Hospital · CCN 050746

Orange County Global Medical Center

1001 North Tustin Avenue, Santa Ana, CA 92705 · Orange County
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

30 admission types 23 outpatient services price file: ok
Billed per dollar paid, all admissions
4.71×
$70.5M billed against $15.0M paid across 678 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
128
$96,400
$20,837
4.6× st 6.2×
291
Heart failure and shock with mcc
37
$59,436
$13,886
4.3× st 6.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
37
$142,280
$22,659
6.3× st 7.4×
086
Traumatic stupor and coma <1 hour with cc
36
$70,815
$13,227
5.4× st 7.9×
089
Concussion with cc
35
$64,790
$12,540
5.2× st 5.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
29
$234,399
$50,370
4.7× st 6.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
29
$71,520
$13,614
5.3× st 5.7×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
26
$51,707
$10,187
5.1× st 6.9×
689
Kidney and urinary tract infections with mcc
21
$56,257
$12,593
4.5× st 6.3×
085
Traumatic stupor and coma <1 hour with mcc
20
$113,481
$20,326
5.6× st 7.1×
082
Traumatic stupor and coma >1 hour with mcc
19
$111,379
$24,159
4.6× st 7.7×
682
Renal failure with mcc
18
$60,531
$14,625
4.1× st 6.1×
870
Septicemia or severe sepsis with mv >96 hours
18
$258,245
$63,628
4.1× st 6.2×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
17
$694,957
$153,780
4.5× st 5.9×
193
Simple pneumonia and pleurisy with mcc
17
$63,638
$14,241
4.5× st 6.9×
552
Medical back problems without mcc
15
$57,003
$10,494
5.4× st 7.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
14
$67,130
$12,099
5.5× st 7.9×
690
Kidney and urinary tract infections without mcc
14
$40,069
$9,072
4.4× st 6.6×
177
Respiratory infections and inflammations with mcc
14
$68,381
$17,416
3.9× st 6.6×
312
Syncope and collapse
13
$42,636
$9,650
4.4× st 7.2×
083
Traumatic stupor and coma >1 hour with cc
13
$66,722
$14,767
4.5× st 8.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$36,476
$8,676
4.2× st 6.3×
313
Chest pain
13
$30,833
$8,256
3.7× st 7.7×
280
Acute myocardial infarction, discharged alive with mcc
13
$64,907
$16,382
4.0× st 6.6×
580
Other skin, subcutaneous tissue and breast procedures with cc
12
$70,635
$18,123
3.9× st 6.5×
069
Transient ischemia without thrombolytic
12
$52,508
$10,340
5.1× st 9.5×
308
Cardiac arrhythmia and conduction disorders with mcc
12
$70,977
$13,167
5.4× st 6.9×
604
Trauma to the skin, subcutaneous tissue and breast with mcc
11
$64,657
$16,323
4.0× st 3.9×
088
Concussion with mcc
11
$90,205
$16,435
5.5× st 5.5×
698
Other kidney and urinary tract diagnoses with mcc
11
$89,586
$18,121
4.9× st 6.2×
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
37
$30,869
$3,231
9.6×
5164
Level 4 ENT Procedures
24
$29,052
$3,958
7.3×
5191
Level 1 Endovascular Procedures
22
$18,369
$4,013
4.6×
5302
Level 2 Upper GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-06-15, template 3.0.0, 39,761 rows scanned, 3,732 distinct code–setting items kept. 3,125 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT-BRAIN PERFUSION ANALYSIS
$3,095
$3,095
$1,857
83
clean
TCAT PLMT XTRC VRT CRTD STENT RSI PRQ 1ST VSL
$4,270
$4,270
$4,270
97
clean
RESPIRATORY PATHOGEN PANEL
$892
$892
$467
132
clean
TRANSLUMINAL PERIPHERAL ATHERECTOMY EA VESSEL
$37,173
$37,173
$14,848
118
clean
FNA BIOPSY INCL US GUIDANCE 1ST LESION
$2,303
$2,303
$911
364
clean
FNA BIOPSY INCL US GUIDANCE ADDITIONAL LESION
$1,152
$1,152
$622
146
clean
FNA BIOPSY INCL FLUOURO GUIDANCE 1ST LESION
$2,303
$2,303
$990
264
clean
FNA BIOPSY INCL GUIDANCE 1ST LESION
$2,303
$2,303
$990
132
clean
FNA BIOPSY INCL GUIDANCE ADDL LESION
$1,152
$1,152
$707
72
clean
ER-FNA BIOPSY WO IMAGING GUIDANCE 1ST LESION
$2,794
$2,794
$598
131
clean
XR IMAGE GUIDED FLUID COLLCTN DRNG BY CATH PRCTNS
$3,727
$3,727
$996
395
clean
DRAINAGE OF SKIN ABSCESS
$925
$925
$336
354
clean
ER-INCISION DRAINAGE OF SKIN ABSCESS COMPLEX
$2,794
$2,794
$523
354
clean
ER-INCISION DRAINAGE OF PILONIDAL CYST SIMPLE
$5,031
$5,031
$906
222
clean
ER-INCISION DRAINAGE OF PILONIDAL CYST COMPLEX
$5,031
$5,031
$906
222
clean
ER-INCISION REMOVAL FOREIGN BODY SIMPLE
$2,794
$2,794
$523
222
clean
ER-INCISION REMOVAL FOREIGN BODY COMPLEX
$11,375
$11,375
$2,124
131
clean
ER-INCSN DRNG OF HEMATOMASEROMA FLD CLLCTN
$11,375
$11,375
$2,124
354
clean
PUNC ASP ABSCESSHEMATOMACYST
$1,279
$1,279
$520
354
clean
ER-INCISION DRAINAGE COMPLEX PSTOPRTV WND INFCTN
$19,168
$19,168
$3,736
263
clean
ER-DEBRIDE INFECTED SKIN UP TO 10
$4,234
$4,234
$598
131
clean
DEBRIDE GENITALIA PERINEUM
$5,512
$5,512
$5,512
111
clean
DEBRIDE ABDOM WALL
$5,512
$5,512
$5,512
111
clean
DEBRIDE GENITPERABDOM WALL
$5,512
$5,512
$5,512
111
clean
ER-DBRDMNT INCL RMVL FRGN MTRL OPEN FX
$5,031
$5,031
$911
131
clean
ER-DEBRID SKNTISMUSC OPEN FX OR DISLOC
$5,031
$5,031
$911
131
clean
ER-DEB OPN FXDISLOC SKNTISMUSCLBONE
$19,168
$19,168
$3,736
131
clean
ER-DEBRIDE SKINTISSUE 1ST 20 OR<
$2,794
$2,794
$523
222
clean
ER-DEBRIDE TISSUEMUSCLE 1ST 20 OR <
$4,234
$4,234
$946
222
clean
ER-DEBRIDE BONETISSUEMUSCLE 1ST 20 OR<
$11,375
$11,375
$2,124
232
clean
ER-DEBRIDE SKINTISSUE EA ADDL 20 SQ CM
$5,687
$5,687
$2,986
108
clean
DEB MUSCFASCIA ADD-ON
$551
$551
$551
180
clean
DEB BONE ADD-ON
$551
$551
$551
186
clean
PARINTCUTG B9 HYPRKER LES 1
$939
$939
$299
131
clean
PUNCH BX SKIN SINGLE LESION
—
—
$520
101
clean
PUNCH BX SKIN EA SEP/ADDL
—
—
$421
41
clean
US GUIDED SOFT TISSUE BIOPSY
$2,975
$2,975
$1,011
132
clean
ER-REM SKIN TAGS ANY AREA<15 LESIONS
$1,452
$1,452
$258
222
clean
ER-REMOVAL SKIN TAGS ADDTL 10 LESIONS
$726
$726
$508
73
clean
ER-TX LES BGN TRNKARMLEGS .5CM<
$5,031
$5,031
$911
232
clean
ER-TX LES BGN TRNKARMLEGS .6-1 CM
$2,794
$2,794
$598
131
clean
ER-LESION TX TRUNKARMLEG 1.1-2 CM
$5,031
$5,031
$911
131
clean
ER-LESION TX TRUNKARMLEG EXC 2.1-3CM
$5,031
$5,031
$911
131
clean
ER-LESION TX TRUNKARMLEG 3.1-4 CM
$11,375
$11,375
$2,124
232
clean
ER-EXC B9 LSN MRGN XCP SK TG TAL 4.0CM
$11,375
$11,375
$2,124
131
clean
ER-EXCSN BENIGN LESION SNHFG <0.5CM
$11,375
$11,375
$2,124
232
clean
ER-LES SCLNCKHNDFTGENIT.6-1
$5,031
$5,031
$911
232
clean
ER-LESION TX SCALPNCKHNDFTGEN1.1-2.0CM
$11,375
$11,375
$2,124
131
clean
ER-LESION TX SCALPNCKHEADFTGEN 2.1-3.0CM
$11,375
$11,375
$2,124
232
clean
ER-TX LESION SCALPNKLGFTGEN 3.1-4.0CM
$11,375
$11,375
$2,124
131
clean
ER-EXC FACE-MM B9MARG 0.5CM
$5,031
$5,031
$911
131
clean
ER-TRIM NAIL(S)
$450
$450
$99
117
clean
ER-DEBRIDE NAIL 1-5
$450
$450
$91
131
clean
ER-DEBRID NAIL 6 OR MORE
$450
$450
$91
131
clean
ER-REMOVAL OF NAIL PLATE
$1,452
$1,452
$258
222
clean
ER-REMOVE NAIL PLATE ADD ON
$290
$290
$215
108
clean
ER-DRAIN BLOOD FROM UPPER NAIL
$912
$912
$441
222
clean
ER-EXCSN of NAILMTRX PRTLCOMPL FOR RMVL
$2,794
$2,794
$523
232
clean
ER-REPAIR OF NAIL BED
$4,234
$4,234
$946
222
clean
ER-RECONSTRUCTION OF NAIL BED WGRAFT
$13,847
$13,847
$2,654
131
clean
ER-WEDGE EXCISION SKIN of NAIL FOLD TOE
$2,794
$2,794
$523
222
clean
REMOVAL OF PILONIDAL LESION
—
—
$3,718
101
clean
REMOVAL OF PILONIDAL LESION
—
—
$3,718
101
clean
INJECTION INTO SKIN LESIONS
—
—
$257
101
clean
ADDED SKIN LESIONS INJECTION
—
—
$257
101
clean
REMOVE TISSUE EXPANDER(S)
—
—
$3,718
101
clean
REMOVE NON BIODEGRADABLE DRUG DELIVERY IMPLANT
$1,004
$1,004
$575
365
clean
ER-RPR SUPFISCIAL WND<2.5CMSCLP TRNK NCK AXILA
$1,452
$1,452
$258
222
clean
ER-RPR SUPFICIAL WND2.6-7.5SCLP TRNK NCK AXILA
$1,452
$1,452
$258
222
clean
ER-RPR SUPFICIAL WND7.6-12.5SCLP TRNK NCK AXILA
$1,452
$1,452
$258
222
clean
ER-RPR SUPFICIAL WND12.6-20.0SCLP TRNK NCK AXILA
$2,794
$2,794
$523
222
clean
ER-RPR SUPFICIAL WND20.1-30.0SCLP TRNK NCK AXILA
$2,794
$2,794
$523
222
clean
ER-RPR SUPFICIAL WND>30.1SCLP TRNK NCK AXILA
$1,452
$1,452
$387
131
clean
ER-WOUND<2.5CMFACEEAR
$1,452
$1,452
$258
222
clean
ER-WOUND 2.6 - 5.0CMFACEEAR
$1,452
$1,452
$258
222
clean
ER-SMPL REPAIR SF WOUND 5.1CM - 7.5CM
$1,452
$1,452
$258
222
clean
ER-SMPL REPAIR SF WOUND 7.6CM - 12.5CM
$1,452
$1,452
$258
222
clean
ER-SMPL REPAIR SF WOUND 12.6CM - 20.0CM
$2,794
$2,794
$523
222
clean
ER-WOUND 20.1-30.0CM FACEEAR
$2,794
$2,794
$654
131
clean
ER-SIMPLE REAIR SF WOUND OVER 30.0CM
$1,452
$1,452
$400
131
clean
ER-TRTMNT SPRFCL WND DEHISCENCE SMPL CLSR
$4,234
$4,234
$946
222
clean
ER-TRTMNT SPRFCL WND SMPL CLSR WPACKING
$2,794
$2,794
$598
131
clean
ER-INT WOUND<2.5CM TRUNKSCLPAXIL
$2,794
$2,794
$523
222
clean
ER-INT WOUND 2.6 - 7.5CM TRUNKSCLPAXIL
$2,794
$2,794
$523
222
clean
ER-INT WOUND 7.6 - 12.5CM TRNKSCLPAXIL
$2,794
$2,794
$523
222
clean
ER-INT WOUND 12.6 - 20CM TRNKSCLPAXIL
$2,794
$2,794
$523
222
clean
ER-INT WOUND 20.1 - 30.0TRUNKSCLPAXIL
$4,234
$4,234
$946
222
clean
ER-INT WOUND> 30.1CM TRUNKSCLPAXIL
$13,847
$13,847
$2,654
131
clean
ER-INT WOUND<2.5CM NCKHNDFEETGENIT
$2,794
$2,794
$523
222
clean
ER-INT WOUND 2.6 - 7.5 NCKHNDFEETGENIT
$2,794
$2,794
$523
222
clean
ER-INT WOUND 7.6 - 12.5NCKHNDFEETGENIT
$4,234
$4,234
$946
222
clean
ER-INT WOUND 12.6 - 20.0NCKHNDFEETGENIT
$4,234
$4,234
$951
131
clean
ER-INT WOUND 20.1 - 30.0NCKHNDFEETGENIT
$4,234
$4,234
$951
131
clean
ER-INT WOUND>30.1CM NCKHNDFEETGENIT
$13,847
$13,847
$2,654
131
clean
ER-INT WOUND <2.5CM FACEEAR
$2,794
$2,794
$523
222
clean
ER-INT WOUND 2.6 - 5.0CM FACEEAR
$2,794
$2,794
$523
222
clean
ER-INT WOUND 5.1 - 7.5CM FACEEAR
$2,794
$2,794
$523
222
clean
ER-INT WOUND 7.6 - 12.5CM FACEEAR
$2,794
$2,794
$523
222
clean
ER-INT WOUND 12.6 - 20.0CM FACEEAR
$2,794
$2,794
$598
131
clean
ER-INT WOUND 20.1 - 30.0CM FACEEAR
$2,794
$2,794
$669
131
clean
ER-INT WOUND >30.1CM FACEEAR
$2,794
$2,794
$669
131
clean
ER-RPR COMPLEX 1.1 - 2.5CM TRUNK
$4,234
$4,234
$946
222
clean
ER-CMPLX WOUND REPAIR TRUNK 2.6cm-7.5cm
$4,234
$4,234
$946
222
clean
ER-RPR COMPLEX ADD 5.0CM OR LESS TRUNK
$847
$847
$593
108
clean
ER-CMPLX WND REPR SCALPARMLEG 1.1-2.5
$4,234
$4,234
$598
131
clean
ER-CMPLX WND REPR SCLPARMLEG 2.6-7.5CM
$4,234
$4,234
$523
222
clean
ER-RPR CPLX ADD 5.0CM OR< SCLPARMLEG
$847
$847
$593
108
clean
ER-RPR CPLX 1-2.5CM FCCMMAXGHF
$2,794
$2,794
$523
222
clean
ER-RPR CPLX 2.6-7.5CM FCCMNAXGHF
$4,234
$4,234
$523
222
clean
ER-RPR CPLX ADD 5CM FCCMNAXGHF
$847
$847
$593
108
clean
ER-RPR CPLX 1.1-2.5CM ENEL
$4,234
$4,234
$946
222
clean
ER-RPR CPLX 2.6-7.5CM ENEL
$4,234
$4,234
$946
222
clean
ER-RPR CPLX ADD 5CM ENEL EA ADDL 5CM OR<
$847
$847
$593
108
clean
ER-SECONDRY WOUND CLOSURE COMEXTENSIVE
$13,847
$13,847
$4,558
131
clean
SKIN TISSUE REARRANGEMENT
—
—
$2,641
101
clean
SKIN TISSUE REARRANGEMENT
—
—
$2,641
101
clean
ER-ADJT TIS TRNSRRGMT SCLARMLEG<10SQC
$13,847
$13,847
$2,654
232
clean
ER-ADJTRRGMT SCLARMLEG 10.1-30.0 SQCM
$13,847
$13,847
$2,654
232
clean
ER-ADJCNT TIS TRNSREARGMT 10SQCM OR<
$13,847
$13,847
$2,654
232
clean
ER-ADJTRRGMT FMNAXGHF 10.1-30SQCM
$13,847
$13,847
$2,654
232
clean
ER-ADJT TIS TX EYELIDNOSEEARLIP<10SQC
$13,847
$13,847
$2,654
232
clean
ER-ADJTTX EYELDNOSEARLIP 10.1-30.0SQC
$13,847
$13,847
$2,654
131
clean
ER-ADJCNT TIS TRANSREARRGMT 30.1-60SQCM
$28,467
$28,467
$4,547
232
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$421
41
clean
WOUND PREP TRUNKARMLEG 1ST SQ CM1PCT
$8,145
$8,145
$951
233
clean
WOUND PREP TRUNKARMLEG ADDL 100CM
$525
$525
$368
113
clean
WOUND PREP F/N/HF/G
—
—
$520
101
clean
WND PREP F/N/HF/G ADDL CM
—
—
$421
41
clean
ER-SPL AGRFT TAL 1ST 100CM1 INFTCHL
$13,847
$13,847
$2,654
232
clean
ER-SPL AGRFT TAL ADD 100CM1 INFTCHL
$6,923
$6,923
$4,263
73
clean
SKIN SPLIT GRAFT
—
—
$4,535
101
clean
SKIN SPLIT GRAFT ADD-ON
—
—
$421
41
clean
ER-FULL THKNES GRFT-SCLPARMLEG <20SQCM
$13,847
$13,847
$2,654
131
clean
ER-FULL THKNES GRFT-SCLPARMLEG ADDL
$6,923
$6,923
$4,263
73
clean
ER-FULL THK GRFT-FACENCKHNDFT<20SQCM
$13,847
$13,847
$2,654
232
clean
SKIN SUB GRAFT TRNK/ARM/LEG
—
—
$946
101
clean
SKIN SUB GRAFT T/A/L ADD-ON
—
—
$421
41
clean
SKIN SUB GRAFT TRUNKARMLEG CHILD
$16,024
$16,024
$2,654
364
clean
SKIN SUB GRAFT TRUNKARMLEG CHILD ADD
$525
$525
$525
186
clean
ER-SUB GRFT FSNHFGMD 1ST 25 SQCM
$13,847
$13,847
$951
232
clean
SKIN SUB GRAFT F/N/HF/G ADDL
—
—
$421
41
clean
SKN SUB GRFT F/N/HF/G CHILD
—
—
$2,641
101
clean
SKN SUB GRFT F/N/HF/G CH ADD
—
—
$421
41
clean
MUSC MYOQ/FSCQ FLP H&N PEDCL
—
—
$4,535
101
clean
MUSCLE-SKIN GRAFT, ARM
—
—
$2,641
101
clean
ER-GRFT WPRIMARY CLSR DONOR AREA
$13,847
$13,847
$2,654
131
clean
ABRASION TREATMENT OF SKIN
—
—
$3,718
101
clean
REMOVAL SUTR OR STAPLE REQ ANES
$8,838
$8,838
$2,997
132
clean
REMOVAL SUTRSTAPL XREQ ANES
$276
$276
$276
80
clean
ER-BURN INTIIAL TREATMENT
$1,452
$1,452
$258
222
clean
ER-DRESSINGDEB BURN <5 SM
$1,452
$1,452
$288
299
clean
ER-DRESSINGDEB BURN 5-10 MED
$1,452
$1,452
$258
341
clean
ER-DRESSINGDEB BURN >10 LG
$2,794
$2,794
$523
341
clean
ER-ESCHAROTOMY INITIAL INCISION
$2,794
$2,794
$598
131
clean
ER-ECHAROTOMY EACH ADD INCISION
$1,397
$1,397
$1,397
111
clean
ER-LESION TX BENIGN CUTAN LASER <105Q CM
$2,794
$2,794
$598
131
clean
ER-DESTRUCTION OF BENIGN LESIONS
$1,452
$1,452
$308
131
clean
ER-CHEMICAL CAUTERIZATION GRANULATION TISS
$1,452
$1,452
$308
131
clean
ER-UNLSTED PROC SKIN MUC MMBRNSUBQ TIS
$1,452
$1,452
$309
131
clean
PUNC ASPIR BREAST CYST 1ST LESION
$2,303
$2,303
$990
132
clean
PUNC ASPIR BREAST CYST ADDL LESION
$1,152
$1,152
$707
72
clean
ER-MASTOTOMY W-EXPLORDRAIN ABSCESS DEEP
$11,375
$11,375
$2,124
262
clean
INJECTION FOR BREAST X-RAY
$551
$551
$389
72
clean
XR BX BREAST WCLIP PLACE 1ST LES WSTEREO
$5,207
$5,207
$2,367
132
clean
BREAST BX LOC IMAGE GUIDE STEREOT ADDTL
$4,214
$4,214
$2,552
74
clean
US BX BRST WLOCAL DVC WUS 1ST LES
$10,532
$10,532
$2,367
132
clean
US BX BRST WLOCAL DVC WUS GUD EA ADDL
$8,693
$8,693
$5,216
74
clean
REMOVAL OF BREAST LESION
—
—
$5,011
101
clean
BIOPSYEXCISION LYMPH NODE OPEN DEEP LT
$11,686
$11,686
$5,260
132
clean
PLCMNT BRST LCLZTN DVC PERC 1ST LES W-MAM GD LT
$810
$810
$810
396
clean
PLCMNT BRST LCLZTN DVC PERC EA ADDL LES W-MAM GD
$810
$810
$497
74
clean
PLCMNT BRST LCLZTN DVC PERC 1ST LES W-STERO LT
$3,727
$3,727
$1,089
396
clean
PLCMNT BRST LCLZTN DVC PERC EA ADDTL LES W-STERO
$1,864
$1,864
$1,143
74
clean
PLCMNT BRST LCLZTN DVC PERC 1ST LES W-US GD LT
$8,169
$8,169
$1,089
396
clean
PLCMNT BRST LCLZTN DVC PERC EA ADDL LES W-US GD
$7,172
$7,172
$4,343
74
clean
MASTECTOMY FOR GYNECOMASTIA
—
—
$5,011
101
clean
PARTIAL MASTECTOMY
—
—
$5,011
101
clean
P-MASTECTOMY W/LN REMOVAL
—
—
$8,499
101
clean
MAST RADICAL
—
—
$50,000
79
clean
MAST MOD RAD
—
—
$8,499
101
clean
REDUCTION OF LARGE BREAST
—
—
$8,499
101
clean
ER-EXPLORATION PENETRATING WOUND NECK
$3,656
$3,656
$1,035
262
clean
ER-EXPLORATION PENETRATING WOUND CHEST
$13,847
$13,847
$2,654
131
clean
ER-EXPLRTN PENETRATING WND ABDOMENFLANKBACK
$13,847
$13,847
$2,654
131
clean
ER-EXPLORATION PENETRATING WOUND EXTREMITY
$5,031
$5,031
$2,119
232
clean
BIOPSY MUSCLE SUPERFICIAL
$5,207
$5,207
$2,367
132
clean
IR US Guided Biopsy Deep Muscle
$8,052
$8,052
$4,092
132
clean
BIOPSY MUSCLE PERCUTANEOUS NEEDLE
$5,207
$5,207
$2,124
225
clean
BIOPSY BONE TROCAR OR NEEDLE SUPERFICIAL
$5,207
$5,207
$2,124
225
clean
BIOPSY BONE TROCAR OR NEEDLE DEEP
$5,207
$5,207
$2,367
132
clean
XR INJ SINUS TRACT DIAGNOSTIC
$5,207
$5,207
$3,181
72
clean
ER-RMVL FORGN BDY MUSCLE OR TENDON SHEATH SIMPLE
$11,375
$11,375
$2,124
131
clean
ER-RMVL FRGN BDY MUSCLETENDON SHTH DEEPCMPLCTD
$19,168
$19,168
$3,736
131
clean
ER-INJ SNGL TENDON SHTHLGMNTAPNRSS
$2,112
$2,112
$525
363
clean
INJ SNGL MULTIPLE TRIGGER POINT 1 OR 2 MUSCLE
$967
$967
$440
263
clean
INJ SNGL MULTIPLE TRIGGER POINT 3 OR MORE MUSCLES
$967
$967
$415
132
clean
ASPINJ SMALL JOINT WO GUID LT
$967
$967
$525
759
clean
ASPINJ MINOR JOINT WUS GUID LT
$967
$967
$515
526
clean
ARTHRCNTSS ASPINJ INTRMDT JNTBURSA WO US LT
$967
$967
$525
759
clean
ASPINJ INTERMED JOINTWUS GUID LT
$2,350
$2,350
$1,135
526
clean

Showing the first 200 of 3,732 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
912 of 1,902 comparable items (48%) 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 $882 exceeds the gross charge $302
warn
mrf_rate_without_estimate
43,509 of 43,509 percentage/algorithm rates across 1,347 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 12045/o
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 24650/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28455/o
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 36600/o
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 49613/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 75833/o
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 80361/o
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 86039/o
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 93923/o
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 G0257/o
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 12046/o
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 24655/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28456/o
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 36620/o
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 49650/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 69200/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75840/o
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 88104/o
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 93924/o
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 12047/o
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 49659/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 69209/o
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 75860/o
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 88106/o
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 93925/o
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 24670/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28470/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36680/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49999/o
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 69210/o
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 75872/o
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 86078/o
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 88108/o
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 G0390/o
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 12051/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24675/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36818/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 50200/o
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 75887/o
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 86141/o
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 88112/o
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 93926/o
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 28475/o
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 36819/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 50387/o
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 69399/o
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 75889/o
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 86146/o
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 88160/o
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 93930/o
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 G0396/o
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 12052/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24999/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28476/o
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 50389/o
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 70015/o
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 75891/o
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 81229/o
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 86147/o
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 88161/o
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 25024/o
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 28485/o
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 36825/o
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 70030/o
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 75893/o
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 81240/o
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 86148/o
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 93931/o
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 G0397/o
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 12053/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25248/o
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 36832/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 50390/o
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 70100/o
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 75898/o
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 81241/o
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 88162/o
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 93970/o
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 G0463/o
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 25260/o
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 28490/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50430/o
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 70110/o
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 88172/o
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 93971/o
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 G0480/o
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 12054/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25280/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 36901/o
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 50432/o
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 70120/o
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 75989/o
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 86160/o
info
mrf_item_fields_vary
this code and setting cover at least 7 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 88173/o
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 93975/o
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 J0153/o
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 12055/o
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 25290/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 28495/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50433/o
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 70130/o
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 76000/o
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 J0165/o
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 12056/o
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 25337/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 28496/o
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 36902/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50434/o
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 70134/o
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 76010/o
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 88182/o
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 93976/o
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 J0360/o
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 12057/o
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 50435/o
info
mrf_item_fields_vary
this code and setting cover at least 7 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 70140/o
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 76080/o
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 86200/o
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 88184/o
info
mrf_item_fields_vary
this code and setting cover at least 7 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 93978/o
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 J0456/o
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 25500/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28510/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36903/o
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 50590/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 70150/o
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 76098/o
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 88185/o
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 J0461/o
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 13100/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25505/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50592/o
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 70160/o
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 76100/o
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 86225/o
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 88230/o
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 93979/o
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 J0500/o
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 25515/o
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 28515/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36904/o
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 50693/o
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 70170/o
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 76120/o
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 J0561/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 13101/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50694/o
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 70190/o
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 76380/o
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 81479/o
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 86235/o
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 88237/o
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 93980/o
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 J0572/o
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 25530/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28530/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36905/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50695/o
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 70200/o
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 76498/o
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 82010/o
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 86255/o
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 J0574/o
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 13102/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 51040/o
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 70210/o
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 76499/o
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 86256/o
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 93981/o
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 J0604/o
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 13120/o
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 25535/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28540/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36906/o
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 70220/o
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 76506/o
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 82040/o
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 86258/o
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 J0692/o
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 28545/o
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 51101/o
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 70240/o
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 76536/o
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 82042/o
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 86300/o
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 88271/o
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 93990/o
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 J0696/o
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 13121/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25560/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28546/o
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 36907/o
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 51102/o
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 70250/o
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 76604/o
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 82043/o
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 88273/o
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 94002/o
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

Showing the first 200 of 3,125 findings, errors first — every finding as JSON →

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 · 426.4M bytes · fetched 2026-08-26 · sha256 6dc87e8f7b3a…

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.