Hospital · CCN 050551

Uci Health-Los Alamitos

3751 Katella Avenue, Los Alamitos, CA 90720 · Orange County
Part of Tenet Healthcare · 172 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

53 admission types 48 outpatient services price file: ok 51 Medicare-file findings
Billed per dollar paid, all admissions
13.49×
$314.1M billed against $23.3M paid across 1,537 Medicare discharges; the national figure is 5.03×.
—
of adults in Orange County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
7.3%
uninsured in the county · state 7.5%
$110K
median household income
5.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (25 in the inpatient or outpatient file)ⓘ
23.9%
obesity in the countyⓘ
11.5%
diagnosed diabetes (PLACES)
5.5%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
209
$253,101
$18,518
13.7× st 6.2×
291
Heart failure and shock with mcc
103
$165,329
$12,445
13.3× st 6.5×
177
Respiratory infections and inflammations with mcc
78
$201,223
$15,550
12.9× st 6.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
49
$153,003
$10,401
14.7× st 6.1×
193
Simple pneumonia and pleurisy with mcc
48
$208,478
$12,443
16.8× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
45
$157,710
$12,078
13.1× st 5.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
45
$290,097
$19,491
14.9× st 7.4×
690
Kidney and urinary tract infections without mcc
43
$100,759
$7,586
13.3× st 6.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
38
$94,667
$7,394
12.8× st 6.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
37
$99,026
$7,572
13.1× st 6.8×
698
Other kidney and urinary tract diagnoses with mcc
37
$225,204
$17,313
13.0× st 6.2×
552
Medical back problems without mcc
36
$118,311
$9,113
13.0× st 7.5×
312
Syncope and collapse
33
$131,603
$8,204
16.0× st 7.2×
682
Renal failure with mcc
33
$217,159
$14,149
15.3× st 6.1×
689
Kidney and urinary tract infections with mcc
29
$142,680
$12,397
11.5× st 6.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
29
$642,530
$47,444
13.5× st 6.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
28
$138,281
$9,553
14.5× st 7.9×
309
Cardiac arrhythmia and conduction disorders with cc
27
$94,641
$7,069
13.4× st 7.2×
069
Transient ischemia without thrombolytic
26
$114,381
$7,587
15.1× st 9.5×
378
Gastrointestinal hemorrhage with cc
25
$137,099
$9,293
14.8× st 6.8×
683
Renal failure with cc
25
$132,490
$8,388
15.8× st 6.7×
280
Acute myocardial infarction, discharged alive with mcc
25
$195,050
$14,122
13.8× st 6.6×
313
Chest pain
24
$85,470
$6,837
12.5× st 7.7×
308
Cardiac arrhythmia and conduction disorders with mcc
23
$140,696
$11,560
12.2× st 6.9×
189
Pulmonary edema and respiratory failure
23
$152,280
$11,598
13.1× st 6.7×
699
Other kidney and urinary tract diagnoses with cc
22
$156,609
$9,860
15.9× st 6.1×
194
Simple pneumonia and pleurisy with cc
21
$144,509
$9,222
15.7× st 7.5×
603
Cellulitis without mcc
21
$99,264
$8,381
11.8× st 5.9×
870
Septicemia or severe sepsis with mv >96 hours
21
$926,998
$70,537
13.1× st 6.2×
481
Hip and femur procedures except major joint with cc
20
$211,045
$20,427
10.3× st 6.7×
377
Gastrointestinal hemorrhage with mcc
18
$244,343
$18,285
13.4× st 6.4×
092
Other disorders of nervous system with cc
18
$137,604
$12,050
11.4× st 6.8×
394
Other digestive system diagnoses with cc
16
$100,675
$8,870
11.4× st 6.9×
057
Degenerative nervous system disorders without mcc
16
$107,795
$12,861
8.4× st 5.7×
178
Respiratory infections and inflammations with cc
16
$129,677
$9,347
13.9× st 7.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$158,696
$11,998
13.2× st 6.5×
314
Other circulatory system diagnoses with mcc
15
$247,414
$19,793
12.5× st 6.1×
329
Major small and large bowel procedures with mcc
14
$721,557
$49,614
14.5× st 6.5×
389
Gastrointestinal obstruction with cc
14
$117,857
$7,561
15.6× st 6.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
14
$99,896
$8,479
11.8× st 6.9×
101
Seizures without mcc
14
$88,377
$8,632
10.2× st 6.8×
025
Craniotomy and endovascular intracranial procedures with mcc
14
$599,410
$41,965
14.3× st 6.5×
811
Red blood cell disorders with mcc
13
$145,986
$12,951
11.3× st 6.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
13
$217,971
$17,632
12.4× st 6.4×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
13
$117,633
$8,921
13.2× st 6.2×
948
Signs and symptoms without mcc
12
$105,781
$7,587
13.9× st 7.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
12
$268,796
$19,240
14.0× st 6.9×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
12
$240,878
$19,087
12.6× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
11
$181,214
$10,419
17.4× st 7.1×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$628,101
$53,174
11.8× st 5.7×
393
Other digestive system diagnoses with mcc
11
$139,331
$15,266
9.1× st 5.8×
083
Traumatic stupor and coma >1 hour with cc
11
$148,603
$12,788
11.6× st 8.4×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$313,079
$19,771
15.8× st 5.6×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
185
$60,918
$3,351
18.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
109
$22,367
$1,970
11.4×
5375
Level 5 Urology and Related Services
98
$77,852
$6,362
12.2×
5492
Level 2 Intraocular Procedures
93
$59,209
$4,999
11.8×
5115
Level 5 Musculoskeletal Procedures
78
$177,989
$15,971
11.1×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
76
$80,367
$4,166
19.3×
5374
Level 4 Urology and Related Services
62
$65,439
$4,231
15.5×
5114
Level 4 Musculoskeletal Procedures
44
$117,380
$8,792
13.4×
5361
Level 1 Laparoscopy and Related Services
34
$87,802
$7,094
12.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
34
$39,907
$3,422
11.7×
5183
Level 3 Vascular Procedures
33
$53,518
$3,919
13.7×
5193
Level 3 Endovascular Procedures
30
$155,543
$13,503
11.5×
5113
Level 3 Musculoskeletal Procedures
27
$65,383
$3,390
19.3×
5191
Level 1 Endovascular Procedures
25
$63,519
$4,013
15.8×
5182
Level 2 Vascular Procedures
25
$13,595
$1,969
6.9×
5223
Level 3 Pacemaker and Similar Procedures
24
$146,586
$13,108
11.2×
5373
Level 3 Urology and Related Services
22
$29,312
$2,504
11.7×
5194
Level 4 Endovascular Procedures
19
$178,721
$21,503
8.3×
5302
Level 2 Upper GI Procedures
16
$23,203
$2,340
9.9×
5414
Level 4 Gynecologic Procedures
12
$58,834
$3,844
15.3×
5362
Level 2 Laparoscopy and Related Services
12
$101,738
$12,637
8.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
12
$123,198
$8,017
15.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
12
$76,549
$4,686
16.3×
5184
Level 4 Vascular Procedures
11
$106,131
$6,756
15.7×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 30,403 rows scanned, 14,207 distinct code–setting items kept. 1,574 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$972
12
clean
Liver dis 10 assays w/ash
—
—
$680
12
clean
Liver dis 10 assays w/nash
—
—
$680
12
clean
Onco prst8 3 gene ur alg
—
—
$1,026
12
clean
Onc mrna 5 gen rsk urthl ca
—
—
$1,026
12
clean
Onc mrna 5 gen recr urthl ca
—
—
$1,026
12
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,762
12
clean
Onc bladder mrna 209 gen alg
—
—
$4,711
12
clean
Onc thyr 10 microrna seq alg
—
—
$4,053
12
clean
Onc aml dna detcj/nondetcj
—
—
$335
12
clean
Glyca nuc mr spectrsc quan
—
—
$46
12
clean
Onc thyr dna&mrna 112 genes
—
—
$4,860
12
clean
Jak2 gene trgt seq alys
—
—
$165
12
clean
Rx metab advrs trgt seq alys
—
—
$1,002
12
clean
Tpmt nudt15 genes
—
—
$629
12
clean
Neuro csf prion prtn qual
—
—
$730
12
clean
Trgt gen seq dna 324 genes
—
—
$4,725
12
clean
B brgdrferi antb 5 prtn igm
—
—
$23
12
clean
B brgdrferi antb 12 prtn igg
—
—
$23
12
clean
Tbrf b grp antb 4 prtn igm
—
—
$20
12
clean
Tbrf b grp antb 4 prtn igg
—
—
$20
12
clean
Onc brst dux carc is 12 gene
—
—
$5,229
12
clean
Onc prst8 mrna 17 gene alg
—
—
$5,229
12
clean
Bone srgry cmptr fluor image
—
—
$8,064
1
clean
Bone srgry cmptr ct/mri imag
—
—
$8,064
1
clean
Onc merkel cll carc srm quan
—
—
$436
12
clean
Onc merkel cll carc srm +/-
—
—
$436
12
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$34
12
clean
Antb tp total&rpr ia qual
—
—
$42
12
clean
Syfls tst nontreponemal antb
—
—
$24
12
clean
Candida species pnl amp prb
—
—
$193
12
clean
Ig paraprotein qual bld/ur
—
—
$59
12
clean
Onc lng 5 clin rsk factr alg
—
—
$4,752
12
clean
Onc mlnma prame & linc00518
—
—
$1,026
12
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,633
12
clean
Extracorp shockwv tx hi enrg
—
—
$428
12
clean
Hered colon ca do 15 genes
—
—
$2,354
12
clean
Neph ckd mult eclia tum nec
—
—
$1,283
12
clean
Touch Quant Sensory Test
—
—
$65
12
clean
Gstr emptg 7 timed brth spec
—
—
$1,181
12
clean
Vibrate Quant Sensory Test
—
—
$65
12
clean
Cool Quant Sensory Test
—
—
$102
12
clean
Gi barrett esoph 9 prtn bmrk
—
—
$6,683
12
clean
Heat Quant Sensory Test
—
—
$65
12
clean
Iadi 16s&18s rrna genes
—
—
$481
12
clean
Trnsplj don-drv cll-fr dna
—
—
$3,717
12
clean
Crd ceramides liq chrom plsm
—
—
$113
12
clean
Hered brst ca rltd do panel
—
—
$1,760
12
clean
Nfct bct fng prst dna >1000
—
—
$2,870
12
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$151
12
clean
Liver ds 10 biochem asy srm
—
—
$680
12
clean
Onc sld tum alys brca1 brca2
—
—
$4,091
12
clean
Onc solid tumor 30 prtn trgt
—
—
$1,762
12
clean
Exc rectal tumor endoscopic
—
—
$11,322
13
clean
Perq sacral augmt unilat inj
—
—
$12,599
12
clean
Perq sacral augmt bilat inj
—
—
$12,599
12
clean
Post vert arthrplst 1 lumbar
—
—
$20,641
13
clean
Nfct ds 22 trgt sars-cov-2
—
—
$563
12
clean
Neuro alzheimer cell aggregj
—
—
$2,991
12
clean
Clear eyelid gland w/heat
—
—
$248
13
clean
Njx platelet plasma
—
—
$833
13
clean
Trluml perip athrc brchiocph
—
—
$18,560
13
clean
Trluml perip athrc iliac art
—
—
$29,472
13
clean
Trgt gen seq alys pnl 311+
—
—
$4,725
12
clean
Trgt gen seq alys pnl 55-74
—
—
$6,750
12
clean
Onc thyr mut alys 10 gen&37
—
—
$1,709
12
clean
Onc sld org neo dna 505 gene
—
—
$3,941
12
clean
Tempr
—
—
$223
12
clean
Onc lung mrna quan pcr 11&3
—
—
$5,229
12
clean
Onc brst dux carc 7 proteins
—
—
$7,337
12
clean
Crd cad alys 3 prtn plsm alg
—
—
$528
12
clean
Crd cv ds aly 4 prtn plm alg
—
—
$528
12
clean
Nfct ds bct quan antmcrb sc
—
—
$11
12
clean
Ai ds sle alys 8 igg autoant
—
—
$1,135
12
clean
Onc cutan sq cll ca mrna 40
—
—
$11,475
12
clean
Neph rna psttrnspl perph bld
—
—
$3,578
12
clean
Trgt gen seq alys pnl 83+
—
—
$6,750
12
clean
Onc neo xome&trns seq alys
—
—
$4,641
12
clean
Tear film img uni/bi w/i&r
—
—
$65
12
clean
Onc sld orgn tgsa dna 84/+
—
—
$4,725
12
clean
Onc plsm cell do&myeloma id
—
—
$3,287
12
clean
Onc sld tum crcg tum cl slct
—
—
$3,287
12
clean
Trnscth renal symp denrv bil
—
—
$10,614
13
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$1,026
12
clean
Onc pan ca alys mrd plasma
—
—
$4,847
12
clean
Hep nafld semiq evl 28 lipid
—
—
$1,069
12
clean
Psyc genom alys pnl 15 gen
—
—
$1,804
12
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,804
12
clean
Rx metab/pcx dna 25 gen alys
—
—
$1,002
12
clean
Rx metab/pcx dna 27gen rx ia
—
—
$1,002
12
clean
RSA lower extr exam
—
—
$151
12
clean
Nfct ds bct/viral trail ip10
—
—
$352
12
clean
Apol1 risk variants
—
—
$185
12
clean
Onc orop 17 dna ddpcr alg
—
—
$2,430
12
clean
BIA whole body
—
—
$50
12
clean
Neuro alys b-amyl 1-42&1-40
—
—
$352
12
clean
Onc prst8 ca alys all psa
—
—
$1,026
12
clean
Onc lung elisa 7 autoant alg
—
—
$1,135
12
clean
Onc urthl mrna 5 gen alg
—
—
$1,026
12
clean
Onc bldr 10 prb bldr ca
—
—
$1,211
12
clean
Onc bldr 10 prb recr bldr ca
—
—
$1,211
12
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$1,211
12
clean
Onc prst8 ca img alys 128
—
—
$953
12
clean
Vis field assmnt tech suppt
—
—
$65
12
clean
Tgsap sl or neo dna523&rna55
—
—
$4,439
12
clean
Onc nonsm cll lng ca 37 gen
—
—
$4,725
12
clean
Neu prksn msfl ?-syncln prtn
—
—
$730
12
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$268
12
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$1,209
12
clean
Gi baret esph dna mthyln aly
—
—
$2,369
12
clean
Collagen crosslinking cornea
—
—
$4,434
13
clean
Onc prst8 mrna 18 gen dre ur
—
—
$1,026
12
clean
Onc brst semiq meas thym kn
—
—
$436
12
clean
Onc lung flow cytmtry 5 mrk
—
—
$1,026
12
clean
Neph dbtc ckd mult eclia alg
—
—
$1,283
12
clean
Insj/rplc cardiac modulj sys
—
—
$50,464
13
clean
Onc sld tum dna 80 & rna 36
—
—
$3,941
12
clean
Psyc genom alys pnl 15 gen
—
—
$1,804
12
clean
Cv ds acs bld alg 5 yr score
—
—
$528
12
clean
Prgrmg eval cardiac modulj
—
—
$65
12
clean
Interro eval cardiac modulj
—
—
$65
12
clean
Waterjet prostate abltj cmpl
—
—
$9,135
1
clean
Onc pan solid tum alys dna
—
—
$2,623
12
clean
Gi malabs aat calpro pncrtc
—
—
$83
12
clean
Gly rcptr alpha1 igg srm/csf
—
—
$49
12
clean
Klhl11 antb sr/csf asy qual
—
—
$49
12
clean
Onc prst8 5 dna reg mrk pcr
—
—
$1,026
12
clean
Rx metab advrs vrnt alys 25
—
—
$563
12
clean
Impltj synth rnfcmt abdl wal
—
—
$8,064
1
clean
Abltj perc lxtr/perph nrv
—
—
$3,642
13
clean
Abltj perc plex/trncl nrv
—
—
$14,109
13
clean
Neurflmnt lt chn ultrsens ia
—
—
$157
12
clean
Insj impltbl glucose sensor
—
—
$7,759
13
clean
Rmvl impltbl glucose sensor
—
—
$374
13
clean
Remvl insj impltbl gluc sens
—
—
$7,759
13
clean
Insj aqueous drain dev 1st
—
—
$9,924
13
clean
Visual ep test for glaucoma
—
—
$223
12
clean
Onc sld tum bld/slv 648 gene
—
—
$6,075
12
clean
Hered prst8 ca gsap 23 genes
—
—
$1,760
12
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$1,378
13
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$8,064
1
clean
Tmvi percutaneous approach
—
—
$14,970
1
clean
Tmvi transthoracic exposure
—
—
$14,970
1
clean
Oct mid ear i&r unilateral
—
—
$65
12
clean
Onc sol tum cfdna&rna ngs gm
—
—
$4,927
12
clean
Oct mid ear i&r bilateral
—
—
$65
12
clean
Prep & cannulj cdvr don lung
—
—
$14,970
1
clean
Ev fempop artl revsc
—
—
$18,560
13
clean
Near ifr 2img mibmn glnd i&r
—
—
$102
12
clean
Pattern erg w/i&r
—
—
$375
12
clean
Esw integ wnd hlg 1st wnd
—
—
$374
13
clean
Esw integ wnd hlg ea addl
—
—
$14,970
1
clean
Insj/rplcmt compl iims
—
—
$30,967
13
clean
Prgrmg dev eval iims ip
—
—
$65
12
clean
Interrog dev eval iims ip
—
—
$65
12
clean
Antmc guide 3d print 1st gd
—
—
$231
12
clean
Evac meibomian glnd heat bi
—
—
$110
13
clean
Ttvr perq appr 1st prosth
—
—
$28,123
1
clean
Ttvr perq ea addl prosth
—
—
$28,123
1
clean
Insj/rplcmt icds ss eltrd
—
—
$50,464
13
clean
Prgrmg dev eval icds ss ip
—
—
$65
12
clean
Interrog dev eval icds ss ip
—
—
$65
12
clean
Rem interrog dev icds tech
—
—
$65
12
clean
Abltj mal brst tum perq crtx
—
—
$7,302
13
clean
Elec alys cplx prgrmg iins
—
—
$165
12
clean
Ncntc r-t fluor wnd img 1st
—
—
$375
12
clean
Ire abltj 1+tum organ perq
—
—
$17,090
13
clean
Ire abltj 1+tumors open
—
—
$17,090
13
clean
Insertion of iris prosthesis
—
—
$14,970
1
clean
Insj iris prosth w/rmvl&insj
—
—
$14,970
1
clean
Insj iris prosth sec io lens
—
—
$14,970
1
clean
Cysto w/prst8 commissurotomy
—
—
$11,851
1
clean
Evasc ven artlz tibl/prnl vn
—
—
$70,814
13
clean
Perq njx algc fluor lmbr 1st
—
—
$20,641
13
clean
Perq njx algc fluor lmbr ea
—
—
$8,064
1
clean
Perq njx algc ct lmbr 1st
—
—
$20,641
13
clean
Ct breast w/3d bi c-/c+
—
—
$606
12
clean
Ncntc nr ifr spctrsc wnd
—
—
$65
12
clean
Tcat rmvl/dblk icar mas perq
—
—
$10,614
13
clean
Ttvi/rplcmt w/prstc vlv perq
—
—
$28,123
1
clean
Insj gtube perq mag gastrpxy
—
—
$3,579
13
clean
Prgrmg dev eval scrms remote
—
—
$65
12
clean
Egd flx transnasal tube/cath
—
—
$7,190
13
clean
Tprnl focal abltj mal prst8
—
—
$9,135
13
clean
Elec impd spectrsc 1+skn les
—
—
$110
13
clean
Implt ant sgm io nbio rx sys
—
—
$7,709
13
clean
Insj ant sgm aq drg dev 1+
—
—
$9,924
13
clean
Abltj b9 thyr ndul perq lasr
—
—
$3,080
13
clean
Histotripsy mal hepatcel tis
—
—
$55,078
13
clean
Bdy surf mapg pm/cvdfb f/up
—
—
$65
12
clean
Njx b1 sub mtrl sbchdrl dfct
—
—
$6,102
13
clean
R-t prs sensing edrl gdn sys
—
—
$8,064
1
clean
Instlj fecal microbiota ssp
—
—
$248
13
clean
Tcat ins 2chmbr ldls pm cmpl
—
—
$30,967
13
clean
Tcat ins 2chmbr ldls pm ra
—
—
$30,967
13
clean
Tcat ins 2chmbr ldls pm rv
—
—
$30,967
13
clean
Prgrmg evl ldls pm 2chmbr ip
—
—
$65
12
clean
Subrta njx rx agt w/vtrc
—
—
$7,759
13
clean
Rem mlt day uroflow setup
—
—
$231
12
clean
Rem mlt day uroflow dev sply
—
—
$223
12
clean

Showing the first 200 of 14,207 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
52,451 of 52,451 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 86592/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3590/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86606/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82784/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93312/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82785/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86611/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7060/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1898/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82787/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86618/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7121/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82805/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86622/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2621/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2623/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82945/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86632/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7502/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86635/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7507/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7515/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86665/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86671/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J8499/b
info
mrf_item_fields_vary
this code and setting cover at least 109 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86682/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86695/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0008/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83516/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J8999/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83519/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 75989/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83520/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0378/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83615/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83655/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83690/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83735/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83825/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83835/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86780/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0282/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83874/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83880/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86790/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0290/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83916/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86803/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86850/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0456/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86870/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84075/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86880/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8610/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86900/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86901/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86905/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0618/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9012/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84153/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84155/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84156/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0694/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84157/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87070/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84238/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87076/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87077/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96523/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4166/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87106/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0883/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84311/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87149/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84443/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87176/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1163/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9968/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1171/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87186/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84478/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1265/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84560/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87278/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87449/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85014/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87467/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1805/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A4648/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87522/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A9150/b
info
mrf_item_fields_vary
this code and setting cover at least 48 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87536/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80307/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80320/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87899/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85576/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85598/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 45 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85613/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88185/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1725/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2404/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81479/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85730/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88304/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85732/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88305/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1730/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86003/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82042/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88312/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86022/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82088/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88313/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1753/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86146/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88341/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86148/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82175/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88342/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82247/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88360/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88365/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86235/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 60 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86255/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88377/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1777/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86256/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86258/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82384/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1785/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1786/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86316/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1787/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3373/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86334/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1813/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1815/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82570/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3430/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86364/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82595/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86381/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3480/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1882/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92960/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1884/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3490/b
info
mrf_item_fields_vary
this code and setting cover at least 169 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1886/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3535/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74177/b
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 82670/b
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 92978/b
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT C1886/b
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT J3535/b
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all
CPT 74178/b
info
mrf_no_payer_rates
item is listed with a gross charge and no payer-specific rate at all

Showing the first 200 of 1,574 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 025
info
inp_charge_10x_payment
average charge $599,410 is 14.3× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $290,097 is 14.9× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $138,281 is 14.5× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $114,381 is 15.1× the total payment
MS-DRG 083
info
inp_charge_10x_payment
average charge $148,603 is 11.6× the total payment
MS-DRG 092
info
inp_charge_10x_payment
average charge $137,604 is 11.4× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $88,377 is 10.2× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $201,223 is 12.9× the total payment
MS-DRG 178
info
inp_charge_10x_payment
average charge $129,677 is 13.9× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $152,280 is 13.1× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $181,214 is 17.4× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $208,478 is 16.8× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $144,509 is 15.7× the total payment
MS-DRG 207
info
inp_charge_10x_payment
average charge $628,101 is 11.8× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $195,050 is 13.8× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $165,329 is 13.3× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $140,696 is 12.2× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $94,641 is 13.4× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $131,603 is 16.0× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $85,470 is 12.5× the total payment
MS-DRG 314
info
inp_charge_10x_payment
average charge $247,414 is 12.5× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $721,557 is 14.5× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $244,343 is 13.4× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $137,099 is 14.8× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $117,857 is 15.6× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $158,696 is 13.2× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $99,026 is 13.1× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $100,675 is 11.3× the total payment
MS-DRG 432
info
inp_charge_10x_payment
average charge $313,079 is 15.8× the total payment
MS-DRG 442
info
inp_charge_10x_payment
average charge $117,633 is 13.2× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $217,971 is 12.4× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $211,045 is 10.3× the total payment
MS-DRG 516
info
inp_charge_10x_payment
average charge $240,878 is 12.6× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $268,796 is 14.0× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $118,311 is 13.0× the total payment
MS-DRG 563
info
inp_charge_10x_payment
average charge $99,896 is 11.8× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $99,264 is 11.8× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $157,710 is 13.1× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $94,666 is 12.8× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $217,159 is 15.3× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $132,490 is 15.8× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $142,680 is 11.5× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $100,759 is 13.3× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $225,204 is 13.0× the total payment
MS-DRG 699
info
inp_charge_10x_payment
average charge $156,609 is 15.9× the total payment
MS-DRG 811
info
inp_charge_10x_payment
average charge $145,986 is 11.3× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $642,530 is 13.5× the total payment
MS-DRG 870
info
inp_charge_10x_payment
average charge $926,998 is 13.1× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $253,101 is 13.7× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $153,003 is 14.7× the total payment
MS-DRG 948
info
inp_charge_10x_payment
average charge $105,781 is 13.9× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 67.1M bytes · fetched 2026-08-25 · sha256 fafc7afa3f06…

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.