Hospital · CCN 050701

Southwest Healthcare Rancho Springs Hospital

25500 Medical Center Drive, Murrieta, CA 92562 · Riverside County
Part of Universal Health Services · 240 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

50 admission types 43 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
6.87×
$155.5M billed against $22.7M paid across 1,402 Medicare discharges; the national figure is 5.03×.
—
of adults in Riverside County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
8.3%
uninsured in the county · state 7.5%
$90K
median household income
7.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (16 in the inpatient or outpatient file)ⓘ
36.8%
obesity in the countyⓘ
12.4%
diagnosed diabetes (PLACES)
6.0%
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
162
$151,684
$21,633
7.0× st 6.2×
291
Heart failure and shock with mcc
72
$92,363
$13,905
6.6× st 6.5×
193
Simple pneumonia and pleurisy with mcc
70
$97,100
$15,137
6.4× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
57
$103,614
$14,029
7.4× st 5.7×
689
Kidney and urinary tract infections with mcc
53
$85,609
$12,845
6.7× st 6.3×
177
Respiratory infections and inflammations with mcc
52
$123,062
$17,637
7.0× st 6.6×
690
Kidney and urinary tract infections without mcc
44
$59,674
$9,657
6.2× st 6.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
42
$91,466
$10,994
8.3× st 7.9×
552
Medical back problems without mcc
42
$93,217
$10,998
8.5× st 7.5×
312
Syncope and collapse
39
$88,091
$10,060
8.8× st 7.2×
189
Pulmonary edema and respiratory failure
38
$100,809
$13,504
7.5× st 6.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
34
$138,517
$20,702
6.7× st 7.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
34
$62,927
$8,912
7.1× st 6.8×
698
Other kidney and urinary tract diagnoses with mcc
33
$101,059
$17,642
5.7× st 6.2×
082
Traumatic stupor and coma >1 hour with mcc
28
$188,922
$25,171
7.5× st 7.7×
481
Hip and femur procedures except major joint with cc
28
$124,059
$21,502
5.8× st 6.7×
377
Gastrointestinal hemorrhage with mcc
25
$120,713
$18,862
6.4× st 6.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
25
$77,925
$8,986
8.7× st 6.3×
682
Renal failure with mcc
25
$100,549
$17,325
5.8× st 6.1×
884
Organic disturbances and intellectual disability
24
$118,283
$17,303
6.8× st 5.3×
378
Gastrointestinal hemorrhage with cc
22
$82,965
$11,036
7.5× st 6.8×
280
Acute myocardial infarction, discharged alive with mcc
22
$103,870
$14,733
7.1× st 6.6×
308
Cardiac arrhythmia and conduction disorders with mcc
21
$112,635
$13,474
8.4× st 6.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
21
$81,314
$14,089
5.8× st 6.5×
683
Renal failure with cc
18
$74,536
$9,649
7.7× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
18
$68,562
$14,501
4.7× st 7.1×
917
Poisoning and toxic effects of drugs with mcc
18
$119,285
$17,916
6.7× st 6.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
18
$89,597
$11,956
7.5× st 6.1×
069
Transient ischemia without thrombolytic
17
$84,173
$9,291
9.1× st 9.5×
309
Cardiac arrhythmia and conduction disorders with cc
17
$74,766
$8,708
8.6× st 7.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
17
$251,592
$49,965
5.0× st 6.2×
314
Other circulatory system diagnoses with mcc
17
$155,292
$22,047
7.0× st 6.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
16
$95,067
$11,982
7.9× st 7.4×
699
Other kidney and urinary tract diagnoses with cc
16
$65,889
$10,883
6.1× st 6.1×
194
Simple pneumonia and pleurisy with cc
15
$68,746
$9,587
7.2× st 7.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
15
$89,839
$10,439
8.6× st 6.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
15
$152,647
$25,803
5.9× st 7.4×
092
Other disorders of nervous system with cc
15
$102,683
$11,748
8.7× st 6.8×
480
Hip and femur procedures except major joint with mcc
15
$150,602
$25,573
5.9× st 6.8×
025
Craniotomy and endovascular intracranial procedures with mcc
14
$241,904
$45,819
5.3× st 6.5×
057
Degenerative nervous system disorders without mcc
14
$73,633
$14,982
4.9× st 5.7×
086
Traumatic stupor and coma <1 hour with cc
14
$119,892
$14,760
8.1× st 7.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$141,725
$23,146
6.1× st 6.9×
313
Chest pain
13
$63,846
$8,456
7.6× st 7.7×
389
Gastrointestinal obstruction with cc
13
$74,056
$9,454
7.8× st 6.9×
551
Medical back problems with mcc
13
$141,888
$16,745
8.5× st 7.0×
083
Traumatic stupor and coma >1 hour with cc
12
$169,054
$15,370
11.0× st 8.4×
085
Traumatic stupor and coma <1 hour with mcc
12
$187,298
$24,046
7.8× st 7.1×
637
Diabetes with mcc
12
$113,009
$16,729
6.8× st 6.3×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
11
$111,685
$20,641
5.4× st 6.4×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
197
$45,520
$3,298
13.8×
5115
Level 5 Musculoskeletal Procedures
101
$76,665
$16,148
4.7×
5376
Level 6 Urology and Related Services
65
$53,524
$11,313
4.7×
5361
Level 1 Laparoscopy and Related Services
51
$40,345
$6,876
5.9×
5114
Level 4 Musculoskeletal Procedures
47
$49,547
$8,793
5.6×
5374
Level 4 Urology and Related Services
31
$27,453
$4,286
6.4×
5183
Level 3 Vascular Procedures
30
$38,907
$3,919
9.9×
5116
Level 6 Musculoskeletal Procedures
25
$97,141
$22,851
4.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
25
$40,133
$4,253
9.4×
5415
Level 5 Gynecologic Procedures
19
$48,553
$6,115
7.9×
5362
Level 2 Laparoscopy and Related Services
18
$80,174
$12,637
6.3×
5191
Level 1 Endovascular Procedures
17
$31,622
$3,895
8.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
16
$21,234
$1,807
11.8×
5113
Level 3 Musculoskeletal Procedures
16
$30,632
$3,782
8.1×
5112
Level 2 Musculoskeletal Procedures
16
$21,470
$1,976
10.9×
5302
Level 2 Upper GI Procedures
13
$10,940
$2,339
4.7×
5375
Level 5 Urology and Related Services
13
$33,993
$5,972
5.7×
5182
Level 2 Vascular Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5373
Level 3 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 csv-wide, last updated 1/1/2026, template 3.0.0, 80,294 rows scanned, 9,167 distinct code–setting items kept. 3,549 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
NFCT DS DNA UNTRGT NGNRJ SEQ
$2,000
$800
$869
12
clean
INFECT DISEAS 22 TRGT SARSCOV2
$2,219
$888
$740
18
clean
ATHERECTOMY TRANSL BRACHIOCEPH
$51,393
$20,557
$9,783
26
clean
ATHERECTOMY TRANSLUM ILIAC LT
$51,393
$20,557
$12,329
39
clean
NFCT DS VIR RESP RNA 4 TRGT
$600
$240
$230
17
clean
INS/REPLC CARDIAC MODUL SYS
$43,560
$17,424
$12,329
13
clean
FNA W/IMAGING GUIDANCE
$1,719
$688
$1,144
76
clean
BX LUNG/MED NDL FNA EA ADDL
$1,464
$586
$476
57
clean
FNA W/FLUORO GUIDANCE
$6,608
$2,643
$1,620
76
clean
FNA W/IMAGING GUIDANCE
$5,749
$2,300
$1,868
57
clean
BX LUNG/MED NDL FNA EA ADDL
$1,830
$732
$535
38
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
—
—
$1,284
3
clean
Fine needle aspiration biopsy of growth using MRI guidance, each additional growth
—
—
$424
3
clean
FNA W/O IMAGING GUIDANCE
$859
$344
$308
76
clean
CT DRAIN ABSC HEMAT/CYST
$7,869
$3,148
$2,260
76
clean
PLACE SOFT TIS DEV ADDL LESION
$4,843
$1,937
$1,574
19
clean
Acne surgery
—
—
$87
9
clean
OB ED I&D ABSCESS SIMPLE
$3,221
$1,288
$1,154
76
clean
I&D ABSCESS CMPLX
$4,392
$1,757
$1,666
38
clean
I&D PILONIDAL ABSC 450
$2,336
$934
$839
19
clean
I&D PILONIDAL ABSC COMP 450
$2,570
$1,028
$923
19
clean
INCISION/REMOV FB SUBQ SIMPLE
$3,221
$1,288
$1,221
38
clean
FB REM SUBQ COMP 450
$4,392
$1,757
$1,577
19
clean
I AND D HEMATOMA
$3,677
$1,471
$1,696
76
clean
PUNCT/ASP ABCESS HEMAT CYST
$1,172
$469
$449
95
clean
I&D POSTOP INFECTION CMPLX
$6,343
$2,537
$2,461
38
clean
DEBR INFCTD SKIN UP TO 10% 450
$1,465
$586
$501
19
clean
DEBR INFCTD SKIN EA ADDL 10%
$198
$79
$71
19
clean
Removal of infected skin, tissue or muscle of genitals
—
—
$614
9
clean
Removal of infected skin, tissue or muscle of abdomen
—
—
$821
9
clean
Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen
—
—
$771
9
clean
Removal of infected artificial material or mesh from abdomen
—
—
$310
9
clean
DEBR INC FB RM W/OPN FX/DIS450
$1,564
$626
$561
19
clean
DEB & FB RM W/OPN FX/DIS BO450
$6,343
$2,537
$2,169
19
clean
DEBRIDE SUBQ TISSUE<=20CM
$1,126
$450
$404
19
clean
DEBRIDE MUSCLE/FASCIA<=20CM
$1,465
$586
$572
38
clean
DEBRIDE BONE<=20CM
$5,673
$2,269
$2,216
38
clean
DEBRIDE SUBQ TIS EA ADDL 20CM
$1,087
$435
$372
19
clean
DEBRIDE MUSC/FASC EA ADDL 20CM
$1,342
$537
$436
19
clean
DEBRIDE BONE EA ADDL 20CM
$3,034
$1,214
$986
19
clean
PARING BENIGN LES SNGL
$508
$203
$297
38
clean
PARING BENIGN LES 2-4
$497
$199
$178
19
clean
PARING BENIGN LES >4
$535
$214
$192
19
clean
REMOVE SKIN TAG UP TO 15
$3,221
$1,288
$1,221
38
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
—
—
$48
9
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
—
—
$61
9
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
—
—
$85
9
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
—
—
$72
9
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
—
—
$58
9
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
—
—
$71
9
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
—
—
$78
9
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
—
—
$99
9
clean
EXC LES TRNK/ARM/LEG <0.5CM
$3,221
$1,288
$1,156
38
clean
EXC LES TRNK/ARM/LEG 0.6-1CM
$3,836
$1,534
$1,312
38
clean
EXC LES TRNK/ARM/LEG 1.1-2CM
$4,451
$1,780
$1,522
38
clean
EXC LES TRNK/ARM/LEG 2.1-3CM
$5,067
$2,027
$1,733
19
clean
EXC BEN LES TRK/EXT 3.1-4CM
$5,682
$2,273
$2,020
19
clean
EXC BEN LES TRK/EXT >4.0CM
$6,295
$2,518
$2,425
38
clean
EXC BEN LES SC/HD/FT<=0.5CM
$6,295
$2,518
$2,153
38
clean
EXC LES SCLP/NK/HND/FT 0.6-1CM
$6,910
$2,764
$2,363
38
clean
EXC BEN LES SC/HD/FT 1.1-2CM
$7,525
$3,010
$2,574
38
clean
EXC BEN LES SC/HD/FT 2.1-3CM
$8,141
$3,256
$2,651
38
clean
EXC BEN LES SC/HD/FT 3.1-4CM
$8,756
$3,502
$2,995
19
clean
EXC BEN LES SC/HND/FT >4.0CM
$9,370
$3,748
$3,364
19
clean
EXC BEN LES FACE <=0.5CM
$3,661
$1,464
$1,284
19
clean
EXC LES FACE/EAR/NOSE 0.6-1CM
$4,100
$1,640
$1,402
19
clean
EXC BEN LES FACE 1.1-2.0CM
$4,539
$1,816
$1,552
19
clean
EXC BEN LES FACE 2.1-3.0CM
$4,978
$1,991
$1,702
19
clean
EXC BEN LES FACE 3.1-4.0CM
$5,418
$2,167
$1,853
19
clean
EXC BEN LES FACE >4.0CM
$5,856
$2,342
$2,102
19
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
—
—
$282
9
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
—
—
$293
9
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
—
—
$245
9
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
—
—
$315
9
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
—
—
$125
9
clean
EXC MAL TRNK/ARM/LEG 1.1-2CM
$4,100
$1,640
$1,402
19
clean
EXC MAL TRNK/ARM/LEG 2.1-3CM
$4,539
$1,816
$1,552
19
clean
EXC MAL LES SC/HND/FT<=.5CM982
$3,953
$1,581
$1,352
19
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
—
—
$379
9
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
—
—
$488
9
clean
EXC MAL FACE/EAR/NOSE <=.5CM
$3,221
$1,288
$1,156
19
clean
EXC MAL FACE/EAR/NOSE 0.6-1CM
$3,661
$1,464
$1,284
19
clean
EXC MAL FACE/EAR/NOSE 1.1-2CM
$4,100
$1,640
$1,402
19
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
—
—
$505
9
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
—
—
$641
9
clean
TRIM NONDYSTROPH NAILS
$155
$62
$73
13
clean
DEBR NAIL 1-5
$293
$117
$105
38
clean
DEBR NAIL 6 OR MORE
$366
$146
$131
19
clean
REMOVE NAIL PLT SNGL
$462
$185
$208
38
clean
REMOVE NAIL PLT EA ADDL
$348
$139
$125
38
clean
EVAC SUBUNGUAL HEMAT
$288
$115
$130
38
clean
EXC NAIL AND MATRIX PERM
$849
$340
$381
38
clean
REPAIR NAIL SIMPLE 450
$1,902
$761
$650
19
clean
Repair of fingernail or toenail bed with graft
—
—
$295
9
clean
WEDGE EXCISN-SKIN OF NAIL FOLD
$849
$340
$381
38
clean
Injection into skin growth, more than 7 growths
—
—
$55
9
clean
Tattooing of skin to correct color issue, 6.0 sq cm or less
—
—
$1,538
4
clean
Tattooing of skin to correct color issue, 6.1-20.0 sq cm
—
—
$1,263
4
clean
Tattooing of skin to correct color issue, each additional 20.0 sq cm
—
—
$1,263
4
clean
Injection of filling material under skin, 1.1-5.0 cc
—
—
$2,102
3
clean
Replacement of tissue expander with permanent implant
—
—
$698
9
clean
Placement of hormone pellet under skin
—
—
$139
9
clean
LAC REP SIM TRUNK < 2.6 450
$806
$322
$289
19
clean
LAC REP SIM TRUNK 2.6-7.5 450
$1,128
$451
$405
19
clean
LAC REP SIM TRUNK 7.6-12.5 450
$1,450
$580
$496
19
clean
LAC REP SIM TRUNK 12.6-20 450
$1,771
$708
$606
19
clean
LAC REP SIM TRUNK 20.1-30 450
$2,407
$963
$823
19
clean
LAC REP SIM TRUNK > 30 450
$2,780
$1,112
$951
19
clean
LAC REP SIM FACE EAR <2.6CM
$733
$293
$275
38
clean
LAC REP SIM FACE EAR 2.6-5 450
$1,128
$451
$405
19
clean
LAC REP SIM FACE EAR5.1-7.5450
$1,667
$667
$570
19
clean
LAC REP SIM FACE ER7.6-12.5450
$2,037
$815
$697
19
clean
LAC REP SIM FACE EAR12.6-20450
$2,407
$963
$823
19
clean
LAC REP SIM FACE EAR20.1-30450
$2,417
$967
$827
19
clean
LAC REP SIM FACE EAR >30 450
$2,489
$996
$851
19
clean
SIMP CLOSE WOUND DEHISCENCE
$1,464
$586
$683
57
clean
WOUND DEHISCENCE W PACKING 450
$2,417
$967
$827
19
clean
LAC REP INT SCALP TK<2.6 450
$1,482
$593
$507
19
clean
LAC REP INT SCALP TK2.6-7.5450
$2,297
$919
$786
19
clean
LAC REP INT SCALP T7.6-12.5450
$3,111
$1,244
$1,064
19
clean
LAC REP INT SCALP TK12.6-20450
$3,926
$1,570
$1,343
19
clean
LAC REP INT SCALP TK20.1-30450
$4,123
$1,649
$1,410
19
clean
LAC REP INT SCALP TK >30 450
$4,830
$1,932
$1,973
14
clean
LAC REP INT FEET HAND<2.6 450
$1,289
$516
$441
19
clean
LAC REP INT FEET HAN2.6-7.5450
$2,176
$870
$744
19
clean
LAC REP INT FEET HAN7.6-12.450
$3,111
$1,244
$1,064
19
clean
LAC REP INT FEET HAN12.6-20450
$3,414
$1,366
$1,168
19
clean
LAC REP INT FEET HAN20.1-30450
$3,749
$1,500
$1,284
19
clean
LAC REP INT FEET HAN >30 450
$4,392
$1,757
$1,577
19
clean
LAC REP INT FACE EAR <2.6 450
$1,482
$593
$507
19
clean
LAC REP INT FACE EAR2.6-5 450
$2,198
$879
$752
19
clean
LAC REP INT FACE EAR5.1-7.5450
$3,111
$1,244
$1,064
19
clean
LAC REP INT FACE EA7.6-12.5450
$3,926
$1,570
$1,343
19
clean
LAC REP INT FACE EAR12.6-20450
$4,741
$1,896
$1,621
19
clean
LAC REP INT FACE EAR20.1-30450
$4,392
$1,757
$1,502
19
clean
LAC REP INT FACE EAR >30 450
$5,036
$2,014
$1,722
19
clean
LAC REP COMP TRUNK 1.1-2.5 450
$1,464
$586
$501
19
clean
LAC REP COMP TRUNK 2.6-7.5 450
$1,830
$732
$626
19
clean
LAC REP TRNK EA AD 5CM OR< 450
$366
$146
$131
19
clean
LAC REP COM SCLP ARM1.1-2.5
$1,464
$586
$501
19
clean
LAC REP COM SCALP TK2.6-7.5450
$5,798
$2,319
$1,983
19
clean
LAC REP COM SCALP TK + 5CM 450
$421
$168
$151
19
clean
LAC REP COM FT HAND 1.1-2.5450
$1,464
$586
$501
19
clean
LAC REP COM FT HAND 2.6-7.5450
$1,830
$732
$626
19
clean
LAC REP COM FT HAND EA ADDL5CM
$366
$146
$146
19
clean
LAC REP COM FACE EAR1.1-2.5450
$1,464
$586
$501
19
clean
LAC REP COM FACE EAR2.6-7.5450
$2,105
$842
$720
19
clean
LAC REP COM FACE EAR E+5CM 450
$919
$368
$330
19
clean
LATE CLOSURE OF WOUND COMP 450
$6,295
$2,518
$2,153
19
clean
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm
—
—
$528
9
clean
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
—
—
$610
9
clean
AJ TIS TH/CH DEF M 10SQCM
$6,295
$2,518
$2,153
19
clean
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
—
—
$763
9
clean
Repair of wound by transferring skin, 30.1-60.0 sq cm
—
—
$1,275
9
clean
Repair of wound by transferring skin, each additional 30.0 sq cm
—
—
$272
9
clean
Repair of tissue loss of finger or toe
—
—
$910
9
clean
Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$92
9
clean
Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
—
—
$839
9
clean
Partial thickness self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$153
9
clean
Deep layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$1,008
9
clean
Deep layer self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area of infants and children, or less
—
—
$154
9
clean
Deep layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$1,209
9
clean
Tissue self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less
—
—
$997
9
clean
Full thickness skin graft to trunk, 20.0 sq cm or less
—
—
$532
9
clean
Full thickness skin graft to trunk, each additional 20.0 sq cm
—
—
$139
9
clean
Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less
—
—
$533
9
clean
Full thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm
—
—
$202
9
clean
FL SKN GRAFT UP TO 20SQCM 450
$4,278
$1,711
$1,536
19
clean
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 20.0 sq cm
—
—
$269
9
clean
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
—
—
$763
9
clean
Full thickness skin graft to nose, ears, eyelids, or lips, each additional 20.0 sq cm
—
—
$337
9
clean
SKIN SUB GRAFT T/ARMLEG 25CM
$4,704
$1,882
$1,689
19
clean
SKIN SUB GRAFT T/ARMLEG ADD25
$1,569
$628
$537
19
clean
SKIN SUB GRFT T/ARMLEG1ST100CM
$6,295
$2,518
$2,260
19
clean
SKIN SUB GRFT T/ARMLEG ADD100
$2,100
$840
$718
19
clean
SKN SUB GRFT F/N/HF/G 25CM
$4,799
$1,920
$1,723
19
clean
SKN SUB GRFT F/N/HF/G ADD25CM
$1,426
$570
$488
19
clean
SKN SUB GRFT F/N/HF/G 1ST100CM
$5,125
$2,050
$1,840
19
clean
SKN SUB GRFT F/N/HF/G ADD100CM
$1,708
$683
$584
19
clean
Creation of flap graft to trunk
—
—
$1,044
9
clean
Creation of flap graft to scalp, arms, or legs
—
—
$990
9
clean
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet
—
—
$1,050
9
clean
Creation of flap graft to eyelids, nose, ears, lips, or mouth
—
—
$572
9
clean
Transfer of skin flap to trunk
—
—
$305
9
clean
Transfer of skin flap to scalp, arms, or legs
—
—
$337
9
clean
Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet
—
—
$458
9
clean
Transfer of skin flap to eyelids, nose, ears, or lips
—
—
$458
9
clean
Transfer of skin flap
—
—
$254
9
clean
Creation of flap graft to midface
—
—
$2,000
9
clean
Creation of flap graft to nose, forehead, temple, or scalp
—
—
$1,286
9
clean
Creation of muscle graft to trunk
—
—
$1,700
9
clean
Creation of muscle graft to arm
—
—
$1,569
9
clean
Creation of muscle graft to leg
—
—
$1,702
9
clean
Creation of skin and tissue graft
—
—
$915
9
clean
Creation of nerve and blood vessel skin graft
—
—
$763
9
clean
Muscle graft with repair of small blood vessel
—
—
$3,344
9
clean
Skin graft with repair of small blood vessel
—
—
$3,367
9
clean
Tissue graft with repair of small blood vessel
—
—
$3,350
9
clean
Graft with closure of wound
—
—
$763
9
clean
Self soft tissue graft
—
—
$697
8
clean

Showing the first 200 of 9,167 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_negotiated_above_max_systematic
1,299 of 8,261 comparable items (16%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. a negotiated rate of $46,254 is above the file's own maximum $20,321
warn
mrf_negotiated_above_gross_systematic
670 of 1,735 comparable items (39%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $9,076 exceeds the gross charge $2,000
CPT 49406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76818/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, min, max differ, so no cross-line comparison was made for this item
CPT 86304/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, min differ, so no cross-line comparison was made for this item
CPT 87278/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76819/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, max differ, so no cross-line comparison was made for this item
CPT 82128/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, min differ, so no cross-line comparison was made for this item
CPT 84066/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84075/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93017/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49418/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82131/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, min differ, so no cross-line comparison was made for this item
CPT 86316/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87281/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, max differ, so no cross-line comparison was made for this item
CPT J8700/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, max differ, so no cross-line comparison was made for this item
CPT 72125/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87299/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9000/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, max differ, so no cross-line comparison was made for this item
CPT 82135/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86317/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 49427/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72127/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0878/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 49440/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72128/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76830/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86328/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0881/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, max differ, so no cross-line comparison was made for this item
CPT 33286/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82139/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 84087/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87324/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, min, max differ, so no cross-line comparison was made for this item
CPT 49446/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76856/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84100/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, min, max differ, so no cross-line comparison was made for this item
CPT 86329/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, min differ, so no cross-line comparison was made for this item
CPT J0883/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 72131/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76857/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82150/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87327/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 J0885/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, max differ, so no cross-line comparison was made for this item
CPT 49450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72132/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76870/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84105/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 86331/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87328/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A9576/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, max differ, so no cross-line comparison was made for this item
CPT J9035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 49451/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76872/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, max differ, so no cross-line comparison was made for this item
CPT 82157/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87329/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT A9577/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, max differ, so no cross-line comparison was made for this item
CPT J0895/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9040/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, max differ, so no cross-line comparison was made for this item
CPT 72141/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86332/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 A9579/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, max differ, so no cross-line comparison was made for this item
CPT J0897/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 72142/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76882/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82163/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86334/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 87337/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1010/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, max differ, so no cross-line comparison was made for this item
CPT 49465/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86335/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, min differ, so no cross-line comparison was made for this item
CPT 87338/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 93307/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1050/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, max differ, so no cross-line comparison was made for this item
CPT J9045/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, max differ, so no cross-line comparison was made for this item
CPT 24675/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 72146/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82172/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86336/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87340/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, min differ, so no cross-line comparison was made for this item
CPT 93308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A9585/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, max differ, so no cross-line comparison was made for this item
CPT 72147/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82175/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84120/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, min differ, so no cross-line comparison was made for this item
CPT 87341/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93312/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1100/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, max differ, so no cross-line comparison was made for this item
CPT 76937/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86337/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 87350/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT B4087/b
info
mrf_item_fields_vary
this code and setting cover at least 47 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1110/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, max differ, so no cross-line comparison was made for this item
CPT J9060/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, max differ, so no cross-line comparison was made for this item
CPT 50200/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 72148/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82180/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84126/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86340/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT B4088/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, max differ, so no cross-line comparison was made for this item
CPT 50382/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72149/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82190/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84132/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, max differ, so no cross-line comparison was made for this item
CPT 87380/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1160/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, max differ, so no cross-line comparison was made for this item
CPT J9075/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, max differ, so no cross-line comparison was made for this item
CPT 50384/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 72156/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76942/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82232/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, min differ, so no cross-line comparison was made for this item
CPT 84133/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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, min differ, so no cross-line comparison was made for this item
CPT 87385/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, max differ, so no cross-line comparison was made for this item
CPT C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 3708 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36000/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 72157/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82239/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 84134/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 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, min, max differ, so no cross-line comparison was made for this item
CPT J1162/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9100/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, max differ, so no cross-line comparison was made for this item
CPT 50387/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72158/b
info
mrf_item_fields_vary
this code and setting cover at least 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, min differ, so no cross-line comparison was made for this item
CPT 93350/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1165/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, max 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 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82247/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84140/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87425/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 93351/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1721/b
info
mrf_item_fields_vary
this code and setting cover at least 33 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1171/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, max differ, so no cross-line comparison was made for this item
CPT J9130/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, max differ, so no cross-line comparison was made for this item
CPT 36010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 50389/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 93451/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1722/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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 50390/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 84143/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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, min differ, so no cross-line comparison was made for this item
CPT 93452/b
info
mrf_item_fields_vary
this code and setting cover at least 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 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9155/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36012/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84144/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 87427/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 93453/b
info
mrf_item_fields_vary
this code and setting cover at least 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 205 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9171/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, max differ, so no cross-line comparison was made for this item
CPT 72192/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76998/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82271/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, max 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 69 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 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 50430/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 72193/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84145/b
info
mrf_item_fields_vary
this code and setting cover at least 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, min differ, so no cross-line comparison was made for this item
CPT 87449/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 232 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77001/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82274/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84146/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 50431/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 77002/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, max differ, so no cross-line comparison was made for this item
CPT 84153/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 87471/b
info
mrf_item_fields_vary
this code and setting cover at least 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 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1245/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, max differ, so no cross-line comparison was made for this item
CPT J9181/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, max differ, so no cross-line comparison was made for this item
CPT 50432/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, max differ, so no cross-line comparison was made for this item
CPT 72195/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77003/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, max differ, so no cross-line comparison was made for this item
CPT 82300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 87476/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 93459/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1250/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, max differ, so no cross-line comparison was made for this item
CPT J9185/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84154/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9190/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, max differ, so no cross-line comparison was made for this item
CPT 36200/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 50433/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 3,549 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 083
info
inp_charge_10x_payment
average charge $169,054 is 11.0× 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. · csv-wide · 69.7M bytes · fetched 2026-08-26 · sha256 667b89556e22…

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.