Hospital · CCN 050150

Sierra Nevada Memorial Hospital

155 Glasson Way, Grass Valley, CA 95945 · Nevada County
Part of CommonSpirit Health · 104 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

40 admission types 27 outpatient services price file: ok
Billed per dollar paid, all admissions
5.62×
$110.4M billed against $19.6M paid across 1,290 Medicare discharges; the national figure is 5.03×.
—
of adults in Nevada County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
6.2%
uninsured in the county · state 7.5%
$87K
median household income
5.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
27.5%
obesity in the countyⓘ
11.5%
diagnosed diabetes (PLACES)
7.9%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
318
$99,589
$19,480
5.1× st 6.2×
291
Heart failure and shock with mcc
89
$75,041
$12,885
5.8× st 6.5×
189
Pulmonary edema and respiratory failure
74
$68,804
$12,485
5.5× st 6.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
61
$68,604
$10,364
6.6× st 6.1×
193
Simple pneumonia and pleurisy with mcc
55
$75,350
$13,206
5.7× st 6.9×
177
Respiratory infections and inflammations with mcc
42
$90,915
$16,350
5.6× st 6.6×
682
Renal failure with mcc
40
$83,375
$14,801
5.6× st 6.1×
698
Other kidney and urinary tract diagnoses with mcc
33
$83,736
$16,386
5.1× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
33
$78,276
$10,012
7.8× st 7.9×
481
Hip and femur procedures except major joint with cc
29
$122,749
$20,394
6.0× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
29
$181,487
$45,084
4.0× st 6.2×
689
Kidney and urinary tract infections with mcc
29
$71,933
$11,896
6.0× st 6.3×
683
Renal failure with cc
28
$60,207
$9,130
6.6× st 6.7×
690
Kidney and urinary tract infections without mcc
28
$48,381
$8,392
5.8× st 6.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
27
$48,810
$8,173
6.0× st 6.8×
309
Cardiac arrhythmia and conduction disorders with cc
22
$63,021
$7,671
8.2× st 7.2×
378
Gastrointestinal hemorrhage with cc
21
$65,344
$9,890
6.6× st 6.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
21
$123,762
$19,077
6.5× st 7.4×
389
Gastrointestinal obstruction with cc
20
$48,358
$8,336
5.8× st 6.9×
603
Cellulitis without mcc
20
$54,676
$9,151
6.0× st 5.9×
330
Major small and large bowel procedures with cc
18
$164,620
$22,829
7.2× st 6.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$75,000
$13,114
5.7× st 7.2×
377
Gastrointestinal hemorrhage with mcc
16
$95,096
$17,054
5.6× st 6.4×
280
Acute myocardial infarction, discharged alive with mcc
16
$75,899
$15,452
4.9× st 6.6×
917
Poisoning and toxic effects of drugs with mcc
16
$116,174
$16,302
7.1× st 6.2×
480
Hip and femur procedures except major joint with mcc
15
$149,948
$27,859
5.4× st 6.8×
312
Syncope and collapse
15
$67,160
$8,925
7.5× st 7.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
15
$84,493
$13,498
6.3× st 5.7×
951
Other factors influencing health status
14
$43,646
$6,099
7.2× st 6.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$50,066
$8,178
6.1× st 6.3×
308
Cardiac arrhythmia and conduction disorders with mcc
13
$65,487
$12,125
5.4× st 6.9×
638
Diabetes with cc
12
$59,520
$9,380
6.3× st 6.3×
390
Gastrointestinal obstruction without cc/mcc
12
$44,249
$5,935
7.5× st 7.0×
057
Degenerative nervous system disorders without mcc
12
$61,404
$12,700
4.8× st 5.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
12
$152,251
$21,091
7.2× st 6.9×
552
Medical back problems without mcc
11
$55,564
$9,697
5.7× st 7.5×
602
Cellulitis with mcc
11
$72,010
$13,391
5.4× st 5.7×
091
Other disorders of nervous system with mcc
11
$92,521
$17,830
5.2× st 6.0×
069
Transient ischemia without thrombolytic
11
$81,020
$8,259
9.8× st 9.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
11
$76,106
$13,054
5.8× st 6.5×
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
539
$41,154
$3,491
11.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
154
$9,258
$2,057
4.5×
5115
Level 5 Musculoskeletal Procedures
121
$71,068
$16,773
4.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
67
$12,848
$3,629
3.5×
5114
Level 4 Musculoskeletal Procedures
33
$37,974
$9,132
4.2×
5182
Level 2 Vascular Procedures
32
$40,990
$2,045
20.0×
5116
Level 6 Musculoskeletal Procedures
29
$85,411
$22,975
3.7×
5183
Level 3 Vascular Procedures
27
$22,631
$4,071
5.6×
5112
Level 2 Musculoskeletal Procedures
25
$8,939
$2,053
4.4×
5361
Level 1 Laparoscopy and Related Services
24
$31,226
$7,369
4.2×
5113
Level 3 Musculoskeletal Procedures
22
$28,180
$4,134
6.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
18
$17,788
$4,868
3.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
13
$25,570
$4,418
5.8×
5414
Level 4 Gynecologic Procedures
11
$27,486
$3,993
6.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
11
$32,223
$8,327
3.9×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-02-28, template 3.0.0, 24,849 rows scanned, 8,471 distinct code–setting items kept. 1,386 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RL-A-KEL GENO 3002001
$211
$115
$211
26
clean
RL-FN-FOUNDATIONONE CDX
$3,500
$1,908
$3,500
26
clean
BF RESP BACT/VIR 22 TRGTS
$775
$422
$500
26
clean
CP RESP VIRUS RNA 3 TRGTS
$190
$104
$171
13
clean
CP RESP VIRUS RNA 4 TRGTS
$190
$104
$171
13
clean
FNA BX W/O IMG GDN EA ADDL
—
—
$3,285
11
clean
FNA BX US GDE 1ST LESION
$1,439
$784
$1,095
33
clean
FNA BX US GDE EA ADD LES
$1,315
$717
$1,269
20
clean
FNA BX W/FLUOR GDN 1ST LES
—
—
$925
24
clean
FNA BX CT GDE 1ST LESION
$1,308
$713
$1,007
33
clean
FNA BX W/CT GDN EA ADDL
—
—
$3,285
11
clean
FNA BX W/MR GDN 1ST LES
—
—
$925
19
clean
FNA BX W/MR GDN EA ADDL
—
—
$5,279
6
clean
FNA BX WO IMAG 1ST LESION
$812
$443
$706
33
clean
IMAGE CATH FLUID SOFT TIS
$2,963
$1,615
$2,578
33
clean
PLC SOFT TISS LOC DEV 1ST
$1,475
$804
$1,171
66
clean
PLC SOFT TISS LOC DEV ADD
$1,699
$926
$1,640
20
clean
ACNE SURGERY
—
—
$261
24
clean
I AND D ABSCESS SIMPLE
$621
$338
$540
33
clean
I AND D ABSCESS COMPLEX
$623
$340
$542
33
clean
DRAINAGE OF PILONIDAL CYST
—
—
$925
24
clean
DRAINAGE OF PILONIDAL CYST
—
—
$925
24
clean
REMOVE FOREIGN BODY
—
—
$525
24
clean
REMOVE FOREIGN BODY
—
—
$2,129
24
clean
I D HEMATOMA/SEROMA/FLUID
$1,764
$961
$1,764
33
clean
ASP ABSC/HEMA/CYST/BULLA
$518
$282
$518
99
clean
I D WOUND POSTOP COMPLEX
$7,247
$3,950
$4,745
33
clean
DEBRIDE INFECTED SKIN
—
—
$804
24
clean
DEBRIDE INFECTED SKIN ADD-ON
—
—
$1,212
14
clean
DEBRIDE GENITALIA PERINEUM
—
—
$3,416
14
clean
DEBRIDE ABDOM WALL
—
—
$3,416
14
clean
DEBRIDE GENIT/PER/ABDOM WALL
—
—
$3,925
14
clean
REMOVE MESH FROM ABD WALL
—
—
$1,212
14
clean
DEBRIDE SKIN AT FX SITE
—
—
$925
24
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$1,040
24
clean
DEB SKIN BONE AT FX SITE
—
—
$3,761
24
clean
DEBR SUBQ TISS 1ST 20SQCM
$1,045
$570
$909
66
clean
DEBR MSCL/FASCIA 1ST 20CM
$2,197
$1,197
$1,039
66
clean
DEBR SUBQ/MUS/BONE 1ST 20
$3,155
$1,719
$2,745
66
clean
DEBR SUBQ TISS ADD 20SQCM
$775
$422
$748
40
clean
DEBR SUBQ/MSCL ADD 20SQCM
$840
$458
$811
40
clean
DEBR SUBQ/MUS/BONE ADD 20
$1,465
$798
$1,414
40
clean
TRIM SKIN LESION
—
—
$261
21
clean
TRIM SKIN LESIONS 2 TO 4
—
—
$261
21
clean
TRIM SKIN LESIONS OVER 4
—
—
$261
21
clean
BX SKN TANGENTIAL SNG LES
$1,277
$696
$1,068
66
clean
TANGNTL BX SKIN EA SEP/ADDL
—
—
$3,285
11
clean
BX SKIN PUNCH SNG LESION
$458
$250
$458
33
clean
BX SKIN PUNCH EA ADD LES
$325
$177
$314
20
clean
BX SKN INCISIONAL SNG LES
$741
$404
$734
66
clean
INCAL BX SKN EA SEP/ADDL
—
—
$3,285
11
clean
REMOVAL OF SKIN TAGS <W/15
—
—
$261
24
clean
REMOVE SKIN TAGS ADD-ON
—
—
$1,212
14
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$525
24
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$261
24
clean
SHAVE LES T/A/L 1.1-2CM
$653
$356
$568
33
clean
SHAVE LESION T/A/L >2.0CM
$1,090
$594
$857
33
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$261
24
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$261
24
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$261
24
clean
SHAVE SKIN LESION >2.0 CM
—
—
$525
24
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$261
24
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$261
24
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$525
24
clean
SHAVE SKIN LESION >2.0 CM
—
—
$525
24
clean
EXC TR-EXT B9+MARG 0.5 CM<
—
—
$925
24
clean
EXC TR-EXT B9+MARG 0.6-1 CM
—
—
$525
24
clean
EXC TR-EXT B9+MARG 1.1-2 CM
—
—
$925
24
clean
EXC TR-EXT B9+MARG 2.1-3CM
—
—
$925
24
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
—
$2,129
24
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
$2,129
24
clean
EXC H-F-NK-SP B9+MARG 0.5/<
—
—
$2,129
24
clean
EXC H-F-NK-SP B9+MARG 0.6-1
—
—
$925
24
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
—
$2,129
24
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
—
$2,129
24
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
$2,129
24
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
—
$3,761
24
clean
EXC FACE-MM B9+MARG 0.5 CM/<
—
—
$925
24
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
—
$925
24
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
—
$925
24
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
$2,129
24
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$2,129
24
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$3,761
24
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,761
24
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,761
24
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,761
24
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,761
24
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,761
24
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,761
24
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$925
24
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$925
24
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
—
$525
24
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$925
24
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$925
24
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$2,129
24
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$2,129
24
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$925
24
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
—
$925
24
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$2,129
24
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$2,129
24
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
$3,761
24
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
—
$925
24
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$925
24
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
—
$925
24
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
—
$2,129
24
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$2,129
24
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$3,761
24
clean
TRIM NAIL(S) ANY NUMBER
—
—
$78
16
clean
DEBRIDE NAIL UP TO 5
$458
$250
$398
33
clean
DEBRIDE NAIL 6 OR MORE
—
—
$107
24
clean
AVULSION NAIL PLAT SINGLE
$650
$354
$566
33
clean
REMOVE NAIL PLATE ADD-ON
—
—
$3,416
14
clean
EVAC HEMATOMA SUBUNGAL
$414
$226
$360
33
clean
REMOVAL OF NAIL BED
—
—
$525
24
clean
BIOPSY NAIL UNIT
—
—
$925
24
clean
REPAIR OF NAIL BED
—
—
$804
24
clean
RECONSTRUCTION OF NAIL BED
—
—
$2,404
24
clean
EXC WEDGE SKIN NAIL FOLD
$1,696
$924
$1,136
33
clean
REMOVE PILONIDAL CYST SIMPLE
—
—
$3,761
24
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$3,761
24
clean
REMOVE PILONIDAL CYST COMPL
—
—
$3,761
24
clean
INJECT SKIN LESIONS </W 7
—
—
$261
24
clean
INJECT SKIN LESIONS >7
—
—
$261
24
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$1,790
20
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$831
20
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$3,531
10
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$857
19
clean
INSERT TISSUE EXPANDER(S)
—
—
$4,811
24
clean
REPLACE TISSUE EXPANDER
—
—
$9,338
24
clean
REMOVE TISSUE EXPANDER(S)
—
—
$3,761
24
clean
IMPLANT HORMONE PELLET(S)
—
—
$524
24
clean
INSERT DRUG IMPLANT DEVICE
—
—
$169
21
clean
REM NONBIO DRG DEL IMP
$1,063
$579
$819
33
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$524
21
clean
RPR S/N/AX/GEN/TRNK 2.5CM/<
—
—
$274
24
clean
RPR S/N/AX/GEN/TRNK2.6-7.5CM
—
—
$283
24
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
—
—
$303
24
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
—
—
$525
24
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
—
—
$544
24
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
—
—
$852
24
clean
RPR F/E/E/N/L/M 2.5 CM/<
—
—
$298
24
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
—
—
$293
24
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
—
—
$320
24
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
—
—
$361
24
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
—
—
$581
24
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
—
$986
24
clean
RPR F/E/E/N/L/M >30.0 CM
—
—
$1,150
24
clean
CLOSURE OF SPLIT WOUND
—
—
$804
24
clean
CLOSURE OF SPLIT WOUND
—
—
$525
24
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
—
—
$525
24
clean
INTMD RPR S/A/T/EXT 2.6-7.5
—
—
$525
24
clean
INTMD RPR S/TR/EXT 7.6-12.5
—
—
$525
24
clean
INTMD RPR S/A/T/EXT 12.6-20
—
—
$525
24
clean
INTMD RPR S/A/T/EXT 20.1-30
—
—
$804
24
clean
INTMD RPR S/TR/EXT >30.0 CM
—
—
$3,059
20
clean
INTMD RPR N-HF/GENIT 2.5CM/<
—
—
$525
24
clean
INTMD RPR N-HF/GENIT2.6-7.5
—
—
$525
24
clean
INTMD RPR N-HF/GENIT7.6-12.5
—
—
$804
24
clean
INTMD RPR N-HF/GENIT12.6-20
—
—
$804
24
clean
INTMD RPR N-HF/GENIT20.1-30
—
—
$804
24
clean
INTMD RPR N-HF/GENIT >30.0CM
—
—
$2,404
24
clean
INTMD RPR FACE/MM 2.5 CM/<
—
—
$525
24
clean
INTMD RPR FACE/MM 2.6-5.0 CM
—
—
$525
24
clean
INTMD RPR FACE/MM 5.1-7.5 CM
—
—
$525
24
clean
INTMD RPR FACE/MM 7.6-12.5CM
—
—
$581
24
clean
INTMD RPR FACE/MM 12.6-20 CM
—
—
$737
24
clean
INTMD RPR FACE/MM 20.1-30.0
—
—
$1,077
24
clean
INTMD RPR FACE/MM >30.0 CM
—
—
$1,138
24
clean
CMPLX RPR TRUNK 1.1-2.5 CM
—
—
$804
24
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
—
$804
24
clean
CMPLX RPR TRUNK ADDL 5CM/<
—
—
$3,416
14
clean
CMPLX RPR S/A/L 1.1-2.5 CM
—
—
$804
24
clean
CMPLX RPR S/A/L 2.6-7.5 CM
—
—
$804
24
clean
CMPLX RPR S/A/L ADDL 5 CM/>
—
—
$3,416
14
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$527
24
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$920
24
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$3,416
14
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
—
—
$804
24
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
—
—
$1,092
24
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
—
—
$3,416
14
clean
LATE CLOSURE OF WOUND
—
—
$2,404
24
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
—
$2,404
24
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
—
$2,404
24
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
$2,404
24
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
$2,404
24
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,404
24
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,404
24
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
—
—
$2,404
24
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
$2,716
24
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
$4,811
24
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$3,925
14
clean
FILLETED FINGER/TOE FLAP
—
—
$2,404
24
clean
WOUND PREP TRK/ARM/LEG
—
—
$2,404
24
clean
WOUND PREP ADDL 100 CM
—
—
$3,416
14
clean
WOUND PREP F/N/HF/G
—
—
$804
24
clean
WND PREP F/N/HF/G ADDL CM
—
—
$3,416
14
clean
HARVEST CULTURED SKIN GRAFT
—
—
$2,404
24
clean
SKIN PINCH GRAFT
—
—
$804
24
clean
SKIN SPLT GRFT TRNK/ARM/LEG
—
—
$2,404
24
clean
SKIN SPLT GRFT T/A/L ADD-ON
—
—
$4,010
14
clean

Showing the first 200 of 8,471 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
MS-DRG 833/i
error
mrf_negotiated_above_max
a negotiated rate of $5,725 is above the file's own maximum $5,554
MS-DRG 173/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $30,269
MS-DRG 212/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 215/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 216/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 217/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 218/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 219/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 220/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 221/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 228/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 229/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $30,636
MS-DRG 231/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 232/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 233/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 234/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 235/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 236/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 242/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $33,419
MS-DRG 243/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $22,324
MS-DRG 245/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 250/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $22,906
MS-DRG 258/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $27,706
MS-DRG 260/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $33,557
MS-DRG 265/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $24,836
MS-DRG 266/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 267/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 268/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 269/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 270/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 271/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $33,929
MS-DRG 272/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $24,753
MS-DRG 273/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 274/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $30,779
MS-DRG 275/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 276/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 277/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 278/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 279/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $31,591
MS-DRG 321/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $28,109
MS-DRG 323/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $34,082
MS-DRG 324/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $31,501
MS-DRG 325/i
error
mrf_negotiated_below_min
a negotiated rate of $19,956 is below the file's own minimum $28,258
MS-DRG 540/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $12,986
MS-DRG 541/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $8,904
MS-DRG 542/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $14,560
MS-DRG 560/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $11,473
MS-DRG 768/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $11,060
MS-DRG 783/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $18,324
MS-DRG 784/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $10,931
MS-DRG 785/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $8,890
MS-DRG 786/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $16,121
MS-DRG 787/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $10,724
MS-DRG 788/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $9,194
MS-DRG 789/i
error
mrf_negotiated_below_min
a negotiated rate of $16,272 is below the file's own minimum $17,939
MS-DRG 790/i
error
mrf_negotiated_below_min
a negotiated rate of $18,929 is below the file's own minimum $19,981
MS-DRG 791/i
error
mrf_negotiated_below_min
a negotiated rate of $18,929 is below the file's own minimum $19,981
MS-DRG 792/i
error
mrf_negotiated_below_min
a negotiated rate of $16,272 is below the file's own minimum $19,981
MS-DRG 793/i
error
mrf_negotiated_below_min
a negotiated rate of $18,929 is below the file's own minimum $19,981
MS-DRG 796/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $12,816
MS-DRG 797/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $9,812
MS-DRG 798/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $9,812
MS-DRG 805/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $10,103
MS-DRG 806/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $7,430
MS-DRG 807/i
error
mrf_negotiated_below_min
a negotiated rate of $4,536 is below the file's own minimum $6,590
MS-DRG 817/i
error
mrf_negotiated_below_min
a negotiated rate of $3,855 is below the file's own minimum $25,073
MS-DRG 818/i
error
mrf_negotiated_below_min
a negotiated rate of $3,855 is below the file's own minimum $12,927
MS-DRG 819/i
error
mrf_negotiated_below_min
a negotiated rate of $3,855 is below the file's own minimum $8,335
MS-DRG 831/i
error
mrf_negotiated_below_min
a negotiated rate of $3,855 is below the file's own minimum $11,593
MS-DRG 832/i
error
mrf_negotiated_below_min
a negotiated rate of $3,855 is below the file's own minimum $7,662
MS-DRG 833/i
error
mrf_negotiated_below_min
a negotiated rate of $3,855 is below the file's own minimum $5,445
warn
mrf_negotiated_above_gross_systematic
274 of 1,050 comparable items (26%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $12,737 exceeds the gross charge $1,439
warn
mrf_rate_without_estimate
55,581 of 55,581 percentage/algorithm rates across 6,383 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 72148/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 86301/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 96366/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 J1815/o
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q9967/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 72156/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 86316/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 96367/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 J1885/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 Q9968/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 72157/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 86317/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 96368/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 J1920/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 U0002/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, max differ, so no cross-line comparison was made for this item
CPT 72158/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 86331/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 96372/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, max differ, so no cross-line comparison was made for this item
CPT J1930/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 V2632/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 72170/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 86332/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 J1938/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 72190/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 86334/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 96374/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 72191/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 86335/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 96375/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 differ, so no cross-line comparison was made for this item
CPT J1950/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, max differ, so no cross-line comparison was made for this item
CPT 19000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72192/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 86352/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 96376/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 J1953/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19001/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72193/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 86355/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 J1956/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, max differ, so no cross-line comparison was made for this item
CPT 72194/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 86356/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 96401/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 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 72195/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 86357/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 96402/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 72197/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 86359/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 96409/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2004/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 72202/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 86360/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 96411/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2020/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 72220/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 86361/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 96413/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2060/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 73521/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 86364/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 96415/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 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, max differ, so no cross-line comparison was made for this item
CPT 73522/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 86376/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 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19285/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73523/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 86381/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 96417/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2210/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 73565/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 86403/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 J2212/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 20206/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74018/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 86431/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 J2248/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, max differ, so no cross-line comparison was made for this item
CPT 74019/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 86480/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 J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20225/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74022/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 86592/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 96523/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J2260/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, max differ, so no cross-line comparison was made for this item
CPT 74150/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 86593/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 97597/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 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 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74160/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 86606/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 97598/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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, max differ, so no cross-line comparison was made for this item
CPT 74170/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 86612/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 J2290/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 74174/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 86617/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 97605/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2305/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 74175/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 86618/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 97606/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 J2310/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20605/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74176/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 86622/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 97607/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 J2353/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, max differ, so no cross-line comparison was made for this item
CPT 20610/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 differ, so no cross-line comparison was made for this item
CPT 74177/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 86631/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 97608/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 J2354/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20611/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74178/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 86632/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 J2357/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, max differ, so no cross-line comparison was made for this item
CPT 74181/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 86635/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 J2359/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 74183/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 86638/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 J2371/o
info
mrf_item_fields_vary
this code and setting cover at least 18 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 74185/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

Showing the first 200 of 1,386 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 81.5M bytes · fetched 2026-08-23 · sha256 94b50bf9d272…

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.