Hospital · CCN 070024

William W Backus Hospital

326 Washington St, Norwich, CT 06360 · New London County
Part of Hartford Healthcare · 187 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

50 admission types 55 outpatient services price file: ok
Billed per dollar paid, all admissions
3.68×
$100.5M billed against $27.3M paid across 1,823 Medicare discharges; the national figure is 5.03×.
1.6%
of adults in New London County have medical debt in collections
—
uninsured in the county · state 6.1%
—
median household income
3.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
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
246
$69,539
$18,459
3.8× st 3.3×
291
Heart failure and shock with mcc
191
$52,054
$11,808
4.4× st 3.7×
193
Simple pneumonia and pleurisy with mcc
103
$52,947
$12,710
4.2× st 3.4×
177
Respiratory infections and inflammations with mcc
89
$62,499
$15,235
4.1× st 3.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
66
$43,041
$16,918
2.5× st 3.3×
189
Pulmonary edema and respiratory failure
56
$52,445
$12,825
4.1× st 3.7×
682
Renal failure with mcc
54
$51,081
$14,118
3.6× st 3.5×
683
Renal failure with cc
53
$32,191
$8,719
3.7× st 3.5×
885
Psychoses
50
$57,378
$12,981
4.4× st 3.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
43
$30,260
$7,752
3.9× st 3.7×
309
Cardiac arrhythmia and conduction disorders with cc
41
$28,242
$7,220
3.9× st 3.8×
378
Gastrointestinal hemorrhage with cc
39
$36,961
$8,927
4.1× st 3.9×
190
Chronic obstructive pulmonary disease with mcc
36
$48,955
$12,621
3.9× st 3.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
34
$101,965
$37,806
2.7× st 3.5×
377
Gastrointestinal hemorrhage with mcc
34
$67,939
$16,231
4.2× st 3.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
33
$40,098
$10,470
3.8× st 3.4×
690
Kidney and urinary tract infections without mcc
33
$28,540
$7,394
3.9× st 3.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
32
$39,043
$9,175
4.3× st 3.9×
603
Cellulitis without mcc
31
$31,351
$8,488
3.7× st 3.1×
194
Simple pneumonia and pleurisy with cc
30
$33,346
$9,212
3.6× st 3.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
27
$27,025
$7,123
3.8× st 3.8×
308
Cardiac arrhythmia and conduction disorders with mcc
26
$47,449
$11,646
4.1× st 3.7×
689
Kidney and urinary tract infections with mcc
25
$37,811
$10,157
3.7× st 3.4×
481
Hip and femur procedures except major joint with cc
24
$63,496
$19,293
3.3× st 3.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
23
$42,829
$11,538
3.7× st 3.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
22
$52,201
$19,195
2.7× st 3.9×
698
Other kidney and urinary tract diagnoses with mcc
22
$53,890
$14,416
3.7× st 3.1×
870
Septicemia or severe sepsis with mv >96 hours
20
$217,189
$70,655
3.1× st 3.6×
638
Diabetes with cc
20
$31,041
$8,282
3.7× st 3.4×
312
Syncope and collapse
20
$33,781
$7,962
4.2× st 4.1×
813
Coagulation disorders
19
$72,858
$16,052
4.5× st 3.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
19
$52,560
$17,192
3.1× st 3.5×
329
Major small and large bowel procedures with mcc
18
$127,736
$43,533
2.9× st 3.2×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
17
$21,955
$6,000
3.7× st 3.9×
330
Major small and large bowel procedures with cc
17
$77,530
$23,030
3.4× st 3.4×
280
Acute myocardial infarction, discharged alive with mcc
16
$45,694
$13,379
3.4× st 3.7×
480
Hip and femur procedures except major joint with mcc
16
$85,262
$24,840
3.4× st 3.4×
521
Hip replacement with principal diagnosis of hip fracture with mcc
16
$81,536
$27,381
3.0× st 3.2×
637
Diabetes with mcc
16
$115,756
$20,789
5.6× st 3.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
15
$64,488
$19,185
3.4× st 3.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
15
$114,411
$28,478
4.0× st 4.0×
305
Hypertension without mcc
15
$29,235
$7,023
4.2× st 4.1×
071
Other cerebrovascular disorders with cc
14
$44,390
$13,561
3.3× st 3.8×
811
Red blood cell disorders with mcc
14
$33,417
$12,695
2.6× st 3.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
14
$35,499
$12,934
2.7× st 3.4×
552
Medical back problems without mcc
13
$40,078
$8,694
4.6× st 3.8×
331
Major small and large bowel procedures without cc/mcc
12
$49,337
$17,386
2.8× st 3.0×
659
Kidney and ureter procedures for non-neoplasm with mcc
12
$65,981
$22,168
3.0× st 3.7×
191
Chronic obstructive pulmonary disease with cc
11
$34,964
$7,892
4.4× st 3.7×
178
Respiratory infections and inflammations with cc
11
$30,378
$10,000
3.0× st 3.4×
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
606
$12,528
$3,030
4.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
159
$8,521
$1,778
4.8×
5375
Level 5 Urology and Related Services
131
$18,453
$5,680
3.2×
5374
Level 4 Urology and Related Services
121
$15,326
$3,838
4.0×
5373
Level 3 Urology and Related Services
108
$12,389
$2,247
5.5×
5361
Level 1 Laparoscopy and Related Services
81
$22,722
$6,310
3.6×
5302
Level 2 Upper GI Procedures
78
$11,683
$2,082
5.6×
5183
Level 3 Vascular Procedures
75
$10,136
$3,483
2.9×
5115
Level 5 Musculoskeletal Procedures
64
$38,055
$14,451
2.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
62
$10,070
$2,577
3.9×
5191
Level 1 Endovascular Procedures
52
$20,786
$3,641
5.7×
5114
Level 4 Musculoskeletal Procedures
41
$28,834
$7,515
3.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
40
$14,605
$3,783
3.9×
5313
Level 3 Lower GI Procedures
38
$12,897
$3,001
4.3×
5113
Level 3 Musculoskeletal Procedures
35
$12,724
$3,447
3.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
34
$30,950
$7,104
4.4×
5223
Level 3 Pacemaker and Similar Procedures
32
$30,001
$11,896
2.5×
5182
Level 2 Vascular Procedures
25
$7,687
$1,730
4.4×
5362
Level 2 Laparoscopy and Related Services
23
$38,237
$11,469
3.3×
5154
Level 4 Airway Endoscopy
21
$17,775
$4,019
4.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
20
$19,567
$4,252
4.6×
5222
Level 2 Pacemaker and Similar Procedures
18
$24,293
$9,471
2.6×
5116
Level 6 Musculoskeletal Procedures
17
$60,159
$20,737
2.9×
5414
Level 4 Gynecologic Procedures
13
$11,098
$3,488
3.2×
5112
Level 2 Musculoskeletal Procedures
12
$9,665
$1,793
5.4×
5331
Complex GI Procedures
11
$39,339
$5,897
6.7×
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 4/1/2026, template 3.0.0, 186,373 rows scanned, 3,594 distinct code–setting items kept. 1,810 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC CT CEREB PERFUS
$1,356
$1,356
$576
2
clean
HC SQ NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2
$625
$625
$417
14
clean
HC ILIAC ATHERECTOMY
$22,607
$22,607
$7,491
7
clean
HC INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC
$1,985
$1,985
$54
7
clean
HC PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP
$69
$69
$15
8
clean
FNA BX W/US GDN 1ST LES
$410
$410
$115
8
clean
HC FINE NEEDLE ASPIRATION BIOPSY, INCLUDE ULTRASOUND GUIDANCE; FIRST LESION
$2,527
$2,527
$289
9
clean
HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL
$1,996
$1,996
$45
9
clean
HC FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION
$2,527
$2,527
$289
9
clean
FNA BX W/O IMG GDN 1ST LES
$315
$315
$115
9
clean
HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE
$2,527
$2,527
$289
9
clean
HC US GUIDE SOFT TISSUE LOC - 1ST
$803
$803
$289
14
clean
HC PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE
$940
$940
$38
9
clean
ID ABSCESS SIMPLE/SINGLE
$620
$620
$154
9
clean
HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
$549
$549
$82
19
clean
HC INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
$593
$593
$166
9
clean
ID ABSCESS COMP/MULTIPLE
$1,060
$1,060
$279
9
clean
ID PILONIDAL CYST SIMPLE
$610
$610
$159
9
clean
ID PILONIDAL CYST COMP
$990
$990
$282
9
clean
INCRMVL FB SUBQ TISS SMPL
$610
$610
$158
9
clean
HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$635
$635
$168
10
clean
INCRMVL FB SUBQ TISS COMP
$1,055
$1,055
$309
9
clean
ID HMTMA SEROMA/FLUID COLLJ
$685
$685
$183
9
clean
HC I&D HEMATOMA SEROMA/FLUID COLLECTION
$5,717
$5,717
$675
19
clean
PNXR ASPIR ABSC HMTMA BULLA
$560
$560
$145
9
clean
DBRDMT ECZ/INFECTED SKIN<10%
$150
$150
$47
9
clean
DBRDMT SKIN XTRNL GENTPER
$3,195
$3,195
$887
8
clean
DBRDMT SKIN ABDOMINAL WALL
$4,365
$4,365
$1,196
4
clean
DBRDMT SKIN XTRNL GENT PER
$3,955
$3,955
$1,112
5
clean
RMV PRSTC MTRL/MESH ABD WALL
$1,540
$1,540
$420
4
clean
DEBRIDE SKIN AT FX SITE
$1,585
$1,585
$451
9
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
$345
$345
$93
9
clean
HC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<
$1,406
$1,406
$166
19
clean
HC DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<
$2,130
$2,130
$302
19
clean
DBRDMT MUSC/FSCA 1ST 20/<
$875
$875
$259
9
clean
HC DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<
$5,150
$5,150
$675
19
clean
DBRDMT BONE 1ST 20 SQ CM/<
$1,270
$1,270
$385
9
clean
DBRDMT SUBQ TISS EACH ADDL
$140
$140
$41
8
clean
HC DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
$1,264
$1,264
$23
9
clean
DBRDMT MUSC/FSCA EA ADDL
$310
$310
$86
8
clean
DBRDMT BONE EACH ADDL
$550
$550
$151
8
clean
HC DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM
$2,132
$2,132
$90
9
clean
PARING/CUTG B9 HYPRKER LES 1
$90
$90
$28
9
clean
PARNG/CUTG B9 HYPRKR LES 2-4
$125
$125
$37
9
clean
HC TANGNTL BX SKIN SINGLE LES
$729
$729
$166
9
clean
TANGNTL BX SKIN SINGLE LES
$215
$215
$90
4
clean
HC PUNCH BX SKIN SINGLE LESION
$1,405
$1,405
$166
19
clean
PUNCH BX SKIN SINGLE LESION
$265
$265
$97
8
clean
PUNCH BX SKIN EA SEP/ADDL
$145
$145
$45
8
clean
HC PUNCH BX SKIN EA SEP/ADDL
$168
$168
$23
9
clean
HC INCAL BX SKN SINGLE LES
$2,130
$2,130
$302
9
clean
INCAL BX SKN SINGLE LES
$320
$320
$118
8
clean
INCAL BX SKN EA SEP/ADDL
$175
$175
$53
8
clean
SHAVE SKIN LESION 0.5 CM/<
$180
$180
$52
4
clean
SHAVE SKIN LESION >2.0 CM
$405
$405
$124
5
clean
HC SHAVE LES TRNK/ARM/LEG>2CM
$1,405
$1,405
$166
9
clean
HC EXC B9 LES MRGN XCP SK TG T/A/L 1.1-2.0 CM
$2,527
$2,527
$289
7
clean
EXC TR-EXT B9+MARG 2.1-3CM
—
—
$289
10
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
—
$675
10
clean
EXC TR-EXT B9+MARG 3.1-4 CM
$960
$960
$266
7
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
$675
10
clean
EXC H-F-NK-SP B9+MARG 0.5/<
—
—
$675
10
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
—
$675
10
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
—
$675
10
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
$675
10
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
—
$1,187
10
clean
EXC H-F-NK-SP B9+MARG >4 CM
$1,550
$1,550
$445
2
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
$675
10
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$289
10
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$675
10
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$675
10
clean
HC DEBRIDEMENT NAIL ANY METHOD 6/>
$227
$227
$24
9
clean
DEBRIDE NAIL 6 OR MORE
$135
$135
$38
9
clean
REMOVAL OF NAIL PLATE
$305
$305
$83
9
clean
DRAIN BLOOD FROM UNDER NAIL
$190
$190
$48
9
clean
REMOVAL OF NAIL BED
$580
$580
$221
9
clean
REMOVAL OF NAIL BED
—
—
$166
10
clean
REPAIR OF NAIL BED
$625
$625
$184
9
clean
EXCISION OF NAIL FOLD TOE
$535
$535
$130
9
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$1,187
10
clean
REMOVE PILONIDAL CYST EXTEN
$2,615
$2,615
$704
5
clean
REMOVE PILONIDAL CYST COMPL
—
—
$1,187
10
clean
REMOVE PILONIDAL CYST COMPL
$3,365
$3,365
$827
5
clean
RPLCMT TISS XPNDR PERM IMPLT
—
—
$2,965
10
clean
RMVL TIS XPNDR WO INSJ IMPLT
—
—
$1,187
10
clean
INSERTION DRUG DLVR IMPLANT
—
—
$54
10
clean
INSERTION DRUG DLVR IMPLANT
$360
$360
$136
9
clean
REMOVE DRUG IMPLANT DEVICE
$415
$415
$158
9
clean
HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<
$562
$562
$82
9
clean
RPR S/N/AX/GEN/TRNK2.6-7.5CM
$335
$335
$97
9
clean
HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM
$616
$616
$82
9
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
$415
$415
$121
9
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
$535
$535
$156
9
clean
HC SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM
$1,405
$1,405
$166
7
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
$610
$610
$269
4
clean
RPR F/E/E/N/L/M 2.5 CM/<
$320
$320
$91
9
clean
HC SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM
$729
$729
$82
7
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
$330
$330
$95
9
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
$420
$420
$123
9
clean
HC SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM
$729
$729
$82
7
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
$530
$530
$155
9
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
$720
$720
$211
9
clean
TX SUPFC WND DEHSN SMPL CLSR
—
—
$302
10
clean
TX SUPFC WND DEHSN SMPL CLSR
$1,090
$1,090
$293
9
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
$870
$870
$234
9
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
—
—
$166
10
clean
INTMD RPR S/A/T/EXT 2.6-7.5
$1,095
$1,095
$293
9
clean
INTMD RPR S/TR/EXT 7.6-12.5
$1,175
$1,175
$316
9
clean
INTMD RPR S/A/T/EXT 12.6-20
$1,390
$1,390
$370
9
clean
INTMD RPR S/TR/EXT >30.0 CM
—
—
$843
10
clean
HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<
$478
$478
$168
10
clean
INTMD RPR N-HF/GENIT 2.5CM/<
$835
$835
$229
9
clean
INTMD RPR N-HF/GENIT2.6-7.5
$1,120
$1,120
$301
9
clean
HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM
$587
$587
$168
10
clean
INTMD RPR N-HF/GENIT7.6-12.5
$1,235
$1,235
$341
9
clean
INTMD RPR FACE/MM 2.5 CM/<
$970
$970
$278
9
clean
INTMD RPR FACE/MM 2.6-5.0 CM
$1,145
$1,145
$307
9
clean
HC REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM
$1,405
$1,405
$166
7
clean
INTMD RPR FACE/MM 5.1-7.5 CM
$1,230
$1,230
$333
9
clean
INTMD RPR FACE/MM 7.6-12.5CM
$1,255
$1,255
$366
9
clean
INTMD RPR FACE/MM 12.6-20 CM
$1,730
$1,730
$477
5
clean
CMPLX RPR TRUNK 1.1-2.5 CM
$1,145
$1,145
$323
7
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
—
$302
10
clean
CMPLX RPR S/A/L 1.1-2.5 CM
$1,315
$1,315
$398
7
clean
CMPLX RPR S/A/L 2.6-7.5 CM
$1,470
$1,470
$464
9
clean
CMPLX RPR S/A/L ADDL 5 CM/>
$465
$465
$151
9
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,715
$1,715
$653
9
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$705
$705
$259
7
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
$1,465
$1,465
$490
4
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
$1,895
$1,895
$600
9
clean
SEC CLSR SURG WND/DEHSN XTN
$4,580
$4,580
$1,235
9
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
—
$843
10
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
$843
10
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
$3,590
$3,590
$1,063
5
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$843
10
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
—
—
$843
10
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
$843
10
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
$1,448
10
clean
WOUND PREP TRK/ARM/LEG
—
—
$302
10
clean
WOUND PREP TRK/ARM/LEG
$1,250
$1,250
$476
4
clean
SPLT AGRFT T/A/L 1ST 100SQCM
—
—
$843
10
clean
SPLT AGRFT T/A/L 1ST 100SQCM
$4,130
$4,130
$1,022
3
clean
SPLT AGRFT F/S/N/H/F/G/M 1ST
—
—
$1,448
10
clean
SPLT AGRFT F/S/N/H/F/G/M 1ST
$3,680
$3,680
$1,203
4
clean
SKIN SUB GRAFT TRNK/ARM/LEG
$445
$445
$151
4
clean
SKIN SUB GRFT T/ARM/LG CHILD
$1,095
$1,095
$376
6
clean
SKN SUB GRFT T/A/L CHILD ADD
$250
$250
$82
6
clean
SKIN SUB GRAFT FACE/NK/HF/G
$525
$525
$152
8
clean
HC SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM
$6,967
$6,967
$302
19
clean
SKIN SUB GRAFT F/N/HF/G ADDL
$130
$130
$44
4
clean
MDFC FLAP W/PRSRV VASC PEDCL
—
—
$1,448
10
clean
MUSC MYOQ/FSCQ FLP HN PEDCL
—
—
$1,448
10
clean
MUSCLE-SKIN GRAFT TRUNK
—
—
$1,448
10
clean
MUSCLE-SKIN GRAFT TRUNK
$8,620
$8,620
$2,323
9
clean
GRFG AUTOL FAT LIPO 50 CC/<
—
—
$1,448
10
clean
IMPL ABSRB MSH/PRSTH DLY CLS
$2,040
$2,040
$642
4
clean
BLEPHARP UPR EYELID XCSV SKN
—
—
$843
10
clean
EXC EXCESSIVE SKIN ABDOMEN
—
—
$2,714
10
clean
EXC EXCESSIVE SKIN ABDOMEN
$6,770
$6,770
$1,994
8
clean
EXC EXCESSIVE SKIN ARM
—
—
$1,187
10
clean
EXC EXCESSIVE SKN OTHER AREA
—
—
$1,187
10
clean
EXC SKIN ABD ADD-ON
$2,100
$2,100
$814
8
clean
REMOVAL SUTR/STAPLE REQ ANES
—
—
$843
10
clean
TEST FOR BLOOD FLOW IN GRAFT
$605
$605
$165
7
clean
SUCTION LIPECTOMY TRUNK
$2,000
$2,000
$959
3
clean
INITIAL TREATMENT OF BURN(S)
$260
$260
$76
9
clean
HC INITIAL TX 1ST DEGREE BURN LOCAL TX
$326
$326
$83
10
clean
HC DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL
$729
$729
$82
9
clean
DRESS/DEBRID P-THICK BURN S
$325
$325
$84
9
clean
DRESS/DEBRID P-THICK BURN M
$635
$635
$182
9
clean
HC ESCHAROTOMY FIRST INCISION
$1,405
$1,405
$166
9
clean
INCISION OF BURN SCAB INITI
$1,105
$1,105
$322
9
clean
HC CHEMICAL CAUTERIZATION GRANULATION TISSUE
$729
$729
$82
9
clean
CHEM CAUT OF GRANLTJ TISSUE
$215
$215
$61
9
clean
HC BIOPSY OF GLUTEAL SUBCUTANEOUS FAT/TISSUE
$3,523
$3,523
$82
9
clean
HC PUNCTURE ASPIRATION CYST BREAST
$2,527
$2,527
$289
9
clean
MASTOTOMY EXPL DRG ABSC DP
$1,825
$1,825
$516
9
clean
HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE
$5,717
$5,717
$675
9
clean
HC BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE
$6,588
$6,588
$73
9
clean
HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE
$5,717
$5,717
$675
9
clean
HC BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE
$6,588
$6,588
$68
9
clean
HC BX BREAST W DEVICE 1ST LESION MAGNETIC RES GUIDE
$5,841
$5,841
$675
9
clean
HC BX BREAST W DEVICE ADDL LESION MAGNET RES GUIDE
$2,920
$2,920
$79
9
clean
BIOPSY OF BREAST OPEN
—
—
$1,600
10
clean
BIOPSY OF BREAST OPEN
$1,205
$1,205
$355
4
clean
REMOVAL OF BREAST LESION
—
—
$1,600
10
clean
EXCISION BREAST LESION
—
—
$1,600
10
clean
HC PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCE
$3,060
$3,060
$43
9
clean
HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG
$2,996
$2,996
$289
18
clean
HC PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE
$2,572
$2,572
$38
9
clean
MASTECTOMY FOR GYNECOMASTIA
—
—
$1,600
10
clean
PARTIAL MASTECTOMY
$3,815
$3,815
$1,018
8
clean
PARTIAL MASTECTOMY
—
—
$1,600
10
clean
P-MASTECTOMY W/LN REMOVAL
—
—
$2,714
10
clean
P-MASTECTOMY W/LN REMOVAL
$5,240
$5,240
$1,434
8
clean
MAST SIMPLE COMPLETE
—
—
$2,714
10
clean
MAST SIMPLE COMPLETE
$5,540
$5,540
$1,544
8
clean
MAST MOD RAD
$6,805
$6,805
$1,901
8
clean
MASTOPEXY
—
—
$2,714
10
clean
BREAST REDUCTION
—
—
$2,714
10
clean

Showing the first 200 of 3,594 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
403 of 2,200 comparable items (18%) 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 $3,892 exceeds the gross charge $938
warn
mrf_rate_without_estimate
46,945 of 46,945 percentage/algorithm rates across 2,715 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 17250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 30906/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 77048/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 85670/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 95851/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 J2427/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 differ, so no cross-line comparison was made for this item
CPT 31500/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77049/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 85730/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 31502/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49505/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85732/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 95852/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 49507/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85810/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 95874/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2469/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 differ, so no cross-line comparison was made for this item
CPT 19020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77063/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 95970/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2470/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 differ, so no cross-line comparison was made for this item
CPT 49553/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77065/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 86015/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 95971/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2540/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 differ, so no cross-line comparison was made for this item
CPT 49591/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77066/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 86021/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 J2543/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 differ, so no cross-line comparison was made for this item
CPT 19082/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 49592/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77067/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 86022/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 95992/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 31627/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 49593/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86036/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 96125/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 J2550/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 differ, so no cross-line comparison was made for this item
CPT 49594/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77293/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 86038/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 J2560/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 differ, so no cross-line comparison was made for this item
CPT 19084/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 49596/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 min, max differ, so no cross-line comparison was made for this item
CPT J2597/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 differ, so no cross-line comparison was made for this item
CPT 49615/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86041/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 J2598/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 differ, so no cross-line comparison was made for this item
CPT 31632/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 49616/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86052/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 J2680/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 differ, so no cross-line comparison was made for this item
CPT 19086/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 31645/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49618/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86060/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 97010/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 J2704/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 differ, so no cross-line comparison was made for this item
CPT 49621/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77387/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 86140/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 J2765/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 differ, so no cross-line comparison was made for this item
CPT 19282/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 31646/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49622/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 min, max differ, so no cross-line comparison was made for this item
CPT 97012/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 J2785/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 differ, so no cross-line comparison was made for this item
CPT 19285/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 differ, so no cross-line comparison was made for this item
CPT 49623/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77417/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 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 97014/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 31654/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 49650/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86147/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 J2795/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 differ, so no cross-line comparison was made for this item
CPT 19286/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 49651/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80048/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 86156/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 97016/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 J2802/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 differ, so no cross-line comparison was made for this item
CPT 19301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49905/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80051/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 86157/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 J2916/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 differ, so no cross-line comparison was made for this item
CPT 19302/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 50081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80053/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 86160/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 97018/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 J2919/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 differ, so no cross-line comparison was made for this item
CPT 19303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80061/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 86162/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 J2997/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 differ, so no cross-line comparison was made for this item
CPT 19307/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32551/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80074/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 97032/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 J3010/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 differ, so no cross-line comparison was made for this item
CPT 19318/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80076/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 86215/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 J3030/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 differ, so no cross-line comparison was made for this item
CPT 19325/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 50431/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 differ, so no cross-line comparison was made for this item
CPT 80143/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 min, max differ, so no cross-line comparison was made for this item
CPT 97035/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 J3105/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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80150/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 86235/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 32556/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80156/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 86255/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 97110/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 50435/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 differ, so no cross-line comparison was made for this item
CPT 80159/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 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J3260/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 differ, so no cross-line comparison was made for this item
CPT 50543/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80162/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 86300/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 97112/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 J3262/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 differ, so no cross-line comparison was made for this item
CPT 20501/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 32653/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 50544/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80164/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 86301/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 J3301/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 differ, so no cross-line comparison was made for this item
CPT 20550/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 50545/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80171/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 86304/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 97113/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 J3360/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 differ, so no cross-line comparison was made for this item
CPT 20550/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 differ, so no cross-line comparison was made for this item
CPT 50546/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80175/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 86305/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 J3370/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 differ, so no cross-line comparison was made for this item
CPT 20551/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 35151/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80177/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 86308/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 97116/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 J3373/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 differ, so no cross-line comparison was made for this item
CPT 35221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 50715/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80178/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 86316/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 J3374/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 differ, so no cross-line comparison was made for this item
CPT 20552/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 35301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80179/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 86317/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 97129/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 J3411/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 differ, so no cross-line comparison was made for this item
CPT 20553/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 35355/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80184/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 86334/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 J3420/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 differ, so no cross-line comparison was made for this item
CPT 35371/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80185/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 86335/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 97130/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 J3475/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 35372/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51610/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 80197/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 86336/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 J3480/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 differ, so no cross-line comparison was made for this item
CPT 35601/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51700/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80200/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 86340/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 97140/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 J3489/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 differ, so no cross-line comparison was made for this item
CPT 20600/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 35661/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80201/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 86341/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

Showing the first 200 of 1,810 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-tall · 42.9M bytes · fetched 2026-08-24 · sha256 8861b8f3a3cb…

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.