Hospital · CCN 080006

Tidalhealth Nanticoke, Inc.

801 Middleford Rd, Seaford, DE 19973 · Sussex County
Part of TidalHealth Peninsula Regional · 92 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

33 admission types 45 outpatient services price file: ok
Billed per dollar paid, all admissions
1.53×
$25.1M billed against $16.4M paid across 1,032 Medicare discharges; the national figure is 5.03×.
1.3%
of adults in Sussex County have medical debt in collections
8.4%
uninsured in the county · state 6.9%
$78K
median household income
3.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
33.8%
obesity in the countyⓘ
14.2%
diagnosed diabetes (PLACES)
9.1%
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
280
$27,456
$19,415
1.4× st 3.2×
291
Heart failure and shock with mcc
114
$20,203
$13,026
1.6× st 3.2×
193
Simple pneumonia and pleurisy with mcc
58
$19,001
$13,022
1.5× st 3.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
47
$16,738
$10,349
1.6× st 3.5×
378
Gastrointestinal hemorrhage with cc
40
$19,728
$9,789
2.0× st 3.5×
189
Pulmonary edema and respiratory failure
40
$20,792
$12,307
1.7× st 3.5×
177
Respiratory infections and inflammations with mcc
32
$21,053
$16,532
1.3× st 3.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
28
$62,735
$49,811
1.3× st 3.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
24
$15,351
$10,090
1.5× st 3.7×
280
Acute myocardial infarction, discharged alive with mcc
24
$23,591
$16,897
1.4× st 3.7×
683
Renal failure with cc
21
$13,288
$8,873
1.5× st 3.4×
682
Renal failure with mcc
20
$23,017
$14,749
1.6× st 3.3×
377
Gastrointestinal hemorrhage with mcc
20
$22,627
$17,609
1.3× st 3.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
19
$14,348
$8,411
1.7× st 3.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
19
$35,421
$20,643
1.7× st 3.3×
164
Major chest procedures with cc
16
$29,959
$23,637
1.3× st 2.9×
312
Syncope and collapse
16
$16,492
$8,686
1.9× st 3.6×
389
Gastrointestinal obstruction with cc
16
$12,014
$7,967
1.5× st 3.2×
281
Acute myocardial infarction, discharged alive with cc
16
$21,551
$10,065
2.1× st 4.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
16
$25,998
$14,682
1.8× st 3.7×
194
Simple pneumonia and pleurisy with cc
14
$15,608
$8,251
1.9× st 3.6×
698
Other kidney and urinary tract diagnoses with mcc
14
$31,160
$18,085
1.7× st 3.3×
190
Chronic obstructive pulmonary disease with mcc
14
$16,034
$11,050
1.5× st 3.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
14
$18,241
$7,746
2.4× st 3.8×
603
Cellulitis without mcc
14
$13,183
$8,835
1.5× st 3.2×
481
Hip and femur procedures except major joint with cc
13
$34,907
$20,276
1.7× st 3.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
13
$54,727
$18,130
3.0× st 4.9×
308
Cardiac arrhythmia and conduction disorders with mcc
12
$15,203
$11,976
1.3× st 3.5×
468
Revision of hip or knee replacement without cc/mcc
12
$56,013
$27,039
2.1× st 2.8×
309
Cardiac arrhythmia and conduction disorders with cc
12
$13,392
$7,472
1.8× st 3.5×
165
Major chest procedures without cc/mcc
12
$29,103
$18,464
1.6× st 2.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
11
$33,988
$21,541
1.6× st 3.6×
069
Transient ischemia without thrombolytic
11
$19,100
$7,997
2.4× st 4.3×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5115
Level 5 Musculoskeletal Procedures
373
$31,160
$13,184
2.4×
8011
Comprehensive Observation Services
201
$9,759
$2,697
3.6×
5491
Level 1 Intraocular Procedures
197
$5,456
$2,329
2.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
101
$5,882
$1,614
3.6×
5114
Level 4 Musculoskeletal Procedures
67
$21,764
$7,178
3.0×
5191
Level 1 Endovascular Procedures
67
$11,259
$3,275
3.4×
5113
Level 3 Musculoskeletal Procedures
66
$9,213
$3,248
2.8×
5302
Level 2 Upper GI Procedures
59
$5,541
$1,883
2.9×
5183
Level 3 Vascular Procedures
52
$10,305
$3,198
3.2×
5222
Level 2 Pacemaker and Similar Procedures
50
$28,461
$8,384
3.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
47
$9,961
$2,851
3.5×
5493
Level 3 Intraocular Procedures
45
$12,172
$5,244
2.3×
5361
Level 1 Laparoscopy and Related Services
34
$20,393
$5,789
3.5×
5373
Level 3 Urology and Related Services
32
$7,800
$2,044
3.8×
5112
Level 2 Musculoskeletal Procedures
32
$5,314
$1,613
3.3×
5182
Level 2 Vascular Procedures
30
$3,080
$1,565
2.0×
5213
Level 3 Electrophysiologic Procedures
29
$88,418
$23,002
3.8×
5223
Level 3 Pacemaker and Similar Procedures
28
$31,742
$10,703
3.0×
5155
Level 5 Airway Endoscopy
27
$15,614
$6,867
2.3×
5375
Level 5 Urology and Related Services
21
$14,769
$5,191
2.8×
5116
Level 6 Musculoskeletal Procedures
20
$38,946
$18,654
2.1×
5313
Level 3 Lower GI Procedures
19
$12,275
$2,816
4.4×
5431
Level 1 Nerve Procedures
18
$6,174
$1,937
3.2×
5374
Level 4 Urology and Related Services
16
$9,189
$3,498
2.6×
5193
Level 3 Endovascular Procedures
15
$42,392
$11,025
3.8×
5232
Level 2 ICD and Similar Procedures
15
$105,770
$32,907
3.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
15
$15,288
$3,471
4.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
14
$15,584
$6,543
2.4×
5414
Level 4 Gynecologic Procedures
12
$9,233
$3,137
2.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
11
$10,309
$3,825
2.7×
5184
Level 4 Vascular Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5163
Level 3 ENT 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-wide, last updated 3/27/2026, template 3.0.0, 14,506 rows scanned, 2,709 distinct code–setting items kept. 1,524 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Nash Fibrotest, Serum and Plasma
$1,259
$1,259
$931
7
clean
HC Thyroseq
$9,000
$9,000
$6,660
7
clean
HC Real Time Quaking Induced for Prion (Rt-Quic)
$1,352
$1,352
$1,001
7
clean
HC CT Perfusion Cerebral W Contrast
$1,161
$1,161
$859
6
clean
HC Infct Ds Bct/Vir Resp 22 Targets Ars/Cov2
$1,042
$1,042
$875
7
clean
HC Infectious Detection Sars-Cov2,Influenza a/B, Rsv
$357
$357
$264
6
clean
HC Neuro Alys β-Amyl 1-42&1-40
$651
$651
$482
7
clean
HC US Fine Needle Aspiration First Lesion
$1,676
$1,676
$1,392
7
clean
HC US Fine Needle Aspiration Add Lesion
$581
$581
$262
6
clean
HC CT Fine Needle Aspiratiion First Lesion
$1,676
$1,676
$1,392
7
clean
HC CT Guide Drain Cath Abd Wall,Neck
$1,676
$1,676
$1,392
7
clean
HC Drainage of Skin Abscess
$477
$477
$353
22
clean
HC Skin Abcess Drain Comp or Multiple
$950
$950
$703
14
clean
HC Drainage of Pilonidal Cyst Simple
$1,676
$1,676
$1,240
7
clean
HC Remove Foreign Body Subcutan Simple
$950
$950
$703
7
clean
HC Drainage of Hematoma/Fluid
$3,862
$3,862
$2,858
14
clean
HC Puncture Drainage of Lesion
$950
$950
$703
14
clean
HC I&D Post-OP Wound
$6,768
$6,768
$5,009
7
clean
HC Debride Sub Q W/Mod
$950
$950
$703
7
clean
HC Debride Muscle W/Mod
$1,496
$1,496
$1,107
7
clean
HC Debride Bone W/Mod
$3,862
$3,862
$2,858
7
clean
HC Debride Sub Q Ea Add 20 Sq Cm
$556
$556
$411
6
clean
HC Debride Muscle Each Add. 20sq
$665
$665
$492
6
clean
HC Debride Bone Ea Add 20 Sq Cm
$1,286
$1,286
$952
6
clean
HC Paring Benign Lesion - One
$477
$477
$353
7
clean
HC Paring Benign Lesion - 2-4
$477
$477
$353
7
clean
HC Paring Benign Hyperkaratotic Lesn 5+
$171
$171
$127
7
clean
HC Tangential Biopsy of Skin
$477
$477
$353
7
clean
HC Tangential Biopsy of Skin Each Add'l
$94
$94
$70
6
clean
HC Punch Biopsy of Skin
$950
$950
$703
7
clean
HC Punch Biopsy of Skin Each Add'l
$118
$118
$87
6
clean
HC Insicional Biospy of Skin
$1,496
$1,496
$1,107
7
clean
HC Insicional Biospy of Skin Each Add'l
$151
$151
$112
6
clean
EXC TR-EXT B9+MARG >4.0 CM
$2,000
$2,000
$4,488
1
clean
EXC H-F-NK-SP B9+MARG 2.1-3
$2,000
$2,000
$4,488
1
clean
EXC H-F-NK-SP B9+MARG 3.1-4
$2,000
$2,000
$4,488
1
clean
HC Excisional Biopsy Malignant Lesion .5cm or Less
$1,676
$1,676
$1,240
7
clean
HC Excisional Biopsy Malignant Lesion .6-1.0 Cm
$1,676
$1,676
$1,240
7
clean
HC Excisional Biopsy Malignant Lesion 1.1-2.0 Cm
$950
$950
$703
7
clean
EXC TR-EXT MAL+MARG >4 CM
$2,000
$2,000
$4,488
1
clean
HC Trim Nondystrophic Nails, Any No.
$146
$146
$108
7
clean
HC Debride Nail 1-5
$146
$146
$108
7
clean
HC Debride Nail >5
$146
$146
$108
7
clean
HC Removal of Nail Plate Simple
$477
$477
$353
14
clean
HC Avulsion of Nail Plate Addl (Ea)
$150
$150
$111
12
clean
HC Drain Blood From Under Nail
$304
$304
$225
7
clean
HC Removal of Nail Bed
$950
$950
$703
14
clean
HC Repair of Nail Bed
$1,496
$1,496
$1,107
7
clean
HC Excision of Nail Fold, Toe
$950
$950
$703
7
clean
EXC PILONIDAL CYST COMP
$2,000
$2,000
$7,894
1
clean
HC Insertion Drug Delivery Implant
$304
$304
$283
7
clean
HC Remove Drug Implant Device
$949
$949
$550
7
clean
HC Remove W Reinsertion Drug Implant
$949
$949
$550
7
clean
HC Repair Superf.Wound 2.5cm or Less
$477
$477
$353
7
clean
HC Repair Superf.Wound 2.6 - 7.5 Cm
$477
$477
$353
7
clean
HC Repair Superf.Wound 7.6 - 12.5 Cm
$477
$477
$353
7
clean
HC Repair Superf. Wound 12.6 - 20.0 Cm
$950
$950
$703
7
clean
Repair Simple Scalp/Neck/Ax/Genit/Trunk 20.1-30.0 Cm
$950
$950
$703
7
clean
HC Repair Superf.Wound Over 30.0 Cm
$477
$477
$353
7
clean
HC Repair Superf Wound 2.5 Cm or Less
$477
$477
$353
7
clean
HC Repair Superf Wound 2.6 - 5.0 Cm
$477
$477
$353
7
clean
HC Repair Superf Wound 5.1 - 7.5 Cm
$477
$477
$353
7
clean
HC Repair Superf Wound 7.6 - 12.5 Cm
$477
$477
$353
7
clean
Repair Simple Face/Ear/Eyelids/Nose/Lips/Mouth 12.6-20.0 Cm
$950
$950
$703
7
clean
Repair Simple Face/Ears/Eyelids/Nose/Lips/Mouth 20.1-30.0 Cm
$950
$950
$703
7
clean
HC Closure of Split Wound
$1,496
$1,496
$1,107
7
clean
Repair Simple Face/Ears/Eyelids/Nose/Lips/Mouth 2.5 Cm or Less
$950
$950
$703
7
clean
HC Layer Closure of Wound 2.6 - 7.5 Cm
$950
$950
$703
7
clean
HC Layer Closure of Wound 7.6 - 12.5cm
$950
$950
$703
7
clean
Repair Intermediate Scalp/Ax/Trunk/Extrem 12.6-20.0 Cm
$950
$950
$703
7
clean
Repair Intermediate Neck/Hands/Feet/Xtrnl Gent 2.5 Cm/<
$950
$950
$703
7
clean
HC Layer Closure of Wound 2.6 - 7.5 Cm
$950
$950
$703
7
clean
HC Layer Closure of Wound 7.6 - 12.5cm
$1,496
$1,496
$1,107
7
clean
HC Layer Closure of Wound 2.5cm or Less
$950
$950
$703
7
clean
HC Layer Closure of Wound 2.6 - 5.0 Cm
$950
$950
$703
7
clean
HC Layer Closure of Wound 5.1 - 7.5 Cm
$950
$950
$703
7
clean
HC Layer Closure of Wound 7.6 - 12.5cm
$950
$950
$703
7
clean
HC Repair, Complex Trunk 2.6 - 7.5 Cm
$1,496
$1,496
$1,107
7
clean
HC Repair Eyelids,Nose,Ears 2.6-7.5 Cm
$1,496
$1,496
$1,107
7
clean
HC Closure Surgical Wound, Extesive/Complicated
$4,344
$4,344
$3,214
7
clean
HC Gft Skin Sub T/a/L >100cm 1st 25
$4,344
$4,344
$3,214
7
clean
HC Gft Skin Sub T/a/L <100cm Add 25
$429
$429
$317
6
clean
HC Gft Skin Sub T/a/L >100cm 1st 100
$8,546
$8,546
$6,324
7
clean
HC Gft Skin Sub T/a/L >100cm Ea Addl
$808
$808
$598
6
clean
HC Gft Skin Sub F/S/E <100cm 1st 25
$4,344
$4,344
$3,214
7
clean
HC Gft Skin Sub F/S <100cm Ea Add 25
$540
$540
$400
6
clean
HC Gft Skin Sub F/S/E >100cm 1st 100
$4,344
$4,344
$3,214
7
clean
HC Gft Skin Sub F/S>100cm Ea Add 100
$550
$550
$407
6
clean
HC Tx Burn Debrid Dress Par Thick <5%
$477
$477
$353
14
clean
HC Dress/Debride Part Thick Burn 5-10%
$477
$477
$353
7
clean
HC Dress/Debride Part Thick Burn >10%
$950
$950
$703
7
clean
HC Chemical Cauterization
$477
$477
$353
7
clean
HC Skin Tissue Procedure
$477
$477
$377
14
clean
HC Puncture Aspir Cyst Breast
$1,676
$1,676
$1,392
7
clean
HC Breast Cyst Asp Each Add'l
$316
$316
$143
6
clean
HC Stereotactic Breast Biopsy
$4,147
$4,147
$2,405
7
clean
HC Sl Breast Biopsy Localization Each Addit
$1,629
$1,629
$735
6
clean
HC US Percut Ndl Core W Imag 1st Les
$4,147
$4,147
$2,405
14
clean
HC US Breast Needle Biopsy Ea Add
$1,338
$1,338
$604
6
clean
REMOVAL OF BREAST LESION
$2,000
$2,000
$10,641
1
clean
HC Sl Breast Localization Initial
$1,676
$1,676
$1,392
7
clean
HC Sl Breast Localization Each Additional
$1,129
$1,129
$509
6
clean
PARTIAL MASTECTOMY
$2,000
$2,000
$10,641
1
clean
HC Explore Penetrating Wound,Extreme
$3,862
$3,862
$2,858
7
clean
HC Muscle Biopsy
$3,862
$3,862
$2,293
7
clean
HC Biopsy Muscle Percutaneous Needle
$3,862
$3,862
$2,240
7
clean
HC Bone Biopsy Trocar/Needle
$3,862
$3,862
$2,240
7
clean
HC Deep Bone Bx - Femur, Vert. Body
$3,862
$3,862
$2,293
7
clean
HC Bone Biospy-Superficial Ribs, Ilium, Sternum,Spinous
$6,768
$6,768
$5,009
7
clean
HC Bone Biopsy-Deep Bone Humerus,Ischium,Femur
$6,768
$6,768
$5,009
7
clean
HC Fistula or Sinus Tract Study
$61
$61
$28
6
clean
HC Foreign Body Remvl Tendon Muscle Sim
$3,862
$3,862
$2,858
7
clean
HC Drain/Inject, Intermed Joint/Bursa
$706
$706
$522
7
clean
HC MC Arthrocent,Apsirat &/or Inject, Major Joint/Bursa
$706
$706
$522
14
clean
HC Aspirate/Inj Ganglion Cyst
$706
$706
$462
7
clean
HC Removal of Support Implant
$3,862
$3,862
$2,858
7
clean
REMOVAL OF IMPLANT DEEP
$2,000
$2,000
$7,894
1
clean
HC Cptr-Asst Dir Ms Px
$0
$0
$0
5
clean
HC Biopsy, Soft Tissue Neck or Thorax
$3,862
$3,862
$2,672
8
clean
EXC NECK TUM DEEP 5 CM/>
$2,000
$2,000
$7,894
1
clean
EXC NECK TUM DEEP < 5 CM
$2,000
$2,000
$7,894
1
clean
EXC BACK LES SC 3 CM/>
$2,000
$2,000
$4,488
1
clean
HC Ac Joint Dislocation W/Manipulation
$562
$562
$416
7
clean
HC Treat Shoulder Dislocation W/Manipul
$562
$562
$416
7
clean
HC Closed Trmt Shldr Disloc W/Man &Anes
$3,828
$3,828
$2,833
7
clean
HC Treat Disloc/Fx Shoulder W/Surg W/Mn
$3,828
$3,828
$2,833
7
clean
EXC ARM/ELBOW LES SC 3 CM/>
$2,000
$2,000
$7,894
1
clean
HC Close Treat Humerus Fx W/O Manipulat
$562
$562
$416
7
clean
HC Elbow Dislocation Closed Tx W Sedate
$3,828
$3,828
$2,833
7
clean
HC Treat Close Nursemaid Elbow W/Manip
$562
$562
$416
7
clean
REMOVE WRIST TENDON LESION
$2,000
$2,000
$4,370
1
clean
ARTHRP NTRCRP/CRP/MTCR NTRPS
$2,000
$2,000
$8,892
1
clean
HC Treat Fx of Ulna W/Manipulation
$562
$562
$416
7
clean
HC Treat Fx Radius & Ulna W/Manipulatio
$3,828
$3,828
$2,833
7
clean
HC Treat Fx Radius W&W/O Ulna W/Manipul
$3,828
$3,828
$2,833
7
clean
OPTX DST RD XARTC FX/EPI SEP
$2,000
$2,000
$19,720
1
clean
OPTX DST RD XART FX/EP SEP3+
$2,000
$2,000
$19,720
1
clean
UNLISTED PX FOREARM/WRIST
$2,000
$2,000
$670
1
clean
HC Drainage of Finger Abscess,Simple
$477
$477
$353
7
clean
HC Drainage of Finger Abscess, Complicated
$3,862
$3,862
$2,858
7
clean
INCISE FINGER TENDON SHEATH
$2,000
$2,000
$4,370
1
clean
REPAIR FINGER TENDON
$2,000
$2,000
$4,370
1
clean
HC Treat Knuckle Dislocation
$562
$562
$416
7
clean
HC Treat Finger Fx, Ea W/Manipulation
$562
$562
$416
7
clean
HC Finger IP Joint Dislocation WO Anes
$562
$562
$416
7
clean
HC Clsd Reductn Ipjt Disloc W/Manp/Anes
$2,533
$2,533
$1,874
7
clean
HC Amputation,Finger or Thumb, Pri/Sec
$7,710
$7,710
$5,705
7
clean
HC Hip Arthrogram
$440
$440
$198
6
clean
HC Si Joint Inject W Anesth
$2,556
$2,556
$1,153
6
clean
HC Treat Hip Dislocation W/O Anes.
$562
$562
$416
7
clean
HC Clsed Red Disloc Post Hip Arthr WO A
$562
$562
$416
7
clean
HC Clsed Red Dislocat Post Hip Arthrop
$3,828
$3,828
$2,833
7
clean
HC Excision Synovial Cyst Popliteal Space
$23,130
$23,130
$8,892
7
clean
HC Inject Contrast Knee Arthorgr
$61
$61
$45
6
clean
HC Treat Kneecap Dislocation
$562
$562
$416
7
clean
FIXATION OF KNEE JOINT
$2,000
$2,000
$4,370
1
clean
REMOVAL OF TENDON LESION
$2,000
$2,000
$8,892
1
clean
REPAIR ACHILLES TENDON
$2,000
$2,000
$19,720
1
clean
REPAIR OF ACHILLES TENDON
$2,000
$2,000
$19,720
1
clean
HC Treat Tibia Fx, W/Manipulation
$3,828
$3,828
$2,833
7
clean
HC Treat of Distal Fibula Fx W/Manipula
$562
$562
$416
7
clean
HC Closed Tx Bimalleolar Ankle Fracture W/Man
$3,828
$3,828
$2,833
7
clean
HC Trt Ankle Dislocation W/O Anesthesia
$562
$562
$416
7
clean
HC Ankle Dislocate Closed Tx W Anes
$3,828
$3,828
$2,833
7
clean
EXC FOOT/TOE TUM SC < 1.5 CM
$2,000
$2,000
$4,488
1
clean
PARTIAL REMOVAL FOOT FASCIA
$2,000
$2,000
$8,892
1
clean
REMOVAL OF FOOT LESION
$2,000
$2,000
$4,370
1
clean
PART REMOVAL OF ANKLE/HEEL
$2,000
$2,000
$8,892
1
clean
HC Removal of Foot Foreign Body Subcut
$1,676
$1,676
$1,240
7
clean
REPAIR OF FOOT TENDON
$2,000
$2,000
$8,892
1
clean
REPAIR OF HAMMERTOE
$2,000
$2,000
$8,892
1
clean
CORRJ HALUX RIGDUS W/O IMPLT
$2,000
$2,000
$8,892
1
clean
CORRJ HALUX RIGDUS W/IMPLT
$2,000
$2,000
$19,720
1
clean
COR HLX VLGS PRX MTAR OSTEOT
$2,000
$2,000
$8,892
1
clean
COR HLX VLGS DSTL MTAR OSTEO
$2,000
$2,000
$8,892
1
clean
COR HLX VLGS PRX PHLX OSTEOT
$2,000
$2,000
$19,720
1
clean
COR HLX VLGS DOUBLE OSTEOT
$2,000
$2,000
$19,720
1
clean
INCISION OF HEEL BONE
$2,000
$2,000
$19,720
1
clean
INCISION OF METATARSAL
$2,000
$2,000
$8,892
1
clean
REMOVAL OF SESAMOID BONE
$2,000
$2,000
$8,892
1
clean
HC Closed Trt of Big Toe Fx W/ Manipula
$562
$562
$416
7
clean
HC Closed Trtmt Toe Disloc W/O Anesthes
$562
$562
$416
7
clean
HC Closed Trtmt of Disloc Toe W/O Anes
$562
$562
$416
7
clean
ARTHRODESIS SUBTALAR
$2,000
$2,000
$34,891
1
clean
FUSION OF FOOT BONES
$2,000
$2,000
$19,720
1
clean
HC Application of Long Arm Cast
$640
$640
$473
7
clean
HC Apply Long Arm Splint
$375
$375
$278
7
clean
HC Apply Forearm Splint
$344
$344
$255
7
clean
HC Ot Ap Short Arm Spl Dynamic 8-22
$304
$304
$255
14
clean
HC Application Finger Splint, Static
$344
$344
$255
7
clean
HC Strapping of Shoulder
$344
$344
$255
7
clean
HC Apply Short Leg Cast
$640
$640
$473
7
clean
HC Apply Tl Contact Leg Cast
$640
$640
$473
7
clean
HC Application Long Leg Splint
$375
$375
$278
7
clean
HC Application Lower Leg Splint
$375
$375
$278
7
clean
HC Strapping of Knee
$304
$304
$225
7
clean
HC Strapping of Ankle
$375
$375
$278
7
clean
HC Apply Unna Boot
$375
$375
$278
28
clean
HC Pt App Mlt-Lay Com L Leg/Ft 8-22
$375
$375
$349
91
clean
HC Ot App M/L Comp Up Arm/Fing 8-22
$375
$375
$297
35
clean

Showing the first 200 of 2,709 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,185 of 2,406 comparable items (49%) 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 $1,339 exceeds the gross charge $1,258
warn
mrf_rate_without_estimate
5 of 5 percentage/algorithm rates across 4 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT A9560/b
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 L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT B4087/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1601/b
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 C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 916 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1714/b
info
mrf_item_fields_vary
this code and setting cover at least 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 C1715/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1716/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT P9047/b
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 C1717/b
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 C1718/b
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 38792/b
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 Q0162/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1721/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0163/b
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 C1724/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0169/b
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 C1725/b
info
mrf_item_fields_vary
this code and setting cover at least 76 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 Q2009/b
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 C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4100/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 83 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 Q4101/b
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 43235/b
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 C1730/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4102/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1732/b
info
mrf_item_fields_vary
this code and setting cover at least 16 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 Q4104/b
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 C1734/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4110/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1747/b
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 Q4116/b
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 C1750/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4121/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4125/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1753/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4131/b
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 C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4133/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4150/b
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 C1759/b
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 C1761/b
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 C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 58 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 Q4186/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4196/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1765/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5101/b
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 C1766/b
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 Q5106/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88305/b
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 C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5107/b
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 C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 98 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 Q5110/b
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 C1773/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5114/b
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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 292 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 Q5115/b
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 C1777/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5116/b
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 C1779/b
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 Q5117/b
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 C1780/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5129/b
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 C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 86 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 Q5133/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88346/b
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 C1782/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q9966/b
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 C1783/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q9967/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1785/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1786/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT V2787/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1788/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1819/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78306/b
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 C1840/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 40 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 49083/b
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 90371/b
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 C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 39 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 90377/b
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 C1877/b
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 C1880/b
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 90707/b
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 C1882/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90714/b
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 C1884/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49405/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90715/b
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 C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 50 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 49406/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90744/b
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 C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 61 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 17999/b
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 C1898/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1900/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2623/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C8358/b
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 C9364/b
info
mrf_item_fields_vary
this code and setting cover at least 45 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 92586/b
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 92610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 20610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80299/b
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 80307/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 21550/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0153/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0165/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0171/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0180/b
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 J0256/b
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 J0280/b
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 J0283/b
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 J0290/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0295/b
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 J0456/b
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 J0457/b
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 J0461/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0462/b
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 J0490/b
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 J0561/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 65205/b
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 J0612/b
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 J0640/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0665/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0687/b
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 J0690/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0692/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0694/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0697/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0713/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0736/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 69210/b
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 J0737/b
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 J0743/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0744/b
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 J0759/b
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 J0878/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0881/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0885/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0896/b
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 J0897/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1100/b
info
mrf_item_fields_vary
this code and setting cover at least 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 J1160/b
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 J1171/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1250/b
info
mrf_item_fields_vary
this code and setting cover at least 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 J1265/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1327/b
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 J1442/b
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 J1447/b
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 J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1459/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 94640/b
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 J1561/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1580/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1642/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 29126/b
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 J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 83520/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1652/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1745/b
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 J1756/b
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 J1805/b
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 94760/b
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 J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1836/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1950/b
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 29581/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1956/b
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 J2003/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2004/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2060/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2175/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2248/b
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 J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2270/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2272/b
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 J2274/b
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 J2290/b
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 J2300/b
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 96361/b
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 J2305/b
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 J2310/b
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 96365/b
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 J2353/b
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 96366/b
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 1,524 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 · 13.7M bytes · fetched 2026-08-25 · sha256 707556ab667a…

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.