Hospital · CCN 050315

Kern Medical Center

1700 Mount Vernon Avenue, Bakersfield, CA 93306 · Kern County
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

10 admission types 40 outpatient services price file: ok
Billed per dollar paid, all admissions
2.50×
$11.2M billed against $4.5M paid across 233 Medicare discharges; the national figure is 5.03×.
—
of adults in Kern County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
7.7%
uninsured in the county · state 7.5%
$68K
median household income
5.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (6 in the inpatient or outpatient file)ⓘ
36.0%
obesity in the countyⓘ
13.3%
diagnosed diabetes (PLACES)
6.2%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
885
Psychoses
61
$55,231
$22,053
2.5× st 3.1×
871
Septicemia or severe sepsis without mv >96 hours with mcc
48
$74,264
$26,786
2.8× st 6.2×
812
Red blood cell disorders without mcc
23
$35,934
$14,607
2.5× st 6.4×
690
Kidney and urinary tract infections without mcc
19
$24,610
$13,098
1.9× st 6.6×
101
Seizures without mcc
16
$35,521
$14,346
2.5× st 6.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
15
$35,398
$12,512
2.8× st 6.3×
638
Diabetes with cc
14
$21,285
$12,967
1.6× st 6.3×
917
Poisoning and toxic effects of drugs with mcc
13
$64,201
$23,998
2.7× st 6.2×
683
Renal failure with cc
12
$30,821
$14,184
2.2× st 6.7×
603
Cellulitis without mcc
12
$26,739
$13,982
1.9× st 5.9×
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
50
$15,003
$3,300
4.5×
5183
Level 3 Vascular Procedures
41
$21,302
$3,843
5.5×
5374
Level 4 Urology and Related Services
35
$21,983
$4,203
5.2×
5302
Level 2 Upper GI Procedures
29
$8,625
$2,294
3.8×
5375
Level 5 Urology and Related Services
26
$37,706
$6,238
6.0×
5114
Level 4 Musculoskeletal Procedures
22
$36,028
$8,623
4.2×
5361
Level 1 Laparoscopy and Related Services
19
$38,045
$6,956
5.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
19
$13,101
$1,903
6.9×
5184
Level 4 Vascular Procedures
19
$34,420
$6,625
5.2×
5373
Level 3 Urology and Related Services
17
$13,295
$2,456
5.4×
5165
Level 5 ENT Procedures
17
$30,543
$7,060
4.3×
5115
Level 5 Musculoskeletal Procedures
16
$62,078
$15,835
3.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
14
$20,129
$3,426
5.9×
5182
Level 2 Vascular Procedures
13
$14,263
$1,931
7.4×
5164
Level 4 ENT Procedures
12
$16,922
$3,882
4.4×
5154
Level 4 Airway Endoscopy
11
$16,688
$4,515
3.7×
5192
Level 2 Endovascular Procedures
11
$42,592
$6,891
6.2×
5376
Level 6 Urology and Related Services
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5191
Level 1 Endovascular Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via kernmedical.com/cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 4/1/2026, template 3.0.0, 18,767 rows scanned, 6,177 distinct code–setting items kept. 2,450 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT Cerebral Perfusion Study w/ Contrast
$1,632
$1,306
$851
10
clean
Respiratory Pathogen Panel w/SARS CoV 2
$1,250
$1,000
$652
10
clean
PF Inject platelet rich plasma, any site, w/ imaging, harvesting & preparation when performed 0232T
$3,000
$2,400
$57
6
clean
PF Ablation 1 or more tumors per organ, including imaging guidance when performed percutaneous 0600T
$23,921
$19,137
$285
3
clean
Physician OB Bedside Procedure CHG -> Fine needle aspiration, with US guidance, 1st lesion
$2,682
$2,146
$169
90
clean
AMB Fine Needle Aspiration Biopsy w/ US Guide, 1st Lesion 10005
$2,682
$2,146
$169
20
clean
AMB Fine Needle Aspiration Biopsy w/ US Guide, Each Addtl Lesion 10006
$155
$124
$65
20
clean
Physician OB Bedside Procedure CHG -> Fine needle aspiration, with US guidance, each addtl lesion
$155
$124
$64
50
clean
CT Fine Needle Aspiration w/ Guidance
$2,682
$2,146
$500
30
clean
CT FNA W/ CT GUIDE, EA ADDTL LESION
$771
$617
$274
30
clean
MR Fine Needle Aspiration w/ Guidance
$1,999
$1,599
$1,042
10
clean
FNA BX W/MR GDN ADDL LES
$437
$349
$183
13
clean
PF Biopsy, Fine Needle Aspiration (FNA) w/o imaging guidance 10021
$305
$244
$102
10
clean
FNA w/o imaging
$1,523
$1,218
$117
40
clean
IR Fine Needle Aspiration
$3,337
$2,669
$694
20
clean
Percutaneous Drainage w/ guidance
$3,337
$2,669
$645
20
clean
CT Perq Plmt Sft Tiss Loclzj Dev 1st Les
$2,682
$2,146
$505
60
clean
PLMT SFT TISS LOCLZJ DEV EA ADDL
$1,292
$1,034
$442
20
clean
I&D Abscess, Simple/Single
$757
$606
$151
40
clean
PF Incision and drainage of abscess, simple or single 10060
$322
$258
$131
10
clean
PF Incision and drainage of abscess, complicated or multiple 10061
$580
$464
$217
10
clean
I&D Abscess, Complicated/Multiple
$1,523
$1,218
$250
40
clean
I&D Pilonidal Cyst; Simple
$2,682
$2,146
$293
50
clean
PF Incision and drainage of pilonidal cyst; simple 10080
$366
$293
$270
10
clean
ED Incision and drainage of pilonidal cyst; complicated 10081
$2,682
$2,146
$398
40
clean
PF Incision and drainage of pilonidal cyst; complicated 10081
$555
$444
$346
10
clean
PF Incision and removal of foreign body, SUBQ tissues; simple 10120
$330
$264
$156
10
clean
Incise & Remove FB Simple
$1,523
$1,218
$179
40
clean
Incise & Remove FB Complex
$4,718
$3,775
$320
40
clean
PF Incision and removal of foreign body, SUBQ tissues; complicated 10121
$589
$471
$269
10
clean
I&D Hematoma or Seroma
$5,630
$4,504
$251
60
clean
US Breast Hematoma Incision+Drain Lt
$5,630
$4,504
$199
50
clean
US Breast Fluid Punct Asp, SubQ-Left
$1,523
$1,218
$153
70
clean
Aspiration, Hematoma or Cyst
$1,523
$1,218
$153
60
clean
ED Incision and drainage, complex, postoperative wound infection 10180
$8,137
$6,510
$378
40
clean
PF Incision and drainage of postoperative wound infection, complex 10180
$562
$449
$267
10
clean
ED Debridement of eczematous or infected skin; <10% of body surface 11000
$2,333
$1,867
$79
60
clean
PF Debridement of eczematous or infected skin; <10% of body surface 11000
$111
$89
$60
10
clean
PF Debridement of skin, SUBQ tissue; genitalia and perineum 11004
$1,804
$1,443
$543
10
clean
Debride skn/sq/musc/ext genit/perin11004
$3,497
$2,797
$583
20
clean
Debride skn/sq/musc/abd wall 11005
$3,497
$2,797
$787
20
clean
PF Debridement of skin, SUBQ tissue; abdominal wall 11005
$2,436
$1,948
$732
10
clean
PF Debridement of skin, SUBQ tissue, external genitalia, perineum, abdominal wall 11006
$2,170
$1,736
$668
10
clean
PF Removal of prosthetic material or mesh, abdominal wall 11008
$856
$685
$257
10
clean
PF Debridement w/ foreign body removal at open fracture; skin, SUBQ tissues 11010
$1,023
$818
$449
10
clean
ED Debridement w/ foreign body removal at open fracture; skin, SUBQ tissues 11010
$2,005
$1,604
$489
40
clean
PF Debridement w/ foreign body removal at open fracture; skin, SUBQ tissues, muscle 11011
$1,110
$888
$503
10
clean
Debride/rmv FB/open fx/skin/sq/musc 11011
$2,005
$1,604
$541
20
clean
AMB Debridement open fracture/disloc.; skin, subcut. tissue, muscle fascia, muscle, bone 11012
$8,137
$6,510
$747
20
clean
PF Debridement w/ foreign body removal at open fracture; skin, SUBQ tissues, muscle, bone 11012
$1,467
$1,174
$650
10
clean
ED Debridement, subcutaneous tissue; first 20 sq cm or less 11042
$1,523
$1,218
$152
40
clean
PF Debridement, SUBQ tissue, first 20 sq cm 11042
$226
$181
$133
10
clean
PF Debridement, Muscle and/or fascia, first 20 sq cm 11043
$489
$391
$234
10
clean
Debridement, musc and/or fascia inc epi/derm subq 20 sq cm or less 11043
$2,354
$1,883
$269
20
clean
AMB Debridement, Bone, first 20 sq cm 11044
$6,077
$4,862
$391
20
clean
PF Debridement, Bone, first 20 sq cm 11044
$716
$573
$310
10
clean
Debridement, subcutaneous tissue, each additional 20 sq cm, or part thereof 11045
$44
$35
$28
20
clean
PF Debridement, SUBQ tissue, each add'l 20 sq cm 11045
$83
$67
$40
10
clean
PF Debridement, Muscle and/or fascia, each add'l 20 sq cm 11046
$175
$140
$72
10
clean
Debridement, muscle and/or fascia, each additional 20 sq cm, or part thereof 11046
$94
$75
$61
20
clean
Debridement, bone, each additional 20 sq cm, or part thereof 11047
$163
$130
$106
20
clean
PF Debridement, Bone, each add'l 20 sq cm 11047
$309
$247
$119
10
clean
Paring or cutting of benign hyperkeratotic lesion, single lesion 11055
$750
$600
$84
20
clean
PF Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion 11055
$105
$84
$73
10
clean
PF Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions 11056
$118
$94
$84
10
clean
Paring or cutting of benign hyperkeratotic lesion, 2 to 4 lesions 11056
$750
$600
$92
20
clean
Paring or cutting of benign hyperkeratotic lesion, more than 4 lesions 11057
$750
$600
$99
20
clean
PF Tangential biopsy of skin; first lesion 11102
$126
$101
$102
10
clean
AMB Tangential biopsy of skin single lesion 11102
$757
$606
$105
20
clean
PF Tangential biopsy of skin; each add'l lesion 11103
$72
$58
$54
10
clean
PF Punch biopsy of skin; single lesion 11104
$156
$125
$127
10
clean
AMB Punch biopsy of skin (including simple closure, when performed); single lesion 11104
$1,523
$1,218
$140
20
clean
AMB Punch biopsy of skin; each add'l lesion 11105
$164
$131
$67
20
clean
PF Punch biopsy of skin; each add'l lesion 11105
$85
$68
$64
10
clean
AMB Incisional biopsy of skin (including simple closure, when performed); single lesion 11106
$1,111
$888
$161
20
clean
PF Incisional biopsy of skin; single lesion 11106
$192
$154
$158
10
clean
PF Incisional biopsy of skin; each add'l lesion 11107
$101
$81
$76
10
clean
ED Removal of skin tags, any area; <15 lesions 11200
$757
$606
$110
40
clean
PF Removal of skin tags, any area; <15 lesions 11200
$236
$189
$96
10
clean
Remove skin tags/ea add 10 lesions 11201
$37
$29
$20
20
clean
PF Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions 11201
$52
$42
$19
10
clean
Shave Skin Lesion,0.5Cm Or Less 11300
$1,495
$1,196
$117
20
clean
Shave Tx, 1 Lesion 0.6 - 1.0 cm
$757
$606
$142
40
clean
PF Shaving of epidermal/dermal lesion, trunk, arms, legs; 0.6-1.0 cm 11301
$195
$156
$130
10
clean
Shave Skin Lesion,1.1-2.0Cm 11302
$591
$473
$150
20
clean
Shaving of epidermal or dermal lesion, trunk, arms or legs, lesion diameter over 20.0 cm 11303
$1,088
$870
$174
20
clean
Shave Skin Lesion, .5Cm Or Less 11305
$750
$600
$112
20
clean
Sha epi/der sca/nec/han/feet 0.6-1 11306
$757
$606
$141
40
clean
Sha epi/der sca/nec/han/feet 1.1-2 11307
$757
$606
$150
40
clean
Shave epi/derm sng lesion/scalp/neck/hnd/ft/genit/>2.0cm 11308
$1,088
$870
$166
20
clean
Shave epi/derm sng lesion/face/ear/lid/nose/lip/0.5cm or < 11310
$750
$600
$126
20
clean
Shave epi/derm sng lesion/face/ear/lid/nose/lip/0.6-1.0cm 11311
$591
$473
$157
20
clean
Shave epi/derm sng lesion/face/ear/lid/nose/lip/1.1-2.0cm 11312
$1,088
$870
$170
20
clean
Shave epi/derm sng lesion/face/ear/lid/nose/lip/>2.0cm 11313
$1,088
$870
$207
20
clean
Benign Excision Marg 0.5 < CM 11400
$2,005
$1,604
$152
20
clean
PF Excision, benign lesion, trunk, arms or legs; <0.5 cm 11400
$262
$209
$132
10
clean
PF Excision, benign lesion including margins,excised diameter 0.6 to 1.0 cm 11401
$308
$246
$167
10
clean
AMB Excision, benign lesion including margins,excised diameter 0.6 to 1.0 cm 11401
$1,209
$967
$179
20
clean
AMB Excision, benign lesion, trunk, arms or legs; 1.1-2.0 cm 11402
$2,899
$2,319
$203
20
clean
PF Excision, benign lesion, trunk, arms or legs; 1.1-2.0 cm 11402
$484
$387
$176
10
clean
ED Excision, benign lesion, trunk, arms or legs; 2.1-3.0 cm 11403
$2,682
$2,146
$233
40
clean
PF Excision, benign lesion, trunk, arms or legs; 2.1-3.0 cm 11403
$471
$376
$211
10
clean
PF Excision, benign lesion, trunk, arms or legs; 3.1-4.0 cm 11404
$516
$413
$229
10
clean
PF Excision, benign lesion, trunk, arms or legs; >4.0 cm 11406
$780
$624
$336
10
clean
EXCISION Benign Lesion 0.5 cm or Less
$6,176
$4,941
$249
40
clean
PF Excision, benign lesion, scalp, neck, hands, feet, genitalia; <0.5 cm 11420
$392
$313
$130
10
clean
PF Excision, benign lesion, scalp, neck, hands, feet, genitalia; 0.6-1.0 cm 11421
$349
$279
$163
10
clean
AMB Excision, benign lesion, scalp, neck, hands, feet, genitalia; 1.1-2.0 cm 11422
$6,176
$4,941
$279
20
clean
PF Excision, benign lesion, scalp, neck, hands, feet, genitalia; 1.1-2.0 cm 11422
$433
$346
$184
10
clean
PF Excision, benign lesion, scalp, neck, hands, feet, genitalia; 2.1-3.0 cm 11423
$495
$396
$211
10
clean
PF Excision, benign lesion incl. margins, scalp, neck, hands, feet, genitalia; 3.1 to 4.0 cm 11424
$566
$453
$243
10
clean
Exc benign les/see area/3.1-4.0cm 11424
$4,718
$3,775
$305
20
clean
PF Excision, benign lesion, scalp, neck, hands, feet, genitalia; >4.0 cm 11426
$868
$695
$333
10
clean
PF Excision, benign lesion, face, ears, eyelids, nose, lips, mucous membrane; <0.5 cm 11440
$332
$265
$147
10
clean
AMB Excision, benign lesion, face, ears, eyelids, nose, lips, mucous membrane; <0.5 cm 11440
$2,120
$1,696
$169
20
clean
PF Excision, benign lesion, face, ears, eyelids, nose, lips, mucous membrane; 0.6-1.0 cm 11441
$418
$334
$186
10
clean
PF Excision, benign lesion, face, ears, eyelids, nose, lips, mucous membrane; 1.0-2.0 cm 11442
$462
$370
$198
10
clean
PF Excision, benign lesion, face, ears, eyelids, nose, lips, mucous membrane; 2.1-3.0 cm 11443
$565
$452
$243
10
clean
Exc/benign les/see area/3.1-4.0cm 11444
$4,718
$3,775
$332
20
clean
PF Excision, benign lesion, face, ears, eyelids, nose, lips, mucous membrane; 3.1-4.0 cm 11444
$719
$575
$288
10
clean
Exc benign lesion/see area/>4.0cm 11446
$8,137
$6,510
$509
20
clean
PF Excision, benign lesion, face, ears, eyelids, nose, lips, mucous membrane; >4.0 cm 11446
$1,024
$819
$404
10
clean
PF Excision skin & subcut. tissue for hidradenitis, axillary w/ simple or intermediate repair 11450
$771
$617
$437
10
clean
Exc/hidradenitis/axilla/smp/im rpr 11450
$8,137
$6,510
$536
20
clean
Excision of skin and subcutaneous tissue for hidradenitis, axillary, with complex repair 11451
$8,137
$6,510
$614
20
clean
PF Exc/hidradenitis/ingun/smp/imt rpr 11462
$765
$612
$430
10
clean
Exc/hidradenitis/ingun/smp/imt rpr 11462
$8,137
$6,510
$532
20
clean
Excision of skin and subcutaneous tissue for hidradenitis, inguinal, with complex repair 11463
$8,137
$6,510
$615
20
clean
PF Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair 11463
$1,042
$834
$535
10
clean
Exc hidradenit/perianal/neal/sp/int11470
$8,137
$6,510
$550
20
clean
PF Exc hidradenit/perianal/neal/sp/int 11470
$838
$670
$462
10
clean
PF Excision of skin & tissue for hidradenitis, perianal, perineal, umbilical w complex repair 11471
$1,101
$881
$551
10
clean
Exc hidradenitis/perianal/neal/comp11471
$8,137
$6,510
$633
20
clean
Exc/malig/trunk/arms/legs <0.5cm 11600
$2,005
$1,604
$232
20
clean
PF Excision, malignant lesion, trunk, arms or legs; 0.6-1.0 cm 11601
$471
$377
$234
10
clean
Exc malig/trunk/arm/leg 0.6-1.0cm 11601
$2,005
$1,604
$255
20
clean
PF Excision, malignant lesion, trunk, arms or legs; 1.1-2.0 cm 11602
$516
$413
$251
10
clean
PF Excision, malignant lesion, trunk, arms or legs; 2.1-3.0 cm 11603
$616
$493
$285
10
clean
PF Excision, malignant lesion, trunk, arms or legs; 3.1-4.0 cm 11604
$676
$540
$317
10
clean
PF Excision, malignant lesion, trunk, arms or legs; >4.0 cm 11606
$1,006
$805
$452
10
clean
PF Excision, malignant lesion, scalp, neck, hands, feet, genitalia; <0.5 cm 11620
$401
$321
$203
10
clean
Exc/malig/see area/0.5cm or less 11620
$4,718
$3,775
$277
20
clean
PF Excision, malignant lesion, scalp, neck, hands, feet, genitalia; 0.6-1.0 cm 11621
$477
$382
$235
10
clean
Exc H-F-Nk-Sp Mlg+Marg 0.6-1.0 Cm 11621
$2,005
$1,604
$255
20
clean
PF Excision, malignant lesion, scalp, neck, hands, feet, genitalia; 1.1-2.0 cm 11622
$532
$426
$259
10
clean
PF Excision, malignant lesion, scalp, neck, hands, feet, genitalia; 2.1-3.0 cm 11623
$667
$533
$301
10
clean
Exc H-F-Nk-Sp Mlg+Marg 2.1-3 Cm 11623
$4,718
$3,775
$346
20
clean
PF Excision, malignant lesion, scalp, neck, hands, feet, genitalia; 3.1-4.0 cm 11624
$695
$556
$342
10
clean
PF Excision, malignant lesion, scalp, neck, hands, feet, genitalia; >4.0 cm 11626
$927
$742
$410
10
clean
Excision malignant lesion face/ ear/ eyelid/ nose/ lip/ mucous memb <.5cm
$2,005
$1,604
$240
20
clean
PF Excision, malignant lesion, face, ears, eyelids, nose, lips, mucous membrane; <0.5 cm 11640
$415
$332
$208
10
clean
PF Excision, malignant lesion, face, ears, eyelids, nose, lips, mucous membrane; 0.6-1.0 cm 11641
$494
$395
$242
10
clean
Exc Face-Mm Malig+Marg 1.1-2 11642
$2,005
$1,604
$294
20
clean
PF Excision, malignant lesion, face, ears, eyelids, nose, lips, mucous membrane; 1.1-2.0 cm 11642
$565
$452
$274
10
clean
PF Excision, malignant lesion, face, ears, eyelids, nose, lips, mucous membrane; 2.1-3.0 cm 11643
$726
$581
$320
10
clean
Exc Face-Mm Malig+Marg 3.1-4.0 11644
$4,718
$3,775
$453
20
clean
PF Excision, malignant lesion, face, ears, eyelids, nose, lips, mucous membrane; 3.1-4.0 cm 11644
$894
$715
$394
10
clean
PF Excision, malignant lesion, face, ears, eyelids, nose, lips, mucous membrane; >4.0 cm 11646
$1,242
$994
$507
10
clean
Exc/malig/fac/ear/lid/nose/lip>4cm 11646
$8,137
$6,510
$584
20
clean
Trimming of nondystrophic nails, any number 11719
$229
$183
$17
20
clean
Debridement, 1-5 Nails
$229
$183
$39
40
clean
Debride/nails/any method/6 or more 11721
$229
$183
$51
20
clean
PF Debridement of nail(s) by any method(s); 6 or more 11721
$91
$73
$47
10
clean
PF Avulsion of nail plate, simple; single 11730
$201
$161
$117
10
clean
Avulsion, Simple, Single
$757
$606
$135
40
clean
ED Avulsion of nail plate, simple; each add'l nail plate 11732
$45
$36
$32
40
clean
PF Avulsion of nail plate, simple; each add'l nail plate 11732
$56
$44
$35
10
clean
Evacuation, Subungual Hematoma
$479
$383
$69
40
clean
PF Evacuation of subungual hematoma 11740
$105
$84
$60
10
clean
PF Excision of nail and nail matrix, for permanent removal 11750
$455
$364
$171
10
clean
Nail Bed Removal
$1,523
$1,218
$189
40
clean
Biopsy of Nail Unit 11755
$2,005
$1,604
$143
20
clean
PF Biopsy of nail unit 11755
$279
$223
$124
10
clean
Nail Bed Repair
$1,709
$1,367
$217
40
clean
PF Repair of nail bed 11760
$477
$382
$189
10
clean
Reconstruction of nail bed with graft 11762
$6,973
$5,578
$399
20
clean
Wedge Excision
$1,523
$1,218
$196
40
clean
PF Excision of pilonidal cyst or sinus; simple 11770
$559
$447
$354
10
clean
Excision of pilonidal cyst or sinus, simple 11770
$8,137
$6,510
$427
20
clean
Excision of pilonidal cyst or sinus, extensive 11771
$8,137
$6,510
$728
20
clean
PF Excision of pilonidal cyst or sinus; extensive 11771
$1,362
$1,089
$633
10
clean
Excision of pilonidal cyst or sinus, complicated 11772
$8,137
$6,510
$894
20
clean
PF Excision of pilonidal cyst or sinus; complicated 11772
$1,834
$1,467
$777
10
clean
PF Injection, intralesional; <7 lesions 11900
$117
$94
$59
10
clean
Injection, intralesional, up to and including 7 lesions 11900
$591
$473
$68
20
clean
Injection, intralesional, more than 7 lesions 11901
$591
$473
$80
40
clean
PF Injection, intralesional; more than 7 lesions 11901
$150
$120
$74
10
clean
AMB Insertion of tissue expander (non-breast), including subsequent expansion 11960
$12,312
$9,849
$1,194
20
clean
PF Insertion of tissue expander (non-breast), including subsequent expansion 11960
$3,123
$2,499
$1,038
10
clean
PF Replacement of tissue expander with permanent prosthesis 11970
$1,703
$1,362
$568
10
clean
PF Removal of tissue expander w/o insertion of prosthesis 11971
$1,683
$1,346
$561
10
clean
Subcutaneous hormone pellet implantation 11980
$1,155
$924
$110
20
clean
PF Implantation, Hormone Pellet (estradiol and/or testosterone), SUBQ 11980
$211
$169
$95
10
clean
PF Insertion, non-biodegradable drug delivery implant 11981
$328
$262
$101
10
clean
Insertion, drug-delivery implant 11981
$491
$393
$109
20
clean
Removal, Drug Delivery Implant
$1,521
$1,217
$127
40
clean
PF Removal, non-biodegradable drug delivery implant 11982
$328
$262
$123
10
clean
Remove & Reinsert, Drug Delivery Implant
$1,521
$1,217
$182
40
clean
PF Removal w/ reinsertion, non-biodegradable drug delivery implant 11983
$552
$442
$172
10
clean
PF Repair, superficial, wounds of scalp/neck/axillae/genitalia/trunk/extremities; <2.5 cm 12001
$195
$156
$95
10
clean

Showing the first 200 of 6,177 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 30117/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,146 exceeds the gross charge $1,065
CPT 55874/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,177 exceeds the gross charge $529
CPT 30903/b
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $223
CPT 30905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $410 exceeds the gross charge $309
CPT 31231/b
warn
mrf_negotiated_above_gross
highest negotiated rate $226 exceeds the gross charge $190
CPT 92533/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $84
CPT 40806/b
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $93
CPT 92551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $31
CPT 96401/b
warn
mrf_negotiated_above_gross
highest negotiated rate $570 exceeds the gross charge $401
CPT 96409/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,803 exceeds the gross charge $1,269
CPT 96411/b
warn
mrf_negotiated_above_gross
highest negotiated rate $447 exceeds the gross charge $271
CPT 96413/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,803 exceeds the gross charge $1,269
CPT 96415/b
warn
mrf_negotiated_above_gross
highest negotiated rate $447 exceeds the gross charge $271
CPT 96416/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,803 exceeds the gross charge $1,269
CPT 96417/b
warn
mrf_negotiated_above_gross
highest negotiated rate $570 exceeds the gross charge $401
CPT 96422/b
warn
mrf_negotiated_above_gross
highest negotiated rate $907 exceeds the gross charge $639
CPT 96423/b
warn
mrf_negotiated_above_gross
highest negotiated rate $447 exceeds the gross charge $132
CPT 96425/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,632 exceeds the gross charge $1,150
CPT 97010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $45
CPT 58300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $202 exceeds the gross charge $198
CPT 97110/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $200
CPT 97129/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $165
CPT 92590/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $103
CPT 92591/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $103
CPT 97130/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $165
CPT 43200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $309 exceeds the gross charge $277
CPT 43202/b
warn
mrf_negotiated_above_gross
highest negotiated rate $414 exceeds the gross charge $327
CPT 58356/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,802 exceeds the gross charge $898
CPT 97140/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $224
CPT 43215/b
warn
mrf_negotiated_above_gross
highest negotiated rate $456 exceeds the gross charge $447
CPT 97530/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $200
CPT 58558/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,494 exceeds the gross charge $736
CPT 97533/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $194
CPT 43236/b
warn
mrf_negotiated_above_gross
highest negotiated rate $466 exceeds the gross charge $441
CPT 97535/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $200
CPT 43245/b
warn
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $556
CPT 97542/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $200
CPT 43249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,233 exceeds the gross charge $488
CPT 58563/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,452 exceeds the gross charge $2,262
CPT 97597/b
warn
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $117
CPT 43255/b
warn
mrf_negotiated_above_gross
highest negotiated rate $721 exceeds the gross charge $640
CPT 58565/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,880 exceeds the gross charge $1,359
CPT 32553/b
warn
mrf_negotiated_above_gross
highest negotiated rate $623 exceeds the gross charge $565
CPT 43270/b
warn
mrf_negotiated_above_gross
highest negotiated rate $840 exceeds the gross charge $671
CPT 32556/b
warn
mrf_negotiated_above_gross
highest negotiated rate $856 exceeds the gross charge $357
CPT 59200/b
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $136
CPT 97760/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $200
CPT 97761/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $200
CPT 32560/b
warn
mrf_negotiated_above_gross
highest negotiated rate $290 exceeds the gross charge $240
CPT 43762/b
warn
mrf_negotiated_above_gross
highest negotiated rate $263 exceeds the gross charge $107
CPT 97763/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $200
CPT 43763/b
warn
mrf_negotiated_above_gross
highest negotiated rate $386 exceeds the gross charge $262
CPT 44380/b
warn
mrf_negotiated_above_gross
highest negotiated rate $235 exceeds the gross charge $180
CPT 44385/b
warn
mrf_negotiated_above_gross
highest negotiated rate $256 exceeds the gross charge $226
CPT 44386/b
warn
mrf_negotiated_above_gross
highest negotiated rate $363 exceeds the gross charge $278
CPT 92650/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $93
CPT 92700/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $61
CPT 45300/b
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $144
CPT 45330/b
warn
mrf_negotiated_above_gross
highest negotiated rate $222 exceeds the gross charge $178
CPT 99172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $23 exceeds the gross charge $16
CPT 45331/b
warn
mrf_negotiated_above_gross
highest negotiated rate $336 exceeds the gross charge $227
CPT 45335/b
warn
mrf_negotiated_above_gross
highest negotiated rate $342 exceeds the gross charge $211
CPT 93010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $107 exceeds the gross charge $27
CPT 45346/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,605 exceeds the gross charge $511
CPT 45386/b
warn
mrf_negotiated_above_gross
highest negotiated rate $957 exceeds the gross charge $643
CPT 93010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $150 exceeds the gross charge $27
CPT 45388/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,784 exceeds the gross charge $858
CPT 45398/b
warn
mrf_negotiated_above_gross
highest negotiated rate $943 exceeds the gross charge $713
CPT 46030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $299 exceeds the gross charge $266
CPT 61702/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,403 exceeds the gross charge $4,241
CPT 62120/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,337 exceeds the gross charge $2,240
CPT 99489/o
warn
mrf_negotiated_above_gross
highest negotiated rate $85 exceeds the gross charge $81
CPT 46600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $137 exceeds the gross charge $125
CPT 46604/b
warn
mrf_negotiated_above_gross
highest negotiated rate $739 exceeds the gross charge $207
CPT 46606/b
warn
mrf_negotiated_above_gross
highest negotiated rate $325 exceeds the gross charge $224
CPT 46608/b
warn
mrf_negotiated_above_gross
highest negotiated rate $336 exceeds the gross charge $259
CPT 46917/b
warn
mrf_negotiated_above_gross
highest negotiated rate $521 exceeds the gross charge $400
CPT 46924/b
warn
mrf_negotiated_above_gross
highest negotiated rate $659 exceeds the gross charge $564
CPT 63650/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,640 exceeds the gross charge $1,320
CPT 47542/b
warn
mrf_negotiated_above_gross
highest negotiated rate $571 exceeds the gross charge $387
CPT 49082/b
warn
mrf_negotiated_above_gross
highest negotiated rate $245 exceeds the gross charge $215
CPT P9612/o
warn
mrf_negotiated_above_gross
highest negotiated rate $99 exceeds the gross charge $9
CPT 36160/b
warn
mrf_negotiated_above_gross
highest negotiated rate $641 exceeds the gross charge $381
CPT 64520/b
warn
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $257
CPT S2900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,497 exceeds the gross charge $1,300
CPT 50386/b
warn
mrf_negotiated_above_gross
highest negotiated rate $867 exceeds the gross charge $512
CPT 65779/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,334 exceeds the gross charge $362
CPT S9445/b
warn
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $11
CPT 67028/b
warn
mrf_negotiated_above_gross
highest negotiated rate $437 exceeds the gross charge $315
CPT V5010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $158
CPT V5011/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $97
CPT V5014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $75
CPT 27580/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,687 exceeds the gross charge $1,311
CPT 36563/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,231 exceeds the gross charge $1,130
CPT C9740/b
warn
mrf_negotiated_above_gross
highest negotiated rate $551 exceeds the gross charge $190
CPT G0247/o
warn
mrf_negotiated_above_gross
highest negotiated rate $100 exceeds the gross charge $72
CPT 36572/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,764 exceeds the gross charge $2,139
CPT 51101/b
warn
mrf_negotiated_above_gross
highest negotiated rate $178 exceeds the gross charge $163
CPT G0378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,314 exceeds the gross charge $196
CPT 36580/b
warn
mrf_negotiated_above_gross
highest negotiated rate $216 exceeds the gross charge $208
CPT 51605/b
warn
mrf_negotiated_above_gross
highest negotiated rate $314 exceeds the gross charge $122
CPT G0463/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,235 exceeds the gross charge $495
CPT 51700/b
warn
mrf_negotiated_above_gross
highest negotiated rate $94 exceeds the gross charge $87
CPT G0500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,165 exceeds the gross charge $178
CPT 51701/b
warn
mrf_negotiated_above_gross
highest negotiated rate $132 exceeds the gross charge $73
CPT G9012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $107
CPT 51702/b
warn
mrf_negotiated_above_gross
highest negotiated rate $119 exceeds the gross charge $73
CPT 76376/b
warn
mrf_negotiated_above_gross
highest negotiated rate $167 exceeds the gross charge $31
CPT H1002/b
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $112
CPT H2000/b
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $48
CPT 69705/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,428 exceeds the gross charge $537
CPT 69706/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,524 exceeds the gross charge $747
CPT 20101/b
warn
mrf_negotiated_above_gross
highest negotiated rate $653 exceeds the gross charge $645
CPT 51798/b
warn
mrf_negotiated_above_gross
highest negotiated rate $71 exceeds the gross charge $36
CPT 36909/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,167 exceeds the gross charge $596
CPT 52000/b
warn
mrf_negotiated_above_gross
highest negotiated rate $261 exceeds the gross charge $256
CPT 20501/b
warn
mrf_negotiated_above_gross
highest negotiated rate $268 exceeds the gross charge $119
CPT 52214/b
warn
mrf_negotiated_above_gross
highest negotiated rate $846 exceeds the gross charge $558
CPT 52224/b
warn
mrf_negotiated_above_gross
highest negotiated rate $883 exceeds the gross charge $646
CPT 52284/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,086 exceeds the gross charge $491
CPT 94760/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $97
CPT 52332/b
warn
mrf_negotiated_above_gross
highest negotiated rate $661 exceeds the gross charge $491
CPT 94761/b
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $124
CPT 94761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $236 exceeds the gross charge $124
CPT 52441/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,441 exceeds the gross charge $710
CPT 52442/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,055 exceeds the gross charge $190
CPT 20950/b
warn
mrf_negotiated_above_gross
highest negotiated rate $306 exceeds the gross charge $284
CPT 29280/b
warn
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $58
CPT 53854/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,036 exceeds the gross charge $1,153
CPT 21315/b
warn
mrf_negotiated_above_gross
highest negotiated rate $183 exceeds the gross charge $178
CPT 21480/b
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $98
CPT 76998/b
warn
mrf_negotiated_above_gross
highest negotiated rate $140 exceeds the gross charge $134
CPT 22513/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 30110/o
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 38221/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 55700/o
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 71551/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77063/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92317/o
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 95927/o
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 J2175/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 22514/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 38221/o
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 55720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71552/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77065/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92325/o
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 95928/o
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 J2184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 22515/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 30300/o
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 38222/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 55725/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77066/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92326/o
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 95929/o
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 J2185/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23030/o
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 30901/o
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 38222/o
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 72040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77067/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92504/o
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 95930/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23031/o
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 38500/o
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 55875/o
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 72050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77071/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92507/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95930/o
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 J2260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23035/o
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 30903/o
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 38505/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 56405/o
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 72052/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77072/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92511/o
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 95937/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2270/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23071/o
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 38505/o
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 56420/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72070/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77073/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92512/o
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 95938/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2274/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23073/o
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 30905/o
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 38790/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 56420/o
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 72072/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77074/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92516/o
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 95938/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2290/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,450 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. found via cms-hpt.txt · csv-wide · 23.2M bytes · fetched 2026-08-22 · sha256 44b97dee3e32…

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.