Hospital · CCN 050678

Memorialcare Orange Coast Medical Center

9920 Talbert Avenue, Fountain Valley, CA 92708 · Orange County
Part of MemorialCare Health System · 217 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

61 admission types 53 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
7.65×
$271.0M billed against $35.4M paid across 1,934 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
354
$167,134
$19,845
8.4× st 6.2×
291
Heart failure and shock with mcc
116
$119,793
$12,591
9.5× st 6.5×
177
Respiratory infections and inflammations with mcc
77
$132,985
$16,324
8.1× st 6.6×
193
Simple pneumonia and pleurisy with mcc
67
$106,839
$12,912
8.3× st 6.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
66
$83,428
$10,382
8.0× st 6.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
61
$450,744
$61,861
7.3× st 6.2×
690
Kidney and urinary tract infections without mcc
49
$72,036
$7,820
9.2× st 6.6×
280
Acute myocardial infarction, discharged alive with mcc
48
$136,106
$16,273
8.4× st 6.6×
378
Gastrointestinal hemorrhage with cc
47
$88,299
$10,033
8.8× st 6.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
40
$74,220
$7,643
9.7× st 6.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
38
$98,247
$13,675
7.2× st 5.7×
274
Percutaneous and other intracardiac procedures without mcc
38
$131,672
$33,314
4.0× st 5.6×
330
Major small and large bowel procedures with cc
35
$153,454
$22,561
6.8× st 6.9×
189
Pulmonary edema and respiratory failure
35
$122,730
$12,391
9.9× st 6.7×
689
Kidney and urinary tract infections with mcc
31
$93,993
$10,892
8.6× st 6.3×
552
Medical back problems without mcc
31
$72,094
$9,533
7.6× st 7.5×
698
Other kidney and urinary tract diagnoses with mcc
30
$131,841
$15,143
8.7× st 6.2×
683
Renal failure with cc
29
$80,895
$9,267
8.7× st 6.7×
682
Renal failure with mcc
29
$87,993
$14,478
6.1× st 6.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
29
$97,139
$19,483
5.0× st 6.4×
312
Syncope and collapse
28
$74,363
$8,563
8.7× st 7.2×
377
Gastrointestinal hemorrhage with mcc
28
$139,536
$17,503
8.0× st 6.4×
190
Chronic obstructive pulmonary disease with mcc
27
$116,641
$11,436
10.2× st 7.1×
281
Acute myocardial infarction, discharged alive with cc
25
$87,942
$9,561
9.2× st 7.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
25
$66,061
$8,260
8.0× st 6.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
24
$95,128
$9,669
9.8× st 7.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
23
$146,377
$17,074
8.6× st 7.4×
481
Hip and femur procedures except major joint with cc
23
$136,128
$19,372
7.0× st 6.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
22
$112,465
$19,925
5.6× st 6.9×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
22
$86,138
$23,639
3.6× st 6.5×
194
Simple pneumonia and pleurisy with cc
22
$79,655
$9,124
8.7× st 7.5×
329
Major small and large bowel procedures with mcc
21
$376,348
$47,435
7.9× st 6.5×
418
Laparoscopic cholecystectomy without c.d.e. with cc
18
$121,356
$16,968
7.2× st 7.9×
308
Cardiac arrhythmia and conduction disorders with mcc
18
$98,315
$12,228
8.0× st 6.9×
673
Other kidney and urinary tract procedures with mcc
17
$219,914
$34,964
6.3× st 5.8×
460
Spinal fusion except cervical without mcc
17
$180,900
$35,401
5.1× st 5.6×
314
Other circulatory system diagnoses with mcc
16
$219,600
$19,962
11.0× st 6.1×
603
Cellulitis without mcc
16
$110,917
$12,211
9.1× st 5.9×
309
Cardiac arrhythmia and conduction disorders with cc
15
$67,686
$8,091
8.4× st 7.2×
637
Diabetes with mcc
15
$146,681
$14,208
10.3× st 6.3×
870
Septicemia or severe sepsis with mv >96 hours
15
$590,907
$73,532
8.0× st 6.2×
313
Chest pain
15
$74,231
$7,238
10.3× st 7.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$218,539
$27,617
7.9× st 7.4×
812
Red blood cell disorders without mcc
15
$71,352
$9,648
7.4× st 6.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
14
$149,239
$17,691
8.4× st 7.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
13
$134,040
$19,496
6.9× st 6.7×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
13
$154,594
$22,612
6.8× st 7.5×
069
Transient ischemia without thrombolytic
12
$72,394
$7,918
9.1× st 9.5×
472
Cervical spinal fusion with cc
12
$146,806
$33,235
4.4× st 6.1×
178
Respiratory infections and inflammations with cc
12
$84,179
$10,252
8.2× st 7.1×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
12
$237,341
$46,403
5.1× st 5.4×
180
Respiratory neoplasms with mcc
12
$160,376
$16,945
9.5× st 6.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$91,687
$12,528
7.3× st 6.5×
389
Gastrointestinal obstruction with cc
12
$73,532
$7,931
9.3× st 6.9×
406
Pancreas, liver and shunt procedures with cc
12
$148,457
$32,591
4.6× st 6.1×
242
Permanent cardiac pacemaker implant with mcc
11
$215,363
$32,502
6.6× st 6.5×
186
Pleural effusion with mcc
11
$111,339
$14,973
7.4× st 6.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
11
$129,314
$23,877
5.4× st 6.6×
331
Major small and large bowel procedures without cc/mcc
11
$96,159
$18,436
5.2× st 6.6×
445
Disorders of the biliary tract with cc
11
$73,243
$10,998
6.7× st 7.0×
948
Signs and symptoms without mcc
11
$75,027
$7,771
9.7× st 7.3×
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
623
$48,325
$3,357
14.4×
5361
Level 1 Laparoscopy and Related Services
143
$43,827
$6,982
6.3×
5191
Level 1 Endovascular Procedures
117
$34,332
$4,013
8.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
101
$15,508
$1,982
7.8×
5302
Level 2 Upper GI Procedures
96
$20,472
$2,309
8.9×
5115
Level 5 Musculoskeletal Procedures
86
$76,019
$15,992
4.8×
5375
Level 5 Urology and Related Services
80
$39,311
$6,362
6.2×
5183
Level 3 Vascular Procedures
72
$32,711
$3,878
8.4×
5213
Level 3 Electrophysiologic Procedures
71
$114,324
$28,727
4.0×
5374
Level 4 Urology and Related Services
58
$33,437
$4,286
7.8×
5362
Level 2 Laparoscopy and Related Services
45
$62,782
$12,185
5.2×
5193
Level 3 Endovascular Procedures
45
$90,788
$13,503
6.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
38
$28,931
$3,494
8.3×
5373
Level 3 Urology and Related Services
35
$23,012
$2,504
9.2×
5182
Level 2 Vascular Procedures
28
$19,553
$1,913
10.2×
5184
Level 4 Vascular Procedures
28
$55,283
$6,756
8.2×
5114
Level 4 Musculoskeletal Procedures
27
$61,242
$8,792
7.0×
5223
Level 3 Pacemaker and Similar Procedures
24
$57,991
$13,108
4.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
23
$53,588
$8,017
6.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
21
$43,863
$4,253
10.3×
5463
Level 3 Neurostimulator and Related Procedures
21
$72,042
$16,712
4.3×
5153
Level 3 Airway Endoscopy
19
$22,147
$2,087
10.6×
5331
Complex GI Procedures
18
$31,058
$7,007
4.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
16
$40,956
$4,687
8.7×
5154
Level 4 Airway Endoscopy
15
$34,591
$4,604
7.5×
5303
Level 3 Upper GI Procedures
15
$26,510
$4,458
5.9×
5116
Level 6 Musculoskeletal Procedures
13
$117,509
$22,851
5.1×
5313
Level 3 Lower GI Procedures
12
$29,006
$3,452
8.4×
5192
Level 2 Endovascular Procedures
12
$53,154
$7,027
7.6×
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
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, 35,287 rows scanned, 18,092 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
—
—
$1,079
32
clean
Liver dis 10 assays w/ash
—
—
$765
31
clean
Liver dis 10 assays w/nash
—
—
$765
31
clean
Onco prst8 3 gene ur alg
—
—
$1,154
37
clean
Onc mrna 5 gen rsk urthl ca
—
—
$1,139
32
clean
Onc mrna 5 gen recr urthl ca
—
—
$1,139
32
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,983
34
clean
Onc bladder mrna 209 gen alg
—
—
$5,301
34
clean
Onc thyr 10 microrna seq alg
—
—
$4,560
34
clean
Onc aml dna detcj/nondetcj
—
—
$377
34
clean
Glyca nuc mr spectrsc quan
—
—
$53
39
clean
Onc thyr dna&mrna 112 genes
—
—
$5,468
37
clean
Jak2 gene trgt seq alys
—
—
$188
39
clean
Rx metab advrs trgt seq alys
—
—
$1,113
32
clean
Tpmt nudt15 genes
—
—
$718
39
clean
Neuro csf prion prtn qual
—
—
$822
34
clean
Trgt gen seq dna 324 genes
—
—
$5,392
39
clean
B brgdrferi antb 5 prtn igm
—
—
$26
34
clean
CT CEREBRAL PERF ANALYSIS
$7,161
$7,161
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$26
34
clean
Tbrf b grp antb 4 prtn igm
—
—
$23
34
clean
Tbrf b grp antb 4 prtn igg
—
—
$23
34
clean
Onc brst dux carc is 12 gene
—
—
$5,966
39
clean
Onc prst8 mrna 17 gene alg
—
—
$5,966
39
clean
Bone srgry cmptr fluor image
—
—
$1,921
6
clean
Bone srgry cmptr ct/mri imag
—
—
$1,921
6
clean
Onc merkel cll carc srm quan
—
—
$498
39
clean
Onc merkel cll carc srm +/-
—
—
$498
39
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$39
39
clean
Antb tp total&rpr ia qual
—
—
$48
39
clean
Syfls tst nontreponemal antb
—
—
$28
39
clean
Candida species pnl amp prb
—
—
$220
39
clean
Perq Stent/Chest Vert Art
—
—
$4,087
6
clean
VERT/THOR CAROTID STENT 1ST LT
$60,801
$60,801
—
0
clean
Ig paraprotein qual bld/ur
—
—
$66
34
clean
Onc lng 5 clin rsk factr alg
—
—
$5,423
39
clean
Onc mlnma prame & linc00518
—
—
$1,171
39
clean
Onc cutan mlnma mrna 23 gene
—
—
$3,004
39
clean
Extracorp shockwv tx hi enrg
—
—
$581
27
clean
Hered colon ca do 15 genes
—
—
$2,687
39
clean
Neph ckd mult eclia tum nec
—
—
$1,463
39
clean
Touch Quant Sensory Test
—
—
$65
21
clean
Gstr emptg 7 timed brth spec
—
—
$1,328
34
clean
Vibrate Quant Sensory Test
—
—
$65
21
clean
Cool Quant Sensory Test
—
—
$102
21
clean
Gi barrett esoph 9 prtn bmrk
—
—
$7,069
34
clean
Heat Quant Sensory Test
—
—
$65
21
clean
Iadi 16s&18s rrna genes
—
—
$541
34
clean
Trnsplj don-drv cll-fr dna
—
—
$4,182
34
clean
Crd ceramides liq chrom plsm
—
—
$127
34
clean
Hered brst ca rltd do panel
—
—
$2,009
39
clean
INFECT PATHOGENS PLASMA KARIUS-KR
$2,000
$2,000
—
0
clean
Nfct bct fng prst dna >1000
—
—
$3,230
34
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$170
34
clean
Liver ds 10 biochem asy srm
—
—
$775
39
clean
Onc sld tum alys brca1 brca2
—
—
$4,173
39
clean
Onc solid tumor 30 prtn trgt
—
—
$1,983
34
clean
Exc rectal tumor endoscopic
—
—
$8,589
35
clean
PERC SACRAL AUGMT UNILAT W/ GUIDANCE&BX
$18,829
$18,829
—
0
clean
Perq sacral augmt unilat inj
—
—
$10,654
32
clean
PERC SACRAL AUGMT BILAT W/ GUIDANCE&BX
$18,829
$18,829
—
0
clean
Perq sacral augmt bilat inj
—
—
$11,838
32
clean
Post vert arthrplst 1 lumbar
—
—
$19,650
30
clean
Nfct ds 22 trgt sars-cov-2
—
—
$542
36
clean
RESP BACTERIA/VIRAL 22 TRGT SARS-COV-2 QUAL RT-PCR(PNL RP2.1)
$500
$500
—
0
clean
Neuro alzheimer cell aggregj
—
—
$3,365
34
clean
Clear eyelid gland w/heat
—
—
$387
32
clean
Neuro alzheimer quan imaging
—
—
$777
13
clean
Njx platelet plasma
—
—
$821
30
clean
ATHER'TRLUML BRACH EAVES W/S&I-R
$36,166
$36,166
—
0
clean
Trluml perip athrc brchiocph
—
—
$16,333
35
clean
ATHER'TRLUML ILIAC EAVES W/S&I-R
$42,251
$42,251
—
0
clean
Trluml perip athrc iliac art
—
—
$25,935
35
clean
Trgt gen seq alys pnl 311+
—
—
$5,392
39
clean
Nfct ds vir resp rna 3 trgt
—
—
$228
15
clean
Nfct ds vir resp rna 4 trgt
—
—
$228
15
clean
Trgt gen seq alys pnl 55-74
—
—
$7,703
39
clean
Onc thyr mut alys 10 gen&37
—
—
$1,898
32
clean
Onc sld org neo dna 505 gene
—
—
$4,498
39
clean
Implt/rpl crtd sns dev total
—
—
$12,858
11
clean
Implt/rpl crtd sns dev gen
—
—
$6,760
11
clean
Interrogate crtd sns dev
—
—
$1,365
5
clean
INTERROGATION EVAL SYS BAROSTIM W/I&R
$657
$657
—
0
clean
Interrogate crtd sns w/pgrmg
—
—
$1,365
5
clean
Perq lamot/lam lumbar
—
—
$13,797
11
clean
Tempr
—
—
$354
29
clean
Onc lung mrna quan pcr 11&3
—
—
$5,806
32
clean
Onc brst dux carc 7 proteins
—
—
$7,762
32
clean
Crd cad alys 3 prtn plsm alg
—
—
$594
37
clean
Crd cv ds aly 4 prtn plm alg
—
—
$594
37
clean
Nfct ds bct quan antmcrb sc
—
—
$12
37
clean
Ai ds sle alys 8 igg autoant
—
—
$1,277
37
clean
Onc cutan sq cll ca mrna 40
—
—
$12,572
31
clean
Neph rna psttrnspl perph bld
—
—
$3,920
31
clean
Trgt gen seq alys pnl 83+
—
—
$7,396
31
clean
Onc neo xome&trns seq alys
—
—
$5,085
31
clean
Tear film img uni/bi w/i&r
—
—
$65
21
clean
Onc sld orgn tgsa dna 84/+
—
—
$5,454
36
clean
Onc plsm cell do&myeloma id
—
—
$3,602
31
clean
Onc sld tum crcg tum cl slct
—
—
$3,602
31
clean
Trnscth renal symp denrv bil
—
—
$9,150
35
clean
PERC TRNSCTH RENAL SYMP DENRV W/IMG BI
$26,600
$26,600
—
0
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$1,154
37
clean
Onc pan ca alys mrd plasma
—
—
$4,944
37
clean
Hep nafld semiq evl 28 lipid
—
—
$1,172
31
clean
Psyc genom alys pnl 15 gen
—
—
$2,030
37
clean
Beta amyl a?40&a?42 lc-ms/ms
—
—
$128
1
clean
Rx metab/pcx dna 16 gen alys
—
—
$2,030
37
clean
Rx metab/pcx dna 25 gen alys
—
—
$1,128
37
clean
Rx metab/pcx dna 27gen rx ia
—
—
$1,128
37
clean
RSA lower extr exam
—
—
$151
27
clean
Nfct ds bct/viral trail ip10
—
—
$396
37
clean
Oct brst/node i&r per spec
—
—
$1,166
3
clean
Nfct ds bv&vaginitis amp prb
—
—
$950
7
clean
Iadna chlmyd&gonorr amp prb
—
—
$467
7
clean
Apol1 risk variants
—
—
$203
31
clean
Onc orop 17 dna ddpcr alg
—
—
$2,698
30
clean
BIA whole body
—
—
$50
21
clean
Neuro alys b-amyl 1-42&1-40
—
—
$385
31
clean
Onc prst8 ca alys all psa
—
—
$1,124
31
clean
Onc lung elisa 7 autoant alg
—
—
$1,189
31
clean
Neurflmnt lt chn dig ia quan
—
—
$177
9
clean
Onc urthl mrna 5 gen alg
—
—
$1,124
31
clean
Onc bldr 10 prb bldr ca
—
—
$1,363
36
clean
Onc bldr 10 prb recr bldr ca
—
—
$1,363
36
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$1,363
36
clean
Onc prst8 ca img alys 128
—
—
$1,073
36
clean
Vis field assmnt tech suppt
—
—
$83
26
clean
Tgsap sl or neo dna523&rna55
—
—
$4,930
30
clean
Rx metb advrs trgt sq aly 20
—
—
$2,886
6
clean
Onc nonsm cll lng ca 37 gen
—
—
$5,247
30
clean
Neu prksn msfl ?-syncln prtn
—
—
$822
36
clean
Hdr elctrnc skn surf brchytx
—
—
$17,759
5
clean
HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE
$1,299
$1,299
—
0
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$302
36
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$1,541
26
clean
HDR ELECTRONIC BRACHYTHERAPY INTERSTIT/INTRACAV
$4,553
$4,553
—
0
clean
Mrgfus strtctc les abltj
—
—
$4,778
3
clean
Gi baret esph dna mthyln aly
—
—
$2,631
30
clean
Collagen crosslinking cornea
—
—
$4,192
35
clean
Onc prst8 mrna 18 gen dre ur
—
—
$1,154
36
clean
Onc brst semiq meas thym kn
—
—
$491
36
clean
Onc lung flow cytmtry 5 mrk
—
—
$1,154
36
clean
Neph dbtc ckd mult eclia alg
—
—
$1,443
36
clean
Insj/rplc cardiac modulj sys
—
—
$44,408
35
clean
Onc sld tum dna 80 & rna 36
—
—
$4,435
36
clean
Psyc genom alys pnl 15 gen
—
—
$2,030
36
clean
Cv ds acs bld alg 5 yr score
—
—
$594
36
clean
Prgrmg eval cardiac modulj
—
—
$65
21
clean
Interro eval cardiac modulj
—
—
$65
21
clean
Waterjet prostate abltj cmpl
—
—
$2,941
14
clean
ABLATION PROSTATE WATERJET W US GUIDE
$22,278
$22,278
—
0
clean
Onc pan solid tum alys dna
—
—
$2,623
21
clean
Gi malabs aat calpro pncrtc
—
—
$92
30
clean
Gly rcptr alpha1 igg srm/csf
—
—
$55
30
clean
Klhl11 antb sr/csf asy qual
—
—
$55
30
clean
Onc prst8 5 dna reg mrk pcr
—
—
$1,139
30
clean
Rx metab advrs vrnt alys 25
—
—
$625
30
clean
Impltj synth rnfcmt abdl wal
—
—
$1,921
6
clean
Abltj perc lxtr/perph nrv
—
—
$4,596
35
clean
ABLATION PERC CRYO LOWER EXTREMITY NERVE INCLDE IMAG
$8,265
$8,265
—
0
clean
Abltj perc plex/trncl nrv
—
—
$12,416
35
clean
Neurflmnt lt chn ultrsens ia
—
—
$157
21
clean
Insj impltbl glucose sensor
—
—
$5,752
30
clean
Rmvl impltbl glucose sensor
—
—
$399
30
clean
Remvl insj impltbl gluc sens
—
—
$5,752
30
clean
Insj aqueous drain dev 1st
—
—
$7,528
35
clean
Onc sld tum bld/slv 648 gene
—
—
$6,746
30
clean
Hered prst8 ca gsap 23 genes
—
—
$1,955
30
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$2,139
35
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$2,516
11
clean
Tmvi percutaneous approach
—
—
$4,204
11
clean
TMVI W/ PROSTH; PERC SEPTAL PUCNCT
$38,670
$38,670
—
0
clean
Tmvi transthoracic exposure
—
—
$4,204
11
clean
Oct mid ear i&r unilateral
—
—
$65
21
clean
Onc sol tum cfdna&rna ngs gm
—
—
$4,927
21
clean
Oct mid ear i&r bilateral
—
—
$65
21
clean
Prep & cannulj cdvr don lung
—
—
$4,204
11
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$3,946
3
clean
ENDOVENOUS REVASC FEM-POP ART TRANSCATH GRAFT
$35,000
$35,000
—
0
clean
Ev fempop artl revsc
—
—
$16,333
35
clean
Near ifr 2img mibmn glnd i&r
—
—
$131
26
clean
Pattern erg w/i&r
—
—
$375
21
clean
Esw integ wnd hlg 1st wnd
—
—
$584
32
clean
Esw integ wnd hlg ea addl
—
—
$1,916
3
clean
Ntrapx c ffr w/3d funcjl map
—
—
$1,916
3
clean
INTRAPRCDRL CORONARY FFR ANGIO W/3D MAP+
$6,944
$6,944
—
0
clean
Insj/rplcmt compl iims
—
—
$27,251
35
clean
Prgrmg dev eval iims ip
—
—
$83
26
clean
Interrog dev eval iims ip
—
—
$83
26
clean
Car-t cll admn autologous
—
—
$1,365
5
clean
Low-level laser therapy
—
—
$2,288
3
clean
Antmc guide 3d print 1st gd
—
—
$210
24
clean
Evac meibomian glnd heat bi
—
—
$162
35
clean
TTVR PERC REPAIR TRICUSPID VALVE 1ST PROSTHESIS
$42,509
$42,509
—
0
clean
Ttvr perq appr 1st prosth
—
—
$2,405
11
clean
TTVR PERC REPAIR TRICUSPID VALVE ADD'L PROSTH+
$9,446
$9,446
—
0
clean
Ttvr perq ea addl prosth
—
—
$2,405
11
clean
Insj/rplcmt icds ss eltrd
—
—
$44,408
35
clean
Prgrmg dev eval icds ss ip
—
—
$83
26
clean

Showing the first 200 of 18,092 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
42,672 of 42,672 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 20600/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 29345/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 81240/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 84478/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 88280/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
MS-DRG 264/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 37280/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72020/b
info
mrf_item_fields_vary
this code and setting cover at least 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 86341/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 C1714/b
info
mrf_item_fields_vary
this code and setting cover at 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 271/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 20604/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29355/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 81241/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 84479/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96440/b
info
mrf_item_fields_vary
this code and setting cover at 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 272/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 37281/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86352/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1715/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
MS-DRG 273/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 20605/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 36000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82962/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84480/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 88300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96446/b
info
mrf_item_fields_vary
this code and setting cover at 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 274/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 29365/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 37282/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86355/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87103/b
info
mrf_item_fields_vary
this code and setting cover at 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 291/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 20606/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36002/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 84481/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88302/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 96450/b
info
mrf_item_fields_vary
this code and setting cover at 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 292/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 29405/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 37283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72052/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82985/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 86356/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
MS-DRG 293/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 20610/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 36005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84482/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 88304/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 94618/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1724/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
MS-DRG 294/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 29425/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 37284/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72070/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 75625/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83001/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 86357/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 87109/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 96522/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0443/b
info
mrf_item_fields_vary
this code and setting cover at 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 301/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 20611/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 61645/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84484/b
info
mrf_item_fields_vary
this code and setting cover at least 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 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94619/b
info
mrf_item_fields_vary
this code and setting cover at least 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 36 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 302/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 29435/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 36011/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37285/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72072/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81275/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 83002/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 86359/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 87110/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 96523/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 303/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 20612/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 88307/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 C1726/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
MS-DRG 304/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 29440/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 37286/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72074/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81276/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83003/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 86360/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 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 96542/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0455/b
info
mrf_item_fields_vary
this code and setting cover at 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 402/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 49082/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 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 88309/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92650/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 C1728/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
MS-DRG 411/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 36014/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37287/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86361/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94640/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
MS-DRG 412/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 29450/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 49083/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 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 87140/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 92651/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 97012/b
info
mrf_item_fields_vary
this code and setting cover at least 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 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 413/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 36015/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37288/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 88312/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
MS-DRG 414/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 29505/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 49084/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86364/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87147/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 92652/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94644/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1730/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 421/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 37289/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62270/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 72082/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83013/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88313/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97018/b
info
mrf_item_fields_vary
this code and setting cover at 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 422/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 29515/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 84560/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 86376/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 92653/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94645/b
info
mrf_item_fields_vary
this code and setting cover at least 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 423/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 37290/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62272/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72083/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88314/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
MS-DRG 424/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 83018/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84585/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 92700/b
info
mrf_item_fields_vary
this code and setting cover at least 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 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 432/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 37291/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 62273/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72084/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81335/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86403/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 88319/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 94664/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97032/b
info
mrf_item_fields_vary
this code and setting cover at 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 433/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 10004/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 21550/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29540/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 83020/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 84586/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 C1733/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 434/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 37292/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72100/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88321/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 97033/b
info
mrf_item_fields_vary
this code and setting cover at 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 441/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 10005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 21920/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29580/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36222/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83021/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 84588/b
info
mrf_item_fields_vary
this code and setting cover at 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 442/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 37293/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72110/b
info
mrf_item_fields_vary
this code and setting cover at least 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 443/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 21925/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29581/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36223/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86431/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 87177/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 88325/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92928/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97035/b
info
mrf_item_fields_vary
this code and setting cover at 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 444/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 37294/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72114/b
info
mrf_item_fields_vary
this code and setting cover at least 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 8 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 190
info
inp_charge_10x_payment
average charge $116,641 is 10.2× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $74,231 is 10.3× the total payment
MS-DRG 314
info
inp_charge_10x_payment
average charge $219,600 is 11.0× the total payment
MS-DRG 637
info
inp_charge_10x_payment
average charge $146,681 is 10.3× 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 · 97.2M bytes · fetched 2026-08-25 · sha256 eb1fe9ec6c36…

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.