Hospital · CCN 050492

Clovis Community Medical Center

2755 Herndon Ave, Clovis, CA 93611 · Fresno County
Part of Community Medical Centers · 352 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

115 admission types 56 outpatient services price file: ok
Billed per dollar paid, all admissions
5.75×
$404.6M billed against $70.4M paid across 4,163 Medicare discharges; the national figure is 5.03×.
—
of adults in Fresno 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%
$71K
median household income
4.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (6 in the inpatient or outpatient file)ⓘ
37.7%
obesity in the countyⓘ
12.7%
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
871
Septicemia or severe sepsis without mv >96 hours with mcc
457
$129,935
$20,415
6.4× st 6.2×
291
Heart failure and shock with mcc
259
$81,563
$12,723
6.4× st 6.5×
193
Simple pneumonia and pleurisy with mcc
149
$82,364
$13,133
6.3× st 6.9×
690
Kidney and urinary tract infections without mcc
139
$42,124
$8,102
5.2× st 6.6×
683
Renal failure with cc
115
$54,427
$9,535
5.7× st 6.7×
177
Respiratory infections and inflammations with mcc
115
$111,497
$17,065
6.5× st 6.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
101
$66,489
$11,571
5.7× st 6.1×
689
Kidney and urinary tract infections with mcc
92
$60,430
$11,305
5.3× st 6.3×
378
Gastrointestinal hemorrhage with cc
87
$66,751
$9,749
6.8× st 6.8×
698
Other kidney and urinary tract diagnoses with mcc
86
$100,000
$17,533
5.7× st 6.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
81
$261,721
$49,410
5.3× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
80
$87,870
$13,758
6.4× st 5.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
78
$50,048
$8,233
6.1× st 6.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
77
$47,714
$7,833
6.1× st 6.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
71
$57,640
$10,203
5.6× st 7.9×
682
Renal failure with mcc
68
$88,808
$14,969
5.9× st 6.1×
603
Cellulitis without mcc
57
$44,824
$9,996
4.5× st 5.9×
189
Pulmonary edema and respiratory failure
56
$103,015
$14,652
7.0× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
55
$80,445
$10,864
7.4× st 7.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
47
$93,454
$22,571
4.1× st 6.9×
194
Simple pneumonia and pleurisy with cc
45
$51,586
$8,236
6.3× st 7.5×
274
Percutaneous and other intracardiac procedures without mcc
45
$112,126
$31,466
3.6× st 5.6×
377
Gastrointestinal hemorrhage with mcc
45
$112,516
$17,185
6.5× st 6.4×
699
Other kidney and urinary tract diagnoses with cc
44
$52,159
$9,864
5.3× st 6.1×
312
Syncope and collapse
42
$54,594
$8,696
6.3× st 7.2×
481
Hip and femur procedures except major joint with cc
41
$86,246
$19,952
4.3× st 6.7×
057
Degenerative nervous system disorders without mcc
40
$51,995
$14,211
3.7× st 5.7×
432
Cirrhosis and alcoholic hepatitis with mcc
34
$108,374
$20,657
5.2× st 5.6×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
34
$99,221
$18,488
5.4× st 5.6×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
32
$43,554
$10,163
4.3× st 6.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
32
$53,323
$8,194
6.5× st 8.8×
280
Acute myocardial infarction, discharged alive with mcc
30
$96,446
$15,497
6.2× st 6.6×
314
Other circulatory system diagnoses with mcc
30
$133,137
$22,309
6.0× st 6.1×
309
Cardiac arrhythmia and conduction disorders with cc
30
$49,262
$7,364
6.7× st 7.2×
389
Gastrointestinal obstruction with cc
29
$54,471
$9,716
5.6× st 6.9×
638
Diabetes with cc
28
$46,186
$8,586
5.4× st 6.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
28
$102,996
$20,116
5.1× st 7.4×
069
Transient ischemia without thrombolytic
28
$54,821
$8,231
6.7× st 9.5×
394
Other digestive system diagnoses with cc
27
$73,222
$9,301
7.9× st 6.9×
552
Medical back problems without mcc
27
$50,078
$9,521
5.3× st 7.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
26
$339,660
$66,867
5.1× st 6.3×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
26
$136,600
$22,241
6.1× st 5.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
26
$98,403
$15,955
6.2× st 7.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
25
$35,559
$8,852
4.0× st 6.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
24
$102,192
$18,514
5.5× st 6.4×
870
Septicemia or severe sepsis with mv >96 hours
23
$395,680
$70,197
5.6× st 6.2×
300
Peripheral vascular disorders with cc
22
$56,871
$11,234
5.1× st 6.3×
637
Diabetes with mcc
22
$105,754
$14,457
7.3× st 6.3×
308
Cardiac arrhythmia and conduction disorders with mcc
22
$82,165
$11,925
6.9× st 6.9×
176
Pulmonary embolism without mcc
22
$44,840
$9,023
5.0× st 7.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
22
$125,869
$17,817
7.1× st 7.8×
673
Other kidney and urinary tract procedures with mcc
21
$224,987
$42,697
5.3× st 5.8×
329
Major small and large bowel procedures with mcc
21
$322,500
$50,081
6.4× st 6.5×
536
Fractures of hip and pelvis without mcc
21
$35,607
$10,388
3.4× st 7.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
21
$64,157
$13,150
4.9× st 6.5×
163
Major chest procedures with mcc
20
$300,081
$54,176
5.5× st 6.4×
101
Seizures without mcc
20
$51,810
$10,468
5.0× st 6.8×
071
Other cerebrovascular disorders with cc
20
$57,864
$10,535
5.5× st 6.1×
178
Respiratory infections and inflammations with cc
19
$52,068
$10,106
5.2× st 7.1×
418
Laparoscopic cholecystectomy without c.d.e. with cc
19
$116,259
$16,282
7.1× st 7.9×
100
Seizures with mcc
18
$128,121
$20,417
6.3× st 6.2×
315
Other circulatory system diagnoses with cc
18
$57,812
$9,743
5.9× st 6.7×
435
Malignancy of hepatobiliary system or pancreas with mcc
18
$113,667
$16,927
6.7× st 6.8×
445
Disorders of the biliary tract with cc
18
$67,018
$10,608
6.3× st 7.0×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
17
$48,755
$12,553
3.9× st 5.9×
292
Heart failure and shock with cc
17
$51,026
$8,219
6.2× st 5.8×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
17
$115,341
$28,870
4.0× st 6.3×
092
Other disorders of nervous system with cc
17
$67,952
$10,252
6.6× st 6.8×
917
Poisoning and toxic effects of drugs with mcc
17
$82,676
$21,710
3.8× st 6.2×
236
Coronary bypass without cardiac catheterization without mcc
17
$255,860
$51,112
5.0× st 7.2×
948
Signs and symptoms without mcc
17
$38,023
$7,975
4.8× st 7.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
17
$131,791
$19,825
6.6× st 6.7×
811
Red blood cell disorders with mcc
16
$100,672
$13,926
7.2× st 6.4×
330
Major small and large bowel procedures with cc
16
$154,202
$23,594
6.5× st 6.9×
393
Other digestive system diagnoses with mcc
16
$104,914
$16,027
6.5× st 5.8×
884
Organic disturbances and intellectual disability
16
$54,693
$16,466
3.3× st 5.3×
390
Gastrointestinal obstruction without cc/mcc
15
$32,867
$6,103
5.4× st 7.0×
180
Respiratory neoplasms with mcc
15
$122,188
$17,761
6.9× st 6.9×
372
Major gastrointestinal disorders and peritoneal infections with cc
15
$59,216
$9,944
6.0× st 6.5×
629
Other endocrine, nutritional and metabolic o.r. procedures with cc
15
$112,641
$18,961
5.9× st 6.4×
919
Complications of treatment with mcc
15
$78,525
$16,945
4.6× st 6.0×
480
Hip and femur procedures except major joint with mcc
15
$218,699
$39,452
5.5× st 6.8×
375
Digestive malignancy with cc
15
$76,019
$11,918
6.4× st 6.9×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
14
$133,724
$22,877
5.8× st 7.5×
885
Psychoses
14
$45,580
$12,609
3.6× st 3.1×
207
Respiratory system diagnosis with ventilator support >96 hours
14
$311,680
$66,300
4.7× st 5.7×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
13
$129,081
$20,746
6.2× st 6.8×
812
Red blood cell disorders without mcc
13
$63,066
$9,982
6.3× st 6.4×
164
Major chest procedures with cc
13
$181,921
$26,667
6.8× st 6.3×
281
Acute myocardial infarction, discharged alive with cc
13
$57,556
$10,057
5.7× st 7.8×
388
Gastrointestinal obstruction with mcc
13
$99,799
$13,906
7.2× st 6.5×
202
Bronchitis and asthma with cc/mcc
13
$52,199
$9,341
5.6× st 7.4×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
13
$68,267
$9,941
6.9× st 7.4×
371
Major gastrointestinal disorders and peritoneal infections with mcc
13
$82,085
$16,442
5.0× st 6.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
12
$122,001
$21,312
5.7× st 6.6×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
12
$50,103
$8,521
5.9× st 5.7×
270
Other major cardiovascular procedures with mcc
12
$289,983
$49,549
5.9× st 6.4×
242
Permanent cardiac pacemaker implant with mcc
12
$156,885
$33,491
4.7× st 6.5×
674
Other kidney and urinary tract procedures with cc
12
$114,089
$29,068
3.9× st 4.8×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$80,731
$13,954
5.8× st 7.1×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
11
$169,448
$44,084
3.8× st 5.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$216,843
$37,559
5.8× st 7.4×
433
Cirrhosis and alcoholic hepatitis with cc
11
$50,408
$10,076
5.0× st 5.5×
644
Endocrine disorders with cc
11
$70,610
$10,222
6.9× st 6.5×
475
Amputation for musculoskeletal system and connective tissue disorders with cc
11
$119,979
$22,953
5.2× st 8.8×
602
Cellulitis with mcc
11
$59,834
$13,198
4.5× st 5.7×
482
Hip and femur procedures except major joint without cc/mcc
11
$73,964
$15,407
4.8× st 6.7×
243
Permanent cardiac pacemaker implant with cc
11
$101,150
$21,742
4.7× st 6.7×
305
Hypertension without mcc
11
$31,432
$7,595
4.1× st 7.3×
331
Major small and large bowel procedures without cc/mcc
11
$117,237
$16,030
7.3× st 6.6×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
11
$354,219
$60,936
5.8× st 6.5×
379
Gastrointestinal hemorrhage without cc/mcc
11
$42,837
$6,346
6.8× st 8.6×
840
Lymphoma and non-acute leukemia with mcc
11
$291,183
$47,962
6.1× st 6.0×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
11
$99,915
$12,031
8.3× st 7.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
11
$60,454
$10,952
5.5× st 7.7×
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
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
415
$8,729
$1,986
4.4×
5191
Level 1 Endovascular Procedures
282
$26,927
$3,993
6.7×
5113
Level 3 Musculoskeletal Procedures
269
$17,887
$3,969
4.5×
5361
Level 1 Laparoscopy and Related Services
233
$37,694
$7,036
5.4×
5302
Level 2 Upper GI Procedures
197
$17,864
$2,339
7.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
188
$12,722
$3,494
3.6×
5373
Level 3 Urology and Related Services
159
$14,647
$2,504
5.8×
5114
Level 4 Musculoskeletal Procedures
152
$32,487
$8,749
3.7×
8011
Comprehensive Observation Services
130
$28,223
$3,365
8.4×
5115
Level 5 Musculoskeletal Procedures
106
$76,364
$15,896
4.8×
5375
Level 5 Urology and Related Services
101
$28,038
$6,362
4.4×
5193
Level 3 Endovascular Procedures
91
$69,244
$13,503
5.1×
5183
Level 3 Vascular Procedures
91
$16,683
$3,919
4.3×
5374
Level 4 Urology and Related Services
82
$18,974
$4,247
4.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
80
$23,468
$4,640
5.1×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
66
$24,274
$4,221
5.8×
5182
Level 2 Vascular Procedures
63
$7,026
$1,954
3.6×
5112
Level 2 Musculoskeletal Procedures
62
$14,454
$1,976
7.3×
5414
Level 4 Gynecologic Procedures
59
$17,265
$3,805
4.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
54
$52,525
$8,017
6.6×
5223
Level 3 Pacemaker and Similar Procedures
53
$46,809
$13,108
3.6×
5213
Level 3 Electrophysiologic Procedures
50
$153,387
$29,114
5.3×
5362
Level 2 Laparoscopy and Related Services
31
$59,946
$12,637
4.7×
5192
Level 2 Endovascular Procedures
29
$36,207
$7,027
5.2×
5194
Level 4 Endovascular Procedures
26
$101,772
$20,676
4.9×
5431
Level 1 Nerve Procedures
23
$16,872
$2,374
7.1×
5303
Level 3 Upper GI Procedures
22
$28,381
$4,708
6.0×
5153
Level 3 Airway Endoscopy
17
$19,078
$2,087
9.1×
5331
Complex GI Procedures
16
$33,651
$7,007
4.8×
5116
Level 6 Musculoskeletal Procedures
16
$101,905
$20,322
5.0×
5313
Level 3 Lower GI Procedures
13
$20,945
$3,318
6.3×
5165
Level 5 ENT Procedures
12
$30,457
$7,200
4.2×
5432
Level 2 Nerve Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-06-15, template 3.0.0, 9,259,593 rows scanned, 26,387 distinct code–setting items kept. 6,090 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$720
124
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$503
87
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$503
85
clean
ONCO PRST8 3 GENE UR ALG
—
—
$760
87
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$51
37
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$760
85
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$760
85
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$51
37
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,305
87
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$51
37
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,490
87
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$76
37
clean
ANESTH PHARYNGEAL SURGERY
—
—
$76
37
clean
Outpatient Services
—
—
$89
37
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,002
124
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$139
37
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$114
37
clean
Outpatient Services
—
—
$114
37
clean
Outpatient Services
—
—
$190
37
clean
ANESTH SPECIAL HEAD SURGERY
—
—
$164
37
clean
Outpatient Services
—
—
$127
37
clean
Outpatient Services
—
—
$76
37
clean
FLT3 LEUKOSTRAT;INO
$510
$408
$249
151
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$34
88
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,600
125
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$122
125
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$742
87
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$38
37
clean
TPMT NUDT15 GENES
—
—
$466
125
clean
Outpatient Services
—
—
$127
37
clean
Outpatient Services
—
—
$63
37
clean
NEURO CSF PRION PRTN QUAL
—
—
$541
124
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,500
125
clean
Outpatient Services
—
—
$38
37
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$63
37
clean
Other Outpatient Services
—
—
$164
37
clean
Outpatient Services
—
—
$51
37
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$17
124
clean
CT PERFUSION W/CONTRAST CBF
$4,900
$3,920
$2,788
31
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$17
122
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
124
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
122
clean
Outpatient Services
—
—
$63
37
clean
Other Outpatient Services
—
—
$38
37
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,873
88
clean
Other Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$127
37
clean
Outpatient Services
—
—
$164
37
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,873
123
clean
Outpatient Services
—
—
$190
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$101
37
clean
Outpatient Services
—
—
$139
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$228
37
clean
Outpatient Services
—
—
$164
37
clean
Outpatient Services
—
—
$190
37
clean
Outpatient Services
—
—
$190
37
clean
Outpatient Services
—
—
$190
37
clean
Outpatient Services
—
—
$190
37
clean
BONE SRGRY CMPTR FLUOR IMAGE
—
—
$2,955
6
clean
Outpatient Services
—
—
$127
37
clean
BONE SRGRY CMPTR CT/MRI IMAG
—
—
$3,573
6
clean
Outpatient Services
—
—
$190
37
clean
Outpatient Services
—
—
$253
37
clean
Outpatient Services
—
—
$316
37
clean
Outpatient Services
—
—
$316
37
clean
Outpatient Services
—
—
$253
37
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$323
125
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$323
123
clean
Outpatient Services
—
—
$127
37
clean
ANESTH SITTING PROCEDURE
—
—
$164
37
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$25
88
clean
Other Outpatient Services
—
—
$127
37
clean
Outpatient Services
—
—
$164
37
clean
Outpatient Services
—
—
$190
37
clean
Outpatient Services
—
—
$101
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$38
37
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$31
125
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$18
125
clean
Outpatient Services
—
—
$164
37
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$143
125
clean
Outpatient Services
—
—
$38
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$63
37
clean
ANES UPR GI NDSC PX NOS
—
—
$70
37
clean
ANES UPR GI NDSC PX ERCP
—
—
$84
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$89
37
clean
RADP PERQ STENT/CHEST VERT ART
$39,356
$31,485
$21,646
89
clean
Outpatient Services
—
—
$190
37
clean
IG PARAPROTEIN QUAL BLD/UR
—
—
$43
124
clean
Outpatient Services
—
—
$89
37
clean
Other Outpatient Services
—
—
$164
37
clean
Outpatient Services
—
—
$101
37
clean
Outpatient Services
—
—
$380
37
clean
Outpatient Services
—
—
$101
37
clean
Outpatient Services
—
—
$38
37
clean
Outpatient Services
—
—
$63
37
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,520
88
clean
ANES LWR INTST NDSC NOS
—
—
$56
37
clean
ANES LWR INTST SCR COLSC
—
—
$42
37
clean
ANES UPR LWR GI NDSC PX
—
—
$70
37
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$51
37
clean
ANESTH REPAIR OF HERNIA
—
—
$76
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$101
37
clean
Outpatient Services
—
—
$101
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$101
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$127
37
clean
Outpatient Services
—
—
$127
37
clean
Outpatient Services
—
—
$63
37
clean
ANESTH KIDNEY STONE DESTRUCT
—
—
$89
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$190
37
clean
Outpatient Services
—
—
$127
37
clean
ONC MLNMA PRAME & LINC00518
—
—
$760
86
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$89
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$76
37
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$1,950
88
clean
Outpatient Services
—
—
$38
37
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$63
37
clean
ANESTH BLEEDING CONTROL
—
—
$63
37
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$38
37
clean
Outpatient Services
—
—
$38
37
clean
Other Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$38
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$76
37
clean
Outpatient Services
—
—
$62
37
clean
Outpatient Services
—
—
$51
37
clean
ESW MUSCSKEL SYS NOS
—
—
$317
94
clean
HERED COLON CA DO 15 GENES
—
—
$1,744
88
clean
NEPH CKD MULT ECLIA TUM NEC
—
—
$950
86
clean
TOUCH QUANT SENSORY TEST
—
—
$48
88
clean
GSTR EMPTG 7 TIMED BRTH SPEC
—
—
$874
87
clean
VIBRATE QUANT SENSORY TEST
—
—
$48
88
clean
COOL QUANT SENSORY TEST
—
—
$76
86
clean
GI BARRETT ESOPH 9 PRTN BMRK
—
—
$4,950
87
clean
HEAT QUANT SENSORY TEST
—
—
$48
86
clean
Outpatient Services
—
—
$63
37
clean
Outpatient Services
—
—
$76
37
clean
IADI 16S&18S RRNA GENES
—
—
$356
87
clean
Outpatient Services
—
—
$38
37
clean
Outpatient Services
—
—
$190
37
clean
Outpatient Services
—
—
$101
37
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$101
37
clean
Outpatient Services
—
—
$152
37
clean
TRNSPLJ DON-DRV CLL-FR DNA
—
—
$2,753
87
clean
CRD CERAMIDES LIQ CHROM PLSM
—
—
$84
87
clean
Outpatient Services
—
—
$51
37
clean
Outpatient Services
—
—
$51
37
clean

Showing the first 200 of 26,387 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
2,651 of 2,669 comparable items (99%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $897 exceeds the gross charge $510
warn
mrf_rate_without_estimate
1,075,548 of 1,075,548 percentage/algorithm rates across 3,350 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 37186/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74022/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80164/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83825/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 95922/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4623/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1120/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11640/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 21451/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29581/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 34705/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49450/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64484/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72081/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74150/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76380/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77373/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83835/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88342/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92978/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93892/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95923/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C8922/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1160/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7516/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L1906/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q5108/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37187/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72082/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80168/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86705/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88344/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95924/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4648/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7517/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q5110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11642/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 21453/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 29700/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 34706/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49451/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64486/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76391/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77385/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83874/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88346/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92979/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93893/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4649/o
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C8923/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1162/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7518/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1907/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37188/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72082/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74160/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83880/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 95925/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1165/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7519/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1930/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11719/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21480/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 30100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 34707/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49452/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64517/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72083/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77386/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83883/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86707/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 88346/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92986/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93896/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4860/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C8924/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1171/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7520/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5115/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37191/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76506/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80178/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86708/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88348/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93897/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95925/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1190/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1932/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q5116/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11720/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21550/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their 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 min, max differ, so no cross-line comparison was made for this item
CPT 34708/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49460/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64520/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72083/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74170/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77387/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80183/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 83916/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 92987/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93898/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C8925/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1200/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7527/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5117/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37192/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72084/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76506/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88348/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93922/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95926/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1205/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J7608/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1945/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q5119/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11721/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21899/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 30901/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 34709/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49465/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64530/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74174/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76510/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86735/o
info
mrf_item_fields_vary
this code and setting cover at least 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 88350/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C8926/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1250/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 37193/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72084/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76511/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77407/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93024/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93922/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1265/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7611/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L1970/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q5121/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11730/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 22510/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their 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 max differ, so no cross-line comparison was made for this item
CPT 34710/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64612/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72100/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74174/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76512/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80186/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 88350/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93025/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93923/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95927/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6199/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C8927/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7613/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37195/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 50080/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74175/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77412/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83935/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86747/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 88355/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7614/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1971/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q5122/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11732/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 22511/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their 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 max differ, so no cross-line comparison was made for this item
CPT 34711/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64615/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76512/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80188/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86762/o
info
mrf_item_fields_vary
this code and setting cover at least 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 88356/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93041/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93923/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95927/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6242/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C8928/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7620/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5123/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 37197/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72110/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74176/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76513/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77417/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83970/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86765/o
info
mrf_item_fields_vary
this code and setting cover at least 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 88358/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93050/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93924/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6501/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7626/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1990/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 6,090 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. · csv-tall · 2,267.4M bytes · fetched 2026-08-25 · sha256 dadf03dd8f21…

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.