Project Crossfoot
Hospital · CCN 030148

Northwest Medical Center Sahuarita

16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629 · Pima County
Part of Community Health Systems · 62 beds · 5
Secondary flow 30% to <50% to a urbanized area of 50,000 and greater

27 admission types 36 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
6.46×
$49.4M billed against $7.7M paid across 699 Medicare discharges; the national figure is 5.03×.
4.0%
of adults in Pima County have medical debt in collections
11.3%
uninsured in the county · state 12.7%
$70K
median household income
5.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (8 in the inpatient or outpatient file)ⓘ
31.1%
obesity in the countyⓘ
11.0%
diagnosed diabetes (PLACES)
6.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
117
$81,249
$15,250
5.3× st 5.0×
291
Heart failure and shock with mcc
70
$61,519
$10,260
6.0× st 5.2×
193
Simple pneumonia and pleurisy with mcc
65
$67,574
$10,998
6.1× st 5.1×
177
Respiratory infections and inflammations with mcc
64
$71,329
$13,193
5.4× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
36
$52,637
$6,694
7.9× st 5.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
34
$50,132
$8,551
5.9× st 5.0×
280
Acute myocardial infarction, discharged alive with mcc
27
$73,455
$11,598
6.3× st 6.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
24
$48,320
$6,520
7.4× st 5.7×
690
Kidney and urinary tract infections without mcc
23
$48,459
$6,723
7.2× st 5.0×
190
Chronic obstructive pulmonary disease with mcc
18
$62,848
$9,137
6.9× st 5.4×
689
Kidney and urinary tract infections with mcc
16
$61,667
$9,472
6.5× st 4.9×
683
Renal failure with cc
16
$46,458
$7,718
6.0× st 5.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$73,194
$8,264
8.9× st 6.6×
312
Syncope and collapse
16
$59,582
$7,063
8.4× st 6.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
14
$199,644
$17,633
11.3× st 7.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$38,573
$4,629
8.3× st 6.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
13
$131,815
$18,073
7.3× st 6.4×
281
Acute myocardial infarction, discharged alive with cc
13
$72,493
$8,531
8.5× st 7.3×
603
Cellulitis without mcc
12
$39,943
$6,861
5.8× st 4.3×
389
Gastrointestinal obstruction with cc
12
$51,061
$6,429
7.9× st 5.2×
698
Other kidney and urinary tract diagnoses with mcc
12
$65,992
$13,020
5.1× st 4.7×
194
Simple pneumonia and pleurisy with cc
12
$46,500
$6,665
7.0× st 5.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
11
$82,782
$10,922
7.6× st 4.8×
178
Respiratory infections and inflammations with cc
11
$57,173
$7,718
7.4× st 5.3×
308
Cardiac arrhythmia and conduction disorders with mcc
11
$52,586
$9,642
5.5× st 5.8×
638
Diabetes with cc
11
$46,095
$8,290
5.6× st 5.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$251,667
$26,737
9.4× st 7.5×
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
8011
Comprehensive Observation Services
236
$39,954
$2,636
15.2×
5115
Level 5 Musculoskeletal Procedures
62
$124,230
$12,634
9.8×
5113
Level 3 Musculoskeletal Procedures
55
$40,755
$3,111
13.1×
5361
Level 1 Laparoscopy and Related Services
43
$71,779
$5,538
13.0×
5302
Level 2 Upper GI Procedures
41
$19,242
$1,781
10.8×
5372
Level 2 Urology and Related Services
40
$9,908
$666
14.9×
5114
Level 4 Musculoskeletal Procedures
39
$77,672
$6,836
11.4×
5374
Level 4 Urology and Related Services
33
$34,881
$3,317
10.5×
5464
Level 4 Neurostimulator and Related Procedures
30
$103,021
$21,277
4.8×
5116
Level 6 Musculoskeletal Procedures
29
$136,587
$18,131
7.5×
5191
Level 1 Endovascular Procedures
27
$45,563
$3,183
14.3×
5373
Level 3 Urology and Related Services
24
$23,387
$1,986
11.8×
5375
Level 5 Urology and Related Services
23
$48,344
$5,046
9.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
22
$72,412
$3,251
22.3×
5362
Level 2 Laparoscopy and Related Services
20
$138,750
$10,029
13.8×
5112
Level 2 Musculoskeletal Procedures
18
$26,977
$1,568
17.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
15
$20,268
$1,581
12.8×
5462
Level 2 Neurostimulator and Related Procedures
11
$46,346
$6,669
6.9×
5183
Level 3 Vascular Procedures
11
$57,279
$3,108
18.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
11
$40,522
$2,771
14.6×
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular 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, 41,939 rows scanned, 3,249 distinct code–setting items kept. 1,513 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
BONE SRGRY CMPTR CT/MRI IMAG
CPT 0055T
$135,355
$24,364
$7,960
25
clean
COVID19 NFCT DS22TRG
CPT 0202U
$1,721
$310
$417
47
clean
IR-CATH FLUID DRAIN
CPT 10030
$5,192
$935
$757
220
clean
DRAINAGE OF SKIN ABSCESS
CPT 10060
$7,747
$1,395
$217
47
clean
DRAINAGE OF PILONIDAL CYST
CPT 10080
$4,669
$840
$756
47
clean
REMOVE FOREIGN BODY
CPT 10120
$5,333
$960
$434
47
clean
DRAINAGE OF HEMATOMA/FLUID
CPT 10140
$19,826
$3,569
$1,762
47
clean
PUNCTURE DRAINAGE OF LESION
CPT 10160
$3,678
$662
$434
47
clean
REMOVAL OF SKIN LESION
CPT 11403
$26,767
$4,818
$766
47
clean
REMOVAL OF SKIN LESION
CPT 11404
$71,930
$12,947
$1,821
47
clean
REMOVAL OF SKIN LESION
CPT 11406
$63,353
$11,404
$1,821
47
clean
REMOVAL OF SKIN LESION
CPT 11426
$75,331
$13,560
$3,141
47
clean
REMOVAL OF SKIN LESION
CPT 11604
$34,713
$6,248
$766
47
clean
REMOVAL OF NAIL PLATE
CPT 11730
$12,061
$2,171
$215
47
clean
DRAIN BLOOD FROM UNDER NAIL
CPT 11740
$4,644
$836
$142
47
clean
REMOVAL OF NAIL BED
CPT 11750
$5,482
$987
$440
47
clean
REPAIR OF NAIL BED
CPT 11760
$4,632
$834
$789
47
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12001
$6,915
$1,245
$217
47
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12002
$7,512
$1,352
$217
47
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12004
$8,885
$1,599
$217
47
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12005
$4,294
$773
$435
47
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12006
$6,798
$1,224
$435
47
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12011
$10,911
$1,964
$217
47
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12013
$14,975
$2,695
$217
47
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12014
$15,714
$2,829
$217
47
clean
REPAIR SUPERFICIAL WOUND(S)
CPT 12015
$3,567
$642
$217
47
clean
CLOSURE OF SPLIT WOUND
CPT 12021
$8,999
$1,620
$440
47
clean
LAYER CLOSURE OF WOUND(S)
CPT 12034
$19,154
$3,448
$440
47
clean
LAYER CLOSURE OF WOUND(S)
CPT 12041
$5,523
$994
$434
47
clean
LAYER CLOSURE OF WOUND(S)
CPT 12042
$4,996
$899
$434
47
clean
LAYER CLOSURE OF WOUND(S)
CPT 12051
$2,647
$476
$434
47
clean
LAYER CLOSURE OF WOUND(S)
CPT 12052
$20,265
$3,648
$434
47
clean
REPAIR OF WOUND OR LESION
CPT 13121
$12,829
$2,309
$440
47
clean
REPAIR WOUND/LESION ADD-ON
CPT 13122
$12,829
$2,309
$1,527
25
clean
REPAIR OF WOUND OR LESION
CPT 13132
$21,951
$3,951
$440
47
clean
REPAIR OF WOUND OR LESION
CPT 13152
$3,111
$560
$792
47
clean
SKIN SUB GRAFT FACE/NK/HF/G
CPT 15275
$45,093
$8,117
$1,231
45
clean
RMV SUTURE OR STAPLE
CPT 15853
$60
$11
$18
50
clean
RMV SUTURE AND STAPL
CPT 15854
$90
$16
$27
50
clean
INITIAL TREATMENT OF BURN(S)
CPT 16000
$7,840
$1,411
$215
47
clean
TREATMENT OF BURN(S)
CPT 16020
$8,320
$1,498
$217
47
clean
TREATMENT OF BURN(S)
CPT 16025
$2,921
$526
$217
47
clean
TREATMENT OF BURN(S)
CPT 16030
$6,093
$1,097
$435
47
clean
REMOVAL OF BREAST LESION
CPT 19120
$19,983
$3,597
$4,178
47
clean
NJX 1/MLT TRIGGER POINT 1/2
CPT 20552
$13,421
$2,416
$328
47
clean
NDL WO INJ 1 2 M PT
CPT 20560
$40
$7
$31
45
clean
NDL WO INJ 3PL M PT
CPT 20561
$45
$8
$31
45
clean
S-JOINT ASP-INJ SM
CPT 20600
$1,931
$348
$331
141
clean
US-DRN INJ SMAL JT W
CPT 20604
$4,435
$798
$328
47
clean
S-JOINT ASP-INJ IM
CPT 20605
$1,931
$348
$331
141
clean
US-DRN INJ INTM JT W
CPT 20606
$4,593
$827
$753
47
clean
DRAIN/INJECT, JOINT/BURSA
CPT 20610
$16,099
$2,898
$332
47
clean
US-DRN INJ MAJR JT W
CPT 20611
$5,670
$1,021
$328
47
clean
REMOVAL OF SUPPORT IMPLANT
CPT 20680
$56,889
$10,240
$3,141
47
clean
RESET DISLOCATED JAW
CPT 21480
$15,537
$2,797
$267
47
clean
DRAIN NECK/CHEST LESION
CPT 21501
$25,599
$4,608
$3,111
47
clean
EXC NECK LES SC 3 CM/>
CPT 21552
$29,323
$5,278
$3,111
47
clean
EXC NECK TUM DEEP 5 CM/>
CPT 21554
$87,768
$15,798
$3,141
47
clean
EXC BACK LES SC 3 CM/>
CPT 21931
$79,054
$14,230
$1,821
47
clean
EXC ABD LES SC < 3 CM
CPT 22902
$48,716
$8,769
$1,821
47
clean
EXC ABD LES SC 3 CM/>
CPT 22903
$48,716
$8,769
$3,141
47
clean
EXC SHOULDER TUM DEEP 5 CM/>
CPT 23073
$143,589
$25,846
$3,141
47
clean
S-INJ SHOULDER ARTH
CPT 23350
$1,931
$348
$371
50
clean
INCISION OF TENDON & MUSCLE
CPT 23405
$117,316
$21,117
$7,619
47
clean
REPAIR BICEPS TENDON
CPT 23430
$85,868
$15,456
$7,619
47
clean
RECONSTRUCT SHOULDER JOINT
CPT 23472
$126,665
$22,800
$18,371
45
clean
TREAT SHOULDER BLADE FX
CPT 23575
$9,623
$1,732
$1,716
47
clean
TREAT HUMERUS FRACTURE
CPT 23615
$83,020
$14,944
$13,461
45
clean
TREAT SHOULDER DISLOCATION
CPT 23650
$17,773
$3,199
$267
47
clean
TREAT SHOULDER DISLOCATION
CPT 23655
$30,420
$5,476
$1,739
47
clean
EXC ARM/ELBOW LES SC 3 CM/>
CPT 24071
$47,117
$8,481
$3,111
47
clean
S-INJ ELBOW ARTHRO
CPT 24220
$1,931
$348
$382
25
clean
REPAIR ARM TENDON/MUSCLE
CPT 24341
$47,433
$8,538
$7,619
47
clean
REPAIR OF RUPTURED TENDON
CPT 24342
$82,127
$14,783
$7,619
47
clean
REPR ELBOW LAT LIGMNT W/TISS
CPT 24343
$109,952
$19,791
$3,539
47
clean
REPAIR ELBOW W/DEB OPEN
CPT 24358
$39,891
$7,180
$3,504
47
clean
RECONSTRUCT HEAD OF RADIUS
CPT 24366
$109,952
$19,791
$13,461
45
clean
TREAT HUMERUS FRACTURE
CPT 24579
$93,836
$16,890
$13,461
45
clean
TREAT ELBOW DISLOCATION
CPT 24600
$11,224
$2,020
$267
47
clean
TREAT ELBOW FRACTURE
CPT 24620
$25,479
$4,586
$1,739
47
clean
TREAT ELBOW DISLOCATION
CPT 24640
$4,933
$888
$267
47
clean
TREAT ULNAR FRACTURE
CPT 24685
$81,776
$14,720
$7,619
45
clean
INCISION OF TENDON SHEATH
CPT 25000
$28,026
$5,045
$1,739
47
clean
S-INJ WRIST ARTHRO
CPT 25246
$1,931
$348
$382
25
clean
REPAIR WRIST JOINT(S)
CPT 25447
$65,132
$11,724
$3,607
47
clean
TREAT FRACTURE RADIUS & ULNA
CPT 25565
$8,525
$1,534
$1,716
47
clean
TREAT FRACTURE RADIUS/ULNA
CPT 25605
$15,960
$2,873
$1,716
47
clean
OPTX DST RD XARTC FX/EPI SEP
CPT 25607
$84,216
$15,159
$7,619
45
clean
OPTX DST RD XART FX/EP SEP3+
CPT 25609
$76,057
$13,690
$7,619
45
clean
DRAINAGE OF FINGER ABSCESS
CPT 26010
$6,875
$1,237
$217
47
clean
INCISE FINGER TENDON SHEATH
CPT 26055
$24,815
$4,467
$1,739
47
clean
REMOVE TENDON SHEATH LESION
CPT 26160
$35,148
$6,327
$1,739
47
clean
REMOVAL OF IMPLANT FROM HAND
CPT 26320
$30,758
$5,536
$1,786
47
clean
TREAT METACARPAL FRACTURE
CPT 26605
$8,510
$1,532
$267
47
clean
TREAT FINGER FRACTURE, EACH
CPT 26725
$4,356
$784
$267
47
clean
TREAT FINGER FRACTURE, EACH
CPT 26755
$5,459
$983
$267
47
clean
TREAT FINGER DISLOCATION
CPT 26770
$14,781
$2,661
$267
47
clean
TREAT FINGER DISLOCATION
CPT 26775
$5,031
$906
$302
47
clean
REMOVE FEMUR LESION/BURSA
CPT 27062
$99,678
$17,942
$3,607
47
clean
S-INJ HIP ARTHRO
CPT 27093
$2,520
$454
$454
50
clean
TOTAL HIP REPLACEMENT
CPT 27130
$120,861
$21,755
$13,700
45
clean
TREAT HIP DISLOCATION
CPT 27265
$26,444
$4,760
$267
47
clean
TREAT HIP DISLOCATION
CPT 27266
$15,878
$2,858
$1,739
47
clean
PELVIS/HIP JOINT SURGERY
CPT 27299
$80,034
$14,406
$272
47
clean
INCISE THIGH TENDON & FASCIA
CPT 27305
$99,678
$17,942
$3,526
47
clean
S-INJ KNEE ARTHRO
CPT 27369
$1,806
$325
$362
25
clean
REPAIR OF KNEECAP TENDON
CPT 27380
$44,206
$7,957
$7,619
47
clean
REPAIR OF THIGH MUSCLE
CPT 27385
$75,881
$13,659
$7,619
47
clean
REVISION OF UNSTABLE KNEECAP
CPT 27422
$73,074
$13,153
$7,619
47
clean
LATERAL RETINACULAR RELEASE
CPT 27425
$75,569
$13,602
$3,607
47
clean
RECONSTRUCTION, KNEE
CPT 27427
$107,067
$19,272
$7,619
45
clean
REVISION OF KNEE JOINT
CPT 27446
$112,010
$20,162
$13,461
45
clean
TOTAL KNEE REPLACEMENT
CPT 27447
$123,750
$22,275
$13,700
45
clean
REVISE/REPLACE KNEE JOINT
CPT 27486
$103,385
$18,609
$13,461
47
clean
TREAT KNEECAP FRACTURE
CPT 27524
$93,881
$16,899
$7,619
47
clean
REPAIR ACHILLES TENDON
CPT 27650
$82,181
$14,793
$7,619
45
clean
REVISION OF LOWER LEG TENDON
CPT 27685
$69,021
$12,424
$3,539
47
clean
TREATMENT OF ANKLE FRACTURE
CPT 27814
$156,422
$28,156
$7,619
45
clean
TREATMENT OF ANKLE FRACTURE
CPT 27822
$13,018
$2,343
$7,619
45
clean
INCISION OF TOE TENDON
CPT 28010
$48,952
$8,811
$1,773
47
clean
EXC FOOT/TOE TUM SC 1.5 CM/>
CPT 28039
$36,719
$6,609
$3,111
47
clean
PARTIAL REMOVAL, FOOT FASCIA
CPT 28060
$23,237
$4,183
$3,491
47
clean
REMOVAL OF FOOT LESION
CPT 28080
$35,662
$6,419
$1,739
47
clean
REMOVAL OF HEEL BONE
CPT 28118
$80,706
$14,527
$3,580
47
clean
PARTIAL REMOVAL OF FOOT BONE
CPT 28122
$40,904
$7,363
$3,504
47
clean
PARTIAL REMOVAL OF TOE
CPT 28124
$27,755
$4,996
$3,504
47
clean
PARTIAL REMOVAL OF TOE
CPT 28160
$34,941
$6,289
$3,504
47
clean
REPAIR OF FOOT TENDON
CPT 28200
$59,366
$10,686
$3,526
47
clean
REPAIR/GRAFT OF FOOT TENDON
CPT 28202
$91,339
$16,441
$7,619
45
clean
INCISION OF TOE TENDON
CPT 28232
$31,121
$5,602
$1,739
47
clean
RELEASE OF FOOT CONTRACTURE
CPT 28270
$53,863
$9,695
$3,526
47
clean
REPAIR OF HAMMERTOE
CPT 28285
$64,007
$11,521
$3,526
47
clean
REPAIR HALLUX RIGIDUS
CPT 28289
$45,663
$8,219
$3,504
47
clean
CORRECTION OF BUNION
CPT 28296
$70,434
$12,678
$3,539
47
clean
CORRECTION OF BUNION
CPT 28299
$78,303
$14,095
$7,619
45
clean
INCISION OF METATARSAL
CPT 28308
$77,251
$13,905
$3,526
47
clean
TREAT METATARSAL FRACTURE
CPT 28485
$62,157
$11,188
$7,619
45
clean
TREAT BIG TOE FRACTURE
CPT 28505
$63,751
$11,475
$3,526
47
clean
TREATMENT OF TOE FRACTURE
CPT 28515
$11,848
$2,133
$267
47
clean
FUSION OF BIG TOE JOINT
CPT 28750
$99,897
$17,981
$7,619
45
clean
AMPUTATION OF TOE
CPT 28820
$34,899
$6,282
$3,504
47
clean
PARTIAL AMPUTATION OF TOE
CPT 28825
$32,986
$5,937
$3,504
47
clean
FOOT/TOES SURGERY PROCEDURE
CPT 28899
$152,064
$27,372
$4,728
47
clean
CST AP LNGARM SH OT
CPT 29065
$1,392
$251
$298
564
clean
CSTAP SHRT ARMEF OT
CPT 29075
$1,392
$251
$298
564
clean
CAST AP GAUNTLET OT
CPT 29085
$1,533
$276
$175
564
clean
SPLNT LNG ARM S-H OT
CPT 29105
$933
$168
$173
611
clean
SPLT SHRT ARM ST OT
CPT 29125
$776
$140
$142
611
clean
SPLN SHRT ARM DY OT
CPT 29126
$647
$116
$142
564
clean
SPLNT FNGR STATC OT
CPT 29130
$776
$140
$142
611
clean
SPLNT FINGR DYNA OT
CPT 29131
$776
$140
$64
564
clean
STRAPPING THORAX PT
CPT 29200
$642
$116
$173
564
clean
STRAPPING SHOULD PT
CPT 29240
$626
$113
$142
940
clean
STRPNG ELBO-WRST PT
CPT 29260
$720
$130
$64
940
clean
STRPPNG HND-FING PT
CPT 29280
$626
$113
$64
940
clean
APPLICATION, LONG LEG SPLINT
CPT 29505
$7,261
$1,307
$176
47
clean
APPLICATION LOWER LEG SPLINT
CPT 29515
$7,584
$1,365
$176
47
clean
STRAPPING HIP PT
CPT 29520
$407
$73
$142
564
clean
STRAPPING KNEE PT
CPT 29530
$621
$112
$142
564
clean
STRPPNG ANKLE-FT PT
CPT 29540
$642
$116
$173
564
clean
MUL-LY COM LWRLG PT
CPT 29581
$642
$116
$173
752
clean
MUL-LY COM AM-HD PT
CPT 29584
$641
$115
$173
564
clean
SHO ARTHRS SRG CAPSULORRAPHY
CPT 29806
$85,374
$15,367
$7,619
47
clean
SHO ARTHRS SRG RPR SLAP LES
CPT 29807
$90,346
$16,262
$7,619
47
clean
SHOULDER ARTHROSCOPY/SURGERY
CPT 29822
$82,485
$14,847
$3,491
47
clean
SHOULDER ARTHROSCOPY/SURGERY
CPT 29823
$70,392
$12,671
$3,491
47
clean
SHO ARTHRS SRG DSTL CLAVICLC
CPT 29824
$82,749
$14,895
$3,526
47
clean
SHOULDER ARTHROSCOPY/SURGERY
CPT 29825
$39,451
$7,101
$3,491
47
clean
SHOULDER ARTHROSCOPY/SURGERY
CPT 29826
$79,706
$14,347
$2,068
25
clean
SHO ARTHRS SRG RT8TR CUF RPR
CPT 29827
$83,261
$14,987
$7,619
47
clean
SHO ARTHRS SRG BICP TENODSIS
CPT 29828
$57,804
$10,405
$7,743
47
clean
ELBOW ARTHROSCOPY/SURGERY
CPT 29838
$72,219
$12,999
$3,491
47
clean
ARTHRS KNEE SURG W/LAT RLS
CPT 29873
$43,195
$7,775
$3,491
47
clean
KNEE ARTHROSCOPY/SURGERY
CPT 29875
$28,913
$5,204
$3,491
47
clean
KNEE ARTHROSCOPY/SURGERY
CPT 29876
$40,799
$7,344
$3,491
47
clean
KNEE ARTHROSCOPY/SURGERY
CPT 29877
$38,616
$6,951
$3,491
47
clean
KNEE ARTHROSCOPY/SURGERY
CPT 29880
$39,906
$7,183
$3,491
47
clean
KNEE ARTHROSCOPY/SURGERY
CPT 29881
$39,973
$7,195
$3,539
47
clean
KNEE ARTHROSCOPY/SURGERY
CPT 29882
$34,192
$6,155
$3,491
47
clean
KNEE ARTHROSCOPY/SURGERY
CPT 29883
$71,968
$12,954
$3,491
47
clean
KNEE ARTHROSCOPY/SURGERY
CPT 29884
$44,101
$7,938
$3,491
47
clean
KNEE ARTHROSCOPY/SURGERY
CPT 29888
$104,617
$18,831
$7,619
45
clean
HIP ARTHRO W/LABRAL REPAIR
CPT 29916
$109,504
$19,711
$7,743
47
clean
UNLISTED PX ARTHROSCOPY
CPT 29999
$55,887
$10,060
$272
47
clean
REMOVE NASAL FOREIGN BODY
CPT 30300
$3,065
$552
$144
47
clean
CONTROL OF NOSEBLEED
CPT 30901
$6,781
$1,221
$144
47
clean
CONTROL OF NOSEBLEED
CPT 30905
$6,153
$1,108
$144
47
clean
NASAL SURGERY PROCEDURE
CPT 30999
$5,117
$921
$256
47
clean
INSERT EMERGENCY AIRWAY
CPT 31500
$42,879
$7,718
$261
47
clean
DIAGNOSTIC LARYNGOSCOPY
CPT 31575
$34,335
$6,180
$220
47
clean
SUCTION PROC-NASOTRA
CPT 31720
$1,931
$348
$234
94
clean
INSERT PLEURAL CATH
CPT 32550
$30,177
$5,432
$3,821
47
clean
INSERTION OF CHEST TUBE
CPT 32551
$32,712
$5,888
$1,686
47
clean
ASPIRATE PLEURA W/O IMAGING
CPT 32554
$32,230
$5,801
$678
47
clean
S-THORACNTSIS W IMG
CPT 32555
$6,690
$1,204
$674
176
clean
INSERT CATH PLEURA W/O IMAGE
CPT 32556
$37,630
$6,773
$2,048
47
clean
IR-THORCNT W TUB IMG
CPT 32557
$7,833
$1,410
$1,680
176
clean
CC-PERICARDIO W/IMG
CPT 33016
$7,242
$1,304
$1,680
47
clean
P-IMPLNT LOOP REC
CPT 33285
$53,517
$9,633
$8,689
45
clean
P-REMOV LOOP REC
CPT 33286
$7,982
$1,437
$766
47
clean

Showing the first 200 of 3,249 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 51600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT 51610/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT 23350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT 51705/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,930
CPT 56405/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,312
CPT 93463/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,975 exceeds the gross charge $1,213
CPT 56420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,477
CPT 93563/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,975 exceeds the gross charge $2,210
CPT 24220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT 93566/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,975 exceeds the gross charge $1,931
CPT 59020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,933 exceeds the gross charge $1,571
CPT 93567/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,975 exceeds the gross charge $2,398
CPT 93568/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,975 exceeds the gross charge $1,931
CPT 75809/o
warn
mrf_negotiated_above_gross
highest negotiated rate $385 exceeds the gross charge $335
CPT 60100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,941
CPT 24640/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,933
CPT 62272/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $2,709
CPT J7100/o
warn
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $61
CPT 25246/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT J7185/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $2
CPT J7189/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5 exceeds the gross charge $4
CPT 26010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $6,875
CPT 64400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,434
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,406 exceeds the gross charge $10,524
CPT J7194/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $2
CPT 93668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,170 exceeds the gross charge $292
CPT J7197/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $6
CPT 26725/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,356
CPT J7504/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,085 exceeds the gross charge $9,401
CPT 26755/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,459
CPT 65205/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,310
CPT 26775/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,031
CPT 65222/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $6,925
CPT 69200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,875
CPT 27093/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,520
CPT 69209/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,448
CPT 69210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,210
CPT 27369/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,806
CPT 27822/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,712 exceeds the gross charge $13,018
CPT 94760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $382 exceeds the gross charge $213
CPT 94781/o
warn
mrf_negotiated_above_gross
highest negotiated rate $382 exceeds the gross charge $190
CPT C9363/o
warn
mrf_negotiated_above_gross
highest negotiated rate $252 exceeds the gross charge $128
CPT L0120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $14
CPT L0150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $38 exceeds the gross charge $20
CPT L0172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $325 exceeds the gross charge $171
CPT L0174/o
warn
mrf_negotiated_above_gross
highest negotiated rate $800 exceeds the gross charge $561
CPT L0625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $51 exceeds the gross charge $27
CPT L1930/o
warn
mrf_negotiated_above_gross
highest negotiated rate $156 exceeds the gross charge $82
CPT 77300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,170 exceeds the gross charge $745
CPT L3650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $108 exceeds the gross charge $57
CPT 95800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,463 exceeds the gross charge $1,031
CPT L3670/o
warn
mrf_negotiated_above_gross
highest negotiated rate $322 exceeds the gross charge $298
CPT 78012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,634 exceeds the gross charge $1,739
CPT L8501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $281 exceeds the gross charge $243
CPT 95801/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,463 exceeds the gross charge $1,031
CPT 95806/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,463 exceeds the gross charge $1,031
CPT G0277/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,109 exceeds the gross charge $1,021
CPT 78195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,528 exceeds the gross charge $2,280
CPT G0378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,155 exceeds the gross charge $348
CPT G0399/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,463 exceeds the gross charge $1,074
CPT 95938/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,741 exceeds the gross charge $1,679
CPT 95982/o
warn
mrf_negotiated_above_gross
highest negotiated rate $353 exceeds the gross charge $180
CPT 71271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,055 exceeds the gross charge $673
CPT 78451/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8,557 exceeds the gross charge $7,134
CPT 96360/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $1,213
CPT J0206/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $5
CPT 96361/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $606
CPT 96365/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $1,213
CPT J0256/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $8
CPT 96366/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $589
CPT Q4101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $252 exceeds the gross charge $144
CPT 96367/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $630
CPT Q4102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $252 exceeds the gross charge $60
CPT 96368/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $517
CPT 96372/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $682
CPT Q4117/o
warn
mrf_negotiated_above_gross
highest negotiated rate $252 exceeds the gross charge $114
CPT 96374/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $914
CPT 96375/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $555
CPT 30300/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,065
CPT Q4128/o
warn
mrf_negotiated_above_gross
highest negotiated rate $252 exceeds the gross charge $88
CPT 96376/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $555
CPT J0597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $144 exceeds the gross charge $116
CPT 30901/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $6,781
CPT 96401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $934 exceeds the gross charge $747
CPT 30905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $6,153
CPT Q4151/o
warn
mrf_negotiated_above_gross
highest negotiated rate $252 exceeds the gross charge $137
CPT 96402/o
warn
mrf_negotiated_above_gross
highest negotiated rate $934 exceeds the gross charge $747
CPT 30999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,117
CPT 96409/o
warn
mrf_negotiated_above_gross
highest negotiated rate $934 exceeds the gross charge $914
CPT 96411/o
warn
mrf_negotiated_above_gross
highest negotiated rate $934 exceeds the gross charge $627
CPT Q4166/o
warn
mrf_negotiated_above_gross
highest negotiated rate $252 exceeds the gross charge $40
CPT 31720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,102 exceeds the gross charge $1,931
CPT 96415/o
warn
mrf_negotiated_above_gross
highest negotiated rate $934 exceeds the gross charge $520
CPT 96417/o
warn
mrf_negotiated_above_gross
highest negotiated rate $934 exceeds the gross charge $627
CPT 96523/o
warn
mrf_negotiated_above_gross
highest negotiated rate $934 exceeds the gross charge $533
CPT 33016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $7,242
CPT 97010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $251
CPT 97018/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $239
CPT 35206/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,959
CPT 36002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,571
CPT 97034/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $99
CPT T5999/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $763
CPT 97110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $219
CPT 97112/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $245
CPT 97113/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $274
CPT J0841/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9,358 exceeds the gross charge $1,958
CPT 97116/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $228
CPT 97140/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $232
CPT 97530/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $245
CPT 97533/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $195
CPT 36589/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,715
CPT 97537/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $193
CPT 36590/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $7,101
CPT 10060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $7,747
CPT 36593/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,283
CPT 10080/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,669
CPT 36597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,211
CPT 10120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,333
CPT 36598/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT 97750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $213
CPT 10160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,678
CPT 97760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $300 exceeds the gross charge $279
CPT J1561/o
warn
mrf_negotiated_above_gross
highest negotiated rate $93 exceeds the gross charge $86
CPT 37195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $1,045
CPT 90376/o
warn
mrf_negotiated_above_gross
highest negotiated rate $670 exceeds the gross charge $617
CPT 11740/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,644
CPT 41800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,300
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $997
CPT 11750/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,482
CPT 41899/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,761
CPT 99282/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $1,577
CPT 11760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,632
CPT 42180/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,289
CPT 99283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $2,448
CPT 12001/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $6,915
CPT 12002/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $7,512
CPT 99292/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,500 exceeds the gross charge $2,651
CPT 12005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,294
CPT 99406/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $172
CPT 12006/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $6,798
CPT 99407/o
warn
mrf_negotiated_above_gross
highest negotiated rate $175 exceeds the gross charge $172
CPT 90912/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $184
CPT 43762/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $7,096
CPT 90913/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $102
CPT 12015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,567
CPT 91010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,374
CPT A9500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $743 exceeds the gross charge $214
CPT A9503/o
warn
mrf_negotiated_above_gross
highest negotiated rate $106 exceeds the gross charge $89
CPT 91034/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,374
CPT A9512/o
warn
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $3
CPT 12041/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $5,523
CPT A9516/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $125
CPT 91035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,540
CPT 12042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,996
CPT 91037/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,374
CPT A9537/o
warn
mrf_negotiated_above_gross
highest negotiated rate $187 exceeds the gross charge $144
CPT 12051/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,646
CPT A9541/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,240 exceeds the gross charge $291
CPT 91038/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,374
CPT 91040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,789
CPT A9558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $505 exceeds the gross charge $392
CPT 13152/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,111
CPT 46040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $6,270
CPT A9562/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,309 exceeds the gross charge $1,282
CPT 91125/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,047
CPT 15853/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $60
CPT 46083/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $4,954
CPT 15854/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,591 exceeds the gross charge $90
CPT 92508/o
warn
mrf_negotiated_above_gross
highest negotiated rate $241 exceeds the gross charge $183
CPT J2406/o
warn
mrf_negotiated_above_gross
highest negotiated rate $82 exceeds the gross charge $65
CPT 47000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $6,449
CPT 16025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $2,921
CPT 16030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $6,093
CPT 74190/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,987 exceeds the gross charge $1,884
CPT 49400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT 20560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $40
CPT 49424/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT 20561/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $45
CPT 50684/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT 50690/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $1,931
CPT 51040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,691
CPT 51102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,960 exceeds the gross charge $3,998
CPT 93356/o
warn
mrf_negotiated_above_gross
highest negotiated rate $820 exceeds the gross charge $615
warn
mrf_rate_without_estimate
1,532 of 1,532 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 21931/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 75571/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 93451/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 C1767/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 J2997/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 22902/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 75572/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 93453/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 C1768/o
info
mrf_item_fields_vary
this code and setting cover at least 8 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 J3010/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 22903/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 51701/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 75574/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 93454/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 C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 14 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 J3095/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

Showing the first 200 of 1,513 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 322
info
inp_charge_10x_payment
average charge $199,644 is 11.3× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    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. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    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. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    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. Northwest Medical Center Sahuarita — standard charges file · AZ · updated 2026-04-01
    · csv-wide · 386.0M bytes · fetched 2026-08-26 · sha256 3abef938bd4a…

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.