Hospital · CCN 030014

Honorhealth John C. Lincoln Medical Center

250 East Dunlap Avenue, Phoenix, AZ 85020 · Maricopa County
Part of HonorHealth · 239 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

73 admission types 53 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
7.68×
$230.4M billed against $30.0M paid across 1,964 Medicare discharges; the national figure is 5.03×.
4.6%
of adults in Maricopa County have medical debt in collections
12.5%
uninsured in the county · state 12.7%
$87K
median household income
5.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (37 in the inpatient or outpatient file)ⓘ
30.4%
obesity in the countyⓘ
10.6%
diagnosed diabetes (PLACES)
5.7%
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
211
$121,110
$15,567
7.8× st 5.0×
274
Percutaneous and other intracardiac procedures without mcc
142
$138,475
$25,372
5.5× st 6.3×
291
Heart failure and shock with mcc
78
$78,209
$10,633
7.4× st 5.2×
481
Hip and femur procedures except major joint with cc
57
$170,210
$16,229
10.5× st 6.7×
177
Respiratory infections and inflammations with mcc
53
$91,418
$12,886
7.1× st 4.8×
460
Spinal fusion except cervical without mcc
50
$251,035
$28,786
8.7× st 7.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
44
$314,153
$45,724
6.9× st 4.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
44
$58,568
$9,049
6.5× st 5.0×
193
Simple pneumonia and pleurisy with mcc
42
$85,526
$11,079
7.7× st 5.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
41
$50,258
$6,757
7.4× st 5.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
38
$43,543
$6,610
6.6× st 5.9×
683
Renal failure with cc
37
$50,977
$7,452
6.8× st 5.3×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
36
$70,924
$8,428
8.4× st 5.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
34
$122,900
$15,544
7.9× st 5.2×
552
Medical back problems without mcc
33
$60,270
$8,077
7.5× st 5.8×
690
Kidney and urinary tract infections without mcc
32
$38,137
$6,679
5.7× st 5.0×
194
Simple pneumonia and pleurisy with cc
30
$55,380
$6,830
8.1× st 5.0×
378
Gastrointestinal hemorrhage with cc
30
$58,420
$8,302
7.0× st 6.2×
682
Renal failure with mcc
30
$64,815
$11,888
5.5× st 4.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
29
$85,458
$10,649
8.0× st 4.9×
189
Pulmonary edema and respiratory failure
28
$101,632
$10,055
10.1× st 5.1×
603
Cellulitis without mcc
28
$37,513
$7,086
5.3× st 4.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
26
$63,658
$7,438
8.6× st 7.1×
280
Acute myocardial infarction, discharged alive with mcc
25
$103,649
$12,840
8.1× st 6.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
25
$162,317
$16,719
9.7× st 6.4×
312
Syncope and collapse
24
$59,827
$7,207
8.3× st 6.7×
698
Other kidney and urinary tract diagnoses with mcc
23
$81,627
$12,265
6.7× st 4.7×
305
Hypertension without mcc
22
$49,919
$6,340
7.9× st 6.2×
480
Hip and femur procedures except major joint with mcc
22
$213,611
$21,925
9.7× st 5.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
20
$71,068
$8,207
8.7× st 6.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
20
$117,497
$15,088
7.8× st 7.2×
454
Combined anterior and posterior spinal fusion with cc
20
$700,889
$73,949
9.5× st 5.6×
308
Cardiac arrhythmia and conduction disorders with mcc
20
$85,398
$9,921
8.6× st 5.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
19
$102,816
$11,364
9.0× st 5.3×
482
Hip and femur procedures except major joint without cc/mcc
19
$130,946
$12,777
10.2× st 5.8×
176
Pulmonary embolism without mcc
19
$59,208
$7,079
8.4× st 6.0×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
19
$100,264
$13,607
7.4× st 5.7×
544
Pathological fractures and musculoskeletal and connective tissue malignancy without cc/m
19
$54,864
$6,285
8.7× st 7.2×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
19
$167,535
$18,608
9.0× st 7.0×
309
Cardiac arrhythmia and conduction disorders with cc
18
$43,044
$6,254
6.9× st 6.1×
689
Kidney and urinary tract infections with mcc
17
$56,370
$8,932
6.3× st 4.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
17
$120,315
$18,152
6.6× st 5.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$119,436
$15,287
7.8× st 7.9×
085
Traumatic stupor and coma <1 hour with mcc
16
$165,840
$17,815
9.3× st 5.4×
472
Cervical spinal fusion with cc
16
$197,301
$24,613
8.0× st 7.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
15
$203,398
$21,501
9.5× st 5.5×
812
Red blood cell disorders without mcc
15
$39,159
$7,411
5.3× st 5.5×
390
Gastrointestinal obstruction without cc/mcc
15
$33,922
$4,823
7.0× st 5.1×
190
Chronic obstructive pulmonary disease with mcc
15
$68,987
$9,139
7.5× st 5.4×
455
Combined anterior and posterior spinal fusion without cc/mcc
14
$372,664
$37,817
9.9× st 5.9×
092
Other disorders of nervous system with cc
14
$52,957
$8,239
6.4× st 5.7×
057
Degenerative nervous system disorders without mcc
14
$59,217
$8,963
6.6× st 5.6×
389
Gastrointestinal obstruction with cc
14
$41,950
$6,487
6.5× st 5.2×
377
Gastrointestinal hemorrhage with mcc
14
$149,215
$15,217
9.8× st 5.4×
330
Major small and large bowel procedures with cc
14
$203,530
$20,604
9.9× st 6.2×
178
Respiratory infections and inflammations with cc
13
$55,466
$8,190
6.8× st 5.3×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
13
$181,151
$14,859
12.2× st 7.8×
329
Major small and large bowel procedures with mcc
13
$275,087
$32,805
8.4× st 5.4×
811
Red blood cell disorders with mcc
12
$73,858
$11,459
6.4× st 5.2×
282
Acute myocardial infarction, discharged alive without cc/mcc
12
$52,577
$7,022
7.5× st 7.9×
191
Chronic obstructive pulmonary disease with cc
12
$60,856
$7,034
8.7× st 6.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$65,574
$8,837
7.4× st 7.5×
163
Major chest procedures with mcc
12
$254,282
$40,954
6.2× st 4.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$26,510
$5,387
4.9× st 6.3×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
12
$62,975
$7,538
8.4× st 7.3×
229
Other cardiothoracic procedures without mcc
11
$212,585
$29,032
7.3× st 7.6×
300
Peripheral vascular disorders with cc
11
$49,853
$8,697
5.7× st 4.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$199,214
$30,516
6.5× st 7.5×
071
Other cerebrovascular disorders with cc
11
$55,150
$8,129
6.8× st 6.0×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$150,757
$18,542
8.1× st 5.3×
870
Septicemia or severe sepsis with mv >96 hours
11
$391,201
$52,594
7.4× st 4.4×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
11
$80,874
$10,529
7.7× st 4.8×
637
Diabetes with mcc
11
$62,817
$11,580
5.4× st 4.7×
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
436
$30,567
$2,664
11.5×
5191
Level 1 Endovascular Procedures
171
$25,227
$3,129
8.1×
5115
Level 5 Musculoskeletal Procedures
121
$100,957
$12,642
8.0×
5213
Level 3 Electrophysiologic Procedures
112
$159,102
$23,098
6.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
91
$14,322
$1,553
9.2×
5431
Level 1 Nerve Procedures
82
$19,673
$1,864
10.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
77
$33,262
$2,008
16.6×
5183
Level 3 Vascular Procedures
65
$27,801
$3,018
9.2×
5114
Level 4 Musculoskeletal Procedures
64
$86,865
$6,976
12.5×
5223
Level 3 Pacemaker and Similar Procedures
64
$63,389
$10,266
6.2×
5374
Level 4 Urology and Related Services
48
$38,049
$3,399
11.2×
5375
Level 5 Urology and Related Services
46
$49,054
$4,973
9.9×
5113
Level 3 Musculoskeletal Procedures
41
$42,367
$3,034
14.0×
5116
Level 6 Musculoskeletal Procedures
41
$158,663
$18,131
8.8×
5361
Level 1 Laparoscopy and Related Services
40
$75,394
$5,514
13.7×
5193
Level 3 Endovascular Procedures
36
$83,049
$10,504
7.9×
5154
Level 4 Airway Endoscopy
33
$44,239
$3,652
12.1×
5373
Level 3 Urology and Related Services
32
$24,768
$1,887
13.1×
5153
Level 3 Airway Endoscopy
30
$18,428
$1,655
11.1×
5362
Level 2 Laparoscopy and Related Services
29
$95,245
$9,771
9.7×
5222
Level 2 Pacemaker and Similar Procedures
27
$57,559
$8,283
6.9×
5112
Level 2 Musculoskeletal Procedures
23
$20,112
$1,567
12.8×
5224
Level 4 Pacemaker and Similar Procedures
23
$130,673
$18,956
6.9×
5194
Level 4 Endovascular Procedures
21
$135,602
$16,327
8.3×
5414
Level 4 Gynecologic Procedures
21
$36,424
$3,049
11.9×
5232
Level 2 ICD and Similar Procedures
20
$181,718
$30,466
6.0×
5415
Level 5 Gynecologic Procedures
19
$67,213
$4,850
13.9×
5302
Level 2 Upper GI Procedures
19
$13,051
$1,856
7.0×
5182
Level 2 Vascular Procedures
17
$7,937
$1,562
5.1×
5416
Level 6 Gynecologic Procedures
13
$99,611
$7,369
13.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
13
$40,901
$3,374
12.1×
5372
Level 2 Urology and Related Services
11
$2,087
$303
6.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-04-01, template 3.0.0, 317,378 rows scanned, 22,135 distinct code–setting items kept. 515 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$1,627
17
clean
Liver dis 10 assays w/ash
—
—
$1,319
18
clean
Liver dis 10 assays w/nash
—
—
$1,206
18
clean
Onco prst8 3 gene ur alg
—
—
$1,356
17
clean
Onc mrna 5 gen rsk urthl ca
—
—
$1,718
17
clean
Hc Onc Mrna 5 Gen Recr Urthl Ca
$3,297
$3,297
—
0
clean
Onc mrna 5 gen recr urthl ca
—
—
$1,718
17
clean
Adrnl cortcl tum bchm asy 25
—
—
$2,311
17
clean
Onc bladder mrna 209 gen alg
—
—
$6,177
17
clean
Onc thyr 10 microrna seq alg
—
—
$7,595
19
clean
Onc aml dna detcj/nondetcj
—
—
$611
19
clean
Glyca nuc mr spectrsc quan
—
—
$87
19
clean
Onc thyr dna&mrna 112 genes
—
—
$6,372
17
clean
Jak2 gene trgt seq alys
—
—
$281
19
clean
Rx metab advrs trgt seq alys
—
—
$1,314
17
clean
Tpmt nudt15 genes
—
—
$1,179
19
clean
Hc Real-Time Quaking-Induced Conversion For Prion Detection (Rt-Quic)
$74
$74
—
0
clean
Neuro csf prion prtn qual
—
—
$1,223
19
clean
Trgt gen seq dna 324 genes
—
—
$8,855
19
clean
Hc Trgt Gen Seq Dna 324 Genes
$27,143
$27,143
—
0
clean
B brgdrferi antb 5 prtn igm
—
—
$44
19
clean
Hc Lyme Immunoblot Igm
$146
$146
—
0
clean
Ct perfusion w/contrast cbf
—
—
$225
6
clean
Hc Cerebral Perfusion Analysis Ct W/Contrast
$2,738
$2,738
—
0
clean
Hc Lyme Immunoblot Igm
$146
$146
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$44
19
clean
Tbrf b grp antb 4 prtn igm
—
—
$38
19
clean
Hc Tick-Borne Relapsing Fever Borrelia (Tbrf) Immunoblots Igm Test
$126
$126
—
0
clean
Tbrf b grp antb 4 prtn igg
—
—
$38
19
clean
Hc Tick-Borne Relapsing Fever Borrelia (Tbrf) Immunoblots Igg Test
$126
$126
—
0
clean
Onc brst dux carc is 12 gene
—
—
$9,799
19
clean
Onc prst8 mrna 17 gene alg
—
—
$9,799
19
clean
Hc Bone Srgry Cmptr Fluor Image
$1,320
$1,320
—
0
clean
Bone srgry cmptr fluor image
—
—
$414
9
clean
Bone srgry cmptr ct/mri imag
—
—
$834
9
clean
Onc merkel cll carc srm quan
—
—
$817
19
clean
Onc merkel cll carc srm +/-
—
—
$817
19
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$64
19
clean
Antb tp total&rpr ia qual
—
—
$79
19
clean
Syfls tst nontreponemal antb
—
—
$46
19
clean
Candida species pnl amp prb
—
—
$361
19
clean
Perq Stent/Chest Vert Art
—
—
$2,887
7
clean
Tcat Plmt Xtrc Vrt Crtd Stent Rs&I Prq 1St Vsl
$96,700
$96,700
—
0
clean
Ig paraprotein qual bld/ur
—
—
$110
19
clean
Onc lng 5 clin rsk factr alg
—
—
$8,906
19
clean
Onc mlnma prame & linc00518
—
—
$1,923
19
clean
Onc cutan mlnma mrna 23 gene
—
—
$4,934
19
clean
Extracorp shockwv tx hi enrg
—
—
$347
15
clean
Hered colon ca do 15 genes
—
—
$4,412
19
clean
Neph ckd mult eclia tum nec
—
—
$2,404
19
clean
Touch Quant Sensory Test
—
—
$60
12
clean
Gstr emptg 7 timed brth spec
—
—
$2,212
19
clean
Vibrate Quant Sensory Test
—
—
$66
12
clean
Cool Quant Sensory Test
—
—
$94
12
clean
Gi barrett esoph 9 prtn bmrk
—
—
$12,524
19
clean
Heat Quant Sensory Test
—
—
$61
11
clean
Iadi 16s&18s rrna genes
—
—
$901
19
clean
Trnsplj don-drv cll-fr dna
—
—
$6,222
19
clean
Crd ceramides liq chrom plsm
—
—
$212
19
clean
Hered brst ca rltd do panel
—
—
$3,299
19
clean
Nfct bct fng prst dna >1000
—
—
$4,805
17
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$253
17
clean
Liver ds 10 biochem asy srm
—
—
$1,274
19
clean
Onc sld tum alys brca1 brca2
—
—
$7,666
19
clean
Cad cxr with interp
—
—
$107
6
clean
Onc solid tumor 30 prtn trgt
—
—
$2,950
17
clean
Exc rectal tumor endoscopic
—
—
$3,043
15
clean
Hosp manage cont drug admin
—
—
$208
5
clean
Perq sacral augmt unilat inj
—
—
$6,117
15
clean
Hc Perq Sacral Augmt Unilat Inj
$15,217
$15,217
—
0
clean
Perq sacral augmt bilat inj
—
—
$6,117
15
clean
Hc Perq Sacral Augmt Bilat Inj
$28,715
$28,715
—
0
clean
Post vert arthrplst 1 lumbar
—
—
$8,041
15
clean
Nfct ds 22 trgt sars-cov-2
—
—
$942
17
clean
Hc Infectious Disease, Path-Specific Nucleic Acid, 22 Targets Inc Severe Acute Respiratory Syndrome
$1,026
$1,026
—
0
clean
Neuro alzheimer cell aggregj
—
—
$5,007
17
clean
Clear eyelid gland w/heat
—
—
$218
15
clean
Neuro alzheimer quan imaging
—
—
$1,661
11
clean
Hc Njx Platelet Plasma
$1,638
$1,638
—
0
clean
Njx platelet plasma
—
—
$477
17
clean
Hc Trluml Perip Athrc Brchiocph
$29,322
$29,322
—
0
clean
Trluml perip athrc brchiocph
—
—
$5,975
15
clean
Hc Trluml Perip Athrc Iliac Art
$43,979
$43,979
—
0
clean
Trluml perip athrc iliac art
—
—
$15,169
13
clean
Trgt gen seq alys pnl 311+
—
—
$7,910
17
clean
Nfct ds vir resp rna 3 trgt
—
—
$464
11
clean
Nfct ds vir resp rna 4 trgt
—
—
$464
11
clean
Hc Infectious Disease (Viral Respiratory Tract Infection), Pathogen-Specific Rna, 4 Targets, Upper R
$443
$443
—
0
clean
Trgt gen seq alys pnl 55-74
—
—
$10,202
17
clean
Onc thyr mut alys 10 gen&37
—
—
$2,861
17
clean
Onc sld org neo dna 505 gene
—
—
$6,598
17
clean
Implt/rpl crtd sns dev total
—
—
$2,866
7
clean
Implt/rpl crtd sns dev gen
—
—
$594
7
clean
Hc Im/Repl Cartd Sins Barreflx Act Dev Pls Gen Only
$60,955
$60,955
—
0
clean
Interrogate crtd sns dev
—
—
$100
6
clean
Interrogate crtd sns w/pgrmg
—
—
$230
6
clean
Perq lamot/lam lumbar
—
—
$7,547
4
clean
Tempr
—
—
$139
13
clean
Onc lung mrna quan pcr 11&3
—
—
$7,902
17
clean
Onc brst dux carc 7 proteins
—
—
$9,620
17
clean
Crd cad alys 3 prtn plsm alg
—
—
$883
17
clean
Crd cv ds aly 4 prtn plm alg
—
—
$883
17
clean
Nfct ds bct quan antmcrb sc
—
—
$18
17
clean
Ai ds sle alys 8 igg autoant
—
—
$1,900
17
clean
Onc cutan sq cll ca mrna 40
—
—
$15,045
17
clean
Neph rna psttrnspl perph bld
—
—
$5,989
17
clean
Trgt gen seq alys pnl 83+
—
—
$8,750
13
clean
Onc neo xome&trns seq alys
—
—
$6,016
13
clean
Tear film img uni/bi w/i&r
—
—
$60
12
clean
Onc sld orgn tgsa dna 84/+
—
—
$5,320
13
clean
Onc plsm cell do&myeloma id
—
—
$4,261
13
clean
Onc sld tum crcg tum cl slct
—
—
$4,261
13
clean
Trnscth renal symp denrv bil
—
—
$6,073
15
clean
Hc Transcatheter Renal Sympath Denervation Bilat
$15,142
$15,142
—
0
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$1,330
13
clean
Onc pan ca alys mrd plasma
—
—
$5,457
13
clean
Hep nafld semiq evl 28 lipid
—
—
$1,386
13
clean
Psyc genom alys pnl 15 gen
—
—
$2,325
13
clean
Beta amyl a?40&a?42 lc-ms/ms
—
—
$315
5
clean
Rx metab/pcx dna 16 gen alys
—
—
$2,338
13
clean
Rx metab/pcx dna 25 gen alys
—
—
$1,299
13
clean
Rx metab/pcx dna 27gen rx ia
—
—
$1,128
13
clean
RSA lower extr exam
—
—
$125
15
clean
Intraop oct brst/node spec
—
—
$705
6
clean
Nfct ds bct/viral trail ip10
—
—
$396
13
clean
Oct brst/node i&r per spec
—
—
$450
7
clean
Hc Infectious Disease (Bacterial Vaginosis And Vaginitis), Multiplex Amplified Probe Technique, For
$430
$430
—
0
clean
Nfct ds bv&vaginitis amp prb
—
—
$482
5
clean
Hc Infectious Agent Detection By Nucleic Acid (Dna), Chlamydia Trachomatis And Neisseria Gonorrhoeae
$430
$430
—
0
clean
Iadna chlmyd&gonorr amp prb
—
—
$237
5
clean
Apol1 risk variants
—
—
$240
13
clean
Onc orop 17 dna ddpcr alg
—
—
$3,150
13
clean
BIA whole body
—
—
$34
12
clean
Neuro alys b-amyl 1-42&1-40
—
—
$456
13
clean
Onc prst8 ca alys all psa
—
—
$1,330
13
clean
Onc lung elisa 7 autoant alg
—
—
$1,471
13
clean
Neurflmnt lt chn dig ia quan
—
—
$259
2
clean
Onc urthl mrna 5 gen alg
—
—
$1,330
13
clean
Onc bldr 10 prb bldr ca
—
—
$1,570
13
clean
Onc bldr 10 prb recr bldr ca
—
—
$1,570
13
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$1,363
13
clean
Onc prst8 ca img alys 128
—
—
$1,236
13
clean
Vis field assmnt tech suppt
—
—
$130
12
clean
Tgsap sl or neo dna523&rna55
—
—
$4,746
8
clean
Rx metb advrs trgt sq aly 20
—
—
$1,409
5
clean
Onc nonsm cll lng ca 37 gen
—
—
$4,795
8
clean
Neu prksn msfl ?-syncln prtn
—
—
$947
13
clean
Hdr elctrnc skn surf brchytx
—
—
$199
8
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$348
13
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$866
14
clean
Mrgfus strtctc les abltj
—
—
$1,428
5
clean
Gi baret esph dna mthyln aly
—
—
$2,533
8
clean
Collagen crosslinking cornea
—
—
$2,640
17
clean
Onc prst8 mrna 18 gen dre ur
—
—
$1,330
13
clean
Onc brst semiq meas thym kn
—
—
$565
13
clean
Onc lung flow cytmtry 5 mrk
—
—
$1,330
13
clean
Neph dbtc ckd mult eclia alg
—
—
$1,663
13
clean
Insj/rplc cardiac modulj sys
—
—
$5,975
15
clean
Hc Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd
$59,182
$59,182
—
0
clean
Onc sld tum dna 80 & rna 36
—
—
$5,109
13
clean
Psyc genom alys pnl 15 gen
—
—
$2,338
13
clean
Cv ds acs bld alg 5 yr score
—
—
$684
13
clean
Prgrmg eval cardiac modulj
—
—
$100
12
clean
Interro eval cardiac modulj
—
—
$62
12
clean
Waterjet prostate abltj cmpl
—
—
$2,755
12
clean
Onc pan solid tum alys dna
—
—
$2,565
7
clean
Gi malabs aat calpro pncrtc
—
—
$89
8
clean
Gly rcptr alpha1 igg srm/csf
—
—
$53
8
clean
Klhl11 antb sr/csf asy qual
—
—
$53
8
clean
Onc prst8 5 dna reg mrk pcr
—
—
$1,097
8
clean
Rx metab advrs vrnt alys 25
—
—
$602
8
clean
Impltj synth rnfcmt abdl wal
—
—
$1,072
9
clean
Myocrd contrast prfuj echo
—
—
$311
6
clean
Abltj perc lxtr/perph nrv
—
—
$2,084
15
clean
Abltj perc plex/trncl nrv
—
—
$2,897
15
clean
Neurflmnt lt chn ultrsens ia
—
—
$153
7
clean
Insj impltbl glucose sensor
—
—
$2,064
17
clean
Rmvl impltbl glucose sensor
—
—
$246
17
clean
Remvl insj impltbl gluc sens
—
—
$2,064
17
clean
Insj aqueous drain dev 1st
—
—
$4,305
15
clean
Visual ep test for glaucoma
—
—
$198
12
clean
Onc sld tum bld/slv 648 gene
—
—
$6,165
8
clean
Hered prst8 ca gsap 23 genes
—
—
$1,786
8
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$1,138
18
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$1,654
12
clean
Hc Transcath Mitral Valve Implant/Repl (Tmvi) W/Prosth Valve; Perq Approach
$75,372
$75,372
—
0
clean
Tmvi percutaneous approach
—
—
$4,723
12
clean
Tmvi transthoracic exposure
—
—
$5,468
12
clean
Oct mid ear i&r unilateral
—
—
$40
12
clean
Onc sol tum cfdna&rna ngs gm
—
—
$4,817
7
clean
Oct mid ear i&r bilateral
—
—
$68
12
clean
Prep & cannulj cdvr don lung
—
—
$2,992
12
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$1,150
7
clean
Ev fempop artl revsc
—
—
$8,041
15
clean
Near ifr 2img mibmn glnd i&r
—
—
$81
12
clean
Pattern erg w/i&r
—
—
$232
12
clean
Esw integ wnd hlg 1st wnd
—
—
$309
18
clean
Esw integ wnd hlg ea addl
—
—
$1,197
12
clean
Ntrapx c ffr w/3d funcjl map
—
—
$362
7
clean
Hc Ntrapx C Ffr W/3D Funcjl Map
$10,041
$10,041
—
0
clean

Showing the first 200 of 22,135 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT J0585/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $25
CPT J0740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,208 exceeds the gross charge $258
CPT J0883/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14 exceeds the gross charge $4
CPT J1451/o
warn
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $30
CPT J1610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $805 exceeds the gross charge $792
CPT J1742/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,274 exceeds the gross charge $850
CPT J2353/o
warn
mrf_negotiated_above_gross
highest negotiated rate $863 exceeds the gross charge $394
CPT J2515/o
warn
mrf_negotiated_above_gross
highest negotiated rate $221 exceeds the gross charge $202
CPT J3380/o
warn
mrf_negotiated_above_gross
highest negotiated rate $89 exceeds the gross charge $70
CPT J7298/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,083 exceeds the gross charge $4,063
CPT J7500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $5
CPT J9281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,321 exceeds the gross charge $70
CPT J9395/o
warn
mrf_negotiated_above_gross
highest negotiated rate $31 exceeds the gross charge $20
CPT Q5103/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $121
warn
mrf_rate_without_estimate
34,671 of 34,671 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 25600/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 differ, so no cross-line comparison was made for this item
CPT C1724/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 differ, so no cross-line comparison was made for this item
CPT 25605/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 differ, so no cross-line comparison was made for this item
CPT C1725/b
info
mrf_item_fields_vary
this code and setting cover at least 57 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25622/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 differ, so no cross-line comparison was made for this item
CPT C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25624/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 differ, so no cross-line comparison was made for this item
CPT C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 144 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25630/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 differ, so no cross-line comparison was made for this item
CPT C1730/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25650/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1731/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25660/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1732/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25675/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1733/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26010/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 differ, so no cross-line comparison was made for this item
CPT C1735/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26600/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 differ, so no cross-line comparison was made for this item
CPT C1737/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 differ, so no cross-line comparison was made for this item
CPT 26605/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 differ, so no cross-line comparison was made for this item
CPT C1747/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26645/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 differ, so no cross-line comparison was made for this item
CPT C1750/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 differ, so no cross-line comparison was made for this item
CPT 26670/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 differ, so no cross-line comparison was made for this item
CPT C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 65 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26700/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 differ, so no cross-line comparison was made for this item
CPT C1752/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 differ, so no cross-line comparison was made for this item
CPT 26720/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 differ, so no cross-line comparison was made for this item
CPT C1753/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26725/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 differ, so no cross-line comparison was made for this item
CPT C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 58 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26740/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 differ, so no cross-line comparison was made for this item
CPT C1758/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 differ, so no cross-line comparison was made for this item
CPT 26742/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 differ, so no cross-line comparison was made for this item
CPT C1759/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26755/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 differ, so no cross-line comparison was made for this item
CPT C1760/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 differ, so no cross-line comparison was made for this item
CPT 26770/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 differ, so no cross-line comparison was made for this item
CPT C1761/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27197/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 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 70 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27230/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 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 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27238/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 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 differ, so no cross-line comparison was made for this item
CPT 27246/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 differ, so no cross-line comparison was made for this item
CPT C1765/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27250/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 differ, so no cross-line comparison was made for this item
CPT C1766/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27256/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 differ, so no cross-line comparison was made for this item
CPT C1767/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 differ, so no cross-line comparison was made for this item
CPT 27265/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 differ, so no cross-line comparison was made for this item
CPT C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 56 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27500/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 differ, so no cross-line comparison was made for this item
CPT C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 305 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27501/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 differ, so no cross-line comparison was made for this item
CPT C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27502/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 differ, so no cross-line comparison was made for this item
CPT C1773/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27520/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 differ, so no cross-line comparison was made for this item
CPT C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 526 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27530/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 differ, so no cross-line comparison was made for this item
CPT C1777/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 differ, so no cross-line comparison was made for this item
CPT 27532/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 differ, so no cross-line comparison was made for this item
CPT C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27538/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 differ, so no cross-line comparison was made for this item
CPT C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 122 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27550/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 differ, so no cross-line comparison was made for this item
CPT C1782/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27560/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 differ, so no cross-line comparison was made for this item
CPT C1785/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27750/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 differ, so no cross-line comparison was made for this item
CPT C1786/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 differ, so no cross-line comparison was made for this item
CPT 27752/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 differ, so no cross-line comparison was made for this item
CPT C1787/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27760/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 differ, so no cross-line comparison was made for this item
CPT C1788/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27762/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 differ, so no cross-line comparison was made for this item
CPT C1789/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27767/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 differ, so no cross-line comparison was made for this item
CPT C1813/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27768/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 differ, so no cross-line comparison was made for this item
CPT C1815/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 differ, so no cross-line comparison was made for this item
CPT 27780/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 differ, so no cross-line comparison was made for this item
CPT C1817/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27781/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 differ, so no cross-line comparison was made for this item
CPT C1820/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27786/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 differ, so no cross-line comparison was made for this item
CPT C1821/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27788/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 differ, so no cross-line comparison was made for this item
CPT C1823/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27808/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 differ, so no cross-line comparison was made for this item
CPT C1830/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27810/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 differ, so no cross-line comparison was made for this item
CPT C1831/b
info
mrf_item_fields_vary
this code and setting cover at least 26 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27816/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 differ, so no cross-line comparison was made for this item
CPT C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 98 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27818/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 differ, so no cross-line comparison was made for this item
CPT C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 26 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27825/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 differ, so no cross-line comparison was made for this item
CPT C1877/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27840/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 differ, so no cross-line comparison was made for this item
CPT C1880/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 differ, so no cross-line comparison was made for this item
CPT 28190/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 differ, so no cross-line comparison was made for this item
CPT C1882/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 differ, so no cross-line comparison was made for this item
CPT 28400/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 differ, so no cross-line comparison was made for this item
CPT C1883/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 differ, so no cross-line comparison was made for this item
CPT 28405/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 differ, so no cross-line comparison was made for this item
CPT C1884/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 differ, so no cross-line comparison was made for this item
CPT 28430/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 differ, so no cross-line comparison was made for this item
CPT C1885/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 differ, so no cross-line comparison was made for this item
CPT 28450/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 differ, so no cross-line comparison was made for this item
CPT C1886/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28470/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 differ, so no cross-line comparison was made for this item
CPT C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 126 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28475/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 differ, so no cross-line comparison was made for this item
CPT C1888/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28490/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 differ, so no cross-line comparison was made for this item
CPT C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 124 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28495/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 differ, so no cross-line comparison was made for this item
CPT C1892/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28510/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 differ, so no cross-line comparison was made for this item
CPT C1893/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28515/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 differ, so no cross-line comparison was made for this item
CPT C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 145 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28530/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 differ, so no cross-line comparison was made for this item
CPT C1896/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28540/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 differ, so no cross-line comparison was made for this item
CPT C1897/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28570/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 differ, so no cross-line comparison was made for this item
CPT C1898/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28600/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 differ, so no cross-line comparison was made for this item
CPT C1900/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28630/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 differ, so no cross-line comparison was made for this item
CPT C2596/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28660/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 differ, so no cross-line comparison was made for this item
CPT C2616/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29105/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 differ, so no cross-line comparison was made for this item
CPT C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29125/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 differ, so no cross-line comparison was made for this item
CPT C2618/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29130/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 differ, so no cross-line comparison was made for this item
CPT C2621/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 differ, so no cross-line comparison was made for this item
CPT 29505/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 differ, so no cross-line comparison was made for this item
CPT C2623/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29515/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 differ, so no cross-line comparison was made for this item
CPT C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29700/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 differ, so no cross-line comparison was made for this item
CPT C2627/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 30300/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 differ, so no cross-line comparison was made for this item
CPT C2628/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 differ, so no cross-line comparison was made for this item
CPT 30901/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 differ, so no cross-line comparison was made for this item
CPT C2629/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 differ, so no cross-line comparison was made for this item
CPT 30903/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 differ, so no cross-line comparison was made for this item
CPT C2630/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 30905/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 differ, so no cross-line comparison was made for this item
CPT C2631/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 differ, so no cross-line comparison was made for this item
CPT 30906/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 differ, so no cross-line comparison was made for this item
CPT C2634/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 differ, so no cross-line comparison was made for this item
CPT 38205/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2639/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38207/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9254/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38208/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9804/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38209/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9808/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT E0747/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38212/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0151/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38214/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0152/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 40800/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 differ, so no cross-line comparison was made for this item
CPT G0153/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 40804/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 differ, so no cross-line comparison was made for this item
CPT G0257/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 41008/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 differ, so no cross-line comparison was made for this item
CPT G0279/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 41250/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 differ, so no cross-line comparison was made for this item
CPT G0283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 41800/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 differ, so no cross-line comparison was made for this item
CPT G0299/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46050/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 differ, so no cross-line comparison was made for this item

Showing the first 200 of 515 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 189
info
inp_charge_10x_payment
average charge $101,632 is 10.1× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $170,210 is 10.5× the total payment
MS-DRG 482
info
inp_charge_10x_payment
average charge $130,946 is 10.2× the total payment
MS-DRG 494
info
inp_charge_10x_payment
average charge $181,151 is 12.2× 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 · 75.6M bytes · fetched 2026-08-23 · sha256 5ba4397eaa16…

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.