Hospital · CCN 050280

Mercy Medical Center Redding

2175 Rosaline Ave, Clairmont Hgts, Redding, CA 96001 · Shasta County
Part of CommonSpirit Health · 262 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

123 admission types 53 outpatient services price file: ok 2 Medicare-file findings
Billed per dollar paid, all admissions
5.95×
$525.9M billed against $88.4M paid across 4,325 Medicare discharges; the national figure is 5.03×.
—
of adults in Shasta County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
7.5%
uninsured in the county · state 7.5%
$72K
median household income
5.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
29.3%
obesity in the countyⓘ
11.7%
diagnosed diabetes (PLACES)
7.3%
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
673
$118,129
$20,228
5.8× st 6.2×
291
Heart failure and shock with mcc
193
$76,469
$13,262
5.8× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
115
$73,128
$10,802
6.8× st 6.1×
189
Pulmonary edema and respiratory failure
113
$90,761
$12,904
7.0× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
111
$294,949
$51,214
5.8× st 6.2×
193
Simple pneumonia and pleurisy with mcc
90
$89,454
$13,848
6.5× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
83
$87,157
$13,493
6.5× st 5.7×
698
Other kidney and urinary tract diagnoses with mcc
79
$99,573
$17,001
5.9× st 6.2×
177
Respiratory infections and inflammations with mcc
77
$106,997
$17,138
6.2× st 6.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
77
$135,758
$20,197
6.7× st 7.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
70
$88,050
$10,620
8.3× st 7.9×
682
Renal failure with mcc
66
$81,554
$15,020
5.4× st 6.1×
481
Hip and femur procedures except major joint with cc
65
$102,597
$20,245
5.1× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
61
$68,316
$11,448
6.0× st 7.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
58
$94,760
$21,868
4.3× st 6.9×
378
Gastrointestinal hemorrhage with cc
58
$65,286
$10,191
6.4× st 6.8×
329
Major small and large bowel procedures with mcc
54
$255,962
$48,576
5.3× st 6.5×
683
Renal failure with cc
52
$63,988
$9,884
6.5× st 6.7×
690
Kidney and urinary tract infections without mcc
49
$60,690
$9,770
6.2× st 6.6×
308
Cardiac arrhythmia and conduction disorders with mcc
48
$84,293
$12,577
6.7× st 6.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
48
$63,873
$8,673
7.4× st 6.3×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
47
$262,539
$56,030
4.7× st 6.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
45
$59,193
$8,364
7.1× st 6.8×
377
Gastrointestinal hemorrhage with mcc
45
$106,843
$18,315
5.8× st 6.4×
309
Cardiac arrhythmia and conduction disorders with cc
44
$62,113
$7,895
7.9× st 7.2×
689
Kidney and urinary tract infections with mcc
43
$68,638
$11,716
5.9× st 6.3×
312
Syncope and collapse
42
$78,197
$8,961
8.7× st 7.2×
854
Infectious and parasitic diseases with o.r. procedures with cc
39
$97,454
$21,771
4.5× st 6.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
36
$96,300
$20,687
4.7× st 6.4×
280
Acute myocardial infarction, discharged alive with mcc
35
$117,728
$15,954
7.4× st 6.6×
480
Hip and femur procedures except major joint with mcc
34
$139,516
$27,680
5.0× st 6.8×
070
Other cerebrovascular disorders with mcc
33
$108,161
$17,459
6.2× st 5.4×
330
Major small and large bowel procedures with cc
32
$144,926
$23,862
6.1× st 6.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
32
$102,204
$14,526
7.0× st 7.2×
603
Cellulitis without mcc
32
$61,678
$9,344
6.6× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
31
$161,238
$19,211
8.4× st 7.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
31
$204,689
$34,638
5.9× st 7.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
31
$186,137
$28,034
6.6× st 7.4×
699
Other kidney and urinary tract diagnoses with cc
31
$59,300
$10,430
5.7× st 6.1×
025
Craniotomy and endovascular intracranial procedures with mcc
31
$337,907
$48,779
6.9× st 6.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
29
$259,196
$44,275
5.9× st 6.3×
552
Medical back problems without mcc
29
$108,643
$13,469
8.1× st 7.5×
637
Diabetes with mcc
28
$107,207
$15,136
7.1× st 6.3×
638
Diabetes with cc
28
$63,665
$10,287
6.2× st 6.3×
948
Signs and symptoms without mcc
27
$58,251
$8,357
7.0× st 7.3×
253
Other vascular procedures with cc
24
$147,533
$26,844
5.5× st 6.7×
100
Seizures with mcc
24
$101,526
$19,961
5.1× st 6.2×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
24
$110,406
$26,497
4.2× st 6.5×
389
Gastrointestinal obstruction with cc
24
$59,049
$8,167
7.2× st 6.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
23
$205,562
$25,254
8.1× st 6.6×
521
Hip replacement with principal diagnosis of hip fracture with mcc
23
$113,840
$29,226
3.9× st 7.1×
472
Cervical spinal fusion with cc
22
$128,550
$29,984
4.3× st 6.1×
455
Combined anterior and posterior spinal fusion without cc/mcc
22
$235,959
$46,701
5.1× st 5.5×
917
Poisoning and toxic effects of drugs with mcc
22
$122,600
$16,480
7.4× st 6.2×
482
Hip and femur procedures except major joint without cc/mcc
22
$83,734
$16,603
5.0× st 6.7×
270
Other major cardiovascular procedures with mcc
22
$267,770
$51,471
5.2× st 6.4×
071
Other cerebrovascular disorders with cc
22
$85,688
$10,697
8.0× st 6.1×
242
Permanent cardiac pacemaker implant with mcc
21
$182,710
$33,770
5.4× st 6.5×
086
Traumatic stupor and coma <1 hour with cc
21
$169,479
$13,692
12.4× st 7.9×
069
Transient ischemia without thrombolytic
20
$75,086
$8,498
8.8× st 9.5×
281
Acute myocardial infarction, discharged alive with cc
20
$84,930
$9,657
8.8× st 7.8×
454
Combined anterior and posterior spinal fusion with cc
20
$268,580
$61,887
4.3× st 5.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
19
$65,922
$9,171
7.2× st 5.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
19
$95,773
$13,401
7.1× st 6.5×
314
Other circulatory system diagnoses with mcc
19
$154,571
$21,583
7.2× st 6.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
19
$56,608
$6,048
9.4× st 7.6×
811
Red blood cell disorders with mcc
19
$91,793
$14,639
6.3× st 6.4×
092
Other disorders of nervous system with cc
18
$74,730
$10,874
6.9× st 6.8×
091
Other disorders of nervous system with mcc
18
$81,760
$16,953
4.8× st 6.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
18
$101,549
$11,279
9.0× st 7.7×
536
Fractures of hip and pelvis without mcc
18
$55,035
$8,507
6.5× st 7.0×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
18
$146,530
$37,928
3.9× st 5.1×
439
Disorders of pancreas except malignancy with cc
18
$62,213
$9,105
6.8× st 7.4×
394
Other digestive system diagnoses with cc
17
$71,906
$9,925
7.2× st 6.9×
551
Medical back problems with mcc
17
$131,673
$17,009
7.7× st 7.0×
643
Endocrine disorders with mcc
16
$118,336
$17,919
6.6× st 6.5×
673
Other kidney and urinary tract procedures with mcc
16
$207,246
$40,934
5.1× st 5.8×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
16
$91,733
$19,528
4.7× st 5.6×
331
Major small and large bowel procedures without cc/mcc
16
$111,958
$23,299
4.8× st 6.6×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
15
$69,799
$11,294
6.2× st 7.4×
418
Laparoscopic cholecystectomy without c.d.e. with cc
15
$103,327
$16,934
6.1× st 7.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
15
$65,861
$9,283
7.1× st 6.9×
812
Red blood cell disorders without mcc
15
$54,287
$9,554
5.7× st 6.4×
101
Seizures without mcc
15
$88,029
$10,423
8.4× st 6.8×
243
Permanent cardiac pacemaker implant with cc
15
$126,928
$24,006
5.3× st 6.7×
085
Traumatic stupor and coma <1 hour with mcc
15
$290,695
$32,768
8.9× st 7.1×
870
Septicemia or severe sepsis with mv >96 hours
15
$460,239
$70,460
6.5× st 6.2×
467
Revision of hip or knee replacement with cc
15
$151,058
$32,796
4.6× st 6.1×
305
Hypertension without mcc
14
$80,920
$8,105
10.0× st 7.3×
199
Pneumothorax with mcc
14
$104,237
$18,351
5.7× st 7.7×
388
Gastrointestinal obstruction with mcc
14
$101,729
$15,226
6.7× st 6.5×
393
Other digestive system diagnoses with mcc
14
$87,500
$16,474
5.3× st 5.8×
460
Spinal fusion except cervical without mcc
14
$181,790
$37,208
4.9× st 5.6×
468
Revision of hip or knee replacement without cc/mcc
14
$118,043
$27,038
4.4× st 5.8×
056
Degenerative nervous system disorders with mcc
14
$161,529
$25,088
6.4× st 5.9×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
14
$123,738
$19,144
6.5× st 5.5×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
14
$149,531
$21,189
7.1× st 5.5×
435
Malignancy of hepatobiliary system or pancreas with mcc
14
$119,289
$18,455
6.5× st 6.8×
304
Hypertension with mcc
14
$86,453
$12,084
7.2× st 5.7×
183
Major chest trauma with mcc
13
$162,513
$20,524
7.9× st 7.7×
371
Major gastrointestinal disorders and peritoneal infections with mcc
13
$117,977
$16,937
7.0× st 6.6×
372
Major gastrointestinal disorders and peritoneal infections with cc
13
$71,742
$10,229
7.0× st 6.5×
602
Cellulitis with mcc
13
$72,887
$15,031
4.8× st 5.7×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
12
$172,147
$42,516
4.0× st 5.8×
862
Postoperative and post-traumatic infections with mcc
12
$109,851
$18,615
5.9× st 5.9×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$66,689
$7,366
9.1× st 8.8×
390
Gastrointestinal obstruction without cc/mcc
12
$51,395
$6,030
8.5× st 7.0×
919
Complications of treatment with mcc
12
$90,111
$18,794
4.8× st 6.0×
074
Cranial and peripheral nerve disorders without mcc
12
$79,963
$10,809
7.4× st 6.2×
057
Degenerative nervous system disorders without mcc
12
$69,916
$13,797
5.1× st 5.7×
244
Permanent cardiac pacemaker implant without cc/mcc
12
$109,838
$18,697
5.9× st 7.6×
207
Respiratory system diagnosis with ventilator support >96 hours
12
$405,657
$65,294
6.2× st 5.7×
087
Traumatic stupor and coma <1 hour without cc/mcc
12
$117,513
$9,574
12.3× st 8.5×
535
Fractures of hip and pelvis with mcc
12
$80,777
$13,722
5.9× st 9.0×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
12
$483,414
$77,405
6.2× st 7.0×
180
Respiratory neoplasms with mcc
11
$117,675
$18,791
6.3× st 6.9×
054
Nervous system neoplasms with mcc
11
$100,301
$15,024
6.7× st 7.6×
907
Other o.r. procedures for injuries with mcc
11
$168,602
$35,423
4.8× st 6.0×
163
Major chest procedures with mcc
11
$282,861
$50,479
5.6× st 6.4×
445
Disorders of the biliary tract with cc
11
$80,052
$11,422
7.0× st 7.0×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
11
$1,014,653
$204,050
5.0× st 5.9×
356
Other digestive system o.r. procedures with mcc
11
$301,824
$42,668
7.1× st 6.8×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
11
$85,077
$19,229
4.4× st 7.1×
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
675
$48,186
$3,341
14.4×
5115
Level 5 Musculoskeletal Procedures
427
$84,680
$15,945
5.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
207
$11,027
$1,971
5.6×
5361
Level 1 Laparoscopy and Related Services
199
$40,417
$7,036
5.7×
5375
Level 5 Urology and Related Services
168
$27,994
$6,331
4.4×
5183
Level 3 Vascular Procedures
154
$23,206
$3,899
6.0×
5114
Level 4 Musculoskeletal Procedures
149
$50,590
$8,696
5.8×
5374
Level 4 Urology and Related Services
117
$22,256
$4,286
5.2×
5191
Level 1 Endovascular Procedures
110
$54,395
$3,987
13.6×
5182
Level 2 Vascular Procedures
105
$16,713
$1,969
8.5×
5302
Level 2 Upper GI Procedures
88
$6,532
$2,340
2.8×
5113
Level 3 Musculoskeletal Procedures
81
$28,757
$3,862
7.4×
5155
Level 5 Airway Endoscopy
81
$20,387
$8,331
2.4×
5184
Level 4 Vascular Procedures
75
$31,784
$5,000
6.4×
5373
Level 3 Urology and Related Services
67
$13,438
$2,504
5.4×
5154
Level 4 Airway Endoscopy
66
$11,654
$4,493
2.6×
5192
Level 2 Endovascular Procedures
65
$42,269
$7,027
6.0×
5112
Level 2 Musculoskeletal Procedures
58
$18,097
$1,959
9.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
52
$33,090
$4,254
7.8×
5431
Level 1 Nerve Procedures
51
$12,201
$2,374
5.1×
5116
Level 6 Musculoskeletal Procedures
50
$84,551
$22,851
3.7×
5193
Level 3 Endovascular Procedures
48
$93,130
$13,503
6.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
43
$27,441
$4,599
6.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
41
$54,278
$7,855
6.9×
5362
Level 2 Laparoscopy and Related Services
38
$66,696
$12,637
5.3×
5165
Level 5 ENT Procedures
34
$38,964
$7,200
5.4×
5313
Level 3 Lower GI Procedures
31
$32,741
$3,452
9.5×
5414
Level 4 Gynecologic Procedures
29
$20,234
$3,844
5.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
27
$24,441
$3,494
7.0×
5194
Level 4 Endovascular Procedures
18
$119,216
$21,504
5.5×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
16
$22,053
$2,874
7.7×
5153
Level 3 Airway Endoscopy
15
$14,112
$1,976
7.1×
5223
Level 3 Pacemaker and Similar Procedures
14
$55,220
$13,108
4.2×
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-02-28, template 3.0.0, 28,161 rows scanned, 8,873 distinct code–setting items kept. 1,700 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RL-A-RBC GENO 3001053
$211
$107
$211
20
clean
RL-A-14-3-3 TAU 3001255B
$320
$162
$320
20
clean
RL-FN-FOUNDATN ONE CDX
$3,500
$1,775
$3,500
20
clean
CT CEREBRL PERFUSION WCON
$4,666
$2,366
$4,549
8
clean
RL-A-MERK ABS 3005983
$341
$173
$323
20
clean
STNT PLC EC VERT ART INI
$29,437
$14,925
$23,550
15
clean
SACRL AUGMENT INJ IMAG BI
$10,318
$5,231
$9,182
22
clean
BF RESP BACT/VIR 22 TRGTS
$937
$475
$500
20
clean
CP RESP VIRUS RNA 4 TRGTS
$455
$231
$364
11
clean
ECHO MYOCARD CON PERFUS
$1,218
$618
$1,188
8
clean
FNA BX W/O IMG GDN EA ADDL
—
—
$3,403
8
clean
FNA BX US GDE 1ST LESION
$1,555
$788
$1,244
23
clean
FNA BX US GDE EA ADD LES
$1,166
$591
$1,143
16
clean
FNA BX FLUORO GDE 1ST LES
$1,291
$655
$1,116
23
clean
FNA BX CT GDE 1ST LESION
$1,291
$655
$1,162
23
clean
FNA BX CT GDE EA ADD LES
$980
$497
$970
16
clean
FNA BX W/MR GDN 1ST LES
—
—
$894
12
clean
FNA BX W/MR GDN EA ADDL
—
—
$5,310
5
clean
FNA BX WO IMG 1ST LES PO
$420
$213
$420
23
clean
IMAGE CATH FLUID SOFT TIS
$559
$283
$575
46
clean
PERQ DEV SOFT TISS 1ST IMAG
—
—
$894
15
clean
PERQ DEV SOFT TISS ADD IMAG
—
—
$3,403
8
clean
ACNE SURGERY
—
—
$252
15
clean
I AND D ABSCESS SIMPLE
$766
$388
$285
69
clean
I AND D ABSCESS COMPLEX
$1,187
$602
$508
46
clean
DRAINAGE OF PILONIDAL CYST
—
—
$894
15
clean
DRAINAGE OF PILONIDAL CYST
—
—
$894
15
clean
I AND R FB SUBQ SIMPLE
$994
$504
$795
46
clean
I AND R FB SUBQ COMPLEX
$4,590
$2,327
$3,672
23
clean
I D HEMATOMA/SEROMA/FLUID
$4,624
$2,344
$3,672
69
clean
ASP ABSC/HEMA/CYST/BULLA
$619
$314
$529
69
clean
COMPLEX DRAINAGE WOUND
—
—
$3,637
15
clean
DEBRIDE INFECTED SKIN
—
—
$778
15
clean
DEBRIDE INFECTED SKIN ADD-ON
—
—
$3,403
8
clean
DEBRIDE GENITALIA PERINEUM
—
—
$3,403
8
clean
DEBRIDE ABDOM WALL
—
—
$3,403
8
clean
DEBRIDE GENIT/PER/ABDOM WALL
—
—
$8,517
8
clean
REMOVE MESH FROM ABD WALL
—
—
$3,403
8
clean
DEBRIDE SKIN AT FX SITE
—
—
$894
15
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$894
15
clean
DEB SKIN BONE AT FX SITE
—
—
$3,637
15
clean
DEBR SUBQ TISS 1ST 20SQCM
$1,017
$516
$948
46
clean
DEBR MSCL/FASCIA 1ST 20CM
$1,752
$888
$995
92
clean
DEBR SUBQ/MUS/BONE 1ST 20
$3,883
$1,969
$3,106
46
clean
DEBR SUBQ TISS ADD 20SQCM
$441
$224
$458
32
clean
DEBR SUBQ/MSCL ADD 20SQCM
$907
$460
$889
32
clean
DEBR SUBQ/MUS/BONE ADD 20
$1,605
$814
$1,573
32
clean
TRIM SKIN LESION 1ST
$273
$138
$252
23
clean
TRIM SKIN LESION 2-4
$384
$195
$249
46
clean
TRIM SKIN LESIONS OVER 4
—
—
$252
13
clean
BX SKN TANGENTIAL SNG LES
$593
$301
$382
46
clean
BX SKN TANGENT EA ADD LES
$593
$301
$504
32
clean
BX SKIN PUNCH SNG LES PO
$452
$229
$452
69
clean
BX SKIN PUNCH EA ADD LES
$593
$301
$261
48
clean
BX SKN INCISIONAL SNG LES
$714
$362
$613
46
clean
BX SKIN INCIS EA ADD LES
$593
$301
$504
32
clean
REMOVE SKIN TAGS <=15
$317
$161
$252
46
clean
REM SKIN TAG EA ADDL 10+
$53
$27
$52
16
clean
SHAVE LES T/A/L<=0.5CM PO
$185
$94
$185
23
clean
SHAVE LES T/A/L 0.6-1C PO
$225
$114
$225
23
clean
SHAVE LES T/A/L 1.1-2CM
$571
$290
$457
23
clean
SHAVE SKIN LESION >2.0 CM
—
—
$508
15
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$252
15
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$252
15
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$252
15
clean
SHAVE SKIN LESION >2.0 CM
—
—
$508
15
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$252
15
clean
SHAVE LES F/E/NL 0.6-1 PO
$234
$119
$234
23
clean
SHAVE LES F/E/NL 1.1-2 PO
$431
$219
$431
23
clean
SHAVE SKIN LESION >2.0 CM
—
—
$508
15
clean
EXC TR-EXT B9+MARG 0.5 CM<
—
—
$894
15
clean
EXC TR-EXT B9+MARG 0.6-1 CM
—
—
$508
15
clean
EXC BEN LES T/A/L1.1-2 PO
$794
$403
$794
23
clean
EXC TR-EXT B9+MARG 2.1-3CM
—
—
$894
15
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
—
$2,059
15
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
$2,059
15
clean
EXC H-F-NK-SP B9+MARG 0.5/<
—
—
$2,059
15
clean
EXC H-F-NK-SP B9+MARG 0.6-1
—
—
$894
15
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
—
$2,059
15
clean
EXC BEN LES S/N/HF2.1-3PO
$1,869
$948
$1,869
23
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
$2,059
15
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
—
$3,637
15
clean
EXC FACE-MM B9+MARG 0.5 CM/<
—
—
$894
15
clean
EXC BEN LES F/E/NL.6-1 PO
$794
$403
$794
23
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
—
$894
15
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
$2,059
15
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$2,059
15
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$3,637
15
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
15
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
15
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
15
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
15
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
15
clean
REMOVAL SWEAT GLAND LESION
—
—
$3,637
15
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$894
15
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$894
15
clean
EXC MAL LES T/A/L1.1-2 PO
$453
$230
$453
23
clean
EXC MAL LES T/A/L2.1-3 PO
$515
$261
$515
23
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$894
15
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$2,059
15
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$2,059
15
clean
EXC MAL LES S/N/HF.6-1 PO
$386
$196
$386
23
clean
EXC MAL LES S/N/HF1.1-2PO
$427
$216
$427
23
clean
EXC MAL LES S/N/HF2.1-3PO
$832
$422
$832
23
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$2,059
15
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
$3,637
15
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
—
$894
15
clean
EXC MAL LES F/E/NL0.6-1PO
$437
$222
$437
23
clean
EXC MAL LES F/E/NL1.1-2PO
$494
$250
$494
23
clean
EXC MAL LES F/E/NL2.1-3PO
$579
$294
$579
23
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$2,059
15
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$3,637
15
clean
TRIM NONDYSTROPHIC NAILS
$302
$153
$258
20
clean
DEBRIDE NAIL UP TO 5
$302
$153
$242
23
clean
DEBRIDE NAIL 6 OR >
$385
$195
$308
23
clean
AVULSION NAIL PLAT SINGLE
$450
$228
$252
46
clean
REMOVE NAIL PLATE ADD-ON
—
—
$3,403
8
clean
DRAIN BLOOD FROM UNDER NAIL
—
—
$164
15
clean
EXC NAIL AND MATRIX
$1,633
$828
$1,306
23
clean
BIOPSY NAIL UNIT
—
—
$894
15
clean
REPAIR OF NAIL BED
—
—
$778
15
clean
RECONSTRUCTION OF NAIL BED
—
—
$2,324
15
clean
EXCISION OF NAIL FOLD TOE
—
—
$508
15
clean
REMOVE PILONIDAL CYST SIMPLE
—
—
$3,637
15
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$3,637
15
clean
REMOVE PILONIDAL CYST COMPL
—
—
$3,637
15
clean
INJECT SKIN LESIONS </W 7
—
—
$252
15
clean
INJECT SKIN LESIONS >7
—
—
$252
15
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$778
13
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$778
13
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$4,525
6
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$778
12
clean
INSERT TISSUE EXPANDER(S)
—
—
$4,652
15
clean
REPLACE TISSUE EXPANDER
—
—
$9,077
15
clean
REMOVE TISSUE EXPANDER(S)
—
—
$3,637
15
clean
IMPLANT HORMONE PELLET(S)
—
—
$507
15
clean
INSERT DRUG IMPLANT DEVICE
—
—
$164
13
clean
REMOVE DRUG IMPLANT DEVICE
—
—
$507
13
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$507
13
clean
LR SMPL TRNK/NECK <=2.5CM
$544
$276
$435
23
clean
LR SMPL TRK/NCK 2.6-7.5PO
$331
$168
$252
69
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
—
—
$252
15
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
—
—
$508
15
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
—
—
$508
15
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
—
—
$642
15
clean
RPR F/E/E/N/L/M 2.5 CM/<
—
—
$273
15
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
—
—
$252
15
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
—
—
$252
15
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
—
—
$257
15
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
—
—
$508
15
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
—
$743
15
clean
RPR F/E/E/N/L/M >30.0 CM
—
—
$867
15
clean
CLOSURE OF SPLIT WOUND
—
—
$778
15
clean
CLOSURE OF SPLIT WOUND
—
—
$508
15
clean
LR INT SCLP/TRNK <=2.5 PO
$431
$219
$431
23
clean
INTMD RPR S/A/T/EXT 2.6-7.5
—
—
$508
15
clean
INTMD RPR S/TR/EXT 7.6-12.5
—
—
$508
15
clean
INTMD RPR S/A/T/EXT 12.6-20
—
—
$508
15
clean
INTMD RPR S/A/T/EXT 20.1-30
—
—
$778
15
clean
INTMD RPR S/TR/EXT >30.0 CM
—
—
$2,324
13
clean
INTMD RPR N-HF/GENIT 2.5CM/<
—
—
$508
15
clean
INTMD RPR N-HF/GENIT2.6-7.5
—
—
$508
15
clean
INTMD RPR N-HF/GENIT7.6-12.5
—
—
$778
15
clean
INTMD RPR N-HF/GENIT12.6-20
—
—
$778
15
clean
INTMD RPR N-HF/GENIT20.1-30
—
—
$778
15
clean
INTMD RPR N-HF/GENIT >30.0CM
—
—
$2,324
15
clean
INTMD RPR FACE/MM 2.5 CM/<
—
—
$508
15
clean
INTMD RPR FACE/MM 2.6-5.0 CM
—
—
$508
15
clean
INTMD RPR FACE/MM 5.1-7.5 CM
—
—
$508
15
clean
INTMD RPR FACE/MM 7.6-12.5CM
—
—
$508
15
clean
INTMD RPR FACE/MM 12.6-20 CM
—
—
$529
15
clean
INTMD RPR FACE/MM 20.1-30.0
—
—
$812
15
clean
INTMD RPR FACE/MM >30.0 CM
—
—
$858
15
clean
CMPLX RPR TRUNK 1.1-2.5 CM
—
—
$778
15
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
—
$778
15
clean
CMPLX RPR TRUNK ADDL 5CM/<
—
—
$3,403
8
clean
CMPLX RPR S/A/L 1.1-2.5 CM
—
—
$778
15
clean
CMPLX RPR S/A/L 2.6-7.5 CM
—
—
$778
15
clean
CMPLX RPR S/A/L ADDL 5 CM/>
—
—
$3,403
8
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$508
15
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$778
15
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$3,403
8
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
—
—
$778
15
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
—
—
$778
15
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
—
—
$3,403
8
clean
LATE CLOSURE OF WOUND
—
—
$2,324
15
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
—
$2,324
15
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
—
$2,324
15
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
$2,324
15
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
$2,324
15
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,324
15
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,324
15
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
—
—
$2,324
15
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
$2,324
15
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
$4,652
15
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$5,310
8
clean
FILLETED FINGER/TOE FLAP
—
—
$2,324
15
clean
WOUND PREP TRK/ARM/LEG
—
—
$2,324
15
clean
WOUND PREP ADDL 100 CM
—
—
$3,403
8
clean
WOUND PREP F/N/HF/G
—
—
$778
15
clean

Showing the first 200 of 8,873 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
MS-DRG 243/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,675
MS-DRG 244/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,675
MS-DRG 250/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,675
MS-DRG 251/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,675
MS-DRG 258/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,987
MS-DRG 259/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,675
MS-DRG 261/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,675
MS-DRG 262/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,675
MS-DRG 272/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,675
MS-DRG 286/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $22,160
MS-DRG 287/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $16,462
MS-DRG 321/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $28,393
MS-DRG 322/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $27,675
MS-DRG 325/i
error
mrf_negotiated_above_max
a negotiated rate of $29,734 is above the file's own maximum $28,543
MS-DRG 215/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 216/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 217/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 218/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 219/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 220/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 221/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 228/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 229/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 231/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 232/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 233/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 234/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 235/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 236/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 242/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 243/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $22,549
MS-DRG 244/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $18,140
MS-DRG 245/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 250/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $23,137
MS-DRG 251/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $15,759
MS-DRG 258/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 259/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $17,678
MS-DRG 260/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 261/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $19,054
MS-DRG 262/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $15,318
MS-DRG 265/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 266/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 267/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 268/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 269/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 270/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 271/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 272/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $25,003
MS-DRG 273/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 274/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $27,438
MS-DRG 286/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $16,085
MS-DRG 287/i
error
mrf_negotiated_below_min
a negotiated rate of $6,758 is below the file's own minimum $11,106
MS-DRG 768/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $11,171
MS-DRG 769/i
error
mrf_negotiated_below_min
a negotiated rate of $4,447 is below the file's own minimum $14,055
MS-DRG 770/i
error
mrf_negotiated_below_min
a negotiated rate of $4,447 is below the file's own minimum $10,971
MS-DRG 776/i
error
mrf_negotiated_below_min
a negotiated rate of $4,447 is below the file's own minimum $7,405
MS-DRG 779/i
error
mrf_negotiated_below_min
a negotiated rate of $4,447 is below the file's own minimum $9,582
MS-DRG 783/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $18,508
MS-DRG 784/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $11,040
MS-DRG 785/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $8,979
MS-DRG 786/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $16,283
MS-DRG 787/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $10,831
MS-DRG 788/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $9,286
MS-DRG 796/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $12,945
MS-DRG 797/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $9,911
MS-DRG 798/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $9,911
MS-DRG 805/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $10,204
MS-DRG 806/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $7,504
MS-DRG 807/i
error
mrf_negotiated_below_min
a negotiated rate of $2,805 is below the file's own minimum $6,655
MS-DRG 817/i
error
mrf_negotiated_below_min
a negotiated rate of $4,260 is below the file's own minimum $25,326
MS-DRG 818/i
error
mrf_negotiated_below_min
a negotiated rate of $4,260 is below the file's own minimum $13,057
MS-DRG 819/i
error
mrf_negotiated_below_min
a negotiated rate of $4,260 is below the file's own minimum $8,418
MS-DRG 831/i
error
mrf_negotiated_below_min
a negotiated rate of $4,260 is below the file's own minimum $11,709
MS-DRG 832/i
error
mrf_negotiated_below_min
a negotiated rate of $4,260 is below the file's own minimum $7,738
MS-DRG 833/i
error
mrf_negotiated_below_min
a negotiated rate of $4,260 is below the file's own minimum $5,499
warn
mrf_negotiated_above_gross_systematic
474 of 1,589 comparable items (30%) 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 $18,679 exceeds the gross charge $10,318
warn
mrf_rate_without_estimate
45,204 of 45,204 percentage/algorithm rates across 6,140 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 82042/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 86694/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 J0743/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 J9351/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 36589/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 82043/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 86695/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 J0744/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 J9354/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 82088/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 86696/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 J0770/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 J9370/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 82103/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 86698/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 J0780/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 J9380/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 36591/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 82104/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 86706/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 J0834/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 J9390/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36592/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 82131/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 86707/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 J0840/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 J9395/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 36593/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 82139/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 86735/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 J0878/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 J9400/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 82140/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 86753/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 J0881/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 L0112/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 82150/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 86757/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 J0883/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0150/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 82157/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 86762/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 J0885/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, max differ, so no cross-line comparison was made for this item
CPT L0170/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 36600/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 82164/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 86765/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 J0894/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 L0172/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, min, max differ, so no cross-line comparison was made for this item
CPT 36620/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 82172/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 86768/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 J0895/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 L0174/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 82175/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 86769/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 J0896/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 L0180/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 82232/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 86777/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 J0897/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 L0190/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 82239/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 86778/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 J1010/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, min, max differ, so no cross-line comparison was made for this item
CPT L0200/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 82247/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 86780/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 J1050/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 L0457/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 82248/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 86787/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 J1071/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 L0462/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 82270/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 86788/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 J1100/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 L0464/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 82271/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 86789/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 J1110/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 L0472/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 82272/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 86790/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1120/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 L0486/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 82274/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 86800/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 J1160/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 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 82300/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 86803/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 L0627/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 82306/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 86850/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 J1165/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 L0630/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 82310/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 86860/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 J1171/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 L0637/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 37211/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 82330/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 86870/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 J1190/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 L0650/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 82340/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 86880/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 J1200/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 L0710/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 37215/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 82374/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 86886/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 J1205/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 L0810/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 37216/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 82378/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 86900/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 J1230/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 L1686/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 37236/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 82379/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 86901/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

Showing the first 200 of 1,700 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 086
info
inp_charge_10x_payment
average charge $169,479 is 12.4× the total payment
MS-DRG 087
info
inp_charge_10x_payment
average charge $117,513 is 12.3× 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. · json · 67.3M bytes · fetched 2026-08-23 · sha256 0d14505ece92…

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.