,613
10.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
32
$49,293
$6,810
7.2×
5154
Level 4 Airway Endoscopy
31
$19,487
$3,911
5.0×
5431
Level 1 Nerve Procedures
30
$14,236
$2,016
7.1×
5224
Level 4 Pacemaker and Similar Procedures
29
$89,185
$20,299
4.4×
5414
Level 4 Gynecologic Procedures
29
$13,147
$3,265
4.0×
5184
Level 4 Vascular Procedures
23
$43,448
$5,739
7.6×
5222
Level 2 Pacemaker and Similar Procedures
23
$49,407
$8,869
5.6×
5362
Level 2 Laparoscopy and Related Services
22
$78,301
$10,739
7.3×
5232
Level 2 ICD and Similar Procedures
21
$150,865
$34,251
4.4×
5415
Level 5 Gynecologic Procedures
21
$21,178
$5,195
4.1×
5164
Level 4 ENT Procedures
20
$16,762
$2,731
6.1×
5213
Level 3 Electrophysiologic Procedures
16
$135,811
$24,736
5.5×
5155
Level 5 Airway Endoscopy
15
$44,004
$6,849
6.4×
5165
Level 5 ENT Procedures
14
$37,640
$5,842
6.4×
5462
Level 2 Neurostimulator and Related Procedures
12
$49,699
$6,547
7.6×
5163
Level 3 ENT Procedures
12
$4,192
$761
5.5×
5471
Implantation of Drug Infusion Device
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 9/30/2025, template 3.0.0, 796,856 rows scanned, 13,783 distinct code–setting items kept. 7,994 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$792
1
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$517
10
clean
HC NASH-FIBRO S/O
$756
$491
$554
34
clean
ONCO PRST8 3 GENE UR ALG
—
—
$781
10
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$836
1
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$836
1
clean
HC ADRENAL MASS PANEL, 24HR, U S/O
$2,068
$1,344
$1,436
17
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,586
10
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,085
10
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$255
10
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$35
10
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,699
10
clean
HC JAK2 EXON 12 MUTATION DETECTION B S/O
$390
$254
$134
34
clean
HC FOCUSED PHARMACOGENOMICS PANEL V, TARG SEQ ANALYSIS S/O
$1,114
$724
$817
34
clean
HC TPMT AND NUDT15 GENOTYPE S/O
$700
$455
$513
34
clean
NEURO CSF PRION PRTN QUAL
—
—
$556
10
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,596
10
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$18
10
clean
HC CT CEREBRAL PERFUSION W/CONTRAST, INCL BLOOD FLOW/VOLUME/TRAN
$2,076
$1,349
$92
42
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$18
10
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
10
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
10
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,980
10
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,980
10
clean
BONE SRGRY CMPTR FLUOR IMAGE
—
—
$48
9
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$355
1
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$355
1
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$28
1
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$34
1
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$20
1
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$157
1
clean
HC PLACE STENT TRANSCATH EXT VERT/INT CAROTID,PERQ,INTL VSSL
$10,994
$7,146
$9,895
7
clean
HC IG PARAPROTEIN QUAL,IMPRCIP&MS BLD/UR W/ISOTYPE S/O
$101
$66
$114
48
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,872
1
clean
ONC MLNMA PRAME & LINC00518
—
—
$836
1
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$1,803
10
clean
ESW MUSCSKEL SYS NOS
—
—
$256
4
clean
HERED COLON CA DO 15 GENES
—
—
$1,918
1
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$1,045
1
clean
TOUCH QUANT SENSORY TEST
—
—
$42
4
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$962
1
clean
VIBRATE QUANT SENSORY TEST
—
—
$42
4
clean
COOL QUANT SENSORY TEST
—
—
$63
4
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$5,445
1
clean
HEAT QUANT SENSORY TEST
—
—
$42
4
clean
IADI 16S&18S RRNA GENES
—
—
$392
1
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,829
10
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$86
10
clean
HERED BRST CA RLTD DO PANEL
—
—
$1,340
10
clean
HC MISC KARIUS LABORATORY,INFCT DS MICROBIAL CLL FREE DNA, GEN S
$3,190
$2,074
$2,871
16
clean
GI IBS IA ANTI-CDTB&VINCULIN
—
—
$115
10
clean
LIVER DS 10 BIOCHEM ASY SRM
—
—
$554
1
clean
ONC SLD TUM ALYS BRCA1 BRCA2
—
—
$3,113
10
clean
ONC SOLID TUMOR 30 PRTN TRGT
—
—
$1,341
10
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$159
13
clean
HC SACROPLASTY PERQ, UNILAT INJ
$7,307
$4,750
$7,015
10
clean
HC SACROPLASTY PERQ, BILAT INJ
$9,204
$5,983
$8,041
10
clean
HC RESPIRATORY PCR PANEL
$1,043
$678
$458
34
clean
NEURO ALZHEIMER CELL AGGREGJ
—
—
$2,276
10
clean
CLEAR EYELID GLAND W/HEAT
—
—
$137
4
clean
NEURO ALZHEIMER QUAN IMAGING
—
—
$525
9
clean
NJX PLATELET PLASMA
—
—
$425
4
clean
HC ATHERECTOMY BRACHIOCEPH TRUNK/BRANCH, EA VESSL
$12,934
$8,407
$9,959
19
clean
HC ATHERECTOMY ILIAC ARTERY, EA VESSL
$19,603
$12,742
$15,094
19
clean
TRGT GEN SEQ ALYS PNL 311+
—
—
$3,850
1
clean
NFCT DS VIR RESP RNA 3 TRGT
—
—
$147
13
clean
NFCT DS VIR RESP RNA 4 TRGT
—
—
$147
13
clean
TRGT GEN SEQ ALYS PNL 55-74
—
—
$5,138
10
clean
ONC THYR MUT ALYS 10 GEN&37
—
—
$1,301
10
clean
ONC SLD ORG NEO DNA 505 GENE
—
—
$3,000
10
clean
IMPLT/RPL CRTD SNS DEV TOTAL
—
—
$47,962
4
clean
IMPLT/RPL CRTD SNS DEV GEN
—
—
$32,479
4
clean
INTERROGATE CRTD SNS DEV
—
—
$167
4
clean
INTERROGATE CRTD SNS W/PGRMG
—
—
$167
4
clean
PERQ LAMOT/LAM LUMBAR
—
—
$7,614
4
clean
TEMPR
—
—
$167
4
clean
ONC LUNG MRNA QUAN PCR 11&3
—
—
$4,260
1
clean
ONC BRST DUX CARC 7 PROTEINS
—
—
$5,979
1
clean
CRD CAD ALYS 3 PRTN 3 PARAM
—
—
$430
1
clean
CRD CV DS ALY 4 PRTN PLM ALG
—
—
$430
1
clean
NFCT DS BCT QUAN ANTMCRB SC
—
—
$9
1
clean
AI DS SLE ALYS 8 IGG AUTOANT
—
—
$925
1
clean
ONC CUTAN SQ CLL CA MRNA 40
—
—
$9,350
1
clean
NEPH RNA PSTTRNSPL PERPH BLD
—
—
$2,915
1
clean
TRGT GEN SEQ ALYS PNL 83+
—
—
$5,138
10
clean
ONC NEO XOME&TRNS SEQ ALYS
—
—
$3,782
1
clean
TEAR FILM IMG UNI/BI W/I&R
—
—
$42
4
clean
ONC PLSM CELL DO&MYELOMA ID
—
—
$2,679
1
clean
ONC SLD TUM CRCG TUM CL SLCT
—
—
$2,679
1
clean
HC TRANSCATH RENAL SYMPATHETIC DENERVATION BILAT
$11,329
$7,364
$9,460
10
clean
ONC PRST8 MRNA HOXC6 & DLX1
—
—
$781
10
clean
ONC PAN CA ALYS MRD PLASMA
—
—
$3,689
10
clean
HEP NAFLD SEMIQ EVL 28 LIPID
—
—
$814
10
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,470
1
clean
BETA AMYL A?40&A?42 LC-MS/MS
—
—
$103
1
clean
RX METAB/PCX DNA 16 GEN ALYS
—
—
$1,470
1
clean
RX METAB/PCX DNA 25 GEN ALYS
—
—
$817
1
clean
RX METAB/PCX DNA 27GEN RX IA
—
—
$817
1
clean
RSA LOWER EXTR EXAM
—
—
$94
4
clean
NFCT DS BCT/VIRAL TRAIL IP10
—
—
$287
1
clean
NFCT DS BV&VAGINITIS AMP PRB
—
—
$157
1
clean
APOL1 RISK VARIANTS
—
—
$151
1
clean
ONC OROP/ANAL 17 DNA DDPCR
—
—
$1,980
1
clean
BIA WHOLE BODY
—
—
$26
4
clean
HC BETA-AMYLOID RATIO (1-42/1-40) CSF S/O
$965
$627
$869
16
clean
ONC PRST8 CA ALYS ALL PSA
—
—
$836
1
clean
ONC LUNG ELISA 7 AUTOANT ALG
—
—
$925
1
clean
HC NEUROFILAMENT LIGHT CHAIN, PLASMA, QUANT S/O
$1,089
$708
$980
14
clean
ONC URTHL MRNA 5 GEN ALG
—
—
$836
1
clean
ONC BLDR 10 UR HRBR URTHL CA
—
—
$987
1
clean
ONC BLDR 10 PRB RECR BLDR CA
—
—
$987
1
clean
ONC OVRN BCHM ASY 7 PRTN ALG
—
—
$987
1
clean
ONC PRST8 CA IMG ALYS 128
—
—
$777
1
clean
VIS FIELD ASSMNT TECH SUPPT
—
—
$42
4
clean
RX METB ADVRS TRGT SQ ALY 20
—
—
$458
1
clean
NEU PRKSN MSFL a-SYNCLN PRTN
—
—
$595
1
clean
HDR ELCTRNC SKN SURF BRCHYTX
—
—
$122
13
clean
PFAS 16 PFAS COMPND LC MS/MS
—
—
$219
1
clean
HDR ELCTR NTRST/NTRCV BRCHTX
—
—
$437
13
clean
MRGFUS STRTCTC LES ABLTJ
—
—
$14,849
1
clean
COLGN CRS-LINK CRN&PACHYMTRY
—
—
$2,487
4
clean
ONC PRST8 MRNA 18 GEN 1ST UR
—
—
$836
1
clean
ONC BRST SEMIQ MEAS THYM KN
—
—
$355
1
clean
ONC LUNG FLOW CYTMTRY 5 MRK
—
—
$836
1
clean
NEPH DBTC CKD MULT ECLIA ALG
—
—
$1,045
1
clean
INSJ/RPLC CARDIAC MODULJ SYS
—
—
$34,172
4
clean
ONC SLD TUM DNA 80 & RNA 36
—
—
$3,212
1
clean
PSYC GENOM ALYS PNL 15 GEN
—
—
$1,470
1
clean
CV DS ACS BLD ALG 5 YR SCORE
—
—
$430
1
clean
PRGRMG EVAL CARDIAC MODULJ
—
—
$40
4
clean
INTERRO EVAL CARDIAC MODULJ
—
—
$40
4
clean
WATERJET PROSTATE ABLTJ CMPL
—
—
$9,856
4
clean
HC GLYCINE RECEPTOR ALPHA 1 IGG SERUM/CSF QUAL S/O
$10
$7
$9
14
clean
HC KLH11 AB, SERUM/CSF, CELL BINDING ASSAY, QUANT S/O
$10
$7
$9
14
clean
HC ABLATION, PERQ, CRYOABLATION, IMG GUIDE; LOWER EXTREM DISTL/P
$6,968
$4,529
$2,081
19
clean
HC ABLATION, PERQ, CRYOABLATION, IMG GUIDE; NERVE PLEX/TRUNCAL N
$9,588
$6,232
$6,826
19
clean
INSJ IMPLTBL GLUCOSE SENSOR
—
—
$3,464
4
clean
RMVL IMPLTBL GLUCOSE SENSOR
—
—
$212
4
clean
REMVL INSJ IMPLTBL GLUC SENS
—
—
$3,464
4
clean
INSJ AQUEOUS DRAIN DEV 1ST
—
—
$2,918
13
clean
VISUAL EP TEST FOR GLAUCOMA
—
—
$167
4
clean
FXJL ABL LSR 1ST 100 SQ CM
—
—
$135
13
clean
FXJL ABL LSR EA ADDL 100SQCM
—
—
$31
9
clean
OCT MID EAR I&R UNILATERAL
—
—
$42
4
clean
OCT MID EAR I&R BILATERAL
—
—
$42
4
clean
HC ENDOVASCULAR FEMORAL-POPLITEAL ART REVASC W/PLACEMENT IV STEN
$16,353
$10,629
$11,992
19
clean
NEAR IFR 2IMG MIBMN GLND I&R
—
—
$41
13
clean
PATTERN ERG W/I&R
—
—
$332
4
clean
ESW INTEG WND HLG 1ST WND
—
—
$212
4
clean
INSJ/RPLCMT COMPL IIMS
—
—
$20,326
4
clean
PRGRMG DEV EVAL IIMS IP
—
—
$40
4
clean
INTERROG DEV EVAL IIMS IP
—
—
$40
4
clean
CAR-T CLL ADMN AUTOLOGOUS
—
—
$369
1
clean
ANTMC GUIDE 3D PRINT 1ST GD
—
—
$63
4
clean
EVAC MEIBOMIAN GLND HEAT BI
—
—
$63
4
clean
INSJ/RPLCMT ICDS SS ELTRD
—
—
$34,172
4
clean
PRGRMG DEV EVAL ICDS SS IP
—
—
$40
4
clean
INTERROG DEV EVAL ICDS SS IP
—
—
$40
4
clean
REM INTERROG DEV ICDS TECH
—
—
$40
4
clean
ABLTJ MAL BRST TUM PERQ CRTX
—
—
$4,081
4
clean
ELEC ALYS CPLX PRGRMG IINS
—
—
$98
4
clean
R-T FLUOR WOUND IMG 1ST SITE
—
—
$332
4
clean
ABLT IRE 1+ O/T LV/PRST8 PRQ
—
—
$11,096
4
clean
ABLTJ IRE 1+TUMORS OPEN
—
—
$11,096
4
clean
REM OCT RTA TECHL SPRT MIN 8
—
—
$41
1
clean
INSERTION OF IRIS PROSTHESIS
—
—
$18,912
1
clean
INSJ IRIS PROSTH W/RMVL&INSJ
—
—
$18,912
1
clean
INSJ IRIS PROSTH SEC IO LENS
—
—
$18,912
1
clean
CYSTO W/PRST8 COMMISSUROTOMY
—
—
$9,856
4
clean
EVASC VEN ARTLZ TIBL/PRNL VN
—
—
$37,304
4
clean
AUTO QUAN C PLAQ CPTR ALYS
—
—
$1,013
4
clean
PERQ NJX ALGC FLUOR LMBR 1ST
—
—
$13,714
4
clean
PERQ NJX ALGC CT LMBR 1ST
—
—
$13,714
4
clean
CT BREAST W/3D BI C-/C+
—
—
$381
4
clean
NCNTC IFR SPCTRSC O/T PAD 1
—
—
$42
4
clean
TCAT RMVL/DBLK ICAR MAS PERQ
—
—
$6,077
4
clean
INSJ GTUBE PERQ MAG GASTRPXY
—
—
$2,022
4
clean
QUAN MR TIS WO MRI 1ORGN
—
—
$1,013
4
clean
QUAN MR TISS W/MRI 1ORGN
—
—
$1,013
4
clean
PRGRMG DEV EVAL SCRMS REMOTE
—
—
$40
4
clean
EGD FLX TRANSNASAL TUBE/CATH
—
—
$4,055
4
clean
TPRNL FOCAL ABLTJ MAL PRST8
—
—
$5,418
4
clean
ELEC IMPD SPECTRSC 1+SKN LES
—
—
$63
4
clean
IMPLT ANT SGM IO NBIO RX SYS
—
—
$4,288
4
clean
INSJ ANT SGM AQ DRG DEV 1+
—
—
$1,549
13
clean
ABLTJ B9 THYR NDUL PERQ LASR
—
—
$1,048
13
clean
HISTOTRIPSY MAL HEPATCEL TIS
—
—
$9,312
13
clean
BDY SURF MAPG PM/CVDFB F/UP
—
—
$28
13
clean
NJX B1 SUB MTRL SBCHDRL DFCT
—
—
$2,108
13
clean
QMRCP W/DX MRI SAME ANATOMY
—
—
$1,013
4
clean
INSTLJ FECAL MICROBIOTA SSP
—
—
$137
4
clean
TCAT INS 2CHMBR LDLS PM CMPL
—
—
$20,326
4
clean
TCAT INS 2CHMBR LDLS PM RA
—
—
$20,326
4
clean
TCAT INS 2CHMBR LDLS PM RV
—
—
$20,326
4
clean
PRGRMG EVL LDLS PM 2CHMBR IP
—
—
$40
4
clean
SUBRTA NJX RX AGT W/VTRC
—
—
$4,530
4
clean
REM MLT DAY UROFLOW SETUP
—
—
$137
4
clean
REM MLT DAY UROFLOW DEV SPLY
—
—
$167
4
clean
OPN INSJ/RPLCMT INS PTN SUBQ
—
—
$22,856
4
clean
OPN INSJ/RPLCMT INS PTN SUBF
—
—
$22,856
4
clean

Showing the first 200 of 13,783 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
736 of 2,979 comparable items (25%) 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 $7,798 exceeds the gross charge $7,307
warn
mrf_rate_without_estimate
71,374 of 71,374 percentage/algorithm rates across 3,862 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 0269U/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 15120/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 21356/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 25560/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 28495/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 31576/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 36592/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 42962/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 47534/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 54060/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 61891/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 67938/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73615/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 77334/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 81180/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82077/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 83930/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 86053/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87109/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 88248/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 92533/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 94681/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 98927/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 C1762/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, min, max differ, so no cross-line comparison was made for this item
CPT D0706/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 J0138/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 J1426/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 J2800/b
info
mrf_item_fields_vary
this code and setting cover at least 4 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 J9043/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 P9051/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 0270U/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 15130/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 21365/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 25565/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 27652/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 28496/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 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 36593/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 42999/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 47535/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54065/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 61892/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 67950/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 73620/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 77336/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81181/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82085/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83935/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 86060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87110/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 88249/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 92534/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 94690/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 98928/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 C1762/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 D0707/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 J0153/b
info
mrf_item_fields_vary
this code and setting cover at least 4 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 J1427/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 J2800/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 J9043/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 P9052/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0271U/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 15135/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 21366/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 31578/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 36595/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 43194/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 47536/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 54100/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 62263/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 67961/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 73630/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 77338/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 81182/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 82088/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 83937/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86063/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 87116/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 88261/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92537/o
info
mrf_item_fields_vary
this code and setting cover at least 6 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 94726/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 98929/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 C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 9 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 D0708/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 J0153/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 J1429/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 J2801/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 J9045/b
info
mrf_item_fields_vary
this code and setting cover at least 9 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 P9053/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0272U/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 15150/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 25574/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 27654/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 28505/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31579/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 36596/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 43197/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 47537/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 54105/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 62264/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 67966/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 73650/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 77370/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81183/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 82103/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83945/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86077/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 87118/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 88262/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 92538/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 94727/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 98940/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 C1763/o
info
mrf_item_fields_vary
this code and setting cover at least 9 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 D1110/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 J0165/b
info
mrf_item_fields_vary
this code and setting cover at least 10 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 J1430/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 J2802/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 J9045/o
info
mrf_item_fields_vary
this code and setting cover at least 10 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 P9054/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0273U/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 15155/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 21386/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 27656/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 28510/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 31584/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 36597/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 43198/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 47538/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 62267/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 68020/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 73660/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 77372/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81184/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82104/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83950/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 86078/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 87140/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88263/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 92540/o
info
mrf_item_fields_vary
this code and setting cover at least 6 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 94728/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 98941/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 C1764/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, min, max differ, so no cross-line comparison was made for this item
CPT D1510/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 J0165/o
info
mrf_item_fields_vary
this code and setting cover at least 10 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 J1434/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 J2804/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 J9046/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 P9055/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0274U/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 15200/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 25575/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 28515/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 31587/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 36598/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 43200/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 47539/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54115/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 62269/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 68040/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 73700/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 77373/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81185/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 82105/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 83951/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86079/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 87143/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 88264/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92541/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 94729/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 98942/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 C1764/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 D1516/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 J0171/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 J1437/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 J2820/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 J9047/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, min, max differ, so no cross-line comparison was made for this item
CPT P9056/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 0275U/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 15220/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 21390/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 25600/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 27658/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 28525/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 31600/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 36600/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43201/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 47540/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54150/o
info
mrf_item_fields_vary
this code and setting cover at least 6 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 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, cash, min, max differ, so no cross-line comparison was made for this item
CPT 68100/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 73701/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 77385/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81186/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 82106/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83970/o
info
mrf_item_fields_vary
this code and setting cover at least 5 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 86140/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 87147/o
info
mrf_item_fields_vary
this code and setting cover at least 4 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 88267/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 7,994 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 282
info
inp_charge_10x_payment
average charge $69,248 is 10.4× 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 · 236.5M bytes · fetched 2026-08-25 · sha256 86e57017c83f…

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.