Hospital · CCN 030101

Western Arizona Regional Medical Center

2735 Silver Creek Road, Bullhead City, AZ 86442 · Mohave County
Part of Community Health Systems · 93 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

31 admission types 40 outpatient services price file: ok 25 Medicare-file findings
Billed per dollar paid, all admissions
13.40×
$124.5M billed against $9.3M paid across 782 Medicare discharges; the national figure is 5.03×.
3.5%
of adults in Mohave County have medical debt in collections
14.1%
uninsured in the county · state 12.7%
$56K
median household income
8.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 in the inpatient or outpatient file)ⓘ
32.7%
obesity in the countyⓘ
14.2%
diagnosed diabetes (PLACES)
10.0%
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
104
$156,592
$14,659
10.7× st 5.0×
193
Simple pneumonia and pleurisy with mcc
64
$108,556
$9,963
10.9× st 5.1×
291
Heart failure and shock with mcc
64
$108,758
$10,189
10.7× st 5.2×
190
Chronic obstructive pulmonary disease with mcc
46
$99,959
$8,503
11.8× st 5.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
32
$285,273
$14,260
20.0× st 7.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
28
$411,347
$16,364
25.1× st 7.9×
177
Respiratory infections and inflammations with mcc
28
$117,338
$13,005
9.0× st 4.8×
280
Acute myocardial infarction, discharged alive with mcc
25
$175,343
$11,968
14.7× st 6.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
24
$190,071
$8,542
22.3× st 7.5×
377
Gastrointestinal hemorrhage with mcc
23
$153,710
$13,483
11.4× st 5.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
21
$416,939
$23,144
18.0× st 7.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
21
$83,808
$6,032
13.9× st 5.9×
378
Gastrointestinal hemorrhage with cc
21
$112,380
$7,541
14.9× st 6.2×
683
Renal failure with cc
20
$87,968
$6,812
12.9× st 5.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
20
$219,149
$16,148
13.6× st 5.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$156,554
$9,809
16.0× st 4.9×
039
Extracranial procedures without cc/mcc
18
$181,841
$8,690
20.9× st 8.4×
690
Kidney and urinary tract infections without mcc
17
$85,730
$6,192
13.8× st 5.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$66,350
$5,957
11.1× st 5.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
16
$345,969
$37,734
9.2× st 4.8×
309
Cardiac arrhythmia and conduction disorders with cc
16
$70,862
$5,706
12.4× st 6.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
16
$265,282
$17,149
15.5× st 6.4×
281
Acute myocardial infarction, discharged alive with cc
15
$120,421
$12,718
9.5× st 7.3×
682
Renal failure with mcc
15
$100,170
$11,292
8.9× st 4.8×
308
Cardiac arrhythmia and conduction disorders with mcc
15
$88,734
$9,211
9.6× st 5.8×
069
Transient ischemia without thrombolytic
14
$92,594
$6,494
14.3× st 7.8×
689
Kidney and urinary tract infections with mcc
14
$75,467
$8,867
8.5× st 4.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
13
$109,133
$7,767
14.1× st 6.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
13
$79,409
$7,892
10.1× st 5.0×
481
Hip and femur procedures except major joint with cc
13
$241,746
$16,794
14.4× st 6.7×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$179,484
$10,159
17.7× st 5.5×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5191
Level 1 Endovascular Procedures
85
$113,049
$3,156
35.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
50
$23,375
$1,581
14.8×
5115
Level 5 Musculoskeletal Procedures
40
$202,508
$12,814
15.8×
5183
Level 3 Vascular Procedures
34
$67,086
$3,108
21.6×
5373
Level 3 Urology and Related Services
32
$51,362
$1,986
25.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
32
$86,160
$3,206
26.9×
5431
Level 1 Nerve Procedures
31
$42,096
$1,883
22.4×
5374
Level 4 Urology and Related Services
26
$60,335
$3,295
18.3×
5112
Level 2 Musculoskeletal Procedures
21
$28,435
$1,567
18.1×
5361
Level 1 Laparoscopy and Related Services
20
$91,293
$5,626
16.2×
8011
Comprehensive Observation Services
17
$50,027
$2,544
19.7×
5113
Level 3 Musculoskeletal Procedures
17
$69,302
$3,156
22.0×
5223
Level 3 Pacemaker and Similar Procedures
16
$186,236
$10,403
17.9×
5193
Level 3 Endovascular Procedures
16
$238,576
$10,717
22.3×
5114
Level 4 Musculoskeletal Procedures
15
$153,978
$6,976
22.1×
5192
Level 2 Endovascular Procedures
14
$162,018
$5,573
29.1×
5182
Level 2 Vascular Procedures
12
$28,562
$1,562
18.3×
5116
Level 6 Musculoskeletal Procedures
12
$218,355
$16,756
13.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
11
$64,003
$2,771
23.1×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5164
Level 4 ENT 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 2026-04-01, template 3.0.0, 12,127 rows scanned, 2,539 distinct code–setting items kept. 1,204 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
BONE SRGRY CMPTR CT/MRI IMAG
$218,800
$26,256
$54,700
30
clean
FNA BX W/CT GDN 1ST LES
$25,261
$3,031
$836
49
clean
CT-CATH FLUID DRAIN
$5,846
$702
$836
49
clean
DRAINAGE OF SKIN ABSCESS
$7,272
$873
$237
49
clean
DRAINAGE OF SKIN ABSCESS
$7,891
$947
$480
49
clean
DRAINAGE OF PILONIDAL CYST
$7,664
$920
$836
49
clean
DRAINAGE OF PILONIDAL CYST
$8,466
$1,016
$836
49
clean
REMOVE FOREIGN BODY
$8,692
$1,043
$480
49
clean
DRAINAGE OF HEMATOMA/FLUID
$138,409
$16,609
$1,950
49
clean
PUNCTURE DRAINAGE OF LESION
$9,932
$1,192
$480
49
clean
DEBRIDE SKIN/TISSUE
$6,058
$727
$480
49
clean
DEBRIDE TISSUE/MUSCLE
$7,635
$916
$873
49
clean
DEBRIDE TISSUE/MUSCLE/BONE
$15,007
$1,801
$1,950
49
clean
DBRDMT SUBQ TISS EACH ADDL
$11,517
$1,382
$3,455
31
clean
DBRDMT MUSC&/FSCA EA ADDL
$10,668
$1,280
$3,200
31
clean
DBRDMT BONE EACH ADDL
$69,851
$8,382
$13,970
31
clean
TRIM SKIN LESION
$5,749
$690
$237
49
clean
TRIM SKIN LESIONS, 2 TO 4
$4,510
$541
$237
49
clean
TRIM SKIN LESIONS, OVER 4
$3,865
$464
$237
49
clean
PUNCH BX SKIN SINGLE LESION
$5,208
$625
$480
49
clean
PUNCH BX SKIN EA SEP/ADDL
$3,195
$383
$799
32
clean
INCAL BX SKN SINGLE LES
$39,364
$4,724
$873
49
clean
REMOVAL OF SKIN TAGS
$57,935
$6,952
$287
49
clean
REMOVAL OF SKIN LESION
$36,724
$4,407
$581
49
clean
REMOVAL OF SKIN LESION
$53,839
$6,461
$1,012
49
clean
REMOVAL OF SKIN LESION
$71,847
$8,622
$1,012
49
clean
REMOVAL OF SKIN LESION
$46,006
$5,521
$1,950
49
clean
REMOVAL OF SKIN LESION
$51,151
$6,138
$2,359
49
clean
REMOVAL OF SKIN LESION
$69,720
$8,366
$1,950
49
clean
REMOVAL OF SKIN LESION
$45,231
$5,428
$1,950
49
clean
REMOVAL OF SKIN LESION
$50,345
$6,041
$1,950
49
clean
REMOVAL OF SKIN LESION
$44,100
$5,292
$2,359
49
clean
REMOVAL OF SKIN LESION
$50,742
$6,089
$3,430
49
clean
REMOVAL OF SKIN LESION
$51,562
$6,187
$1,012
49
clean
REMOVAL, SWEAT GLAND LESION
$56,734
$6,808
$3,430
49
clean
REMOVAL OF SKIN LESION
$66,030
$7,924
$581
49
clean
REMOVAL OF SKIN LESION
$72,030
$8,644
$1,012
49
clean
REMOVAL OF SKIN LESION
$68,927
$8,271
$2,359
49
clean
TRIM NAIL(S)
$5,759
$691
$70
49
clean
DEBRIDE NAIL, 1-5
$4,316
$518
$70
49
clean
DEBRIDE NAIL, 6 OR MORE
$3,374
$405
$70
49
clean
REMOVAL OF NAIL PLATE
$9,704
$1,164
$237
49
clean
DRAIN BLOOD FROM UNDER NAIL
$8,199
$984
$157
49
clean
REMOVAL OF PILONIDAL LESION
$76,178
$9,141
$3,430
49
clean
REPAIR SUPERFICIAL WOUND(S)
$8,960
$1,075
$237
49
clean
REPAIR SUPERFICIAL WOUND(S)
$14,720
$1,766
$237
49
clean
REPAIR SUPERFICIAL WOUND(S)
$16,986
$2,038
$237
49
clean
REPAIR SUPERFICIAL WOUND(S)
$25,451
$3,054
$480
49
clean
REPAIR SUPERFICIAL WOUND(S)
$44,374
$5,325
$480
49
clean
REPAIR SUPERFICIAL WOUND(S)
$14,102
$1,692
$237
49
clean
REPAIR SUPERFICIAL WOUND(S)
$20,849
$2,502
$237
49
clean
REPAIR SUPERFICIAL WOUND(S)
$26,470
$3,176
$237
49
clean
REPAIR SUPERFICIAL WOUND(S)
$20,375
$2,445
$237
49
clean
REPAIR SUPERFICIAL WOUND(S)
$69,326
$8,319
$480
49
clean
LAYER CLOSURE OF WOUND(S)
$64,966
$7,796
$581
49
clean
LAYER CLOSURE OF WOUND(S)
$56,205
$6,745
$581
49
clean
LAYER CLOSURE OF WOUND(S)
$54,256
$6,511
$581
49
clean
LAYER CLOSURE OF WOUND(S)
$9,247
$1,110
$480
49
clean
LAYER CLOSURE OF WOUND(S)
$47,421
$5,691
$581
49
clean
LAYER CLOSURE OF WOUND(S)
$51,562
$6,187
$581
49
clean
LAYER CLOSURE OF WOUND(S)
$10,817
$1,298
$480
49
clean
REPAIR OF WOUND OR LESION
$57,736
$6,928
$1,056
49
clean
REPAIR WOUND/LESION ADD-ON
$57,736
$6,928
$10,797
32
clean
REPAIR OF WOUND OR LESION
$26,450
$3,174
$527
49
clean
REPAIR WOUND/LESION ADD-ON
$26,450
$3,174
$5,614
32
clean
REPAIR OF WOUND OR LESION
$9,020
$1,082
$480
49
clean
REPAIR OF WOUND OR LESION
$53,455
$6,415
$581
49
clean
REPAIR WOUND/LESION ADD-ON
$53,455
$6,415
$9,996
32
clean
REPAIR OF WOUND OR LESION
$54,139
$6,497
$1,056
49
clean
SKIN TISSUE REARRANGEMENT
$77,482
$9,298
$2,577
49
clean
SKIN TISSUE REARRANGEMENT
$75,528
$9,063
$2,948
49
clean
SKIN TISSUE REARRANGEMENT
$47,357
$5,683
$2,948
49
clean
SKIN TISSUE REARRANGEMENT
$62,168
$7,460
$2,948
49
clean
SKIN TISSUE REARRANGEMENT
$48,918
$5,870
$2,577
49
clean
SKIN TISSUE REARRANGEMENT
$61,125
$7,335
$2,948
49
clean
WOUND PREP F/N/HF/G
$56,568
$6,788
$685
48
clean
DRM AGRFT F/S/N/H/F/G/M 1ST
$56,568
$6,788
$4,184
48
clean
SKIN SUB GRAFT TRNK/ARM/LEG
$56,876
$6,825
$1,694
46
clean
SKIN SUB GRAFT T/A/L ADD-ON
$122,032
$14,644
$24,406
31
clean
SKIN SUB GRAFT FACE/NK/HF/G
$29,518
$3,542
$1,694
46
clean
MUSCLE-SKIN GRAFT, TRUNK
$96,512
$11,581
$4,184
49
clean
REVISION OF UPPER EYELID
$51,425
$6,171
$2,948
49
clean
TREATMENT OF BURN(S)
$3,142
$377
$237
49
clean
CHEMICAL CAUTERY, TISSUE
$4,794
$575
$237
49
clean
SKIN TISSUE PROCEDURE
$5,249
$630
$237
47
clean
BX BREAST 1ST LESION US IMAG
$9,615
$1,154
$1,950
49
clean
BIOPSY OF BREAST
$57,452
$6,894
$4,623
49
clean
NIPPLE EXPLORATION
$60,439
$7,253
$4,623
49
clean
REMOVAL OF BREAST LESION
$61,412
$7,369
$4,623
49
clean
EXCISION, BREAST LESION
$74,128
$8,895
$4,623
49
clean
PERQ DEVICE BREAST 1ST IMAG
$85,345
$10,241
$1,950
47
clean
PARTIAL MASTECTOMY
$96,959
$11,635
$4,639
48
clean
P-MASTECTOMY W/LN REMOVAL
$142,977
$17,157
$7,841
48
clean
MAST MOD RAD
$150,149
$18,018
$7,841
48
clean
SURGERY OF BREAST CAPSULE
$169,814
$20,378
$4,623
49
clean
REMOVAL OF BREAST CAPSULE
$122,718
$14,726
$4,623
49
clean
BONE BIOPSY, TROCAR/NEEDLE
$33,329
$3,999
$1,950
49
clean
REMOVAL OF FOREIGN BODY
$3,080
$370
$1,857
49
clean
S-JOINT ASP-INJ SM
$1,316
$158
$362
98
clean
DRAIN/INJECT, JOINT/BURSA
$58,179
$6,982
$439
49
clean
DRAIN/INJECT, JOINT/BURSA
$3,780
$454
$362
49
clean
DRAIN/INJ JOINT/BURSA W/US
$3,059
$367
$362
49
clean
APPLY,REMOVE FIXATION DEVICE
$178,412
$21,409
$2,297
49
clean
REMOVAL OF SUPPORT IMPLANT
$119,786
$14,374
$3,430
49
clean
MNL PREP&INSJ IMED RX DEV
$190,618
$22,874
$38,124
31
clean
REMOVAL OF BONE FOR GRAFT
$224,460
$26,935
$8,568
49
clean
CPTR-ASST DIR MS PX
$198,350
$23,802
$37,092
32
clean
EXC FACE LES SBQ 2 CM/>
$92,281
$11,074
$2,655
48
clean
DRAIN NECK/CHEST LESION
$5,403
$648
$3,267
49
clean
BIOPSY OF NECK/CHEST
$19,354
$2,323
$1,950
49
clean
EXC NECK LES SC 3 CM/>
$56,099
$6,732
$3,748
48
clean
EXC NECK TUM DEEP 5 CM/>
$59,539
$7,145
$3,748
48
clean
REMOVE LESION, NECK/CHEST
$39,888
$4,787
$1,950
49
clean
REMOVE LESION, NECK/CHEST
$55,769
$6,692
$3,430
49
clean
EXC BACK LES SC 3 CM/>
$54,908
$6,589
$2,468
48
clean
EXC BACK TUM DEEP < 5 CM
$39,452
$4,734
$3,430
48
clean
EXC BACK TUM DEEP 5 CM/>
$58,790
$7,055
$3,748
48
clean
EXC ABD LES SC 3 CM/>
$46,763
$5,612
$3,430
48
clean
EXPLORATORY SHOULDER SURGERY
$79,422
$9,531
$3,864
49
clean
EXC SHOULDER LES SC 3 CM/>
$50,820
$6,098
$2,468
48
clean
EXC SHOULDER TUM DEEP 5 CM/>
$66,351
$7,962
$3,748
48
clean
REMOVAL OF SHOULDER LESION
$40,841
$4,901
$3,430
49
clean
PARTIAL REMOVAL, COLLAR BONE
$75,687
$9,083
$4,143
49
clean
S-INJ SHOULDER ARTH
$1,792
$215
$1,192
64
clean
REPAIR OF TENDON(S)
$82,467
$9,896
$8,568
49
clean
RECONSTRUCT SHOULDER JOINT
$256,617
$30,794
$20,656
47
clean
TREAT CLAVICLE FRACTURE
$201,698
$24,204
$8,568
47
clean
TREAT HUMERUS FRACTURE
$336,953
$40,434
$15,135
47
clean
TREAT SHOULDER DISLOCATION
$11,369
$1,364
$291
49
clean
TREAT SHOULDER DISLOCATION
$13,400
$1,608
$1,899
49
clean
TREAT SHOULDER DISLOCATION
$95,967
$11,516
$8,568
49
clean
EXC ARM/ELBOW LES SC 3 CM/>
$43,915
$5,270
$3,430
48
clean
EX ARM/ELBOW TUM DEEP 5 CM/>
$58,846
$7,062
$3,748
48
clean
REMOVAL OF ELBOW BURSA
$54,241
$6,509
$3,864
49
clean
REPAIR ARM TENDON/MUSCLE
$132,031
$15,844
$8,568
49
clean
REPAIR OF RUPTURED TENDON
$180,419
$21,650
$8,568
49
clean
TREAT ELBOW DISLOCATION
$9,389
$1,127
$317
49
clean
TREAT ELBOW DISLOCATION
$13,777
$1,653
$1,899
49
clean
TREAT ELBOW FRACTURE
$23,877
$2,865
$1,899
49
clean
TREAT ELBOW DISLOCATION
$4,567
$548
$291
49
clean
TREAT RADIUS FRACTURE
$9,069
$1,088
$1,899
49
clean
TREAT ULNAR FRACTURE
$19,584
$2,350
$1,899
49
clean
TREAT ULNAR FRACTURE
$216,724
$26,007
$8,568
47
clean
INCISION OF TENDON SHEATH
$53,835
$6,460
$2,297
49
clean
EXC FOREARM TUM DEEP 3 CM/>
$52,732
$6,328
$3,790
48
clean
REMOVE WRIST TENDON LESION
$38,679
$4,641
$1,899
49
clean
REMOVE WRIST TENDON LESION
$58,507
$7,021
$2,297
49
clean
EXCISE WRIST TENDON SHEATH
$38,678
$4,641
$1,899
49
clean
REPAIR RADIUS OR ULNA
$95,942
$11,513
$8,568
47
clean
REPAIR WRIST JOINT(S)
$139,538
$16,745
$4,143
49
clean
TREAT FRACTURE OF ULNA
$152,906
$18,349
$8,568
47
clean
TREAT FRACTURE RADIUS/ULNA
$20,474
$2,457
$1,899
49
clean
PERQ SKEL FIXJ DSTL RDL FX
$90,535
$10,864
$4,259
48
clean
OPTX DST RD XARTC FX/EPI SEP
$146,702
$17,604
$8,568
46
clean
OPTX DST RD XART FX/EPI SEP2
$114,675
$13,761
$8,568
46
clean
FUSE HAND BONES WITH GRAFT
$130,406
$15,649
$8,568
47
clean
DRAINAGE OF FINGER ABSCESS
$6,991
$839
$237
49
clean
INCISE FINGER TENDON SHEATH
$41,216
$4,946
$1,899
49
clean
EXPLORE/TREAT FINGER JOINT
$41,620
$4,994
$2,297
49
clean
EXC HAND LES SC 1.5 CM/>
$45,942
$5,513
$2,468
48
clean
REMOVAL OF HAND LESION
$35,907
$4,309
$1,950
49
clean
RELEASE PALM CONTRACTURE
$53,784
$6,454
$3,864
49
clean
REMOVE TENDON SHEATH LESION
$63,703
$7,644
$2,297
49
clean
REVISE KNUCKLE WITH IMPLANT
$105,460
$12,655
$8,568
47
clean
TREAT METACARPAL FRACTURE
$7,544
$905
$291
49
clean
TREAT METACARPAL FRACTURE
$147,099
$17,652
$3,864
49
clean
TREAT FINGER FRACTURE, EACH
$7,304
$876
$291
49
clean
TREAT FINGER FRACTURE, EACH
$9,020
$1,082
$291
49
clean
TREAT FINGER DISLOCATION
$6,236
$748
$291
49
clean
AMPUTATION OF FINGER/THUMB
$50,637
$6,076
$3,864
49
clean
EXC HIP/PELV TUM DEEP 5 CM/>
$60,965
$7,316
$3,790
48
clean
REMOVE HIP/PELVIS LESION
$58,630
$7,036
$3,430
49
clean
S-INJ HIP ARTHRO
$2,389
$287
$530
64
clean
TOTAL HIP REPLACEMENT
$197,319
$23,678
$15,135
47
clean
TREAT HIP DISLOCATION
$11,528
$1,383
$1,899
49
clean
TREAT HIP DISLOCATION
$15,893
$1,907
$352
49
clean
TREAT HIP DISLOCATION
$12,403
$1,488
$1,899
49
clean
ARTHRD SI JT PLMT IARTIC DEV
$166,345
$19,961
$20,656
46
clean
REMOVE KNEE JOINT LINING
$188,774
$22,653
$8,568
49
clean
EXC THIGH/KNEE LES SC 3 CM/>
$41,726
$5,007
$3,430
48
clean
REMOVAL OF KNEECAP BURSA
$50,880
$6,106
$3,864
49
clean
S-INJ KNEE ARTHRO
$1,792
$215
$717
64
clean
REPAIR OF THIGH MUSCLE
$102,751
$12,330
$8,568
49
clean
TOTAL KNEE REPLACEMENT
$208,102
$24,972
$15,135
47
clean
TREATMENT OF THIGH FRACTURE
$22,366
$2,684
$1,899
49
clean
TREATMENT OF THIGH FRACTURE
$17,404
$2,089
$1,899
49
clean
TREAT KNEECAP FRACTURE
$177,198
$21,264
$8,568
49
clean
TREAT KNEECAP DISLOCATION
$10,304
$1,236
$352
49
clean
REPAIR ACHILLES TENDON
$147,883
$17,746
$8,568
47
clean
REPAIR OF ANKLE LIGAMENT
$182,363
$21,884
$8,568
47
clean
REPAIR OF ANKLE LIGAMENT
$143,372
$17,205
$8,568
47
clean
TREATMENT OF TIBIA FRACTURE
$16,683
$2,002
$1,899
49
clean
TREATMENT OF TIBIA FRACTURE
$148,490
$17,819
$15,135
47
clean
TREATMENT OF ANKLE FRACTURE
$12,524
$1,503
$1,899
49
clean
TREATMENT OF FIBULA FRACTURE
$22,870
$2,744
$1,899
49
clean
TREATMENT OF ANKLE FRACTURE
$36,374
$4,365
$421
49
clean
TREATMENT OF ANKLE FRACTURE
$165,540
$19,865
$8,568
47
clean
TREATMENT OF ANKLE FRACTURE
$8,621
$1,034
$1,899
49
clean
TREATMENT OF ANKLE FRACTURE
$197,359
$23,683
$8,568
47
clean
TREATMENT OF ANKLE FRACTURE
$13,464
$1,616
$1,899
49
clean

Showing the first 200 of 2,539 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 88344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $971
CPT 88348/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,348 exceeds the gross charge $817
CPT 88361/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $775
CPT 88368/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $775
CPT J2440/o
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $25
CPT 20520/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,813 exceeds the gross charge $3,080
CPT J3101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $503 exceeds the gross charge $489
CPT 21501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,465 exceeds the gross charge $5,403
CPT 93503/o
warn
mrf_negotiated_above_gross
highest negotiated rate $17,919 exceeds the gross charge $10,107
CPT Q4102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $363 exceeds the gross charge $37
CPT Q4103/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $37
CPT 99465/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,926 exceeds the gross charge $1,820
CPT Q4104/o
warn
mrf_negotiated_above_gross
highest negotiated rate $363 exceeds the gross charge $101
CPT A9508/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,564 exceeds the gross charge $2,150
CPT Q4105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $363 exceeds the gross charge $101
CPT Q4108/o
warn
mrf_negotiated_above_gross
highest negotiated rate $363 exceeds the gross charge $160
CPT Q4110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $363 exceeds the gross charge $290
CPT G0379/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,198 exceeds the gross charge $1,823
CPT J0248/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19 exceeds the gross charge $10
CPT 29851/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,686 exceeds the gross charge $3,858
CPT J0841/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,249 exceeds the gross charge $2,964
CPT 81162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,653 exceeds the gross charge $4,279
CPT 86860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $497 exceeds the gross charge $392
CPT J1162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,899 exceeds the gross charge $6,635
CPT 86902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $469
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $913
CPT 86971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $497 exceeds the gross charge $388
CPT 87636/o
warn
mrf_negotiated_above_gross
highest negotiated rate $364 exceeds the gross charge $146
CPT 87811/o
warn
mrf_negotiated_above_gross
highest negotiated rate $47 exceeds the gross charge $0
CPT 88184/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,045 exceeds the gross charge $306
warn
mrf_rate_without_estimate
8,412 of 8,412 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT J1808/o
info
mrf_cash_under_tenth_of_gross
cash price $0 is 10% of the gross charge $0
CPT 12001/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 36140/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, max differ, so no cross-line comparison was made for this item
CPT 70542/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 88304/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 J1745/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12002/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 36200/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, max differ, so no cross-line comparison was made for this item
CPT 70543/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 88305/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 J1750/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12004/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 36222/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 70544/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 88307/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 J1790/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, min, max differ, so no cross-line comparison was made for this item
CPT 12005/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 36223/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 70547/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 88309/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 J1805/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12006/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 36225/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 70548/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 88312/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 12011/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 36226/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 70549/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 88313/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 J1836/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, max differ, so no cross-line comparison was made for this item
CPT 12013/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 36245/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, max differ, so no cross-line comparison was made for this item
CPT 70551/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 88331/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 J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12014/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 36246/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, max differ, so no cross-line comparison was made for this item
CPT 70553/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 88342/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 J1920/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, max differ, so no cross-line comparison was made for this item
CPT 12015/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 36247/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, max differ, so no cross-line comparison was made for this item
CPT 71045/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 J1938/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12016/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 36415/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, min, max differ, so no cross-line comparison was made for this item
CPT 71046/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 88344/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 J1939/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, max differ, so no cross-line comparison was made for this item
CPT 12031/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 36430/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71047/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 88346/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 J1953/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12032/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 36440/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 71100/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 J1956/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12034/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 36556/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71101/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 88348/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 J1980/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, min, max differ, so no cross-line comparison was made for this item
CPT 12041/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 36558/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 71110/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 88360/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 J2002/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, min, max differ, so no cross-line comparison was made for this item
CPT 12042/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 36561/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 71111/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 J2003/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, max differ, so no cross-line comparison was made for this item
CPT 12051/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 36569/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 71120/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 88361/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 J2004/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12053/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 36573/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 71130/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 J2020/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, max differ, so no cross-line comparison was made for this item
CPT 13101/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 36582/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 71250/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 88368/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 J2060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 13121/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 36584/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 71260/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 90371/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2175/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, min, max differ, so no cross-line comparison was made for this item
CPT 13131/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 36589/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71270/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 90375/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2184/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, min, max differ, so no cross-line comparison was made for this item
CPT 13132/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 36590/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71271/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 90377/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2185/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 13151/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 36591/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 71275/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 90471/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2210/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, min, max differ, so no cross-line comparison was made for this item
CPT 14000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36592/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71552/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 90632/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, min, max differ, so no cross-line comparison was made for this item
CPT J2212/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, min, max differ, so no cross-line comparison was made for this item
CPT 14001/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36598/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72020/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 90648/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, min, max differ, so no cross-line comparison was made for this item
CPT J2248/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, max differ, so no cross-line comparison was made for this item
CPT 14020/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 36600/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 72040/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 90656/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, min, max differ, so no cross-line comparison was made for this item
CPT J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14021/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 36821/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 72050/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 90662/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, min differ, so no cross-line comparison was made for this item
CPT J2260/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14040/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 36832/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 72052/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 90675/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2270/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14041/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 37191/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 72070/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 90707/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, min, max differ, so no cross-line comparison was made for this item
CPT J2274/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 15004/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 37193/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 72072/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 90714/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, max differ, so no cross-line comparison was made for this item
CPT J2305/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, max differ, so no cross-line comparison was made for this item
CPT 15135/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37236/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 72080/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 90715/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2312/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, max differ, so no cross-line comparison was made for this item
CPT 15271/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 37242/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 72081/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90743/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, min, max differ, so no cross-line comparison was made for this item
CPT J2323/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 15275/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 37248/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 72082/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90744/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, min, max differ, so no cross-line comparison was made for this item
CPT J2325/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, min, max differ, so no cross-line comparison was made for this item
CPT 15734/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 37765/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 72083/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90746/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, max differ, so no cross-line comparison was made for this item
CPT J2350/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 15823/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 37766/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 72084/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90935/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 J2354/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 16020/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 37785/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 72100/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

Showing the first 200 of 1,204 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 039
info
inp_charge_10x_payment
average charge $181,840 is 20.9× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $109,133 is 14.1× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $92,594 is 14.3× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $99,959 is 11.8× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $108,556 is 10.9× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $175,343 is 14.7× the total payment
MS-DRG 286
info
inp_charge_10x_payment
average charge $219,149 is 13.6× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $190,070 is 22.3× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $108,758 is 10.7× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $70,862 is 12.4× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $416,939 is 18.0× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $411,347 is 25.1× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $153,710 is 11.4× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $112,380 is 14.9× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $83,808 is 13.9× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $285,273 is 20.0× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $241,746 is 14.4× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $265,282 is 15.5× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $156,554 is 16.0× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $66,350 is 11.1× the total payment
MS-DRG 660
info
inp_charge_10x_payment
average charge $179,484 is 17.7× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $87,968 is 12.9× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $85,730 is 13.8× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $156,592 is 10.7× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $79,409 is 10.1× 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-wide · 162.0M bytes · fetched 2026-08-26 · sha256 3a8539939e94…

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.