Hospital · CCN 050517

Victor Valley Global Medical Center

15248 11th St, Victorville, CA 92392 · San Bernardino County
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

20 admission types 25 outpatient services price file: ok
Billed per dollar paid, all admissions
3.31×
$27.4M billed against $8.3M paid across 452 Medicare discharges; the national figure is 5.03×.
—
of adults in San Bernardino County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
8.7%
uninsured in the county · state 7.5%
$85K
median household income
5.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (15 in the inpatient or outpatient file)ⓘ
33.3%
obesity in the countyⓘ
12.1%
diagnosed diabetes (PLACES)
5.6%
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
81
$59,106
$19,880
3.0× st 6.2×
193
Simple pneumonia and pleurisy with mcc
47
$52,599
$13,936
3.8× st 6.9×
291
Heart failure and shock with mcc
34
$41,806
$13,734
3.0× st 6.5×
690
Kidney and urinary tract infections without mcc
34
$28,536
$8,790
3.2× st 6.6×
689
Kidney and urinary tract infections with mcc
30
$33,782
$12,549
2.7× st 6.3×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
27
$77,678
$19,274
4.0× st 6.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
21
$35,967
$13,836
2.6× st 5.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
20
$22,875
$8,614
2.7× st 6.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
18
$26,989
$8,644
3.1× st 6.8×
177
Respiratory infections and inflammations with mcc
16
$46,439
$17,616
2.6× st 6.6×
637
Diabetes with mcc
15
$31,760
$14,413
2.2× st 6.3×
682
Renal failure with mcc
14
$53,952
$15,794
3.4× st 6.1×
683
Renal failure with cc
14
$37,319
$9,838
3.8× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
14
$128,019
$45,808
2.8× st 6.2×
870
Septicemia or severe sepsis with mv >96 hours
12
$267,121
$71,736
3.7× st 6.2×
189
Pulmonary edema and respiratory failure
11
$36,894
$13,241
2.8× st 6.7×
698
Other kidney and urinary tract diagnoses with mcc
11
$59,329
$17,079
3.5× st 6.2×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$302,707
$66,936
4.5× st 5.7×
280
Acute myocardial infarction, discharged alive with mcc
11
$59,714
$15,864
3.8× st 6.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
11
$32,765
$10,716
3.1× 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
5183
Level 3 Vascular Procedures
16
$11,842
$3,919
3.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
15
$12,865
$1,860
6.9×
8011
Comprehensive Observation Services
14
$14,448
$3,366
4.3×
5361
Level 1 Laparoscopy and Related Services
12
$17,101
$6,798
2.5×
5113
Level 3 Musculoskeletal Procedures
11
$17,214
$3,980
4.3×
5313
Level 3 Lower GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5191
Level 1 Endovascular Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5231
Level 1 ICD and Similar 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-wide, last updated 2026-05-13, template 3.0.0, 28,820 rows scanned, 2,895 distinct code–setting items kept. 2,712 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
TCAT INS 2CHMBR LDLS PM CMPL
$87,033
$87,033
$25,751
94
clean
TCAT INS 2CHMBR LDLS PM RA
$87,033
$87,033
$28,469
94
clean
TCAT INS 2CHMBR LDLS PM RV
$87,033
$87,033
$25,751
94
clean
PRGRMG EVL LDLS PM 2CHMBR IP
$168
$168
$54
93
clean
TCAT INS 1CHMBR LDLS PM RA
$87,033
$87,033
$28,469
94
clean
PRGRMG EVL LDLS PM 1CHMBR IP
$168
$168
$54
93
clean
US FNA W-GUIDANCE 1ST LESION
$2,012
$2,012
$922
320
clean
US FNA W-GUIDANCE ADD LESION
$805
$805
$193
61
clean
CT FINE NEEDLE ASPIRATION BX W/CT GUIDAN
$3,337
$3,337
$906
117
clean
FNA SUPERFICIAL TISSUE
$1,185
$1,185
$520
117
clean
ED-IMAGE-GUIDED FLUID COLLECTION
$1,765
$1,765
$906
434
clean
ED-INCISION DRAINAGE OF ABSCESS
$483
$483
$295
197
clean
ED-INCISION DRAINAGE COMPLICATED/MULTI
$483
$483
$520
197
clean
ED-DRAIN PILONIDAL CYST SIMPLE
$1,455
$1,455
$1,015
197
clean
ED-DRAIN PILONIDAL CYST-COMPLEX
$1,449
$1,449
$906
117
clean
ED-REM FOREIGN BODY SIMPLE BIL
$967
$967
$520
314
clean
ED-RMVL FOREIGN BOBY SKIN/SUB CMPLX
$4,052
$4,052
$2,124
321
clean
ED-INCISION DRAINAGE HEMATOMA/SERO/FLU
$3,338
$3,338
$2,177
197
clean
ED-PUNCTURE ASPIRATION-ABSCESS/CYST
$483
$483
$520
314
clean
ED-I D POST OP WOUND COMPLEX
$5,209
$5,209
$3,718
118
clean
ED-DEBRIDEMENT INFECTED SKIN SC 10 BC
$967
$967
$520
117
clean
ED-DEBRIDEMENT SKIN SC W/OPEN FRACTURE
$1,449
$1,449
$906
117
clean
DEBRIDE SKIN/MUSCLE, FX
—
—
$4,613
86
clean
ED-DEBRIDEMENT SCSKIN TISSUE
$967
$967
$626
203
clean
ED-DEBRIDEMENT SCSKIN MUSCLE
$967
$967
$946
117
clean
DEBRIDE TISSUE/MUSCLE/BONE
—
—
$4,764
86
clean
US GUIDED SOFT TISSUE BIOPSY
$2,975
$2,975
$946
117
clean
ED-REMOVAL SKIN TAGS UP TO 15 LESIONS
$483
$483
$309
203
clean
ED-REMOVAL SKIN TAGS ADDTL 10 LESIONS
$251
$251
$88
63
clean
ER-EXC TR-EXT B9 MARG 0.5 CM<
$2,195
$2,195
$1,090
204
clean
REMOVAL OF SKIN LESION
—
—
$4,565
86
clean
ED-LESION TX TRUNK/ARM/LEG 1.1-2 CM
$967
$967
$967
203
clean
ED-LESION TX TRUNK/ARM/LEG EXC 2.1-3CM
$1,449
$1,449
$1,015
203
clean
ED-LESION TX TRUNK/ARM/LEG 3.1-4 CM
$2,315
$2,315
$2,124
203
clean
REMOVAL OF SKIN LESION
—
—
$3,718
86
clean
REMOVAL OF SKIN LESION
—
—
$4,764
86
clean
REMOVAL OF SKIN LESION
—
—
$4,613
86
clean
ED-LESION TX SCALP/NCK/HND/FT/GEN1.1-2CM
$3,338
$3,338
$2,304
203
clean
ED-LESION TX SCALP/NCK/HEAD/FT/GEN 2.1-3
$2,315
$2,315
$2,124
203
clean
ED-LESION TX SCAPL/NK/LG/FT/GEN 3.1-4CM
$2,315
$2,315
$2,124
203
clean
REMOVAL OF SKIN LESION
—
—
$3,718
86
clean
REMOVAL OF SKIN LESION
—
—
$3,718
86
clean
REMOVAL OF SKIN LESION
—
—
$4,565
86
clean
REMOVAL OF SKIN LESION
—
—
$4,764
86
clean
ED-NAIL CARE TRIMMING of NAIL
$251
$251
$76
107
clean
ED-DEBRIDE NAIL 1-5
$251
$251
$76
117
clean
ED-NAIL DEBRIDEMENT 6 or MORE
$251
$251
$76
117
clean
ED-REMOVAL OF NAIL PLATE
$483
$483
$295
197
clean
ED-REMOVAL OF NAIL PLATE ADD ON
$251
$251
$88
63
clean
ED-DRAIN SUBUNGUAL HEMATOMA
$251
$251
$191
197
clean
ED-EXCISION of NAIL/MATRIX PARTIAL/COMPL
$967
$967
$598
197
clean
ED-REPAIR OF NAIL BED
$1,223
$1,223
$946
117
clean
ED-WEDGE EXCISION SKIN of NAIL FOLD
$483
$483
$483
117
clean
REMOVAL OF PILONIDAL LESION
—
—
$3,718
86
clean
REMOVAL OF PILONIDAL LESION
—
—
$3,718
86
clean
REMOVAL OF PILONIDAL LESION
—
—
$3,718
86
clean
INJ INTRALESIONAL UP TO 7 LESIONS
$607
$607
$257
117
clean
REMOVE DRUG IMPLANT DEVICE
—
—
$4,536
86
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$4,571
86
clean
ED-SMPL REPAIR WOUNDS <2.6CM
$483
$483
$295
197
clean
ED-SIMPLE REPAIR WOUND 2.6-7.5CM
$483
$483
$295
197
clean
ED-SIMPLE REPAIR WOUND 7.6- 12.5CM
$483
$483
$295
197
clean
ED-SIMPLE REPAIR WOUND 12.6CM-20CM
$483
$483
$520
197
clean
ED-SIMPLE REPAIR WOUND 20.1CM-30.0CM
$483
$483
$520
197
clean
ED-SIMPLE REPAIR WOUND >30 CM
$483
$483
$268
117
clean
ED-SMPL REPAIR SF WOUND 2.6-5.0CM
$483
$483
$295
197
clean
ED-SMPL REPAIR SF WOUND 2.5CM or LESS
$483
$483
$295
197
clean
ED-SMPL REPAIR SF WOUND 5.1CM-7.5CM
$483
$483
$295
197
clean
ED-SMPL REPAIR SF WOUND 7.6CM-12.5CM
$483
$483
$295
197
clean
ED-SMPL REPAIR SF WOUND 12.6CM-20.0CM
$483
$483
$520
197
clean
ED-WOUND 20.1-30.0CM FACE/EAR
$483
$483
$483
117
clean
ED-SIMPLE REAIR SF WOUND OVER 30.0CM
$483
$483
$258
117
clean
ED-DEHISCENCE WOUND SIMPL CLOSURE
$967
$967
$967
203
clean
ED-DEHISCENCE WOUND W/PACKING
$483
$483
$483
117
clean
ED-LAYER CLOSURE OF WOUND 2.5 or LESS
$483
$483
$520
203
clean
ED-LAYER CLOSURE OF WOUND 2.6-7.5cm
$483
$483
$520
203
clean
ED-LAYER CLOSURE OF WOUND 7.6-12.5cm
$483
$483
$520
203
clean
ED-LAYER CLOSURE OF WOUND7.6-12.5cm
$967
$967
$626
203
clean
ED-LAYER CLOSURE OF WOUND 20.1-30.0cm
$967
$967
$946
117
clean
ED-LAYER CLOSURE OF WOUND OVER 30.0
$6,761
$6,761
$2,641
117
clean
ED-LAYER CLOSURE CMPLX WOUND 2.5 or LESS
$967
$967
$598
197
clean
ED-LAYER CLOSURE CMPLX WOUND 2.6-7.5cm
$483
$483
$520
197
clean
ED-LAYER CLOSE INTERM WND N/H/F 7.6-12.5
$1,223
$1,223
$979
197
clean
ED-LAYER CLOSE INTERM WND N/H/F 12.6-20C
$1,223
$1,223
$946
117
clean
ED-LAYER CLOSE INTERM WND N/H/F 20.0-30.
$483
$483
$483
117
clean
ED-LAYER CLOSE INTERM WND N/H/F >30.0CM
$3,854
$3,854
$2,641
117
clean
ED-LAYER CLOSE INTERM WND F/E/E/N/L 2.5C
$967
$967
$598
197
clean
ED-LAYER CLOSURE WOUND 2.6CM-5.0CM
$483
$483
$520
197
clean
ED-LAYER CLOSURE WOUND 5.1CM-7.5CM
$483
$483
$520
197
clean
ED-LAYER CLOSURE WOUND 7.6cm-12.5cm
$483
$483
$520
197
clean
ED-LAYER CLOSURE WOUND 12.6-20.0cm
$483
$483
$483
117
clean
ED-LAYER CLOSURE WOUND 20.1-30.0cm
$483
$483
$483
117
clean
ED-LAYER CLOSURE WOUND over 30.0cm
$483
$483
$483
117
clean
ED-CMPLX WOUND REPAIR TRUNK 1.1cm-2.5cm
$967
$967
$946
117
clean
ED-CMPLX WOUND REPAIR TRUNK 2.6cm-7.5cm
$967
$967
$967
203
clean
ED-REPAIR CMPLX TRUNK EA ADDTL 5CM OR <
$483
$483
$169
93
clean
ED-CMPLX WND REPR SCALP/ARM/LEG 1.1-2.5
$1,223
$1,223
$520
117
clean
ED-CMPLX WND REPR SCLP/ARM/LEG 2.6-7.5CM
$967
$967
$520
117
clean
ED-REPAIR CMPLX S/A/L EA ADDTL 5CM OR <
$483
$483
$169
63
clean
ED-CMPLX WOUND REPAIR 1.1cm-2.5cm
$483
$483
$483
234
clean
ED-CMPLX WOUND REPAIR 2.6cm-7.5cm
$967
$967
$626
203
clean
ED-CMPLX WOUND REPAIR EA ADDTL 5CM
$483
$483
$182
88
clean
ED-CMPLX WOUND REPAIR E/N/LIPS 1.1-2.5CM
$967
$967
$946
117
clean
ED-CMPLX WOUND REPAIR E/E/N/L 2.6-7.5CM
$967
$967
$946
117
clean
ED-CMPLX WND REPAIR E/E/N/L ADDTL 5CM
$967
$967
$338
63
clean
ED-DEHISCENCE-SECONDARY CLOSURE SURGICAL
$2,315
$2,315
$2,315
118
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
$4,535
86
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$694
30
clean
WOUND PREP TRK/ARM/LEG
—
—
$4,618
86
clean
MUSCLE-SKIN GRAFT, TRUNK
—
—
$4,535
86
clean
REVISION OF UPPER EYELID
—
—
$4,830
80
clean
REMOVAL SUTR/STAPL XREQ ANES
$276
$276
$200
66
clean
ED-FIRST DEGREE LOCAL TX INITIAL
$483
$483
$295
197
clean
ED-BURNS CARE PARTIAL THICK SMALL/< 5 T
$483
$483
$295
197
clean
ED-DRESS/DEBRID PART/THICK 5-10 FAC/EXT
$483
$483
$295
197
clean
ED-BURNS PARTIAL THICKNESS >1 EXT OR 10
$967
$967
$520
117
clean
ED-ESCHAROTOMY INITIAL INCISION
$967
$967
$520
117
clean
ED-ESCHAROTOMY EA ADDITIONAL
$483
$483
$483
103
clean
ED-LESION TX DESTRCTN BEN CUT LASR < 10S
$967
$967
$520
117
clean
DESTRUCT LESION, 1-14
—
—
$4,532
86
clean
ED-CHEMICAL CAUTERY LESION T/A/L 0.5CM O
$483
$483
$257
118
clean
ED-UNLISTED PROCEDURE SKIN MUCOUSSUBCUT
$483
$483
$257
103
clean
PUNCTURE ASPIRATION OF CYST OF BREAST
$2,118
$2,118
$906
117
clean
MASTECTOMY W-EXPLORE DRAIN ABSCESS LT
$4,767
$4,767
$2,114
437
clean
INJECTION FOR BREAST X-RAY
$551
$551
$278
61
clean
BREAST BX LOCAL STEREOTACT 1ST LES
$5,007
$5,007
$2,114
117
clean
BREAST BX LOC IMAGE GUIDE STEREOT ADDTL
$270
$270
$270
186
clean
US BREAST BIOPSY 1ST LESION
$2,334
$2,334
$2,177
199
clean
US BREAST BIOPSY ADDL LESION
$1,096
$1,096
$562
86
clean
REMOVAL OF BREAST LESION
—
—
$5,011
86
clean
US GUIDED EXCISON OF BRST LES. INTRAOPER
$16,515
$16,515
$5,011
322
clean
EXCISION, ADDL BREAST LESION
—
—
$694
30
clean
MAMMO BREAST LOC WIRE/NEEDLE GUID PRIMRY
$1,042
$1,042
$2,114
320
clean
MAMMO BREAST LOC WIRE/NEEDLE GUID ADDT L
$259
$259
$181
123
clean
IS-BREAST DEVICE PLCMT ONLY STERO 1ST LE
$2,183
$2,183
$906
117
clean
IS-BREAST DEVICE PLCMT ONLY STERO EA ADD
$270
$270
$196
61
clean
US PLCMNT OF BREAST LOCAL DEVICE
$3,255
$3,255
$911
438
clean
US BREAST DEVICE PLCMNT ONLY ADDL
$270
$270
$270
61
clean
PARTIAL MASTECTOMY
—
—
$5,011
86
clean
P-MASTECTOMY W/LN REMOVAL
—
—
$8,499
86
clean
MAST SIMPLE COMPLETE
—
—
$8,499
86
clean
MAST MOD RAD
—
—
$8,499
86
clean
ED-EXPLORE WOUND-NECK
$1,449
$1,449
$690
117
clean
ED-EXPLORE WOUND-CHEST
$2,315
$2,315
$2,315
117
clean
ED-EXPLORE WOUND-ABDOMEN/FLANK/BACK
$2,315
$2,315
$2,315
117
clean
ED-EXPLORE WOUND-EXTREMITY
$1,736
$1,736
$2,114
203
clean
US MUSCLE BX SUPERFICIAL
$4,766
$4,766
$2,114
117
clean
US MUSCLE BX DEEP
$8,052
$8,052
$3,718
117
clean
US MUSCLE BX PERC NDL
$4,766
$4,766
$2,124
320
clean
BIOPSY BONE TROCAR OR NEEDLE SUPERFICIAL
$4,886
$4,886
$2,537
203
clean
BIOPSY BONE DEEP TROC/NEEDLE
$4,766
$4,766
$2,114
118
clean
INJECT SINUS TRACT DIAGNOSTIC
$146
$146
$146
62
clean
ED-REMOVE FOREIGN BODY FOREARM/NOC SC
$3,338
$3,338
$2,114
117
clean
ED-REMOVE FOREIGN BODY MUSCLE DEEP INCIS
$3,473
$3,473
$3,718
203
clean
ED-BLOCK for PAIN-TENDON
$483
$483
$393
117
clean
ED-BLOCK for PAIN-MUSCLE
$483
$483
$428
197
clean
ED-INJECT/ASPIRATE JOINT W/O US GUIDE SM
$909
$909
$395
438
clean
ED-INJECT/ASPIRATE JOINT W/US GUIDE SM
$483
$483
$428
554
clean
ED-INJECT/ASPIRATE JOINT W/O US GUIDE ME
$483
$483
$395
321
clean
ED-INJECT/ASPIRATE JOINT W/US GUIDE ME
$1,369
$1,369
$906
468
clean
ED-INJ/ASPIRATE JNT W/O US GUIDE MAJOR
$909
$909
$409
321
clean
DRAIN / INJ JOINT / BURSA W / US
$1,323
$1,323
$400
320
clean
ED-ASPIRATE/INJECT GANGLION CYST
$483
$483
$393
117
clean
REMOVAL OF SUPPORT IMPLANT
—
—
$3,718
86
clean
ABLTN THRPY RDCTN ERDCTN BN TMRS
$19,794
$19,794
$19,794
118
clean
CPTR-ASST DIR MS PX
—
—
$694
30
clean
EXC FACE LES SC <2 CM
—
—
$4,764
86
clean
EXC FACE LES SBQ 2 CM/>
—
—
$4,764
86
clean
ED-NASAL BONE FRACTURE W/STABILIZATION
$2,894
$2,894
$1,986
117
clean
ED-NASAL BONE FRACTURE W/O STABILIZATION
$5,868
$5,868
$4,243
117
clean
ED-CLOSED TX of NASAL SEPTAL FX
$5,868
$5,868
$4,243
117
clean
ED-FX EYE SOCKET W/O MAN CL LT
$1,102
$1,102
$690
234
clean
ED-FX MANDIBLE W/O MANIPULATION CLSD BIL
$1,736
$1,736
$690
234
clean
ED-MANDIBLE FX W/MANIPULATION
$2,894
$2,894
$1,986
117
clean
ED-TEMPOROMANDIBULAR DISLOCATION
$1,195
$1,195
$316
118
clean
ED- INTERDENTAL WIRING NOT FX
$3,953
$3,953
$1,986
117
clean
UNLISTED MUSCULOSKELETAL PROCEDURE HEAD
$1,091
$1,091
$305
103
clean
BX SOFT TISSUE NECK/THOR
$4,777
$4,777
$2,508
203
clean
EXC NECK LES SC 3 CM/>
—
—
$3,718
86
clean
EXC NECK TUM DEEP 5 CM/>
—
—
$3,718
86
clean
REMOVE LESION, NECK/CHEST
—
—
$4,764
86
clean
REMOVE LESION, NECK/CHEST
—
—
$3,718
86
clean
CT BIOPSY SFT TISSUE BCK OR FLNK SPRFCL
$4,886
$4,886
$2,114
234
clean
REMOVE LESION, BACK OR FLANK
—
—
$4,764
86
clean
EXC BACK LES SC 3 CM/>
—
—
$4,764
86
clean
EXC BACK TUM DEEP 5 CM/>
—
—
$3,718
86
clean
VERTPLSTY W-IMG THORACIC
$9,506
$9,506
$4,188
118
clean
VERTPLSTY W-IMG LUMBAR
$9,506
$9,506
$4,188
118
clean
VERTPLSTY EA ADD LVL
$6,337
$6,337
$900
62
clean
KYPHOPLSTY W IMG GDE THORACIC UNI BIL
$20,775
$20,775
$9,287
118
clean
LUMBAR KYPHOPLASTY w/BIOPSY
$19,794
$19,794
$9,287
204
clean
KYPHPLSTY W IMG GD LUMBAR UNI/BIL EA ADD
$1,252
$1,252
$1,002
63
clean
EXC ABDL TUM DEEP 5 CM/>
—
—
$3,718
86
clean
EXC ABD LES SC 3 CM/>
—
—
$3,718
86
clean
EXC SHOULDER TUM DEEP 5 CM/>
—
—
$3,718
86
clean
SHOULDER JOINT SURGERY
—
—
$4,208
76
clean
ED-REMOVE FOREIGN BODY SHLDR W/INCISION
$3,338
$3,338
$2,114
234
clean
ED-REMOVAL FOREIGN BODY-SHOULDER W/INCIS
$3,338
$3,338
$3,338
234
clean
INJECT SHOULDER ARTHROGRAM
$683
$683
$346
92
clean
RECONSTRUCT SHOULDER JOINT
—
—
$22,441
86
clean

Showing the first 200 of 2,895 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
598 of 1,165 comparable items (51%) 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 $9,743 exceeds the gross charge $168
warn
mrf_rate_without_estimate
18,230 of 18,230 percentage/algorithm rates across 1,320 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 12035/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25530/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29540/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 73725/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 80335/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 84630/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 Q4100/o
info
mrf_item_fields_vary
this code and setting cover at least 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 38221/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58558/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74018/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84681/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 87426/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 97164/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 Q4101/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 12036/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 25535/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29550/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 38222/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 58561/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 74019/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 80336/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 84702/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 87427/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 Q4104/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 12037/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 25545/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 38500/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 58562/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 74021/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 84703/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 87449/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97530/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 Q4107/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29580/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 58563/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74022/o
info
mrf_item_fields_vary
this code and setting cover at least 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 80346/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 87476/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 Q4114/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 12041/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25560/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 38505/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58660/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 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81001/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 84999/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 87481/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97542/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 Q4116/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 25565/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 29700/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 58661/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/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 81003/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 87486/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4125/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 12042/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25575/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 38510/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58662/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/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 85007/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 87490/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 97597/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 Q4128/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 25600/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 29705/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 58670/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/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 81005/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 87491/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4130/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 12044/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25605/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 38525/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58671/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 74176/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 81015/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 85014/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 87493/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 97750/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 Q4148/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 25607/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 29730/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 58679/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 74177/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 85025/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 87497/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 99000/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 Q4150/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 12045/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 25608/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 38531/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58925/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 74178/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 81025/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 85027/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 87498/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4156/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 25609/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 29740/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 38792/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 74181/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 81206/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 87500/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99001/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 Q4187/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 12046/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 25622/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29806/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 40650/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 58999/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74182/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 85041/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 87502/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99152/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 Q9967/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 25624/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 29807/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 59000/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 74183/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 81207/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 87511/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 99153/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 12047/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 25630/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 29821/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 40800/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 59020/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 74185/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 85045/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 87517/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 25635/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 29823/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 40801/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 81220/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 85048/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 87522/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 99195/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 12051/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25650/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29824/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 59025/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 74190/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 85049/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 87529/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25652/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 29827/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 40804/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 59150/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 74220/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 81227/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 85060/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 87536/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 99281/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 12052/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25660/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29828/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 40805/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 74230/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 81229/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 87541/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 25675/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29855/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 59151/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74240/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 81240/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 85097/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 87551/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 99282/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 12053/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29867/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 41250/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 59300/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 74246/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 81241/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 85240/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 87556/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 25680/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29873/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 59320/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 74249/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 87563/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 99283/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 12054/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25690/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 29875/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 41251/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 74250/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 81256/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 85245/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 87581/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29876/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 41252/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 59409/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 81270/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 87591/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99284/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

Showing the first 200 of 2,712 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-wide · 201.8M bytes · fetched 2026-08-26 · sha256 4ce7c2fddcdd…

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.