Hospital · CCN 030043

Canyon Vista Medical Center

5700 East Highway 90, Sierra Vista, AZ 85635 · Cochise County
Part of Lifepoint Health · 74 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

26 admission types 38 outpatient services price file: ok
Billed per dollar paid, all admissions
3.93×
$46.6M billed against $11.9M paid across 805 Medicare discharges; the national figure is 5.03×.
5.5%
of adults in Cochise County have medical debt in collections
11.2%
uninsured in the county · state 12.7%
$53K
median household income
3.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
31.2%
obesity in the countyⓘ
13.7%
diagnosed diabetes (PLACES)
8.3%
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
157
$72,013
$19,756
3.6× st 5.0×
193
Simple pneumonia and pleurisy with mcc
84
$41,967
$13,315
3.2× st 5.1×
291
Heart failure and shock with mcc
69
$41,364
$12,955
3.2× st 5.2×
189
Pulmonary edema and respiratory failure
65
$40,110
$12,394
3.2× st 5.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
41
$48,855
$10,577
4.6× st 5.0×
177
Respiratory infections and inflammations with mcc
39
$51,044
$16,728
3.1× st 4.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
34
$138,180
$18,538
7.5× st 7.2×
069
Transient ischemia without thrombolytic
28
$35,999
$8,045
4.5× st 7.8×
481
Hip and femur procedures except major joint with cc
25
$118,953
$20,723
5.7× st 6.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
24
$35,943
$7,970
4.5× st 5.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
24
$32,852
$7,999
4.1× st 5.7×
683
Renal failure with cc
22
$36,183
$9,718
3.7× st 5.3×
682
Renal failure with mcc
19
$47,347
$14,938
3.2× st 4.8×
638
Diabetes with cc
16
$38,716
$9,143
4.2× st 5.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
16
$159,787
$46,300
3.5× st 4.8×
690
Kidney and urinary tract infections without mcc
15
$28,663
$8,111
3.5× st 5.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
15
$45,044
$13,905
3.2× st 5.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
15
$35,709
$10,022
3.6× st 6.6×
951
Other factors influencing health status
14
$24,245
$5,986
4.1× st 4.1×
280
Acute myocardial infarction, discharged alive with mcc
13
$61,279
$15,985
3.8× st 6.0×
312
Syncope and collapse
13
$29,521
$8,655
3.4× st 6.7×
378
Gastrointestinal hemorrhage with cc
12
$58,387
$10,023
5.8× st 6.2×
603
Cellulitis without mcc
12
$31,771
$8,930
3.6× st 4.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
11
$93,552
$17,858
5.2× st 7.9×
309
Cardiac arrhythmia and conduction disorders with cc
11
$33,401
$7,584
4.4× st 6.1×
480
Hip and femur procedures except major joint with mcc
11
$132,069
$29,472
4.5× st 5.9×
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
134
$21,936
$2,859
7.7×
5115
Level 5 Musculoskeletal Procedures
125
$140,707
$13,625
10.3×
5191
Level 1 Endovascular Procedures
85
$18,854
$3,409
5.5×
5183
Level 3 Vascular Procedures
69
$31,238
$3,329
9.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
65
$11,654
$1,693
6.9×
5375
Level 5 Urology and Related Services
45
$76,923
$5,404
14.2×
5361
Level 1 Laparoscopy and Related Services
44
$109,324
$6,026
18.1×
5114
Level 4 Musculoskeletal Procedures
43
$71,527
$7,471
9.6×
5376
Level 6 Urology and Related Services
36
$83,522
$9,171
9.1×
5374
Level 4 Urology and Related Services
30
$48,229
$3,641
13.2×
5193
Level 3 Endovascular Procedures
27
$86,302
$11,475
7.5×
5113
Level 3 Musculoskeletal Procedures
21
$42,432
$3,380
12.6×
5112
Level 2 Musculoskeletal Procedures
20
$24,182
$1,612
15.0×
5415
Level 5 Gynecologic Procedures
19
$66,847
$5,195
12.9×
5362
Level 2 Laparoscopy and Related Services
18
$175,681
$10,233
17.2×
5431
Level 1 Nerve Procedures
17
$21,048
$2,016
10.4×
5373
Level 3 Urology and Related Services
15
$33,046
$2,127
15.5×
5116
Level 6 Musculoskeletal Procedures
13
$130,738
$19,416
6.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
13
$56,941
$3,613
15.8×
5223
Level 3 Pacemaker and Similar Procedures
12
$67,873
$11,139
6.1×
5416
Level 6 Gynecologic Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5302
Level 2 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-wide, last updated 2026-07-18, template 3.0.0, 6,621 rows scanned, 3,292 distinct code–setting items kept. 219 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Nfct ds 22 trgt sars-cov-2
$391
—
$417
16
clean
Peripheral atherectomy brach trnk/branch ea vsl
$46,338
—
$12,789
16
clean
Insj/rplc cardiac modulj sys
$342,422
—
$36,156
8
clean
Prgrmg eval cardiac modulj
$198
—
$42
16
clean
Interro eval cardiac modulj
$198
—
$42
16
clean
Fna bx w/us gdn 1st les
$3,471
—
$793
8
clean
Fna bx w/us gdn ea addl
$3,606
—
—
0
clean
Fna bx 1st lesion
$2,920
—
$793
16
clean
Fna bx w/ct gdn 1st les
$4,134
—
$793
8
clean
Ct bx fna ea add'l lesion
$975
—
—
0
clean
Fna bx w/mr gdn 1st les
$2,920
—
$793
16
clean
Fna bx w/mr gdn ea addl
$975
—
—
0
clean
Guide cathet fluid drainage
$4,949
—
$793
16
clean
Perq dev soft tiss 1st imag
$2,745
—
$793
16
clean
Perq dev soft tiss add imag
$2,059
—
—
0
clean
Drainage of skin abscess
$30,910
—
$224
8
clean
Drainage of skin abscess
$68,581
—
$451
8
clean
Drainage of pilonidal cyst
$1,262
—
$793
16
clean
Remove foreign body
$29,181
—
$451
8
clean
Remove foreign body
$32,255
—
$1,827
8
clean
Drainage of hematoma/fluid
$64,166
—
$1,827
8
clean
Puncture drainage of lesion
$2,920
—
$451
8
clean
Us guid punc/asp abscess/hematoma/cyst
$2,920
—
$451
8
clean
Debride infected skin
$2,240
—
$690
8
clean
Debride skin up to 10%
$2,240
—
$690
8
clean
Debride skin ea add 10%
$1,122
—
—
0
clean
Debride infected skin add-on
$1,122
—
—
0
clean
Deb skin bone at fx site
$40,478
—
$3,228
8
clean
Deb subq tissue 20 sq cm/<
$43,455
—
$451
8
clean
Deb musc/fascia 20 sq cm/<
$38,693
—
$690
8
clean
Deb bone 20 sq cm/<
$101,473
—
$1,827
8
clean
Deb subq tissue add-on
$1,285
—
—
0
clean
Excl debride--subq > 20 sq cm
$1,285
—
—
0
clean
Deb musc/fascia add-on
$1,285
—
—
0
clean
Deb bone add-on
$3,731
—
—
0
clean
Excl debride--bone > 20 sq cm
$3,731
—
—
0
clean
Paring benign lesion 1
$693
—
$224
8
clean
Trim skin lesion
$693
—
$224
8
clean
Trim skin lesions 2 to 4
$1,026
—
$224
8
clean
Paring benign lesion 2-4
$1,026
—
$224
8
clean
Trim skin lesions over 4
$1,026
—
$224
8
clean
Paring benign lesion >4
$1,026
—
$224
8
clean
Tangential bx of skin - single lesion
$891
—
$224
8
clean
Tangntl bx skin single les
$891
—
$224
8
clean
Tangntl bx skin ea sep/addl
$302
—
—
0
clean
Tangential bx of skin - ea add'l lesion
$302
—
—
0
clean
Punch bx skin single lesion
$891
—
$451
8
clean
Punch bx of skin - single lesion
$891
—
$451
8
clean
Punch bx of skin - ea add'l lesion
$302
—
—
0
clean
Punch bx skin ea sep/addl
$302
—
—
0
clean
Incal bx skn single les
$52,193
—
$690
8
clean
Incisional bx of skin - ea add'l lesion
$302
—
—
0
clean
Incal bx skn ea sep/addl
$302
—
—
0
clean
Removal of skin tags <w/15
$1,394
—
$224
8
clean
Removal of skin tags any area up to 15 lesions
$1,394
—
$224
8
clean
Exc tr-ext b9+marg 0.5 cm<
$35,550
—
$793
8
clean
Exc tr-ext b9+marg 1.1-2 cm
$35,376
—
$793
8
clean
Exc tr-ext b9+marg 2.1-3cm
$48,350
—
$793
8
clean
Exc tr-ext b9+marg 2.1-3cm
$31,224
—
$793
8
clean
Exc tr-ext b9+marg 3.1-4 cm
$37,060
—
$1,827
8
clean
Exc tr-ext b9+marg >4.0 cm
$68,221
—
$1,827
16
clean
Exc h-f-nk-sp b9+marg 0.5/<
$38,386
—
$1,827
8
clean
Exc h-f-nk-sp b9+marg 1.1-2
$57,896
—
$1,827
8
clean
Exc h-f-nk-sp b9+marg 3.1-4
$40,681
—
$1,827
8
clean
Exc h-f-nk-sp b9+marg >4 cm
$47,615
—
$3,228
8
clean
Exc face-mm b9+marg 1.1-2 cm
$21,320
—
$793
8
clean
Removal sweat gland lesion
$46,474
—
$3,228
16
clean
Removal sweat gland lesion
$35,009
—
$3,228
8
clean
Exc tr-ext mal+marg 0.5 cm/<
$39,651
—
$793
8
clean
Exc tr-ext mal+marg 2.1-3 cm
$58,334
—
$793
8
clean
Exc tr-ext mal+marg >4 cm
$53,806
—
$1,827
8
clean
Exc s/n/h/f/g mal+mrg >4 cm
$75,451
—
$3,228
8
clean
Trim nail(s) any number
$367
—
$67
8
clean
Trim nondystrophic nails
$367
—
$67
8
clean
Debride nail; 1 - 5
$367
—
$67
8
clean
Debride nail 1-5
$367
—
$67
8
clean
Debride nail 6 or more
$367
—
$67
8
clean
Debride nail > 5
$367
—
$67
8
clean
Avulsion of nail plate
$1,010
—
$224
16
clean
Avulsion of nail plate ea add
$803
—
—
0
clean
Drain blood from under nail
$696
—
$145
16
clean
Removal of nail bed
$13,285
—
$451
8
clean
Removal of nail bed
$58,933
—
$451
16
clean
Repair nail bed
$4,602
—
$690
16
clean
Excision of nail fold toe
$778
—
$451
16
clean
Remove pilonidal cyst simple
$36,241
—
$3,228
8
clean
Remove pilonidal cyst compl
$42,225
—
$3,228
8
clean
Insert drug implant device
$93,344
—
$145
8
clean
Remove drug implant device
$28,923
—
$450
8
clean
Up to 2.5 tk sc ey er
$877
—
$224
8
clean
Rpr s/n/ax/gen/trnk 2.5cm/<
$877
—
$224
8
clean
2.5-7.5 tk scp ext er
$389
—
$224
8
clean
Rpr s/n/ax/gen/trnk2.6-7.5cm
$389
—
$224
8
clean
Rpr s/n/ax/gen/trk7.6-12.5cm
$487
—
$224
8
clean
7.6-12.5 tk scp tk er
$487
—
$224
8
clean
Rpr s/n/a/gen/trk12.6-20.0cm
$652
—
$451
8
clean
12.6cm to 20. cm ex er
$652
—
$451
8
clean
20.1-30 trk scp ex er
$790
—
$451
8
clean
Rpr s/n/a/gen/trk20.1-30.0cm
$790
—
$451
8
clean
Rpr s/n/ax/gen/trnk >30.0 cm
$1,395
—
$224
8
clean
Simple repair scalp/neck/ax/genit/trunk >30cm
$1,395
—
$224
8
clean
Rpr f/e/e/n/l/m 2.5 cm/<
$1,132
—
$224
8
clean
To 2.5 fc er muc mb er
$1,132
—
$224
8
clean
2.6 fc er muc mb er
$1,291
—
$224
8
clean
Rpr f/e/e/n/l/m 2.6-5.0 cm
$1,291
—
$224
8
clean
Rpr f/e/e/n/l/m 5.1-7.5 cm
$1,539
—
$224
8
clean
5.1-7.5 fc er mb er
$1,539
—
$224
8
clean
Rpr f/e/e/n/l/m 7.6-12.5 cm
$1,935
—
$224
8
clean
7.6-12.5 fc er mmb er
$1,935
—
$224
8
clean
12.6-20 fc er mmb er
$2,339
—
$451
16
clean
20.1-30 fc ers mmb er
$2,747
—
$451
16
clean
Closure of split wound
$57,010
—
$690
8
clean
Closure of split wound
$57,010
—
$690
8
clean
Closure of split wound
$1,379
—
$451
16
clean
Intmd rpr s/a/t/ext 2.5 cm/<
$1,501
—
$451
8
clean
0.25 lyr scp trun er
$1,501
—
$451
8
clean
Intmd rpr s/a/t/ext 2.6-7.5
$34,579
—
$451
8
clean
Intmd rpr s/tr/ext 7.6-12.5
$75,715
—
$451
8
clean
12.6-20 lyr scp tr er
$1,584
—
$451
8
clean
Intmd rpr s/a/t/ext 12.6-20
$1,584
—
$451
8
clean
Intmd rpr s/a/t/ext 20.1-30
$1,833
—
$690
8
clean
20.1-30 lyr s t ex er
$1,833
—
$690
8
clean
0-2.5 lyr nk hd ft er
$1,026
—
$451
16
clean
Intmd rpr n-hf/genit2.6-7.5
$50,577
—
$451
8
clean
7.6-12.5 lyr n h f er
$1,406
—
$690
16
clean
12.6-20.0 lyr nhf er
$1,780
—
$690
16
clean
20.1-30 lyr n h f er
$2,217
—
$690
16
clean
0-2.5 lyr fac mmb er
$1,125
—
$451
16
clean
2.6-5 lyr fac mb er
$1,331
—
$451
16
clean
5.1-7.5 lyr fac mb er
$1,421
—
$451
16
clean
7.6-12.5 lyr fc mb er
$1,874
—
$451
16
clean
12.6-20 lyr f mmb er
$1,965
—
$451
16
clean
20.1-30 lyr f mmb er
$2,452
—
$451
16
clean
Cmplx rpr s/a/l 1.1-2.5 cm
$1,450
—
$690
8
clean
Rpr scalp/arms/legs 1.1-2.5cm
$1,450
—
$690
8
clean
Rpr complex scalp/arms/legs er
$1,758
—
$690
8
clean
Cmplx rpr s/a/l 2.6-7.5 cm
$1,758
—
$690
8
clean
Cmplx rpr s/a/l addl 5 cm/>
$509
—
—
0
clean
Repair complex arm/leg/scalp
$509
—
—
0
clean
Cmplx rpr f/c/c/m/n/ax/g/h/f
$973
—
$451
16
clean
Cmplx rpr f/c/c/m/n/ax/g/h/f
$36,844
—
$690
8
clean
Cmplx rpr f/c/c/m/n/ax/g/h/f
$1,889
—
—
0
clean
1.1-2.5cm complx repair lip er
$1,334
—
$690
16
clean
Cmplx rpr e/n/e/l 2.6-7.5 cm
$1,965
—
$690
16
clean
Skin splt grft trnk/arm/leg
$12,459
—
$2,063
16
clean
Epidermal tr/arm/leg 1st 100
$2,334
—
$2,063
16
clean
Epidermal hands/feet 1st 100
$7,621
—
$2,063
16
clean
Skn splt a-grft fac/nck/hf/g
$12,459
—
$4,129
16
clean
Skin sub graft trnk/arm/leg
$12,518
—
$2,063
8
clean
Skin sub graft t/a/l add-on
$6,351
—
—
0
clean
Skin sub grft t/arm/lg child
$13,922
—
$4,129
16
clean
Skn sub grft t/a/l child add
$10,382
—
—
0
clean
Skin sub graft face/nk/hf/g
$26,705
—
$2,063
8
clean
Hnd/ft/digits ea add 25 sqcm
$6,351
—
—
0
clean
Hnd/ft/digits >=100sqcm-100sqc
$7,997
—
$2,063
16
clean
Hnd/ft/digits ea add 100 sqcm
$6,351
—
—
0
clean
Acellular derm matrix implt
$302,765
—
—
0
clean
Removal sutr/stapl xreq anes
$409
—
—
0
clean
Removal sutr&stapl xreq anes
$409
—
—
0
clean
1st degree burn er
$387
—
$224
16
clean
Dress/debrid p-thick burn s
$834
—
$224
8
clean
Burn debride prtl thick < 5%
$834
—
$224
8
clean
Dress/debrid p-thick burn m
$834
—
$224
8
clean
Burn debride prtl thick 5-10%
$834
—
$224
8
clean
Burn debride prtl thick > 10%
$1,612
—
$451
8
clean
Dress/debrid p-thick burn l
$1,612
—
$451
8
clean
Chem caut of granltj tissue
$1,026
—
$224
16
clean
Drainage of breast lesion
$2,126
—
$793
16
clean
Drain breast lesion add-on
$718
—
—
0
clean
Ct breast absc drainage deep
$4,017
—
$1,827
16
clean
Inj proc mamm ductogm/galactgm
$395
—
—
0
clean
Bx breast 1st lesion strtctc
$14,779
—
$1,827
8
clean
Bx breast add lesion strtctc
$863
—
—
0
clean
Bx breast 1st lesion us imag
$7,930
—
$1,827
24
clean
Bx breast add lesion us imag
$863
—
—
0
clean
Bx breast 1st lesion mr imag
$7,014
—
$1,827
8
clean
Bx breast add lesion mr imag
$863
—
—
0
clean
Bx breast percut w/o image
$30,917
—
$1,827
16
clean
Biopsy of breast open
$45,035
—
$4,318
32
clean
Nipple exploration
$38,482
—
$4,318
8
clean
Removal of breast lesion
$33,044
—
$4,318
32
clean
Excision breast lesion
$42,234
—
$4,318
16
clean
Ma perq device breast 1st
$11,350
—
$1,827
16
clean
Ma perq device breast ea add
$4,362
—
—
0
clean
Perq dev breast 1st strtctc
$88,642
—
$793
8
clean
Perq dev breast add strtctc
$523
—
—
0
clean
Perq dev breast 1st us imag
$1,467
—
$793
16
clean
Perq dev breast add us imag
$449
—
—
0
clean
Mri perq device breast 1st
$3,076
—
$793
16
clean
Mri perq dvc breast ea add
$673
—
—
0
clean
Removal of breast tissue
$77,247
—
$4,318
16
clean
Partial mastectomy
$60,143
—
$4,318
32
clean
P-mastectomy w/ln removal
$46,755
—
$7,354
16
clean
Mast simple complete
$141,496
—
$7,354
24
clean
Mast simple complete
$125,749
—
$7,354
8
clean
Mast mod rad
$302,765
—
$7,354
8
clean
Mast mod rad
$122,544
—
$7,354
16
clean
Breast reconstruction
$302,765
—
$19,620
16
clean
Explore wound extremity
$41,930
—
$1,827
16
clean
Muscle biopsy
$43,322
—
$1,827
8
clean

Showing the first 200 of 3,292 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 0202U/b
warn
mrf_negotiated_above_gross
highest negotiated rate $438 exceeds the gross charge $391
CPT 31610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,005 exceeds the gross charge $4,017
CPT 31622/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,042 exceeds the gross charge $1,996
CPT 31623/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,042 exceeds the gross charge $1,996
CPT 31624/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,042 exceeds the gross charge $1,996
CPT 31645/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,042 exceeds the gross charge $1,996
CPT 32400/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,919 exceeds the gross charge $1,550
CPT 43752/b
warn
mrf_negotiated_above_gross
highest negotiated rate $472 exceeds the gross charge $349
CPT 43752/o
warn
mrf_negotiated_above_gross
highest negotiated rate $472 exceeds the gross charge $349
CPT 45307/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,247 exceeds the gross charge $401
CPT 45317/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,396 exceeds the gross charge $1,308
CPT 47531/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,179 exceeds the gross charge $3,512
CPT 47556/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12,328 exceeds the gross charge $4,766
CPT 49084/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,110 exceeds the gross charge $619
CPT 59300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,765 exceeds the gross charge $3,222
CPT 60300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $833 exceeds the gross charge $398
CPT 64420/b
warn
mrf_negotiated_above_gross
highest negotiated rate $820 exceeds the gross charge $578
CPT 71045/b
warn
mrf_negotiated_above_gross
highest negotiated rate $998 exceeds the gross charge $678
CPT 71046/b
warn
mrf_negotiated_above_gross
highest negotiated rate $998 exceeds the gross charge $757
CPT 78456/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,546 exceeds the gross charge $1,392
CPT 81206/b
warn
mrf_negotiated_above_gross
highest negotiated rate $172 exceeds the gross charge $85
CPT 81207/b
warn
mrf_negotiated_above_gross
highest negotiated rate $152 exceeds the gross charge $85
CPT 81220/b
warn
mrf_negotiated_above_gross
highest negotiated rate $584 exceeds the gross charge $240
CPT 81229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,218 exceeds the gross charge $1,122
CPT 81374/b
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $55
CPT 81405/b
warn
mrf_negotiated_above_gross
highest negotiated rate $316 exceeds the gross charge $42
CPT 86885/b
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $85
CPT 86890/b
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $194
CPT 86900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $146
CPT 86902/b
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $356
CPT 86905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $356
CPT 87637/b
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $90
CPT 87811/b
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $29
CPT 88172/b
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $57
CPT 88309/b
warn
mrf_negotiated_above_gross
highest negotiated rate $967 exceeds the gross charge $879
CPT 88313/b
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $139
CPT 88333/b
warn
mrf_negotiated_above_gross
highest negotiated rate $967 exceeds the gross charge $71
CPT 88344/b
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $337
CPT 88346/b
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $164
CPT 88360/b
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $130
CPT 88361/b
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $411
CPT 88365/b
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $197
CPT 88367/b
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $214
CPT 88374/b
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $173
CPT 94669/b
warn
mrf_negotiated_above_gross
highest negotiated rate $241 exceeds the gross charge $170
CPT 94762/b
warn
mrf_negotiated_above_gross
highest negotiated rate $998 exceeds the gross charge $407
CPT 95824/b
warn
mrf_negotiated_above_gross
highest negotiated rate $628 exceeds the gross charge $516
CPT G0416/b
warn
mrf_negotiated_above_gross
highest negotiated rate $426 exceeds the gross charge $273
CPT J0401/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $0
CPT J1162/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,217 exceeds the gross charge $1,751
CPT J1410/b
warn
mrf_negotiated_above_gross
highest negotiated rate $402 exceeds the gross charge $198
CPT J1670/b
warn
mrf_negotiated_above_gross
highest negotiated rate $605 exceeds the gross charge $238
CPT J2315/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $0
CPT J2690/b
warn
mrf_negotiated_above_gross
highest negotiated rate $299 exceeds the gross charge $170
CPT J2760/b
warn
mrf_negotiated_above_gross
highest negotiated rate $472 exceeds the gross charge $198
MS-DRG 082/i
warn
mrf_negotiated_above_gross
highest negotiated rate $28,995 exceeds the gross charge $28,087
MS-DRG 101/i
warn
mrf_negotiated_above_gross
highest negotiated rate $17,376 exceeds the gross charge $10,039
MS-DRG 207/i
warn
mrf_negotiated_above_gross
highest negotiated rate $89,640 exceeds the gross charge $80,788
MS-DRG 228/i
warn
mrf_negotiated_above_gross
highest negotiated rate $101,842 exceeds the gross charge $49,291
MS-DRG 233/i
warn
mrf_negotiated_above_gross
highest negotiated rate $107,621 exceeds the gross charge $79,322
MS-DRG 234/i
warn
mrf_negotiated_above_gross
highest negotiated rate $84,589 exceeds the gross charge $50,665
MS-DRG 542/i
warn
mrf_negotiated_above_gross
highest negotiated rate $28,960 exceeds the gross charge $23,491
MS-DRG 564/i
warn
mrf_negotiated_above_gross
highest negotiated rate $28,960 exceeds the gross charge $20,658
MS-DRG 581/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,162 exceeds the gross charge $13,420
MS-DRG 614/i
warn
mrf_negotiated_above_gross
highest negotiated rate $42,768 exceeds the gross charge $4,484
MS-DRG 626/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,213 exceeds the gross charge $13,967
MS-DRG 640/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,168 exceeds the gross charge $14,622
MS-DRG 789/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,757 exceeds the gross charge $15,656
MS-DRG 790/i
warn
mrf_negotiated_above_gross
highest negotiated rate $91,579 exceeds the gross charge $77,926
MS-DRG 792/i
warn
mrf_negotiated_above_gross
highest negotiated rate $14,088 exceeds the gross charge $11,673
MS-DRG 955/i
warn
mrf_negotiated_above_gross
highest negotiated rate $103,318 exceeds the gross charge $28,729
warn
mrf_rate_without_estimate
64,876 of 64,876 percentage/algorithm rates across 3,012 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 069/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $129,832; the same hospital's average submitted charge to Medicare for this DRG is $35,999 (3.6×)
CPT 11406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 11750/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 19083/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 19101/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 19120/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 19301/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 19303/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 19307/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 20550/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 20610/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 20680/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 21932/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 22903/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23130/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23405/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23440/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23472/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23474/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23515/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23615/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23655/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 23700/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 24073/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 24075/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 24340/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 24342/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 24685/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 25000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 25075/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 25290/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 25447/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 25607/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 25608/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 25609/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 26055/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 26123/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 26160/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 26615/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27130/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27337/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27340/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27385/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27422/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27447/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27524/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27570/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27635/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27650/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27659/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27695/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27698/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27759/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27792/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27814/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27822/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 27829/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28090/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28112/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28113/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28122/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28190/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28285/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28289/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28292/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28296/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28297/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28299/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28415/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28485/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28740/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 28750/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29580/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29581/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29806/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29807/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29822/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29823/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29824/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29825/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29826/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29827/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29828/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29848/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29862/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29873/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29877/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29880/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29881/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29882/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29883/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29888/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29891/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29897/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29898/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29914/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 29916/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 37238/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 37609/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 38220/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 38500/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 38525/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 38792/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 38900/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 49505/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 49650/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 49651/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 50080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 50081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 50543/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 50590/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 52005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 52282/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 52332/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 52352/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 52356/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 54840/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 55040/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 55530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 56440/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 58661/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 58662/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 58670/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 59151/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 64704/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 64721/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 92978/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

Showing the first 200 of 219 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 11.7M bytes · fetched 2026-08-26 · sha256 46dc75fc957c…

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.