Hospital · CCN 050301

Adventist Health Ukiah Valley

275 Hospital Drive, Ukiah, CA 95482 · Mendocino County
Part of Adventist Health · 50 beds · 2
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

24 admission types 41 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
4.29×
$52.3M billed against $12.2M paid across 606 Medicare discharges; the national figure is 5.03×.
—
of adults in Mendocino County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
10.3%
uninsured in the county · state 7.5%
$66K
median household income
4.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
29.3%
obesity in the countyⓘ
13.7%
diagnosed diabetes (PLACES)
8.5%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
167
$103,160
$23,873
4.3× st 6.2×
291
Heart failure and shock with mcc
55
$79,258
$16,293
4.9× st 6.5×
193
Simple pneumonia and pleurisy with mcc
36
$80,833
$17,098
4.7× st 6.9×
177
Respiratory infections and inflammations with mcc
29
$107,496
$20,873
5.2× st 6.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
24
$63,049
$13,270
4.8× st 6.1×
189
Pulmonary edema and respiratory failure
22
$96,348
$15,775
6.1× st 6.7×
698
Other kidney and urinary tract diagnoses with mcc
21
$96,310
$22,279
4.3× st 6.2×
309
Cardiac arrhythmia and conduction disorders with cc
20
$53,325
$12,693
4.2× st 7.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
19
$243,302
$65,770
3.7× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
18
$56,154
$13,023
4.3× st 7.9×
682
Renal failure with mcc
18
$59,992
$17,424
3.4× st 6.1×
330
Major small and large bowel procedures with cc
16
$104,780
$28,793
3.6× st 6.9×
683
Renal failure with cc
16
$50,816
$11,478
4.4× st 6.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
15
$40,842
$10,106
4.0× st 6.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
15
$71,812
$16,448
4.4× st 5.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
15
$80,576
$24,280
3.3× st 7.4×
190
Chronic obstructive pulmonary disease with mcc
15
$60,618
$13,817
4.4× st 7.1×
378
Gastrointestinal hemorrhage with cc
14
$45,835
$12,451
3.7× st 6.8×
280
Acute myocardial infarction, discharged alive with mcc
13
$88,849
$20,004
4.4× st 6.6×
377
Gastrointestinal hemorrhage with mcc
12
$59,607
$21,632
2.8× st 6.4×
690
Kidney and urinary tract infections without mcc
12
$53,450
$10,801
4.9× st 6.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$58,035
$16,852
3.4× st 7.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
11
$52,077
$10,269
5.1× st 6.8×
689
Kidney and urinary tract infections with mcc
11
$49,179
$14,103
3.5× 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
5372
Level 2 Urology and Related Services
345
$718
$898
0.8×
5491
Level 1 Intraocular Procedures
253
$12,886
$3,068
4.2×
8011
Comprehensive Observation Services
203
$32,255
$3,576
9.0×
5373
Level 3 Urology and Related Services
153
$4,219
$2,682
1.6×
5431
Level 1 Nerve Procedures
142
$9,028
$2,542
3.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
100
$14,837
$2,135
7.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
72
$29,868
$3,741
8.0×
5375
Level 5 Urology and Related Services
61
$36,388
$6,813
5.3×
5361
Level 1 Laparoscopy and Related Services
56
$38,824
$7,489
5.2×
5302
Level 2 Upper GI Procedures
54
$7,830
$2,469
3.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
46
$28,947
$5,019
5.8×
5374
Level 4 Urology and Related Services
45
$28,550
$4,590
6.2×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
44
$48,021
$8,584
5.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
35
$29,443
$4,555
6.5×
5313
Level 3 Lower GI Procedures
33
$15,650
$3,695
4.2×
5182
Level 2 Vascular Procedures
33
$5,191
$2,109
2.5×
5223
Level 3 Pacemaker and Similar Procedures
26
$60,159
$14,036
4.3×
5183
Level 3 Vascular Procedures
26
$33,390
$4,197
8.0×
5113
Level 3 Musculoskeletal Procedures
22
$30,260
$4,262
7.1×
5414
Level 4 Gynecologic Procedures
20
$26,949
$3,953
6.8×
5115
Level 5 Musculoskeletal Procedures
18
$104,290
$17,292
6.0×
5112
Level 2 Musculoskeletal Procedures
15
$17,134
$2,116
8.1×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
11
$11,329
$3,077
3.7×
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5465
Level 5 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 csv-tall, last updated 2026-05-24, template 3.0.0, 787,261 rows scanned, 6,799 distinct code–setting items kept. 4,254 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Anesthesia for procedure on saliva gland
$432
$86
$302
22
clean
Anesthesia for procedure on eyelid
$432
$86
$302
22
clean
Anesthesia for other procedure on external middle and inner ear
$367
$73
$257
22
clean
Anesthesia for other procedure on eye
$391
$78
$274
22
clean
Anesthesia for lens surgery
$313
$63
$219
22
clean
Anesthesia for retinal surgery
$517
$103
$362
22
clean
Anesthesia for other procedure on nose and sinuses
$391
$78
$274
22
clean
Anesthesia for biopsy of soft tissue of nose and sinus
$343
$69
$240
22
clean
Anesthesia for other procedure on mouth
$391
$78
$274
22
clean
Anesthesia for other procedure on face bones or skull
$391
$78
$274
22
clean
Anesthesia for procedure to drain brain and spinal cord fluid
$343
$69
$240
22
clean
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back
$424
$85
$297
22
clean
Anesthesia for other procedure on neck area (1 year or older)
$509
$102
$356
22
clean
Anesthesia for needle biopsy of thyroid
$259
$52
$181
22
clean
Anesthesia for other procedure on large blood vessel of neck
$549
$110
$384
22
clean
Testing for presence of prion protein in cerebrospinal fluid
$472
$94
$401
28
clean
DNA gene analysis of 324 genes in solid organ tumor tissue
$3,500
$700
$2,975
28
clean
Anesthesia for other procedure on skin of arms, legs, and front body
$254
$51
$178
22
clean
Anesthesia for reconstruction of breast
$391
$78
$274
22
clean
Anesthesia for removal of all or part of breast
$391
$78
$274
22
clean
Anesthesia for removal of breast and lymph nodes
$1,120
$224
$784
22
clean
Anesthesia for procedure to correct abnormal heart rhythm
$313
$63
$219
22
clean
Anesthesia for other procedure on collar bone and shoulder blade
$432
$86
$302
22
clean
Anesthesia for biopsy of collar bone
$259
$52
$181
22
clean
Anesthesia for procedure on esophagus
$1,294
$259
$906
22
clean
Anesthesia for other closed procedure on chest
$509
$102
$356
22
clean
Anesthesia for closed needle biopsy of lung
$343
$69
$240
22
clean
Anesthesia for closed exam of chest using an endoscope
$690
$138
$483
22
clean
Anesthesia for insertion of permanent heart pacemaker
$313
$63
$219
22
clean
Anesthesia for access to central vein
$339
$68
$237
22
clean
Anesthesia for insertion or replace of pacing heart defibrillator
$315
$63
$221
22
clean
Anesthesia for other procedure on chest
$1,035
$207
$725
22
clean
Anesthesia for removal of breast bone tissue
$82
$16
$66
22
clean
Anesthesia for procedure on heart and large blood vessels
$587
$117
$411
22
clean
Measurement of antibodies to Merkel cell polyoma virus oncoprotein in serum
$341
$68
$288
28
clean
Anesthesia for other procedure on upper spine
$848
$170
$594
22
clean
Anesthesia for other procedure on middle spine
$848
$170
$594
22
clean
Anesthesia for other procedure on lower spine
$690
$138
$483
22
clean
Anesthesia for spinal tap
$343
$69
$240
22
clean
Anesthesia for manipulation or closed procedure of spine
$670
$134
$469
22
clean
Anesthesia for extensive surgery on spine
$719
$144
$503
22
clean
Anesthesia for other procedure on upper front abdomen
$343
$69
$240
22
clean
Anesthesia for biopsy of liver
$339
$68
$237
22
clean
Anesthesia for procedure on upper rear abdomen
$432
$86
$302
22
clean
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
$424
$85
$297
22
clean
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope
$295
$59
$207
22
clean
Anesthesia for other repair of upper abdomen hernia
$343
$69
$240
22
clean
Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening
$517
$103
$362
22
clean
Anesthesia for other procedure on upper abdomen
$593
$119
$415
22
clean
Anesthesia for procedure on stomach for weight loss
$548
$110
$384
22
clean
Anesthesia for other procedure on lower front abdomen
$339
$68
$237
22
clean
Anesthesia for other procedure on large bowel using an endoscope
$339
$68
$237
22
clean
Anesthesia for exam of colon using an endoscope
$295
$59
$207
22
clean
Anesthesia for procedure on small and large bowel using an endoscope
$424
$85
$297
22
clean
Anesthesia for procedure on lower rear abdomen
$432
$86
$302
22
clean
Anesthesia for other repair of lower abdomen hernia (1 year or older)
$339
$68
$237
22
clean
Anesthesia for repair of abdominal wall hernia
$509
$102
$356
22
clean
Anesthesia for other procedure on lower abdomen
$509
$102
$356
22
clean
Anesthesia for procedure on large bowel
$604
$121
$423
22
clean
Anesthesia for removal of uterus including use of an endoscope
$626
$125
$438
22
clean
Anesthesia for tying or incision of fallopian tubes using an endoscope
$471
$94
$330
22
clean
Anesthesia for other procedure on lower abdomen outside abdominal cavity
$471
$94
$330
22
clean
Anesthesia for procedure on upper urinary tubes or removal of kidney for transplant
$604
$121
$423
22
clean
Anesthesia for total removal of bladder
$626
$125
$438
22
clean
Anesthesia for shock wave therapy for urinary system stones with water bath
$607
$121
$425
22
clean
Anesthesia for procedure on anus and rectum
$424
$85
$297
22
clean
Anesthesia for extensive procedure on perineum
$604
$121
$423
22
clean
Anesthesia for removal of external female genitals
$343
$69
$240
22
clean
Anesthesia for other procedure on urinary system through urethra
$259
$52
$181
22
clean
Anesthesia for removal of urinary bladder tumors including use of an endoscope
$496
$99
$347
22
clean
Anesthesia for removal of prostate including use of an endoscope
$248
$50
$174
22
clean
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope
$432
$86
$302
22
clean
Anesthesia for other procedure on male genitals
$235
$47
$165
22
clean
Anesthesia for vasectomy
$259
$52
$181
22
clean
Anesthesia for removal of testicle through groin
$313
$63
$219
22
clean
Anesthesia for removal of testicle through incision in abdomen
$517
$103
$362
22
clean
Anesthesia for relocation of undescended testicle into scrotum
$313
$63
$219
22
clean
Anesthesia for other procedure on female genitals
$235
$47
$165
22
clean
Anesthesia for repair or removal of vagina and urinary procedure
$343
$69
$240
22
clean
Anesthesia for vaginal removal of uterus
$471
$94
$330
22
clean
Anesthesia for suture closure of cervix
$313
$63
$219
22
clean
Anesthesia for exam of uterus using an endoscope
$339
$68
$237
22
clean
Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone
$432
$86
$302
22
clean
Anesthesia for procedure on hip bone
$343
$69
$240
22
clean
Anesthesia for application or revision of body cast
$122
$24
$85
22
clean
Anesthesia for procedure on pubic bone or pelvic joint
$343
$69
$240
22
clean
Anesthesia for closed procedure on hip joint
$343
$69
$240
22
clean
Anesthesia for procedure on hip joint using an endoscope
$343
$69
$240
22
clean
Anesthesia for other procedure on hip joint
$517
$103
$362
22
clean
Anesthesia for removal of hip bone at joint
$862
$172
$603
22
clean
Anesthesia for total hip replacement
$690
$138
$483
22
clean
Anesthesia for revision of total hip replacement
$862
$172
$603
22
clean
Anesthesia for closed procedure on upper 2/3rd of thigh bone
$339
$68
$237
22
clean
Anesthesia for procedure on upper 2/3rd of thigh bone
$517
$103
$362
22
clean
Anesthesia for amputation on upper 2/3rd of thigh bone
$534
$107
$374
22
clean
Anesthesia for removal of muscle or tissue on upper 2/3rd of thigh bone
$690
$138
$483
22
clean
Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg
$339
$68
$237
22
clean
Anesthesia for procedure on veins in upper leg
$352
$70
$246
22
clean
Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee
$343
$69
$240
22
clean
Anesthesia for closed procedure on lower 1/3rd of thigh bone
$313
$63
$219
22
clean
Anesthesia for procedure on lower 1/3rd of thigh bone
$432
$86
$302
22
clean
Anesthesia for closed procedure on knee joint
$259
$52
$181
22
clean
Anesthesia for exam of knee joint using an endoscope
$235
$47
$165
22
clean
Anesthesia for closed procedure on kneecap and/or upper part of lower leg bones
$254
$51
$178
22
clean
Anesthesia for procedure on kneecap and/or upper part of lower leg bones
$343
$69
$240
22
clean
Anesthesia for other procedure or exam of knee joint using an endoscope
$343
$69
$240
22
clean
Anesthesia for procedure for total knee joint replacement
$604
$121
$423
22
clean
Anesthesia for removal of leg at knee joint
$637
$127
$446
22
clean
Anesthesia for application, removal, or repair of cast to knee
$235
$47
$165
22
clean
Anesthesia for other procedure on vein of knee
$330
$66
$231
22
clean
Anesthesia for other procedure on artery of knee
$219
$44
$153
22
clean
Anesthesia for closed procedure on lower leg, ankle, and foot
$254
$51
$178
22
clean
Anesthesia for procedure on ankle or foot using an endoscope
$259
$52
$181
22
clean
Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle, and foot
$254
$51
$178
22
clean
Anesthesia for repair of Achilles tendon
$432
$86
$302
22
clean
Anesthesia for repair of calf muscle
$534
$107
$374
22
clean
Anesthesia for other procedure on lower leg, ankle, and foot bones
$254
$51
$178
22
clean
Anesthesia for open amputation below the knee
$343
$69
$240
22
clean
Anesthesia for open reconstruction of lower leg, ankle, and/or foot bone
$343
$69
$240
22
clean
Anesthesia for application, removal, or repair of cast to lower leg
$235
$47
$165
22
clean
Anesthesia for other procedure on artery of lower leg
$626
$125
$438
22
clean
Anesthesia for other procedure on vein of lower leg
$337
$67
$236
22
clean
Cell-free DNA sequencing of disease-causing organisms in plasma specimen, with report for significant organisms
$2,230
$446
$1,806
28
clean
Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm
$432
$86
$302
22
clean
Anesthesia for closed procedure on top of arm bone and shoulder joint
$343
$69
$240
22
clean
Anesthesia for exam of shoulder joint using an endoscope
$339
$68
$237
22
clean
Anesthesia for other procedure on top of arm bone and shoulder joint
$432
$86
$302
22
clean
Anesthesia for open or endoscopic total shoulder joint replacement
$862
$172
$603
22
clean
Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper arm and elbow
$254
$51
$178
22
clean
Anesthesia for procedure on tendon of elbow to shoulder
$432
$86
$302
22
clean
Anesthesia for repair of elbow to shoulder tendon
$432
$86
$302
22
clean
Anesthesia for procedure on tendon of upper arm muscle
$432
$86
$302
22
clean
Anesthesia for closed procedure on upper arm and elbow
$259
$52
$181
22
clean
Anesthesia for exam of elbow joint using an endoscope
$259
$52
$181
22
clean
Anesthesia for other procedure on elbow
$343
$69
$240
22
clean
Anesthesia for incision or partial removal of upper arm bone
$432
$86
$302
22
clean
Anesthesia for repair of nonhealed broken upper arm bone
$432
$86
$302
22
clean
Anesthesia for total elbow joint replacement
$280
$56
$196
44
clean
Anesthesia for other procedure on veins of upper arm and elbow
$226
$45
$158
22
clean
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand
$254
$51
$178
22
clean
Anesthesia for closed procedure on bones of forearm, wrist, or hand
$259
$52
$181
22
clean
Anesthesia for other procedure on forearm, wrist, or hand bones
$254
$51
$178
22
clean
Anesthesia for other procedure on arteries of forearm, wrist, and hand
$690
$138
$483
22
clean
Anesthesia for placement or revision of blood flow shunt
$637
$127
$446
22
clean
Anesthesia for application, removal, or repair cast to forearm, wrist and hand
$235
$47
$165
22
clean
Anesthesia for X-ray exam of arteries and veins using contrast
$637
$127
$446
22
clean
Anesthesia for X-ray or radiation therapy
$593
$119
$415
22
clean
Anesthesia for X-ray on arteries
$655
$131
$459
22
clean
Anesthesia for cesarean delivery
$536
$107
$375
22
clean
Anesthesia for incomplete or missed abortion
$672
$134
$470
22
clean
Anesthesia for labor during planned vaginal delivery
$683
$137
$478
22
clean
Anesthesia for cesarean delivery following labor
$385
$77
$270
22
clean
Anesthesia for nerve block and injection
$254
$51
$178
22
clean
Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2
$3,228
$646
$1,973
84
clean
Harvest and injections of platelet rich plasma using imaging guidance
$3,388
$678
$951
55
clean
Insertion of drainage device into drainage tissue within eye (trabecular meshwork)
$3,732
$746
$2,519
12
clean
Injection of bone-substitute material into defect of bone using imaging guidance and endoscope
$1,350
$270
$911
24
clean
Fine needle aspiration biopsy, each additional growth
$111
$22
$80
88
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
$3,162
$632
$191
277
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
$168
$34
$75
126
clean
Fine needle aspiration biopsy using fluoroscopic guidance, first growth
$299
$60
$259
63
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
$364
$73
$237
101
clean
Fine needle aspiration biopsy of growth using CT guidance, each additional growth
$1,082
$216
$866
25
clean
Fine needle aspiration biopsy, first growth
$186
$37
$95
126
clean
Drainage of fluid collection in soft tissue using imaging guidance
$452
$90
$181
328
clean
Placement of soft tissue locating device using X-ray, first growth
$282
$56
$112
265
clean
Placement of soft tissue locating device using X-ray, each additional growth
$142
$28
$53
76
clean
Acne surgery
$276
$55
$161
88
clean
Simple or single drainage of skin abscess
$382
$76
$152
260
clean
Complicated or multiple drainage of skin abscess
$648
$130
$259
260
clean
Simple drainage of cyst of tailbone
$372
$74
$158
167
clean
Complicated drainage of cyst of tailbone
$588
$118
$363
129
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$376
$75
$152
270
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$639
$128
$254
167
clean
Drainage of blood or fluid accumulation
$419
$84
$196
194
clean
Aspiration of abscess, blood, or cyst
$1,538
$308
$222
353
clean
Complex drainage of wound infection after surgery
$621
$124
$404
156
clean
Removal of inflamed or infected skin, up to 10% of body surface
$1,005
$201
$120
91
clean
Removal of inflamed or infected skin, each additional 10% of body surface or less
$50
$10
$33
63
clean
Removal of infected skin, tissue or muscle of genitals
$299
$60
$510
76
clean
Removal of infected skin, tissue or muscle of abdomen
$403
$81
$691
76
clean
Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen
$2,300
$460
$850
38
clean
Removal of infected artificial material or mesh from abdomen
$142
$28
$255
114
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
$949
$190
$338
76
clean
Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone
$1,007
$201
$365
38
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
$1,403
$281
$507
76
clean
Removal of skin and tissue, 20.0 sq cm or less
$6,788
$1,358
$176
313
clean
Removal of muscle and/or tissue, 20.0 sq cm or less
$6,788
$1,358
$418
247
clean
Removal of bone, 20.0 sq cm or less
$758
$152
$291
166
clean
Removal of skin and tissue, each additional 20.0 sq cm or less
$83
$17
$51
194
clean
Removal of muscle and/or tissue, each additional 20.0 sq cm or less
$180
$36
$90
156
clean
Removal of bone, each additional 20.0 sq cm or less
$320
$64
$134
128
clean
Removal of noncancer thickened skin growth, 1 growth
$52
$10
$42
166
clean
Removal of noncancer thickened skin growth, 2-4 growths
$75
$15
$66
128
clean
Removal of noncancer thickened skin growth, more than 4 growths
$96
$19
$72
128
clean
Biopsy of related skin growth, first growth
$725
$145
$232
183
clean
Biopsy of related skin growth, each additional growth
$75
$15
$68
118
clean
Punch biopsy, first skin growth
$160
$32
$190
156
clean
Punch biopsy, each additional skin growth
$86
$17
$77
156
clean
Incision biopsy, first skin growth
$192
$38
$229
156
clean

Showing the first 200 of 6,799 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,347 of 3,955 comparable items (34%) 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 $4,411 exceeds the gross charge $472
CPT 17280/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 27027/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 43282/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 64646/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 73718/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 78740/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 85379/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 87449/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 96401/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G2251/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 Q9966/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 17281/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 27040/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 43332/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 53600/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 64647/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 73719/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 78761/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 82310/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 85384/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 92609/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 96402/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A9150/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, min, max differ, so no cross-line comparison was made for this item
CPT G2252/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 S0109/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 17282/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 27043/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 43450/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 53601/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 73720/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 78800/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 82330/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 96409/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT S0179/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 17283/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 27045/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 53620/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 73721/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 78801/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 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 96411/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 A9500/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 27047/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 43611/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 53621/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 64680/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 73722/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 78802/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 85397/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 92614/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96413/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A9502/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 G9919/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 17340/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 27048/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 31820/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 53660/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 64681/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 73723/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 78803/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 87480/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 96415/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G9920/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 27062/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 32220/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 43632/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 53661/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 64704/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 78804/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 82374/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 85460/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 87481/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 96416/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 S2083/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 17999/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 27066/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 32400/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 43633/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 64718/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 74018/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85461/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 87483/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 92625/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 96417/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19000/o
info
mrf_item_fields_vary
this code and setting cover at least 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 27086/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 32408/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 43659/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 64721/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 74019/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78812/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 82378/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 differ, so no cross-line comparison was made for this item
CPT 85520/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 differ, so no cross-line comparison was made for this item
CPT 96425/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 S3620/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 19001/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 27091/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 32480/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 43752/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 53899/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 85525/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 87486/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 92950/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 96450/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 J0133/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 S4991/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 19020/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 27093/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 54050/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 64774/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74022/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78814/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 82380/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 87491/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 differ, so no cross-line comparison was made for this item
CPT 92953/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 96521/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 J0180/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 S9443/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 19030/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 27095/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 32551/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 54055/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 64788/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 74150/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 78815/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 differ, so no cross-line comparison was made for this item
CPT 92960/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 J0185/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 S9445/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 19081/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 27096/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 43753/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54056/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 64912/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 74160/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 78816/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 85555/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 87494/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 96523/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 19082/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 27125/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 32554/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 43761/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 54060/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 64999/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 74170/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 82397/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 87496/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 97010/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 J0283/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 T1017/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 19083/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 27130/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 32555/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 43762/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 54065/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 65205/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 74174/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78832/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 82435/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 87497/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 93000/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 97012/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 J0290/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT V2632/o
info
mrf_item_fields_vary
this code and setting cover at least 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 19084/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 27132/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 43763/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 54100/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 65210/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 74175/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 79005/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 82436/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 85610/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 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, max differ, so no cross-line comparison was made for this item
CPT 93005/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 97014/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 J0295/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 V2787/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 19085/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 27134/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 32557/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 43770/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 54150/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 65220/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 74176/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 79101/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 82438/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 85611/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 V2788/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 27137/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 43774/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 65222/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 74177/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 79200/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 82465/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 85613/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 87502/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 differ, so no cross-line comparison was made for this item
CPT 93010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 4,254 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
APC 5372
info
out_allowed_exceeds_charge
allowed amount $898 exceeds the submitted charge $718

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 249.8M bytes · fetched 2026-08-23 · sha256 0838d00092fc…

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.