Hospital · CCN 050180

John Muir Medical Center - Walnut Creek Campus

1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 · Contra Costa County
Part of John Muir Health · 366 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

147 admission types 52 outpatient services price file: ok 48 Medicare-file findings
Billed per dollar paid, all admissions
8.65×
$1,090.8M billed against $126.0M paid across 5,506 Medicare discharges; the national figure is 5.03×.
—
of adults in Contra Costa County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
5.2%
uninsured in the county · state 7.5%
$122K
median household income
8.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (7 in the inpatient or outpatient file)ⓘ
28.0%
obesity in the countyⓘ
11.3%
diagnosed diabetes (PLACES)
5.5%
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
522
$217,186
$24,335
8.9× st 6.2×
291
Heart failure and shock with mcc
282
$147,957
$15,320
9.7× st 6.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
244
$200,134
$21,619
9.3× st 6.4×
177
Respiratory infections and inflammations with mcc
169
$185,207
$19,122
9.7× st 6.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
126
$100,525
$12,269
8.2× st 6.1×
193
Simple pneumonia and pleurisy with mcc
118
$160,429
$15,009
10.7× st 6.9×
683
Renal failure with cc
113
$92,956
$10,172
9.1× st 6.7×
552
Medical back problems without mcc
111
$96,787
$10,536
9.2× st 7.5×
378
Gastrointestinal hemorrhage with cc
106
$105,527
$11,370
9.3× st 6.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
94
$215,979
$26,028
8.3× st 7.4×
698
Other kidney and urinary tract diagnoses with mcc
93
$223,711
$23,527
9.5× st 6.2×
603
Cellulitis without mcc
87
$81,226
$9,910
8.2× st 5.9×
690
Kidney and urinary tract infections without mcc
82
$87,824
$8,640
10.2× st 6.6×
189
Pulmonary edema and respiratory failure
81
$153,928
$15,260
10.1× st 6.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
80
$150,548
$16,822
9.0× st 5.7×
483
Major joint or limb reattachment procedures of upper extremities
80
$211,787
$29,210
7.3× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
78
$133,800
$13,174
10.2× st 7.9×
481
Hip and femur procedures except major joint with cc
77
$213,350
$22,768
9.4× st 6.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
75
$89,248
$9,273
9.6× st 6.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
74
$561,842
$76,248
7.4× st 6.2×
689
Kidney and urinary tract infections with mcc
70
$111,867
$12,446
9.0× st 6.3×
682
Renal failure with mcc
70
$150,874
$16,265
9.3× st 6.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
66
$84,411
$8,515
9.9× st 6.3×
025
Craniotomy and endovascular intracranial procedures with mcc
55
$615,698
$93,835
6.6× st 6.5×
377
Gastrointestinal hemorrhage with mcc
51
$244,814
$22,751
10.8× st 6.4×
309
Cardiac arrhythmia and conduction disorders with cc
50
$93,456
$8,675
10.8× st 7.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
48
$212,764
$22,194
9.6× st 6.9×
178
Respiratory infections and inflammations with cc
47
$134,423
$12,235
11.0× st 7.1×
389
Gastrointestinal obstruction with cc
46
$73,608
$8,900
8.3× st 6.9×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
43
$543,074
$85,820
6.3× st 6.2×
308
Cardiac arrhythmia and conduction disorders with mcc
43
$147,254
$13,917
10.6× st 6.9×
699
Other kidney and urinary tract diagnoses with cc
42
$105,696
$10,623
9.9× st 6.1×
870
Septicemia or severe sepsis with mv >96 hours
40
$606,650
$85,678
7.1× st 6.2×
467
Revision of hip or knee replacement with cc
37
$358,240
$41,457
8.6× st 6.1×
394
Other digestive system diagnoses with cc
36
$119,317
$11,102
10.7× st 6.9×
314
Other circulatory system diagnoses with mcc
35
$204,139
$22,625
9.0× st 6.1×
312
Syncope and collapse
35
$113,543
$9,619
11.8× st 7.2×
086
Traumatic stupor and coma <1 hour with cc
34
$118,099
$18,654
6.3× st 7.9×
329
Major small and large bowel procedures with mcc
33
$674,852
$87,652
7.7× st 6.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
33
$131,126
$15,344
8.5× st 6.5×
101
Seizures without mcc
32
$108,379
$10,276
10.5× st 6.8×
519
Back and neck procedures except spinal fusion with cc
30
$215,922
$22,511
9.6× st 7.2×
536
Fractures of hip and pelvis without mcc
29
$86,483
$8,761
9.9× st 7.0×
207
Respiratory system diagnosis with ventilator support >96 hours
29
$694,284
$93,096
7.5× st 5.7×
190
Chronic obstructive pulmonary disease with mcc
29
$124,377
$14,718
8.5× st 7.1×
057
Degenerative nervous system disorders without mcc
28
$123,248
$14,381
8.6× st 5.7×
026
Craniotomy and endovascular intracranial procedures with cc
28
$481,830
$43,554
11.1× st 6.6×
948
Signs and symptoms without mcc
26
$90,664
$8,700
10.4× st 7.3×
812
Red blood cell disorders without mcc
26
$95,528
$10,066
9.5× st 6.4×
480
Hip and femur procedures except major joint with mcc
26
$347,388
$38,055
9.1× st 6.8×
372
Major gastrointestinal disorders and peritoneal infections with cc
26
$124,486
$12,872
9.7× st 6.5×
280
Acute myocardial infarction, discharged alive with mcc
25
$155,588
$15,162
10.3× st 6.6×
243
Permanent cardiac pacemaker implant with cc
25
$212,665
$24,960
8.5× st 6.7×
393
Other digestive system diagnoses with mcc
25
$215,030
$19,314
11.1× st 5.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
24
$99,075
$11,135
8.9× st 6.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
24
$118,742
$20,533
5.8× st 7.2×
083
Traumatic stupor and coma >1 hour with cc
24
$155,474
$18,462
8.4× st 8.4×
194
Simple pneumonia and pleurisy with cc
24
$92,822
$10,235
9.1× st 7.5×
202
Bronchitis and asthma with cc/mcc
24
$128,021
$11,991
10.7× st 7.4×
435
Malignancy of hepatobiliary system or pancreas with mcc
24
$194,701
$24,788
7.9× st 6.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
23
$316,080
$35,485
8.9× st 7.4×
551
Medical back problems with mcc
22
$176,574
$20,589
8.6× st 7.0×
644
Endocrine disorders with cc
22
$105,870
$12,629
8.4× st 6.5×
300
Peripheral vascular disorders with cc
22
$87,081
$12,910
6.7× st 6.3×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
22
$224,445
$14,221
15.8× st 5.9×
196
Interstitial lung disease with mcc
21
$208,333
$20,721
10.1× st 7.0×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
21
$148,129
$18,715
7.9× st 5.5×
092
Other disorders of nervous system with cc
21
$104,236
$11,029
9.5× st 6.8×
374
Digestive malignancy with mcc
20
$281,501
$27,959
10.1× st 7.0×
482
Hip and femur procedures except major joint without cc/mcc
20
$160,012
$17,189
9.3× st 6.7×
472
Cervical spinal fusion with cc
20
$288,904
$30,600
9.4× st 6.1×
455
Combined anterior and posterior spinal fusion without cc/mcc
20
$469,438
$52,965
8.9× st 5.5×
602
Cellulitis with mcc
20
$120,153
$15,105
8.0× st 5.7×
069
Transient ischemia without thrombolytic
20
$119,408
$8,906
13.4× st 9.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
20
$753,399
$97,864
7.7× st 6.3×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
20
$89,718
$7,693
11.7× st 8.8×
166
Other respiratory system o.r. procedures with mcc
19
$381,526
$56,328
6.8× st 6.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
19
$328,510
$30,451
10.8× st 6.5×
388
Gastrointestinal obstruction with mcc
19
$211,188
$20,068
10.5× st 6.5×
637
Diabetes with mcc
19
$216,641
$22,216
9.8× st 6.3×
054
Nervous system neoplasms with mcc
19
$186,828
$18,061
10.3× st 7.6×
305
Hypertension without mcc
19
$96,432
$8,525
11.3× st 7.3×
520
Back and neck procedures except spinal fusion without cc/mcc
19
$203,345
$15,798
12.9× st 8.3×
813
Coagulation disorders
18
$189,249
$20,861
9.1× st 5.8×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
18
$137,587
$11,134
12.4× st 7.4×
445
Disorders of the biliary tract with cc
18
$120,198
$16,406
7.3× st 7.0×
164
Major chest procedures with cc
18
$242,748
$28,399
8.5× st 6.3×
884
Organic disturbances and intellectual disability
18
$119,310
$17,609
6.8× st 5.3×
180
Respiratory neoplasms with mcc
18
$181,838
$18,893
9.6× st 6.9×
100
Seizures with mcc
18
$179,966
$25,493
7.1× st 6.2×
919
Complications of treatment with mcc
17
$210,547
$22,076
9.5× st 6.0×
163
Major chest procedures with mcc
17
$564,143
$72,505
7.8× st 6.4×
684
Renal failure without cc/mcc
17
$66,383
$6,693
9.9× st 8.1×
917
Poisoning and toxic effects of drugs with mcc
17
$166,985
$19,365
8.6× st 6.2×
580
Other skin, subcutaneous tissue and breast procedures with cc
16
$203,496
$25,063
8.1× st 6.5×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
16
$92,482
$10,148
9.1× st 6.9×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
16
$196,323
$17,299
11.3× st 7.4×
330
Major small and large bowel procedures with cc
16
$312,968
$27,480
11.4× st 6.9×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
16
$306,544
$22,836
13.4× st 8.9×
375
Digestive malignancy with cc
16
$110,230
$13,049
8.4× st 6.9×
454
Combined anterior and posterior spinal fusion with cc
16
$643,675
$80,638
8.0× st 5.5×
418
Laparoscopic cholecystectomy without c.d.e. with cc
15
$215,402
$18,032
11.9× st 7.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
15
$78,972
$7,666
10.3× st 7.6×
281
Acute myocardial infarction, discharged alive with cc
15
$103,811
$10,035
10.3× st 7.8×
149
Dysequilibrium
15
$88,445
$8,305
10.7× st 8.8×
444
Disorders of the biliary tract with mcc
15
$173,276
$18,128
9.6× st 7.0×
885
Psychoses
15
$270,266
$32,688
8.3× st 3.1×
167
Other respiratory system o.r. procedures with cc
15
$194,801
$24,352
8.0× st 8.3×
673
Other kidney and urinary tract procedures with mcc
15
$501,832
$63,447
7.9× st 5.8×
742
Uterine and adnexa procedures for non-malignancy with cc/mcc
15
$174,276
$19,677
8.9× st 6.6×
734
Pelvic evisceration, radical hysterectomy and radical vulvectomy with cc/mcc
15
$253,605
$23,432
10.8× st 10.8×
074
Cranial and peripheral nerve disorders without mcc
14
$102,787
$11,394
9.0× st 6.2×
071
Other cerebrovascular disorders with cc
14
$132,433
$10,926
12.1× st 6.1×
082
Traumatic stupor and coma >1 hour with mcc
14
$306,826
$29,116
10.5× st 7.7×
056
Degenerative nervous system disorders with mcc
14
$141,256
$30,162
4.7× st 5.9×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
14
$108,306
$13,182
8.2× st 7.2×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
14
$154,389
$27,146
5.7× st 6.7×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
14
$380,408
$51,483
7.4× st 5.1×
473
Cervical spinal fusion without cc/mcc
14
$217,396
$26,507
8.2× st 7.2×
091
Other disorders of nervous system with mcc
14
$140,013
$23,174
6.0× st 6.0×
460
Spinal fusion except cervical without mcc
14
$443,164
$41,542
10.7× st 5.6×
252
Other vascular procedures with mcc
14
$366,674
$48,973
7.5× st 5.7×
466
Revision of hip or knee replacement with mcc
13
$541,748
$64,999
8.3× st 6.6×
643
Endocrine disorders with mcc
13
$150,876
$17,232
8.8× st 6.5×
165
Major chest procedures without cc/mcc
13
$197,555
$26,076
7.6× st 7.6×
085
Traumatic stupor and coma <1 hour with mcc
13
$284,785
$24,058
11.8× st 7.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
13
$280,284
$22,595
12.4× st 6.7×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
13
$328,545
$30,681
10.7× st 7.5×
087
Traumatic stupor and coma <1 hour without cc/mcc
13
$77,569
$12,189
6.4× st 8.5×
920
Complications of treatment with cc
12
$86,715
$14,255
6.1× st 6.7×
964
Other multiple significant trauma with cc
12
$156,070
$29,101
5.4× st 8.1×
070
Other cerebrovascular disorders with mcc
12
$137,689
$16,793
8.2× st 5.4×
183
Major chest trauma with mcc
12
$120,832
$17,330
7.0× st 7.7×
292
Heart failure and shock with cc
12
$128,597
$9,506
13.5× st 5.8×
371
Major gastrointestinal disorders and peritoneal infections with mcc
12
$236,723
$18,605
12.7× st 6.6×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
11
$182,370
$24,470
7.5× st 6.7×
863
Postoperative and post-traumatic infections without mcc
11
$115,308
$11,204
10.3× st 6.0×
313
Chest pain
11
$93,156
$8,055
11.6× st 7.7×
326
Stomach, esophageal and duodenal procedures with mcc
11
$320,760
$68,444
4.7× st 6.1×
336
Peritoneal adhesiolysis with cc
11
$191,934
$22,090
8.7× st 6.7×
386
Inflammatory bowel disease with cc
11
$90,708
$12,630
7.2× st 11.4×
020
Intracranial vascular procedures with principal diagnosis hemorrhage with mcc
11
$805,556
$149,003
5.4× st 5.0×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
11
$89,699
$22,116
4.1× st 6.2×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
11
$211,085
$20,575
10.3× st 7.1×
743
Uterine and adnexa procedures for non-malignancy without cc/mcc
11
$161,609
$12,930
12.5× st 12.4×
811
Red blood cell disorders with mcc
11
$134,337
$15,428
8.7× st 6.4×
186
Pleural effusion with mcc
11
$178,980
$16,496
10.9× st 6.4×
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
598
$63,665
$3,806
16.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
499
$17,843
$2,254
7.9×
5302
Level 2 Upper GI Procedures
243
$38,562
$2,649
14.6×
5183
Level 3 Vascular Procedures
111
$49,633
$4,438
11.2×
5223
Level 3 Pacemaker and Similar Procedures
96
$117,995
$14,840
8.0×
5361
Level 1 Laparoscopy and Related Services
89
$121,759
$8,034
15.2×
5115
Level 5 Musculoskeletal Procedures
75
$168,272
$18,061
9.3×
5362
Level 2 Laparoscopy and Related Services
74
$157,224
$14,307
11.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
55
$37,148
$3,956
9.4×
5184
Level 4 Vascular Procedures
54
$79,337
$7,542
10.5×
5182
Level 2 Vascular Procedures
52
$12,600
$2,230
5.7×
5154
Level 4 Airway Endoscopy
50
$85,121
$5,214
16.3×
5222
Level 2 Pacemaker and Similar Procedures
47
$56,120
$11,814
4.8×
5112
Level 2 Musculoskeletal Procedures
47
$20,219
$2,238
9.0×
5153
Level 3 Airway Endoscopy
41
$41,850
$2,363
17.7×
5303
Level 3 Upper GI Procedures
41
$48,286
$5,332
9.1×
5165
Level 5 ENT Procedures
40
$91,908
$8,051
11.4×
5331
Complex GI Procedures
40
$76,470
$7,935
9.6×
5116
Level 6 Musculoskeletal Procedures
37
$203,867
$25,875
7.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
29
$72,848
$5,307
13.7×
5313
Level 3 Lower GI Procedures
27
$38,044
$3,836
9.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
25
$104,298
$9,075
11.5×
5155
Level 5 Airway Endoscopy
22
$121,934
$9,524
12.8×
5114
Level 4 Musculoskeletal Procedures
22
$109,464
$9,953
11.0×
5373
Level 3 Urology and Related Services
19
$34,139
$2,836
12.0×
5414
Level 4 Gynecologic Procedures
19
$61,556
$4,353
14.1×
5492
Level 2 Intraocular Procedures
14
$69,381
$5,661
12.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
12
$76,556
$4,817
15.9×
5200
Implantation Wireless PA Pressure Monitor
11
$202,769
$40,336
5.0×
5627
Level 7 Radiation Therapy
11
$49,410
$10,831
4.6×
5374
Level 4 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5191
Level 1 Endovascular Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5432
Level 2 Nerve 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-tall, last updated 2026-03-23, template 3.0.0, 705,363 rows scanned, 3,789 distinct code–setting items kept. 2,625 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Lab Ooolu Xhea Licensed RBC Panel * Arc - Sref-Ivd
$381
$171
$720
111
clean
Lab Neuro CSF Prion Protein
$489
$220
$536
108
clean
HC CT Cerebral Perfusion Scan
$9,670
$4,351
$5,318
44
clean
HC Plcmt Stent Extracran Cerebral
$31,409
$14,134
$21,986
63
clean
HC Plcmt Stent Xtra Cran Vert
$31,409
$14,134
$21,986
126
clean
Lab Resp Pathogens 22 Targets W Sars-Cov-2 Qual Rt-Pcr
$1,732
$779
$1,057
88
clean
HC Ptra Brachioceph Trnk&Brnchs
$49,881
$22,447
$23,010
109
clean
HC Rvsc Iliac Art Ptra Ini 0238t
$40,594
$18,267
$25,886
109
clean
HC Hdr Electronic Brachytherapy Skin Surface
$526
$236
$363
66
clean
HC Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd
$73,225
$32,951
$44,323
112
clean
HC Tmvi Inc Trns Sept Perc All Inc
$167,768
$75,495
$95,728
66
clean
HC Intraprocedural Coronary Ffp W/3d Funcjl Mapping
$9,047
$4,071
$7,238
58
clean
HC Insertion/Replacement Completion Ims
$50,751
$22,838
$27,199
112
clean
HC Ttvr Percutaneous Approach Initial Prosthesis
$160,236
$72,106
$91,431
66
clean
HC Ttvr Percutaneous Approach Each Addl Prosthesis
$80,121
$36,054
$49,675
66
clean
HC Tcat Rmvl/Debulk Icar Mass Suction Device Perq
$47,076
$21,184
$21,721
110
clean
HC Ttvi/Rplcmt Prostc Vlv Perq W/R Hrt Cath&Angrph
$160,236
$72,106
$108,320
66
clean
HC Scalp Cooling Placement Mntr & Removal of Device
$4,399
$1,980
$3,056
64
clean
HC Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys
$88,349
$39,757
$44,855
106
clean
HC Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt
$4,851
$2,183
$12,298
108
clean
HC Fna Bx W/US Guide First Lesion
$2,887
$1,299
$1,452
113
clean
HC Fna Bx W/US Guide First Lesion|LEFT SIDE
$8,457
$3,806
$2,332
453
clean
HC Fna Bx W/US Guide Ea Add Lesion
$15,918
$7,163
$1,000
65
clean
HC Fna Bx W/US Guide Ea Add Lesion
$2,887
$1,299
$1,986
62
clean
HC Fna Bx W/Fluoro Guide First Lesion
$4,109
$1,849
$2,066
110
clean
HC Fna Bx W/CT Guide First Lesion
$3,591
$1,616
$1,806
113
clean
HC Fna Bx W/CT Guide Ea Add Lesion
$2,944
$1,325
$2,025
62
clean
HC Fna Bx W/CT Guide Ea Add Lesion
$103,656
$46,645
$337
64
clean
HC Fine Needle Asp Superficial
$1,344
$605
$676
105
clean
HC Drain W/Cath Absc,Srma, Perc
$9,807
$4,413
$4,151
111
clean
HC Plcmt Loc Dev Soft Tiss Perc Init Lesion Inc Gdnc
$3,401
$1,530
$1,000
161
clean
HC Plcmt Loc Dev Soft Tiss Perc Ea Add Les Inc Gdnc
$3,316
$1,492
$2,321
61
clean
HC Acne Extraction
$271
$122
$266
108
clean
HC I&D Abscess Skin Simple
$1,242
$559
$624
114
clean
HC I&D Pilonidal Cyst Simple
$1,293
$582
$1,000
111
clean
HC I&D Pilonidal Cyst Complex
$7,243
$3,259
$1,250
111
clean
HC Incision/Remove Foreign Body|REDUCED SERVICES
$1,919
$863
$574
161
clean
HC Inc/Remove Foreign Body-Compl
$2,392
$1,077
$1,914
111
clean
HC I&D Hematoma
$9,561
$4,303
$2,915
115
clean
HC Aspiration of Abscess/Cyst
$1,347
$606
$677
111
clean
HC Debride Skin Muscle Bone W/Fx
$1,573
$708
$1,259
111
clean
HC Debrdmnt Skn Subc Tiss Frst 20 Sq Cm
$4,030
$1,814
$1,162
114
clean
HC Debrdmnt Skn Tis/Musc Frst 20 Sq Cm
$4,569
$2,056
$1,305
114
clean
HC Debrdmnt Skn Tis/Musc/Bn Frst 20 Sq Cm
$5,763
$2,593
$2,915
114
clean
HC Debrdmnt Skn Subc Addtl 20 Sq Cm
$3,128
$1,408
$1,853
64
clean
HC Debrdmnt Skn Tis/Musc Addtl 20 Sq Cm
$3,293
$1,482
$2,248
64
clean
HC Debrdmnt Skn Tis/Musc/Bn Addtl 20 Sq Cm
$6,576
$2,959
$4,655
58
clean
HC Pare/Cut of Benign Hyperker Lesion
$465
$209
$283
111
clean
HC Pare/Cut of Benign Hyperker 2-4 Lesion
$754
$339
$379
111
clean
HC Tangntl Bx Skin Single Les
$1,176
$529
$591
102
clean
HC Punch Bx Skin Single Lesionpunch Bx Skin Single Lesion
$1,176
$529
$591
105
clean
HC Punch Bx Skin Ea Sep/Addl
$1,176
$529
$842
57
clean
HC Incal Bx Skn Single Les
$1,177
$530
$1,044
102
clean
HC Removal Skin Tags Upto 15 Lesions
$1,521
$684
$765
111
clean
HC Exc Skin Benig <0.5 Cm Trunk,Arm,Leg [11400]
$5,014
$2,256
$2,521
111
clean
HC Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg [11401]
$3,009
$1,354
$1,513
114
clean
HC Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg [11402]
$4,217
$1,898
$2,120
114
clean
HC Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg [11403]
$5,069
$2,281
$2,549
111
clean
HC Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg [11404]
$6,395
$2,878
$3,216
114
clean
HC Exc Skin Benig <0.5 Cm Remainder Body [11420]
$5,769
$2,596
$2,915
111
clean
HC Exc Skin Benig 0.6-1 Cm Remaindr Body [11421]
$4,821
$2,169
$2,424
114
clean
HC ER Excision Benign Lesion 1.1 to 2.0 Cm
$3,908
$1,759
$2,332
114
clean
HC Exc Skin Benig 2.1-3 Cm Remaindr Body [11423]
$6,142
$2,764
$3,088
111
clean
HC Exc Skin Benig 0.6-1 Cm Face,Facial [11441]
$3,364
$1,514
$1,691
114
clean
HC Exc Skin Malig 1.1-2 Cm Trunk,Arm,Leg [11602]
$3,426
$1,542
$1,722
111
clean
HC Exc Skin Malig 2.1-3 Cm Trunk,Arm,Leg [11603]
$4,326
$1,947
$2,175
111
clean
HC Exc Skin Malig 3.1-4 Cm Trunk,Arm,Leg [11604]
$5,086
$2,288
$2,557
111
clean
HC Trimming Nondystrophic Nails
$272
$123
$138
110
clean
HC Debride Nails 1-5
$531
$239
$267
111
clean
HC Debride Nails =>6
$484
$218
$243
111
clean
HC Avulsion Nail Single
$971
$437
$488
111
clean
HC Evac Hematoma Subungual
$898
$404
$451
111
clean
HC Removal of Nail Bed
$2,374
$1,068
$1,122
111
clean
HC Repair of Nail Bed
$1,545
$695
$1,044
111
clean
HC Exc Skin Nail Fold
$844
$380
$574
111
clean
HC Exc Pilonidal Cyst Complex
$10,143
$4,564
$4,247
111
clean
HC Excision Pilonidal Cyst/Sinus Complicated
$8,593
$3,867
$4,726
111
clean
HC Implant,Hormone,Subcutaneous [11980]
$573
$258
$542
108
clean
HC Lac Rep Simp <=2.5 Sq Cm
$158,886
$71,499
$692
192
clean
HC Lac Rep Simp 2.6-7.5cm
$762
$343
$383
111
clean
HC Lac Rep Simp 7.6-12.5cm
$1,341
$603
$674
111
clean
HC Lac Rep Simp 12.6-20cm
$1,408
$634
$718
111
clean
HC Lac Rep Simp 20.1-30.0cm
$1,479
$665
$743
111
clean
HC Lac Rep Simp >30cm
$1,553
$699
$781
111
clean
HC Lac Rep Simp Face <=2.5cm
$1,216
$547
$611
111
clean
HC Lac Rep Simp Face 2.6-5.0 Cm
$1,277
$575
$642
111
clean
HC Lac Rep Simp Face 5.1-7.5cm
$1,341
$603
$674
111
clean
HC Lac Rep Simp Face 7.6-12.5cm
$1,408
$634
$708
111
clean
HC Lac Rep Simp Face 12.6-20cm
$1,479
$665
$743
111
clean
HC Lac Rep Simp Face 20.1-30cm
$1,553
$699
$781
111
clean
HC Wound Dehis Simple Closure
$6,093
$2,742
$1,305
114
clean
HC Pack Wound Dehiscence
$835
$376
$574
114
clean
HC Lac Rep Inter Sate <=2.5cm|DISTINCT PROCEDURAL SERVICE
$78,715
$35,422
$2,332
276
clean
HC Lac Rep Inter Sate 2.6-7.5 Sq Cm
$2,259
$1,017
$1,633
195
clean
HC Lac Rep Inter Sate 7.6-12.5cm
$65,847
$29,631
$2,332
81
clean
HC Lac Rep Inter Sate 7.6-12.5cm
$2,957
$1,330
$1,162
111
clean
HC Lac Rep Inter Sate 12.6-20cm|DISTINCT PROCEDURAL SERVICE
$241,024
$108,461
$19,460
64
clean
HC Lac Rep Inter Sate 12.6-20cm
$3,105
$1,397
$1,162
111
clean
HC Lac Rep Inter Sate 20.1-30cm
$3,260
$1,467
$1,304
111
clean
HC Lac Rep Inter Sate >30cm|DISTINCT PROCEDURAL SERVICE
$74,296
$33,433
$9,376
81
clean
HC Lac Rep Inter Sate >30cm
$4,692
$2,111
$2,914
110
clean
HC Lac Rep Inter Nhfg <=2.5cm
$1,379
$621
$718
111
clean
HC Lac Rep Inter Nhfg <=2.5cm
$68,325
$30,746
$1,000
81
clean
HC Lac Rep Inter Nhfg 2.6-7.5cm
$1,584
$713
$796
114
clean
HC Lac Rep Inter Nhfg 2.6-7.5cm
$55,268
$24,871
$4,102
81
clean
HC Lac Rep Inter Nhfg 7.6-12.5cm
$48,340
$21,753
$4,102
73
clean
HC Lac Rep Inter Nhfg 7.6-12.5cm
$1,521
$684
$1,044
111
clean
HC Lac Rep Inter Nhfg 12.6-20cm
$1,597
$718
$1,044
111
clean
HC Lac Rep Inter Nhfg 20.1-30cm
$1,676
$754
$1,044
111
clean
HC Lac Rep Inter Face <=2.5cm
$1,379
$621
$709
114
clean
HC Lac Rep Inter Face 2.5-5cm
$69,864
$31,439
$9,376
162
clean
HC Lac Rep Inter Face 2.5-5cm
$1,448
$651
$728
111
clean
HC Lac Rep Inter Face 5.1-7.5cm
$102,518
$46,133
$9,376
81
clean
HC Lac Rep Inter Face 12.6-20cm|DISTINCT PROCEDURAL SERVICE
$94,213
$42,396
$9,376
81
clean
HC Lac Rep Inter Face 12.6-20cm
$1,676
$754
$843
111
clean
Repair Complex Trunk 1.1-2.5 Cm
$50,570
$22,756
$1,044
81
clean
HC Lac Rep Complx Sal Add On
$2,496
$1,123
$1,498
65
clean
HC Lac Rep Complx Forehd 1.1-2.5
$4,122
$1,855
$1,162
111
clean
HC Lac Rep Complx Forehd 2.6-7.5
$4,328
$1,947
$1,162
111
clean
HC Lac Rep Complx Forehd 2.6-7.5|DISTINCT PROCEDURAL SERVICE
$101,011
$45,455
$9,376
81
clean
HC Lac Rep Complx Forehd Add On
$2,496
$1,123
$1,498
65
clean
HC Lac Rep Complx Eye Ear 1.1-2.5cm
$2,621
$1,179
$1,162
111
clean
HC Lac Rep Complx Eye Ear 2.6-7.5cm
$2,753
$1,239
$1,162
111
clean
HC Lac Rep Complx Eye Ear Add On
$2,496
$1,123
$1,498
65
clean
HC Wound Dehis Secondary Closure
$8,636
$3,886
$5,004
111
clean
Secondary Closure Surg Wound/Dehsn Xtnsv/Comp
$61,738
$27,782
$5,004
81
clean
HC Adj Tiss Xfer Trunk <10 Sqcm [14000]
$9,482
$4,267
$4,768
114
clean
HC Tissue Transfer <=10 Sq Cm
$10,200
$4,590
$3,642
111
clean
HC Tissue Transfer >10 Sq Cm
$8,865
$3,989
$3,546
111
clean
HC Tissue Transfer <=10 Sq Cm
$9,945
$4,475
$3,642
111
clean
HC Tissue Transfer >10 Sq Cm
$8,013
$3,606
$3,205
111
clean
HC Tissue Transfer <=10 Sq Cm
$23,440
$10,548
$3,642
111
clean
HC Tissue Tranfer 30.1-60 Sq Cm
$26,346
$11,856
$6,255
111
clean
HC Tissue Transfer Add On
$13,240
$5,958
$7,944
65
clean
HC Surgical Prep of Recipient Site
$3,293
$1,482
$1,305
111
clean
HC Pinch Grft Sngl Multpl Digit
$3,395
$1,528
$1,305
111
clean
HC Epidrm a-Grft Face/Nck/Hf/G
$5,127
$2,307
$2,914
106
clean
HC Graft Full Thickness
$3,681
$1,656
$2,914
111
clean
HC Apl Skn Sub Grft Trnk Frst 25 Sq Cm
$2,504
$1,127
$1,305
114
clean
HC Apl Skn Sub Grft Ea Addl 25 Sq Cm
$2,504
$1,127
$1,772
58
clean
HC Apl Skn Sub Grft Face Frst 25 Sq Cm
$2,504
$1,127
$1,305
114
clean
HC Composite Skin Graft
$8,507
$3,828
$3,403
111
clean
HC Removal Sutures/Staples Not Requiring Anesthesia
$141
$64
$99
61
clean
HC Burn 1st Degree Initial Tx
$1,500
$675
$754
111
clean
HC Burn Dsg Debride <5% Total
$620
$279
$323
228
clean
HC Burn Dsg Debride 5-10% Total
$691
$311
$354
111
clean
HC Burn Dsg Debride >10% Total
$619
$279
$557
111
clean
HC Escharotomy Initial
$1,695
$763
$852
111
clean
HC Escharotomy Add On
$1,640
$738
$1,000
76
clean
HC Chem Cauterization Gran Tiss
$500
$225
$283
114
clean
HC Aspiration of Cyst of Breast
$1,530
$689
$1,000
114
clean
HC Pnctre Cyst of Breast Each Add'l
$497
$224
$336
63
clean
HC Mastotomy Drain Abscess Deep
$7,420
$3,339
$2,915
111
clean
HC Inj Prcd Galactogram Ducts
$2,460
$1,107
$1,722
61
clean
HC Stereo Brst Bx/Plmt Mrk/Spc 1st
$7,921
$3,564
$2,332
161
clean
HC Stereo Brst Bx/Plt Mrk/Spc Ea Add
$7,921
$3,564
$5,355
61
clean
HC US Brst Bx/Plmt Mrk/Spcm Imag 1st
$6,923
$3,115
$2,332
161
clean
HC US Brst Bx/Plmt Mrk/Spcm Img Add
$5,319
$2,394
$3,723
61
clean
HC MRI Brst Bx W/Plcmt Mrk/Spcm Imag 1st
$6,264
$2,819
$3,150
114
clean
HC MRI Brst Bx W/Plcmt Mrk/Spcm Img Ea Add
$6,108
$2,749
$4,129
61
clean
HC Biopsy of Breast, Incisional [19101]
$11,080
$4,986
$6,094
111
clean
HC Mammo Brst Bx/Plmt Mrk/1st Lesion
$3,748
$1,687
$2,332
114
clean
HC Mammo Guide Plmt Mrkr Ea Add Les
$3,748
$1,687
$2,534
63
clean
HC US Brst Loc Mrk Plmt 1st Les
$5,155
$2,320
$2,592
114
clean
HC US Breast Loc Plmt Mrk Ea Add Les
$5,359
$2,412
$3,751
61
clean
HC Explore Wound Abdomen
$6,375
$2,869
$2,914
111
clean
HC Explore Wound Extremity
$837
$377
$753
111
clean
HC Bx Muscle Percut
$3,744
$1,685
$2,332
114
clean
HC Biopsy Bone Trocar or Needle
$8,945
$4,025
$4,209
114
clean
HC Biopsy Bone Deep Perc
$8,895
$4,003
$4,370
114
clean
HC Biopsy Bone Open Superficial
$13,249
$5,962
$6,264
103
clean
HC Injection of Sinus Tract
$1,069
$481
$748
61
clean
HC FB Removal Muscle Simple
$1,312
$590
$1,115
111
clean
HC Arthrocentesis Asp/Inj Med Joint
$1,016
$457
$433
156
clean
HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/US
$1,463
$658
$997
108
clean
HC Aspirate Inject Joint Major
$1,932
$870
$904
114
clean
HC Arthrocentesis Asp/Inj Lg Joint
$1,932
$870
$972
114
clean
HC Arthocentesis Aspir/Inj Major Jt/Bursa W/US
$1,897
$854
$897
111
clean
HC Aspirate Inject Ganglion Cyst
$667
$300
$433
111
clean
HC Perc Rf Ablate Bone Tumor Inc Guidance
$18,714
$8,421
$14,971
111
clean
HC Excision Tumor Soft Tiss Face/Scalp Subq < 2cm [21011]
$9,086
$4,089
$4,171
108
clean
HC Excision Tumor Soft Tiss Face/Scalp Subq 2+Cm [21012]
$9,094
$4,092
$4,573
113
clean
HC Dental Fixation Device App
$3,996
$1,798
$2,191
111
clean
HC Cr Fx Nose WO Stabilization
$4,660
$2,097
$2,191
111
clean
HC Cr Fx Nose W Stabilization
$4,660
$2,097
$3,728
111
clean
HC Open Treatment of Broken Nasal Bone
$9,247
$4,161
$4,682
111
clean
HC Cr Fx Nasal Septal
$4,249
$1,912
$3,399
111
clean
HC I&D Deep Absc/Hematoma Neck/Chest [21501]
$10,997
$4,949
$5,529
111
clean
HC Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm [21552]
$10,871
$4,892
$5,466
111
clean
HC HC Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm
$12,659
$5,696
$6,365
111
clean
HC Exc Tumor Soft Tissue Neck/Ant Thorax Subq <3cm [21555]
$8,332
$3,749
$4,189
113
clean
HC Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial <5cm [21556]
$11,921
$5,364
$5,994
111
clean
HC Excision Tumor Soft Tissue Back/Flank Subq <3cm [21930]
$6,822
$3,070
$3,430
111
clean
HC Excision Tumor Soft Tissue Back/Flank Subq 3+Cm [21931]
$9,275
$4,174
$4,663
111
clean
HC Exc Tumor Soft Tiss Back/Flank Subfascial <5cm [21932]
$11,216
$5,047
$5,639
111
clean
HC Vertebroplasty, Initial Level, Cervical/Thoracic
$22,704
$10,217
$5,911
111
clean
HC Vertebroplasty, Initial Level, Lumbar/Sacral
$22,704
$10,217
$5,911
114
clean
HC Vertebroplasty, Each Additional Level
$22,704
$10,217
$14,077
66
clean
HC Vertebral Augmentation, Initial Level, Thoracic
$25,116
$11,302
$11,715
108
clean
HC Vertebral Augmentation, Initial Level, Lumbar
$21,102
$9,496
$10,610
111
clean

Showing the first 200 of 3,789 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,790 of 2,959 comparable items (60%) 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 $12,000 exceeds the gross charge $380
warn
mrf_rate_without_estimate
58,145 of 58,145 percentage/algorithm rates across 1,436 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 31575/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 38571/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 84630/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0713/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31591/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 differ, so no cross-line comparison was made for this item
CPT 38572/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 57425/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 96365/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0743/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0162/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31623/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 38724/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 differ, so no cross-line comparison was made for this item
CPT 84702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 96366/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31624/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 38745/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 84703/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q0167/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31625/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 38760/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 81001/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31627/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 57500/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 85014/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q2009/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31628/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 differ, so no cross-line comparison was made for this item
CPT 38792/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 differ, so no cross-line comparison was made for this item
CPT 81003/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0878/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31629/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 81003/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 85018/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0881/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31632/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 38900/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 85025/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87529/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4121/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31633/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 85027/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0895/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31641/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 J0897/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q4158/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 58301/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 J1010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q4166/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31645/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 85048/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q4186/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31653/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 87556/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1100/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q4196/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31720/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 58350/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 differ, so no cross-line comparison was made for this item
CPT 87591/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q5101/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 58552/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 Q5106/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32408/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 58554/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 J1171/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q5117/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87635/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1190/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q5125/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32550/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 58558/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 42415/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 58571/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 81241/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 85240/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87637/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1230/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT Q5135/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 32552/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 58573/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 85245/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 42815/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 58661/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 differ, so no cross-line comparison was made for this item
CPT 85246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1265/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 32555/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 differ, so no cross-line comparison was made for this item
CPT 42820/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 58662/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 81270/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 87651/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9963/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43235/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 58720/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 32557/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43236/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 J1308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 33016/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43239/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 J1325/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 59025/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 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1327/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q9995/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81340/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 87798/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 differ, so no cross-line comparison was made for this item
CPT J1335/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 43251/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 59320/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 87899/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1442/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43254/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 J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 43255/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 59409/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 87999/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 97018/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 43261/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 59412/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 differ, so no cross-line comparison was made for this item
CPT 85303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1559/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43262/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 81403/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 88108/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97024/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J1561/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43264/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT J1569/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43266/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 J1580/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43270/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 82040/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 43274/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 60210/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 82042/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85347/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 43275/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 60220/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 differ, so no cross-line comparison was made for this item
CPT J1630/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43277/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 60240/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 J1642/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 43752/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 60252/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 82077/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85379/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 33224/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 43752/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 60260/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 differ, so no cross-line comparison was made for this item
CPT J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12001/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 60500/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 85384/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 J1720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 44604/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 J1805/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 44970/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 12031/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 J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 12032/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88262/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1817/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 33244/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 85520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 45330/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 62272/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82140/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 62273/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 82150/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88300/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 J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 33263/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 82164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 85576/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85576/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 88302/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 J1938/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82172/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 85610/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1950/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12052/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 45378/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 62302/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 82175/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 85610/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 88304/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 J1953/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 85611/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1956/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 45380/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 88305/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 45382/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 85613/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 J2003/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 45384/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

Showing the first 200 of 2,625 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 026
info
inp_charge_10x_payment
average charge $481,830 is 11.1× the total payment
MS-DRG 054
info
inp_charge_10x_payment
average charge $186,828 is 10.3× the total payment
MS-DRG 062
info
inp_charge_10x_payment
average charge $306,544 is 13.4× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $133,800 is 10.2× the total payment
MS-DRG 066
info
inp_charge_10x_payment
average charge $89,718 is 11.7× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $119,408 is 13.4× the total payment
MS-DRG 071
info
inp_charge_10x_payment
average charge $132,433 is 12.1× the total payment
MS-DRG 082
info
inp_charge_10x_payment
average charge $306,826 is 10.5× the total payment
MS-DRG 085
info
inp_charge_10x_payment
average charge $284,785 is 11.8× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $108,379 is 10.5× the total payment
MS-DRG 149
info
inp_charge_10x_payment
average charge $88,445 is 10.7× the total payment
MS-DRG 178
info
inp_charge_10x_payment
average charge $134,423 is 11.0× the total payment
MS-DRG 186
info
inp_charge_10x_payment
average charge $178,980 is 10.8× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $153,928 is 10.1× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $160,429 is 10.7× the total payment
MS-DRG 196
info
inp_charge_10x_payment
average charge $208,333 is 10.1× the total payment
MS-DRG 202
info
inp_charge_10x_payment
average charge $128,021 is 10.7× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $155,588 is 10.3× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $103,811 is 10.3× the total payment
MS-DRG 292
info
inp_charge_10x_payment
average charge $128,597 is 13.5× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $96,432 is 11.3× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $147,254 is 10.6× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $93,456 is 10.8× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $78,972 is 10.3× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $113,543 is 11.8× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $93,156 is 11.6× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $312,968 is 11.4× the total payment
MS-DRG 371
info
inp_charge_10x_payment
average charge $236,723 is 12.7× the total payment
MS-DRG 374
info
inp_charge_10x_payment
average charge $281,501 is 10.1× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $244,814 is 10.8× the total payment
MS-DRG 388
info
inp_charge_10x_payment
average charge $211,188 is 10.5× the total payment
MS-DRG 393
info
inp_charge_10x_payment
average charge $215,030 is 11.1× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $119,317 is 10.7× the total payment
MS-DRG 417
info
inp_charge_10x_payment
average charge $328,545 is 10.7× the total payment
MS-DRG 418
info
inp_charge_10x_payment
average charge $215,402 is 11.9× the total payment
MS-DRG 419
info
inp_charge_10x_payment
average charge $196,323 is 11.3× the total payment
MS-DRG 460
info
inp_charge_10x_payment
average charge $443,164 is 10.7× the total payment
MS-DRG 493
info
inp_charge_10x_payment
average charge $328,510 is 10.8× the total payment
MS-DRG 494
info
inp_charge_10x_payment
average charge $211,085 is 10.3× the total payment
MS-DRG 520
info
inp_charge_10x_payment
average charge $203,345 is 12.9× the total payment
MS-DRG 543
info
inp_charge_10x_payment
average charge $137,587 is 12.4× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $87,824 is 10.2× the total payment
MS-DRG 734
info
inp_charge_10x_payment
average charge $253,605 is 10.8× the total payment
MS-DRG 743
info
inp_charge_10x_payment
average charge $161,609 is 12.5× the total payment
MS-DRG 847
info
inp_charge_10x_payment
average charge $224,445 is 15.8× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $280,284 is 12.4× the total payment
MS-DRG 863
info
inp_charge_10x_payment
average charge $115,308 is 10.3× the total payment
MS-DRG 948
info
inp_charge_10x_payment
average charge $90,664 is 10.4× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 45.5M bytes · fetched 2026-08-25 · sha256 fc8ddbabaff3…

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.