Hospital · CCN 050570

Uci Health-Fountain Valley

17100 Euclid Street, Fountain Valley, CA 92708 · Orange County
Part of Tenet Healthcare · 400 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

70 admission types 41 outpatient services price file: ok 61 Medicare-file findings
Billed per dollar paid, all admissions
12.28×
$479.8M billed against $39.1M paid across 2,203 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
272
$278,596
$20,813
13.4× st 6.2×
291
Heart failure and shock with mcc
145
$175,363
$13,966
12.6× st 6.5×
177
Respiratory infections and inflammations with mcc
94
$220,346
$17,815
12.4× st 6.6×
193
Simple pneumonia and pleurisy with mcc
84
$189,155
$13,738
13.8× st 6.9×
690
Kidney and urinary tract infections without mcc
68
$112,311
$8,424
13.3× st 6.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
64
$102,826
$8,292
12.4× st 6.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
55
$173,933
$14,397
12.1× st 5.7×
689
Kidney and urinary tract infections with mcc
50
$132,356
$12,152
10.9× st 6.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
50
$127,810
$10,806
11.8× st 6.1×
313
Chest pain
47
$83,511
$7,747
10.8× st 7.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
45
$340,271
$24,011
14.2× st 7.4×
312
Syncope and collapse
44
$112,129
$9,222
12.2× st 7.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
43
$733,018
$58,913
12.4× st 6.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
41
$105,187
$8,375
12.6× st 6.3×
280
Acute myocardial infarction, discharged alive with mcc
40
$198,566
$16,267
12.2× st 6.6×
870
Septicemia or severe sepsis with mv >96 hours
37
$692,355
$65,104
10.6× st 6.2×
698
Other kidney and urinary tract diagnoses with mcc
36
$200,275
$18,903
10.6× st 6.2×
683
Renal failure with cc
36
$135,046
$9,570
14.1× st 6.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
35
$246,397
$19,593
12.6× st 6.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
35
$138,012
$10,735
12.9× st 7.9×
308
Cardiac arrhythmia and conduction disorders with mcc
34
$136,022
$13,189
10.3× st 6.9×
309
Cardiac arrhythmia and conduction disorders with cc
32
$94,728
$7,955
11.9× st 7.2×
682
Renal failure with mcc
31
$169,762
$15,029
11.3× st 6.1×
552
Medical back problems without mcc
30
$117,732
$9,836
12.0× st 7.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
29
$141,792
$11,467
12.4× st 7.7×
378
Gastrointestinal hemorrhage with cc
27
$155,613
$10,533
14.8× st 6.8×
305
Hypertension without mcc
25
$91,688
$8,068
11.4× st 7.3×
194
Simple pneumonia and pleurisy with cc
25
$121,566
$8,355
14.6× st 7.5×
069
Transient ischemia without thrombolytic
25
$152,854
$8,529
17.9× st 9.5×
190
Chronic obstructive pulmonary disease with mcc
23
$165,684
$11,921
13.9× st 7.1×
637
Diabetes with mcc
23
$191,991
$14,944
12.8× st 6.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
23
$123,440
$13,477
9.2× st 6.5×
377
Gastrointestinal hemorrhage with mcc
22
$289,742
$21,935
13.2× st 6.4×
189
Pulmonary edema and respiratory failure
21
$170,168
$14,828
11.5× st 6.7×
394
Other digestive system diagnoses with cc
20
$135,138
$9,981
13.5× st 6.9×
057
Degenerative nervous system disorders without mcc
20
$120,970
$13,926
8.7× st 5.7×
314
Other circulatory system diagnoses with mcc
19
$304,386
$26,902
11.3× st 6.1×
638
Diabetes with cc
19
$102,816
$9,479
10.8× st 6.3×
389
Gastrointestinal obstruction with cc
18
$93,461
$8,543
10.9× st 6.9×
603
Cellulitis without mcc
18
$148,068
$9,445
15.7× st 5.9×
202
Bronchitis and asthma with cc/mcc
18
$95,847
$10,206
9.4× st 7.4×
149
Dysequilibrium
18
$99,192
$8,026
12.4× st 8.8×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
18
$727,893
$66,778
10.9× st 6.3×
270
Other major cardiovascular procedures with mcc
17
$537,418
$52,147
10.3× st 6.4×
178
Respiratory infections and inflammations with cc
17
$117,787
$10,273
11.5× st 7.1×
393
Other digestive system diagnoses with mcc
17
$152,110
$17,016
8.9× st 5.8×
207
Respiratory system diagnosis with ventilator support >96 hours
16
$588,004
$64,597
9.1× st 5.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$495,983
$28,183
17.6× st 7.4×
551
Medical back problems with mcc
14
$290,002
$26,101
11.1× st 7.0×
242
Permanent cardiac pacemaker implant with mcc
13
$604,269
$38,918
15.5× st 6.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
13
$439,172
$29,477
14.9× st 7.4×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
13
$660,808
$55,805
11.8× st 6.2×
480
Hip and femur procedures except major joint with mcc
13
$295,808
$29,528
10.0× st 6.8×
948
Signs and symptoms without mcc
13
$123,400
$8,637
14.3× st 7.3×
315
Other circulatory system diagnoses with cc
13
$155,480
$10,303
15.1× st 6.7×
025
Craniotomy and endovascular intracranial procedures with mcc
12
$641,161
$45,251
14.2× st 6.5×
191
Chronic obstructive pulmonary disease with cc
12
$108,911
$9,313
11.7× st 7.3×
101
Seizures without mcc
12
$96,721
$9,646
10.0× st 6.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
12
$295,764
$18,982
15.6× st 7.8×
304
Hypertension with mcc
12
$104,407
$12,179
8.6× st 5.7×
311
Angina pectoris
11
$138,057
$7,538
18.3× st 9.7×
884
Organic disturbances and intellectual disability
11
$114,863
$16,356
7.0× st 5.3×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
11
$280,974
$24,289
11.6× st 7.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$57,054
$7,802
7.3× st 7.6×
100
Seizures with mcc
11
$206,561
$20,392
10.1× st 6.2×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$251,572
$20,814
12.1× st 6.7×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$115,333
$9,538
12.1× st 6.9×
281
Acute myocardial infarction, discharged alive with cc
11
$132,334
$9,619
13.8× st 7.8×
243
Permanent cardiac pacemaker implant with cc
11
$271,386
$22,927
11.8× st 6.7×
812
Red blood cell disorders without mcc
11
$82,188
$9,643
8.5× st 6.4×
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
65
$59,311
$3,324
17.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
56
$15,500
$1,993
7.8×
5191
Level 1 Endovascular Procedures
34
$74,318
$4,013
18.5×
5223
Level 3 Pacemaker and Similar Procedures
23
$159,639
$12,619
12.7×
5183
Level 3 Vascular Procedures
21
$34,073
$3,919
8.7×
5361
Level 1 Laparoscopy and Related Services
20
$87,595
$7,094
12.3×
5373
Level 3 Urology and Related Services
15
$20,995
$2,505
8.4×
5114
Level 4 Musculoskeletal Procedures
14
$118,575
$8,792
13.5×
5193
Level 3 Endovascular Procedures
13
$176,057
$13,503
13.0×
5182
Level 2 Vascular Procedures
11
$51,925
$1,969
26.4×
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
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, 30,908 rows scanned, 14,203 distinct code–setting items kept. 1,609 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 14,203 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 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 86902/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 84166/b
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 80074/b
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 87070/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 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 80177/b
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 84300/b
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 87081/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 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 L8699/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 J0692/b
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 J0696/b
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 87116/b
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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87177/b
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 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 80346/b
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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4121/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 80349/b
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 87205/b
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 Q4148/b
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 80353/b
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 84520/b
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 87209/b
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 80358/b
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 84540/b
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 87252/b
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 87254/b
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 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 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 S0109/b
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 81219/b
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 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 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 U0002/b
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 81270/b
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 J1450/b
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 85247/b
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 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 81450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87481/b
info
mrf_item_fields_vary
this code and setting cover at least 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 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87483/b
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 85306/b
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 87491/b
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 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 87496/b
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 85379/b
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 82042/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 87497/b
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 85384/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87498/b
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 A4649/b
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 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87506/b
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 A9150/b
info
mrf_item_fields_vary
this code and setting cover at least 53 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82103/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87522/b
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 82105/b
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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87529/b
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 85610/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 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 J1956/b
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 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 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 87556/b
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 87581/b
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 J2003/b
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 87591/b
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 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 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 C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 53 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87633/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 C1721/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 J2185/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 82306/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1722/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 86022/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 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2248/b
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 87799/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 J2260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82378/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 86140/b
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 C1731/b
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 C1732/b
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 82397/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 J2305/b
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 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 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 C1750/b
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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82530/b
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 C1752/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 88237/b
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 10 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 6 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 3 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 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88280/b
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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1762/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 C1763/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 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 J2590/b
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 C1764/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 86301/b
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 88305/b
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 13 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86317/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 88313/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 C1771/b
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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 41 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 6 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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86341/b
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 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 2 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 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88346/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their 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 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 88360/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 C1786/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 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 C1788/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 C1789/b
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 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 C1821/b
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 82955/b
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 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 C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82977/b
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 3 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 6 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 C1882/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 83010/b
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 86615/b
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 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 C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 26 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 83036/b
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 C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 23 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 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 C1894/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 76380/b
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 13 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1895/b
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 214 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86638/b
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 C1898/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3535/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76641/b
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 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86644/b
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 C1900/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 J3590/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83521/b
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 86645/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2618/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 83615/b
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 C2625/b
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 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 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 C2628/b
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 86694/b
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 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86696/b
info
mrf_item_fields_vary
this code and setting cover at least 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

Showing the first 200 of 1,609 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 023
info
inp_charge_10x_payment
average charge $660,808 is 11.8× the total payment
MS-DRG 025
info
inp_charge_10x_payment
average charge $641,161 is 14.2× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $340,271 is 14.2× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $138,012 is 12.9× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $152,854 is 17.9× the total payment
MS-DRG 100
info
inp_charge_10x_payment
average charge $206,561 is 10.1× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $96,721 is 10.0× the total payment
MS-DRG 149
info
inp_charge_10x_payment
average charge $99,192 is 12.4× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $220,346 is 12.4× the total payment
MS-DRG 178
info
inp_charge_10x_payment
average charge $117,787 is 11.5× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $170,168 is 11.5× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $165,684 is 13.9× the total payment
MS-DRG 191
info
inp_charge_10x_payment
average charge $108,910 is 11.7× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $189,155 is 13.8× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $121,566 is 14.6× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $439,172 is 14.9× the total payment
MS-DRG 242
info
inp_charge_10x_payment
average charge $604,269 is 15.5× the total payment
MS-DRG 243
info
inp_charge_10x_payment
average charge $271,386 is 11.8× the total payment
MS-DRG 270
info
inp_charge_10x_payment
average charge $537,418 is 10.3× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $198,566 is 12.2× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $132,334 is 13.8× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $141,792 is 12.4× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $175,363 is 12.6× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $91,688 is 11.4× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $136,022 is 10.3× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $94,728 is 11.9× the total payment
MS-DRG 311
info
inp_charge_10x_payment
average charge $138,057 is 18.3× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $112,129 is 12.2× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $83,511 is 10.8× the total payment
MS-DRG 314
info
inp_charge_10x_payment
average charge $304,386 is 11.3× the total payment
MS-DRG 315
info
inp_charge_10x_payment
average charge $155,480 is 15.1× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $495,983 is 17.6× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $295,764 is 15.6× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $289,742 is 13.2× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $155,613 is 14.8× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $93,461 is 10.9× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $102,826 is 12.4× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $135,138 is 13.5× the total payment
MS-DRG 417
info
inp_charge_10x_payment
average charge $280,974 is 11.6× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $246,397 is 12.6× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $295,808 is 10.0× the total payment
MS-DRG 551
info
inp_charge_10x_payment
average charge $290,002 is 11.1× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $117,732 is 12.0× the total payment
MS-DRG 563
info
inp_charge_10x_payment
average charge $115,333 is 12.1× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $148,068 is 15.7× the total payment
MS-DRG 637
info
inp_charge_10x_payment
average charge $191,991 is 12.8× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $102,816 is 10.8× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $173,933 is 12.1× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $105,187 is 12.6× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $169,762 is 11.3× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $135,046 is 14.1× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $132,356 is 10.9× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $112,311 is 13.3× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $200,275 is 10.6× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $733,018 is 12.4× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $251,572 is 12.1× the total payment
MS-DRG 870
info
inp_charge_10x_payment
average charge $692,355 is 10.6× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $278,596 is 13.4× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $127,810 is 11.8× the total payment
MS-DRG 948
info
inp_charge_10x_payment
average charge $123,400 is 14.3× the total payment
MS-DRG 981
info
inp_charge_10x_payment
average charge $727,893 is 10.9× 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 · 67.3M bytes · fetched 2026-08-25 · sha256 343f1f41874a…

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.