Hospital · CCN 050197

Sequoia Hospital

170 Alameda De Las Pulgas, Redwood City, CA 94062 · San Mateo County
Part of CommonSpirit Health · 208 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

28 admission types 47 outpatient services price file: ok 9 Medicare-file findings
Billed per dollar paid, all admissions
7.87×
$153.6M billed against $19.5M paid across 830 Medicare discharges; the national figure is 5.03×.
—
of adults in San Mateo County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
4.6%
uninsured in the county · state 7.5%
$151K
median household income
4.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (6 in the inpatient or outpatient file)ⓘ
22.3%
obesity in the countyⓘ
10.6%
diagnosed diabetes (PLACES)
5.2%
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
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
153
$166,386
$20,602
8.1× st 6.4×
871
Septicemia or severe sepsis without mv >96 hours with mcc
137
$150,302
$21,237
7.1× st 6.2×
291
Heart failure and shock with mcc
97
$149,722
$14,336
10.4× st 6.5×
274
Percutaneous and other intracardiac procedures without mcc
38
$255,094
$35,604
7.2× st 5.6×
177
Respiratory infections and inflammations with mcc
36
$144,827
$17,868
8.1× st 6.6×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
32
$555,660
$91,776
6.1× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
26
$102,593
$11,998
8.6× st 6.1×
193
Simple pneumonia and pleurisy with mcc
25
$179,741
$16,219
11.1× st 6.9×
682
Renal failure with mcc
25
$134,442
$15,726
8.5× st 6.1×
683
Renal failure with cc
20
$104,598
$9,873
10.6× st 6.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
17
$322,670
$52,589
6.1× st 5.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
16
$81,041
$8,616
9.4× st 6.8×
253
Other vascular procedures with cc
16
$307,218
$32,947
9.3× st 6.7×
236
Coronary bypass without cardiac catheterization without mcc
15
$476,518
$51,183
9.3× st 7.2×
698
Other kidney and urinary tract diagnoses with mcc
15
$126,775
$17,342
7.3× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
14
$138,498
$14,443
9.6× st 5.7×
455
Combined anterior and posterior spinal fusion without cc/mcc
13
$218,530
$50,484
4.3× st 5.5×
690
Kidney and urinary tract infections without mcc
13
$80,086
$8,906
9.0× st 6.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
13
$132,170
$11,211
11.8× st 7.9×
378
Gastrointestinal hemorrhage with cc
13
$110,054
$10,541
10.4× st 6.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$78,435
$6,153
12.7× st 7.6×
309
Cardiac arrhythmia and conduction disorders with cc
13
$97,653
$8,213
11.9× st 7.2×
308
Cardiac arrhythmia and conduction disorders with mcc
13
$104,360
$13,189
7.9× st 6.9×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
12
$491,623
$59,444
8.3× st 6.7×
389
Gastrointestinal obstruction with cc
12
$89,562
$8,788
10.2× st 6.9×
273
Percutaneous and other intracardiac procedures with mcc
11
$440,202
$49,889
8.8× st 6.5×
190
Chronic obstructive pulmonary disease with mcc
11
$130,769
$12,038
10.9× st 7.1×
689
Kidney and urinary tract infections with mcc
11
$104,370
$12,138
8.6× st 6.3×
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
5213
Level 3 Electrophysiologic Procedures
425
$292,986
$33,192
8.8×
5115
Level 5 Musculoskeletal Procedures
299
$130,111
$18,434
7.1×
8011
Comprehensive Observation Services
131
$49,237
$3,832
12.8×
5114
Level 4 Musculoskeletal Procedures
108
$75,277
$9,910
7.6×
5302
Level 2 Upper GI Procedures
99
$18,370
$2,658
6.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
92
$13,491
$2,283
5.9×
5361
Level 1 Laparoscopy and Related Services
87
$76,846
$8,125
9.5×
5223
Level 3 Pacemaker and Similar Procedures
70
$78,590
$15,008
5.2×
5191
Level 1 Endovascular Procedures
69
$48,318
$4,596
10.5×
5183
Level 3 Vascular Procedures
58
$31,930
$4,488
7.1×
5193
Level 3 Endovascular Procedures
51
$116,581
$15,461
7.5×
5375
Level 5 Urology and Related Services
50
$50,265
$7,286
6.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
47
$21,588
$3,933
5.5×
5313
Level 3 Lower GI Procedures
46
$25,790
$3,885
6.6×
5116
Level 6 Musculoskeletal Procedures
41
$125,446
$26,169
4.8×
5113
Level 3 Musculoskeletal Procedures
41
$51,051
$4,558
11.2×
5194
Level 4 Endovascular Procedures
39
$114,976
$24,625
4.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
37
$46,444
$4,872
9.5×
5222
Level 2 Pacemaker and Similar Procedures
36
$58,767
$11,781
5.0×
5376
Level 6 Urology and Related Services
35
$80,999
$12,952
6.3×
5374
Level 4 Urology and Related Services
34
$45,624
$4,909
9.3×
5192
Level 2 Endovascular Procedures
32
$59,039
$8,048
7.3×
5362
Level 2 Laparoscopy and Related Services
31
$129,173
$14,469
8.9×
5303
Level 3 Upper GI Procedures
31
$20,756
$5,393
3.8×
5232
Level 2 ICD and Similar Procedures
27
$210,584
$44,531
4.7×
5182
Level 2 Vascular Procedures
20
$15,394
$2,255
6.8×
5373
Level 3 Urology and Related Services
19
$17,007
$2,868
5.9×
5414
Level 4 Gynecologic Procedures
19
$34,051
$4,402
7.7×
5331
Complex GI Procedures
19
$44,893
$8,025
5.6×
5224
Level 4 Pacemaker and Similar Procedures
18
$113,117
$27,359
4.1×
5184
Level 4 Vascular Procedures
16
$49,099
$7,738
6.3×
5431
Level 1 Nerve Procedures
16
$25,900
$2,719
9.5×
5112
Level 2 Musculoskeletal Procedures
11
$22,610
$2,263
10.0×
5165
Level 5 ENT Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
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, 22,378 rows scanned, 8,348 distinct code–setting items kept. 1,262 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT CEREBRL PERFUSION WCON
$2,756
$1,003
$1,874
7
clean
AUTO QN/CHAR DAT PREP/TRN
$3,080
$1,121
$2,372
9
clean
AUTO QN/CHAR COMPUT ANLS
$4,233
$1,541
$1,464
22
clean
SCALP COOL PLACE MON REM
$716
$261
$587
7
clean
FNA BX W/O IMG GDN EA ADDL
—
—
$55
14
clean
FNA BX W/US GDN 1ST LES
—
—
$1,032
32
clean
FNA BX W/US GDN EA ADDL
—
—
$64
14
clean
FNA BX W/FLUOR GDN 1ST LES
—
—
$1,032
32
clean
FNA BX W/CT GDN 1ST LES
—
—
$1,032
32
clean
FNA BX W/CT GDN EA ADDL
—
—
$316
14
clean
FNA BX W/MR GDN 1ST LES
—
—
$1,032
21
clean
FNA BX W/MR GDN EA ADDL
—
—
$6,138
3
clean
FNA BX W/O IMG GDN 1ST LES
—
—
$586
32
clean
GUIDE CATHET FLUID DRAINAGE
—
—
$1,032
32
clean
PERQ DEV SOFT TISS 1ST IMAG
—
—
$1,032
32
clean
PERQ DEV SOFT TISS ADD IMAG
—
—
$509
14
clean
ACNE SURGERY
—
—
$291
32
clean
DRAINAGE OF SKIN ABSCESS
—
—
$291
32
clean
DRAINAGE OF SKIN ABSCESS
—
—
$586
32
clean
DRAINAGE OF PILONIDAL CYST
—
—
$1,032
32
clean
DRAINAGE OF PILONIDAL CYST
—
—
$1,032
32
clean
REMOVE FOREIGN BODY
—
—
$586
32
clean
REMOVE FOREIGN BODY
—
—
$2,376
32
clean
DRAINAGE OF HEMATOMA/FLUID
—
—
$2,376
32
clean
PUNCTURE DRAINAGE OF LESION
—
—
$586
32
clean
COMPLEX DRAINAGE WOUND
—
—
$4,197
32
clean
DEBRIDE INFECTED SKIN
—
—
$898
32
clean
DEBRIDE INFECTED SKIN ADD-ON
—
—
$23
17
clean
DEBRIDE GENITALIA PERINEUM
—
—
$526
17
clean
DEBRIDE ABDOM WALL
—
—
$704
17
clean
DEBRIDE GENIT/PER/ABDOM WALL
—
—
$661
17
clean
REMOVE MESH FROM ABD WALL
—
—
$266
17
clean
DEBRIDE SKIN AT FX SITE
—
—
$1,032
32
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$1,032
32
clean
DEB SKIN BONE AT FX SITE
—
—
$4,197
32
clean
DEB SUBQ TISSUE 20 SQ CM/<
—
—
$586
32
clean
DEB MUSC/FASCIA 20 SQ CM/<
—
—
$898
32
clean
DEB BONE 20 SQ CM/<
—
—
$2,376
32
clean
DEB SUBQ TISSUE ADD-ON
—
—
$21
14
clean
DEB MUSC/FASCIA ADD-ON
—
—
$44
14
clean
DEB BONE ADD-ON
—
—
$77
14
clean
TRIM SKIN LESION
—
—
$291
30
clean
TRIM SKIN LESIONS 2 TO 4
—
—
$291
30
clean
TRIM SKIN LESIONS OVER 4
—
—
$291
30
clean
TANGNTL BX SKIN SINGLE LES
—
—
$291
32
clean
TANGNTL BX SKIN EA SEP/ADDL
—
—
$47
14
clean
PUNCH BX SKIN SINGLE LESION
—
—
$586
32
clean
PUNCH BX SKIN EA SEP/ADDL
—
—
$54
14
clean
INCAL BX SKN SINGLE LES
—
—
$898
32
clean
INCAL BX SKN EA SEP/ADDL
—
—
$64
14
clean
REMOVAL OF SKIN TAGS <W/15
—
—
$291
32
clean
REMOVE SKIN TAGS ADD-ON
—
—
$21
17
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$586
32
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$291
32
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$291
32
clean
SHAVE SKIN LESION >2.0 CM
—
—
$586
32
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$291
32
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$291
32
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$291
32
clean
SHAVE SKIN LESION >2.0 CM
—
—
$586
32
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$291
32
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$291
32
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$586
32
clean
SHAVE SKIN LESION >2.0 CM
—
—
$586
32
clean
EXC TR-EXT B9+MARG 0.5 CM<
—
—
$1,032
32
clean
EXC TR-EXT B9+MARG 0.6-1 CM
—
—
$586
32
clean
EXC TR-EXT B9+MARG 1.1-2 CM
—
—
$1,032
32
clean
EXC TR-EXT B9+MARG 2.1-3CM
—
—
$1,032
32
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
—
$2,376
32
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
$2,376
32
clean
EXC H-F-NK-SP B9+MARG 0.5/<
—
—
$2,376
32
clean
EXC H-F-NK-SP B9+MARG 0.6-1
—
—
$1,032
32
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
—
$2,376
32
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
—
$2,376
32
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
$2,376
32
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
—
$4,197
32
clean
EXC FACE-MM B9+MARG 0.5 CM/<
—
—
$1,032
32
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
—
$1,032
32
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
—
$1,032
32
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
$2,376
32
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$2,376
32
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$4,197
32
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,197
32
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,197
32
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,197
32
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,197
32
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,197
32
clean
REMOVAL SWEAT GLAND LESION
—
—
$4,197
32
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$1,032
32
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$1,032
32
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
—
$586
32
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$1,032
32
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$1,032
32
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$2,376
32
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$2,376
32
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$1,032
32
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
—
$1,032
32
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$2,376
32
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$2,376
32
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
$4,197
32
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
—
$1,032
32
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$1,032
32
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
—
$1,032
32
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
—
$2,376
32
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$2,376
32
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$4,197
32
clean
TRIM NAIL(S) ANY NUMBER
—
—
$87
20
clean
DEBRIDE NAIL 1-5
—
—
$87
32
clean
DEBRIDE NAIL 6 OR MORE
—
—
$87
32
clean
REMOVAL OF NAIL PLATE
—
—
$291
32
clean
REMOVE NAIL PLATE ADD-ON
—
—
$33
17
clean
DRAIN BLOOD FROM UNDER NAIL
—
—
$189
32
clean
REMOVAL OF NAIL BED
—
—
$586
32
clean
BIOPSY NAIL UNIT
—
—
$1,032
32
clean
REPAIR OF NAIL BED
—
—
$898
32
clean
RECONSTRUCTION OF NAIL BED
—
—
$2,683
32
clean
EXCISION OF NAIL FOLD TOE
—
—
$586
32
clean
REMOVE PILONIDAL CYST SIMPLE
—
—
$4,197
32
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$4,197
32
clean
REMOVE PILONIDAL CYST COMPL
—
—
$4,197
32
clean
INJECT SKIN LESIONS </W 7
—
—
$291
32
clean
INJECT SKIN LESIONS >7
—
—
$291
32
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$898
22
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$898
22
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$1,719
7
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$898
22
clean
INSERT TISSUE EXPANDER(S)
—
—
$5,369
32
clean
REPLACE TISSUE EXPANDER
—
—
$10,476
32
clean
REMOVE TISSUE EXPANDER(S)
—
—
$4,197
32
clean
IMPLANT HORMONE PELLET(S)
—
—
$585
32
clean
INSERT DRUG IMPLANT DEVICE
—
—
$189
30
clean
REMOVE DRUG IMPLANT DEVICE
—
—
$585
30
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$585
30
clean
RPR S/N/AX/GEN/TRNK 2.5CM/<
—
—
$291
32
clean
RPR S/N/AX/GEN/TRNK2.6-7.5CM
—
—
$291
32
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
—
—
$291
32
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
—
—
$586
32
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
—
—
$586
32
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
—
—
$323
32
clean
RPR F/E/E/N/L/M 2.5 CM/<
—
—
$291
32
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
—
—
$291
32
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
—
—
$291
32
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
—
—
$291
32
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
—
—
$586
32
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
—
$586
32
clean
RPR F/E/E/N/L/M >30.0 CM
—
—
$436
32
clean
CLOSURE OF SPLIT WOUND
—
—
$898
32
clean
CLOSURE OF SPLIT WOUND
—
—
$586
32
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
—
—
$586
32
clean
INTMD RPR S/A/T/EXT 2.6-7.5
—
—
$586
32
clean
INTMD RPR S/TR/EXT 7.6-12.5
—
—
$586
32
clean
INTMD RPR S/A/T/EXT 12.6-20
—
—
$586
32
clean
INTMD RPR S/A/T/EXT 20.1-30
—
—
$898
32
clean
INTMD RPR S/TR/EXT >30.0 CM
—
—
$2,683
22
clean
INTMD RPR N-HF/GENIT 2.5CM/<
—
—
$586
32
clean
INTMD RPR N-HF/GENIT2.6-7.5
—
—
$586
32
clean
INTMD RPR N-HF/GENIT7.6-12.5
—
—
$898
32
clean
INTMD RPR N-HF/GENIT12.6-20
—
—
$898
32
clean
INTMD RPR N-HF/GENIT20.1-30
—
—
$898
32
clean
INTMD RPR N-HF/GENIT >30.0CM
—
—
$2,683
32
clean
INTMD RPR FACE/MM 2.5 CM/<
—
—
$586
32
clean
INTMD RPR FACE/MM 2.6-5.0 CM
—
—
$586
32
clean
INTMD RPR FACE/MM 5.1-7.5 CM
—
—
$586
32
clean
INTMD RPR FACE/MM 7.6-12.5CM
—
—
$586
32
clean
INTMD RPR FACE/MM 12.6-20 CM
—
—
$586
32
clean
INTMD RPR FACE/MM 20.1-30.0
—
—
$586
32
clean
INTMD RPR FACE/MM >30.0 CM
—
—
$586
32
clean
CMPLX RPR TRUNK 1.1-2.5 CM
—
—
$898
32
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
—
$898
32
clean
CMPLX RPR TRUNK ADDL 5CM/<
—
—
$112
17
clean
CMPLX RPR S/A/L 1.1-2.5 CM
—
—
$898
32
clean
CMPLX RPR S/A/L 2.6-7.5 CM
—
—
$898
32
clean
CMPLX RPR S/A/L ADDL 5 CM/>
—
—
$130
17
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$586
32
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$898
32
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$193
17
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
—
—
$898
32
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
—
—
$898
32
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
—
—
$212
17
clean
LATE CLOSURE OF WOUND
—
—
$2,683
32
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
—
$2,683
32
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
—
$2,683
32
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
$2,683
32
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
$2,683
32
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,683
32
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,683
32
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
—
—
$2,683
32
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
$2,683
32
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
$5,369
32
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$233
17
clean
FILLETED FINGER/TOE FLAP
—
—
$2,683
32
clean
WOUND PREP TRK/ARM/LEG
—
—
$2,683
32
clean
WOUND PREP ADDL 100 CM
—
—
$74
17
clean
WOUND PREP F/N/HF/G
—
—
$898
32
clean
WND PREP F/N/HF/G ADDL CM
—
—
$123
17
clean
HARVEST CULTURED SKIN GRAFT
—
—
$2,683
32
clean
SKIN PINCH GRAFT
—
—
$898
32
clean
SKIN SPLT GRFT TRNK/ARM/LEG
—
—
$2,683
32
clean
SKIN SPLT GRFT T/A/L ADD-ON
—
—
$113
17
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
—
—
$2,683
32
clean

Showing the first 200 of 8,348 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
MS-DRG 001/i
error
mrf_negotiated_below_min
a negotiated rate of $23,643 is below the file's own minimum $26,128
MS-DRG 002/i
error
mrf_negotiated_below_min
a negotiated rate of $23,643 is below the file's own minimum $26,128
MS-DRG 173/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 212/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 215/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 216/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 217/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 218/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 219/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 220/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 221/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 228/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 229/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 231/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 232/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 233/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 234/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 235/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 236/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 242/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 243/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $24,218
MS-DRG 245/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 250/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $24,861
MS-DRG 258/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 260/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 261/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $20,400
MS-DRG 265/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $21,588
MS-DRG 266/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 267/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 268/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 269/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 270/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 271/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 272/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 273/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 274/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 275/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 276/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 277/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 278/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 279/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 319/i
error
mrf_negotiated_below_min
a negotiated rate of $23,643 is below the file's own minimum $26,128
MS-DRG 320/i
error
mrf_negotiated_below_min
a negotiated rate of $23,643 is below the file's own minimum $24,885
MS-DRG 321/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 323/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 324/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 325/i
error
mrf_negotiated_below_min
a negotiated rate of $19,287 is below the file's own minimum $26,128
MS-DRG 783/i
error
mrf_negotiated_below_min
a negotiated rate of $16,362 is below the file's own minimum $19,803
MS-DRG 786/i
error
mrf_negotiated_below_min
a negotiated rate of $16,362 is below the file's own minimum $17,372
MS-DRG 817/i
error
mrf_negotiated_below_min
a negotiated rate of $3,965 is below the file's own minimum $27,253
MS-DRG 818/i
error
mrf_negotiated_below_min
a negotiated rate of $3,965 is below the file's own minimum $13,846
MS-DRG 819/i
error
mrf_negotiated_below_min
a negotiated rate of $3,965 is below the file's own minimum $8,778
MS-DRG 831/i
error
mrf_negotiated_below_min
a negotiated rate of $3,965 is below the file's own minimum $12,374
MS-DRG 832/i
error
mrf_negotiated_below_min
a negotiated rate of $3,965 is below the file's own minimum $8,035
MS-DRG 833/i
error
mrf_negotiated_below_min
a negotiated rate of $3,965 is below the file's own minimum $5,588
warn
mrf_negotiated_above_gross_systematic
503 of 1,092 comparable items (46%) 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 $546 exceeds the gross charge $419
warn
mrf_rate_without_estimate
26,724 of 26,724 percentage/algorithm rates across 6,559 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 84255/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 87493/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 C1724/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9030/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 87496/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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9045/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 84270/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 differ, so no cross-line comparison was made for this item
CPT C1726/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 J9075/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 75989/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 84295/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 87498/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 C1727/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 76000/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 84300/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 C1728/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 J9145/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 C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 21 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 J9171/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 84311/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 C1730/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, max differ, so no cross-line comparison was made for this item
CPT J9181/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 C1731/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 J9201/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 76376/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT C1732/o
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 J9206/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 84402/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 87529/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 C1733/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9217/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 76377/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 84403/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 C1734/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 J9260/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 76942/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 84425/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 C1747/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 J9263/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 77001/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 84432/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 C1750/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 J9267/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 77002/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 84436/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 C1751/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 J9280/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 84439/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 87556/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 C1752/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9299/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 77072/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 84443/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 C1753/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 J9305/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 77075/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 87581/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 C1757/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9308/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 87591/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 C1758/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9312/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 84450/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 C1759/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9370/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 84460/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 87633/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 C1760/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 J9390/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 84478/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 C1762/o
info
mrf_item_fields_vary
this code and setting cover at least 22 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 80048/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 87635/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 C1763/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 L0172/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 80051/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 84480/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 C1764/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 L0625/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 80053/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 C1765/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 80061/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 87798/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 C1766/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80074/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 84484/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 87799/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 C1767/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 L8000/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 80076/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 84520/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 87801/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 C1768/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 L8600/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 80156/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 84540/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 87899/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 C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 19 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 L8606/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 C1771/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8689/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 80162/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 84550/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 C1773/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8699/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 80164/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 84560/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 C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 26 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 C1777/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 P9016/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 C1778/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 P9017/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 differ, so no cross-line comparison was made for this item
CPT 84630/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 C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80170/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 84681/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 C1782/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84702/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 C1785/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT P9034/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 80176/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 84999/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 C1786/o
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 P9035/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 C1787/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 80178/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 85014/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 C1788/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 C1789/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 80184/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 88184/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 C1813/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 80185/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 88185/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 C1815/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 Q0249/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 C1820/o
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 Q4081/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 85240/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 88233/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 differ, so no cross-line comparison was made for this item
CPT C1824/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 Q4100/o
info
mrf_item_fields_vary
this code and setting cover at least 10 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 1,262 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $132,170 is 11.8× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $130,769 is 10.9× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $179,741 is 11.1× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $149,722 is 10.4× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $97,653 is 11.9× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $78,435 is 12.7× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $110,054 is 10.4× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $89,562 is 10.2× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $104,598 is 10.6× 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. Sequoia Hospital — standard charges file · CA · updated 2026-02-28
    · json · 71.0M bytes · fetched 2026-08-23 · sha256 bdebd3e0069b…

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.