Hospital · CCN 050603

Memorialcare Saddleback Medical Center

24451 Health Center Drive, Laguna Hills, CA 92653 · Orange County
Part of MemorialCare Health System · 248 beds · 1
Secondary flow 30% to <50% to a larger urbanized area of 50,000 and greater

51 admission types 49 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
7.23×
$178.5M billed against $24.7M paid across 1,525 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
238
$142,850
$18,063
7.9× st 6.2×
291
Heart failure and shock with mcc
137
$95,834
$12,130
7.9× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
68
$79,591
$10,585
7.5× st 6.1×
177
Respiratory infections and inflammations with mcc
67
$119,831
$14,896
8.0× st 6.6×
189
Pulmonary edema and respiratory failure
43
$98,340
$12,291
8.0× st 6.7×
690
Kidney and urinary tract infections without mcc
41
$60,544
$8,080
7.5× st 6.6×
378
Gastrointestinal hemorrhage with cc
39
$73,505
$9,788
7.5× st 6.8×
698
Other kidney and urinary tract diagnoses with mcc
39
$81,850
$15,074
5.4× st 6.2×
377
Gastrointestinal hemorrhage with mcc
37
$127,834
$17,816
7.2× st 6.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
37
$70,566
$7,587
9.3× st 6.8×
193
Simple pneumonia and pleurisy with mcc
37
$118,674
$13,723
8.6× st 6.9×
481
Hip and femur procedures except major joint with cc
33
$111,901
$19,466
5.7× st 6.7×
683
Renal failure with cc
30
$67,497
$8,332
8.1× st 6.7×
682
Renal failure with mcc
29
$109,805
$13,529
8.1× st 6.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
29
$85,660
$10,348
8.3× st 7.9×
274
Percutaneous and other intracardiac procedures without mcc
29
$117,726
$30,038
3.9× st 5.6×
689
Kidney and urinary tract infections with mcc
28
$61,721
$10,804
5.7× st 6.3×
280
Acute myocardial infarction, discharged alive with mcc
27
$164,127
$16,771
9.8× st 6.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
27
$296,341
$48,844
6.1× st 6.2×
603
Cellulitis without mcc
27
$52,499
$8,315
6.3× st 5.9×
190
Chronic obstructive pulmonary disease with mcc
27
$121,916
$10,177
12.0× st 7.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
24
$145,626
$17,468
8.3× st 7.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
24
$127,347
$20,490
6.2× st 7.8×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
21
$199,255
$45,392
4.4× st 5.4×
309
Cardiac arrhythmia and conduction disorders with cc
21
$75,724
$7,662
9.9× st 7.2×
308
Cardiac arrhythmia and conduction disorders with mcc
20
$82,153
$11,437
7.2× st 6.9×
552
Medical back problems without mcc
19
$75,160
$9,820
7.7× st 7.5×
178
Respiratory infections and inflammations with cc
18
$80,358
$9,047
8.9× st 7.1×
163
Major chest procedures with mcc
17
$302,103
$43,328
7.0× st 6.4×
312
Syncope and collapse
16
$74,748
$8,324
9.0× st 7.2×
100
Seizures with mcc
15
$216,917
$20,156
10.8× st 6.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
15
$121,087
$19,443
6.2× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
14
$92,017
$12,508
7.4× st 5.7×
194
Simple pneumonia and pleurisy with cc
14
$75,052
$7,944
9.4× st 7.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
14
$59,789
$11,887
5.0× st 6.5×
699
Other kidney and urinary tract diagnoses with cc
14
$59,862
$9,944
6.0× st 6.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$227,562
$28,071
8.1× st 7.4×
389
Gastrointestinal obstruction with cc
14
$83,851
$7,694
10.9× st 6.9×
330
Major small and large bowel procedures with cc
14
$200,656
$22,225
9.0× st 6.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
13
$85,731
$12,119
7.1× st 6.5×
164
Major chest procedures with cc
13
$152,339
$24,956
6.1× st 6.3×
870
Septicemia or severe sepsis with mv >96 hours
13
$542,517
$78,848
6.9× st 6.2×
393
Other digestive system diagnoses with mcc
13
$83,803
$15,366
5.5× st 5.8×
460
Spinal fusion except cervical without mcc
13
$178,645
$37,409
4.8× st 5.6×
202
Bronchitis and asthma with cc/mcc
13
$94,497
$9,202
10.3× st 7.4×
482
Hip and femur procedures except major joint without cc/mcc
13
$86,585
$14,967
5.8× st 6.7×
252
Other vascular procedures with mcc
12
$141,719
$31,482
4.5× st 5.7×
536
Fractures of hip and pelvis without mcc
12
$55,902
$7,673
7.3× st 7.0×
281
Acute myocardial infarction, discharged alive with cc
11
$71,348
$8,650
8.2× st 7.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
11
$48,938
$8,464
5.8× st 6.3×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
11
$68,125
$6,887
9.9× st 8.8×
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
438
$41,531
$3,353
12.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
221
$12,841
$1,905
6.7×
5191
Level 1 Endovascular Procedures
142
$30,513
$3,972
7.7×
5193
Level 3 Endovascular Procedures
105
$65,392
$13,503
4.8×
5183
Level 3 Vascular Procedures
82
$25,850
$3,881
6.7×
5213
Level 3 Electrophysiologic Procedures
79
$109,777
$28,767
3.8×
5223
Level 3 Pacemaker and Similar Procedures
74
$44,851
$13,108
3.4×
5374
Level 4 Urology and Related Services
64
$34,715
$4,286
8.1×
5192
Level 2 Endovascular Procedures
62
$32,198
$7,027
4.6×
5115
Level 5 Musculoskeletal Procedures
55
$77,810
$16,148
4.8×
5375
Level 5 Urology and Related Services
44
$37,339
$6,246
6.0×
5361
Level 1 Laparoscopy and Related Services
42
$52,283
$7,094
7.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
38
$49,508
$8,017
6.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
36
$24,953
$3,494
7.1×
5182
Level 2 Vascular Procedures
26
$14,326
$1,969
7.3×
5114
Level 4 Musculoskeletal Procedures
23
$58,608
$8,792
6.7×
5184
Level 4 Vascular Procedures
23
$48,629
$6,756
7.2×
5194
Level 4 Endovascular Procedures
22
$75,411
$21,503
3.5×
5116
Level 6 Musculoskeletal Procedures
22
$110,235
$22,851
4.8×
5153
Level 3 Airway Endoscopy
22
$35,794
$2,087
17.2×
5362
Level 2 Laparoscopy and Related Services
21
$77,782
$12,113
6.4×
5373
Level 3 Urology and Related Services
17
$25,797
$2,504
10.3×
5112
Level 2 Musculoskeletal Procedures
17
$13,769
$1,976
7.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
17
$38,621
$4,686
8.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
16
$43,071
$4,114
10.5×
5113
Level 3 Musculoskeletal Procedures
11
$40,002
$3,980
10.1×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 35,258 rows scanned, 18,080 distinct code–setting items kept. 5,559 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$1,071
30
clean
Liver dis 10 assays w/ash
—
—
$880
29
clean
Liver dis 10 assays w/nash
—
—
$880
29
clean
Onco prst8 3 gene ur alg
—
—
$1,352
35
clean
Onc mrna 5 gen rsk urthl ca
—
—
$1,130
30
clean
Onc mrna 5 gen recr urthl ca
—
—
$1,130
30
clean
Adrnl cortcl tum bchm asy 25
—
—
$2,044
32
clean
Onc bladder mrna 209 gen alg
—
—
$5,464
32
clean
Onc thyr 10 microrna seq alg
—
—
$4,700
32
clean
Onc aml dna detcj/nondetcj
—
—
$389
32
clean
Glyca nuc mr spectrsc quan
—
—
$61
37
clean
Onc thyr dna&mrna 112 genes
—
—
$6,406
35
clean
Jak2 gene trgt seq alys
—
—
$217
37
clean
Rx metab advrs trgt seq alys
—
—
$1,104
30
clean
Tpmt nudt15 genes
—
—
$830
37
clean
Neuro csf prion prtn qual
—
—
$847
32
clean
Trgt gen seq dna 324 genes
—
—
$6,228
37
clean
B brgdrferi antb 5 prtn igm
—
—
$27
32
clean
CT CEREBRAL PERF ANALYSIS
$7,161
$7,161
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$27
32
clean
Tbrf b grp antb 4 prtn igm
—
—
$23
32
clean
Tbrf b grp antb 4 prtn igg
—
—
$23
32
clean
Onc brst dux carc is 12 gene
—
—
$6,892
37
clean
Onc prst8 mrna 17 gene alg
—
—
$6,892
37
clean
Bone srgry cmptr fluor image
—
—
$1,892
6
clean
Bone srgry cmptr ct/mri imag
—
—
$1,892
6
clean
Onc merkel cll carc srm quan
—
—
$575
37
clean
Onc merkel cll carc srm +/-
—
—
$575
37
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$45
37
clean
Antb tp total&rpr ia qual
—
—
$56
37
clean
Syfls tst nontreponemal antb
—
—
$32
37
clean
Candida species pnl amp prb
—
—
$254
37
clean
Perq Stent/Chest Vert Art
—
—
$4,163
6
clean
VERT/THOR CAROTID STENT 1ST LT
$60,801
$60,801
—
0
clean
Ig paraprotein qual bld/ur
—
—
$68
32
clean
Onc lng 5 clin rsk factr alg
—
—
$6,263
37
clean
Onc mlnma prame & linc00518
—
—
$1,352
37
clean
Onc cutan mlnma mrna 23 gene
—
—
$3,470
37
clean
Extracorp shockwv tx hi enrg
—
—
$625
25
clean
Hered colon ca do 15 genes
—
—
$3,103
37
clean
Neph ckd mult eclia tum nec
—
—
$1,690
37
clean
Touch Quant Sensory Test
—
—
$60
19
clean
Gstr emptg 7 timed brth spec
—
—
$1,369
32
clean
Vibrate Quant Sensory Test
—
—
$60
19
clean
Cool Quant Sensory Test
—
—
$95
19
clean
Gi barrett esoph 9 prtn bmrk
—
—
$6,750
32
clean
Heat Quant Sensory Test
—
—
$60
19
clean
Iadi 16s&18s rrna genes
—
—
$558
32
clean
Trnsplj don-drv cll-fr dna
—
—
$4,311
32
clean
Crd ceramides liq chrom plsm
—
—
$131
32
clean
Hered brst ca rltd do panel
—
—
$2,320
37
clean
INFECT PATHOGENS PLASMA KARIUS-KR
$2,000
$2,000
—
0
clean
Nfct bct fng prst dna >1000
—
—
$3,329
32
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$175
32
clean
Liver ds 10 biochem asy srm
—
—
$896
37
clean
Onc sld tum alys brca1 brca2
—
—
$4,091
37
clean
Onc solid tumor 30 prtn trgt
—
—
$2,044
32
clean
Exc rectal tumor endoscopic
—
—
$8,199
33
clean
Perq sacral augmt unilat inj
—
—
$10,253
30
clean
PERC SACRAL AUGMT UNILAT W/ GUIDANCE&BX
$18,829
$18,829
—
0
clean
Perq sacral augmt bilat inj
—
—
$11,433
30
clean
PERC SACRAL AUGMT BILAT W/ GUIDANCE&BX
$18,829
$18,829
—
0
clean
Post vert arthrplst 1 lumbar
—
—
$18,824
28
clean
Nfct ds 22 trgt sars-cov-2
—
—
$511
34
clean
RESP BACTERIA/VIRAL 22 TRGT SARS-COV-2 QUAL RT-PCR(PNL RP2.1)
$500
$500
—
0
clean
Neuro alzheimer cell aggregj
—
—
$3,469
32
clean
Clear eyelid gland w/heat
—
—
$376
30
clean
Neuro alzheimer quan imaging
—
—
$894
13
clean
Njx platelet plasma
—
—
$782
28
clean
Trluml perip athrc brchiocph
—
—
$15,638
33
clean
ATHER'TRLUML BRACH EAVES W/S&I-R
$36,166
$36,166
—
0
clean
Trluml perip athrc iliac art
—
—
$24,756
33
clean
ATHER'TRLUML ILIAC EAVES W/S&I-R
$42,251
$42,251
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$6,228
37
clean
Nfct ds vir resp rna 3 trgt
—
—
$254
15
clean
Nfct ds vir resp rna 4 trgt
—
—
$254
15
clean
Trgt gen seq alys pnl 55-74
—
—
$8,897
37
clean
Onc thyr mut alys 10 gen&37
—
—
$1,883
30
clean
Onc sld org neo dna 505 gene
—
—
$5,195
37
clean
Implt/rpl crtd sns dev total
—
—
$14,012
11
clean
Implt/rpl crtd sns dev gen
—
—
$7,367
11
clean
INTERROGATION EVAL SYS BAROSTIM W/I&R
$657
$657
—
0
clean
Interrogate crtd sns dev
—
—
$1,488
5
clean
Interrogate crtd sns w/pgrmg
—
—
$1,488
5
clean
Perq lamot/lam lumbar
—
—
$14,380
11
clean
Tempr
—
—
$339
27
clean
Onc lung mrna quan pcr 11&3
—
—
$5,760
30
clean
Onc brst dux carc 7 proteins
—
—
$7,411
30
clean
Crd cad alys 3 prtn plsm alg
—
—
$695
35
clean
Crd cv ds aly 4 prtn plm alg
—
—
$695
35
clean
Nfct ds bct quan antmcrb sc
—
—
$14
35
clean
Ai ds sle alys 8 igg autoant
—
—
$1,496
35
clean
Onc cutan sq cll ca mrna 40
—
—
$11,705
29
clean
Neph rna psttrnspl perph bld
—
—
$3,649
29
clean
Trgt gen seq alys pnl 83+
—
—
$6,886
29
clean
Onc neo xome&trns seq alys
—
—
$4,734
29
clean
Tear film img uni/bi w/i&r
—
—
$60
19
clean
Onc sld orgn tgsa dna 84/+
—
—
$6,228
34
clean
Onc plsm cell do&myeloma id
—
—
$3,353
29
clean
Onc sld tum crcg tum cl slct
—
—
$3,353
29
clean
Trnscth renal symp denrv bil
—
—
$9,150
33
clean
PERC TRNSCTH RENAL SYMP DENRV W/IMG BI
$26,600
$26,600
—
0
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$1,352
35
clean
Onc pan ca alys mrd plasma
—
—
$5,195
35
clean
Hep nafld semiq evl 28 lipid
—
—
$1,091
29
clean
Psyc genom alys pnl 15 gen
—
—
$2,377
35
clean
Beta amyl a?40&a?42 lc-ms/ms
—
—
$128
1
clean
Rx metab/pcx dna 16 gen alys
—
—
$2,377
35
clean
Rx metab/pcx dna 25 gen alys
—
—
$1,321
35
clean
Rx metab/pcx dna 27gen rx ia
—
—
$1,321
35
clean
RSA lower extr exam
—
—
$140
25
clean
Nfct ds bct/viral trail ip10
—
—
$464
35
clean
Oct brst/node i&r per spec
—
—
$1,166
3
clean
Nfct ds bv&vaginitis amp prb
—
—
$807
7
clean
Iadna chlmyd&gonorr amp prb
—
—
$397
7
clean
Apol1 risk variants
—
—
$189
29
clean
Onc orop 17 dna ddpcr alg
—
—
$2,653
28
clean
BIA whole body
—
—
$47
19
clean
Neuro alys b-amyl 1-42&1-40
—
—
$359
29
clean
Onc prst8 ca alys all psa
—
—
$1,047
29
clean
Onc lung elisa 7 autoant alg
—
—
$1,158
29
clean
Neurflmnt lt chn dig ia quan
—
—
$207
9
clean
Onc urthl mrna 5 gen alg
—
—
$1,047
29
clean
Onc bldr 10 prb bldr ca
—
—
$1,596
34
clean
Onc bldr 10 prb recr bldr ca
—
—
$1,596
34
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$1,596
34
clean
Onc prst8 ca img alys 128
—
—
$1,257
34
clean
Vis field assmnt tech suppt
—
—
$91
24
clean
Tgsap sl or neo dna523&rna55
—
—
$4,846
28
clean
Rx metb advrs trgt sq aly 20
—
—
$2,490
6
clean
Onc nonsm cll lng ca 37 gen
—
—
$5,158
28
clean
Neu prksn msfl ?-syncln prtn
—
—
$963
34
clean
Hdr elctrnc skn surf brchytx
—
—
$19,353
5
clean
HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE
$1,299
$1,299
—
0
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$354
34
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$1,689
24
clean
HDR ELECTRONIC BRACHYTHERAPY INTERSTIT/INTRACAV
$4,553
$4,553
—
0
clean
Mrgfus strtctc les abltj
—
—
$4,881
3
clean
Gi baret esph dna mthyln aly
—
—
$2,586
28
clean
Collagen crosslinking cornea
—
—
$4,209
33
clean
Onc prst8 mrna 18 gen dre ur
—
—
$1,352
34
clean
Onc brst semiq meas thym kn
—
—
$575
34
clean
Onc lung flow cytmtry 5 mrk
—
—
$1,352
34
clean
Neph dbtc ckd mult eclia alg
—
—
$1,690
34
clean
Insj/rplc cardiac modulj sys
—
—
$42,390
33
clean
Onc sld tum dna 80 & rna 36
—
—
$5,195
34
clean
Psyc genom alys pnl 15 gen
—
—
$2,377
34
clean
Cv ds acs bld alg 5 yr score
—
—
$695
34
clean
Waterjet prostate abltj cmpl
—
—
$3,554
14
clean
ABLATION PROSTATE WATERJET W US GUIDE
$22,278
$22,278
—
0
clean
Onc pan solid tum alys dna
—
—
$2,429
19
clean
Gi malabs aat calpro pncrtc
—
—
$91
28
clean
Gly rcptr alpha1 igg srm/csf
—
—
$54
28
clean
Klhl11 antb sr/csf asy qual
—
—
$54
28
clean
Onc prst8 5 dna reg mrk pcr
—
—
$1,120
28
clean
Rx metab advrs vrnt alys 25
—
—
$614
28
clean
Impltj synth rnfcmt abdl wal
—
—
$1,892
6
clean
Abltj perc lxtr/perph nrv
—
—
$4,881
33
clean
ABLATION PERC CRYO LOWER EXTREMITY NERVE INCLDE IMAG
$8,265
$8,265
—
0
clean
Abltj perc plex/trncl nrv
—
—
$11,852
33
clean
Neurflmnt lt chn ultrsens ia
—
—
$145
19
clean
Insj impltbl glucose sensor
—
—
$5,752
28
clean
Rmvl impltbl glucose sensor
—
—
$406
28
clean
Remvl insj impltbl gluc sens
—
—
$5,752
28
clean
Insj aqueous drain dev 1st
—
—
$7,528
33
clean
Visual ep test for glaucoma
—
—
$207
19
clean
Onc sld tum bld/slv 648 gene
—
—
$6,631
28
clean
Hered prst8 ca gsap 23 genes
—
—
$1,922
28
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$2,057
33
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$4,134
11
clean
TMVI W/ PROSTH; PERC SEPTAL PUCNCT
$38,670
$38,670
—
0
clean
Tmvi percutaneous approach
—
—
$4,706
11
clean
Tmvi transthoracic exposure
—
—
$4,706
11
clean
Oct mid ear i&r unilateral
—
—
$60
19
clean
Onc sol tum cfdna&rna ngs gm
—
—
$4,562
19
clean
Oct mid ear i&r bilateral
—
—
$60
19
clean
Prep & cannulj cdvr don lung
—
—
$4,706
11
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$4,009
3
clean
Ev fempop artl revsc
—
—
$15,590
33
clean
ENDOVENOUS REVASC FEM-POP ART TRANSCATH GRAFT
$35,000
$35,000
—
0
clean
Near ifr 2img mibmn glnd i&r
—
—
$143
24
clean
Pattern erg w/i&r
—
—
$347
19
clean
Esw integ wnd hlg 1st wnd
—
—
$566
30
clean
Esw integ wnd hlg ea addl
—
—
$1,887
3
clean
INTRAPRCDRL CORONARY FFR ANGIO W/3D MAP+
$6,944
$6,944
—
0
clean
Ntrapx c ffr w/3d funcjl map
—
—
$1,887
3
clean
Insj/rplcmt compl iims
—
—
$26,012
33
clean
Prgrmg dev eval iims ip
—
—
$91
24
clean
Interrog dev eval iims ip
—
—
$91
24
clean
Car-t cll admn autologous
—
—
$1,488
5
clean
Low-level laser therapy
—
—
$2,338
3
clean
Antmc guide 3d print 1st gd
—
—
$204
22
clean
Evac meibomian glnd heat bi
—
—
$156
33
clean
Ttvr perq appr 1st prosth
—
—
$2,392
11
clean
TTVR PERC REPAIR TRICUSPID VALVE 1ST PROSTHESIS
$42,509
$42,509
—
0
clean
TTVR PERC REPAIR TRICUSPID VALVE ADD'L PROSTH+
$9,446
$9,446
—
0
clean
Ttvr perq ea addl prosth
—
—
$2,392
11
clean
Insj/rplcmt icds ss eltrd
—
—
$42,390
33
clean
Prgrmg dev eval icds ss ip
—
—
$91
24
clean
Interrog dev eval icds ss ip
—
—
$91
24
clean

Showing the first 200 of 18,080 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
34,671 of 34,671 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 27788/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73722/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92511/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96131/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37233/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80323/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82607/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86813/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 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73723/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84160/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 96132/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27810/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37234/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 56405/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80324/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 99366/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 Z5406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84165/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 86060/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 96133/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27818/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37235/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 45330/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77080/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 82626/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 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 87800/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99367/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 84166/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 96136/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 16020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27830/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82627/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 86860/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87801/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 92521/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 99368/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 45332/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96137/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 16025/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27840/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80335/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 82633/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 84182/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 3 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 92522/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 96146/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 16030/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82634/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 86880/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92523/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 99401/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87880/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96156/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 C9803/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84207/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86147/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 86885/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92524/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 99402/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28190/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74176/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96158/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 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 37246/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 70332/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80342/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82652/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86886/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 87900/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92526/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 99403/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28192/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96159/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 G0009/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 17250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37247/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80345/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 86160/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 86890/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87901/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 99404/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82657/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 G0010/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 19000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37248/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70360/b
info
mrf_item_fields_vary
this code and setting cover at least 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86891/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87902/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 99406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82668/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86162/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 96164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28470/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37249/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80347/b
info
mrf_item_fields_vary
this code and setting cover at least 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 86900/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 87903/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99407/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 45378/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82670/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 96165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 19030/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80348/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84244/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 86200/b
info
mrf_item_fields_vary
this code and setting cover at least 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 28490/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 82671/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96167/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0101/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 37254/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84252/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86215/b
info
mrf_item_fields_vary
this code and setting cover at least 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 011/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28495/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82672/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88104/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96168/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 012/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37255/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74240/b
info
mrf_item_fields_vary
this code and setting cover at least 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84255/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86225/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 86904/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 013/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28510/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82677/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96170/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 014/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 19085/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37256/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86226/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 88108/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 G0108/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 021/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82679/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96171/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 022/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0234T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37257/b
info
mrf_item_fields_vary
this code and setting cover at least 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84270/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 86231/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86906/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88112/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 92553/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 G0109/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 023/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 19100/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82693/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96360/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 024/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37258/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77373/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80359/b
info
mrf_item_fields_vary
this code and setting cover at least 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 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88141/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 041/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82705/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84295/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93882/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96361/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 042/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0237T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 19281/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28570/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37259/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80361/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 86255/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 052/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96365/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 053/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0238T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 28600/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 37260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82725/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84302/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 86256/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86927/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 054/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80365/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

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

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 100
info
inp_charge_10x_payment
average charge $216,917 is 10.8× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $121,916 is 12.0× the total payment
MS-DRG 202
info
inp_charge_10x_payment
average charge $94,497 is 10.3× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $83,851 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 · 89.4M bytes · fetched 2026-08-25 · sha256 8af718ece37a…

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.