Hospital · CCN 050485

Memorialcare Long Beach Medical Center

2801 Atlantic Ave, Long Beach, CA 90806 · Los Angeles County
Part of MemorialCare Health System · 369 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

86 admission types 59 outpatient services price file: ok 8 Medicare-file findings
Billed per dollar paid, all admissions
7.11×
$414.4M billed against $58.3M paid across 2,486 Medicare discharges; the national figure is 5.03×.
—
of adults in Los Angeles County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
9.4%
uninsured in the county · state 7.5%
$86K
median household income
6.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (73 in the inpatient or outpatient file)ⓘ
26.5%
obesity in the countyⓘ
12.6%
diagnosed diabetes (PLACES)
5.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
342
$166,301
$21,041
7.9× st 6.2×
291
Heart failure and shock with mcc
159
$121,209
$15,227
8.0× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
60
$95,221
$12,393
7.7× st 6.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
60
$457,661
$59,066
7.7× st 6.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
50
$203,495
$23,367
8.7× st 7.4×
193
Simple pneumonia and pleurisy with mcc
48
$121,810
$15,037
8.1× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
47
$101,292
$14,250
7.1× st 5.7×
177
Respiratory infections and inflammations with mcc
47
$148,528
$18,355
8.1× st 6.6×
378
Gastrointestinal hemorrhage with cc
46
$96,524
$11,680
8.3× st 6.8×
698
Other kidney and urinary tract diagnoses with mcc
44
$169,113
$17,776
9.5× st 6.2×
690
Kidney and urinary tract infections without mcc
43
$72,191
$9,184
7.9× st 6.6×
280
Acute myocardial infarction, discharged alive with mcc
41
$135,601
$17,303
7.8× st 6.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
41
$113,437
$12,823
8.8× st 7.9×
460
Spinal fusion except cervical without mcc
40
$158,453
$42,788
3.7× st 5.6×
189
Pulmonary edema and respiratory failure
39
$131,252
$15,586
8.4× st 6.7×
312
Syncope and collapse
38
$110,525
$10,593
10.4× st 7.2×
552
Medical back problems without mcc
35
$87,489
$10,749
8.1× st 7.5×
870
Septicemia or severe sepsis with mv >96 hours
34
$426,770
$70,166
6.1× st 6.2×
274
Percutaneous and other intracardiac procedures without mcc
34
$151,031
$38,033
4.0× st 5.6×
190
Chronic obstructive pulmonary disease with mcc
33
$117,901
$12,319
9.6× st 7.1×
682
Renal failure with mcc
31
$128,929
$18,728
6.9× st 6.1×
314
Other circulatory system diagnoses with mcc
31
$201,120
$26,340
7.6× st 6.1×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
30
$239,115
$56,943
4.2× st 5.4×
252
Other vascular procedures with mcc
30
$202,533
$38,795
5.2× st 5.7×
812
Red blood cell disorders without mcc
29
$87,517
$10,702
8.2× st 6.4×
481
Hip and femur procedures except major joint with cc
29
$133,911
$23,402
5.7× st 6.7×
603
Cellulitis without mcc
29
$72,348
$9,950
7.3× st 5.9×
025
Craniotomy and endovascular intracranial procedures with mcc
28
$492,716
$67,059
7.3× st 6.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
26
$80,637
$9,545
8.4× st 6.8×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
26
$383,825
$70,245
5.5× st 5.5×
683
Renal failure with cc
25
$77,640
$10,478
7.4× st 6.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
25
$69,030
$8,798
7.8× st 6.3×
308
Cardiac arrhythmia and conduction disorders with mcc
25
$124,487
$13,735
9.1× st 6.9×
377
Gastrointestinal hemorrhage with mcc
24
$152,265
$18,623
8.2× st 6.4×
689
Kidney and urinary tract infections with mcc
22
$93,957
$13,081
7.2× st 6.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
22
$159,542
$22,565
7.1× st 6.9×
948
Signs and symptoms without mcc
22
$94,838
$9,238
10.3× st 7.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
22
$208,173
$24,570
8.5× st 6.6×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
22
$630,974
$97,301
6.5× st 6.5×
300
Peripheral vascular disorders with cc
21
$86,070
$12,011
7.2× st 6.3×
194
Simple pneumonia and pleurisy with cc
21
$79,509
$9,381
8.5× st 7.5×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
21
$79,387
$15,038
5.3× st 5.9×
432
Cirrhosis and alcoholic hepatitis with mcc
20
$190,883
$23,606
8.1× st 5.6×
455
Combined anterior and posterior spinal fusion without cc/mcc
19
$214,764
$52,048
4.1× st 5.5×
100
Seizures with mcc
19
$180,269
$20,409
8.8× st 6.2×
101
Seizures without mcc
19
$93,809
$10,259
9.1× st 6.8×
309
Cardiac arrhythmia and conduction disorders with cc
19
$70,919
$8,480
8.4× st 7.2×
699
Other kidney and urinary tract diagnoses with cc
19
$71,505
$11,376
6.3× st 6.1×
637
Diabetes with mcc
19
$147,343
$15,453
9.5× st 6.3×
281
Acute myocardial infarction, discharged alive with cc
19
$95,268
$10,886
8.8× st 7.8×
472
Cervical spinal fusion with cc
18
$183,225
$32,416
5.7× st 6.1×
454
Combined anterior and posterior spinal fusion with cc
18
$266,354
$69,515
3.8× st 5.5×
374
Digestive malignancy with mcc
18
$268,616
$32,982
8.1× st 7.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
17
$235,237
$29,787
7.9× st 7.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$141,096
$24,196
5.8× st 7.8×
069
Transient ischemia without thrombolytic
17
$112,774
$9,460
11.9× st 9.5×
313
Chest pain
16
$104,224
$10,472
10.0× st 7.7×
435
Malignancy of hepatobiliary system or pancreas with mcc
16
$203,038
$23,348
8.7× st 6.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
16
$148,795
$25,260
5.9× st 6.7×
393
Other digestive system diagnoses with mcc
15
$204,862
$22,893
8.9× st 5.8×
638
Diabetes with cc
15
$84,675
$10,123
8.4× st 6.3×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
14
$371,836
$64,215
5.8× st 6.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
14
$115,198
$20,393
5.6× st 6.4×
270
Other major cardiovascular procedures with mcc
14
$297,184
$51,386
5.8× st 6.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$252,194
$33,427
7.5× st 7.4×
394
Other digestive system diagnoses with cc
14
$84,121
$10,008
8.4× st 6.9×
329
Major small and large bowel procedures with mcc
14
$488,465
$57,640
8.5× st 6.5×
070
Other cerebrovascular disorders with mcc
13
$159,176
$19,185
8.3× st 5.4×
082
Traumatic stupor and coma >1 hour with mcc
13
$255,485
$23,210
11.0× st 7.7×
054
Nervous system neoplasms with mcc
13
$186,972
$18,175
10.3× st 7.6×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
13
$126,731
$20,475
6.2× st 5.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
12
$67,004
$10,152
6.6× st 6.9×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$302,133
$47,405
6.4× st 6.3×
057
Degenerative nervous system disorders without mcc
12
$117,652
$13,542
8.7× st 5.7×
071
Other cerebrovascular disorders with cc
12
$111,508
$11,928
9.3× st 6.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$109,437
$15,472
7.1× st 6.5×
299
Peripheral vascular disorders with mcc
12
$132,820
$21,614
6.1× st 6.4×
180
Respiratory neoplasms with mcc
12
$204,487
$16,940
12.1× st 6.9×
086
Traumatic stupor and coma <1 hour with cc
11
$148,949
$14,864
10.0× st 7.9×
164
Major chest procedures with cc
11
$186,785
$27,436
6.8× st 6.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$148,771
$16,343
9.1× st 7.2×
083
Traumatic stupor and coma >1 hour with cc
11
$162,013
$15,208
10.7× st 8.4×
433
Cirrhosis and alcoholic hepatitis with cc
11
$84,656
$11,754
7.2× st 5.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
11
$76,248
$12,824
5.9× st 6.5×
445
Disorders of the biliary tract with cc
11
$111,246
$13,788
8.1× st 7.0×
467
Revision of hip or knee replacement with cc
11
$215,858
$44,317
4.9× st 6.1×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
713
$43,315
$3,337
13.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
270
$14,254
$1,852
7.7×
5115
Level 5 Musculoskeletal Procedures
143
$82,326
$15,945
5.2×
5191
Level 1 Endovascular Procedures
110
$36,644
$3,937
9.3×
5183
Level 3 Vascular Procedures
99
$30,613
$3,919
7.8×
5213
Level 3 Electrophysiologic Procedures
96
$126,928
$29,114
4.4×
5114
Level 4 Musculoskeletal Procedures
67
$56,439
$8,792
6.4×
5375
Level 5 Urology and Related Services
45
$48,331
$6,178
7.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
45
$48,031
$4,686
10.2×
5302
Level 2 Upper GI Procedures
44
$29,627
$2,339
12.7×
5193
Level 3 Endovascular Procedures
40
$84,887
$13,212
6.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
38
$65,377
$8,017
8.2×
5373
Level 3 Urology and Related Services
37
$22,877
$2,504
9.1×
5182
Level 2 Vascular Procedures
34
$20,709
$1,969
10.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
32
$24,430
$3,363
7.3×
5361
Level 1 Laparoscopy and Related Services
32
$54,250
$7,094
7.6×
5192
Level 2 Endovascular Procedures
31
$45,160
$7,027
6.4×
5374
Level 4 Urology and Related Services
31
$37,527
$4,286
8.8×
5223
Level 3 Pacemaker and Similar Procedures
27
$46,791
$13,108
3.6×
5113
Level 3 Musculoskeletal Procedures
27
$46,283
$3,862
12.0×
5116
Level 6 Musculoskeletal Procedures
26
$84,765
$22,035
3.8×
5184
Level 4 Vascular Procedures
22
$61,923
$6,756
9.2×
5165
Level 5 ENT Procedures
21
$49,283
$6,927
7.1×
5154
Level 4 Airway Endoscopy
21
$39,075
$4,604
8.5×
5414
Level 4 Gynecologic Procedures
18
$30,743
$3,844
8.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
18
$32,031
$4,254
7.5×
5313
Level 3 Lower GI Procedures
17
$24,646
$3,452
7.1×
5112
Level 2 Musculoskeletal Procedures
16
$18,110
$1,976
9.2×
5153
Level 3 Airway Endoscopy
14
$38,729
$2,087
18.6×
5155
Level 5 Airway Endoscopy
12
$51,962
$8,413
6.2×
5415
Level 5 Gynecologic Procedures
12
$63,491
$6,115
10.4×
5492
Level 2 Intraocular Procedures
11
$35,602
$4,999
7.1×
5471
Implantation of Drug Infusion Device
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 35,472 rows scanned, 18,245 distinct code–setting items kept. 5,559 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$1,137
33
clean
Liver dis 10 assays w/ash
—
—
$800
32
clean
Liver dis 10 assays w/nash
—
—
$800
32
clean
Onco prst8 3 gene ur alg
—
—
$1,223
38
clean
Onc mrna 5 gen rsk urthl ca
—
—
$1,200
33
clean
Onc mrna 5 gen recr urthl ca
—
—
$1,200
33
clean
Adrnl cortcl tum bchm asy 25
—
—
$2,062
35
clean
Onc bladder mrna 209 gen alg
—
—
$5,512
35
clean
Onc thyr 10 microrna seq alg
—
—
$4,742
35
clean
Onc aml dna detcj/nondetcj
—
—
$393
35
clean
Glyca nuc mr spectrsc quan
—
—
$55
40
clean
Onc thyr dna&mrna 112 genes
—
—
$5,791
38
clean
Jak2 gene trgt seq alys
—
—
$196
40
clean
Rx metab advrs trgt seq alys
—
—
$1,172
33
clean
Tpmt nudt15 genes
—
—
$750
40
clean
Neuro csf prion prtn qual
—
—
$854
35
clean
Trgt gen seq dna 324 genes
—
—
$5,630
40
clean
B brgdrferi antb 5 prtn igm
—
—
$27
35
clean
CT CEREBRAL PERF ANALYSIS
$7,161
$7,161
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$27
35
clean
Tbrf b grp antb 4 prtn igm
—
—
$23
35
clean
Tbrf b grp antb 4 prtn igg
—
—
$23
35
clean
Onc brst dux carc is 12 gene
—
—
$6,230
40
clean
Onc prst8 mrna 17 gene alg
—
—
$6,230
40
clean
Bone srgry cmptr fluor image
—
—
$1,882
6
clean
Bone srgry cmptr ct/mri imag
—
—
$1,882
6
clean
Onc merkel cll carc srm quan
—
—
$520
40
clean
Onc merkel cll carc srm +/-
—
—
$520
40
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$40
40
clean
Antb tp total&rpr ia qual
—
—
$50
40
clean
Syfls tst nontreponemal antb
—
—
$29
40
clean
Candida species pnl amp prb
—
—
$229
40
clean
VERT/THOR CAROTID STENT 1ST LT
$60,801
$60,801
—
0
clean
Perq Stent/Chest Vert Art
—
—
$3,789
6
clean
Ig paraprotein qual bld/ur
—
—
$69
35
clean
Onc lng 5 clin rsk factr alg
—
—
$5,662
40
clean
Onc mlnma prame & linc00518
—
—
$1,223
40
clean
Onc cutan mlnma mrna 23 gene
—
—
$3,137
40
clean
Extracorp shockwv tx hi enrg
—
—
$571
29
clean
Hered colon ca do 15 genes
—
—
$2,805
40
clean
Neph ckd mult eclia tum nec
—
—
$1,528
40
clean
Touch Quant Sensory Test
—
—
$60
23
clean
Gstr emptg 7 timed brth spec
—
—
$1,381
35
clean
Vibrate Quant Sensory Test
—
—
$60
23
clean
Cool Quant Sensory Test
—
—
$95
23
clean
Gi barrett esoph 9 prtn bmrk
—
—
$6,817
35
clean
Heat Quant Sensory Test
—
—
$60
23
clean
Iadi 16s&18s rrna genes
—
—
$562
35
clean
Trnsplj don-drv cll-fr dna
—
—
$4,348
35
clean
Crd ceramides liq chrom plsm
—
—
$132
35
clean
Hered brst ca rltd do panel
—
—
$2,098
40
clean
Nfct bct fng prst dna >1000
—
—
$3,358
35
clean
INFECT PATHOGENS PLASMA KARIUS-KR
$2,000
$2,000
—
0
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$177
35
clean
Liver ds 10 biochem asy srm
—
—
$810
40
clean
Onc sld tum alys brca1 brca2
—
—
$3,980
40
clean
Onc solid tumor 30 prtn trgt
—
—
$2,062
35
clean
Exc rectal tumor endoscopic
—
—
$8,589
37
clean
PERC SACRAL AUGMT UNILAT W/ GUIDANCE&BX
$18,829
$18,829
—
0
clean
Perq sacral augmt unilat inj
—
—
$10,226
34
clean
PERC SACRAL AUGMT BILAT W/ GUIDANCE&BX
$18,829
$18,829
—
0
clean
Perq sacral augmt bilat inj
—
—
$10,808
34
clean
Post vert arthrplst 1 lumbar
—
—
$18,824
32
clean
Nfct ds 22 trgt sars-cov-2
—
—
$500
37
clean
RESP BACTERIA/VIRAL 22 TRGT SARS-COV-2 QUAL RT-PCR(PNL RP2.1)
$500
$500
—
0
clean
Neuro alzheimer cell aggregj
—
—
$3,499
35
clean
Clear eyelid gland w/heat
—
—
$387
34
clean
Neuro alzheimer quan imaging
—
—
$807
12
clean
Njx platelet plasma
—
—
$858
32
clean
Trluml perip athrc brchiocph
—
—
$16,745
37
clean
ATHER'TRLUML BRACH EAVES W/S&I-R
$36,166
$36,166
—
0
clean
Trluml perip athrc iliac art
—
—
$25,700
36
clean
ATHER'TRLUML ILIAC EAVES W/S&I-R
$42,251
$42,251
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$5,630
40
clean
Nfct ds vir resp rna 3 trgt
—
—
$287
14
clean
Nfct ds vir resp rna 4 trgt
—
—
$287
14
clean
Trgt gen seq alys pnl 55-74
—
—
$8,043
40
clean
Onc thyr mut alys 10 gen&37
—
—
$2,000
33
clean
Onc sld org neo dna 505 gene
—
—
$4,697
40
clean
Implt/rpl crtd sns dev total
—
—
$15,612
11
clean
Implt/rpl crtd sns dev gen
—
—
$8,208
11
clean
Interrogate crtd sns dev
—
—
$1,657
5
clean
INTERROGATION EVAL SYS BAROSTIM W/I&R
$657
$657
—
0
clean
Interrogate crtd sns w/pgrmg
—
—
$1,657
5
clean
Perq lamot/lam lumbar
—
—
$14,705
11
clean
Tempr
—
—
$339
31
clean
Onc lung mrna quan pcr 11&3
—
—
$6,117
33
clean
Onc brst dux carc 7 proteins
—
—
$7,485
33
clean
Crd cad alys 3 prtn plsm alg
—
—
$629
38
clean
Crd cv ds aly 4 prtn plm alg
—
—
$629
38
clean
Nfct ds bct quan antmcrb sc
—
—
$13
38
clean
Ai ds sle alys 8 igg autoant
—
—
$1,352
38
clean
Onc cutan sq cll ca mrna 40
—
—
$12,565
32
clean
Neph rna psttrnspl perph bld
—
—
$3,917
32
clean
Trgt gen seq alys pnl 83+
—
—
$7,391
32
clean
Onc neo xome&trns seq alys
—
—
$5,082
32
clean
Tear film img uni/bi w/i&r
—
—
$60
23
clean
Onc sld orgn tgsa dna 84/+
—
—
$5,670
37
clean
Onc plsm cell do&myeloma id
—
—
$3,600
32
clean
Onc sld tum crcg tum cl slct
—
—
$3,600
32
clean
PERC TRNSCTH RENAL SYMP DENRV W/IMG BI
$26,600
$26,600
—
0
clean
Trnscth renal symp denrv bil
—
—
$8,967
36
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$1,223
38
clean
Onc pan ca alys mrd plasma
—
—
$5,380
38
clean
Hep nafld semiq evl 28 lipid
—
—
$1,171
32
clean
Psyc genom alys pnl 15 gen
—
—
$2,149
38
clean
Beta amyl a?40&a?42 lc-ms/ms
—
—
$128
1
clean
Rx metab/pcx dna 16 gen alys
—
—
$2,149
38
clean
Rx metab/pcx dna 25 gen alys
—
—
$1,194
38
clean
Rx metab/pcx dna 27gen rx ia
—
—
$1,194
38
clean
RSA lower extr exam
—
—
$140
29
clean
Nfct ds bct/viral trail ip10
—
—
$419
38
clean
Oct brst/node i&r per spec
—
—
$1,166
3
clean
Nfct ds bv&vaginitis amp prb
—
—
$1,030
7
clean
Iadna chlmyd&gonorr amp prb
—
—
$507
7
clean
Apol1 risk variants
—
—
$203
32
clean
Onc orop 17 dna ddpcr alg
—
—
$2,843
31
clean
BIA whole body
—
—
$47
23
clean
Neuro alys b-amyl 1-42&1-40
—
—
$385
32
clean
Onc prst8 ca alys all psa
—
—
$1,123
32
clean
Onc lung elisa 7 autoant alg
—
—
$1,197
32
clean
Neurflmnt lt chn dig ia quan
—
—
$184
8
clean
Onc urthl mrna 5 gen alg
—
—
$1,123
32
clean
Onc bldr 10 prb bldr ca
—
—
$1,433
37
clean
Onc bldr 10 prb recr bldr ca
—
—
$1,433
37
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$1,433
37
clean
Onc prst8 ca img alys 128
—
—
$1,128
37
clean
Vis field assmnt tech suppt
—
—
$85
28
clean
Tgsap sl or neo dna523&rna55
—
—
$5,194
31
clean
Rx metb advrs trgt sq aly 20
—
—
$3,059
6
clean
Onc nonsm cll lng ca 37 gen
—
—
$5,528
31
clean
Neu prksn msfl ?-syncln prtn
—
—
$864
37
clean
Hdr elctrnc skn surf brchytx
—
—
$21,563
5
clean
HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE
$1,299
$1,299
—
0
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$317
37
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$1,586
28
clean
HDR ELECTRONIC BRACHYTHERAPY INTERSTIT/INTRACAV
$4,553
$4,553
—
0
clean
Mrgfus strtctc les abltj
—
—
$3,712
3
clean
Gi baret esph dna mthyln aly
—
—
$2,772
31
clean
Collagen crosslinking cornea
—
—
$4,221
37
clean
Onc prst8 mrna 18 gen dre ur
—
—
$1,214
37
clean
Onc brst semiq meas thym kn
—
—
$516
37
clean
Onc lung flow cytmtry 5 mrk
—
—
$1,214
37
clean
Neph dbtc ckd mult eclia alg
—
—
$1,517
37
clean
Insj/rplc cardiac modulj sys
—
—
$43,601
37
clean
Onc sld tum dna 80 & rna 36
—
—
$4,663
37
clean
Psyc genom alys pnl 15 gen
—
—
$2,134
37
clean
Cv ds acs bld alg 5 yr score
—
—
$624
37
clean
ABLATION PROSTATE WATERJET W US GUIDE
$22,278
$22,278
—
0
clean
Waterjet prostate abltj cmpl
—
—
$2,873
14
clean
Onc pan solid tum alys dna
—
—
$2,429
23
clean
Gi malabs aat calpro pncrtc
—
—
$97
31
clean
Gly rcptr alpha1 igg srm/csf
—
—
$58
31
clean
Klhl11 antb sr/csf asy qual
—
—
$58
31
clean
Onc prst8 5 dna reg mrk pcr
—
—
$1,200
31
clean
Rx metab advrs vrnt alys 25
—
—
$658
31
clean
Impltj synth rnfcmt abdl wal
—
—
$1,882
6
clean
ABLATION PERC CRYO LOWER EXTREMITY NERVE INCLDE IMAG
$8,265
$8,265
—
0
clean
Abltj perc lxtr/perph nrv
—
—
$4,373
37
clean
Abltj perc plex/trncl nrv
—
—
$12,190
37
clean
Neurflmnt lt chn ultrsens ia
—
—
$145
23
clean
Insj impltbl glucose sensor
—
—
$5,699
32
clean
Rmvl impltbl glucose sensor
—
—
$434
32
clean
Remvl insj impltbl gluc sens
—
—
$5,699
32
clean
Insj aqueous drain dev 1st
—
—
$7,392
37
clean
Visual ep test for glaucoma
—
—
$207
23
clean
Onc sld tum bld/slv 648 gene
—
—
$7,107
31
clean
Hered prst8 ca gsap 23 genes
—
—
$2,059
31
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$1,949
37
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$2,212
11
clean
TMVI W/ PROSTH; PERC SEPTAL PUCNCT
$38,670
$38,670
—
0
clean
Tmvi percutaneous approach
—
—
$4,221
11
clean
Tmvi transthoracic exposure
—
—
$4,221
11
clean
Oct mid ear i&r unilateral
—
—
$60
23
clean
Onc sol tum cfdna&rna ngs gm
—
—
$4,562
23
clean
Oct mid ear i&r bilateral
—
—
$60
23
clean
Prep & cannulj cdvr don lung
—
—
$4,221
11
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$3,866
3
clean
Ev fempop artl revsc
—
—
$16,036
37
clean
ENDOVENOUS REVASC FEM-POP ART TRANSCATH GRAFT
$35,000
$35,000
—
0
clean
Near ifr 2img mibmn glnd i&r
—
—
$134
28
clean
Pattern erg w/i&r
—
—
$347
23
clean
Esw integ wnd hlg 1st wnd
—
—
$583
34
clean
Esw integ wnd hlg ea addl
—
—
$1,877
3
clean
INTRAPRCDRL CORONARY FFR ANGIO W/3D MAP+
$6,944
$6,944
—
0
clean
Ntrapx c ffr w/3d funcjl map
—
—
$1,877
3
clean
Insj/rplcmt compl iims
—
—
$26,756
37
clean
Prgrmg dev eval iims ip
—
—
$85
28
clean
Interrog dev eval iims ip
—
—
$85
28
clean
Car-t cll admn autologous
—
—
$1,657
5
clean
Low-level laser therapy
—
—
$1,778
3
clean
Antmc guide 3d print 1st gd
—
—
$204
26
clean
Evac meibomian glnd heat bi
—
—
$156
37
clean
Ttvr perq appr 1st prosth
—
—
$2,379
11
clean
TTVR PERC REPAIR TRICUSPID VALVE 1ST PROSTHESIS
$42,509
$42,509
—
0
clean
TTVR PERC REPAIR TRICUSPID VALVE ADD'L PROSTH+
$9,446
$9,446
—
0
clean
Ttvr perq ea addl prosth
—
—
$2,379
11
clean
Insj/rplcmt icds ss eltrd
—
—
$43,601
37
clean
Prgrmg dev eval icds ss ip
—
—
$85
28
clean
Interrog dev eval icds ss ip
—
—
$85
28
clean

Showing the first 200 of 18,245 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
50,673 of 50,673 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 26641/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33016/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86696/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90833/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93304/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95860/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97761/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11730/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36589/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73201/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76819/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83873/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85362/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9012/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26645/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86698/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90834/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95861/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97763/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11732/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73202/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80150/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83874/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87449/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9016/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36591/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51726/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76825/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86701/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90836/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93307/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95863/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97799/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11740/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73206/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80151/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82306/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83880/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36592/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64612/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76826/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86702/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90837/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95864/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97802/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2618/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11750/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73218/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80155/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82308/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83883/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85384/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87481/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9021/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26725/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 33210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36593/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76827/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86703/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90838/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97803/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2623/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51736/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64616/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73219/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80158/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82310/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83915/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85385/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11760/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76828/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86704/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87486/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90839/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95867/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97804/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26750/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51741/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64617/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82330/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83916/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93319/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11765/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76830/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86705/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87490/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90840/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95868/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 98960/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51784/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82340/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83918/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93320/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2627/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36600/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64624/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85441/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86706/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87491/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90845/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95869/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9035/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26951/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73222/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80168/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93321/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2628/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64625/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76857/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83921/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86707/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90846/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95870/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51798/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73223/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80170/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82374/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87496/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93325/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2629/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64633/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76870/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86708/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90847/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12001/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27041/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80171/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82375/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93350/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2630/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9039/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64634/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76872/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86709/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87498/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90849/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27093/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82378/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83945/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64635/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80175/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86710/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90853/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12004/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27095/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82379/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83970/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85525/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93356/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99001/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64636/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76882/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80176/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86713/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73525/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83986/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90865/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99027/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9051/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27222/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64640/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85540/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87517/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73551/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83992/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86720/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82384/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87521/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99091/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73552/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85555/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86727/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27265/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80181/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82390/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84030/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87522/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99151/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73560/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86735/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9056/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43753/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80183/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 5,559 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 054
info
inp_charge_10x_payment
average charge $186,972 is 10.3× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $112,774 is 11.9× the total payment
MS-DRG 082
info
inp_charge_10x_payment
average charge $255,485 is 11.0× the total payment
MS-DRG 083
info
inp_charge_10x_payment
average charge $162,013 is 10.7× the total payment
MS-DRG 086
info
inp_charge_10x_payment
average charge $148,949 is 10.0× the total payment
MS-DRG 180
info
inp_charge_10x_payment
average charge $204,487 is 12.1× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $110,525 is 10.4× the total payment
MS-DRG 948
info
inp_charge_10x_payment
average charge $94,838 is 10.3× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 113.0M bytes · fetched 2026-08-25 · sha256 613f5f0712e9…

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.