Hospital · CCN 100007

Adventhealth Orlando

601 E Rollins St, Orlando, FL 32803 · Orange County
Part of AdventHealth · 2,787 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

387 admission types 67 outpatient services price file: ok 32 Medicare-file findings

Billed per dollar paid, all admissions

7.42×

$4,115.1M billed against $554.5M paid across 30,767 Medicare discharges; the national figure is 5.03×.

6.0%

of adults in Orange County have medical debt in collections

13.2%

uninsured in the county · state 13.9%

$78K

median household income

7.7×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 in the inpatient or outpatient file)ⓘ

33.5%

obesity in the countyⓘ

11.7%

diagnosed diabetes (PLACES)

5.6%

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

3,400

$129,307

$17,194

7.5× st 7.2×

291

Heart failure and shock with mcc

1,217

$84,093

$11,391

7.4× st 6.3×

698

Other kidney and urinary tract diagnoses with mcc

614

$107,892

$14,317

7.5× st 6.7×

177

Respiratory infections and inflammations with mcc

604

$98,383

$13,764

7.1× st 6.5×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

548

$58,712

$7,995

7.3× st 7.5×

280

Acute myocardial infarction, discharged alive with mcc

521

$102,759

$14,209

7.2× st 7.3×

853

Infectious and parasitic diseases with o.r. procedures with mcc

501

$316,481

$44,039

7.2× st 7.5×

872

Septicemia or severe sepsis without mv >96 hours without mcc

490

$70,119

$9,903

7.1× st 7.0×

689

Kidney and urinary tract infections with mcc

436

$72,958

$10,895

6.7× st 6.4×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

413

$81,739

$11,408

7.2× st 6.7×

309

Cardiac arrhythmia and conduction disorders with cc

385

$48,774

$7,349

6.6× st 6.9×

690

Kidney and urinary tract infections without mcc

361

$53,614

$7,786

6.9× st 6.6×

193

Simple pneumonia and pleurisy with mcc

338

$81,153

$11,902

6.8× st 7.2×

312

Syncope and collapse

329

$63,212

$7,771

8.1× st 7.6×

064

Intracranial hemorrhage or cerebral infarction with mcc

320

$138,375

$16,980

8.1× st 7.8×

682

Renal failure with mcc

291

$86,750

$12,358

7.0× st 7.0×

391

Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc

270

$85,728

$12,619

6.8× st 6.8×

699

Other kidney and urinary tract diagnoses with cc

269

$64,219

$10,617

6.0× st 6.1×

552

Medical back problems without mcc

268

$66,019

$8,638

7.6× st 7.8×

308

Cardiac arrhythmia and conduction disorders with mcc

252

$75,747

$11,174

6.8× st 6.6×

603

Cellulitis without mcc

247

$53,417

$8,463

6.3× st 5.9×

377

Gastrointestinal hemorrhage with mcc

239

$145,401

$17,761

8.2× st 7.2×

065

Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours

238

$93,846

$10,206

9.2× st 8.8×

305

Hypertension without mcc

236

$53,507

$7,125

7.5× st 7.5×

313

Chest pain

229

$52,416

$7,009

7.5× st 7.3×

314

Other circulatory system diagnoses with mcc

228

$130,899

$20,273

6.5× st 5.9×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

220

$55,511

$7,335

7.6× st 6.9×

378

Gastrointestinal hemorrhage with cc

219

$81,146

$10,065

8.1× st 7.4×

683

Renal failure with cc

218

$57,570

$8,567

6.7× st 6.7×

190

Chronic obstructive pulmonary disease with mcc

210

$71,454

$9,963

7.2× st 6.5×

057

Degenerative nervous system disorders without mcc

203

$68,322

$11,079

6.2× st 6.1×

069

Transient ischemia without thrombolytic

192

$78,775

$7,685

10.3× st 10.3×

812

Red blood cell disorders without mcc

187

$64,824

$8,883

7.3× st 6.3×

481

Hip and femur procedures except major joint with cc

183

$164,502

$16,849

9.8× st 8.8×

393

Other digestive system diagnoses with mcc

177

$103,223

$15,185

6.8× st 6.2×

281

Acute myocardial infarction, discharged alive with cc

175

$73,313

$8,568

8.6× st 8.5×

274

Percutaneous and other intracardiac procedures without mcc

174

$256,702

$27,006

9.5× st 7.5×

330

Major small and large bowel procedures with cc

171

$176,569

$22,156

8.0× st 8.5×

252

Other vascular procedures with mcc

169

$185,027

$28,857

6.4× st 7.2×

189

Pulmonary edema and respiratory failure

169

$82,197

$11,863

6.9× st 6.8×

394

Other digestive system diagnoses with cc

169

$71,965

$8,936

8.1× st 7.3×

287

Circulatory disorders except ami, with cardiac catheterization without mcc

167

$93,764

$11,333

8.3× st 8.9×

286

Circulatory disorders except ami, with cardiac catheterization with mcc

166

$169,306

$22,095

7.7× st 7.0×

637

Diabetes with mcc

164

$88,246

$12,324

7.2× st 6.8×

811

Red blood cell disorders with mcc

162

$103,595

$12,171

8.5× st 7.5×

660

Kidney and ureter procedures for non-neoplasm with cc

161

$105,758

$13,535

7.8× st 8.1×

870

Septicemia or severe sepsis with mv >96 hours

160

$409,393

$51,625

7.9× st 6.6×

389

Gastrointestinal obstruction with cc

154

$53,114

$7,985

6.7× st 7.1×

638

Diabetes with cc

150

$57,934

$8,892

6.5× st 6.5×

100

Seizures with mcc

148

$99,828

$15,519

6.4× st 6.7×

266

Endovascular cardiac valve replacement and supplement procedures with mcc

148

$491,059

$55,230

8.9× st 6.5×

329

Major small and large bowel procedures with mcc

147

$313,521

$37,479

8.4× st 7.5×

322

Percutaneous cardiovascular procedures with intraluminal device without mcc

143

$150,032

$18,200

8.2× st 9.7×

056

Degenerative nervous system disorders with mcc

141

$103,644

$17,596

5.9× st 5.7×

194

Simple pneumonia and pleurisy with cc

140

$53,788

$7,975

6.7× st 6.9×

178

Respiratory infections and inflammations with cc

136

$62,893

$9,002

7.0× st 6.4×

310

Cardiac arrhythmia and conduction disorders without cc/mcc

133

$39,831

$6,275

6.3× st 7.1×

202

Bronchitis and asthma with cc/mcc

132

$64,225

$9,269

6.9× st 6.4×

101

Seizures without mcc

130

$61,463

$8,231

7.5× st 7.2×

813

Coagulation disorders

129

$81,337

$13,725

5.9× st 5.7×

092

Other disorders of nervous system with cc

127

$69,880

$10,421

6.7× st 6.9×

149

Dysequilibrium

125

$61,977

$7,513

8.2× st 8.8×

070

Other cerebrovascular disorders with mcc

122

$109,951

$16,237

6.8× st 6.3×

300

Peripheral vascular disorders with cc

121

$68,173

$10,231

6.7× st 6.3×

091

Other disorders of nervous system with mcc

120

$105,176

$15,398

6.8× st 6.9×

522

Hip replacement with principal diagnosis of hip fracture without mcc

113

$144,994

$16,863

8.6× st 8.7×

981

Extensive o.r. procedures unrelated to principal diagnosis with mcc

110

$315,263

$43,363

7.3× st 6.7×

025

Craniotomy and endovascular intracranial procedures with mcc

108

$304,123

$38,913

7.8× st 7.4×

321

Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/

107

$207,304

$31,764

6.5× st 9.0×

919

Complications of treatment with mcc

106

$105,847

$15,331

6.9× st 5.3×

563

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc

105

$50,002

$7,618

6.6× st 7.1×

480

Hip and femur procedures except major joint with mcc

105

$230,476

$23,395

9.9× st 8.6×

388

Gastrointestinal obstruction with mcc

102

$94,313

$12,644

7.5× st 6.6×

551

Medical back problems with mcc

100

$99,281

$13,508

7.4× st 7.4×

454

Combined anterior and posterior spinal fusion with cc

100

$348,649

$54,967

6.3× st 6.4×

432

Cirrhosis and alcoholic hepatitis with mcc

$120,465

$15,446

7.8× st 6.9×

418

Laparoscopic cholecystectomy without c.d.e. with cc

$131,809

$14,015

9.4× st 9.6×

219

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization

$493,914

$76,578

6.5× st 6.7×

315

Other circulatory system diagnoses with cc

$55,456

$8,906

6.2× st 6.2×

267

Endovascular cardiac valve replacement and supplement procedures without mcc

$378,290

$39,456

9.6× st 7.2×

441

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc

$105,705

$19,865

5.3× st 5.6×

299

Peripheral vascular disorders with mcc

$100,576

$12,290

8.2× st 6.6×

884

Organic disturbances and intellectual disability

$89,178

$13,382

6.7× st 5.5×

854

Infectious and parasitic diseases with o.r. procedures with cc

$126,854

$18,619

6.8× st 8.6×

071

Other cerebrovascular disorders with cc

$79,856

$9,199

8.7× st 6.3×

470

Major hip and knee joint replacement or reattachment of lower extremity without mcc

$170,098

$18,436

9.2× st 9.1×

472

Cervical spinal fusion with cc

$195,760

$26,811

7.3× st 7.1×

920

Complications of treatment with cc

$61,015

$12,758

4.8× st 5.3×

602

Cellulitis with mcc

$99,861

$12,924

7.7× st 5.9×

304

Hypertension with mcc

$85,583

$10,584

8.1× st 6.3×

516

Other musculoskeletal system and connective tissue o.r. procedures with cc

$138,164

$16,918

8.2× st 7.3×

445

Disorders of the biliary tract with cc

$92,924

$11,453

8.1× st 7.9×

175

Pulmonary embolism with mcc or acute cor pulmonale

$105,968

$11,590

9.1× st 6.8×

074

Cranial and peripheral nerve disorders without mcc

$68,089

$10,113

6.7× st 7.1×

003

Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec

$1,080,869

$173,426

6.2× st 5.9×

439

Disorders of pancreas except malignancy with cc

$69,513

$7,888

8.8× st 6.8×

661

Kidney and ureter procedures for non-neoplasm without cc/mcc

$81,745

$11,286

7.2× st 8.4×

948

Signs and symptoms without mcc

$59,094

$6,856

8.6× st 6.2×

233

Coronary bypass with cardiac catheterization or open ablation with mcc

$462,408

$75,853

6.1× st 8.9×

713

Transurethral prostatectomy with cc/mcc

$102,529

$12,870

8.0× st 7.8×

444

Disorders of the biliary tract with mcc

$113,697

$13,913

8.2× st 7.0×

270

Other major cardiovascular procedures with mcc

$315,564

$46,769

6.7× st 7.2×

435

Malignancy of hepatobiliary system or pancreas with mcc

$143,886

$14,647

9.8× st 6.9×

191

Chronic obstructive pulmonary disease with cc

$62,743

$7,826

8.0× st 7.1×

536

Fractures of hip and pelvis without mcc

$47,199

$6,769

7.0× st 7.4×

862

Postoperative and post-traumatic infections with mcc

$126,830

$19,371

6.5× st 5.7×

605

Trauma to the skin, subcutaneous tissue and breast without mcc

$55,493

$8,250

6.7× st 7.7×

643

Endocrine disorders with mcc

$87,043

$14,429

6.0× st 6.2×

085

Traumatic stupor and coma <1 hour with mcc

$131,103

$16,779

7.8× st 7.8×

303

Atherosclerosis without mcc

$53,580

$6,637

8.1× st 6.8×

235

Coronary bypass without cardiac catheterization with mcc

$350,644

$54,140

6.5× st 8.1×

673

Other kidney and urinary tract procedures with mcc

$245,123

$39,922

6.1× st 5.7×

086

Traumatic stupor and coma <1 hour with cc

$79,401

$10,502

7.6× st 8.3×

103

Headaches without mcc

$64,910

$9,949

6.5× st 7.3×

657

Kidney and ureter procedures for neoplasm with cc

$164,988

$15,729

10.5× st 7.4×

374

Digestive malignancy with mcc

$151,268

$26,525

5.7× st 5.3×

163

Major chest procedures with mcc

$317,608

$37,682

8.4× st 6.9×

478

Biopsies of musculoskeletal system and connective tissue with cc

$157,684

$22,671

7.0× st 6.7×

907

Other o.r. procedures for injuries with mcc

$223,482

$36,326

6.2× st 6.5×

460

Spinal fusion except cervical without mcc

$247,141

$37,571

6.6× st 7.8×

917

Poisoning and toxic effects of drugs with mcc

$79,983

$14,499

5.5× st 6.0×

243

Permanent cardiac pacemaker implant with cc

$163,853

$20,386

8.0× st 8.0×

493

Lower extremity and humerus procedures except hip, foot and femur with cc

$182,530

$23,315

7.8× st 9.0×

659

Kidney and ureter procedures for non-neoplasm with mcc

$174,409

$22,062

7.9× st 6.9×

326

Stomach, esophageal and duodenal procedures with mcc

$316,451

$43,376

7.3× st 5.8×

208

Respiratory system diagnosis with ventilator support <=96 hours

$226,134

$27,812

8.1× st 7.3×

176

Pulmonary embolism without mcc

$68,085

$7,559

9.0× st 7.2×

885

Psychoses

$75,083

$11,825

6.4× st 3.2×

483

Major joint or limb reattachment procedures of upper extremities

$195,382

$21,873

8.9× st 9.4×

372

Major gastrointestinal disorders and peritoneal infections with cc

$78,836

$9,197

8.6× st 6.3×

331

Major small and large bowel procedures without cc/mcc

$155,700

$18,553

8.4× st 8.7×

417

Laparoscopic cholecystectomy without c.d.e. with mcc

$157,039

$18,033

8.7× st 8.8×

809

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio

$95,661

$15,719

6.1× st 5.8×

543

Pathological fractures and musculoskeletal and connective tissue malignancy with cc

$75,790

$9,491

8.0× st 6.6×

004

Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou

$663,043

$108,053

6.1× st 6.3×

253

Other vascular procedures with cc

$211,956

$24,845

8.5× st 7.4×

164

Major chest procedures with cc

$247,530

$22,551

11.0× st 7.4×

264

Other circulatory system o.r. procedures

$189,491

$25,921

7.3× st 6.5×

707

Major male pelvic procedures with cc/mcc

$169,294

$36,040

4.7× st 4.7×

273

Percutaneous and other intracardiac procedures with mcc

$313,130

$41,653

7.5× st 8.3×

271

Other major cardiovascular procedures with cc

$264,423

$29,673

8.9× st 7.8×

455

Combined anterior and posterior spinal fusion without cc/mcc

$272,182

$43,329

6.3× st 6.5×

897

Alcohol, drug abuse or dependence without rehabilitation therapy without mcc

$54,609

$8,278

6.6× st 6.4×

229

Other cardiothoracic procedures without mcc

$240,555

$27,585

8.7× st 6.9×

556

Signs and symptoms of musculoskeletal system and connective tissue without mcc

$56,071

$8,528

6.6× st 7.5×

896

Alcohol, drug abuse or dependence without rehabilitation therapy with mcc

$79,861

$14,000

5.7× st 6.0×

180

Respiratory neoplasms with mcc

$159,182

$16,200

9.8× st 7.2×

644

Endocrine disorders with cc

$68,336

$10,289

6.6× st 5.8×

228

Other cardiothoracic procedures with mcc

$391,538

$50,135

7.8× st 6.3×

242

Permanent cardiac pacemaker implant with mcc

$221,624

$26,859

8.3× st 7.7×

863

Postoperative and post-traumatic infections without mcc

$68,025

$10,012

6.8× st 5.9×

982

Extensive o.r. procedures unrelated to principal diagnosis with cc

$178,188

$22,489

7.9× st 7.6×

166

Other respiratory system o.r. procedures with mcc

$276,809

$37,469

7.4× st 5.3×

390

Gastrointestinal obstruction without cc/mcc

$44,292

$5,628

7.9× st 7.0×

554

Bone diseases and arthropathies without mcc

$60,359

$7,636

7.9× st 6.5×

220

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization

$380,402

$44,103

8.6× st 7.1×

066

Intracranial hemorrhage or cerebral infarction without cc/mcc

$78,379

$6,435

12.2× st 8.8×

515

Other musculoskeletal system and connective tissue o.r. procedures with mcc

$249,465

$35,432

7.0× st 6.5×

521

Hip replacement with principal diagnosis of hip fracture with mcc

$198,942

$21,203

9.4× st 7.7×

073

Cranial and peripheral nerve disorders with mcc

$118,051

$14,299

8.3× st 6.8×

371

Major gastrointestinal disorders and peritoneal infections with mcc

$120,349

$16,684

7.2× st 5.2×

375

Digestive malignancy with cc

$87,965

$11,775

7.5× st 6.4×

694

Urinary stones without mcc

$53,399

$8,230

6.5× st 8.4×

918

Poisoning and toxic effects of drugs without mcc

$46,420

$7,343

6.3× st 5.7×

562

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc

$82,332

$11,949

6.9× st 6.9×

023

Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o

$339,313

$57,307

5.9× st 7.1×

433

Cirrhosis and alcoholic hepatitis with cc

$80,229

$9,346

8.6× st 6.5×

438

Disorders of pancreas except malignancy with mcc

$122,686

$16,816

7.3× st 5.3×

477

Biopsies of musculoskeletal system and connective tissue with mcc

$243,013

$25,917

9.4× st 8.3×

880

Acute adjustment reaction and psychosocial dysfunction

$56,269

$10,581

5.3× st 6.4×

535

Fractures of hip and pelvis with mcc

$70,526

$9,983

7.1× st 6.6×

840

Lymphoma and non-acute leukemia with mcc

$194,876

$40,389

4.8× st 4.8×

617

Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc

$113,792

$21,541

5.3× st 6.1×

542

Pathological fractures and musculoskeletal and connective tissue malignancy with mcc

$144,140

$19,088

7.6× st 6.0×

282

Acute myocardial infarction, discharged alive without cc/mcc

$56,331

$6,967

8.1× st 9.0×

205

Other respiratory system diagnoses with mcc

$123,438

$17,044

7.2× st 5.3×

236

Coronary bypass without cardiac catheterization without mcc

$306,283

$34,333

8.9× st 8.9×

914

Traumatic injury without mcc

$61,023

$8,392

7.3× st 7.8×

519

Back and neck procedures except spinal fusion with cc

$132,148

$20,413

6.5× st 7.5×

054

Nervous system neoplasms with mcc

$138,549

$19,006

7.3× st 6.1×

834

Acute leukemia with mcc

$382,226

$47,570

8.0× st 5.6×

856

Postoperative or post-traumatic infections with o.r. procedures with mcc

$246,402

$42,385

5.8× st 6.6×

808

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio

$109,521

$19,388

5.6× st 5.7×

234

Coronary bypass with cardiac catheterization or open ablation without mcc

$401,907

$51,509

7.8× st 7.9×

186

Pleural effusion with mcc

$107,430

$12,834

8.4× st 6.1×

292

Heart failure and shock with cc

$54,266

$8,958

6.1× st 4.4×

207

Respiratory system diagnosis with ventilator support >96 hours

$324,151

$43,315

7.5× st 5.1×

467

Revision of hip or knee replacement with cc

$313,190

$42,426

7.4× st 7.7×

327

Stomach, esophageal and duodenal procedures with cc

$186,776

$24,905

7.5× st 6.2×

354

Hernia procedures except inguinal and femoral with cc

$145,611

$16,323

8.9× st 6.2×

841

Lymphoma and non-acute leukemia with cc

$124,289

$14,925

8.3× st 7.1×

436

Malignancy of hepatobiliary system or pancreas with cc

$98,305

$11,041

8.9× st 7.9×

708

Major male pelvic procedures without cc/mcc

$157,175

$24,827

6.3× st 7.4×

386

Inflammatory bowel disease with cc

$86,904

$10,311

8.4× st 6.7×

607

Minor skin disorders without mcc

$44,634

$8,329

5.4× st 4.9×

283

Acute myocardial infarction, expired with mcc

$156,580

$17,879

8.8× st 5.5×

473

Cervical spinal fusion without cc/mcc

$147,680

$23,312

6.3× st 6.6×

442

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc

$72,709

$9,749

7.5× st 5.6×

908

Other o.r. procedures for injuries with cc

$109,308

$19,781

5.5× st 7.0×

419

Laparoscopic cholecystectomy without c.d.e. without cc/mcc

$110,582

$11,794

9.4× st 10.0×

987

Non-extensive o.r. procedures unrelated to principal diagnosis with mcc

$228,470

$25,333

9.0× st 6.4×

652

Kidney transplant

$430,160

$34,011

12.6× st 8.2×

153

Otitis media and uri without mcc

$61,561

$9,757

6.3× st 6.1×

558

Tendonitis, myositis and bursitis without mcc

$53,983

$8,805

6.1× st 5.2×

947

Signs and symptoms with mcc

$86,811

$10,649

8.2× st 5.8×

001

Heart transplant or implant of heart assist system with mcc

$2,455,406

$325,575

7.5× st 5.1×

951

Other factors influencing health status

$32,770

$5,567

5.9× st 2.9×

125

Other disorders of the eye without mcc

$60,994

$7,112

8.6× st 7.1×

956

Limb reattachment, hip and femur procedures for multiple significant trauma

$212,854

$26,450

8.0× st 8.2×

674

Other kidney and urinary tract procedures with cc

$161,136

$22,946

7.0× st 7.3×

216

Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit

$612,827

$95,714

6.4× st 7.1×

857

Postoperative or post-traumatic infections with o.r. procedures with cc

$147,363

$22,731

6.5× st 7.1×

035

Carotid artery stent procedures with cc

$157,841

$17,669

8.9× st 8.2×

038

Extracranial procedures with cc

$122,860

$18,529

6.6× st 7.0×

592

Skin ulcers with mcc

$98,923

$15,255

6.5× st 5.5×

368

Major esophageal disorders with mcc

$107,592

$13,440

8.0× st 7.7×

141

Major head and neck procedures with cc

$234,816

$33,141

7.1× st 6.4×

517

Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc

$114,799

$11,600

9.9× st 8.8×

565

Other musculoskeletal system and connective tissue diagnoses with cc

$75,783

$8,759

8.7× st 6.8×

742

Uterine and adnexa procedures for non-malignancy with cc/mcc

$168,965

$15,944

10.6× st 9.7×

402

Single level combined anterior and posterior spinal fusion except cervical

$294,754

$34,441

8.6× st 7.2×

323

Coronary intravascular lithotripsy with intraluminal device with mcc

$273,108

$33,809

8.1× st 7.8×

062

Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit

$194,010

$17,361

11.2× st 8.0×

204

Respiratory signs and symptoms

$60,200

$9,375

6.4× st 6.9×

239

Amputation for circulatory system disorders except upper limb and toe with mcc

$287,763

$41,419

6.9× st 7.0×

336

Peritoneal adhesiolysis with cc

$171,892

$21,105

8.1× st 6.5×

195

Simple pneumonia and pleurisy without cc/mcc

$45,275

$6,768

6.7× st 6.0×

206

Other respiratory system diagnoses without mcc

$51,016

$9,051

5.6× st 6.8×

571

Skin debridement with cc

$89,792

$14,874

6.0× st 6.2×

398

Appendix procedures with cc

$97,221

$11,983

8.1× st 7.2×

183

Major chest trauma with mcc

$75,754

$14,231

5.3× st 7.4×

658

Kidney and ureter procedures for neoplasm without cc/mcc

$169,937

$13,746

12.4× st 10.2×

039

Extracranial procedures without cc/mcc

$80,365

$10,311

7.8× st 8.9×

335

Peritoneal adhesiolysis with mcc

$198,400

$29,977

6.6× st 5.2×

155

Other ear, nose, mouth and throat diagnoses with cc

$53,282

$9,884

5.4× st 7.2×

082

Traumatic stupor and coma >1 hour with mcc

$148,913

$16,259

9.2× st 6.8×

036

Carotid artery stent procedures without cc/mcc

$125,778

$16,213

7.8× st 8.8×

269

Aortic and heart assist procedures except pulsation balloon without mcc

$259,106

$45,489

5.7× st 6.3×

328

Stomach, esophageal and duodenal procedures without cc/mcc

$102,480

$14,234

7.2× st 6.5×

324

Coronary intravascular lithotripsy with intraluminal device without mcc

$210,724

$22,425

9.4× st 8.0×

196

Interstitial lung disease with mcc

$99,707

$15,454

6.5× st 5.8×

026

Craniotomy and endovascular intracranial procedures with cc

$206,029

$35,562

5.8× st 5.5×

656

Kidney and ureter procedures for neoplasm with mcc

$228,636

$35,174

6.5× st 5.6×

276

Cardiac defibrillator implant with mcc or carotid sinus neurostimulator

$511,592

$56,011

9.1× st 8.2×

866

Viral illness without mcc

$67,117

$8,057

8.3× st 7.0×

356

Other digestive system o.r. procedures with mcc

$262,225

$29,125

9.0× st 6.4×

184

Major chest trauma with cc

$65,126

$9,033

7.2× st 7.8×

579

Other skin, subcutaneous tissue and breast procedures with mcc

$249,363

$37,540

6.6× st 7.9×

032

Ventricular shunt procedures with cc

$146,608

$21,989

6.7× st 5.3×

446

Disorders of the biliary tract without cc/mcc

$82,788

$8,691

9.5× st 9.2×

748

Female reproductive system reconstructive procedures

$183,302

$11,220

16.3× st 13.6×

604

Trauma to the skin, subcutaneous tissue and breast with mcc

$74,956

$12,161

6.2× st 7.7×

580

Other skin, subcutaneous tissue and breast procedures with cc

$115,100

$17,148

6.7× st 8.1×

380

Complicated peptic ulcer with mcc

$161,564

$22,981

7.0× st 7.0×

351

Inguinal and femoral hernia procedures with cc

$131,888

$16,219

8.1× st 7.7×

560

Aftercare, musculoskeletal system and connective tissue with cc

$46,717

$10,040

4.7× st 5.7×

199

Pneumothorax with mcc

$91,077

$17,360

5.2× st 6.9×

024

Craniotomy with major device implant or acute complex cns principal diagnosis without mc

$332,769

$29,820

11.2× st 7.9×

471

Cervical spinal fusion with mcc

$317,693

$36,074

8.8× st 8.4×

482

Hip and femur procedures except major joint without cc/mcc

$124,449

$14,129

8.8× st 8.1×

011

Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc

$408,837

$50,711

8.1× st 7.1×

261

Cardiac pacemaker revision except device replacement with cc

$103,646

$16,533

6.3× st 6.3×

061

Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit

$273,625

$23,727

11.5× st 9.4×

616

Amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc

$202,232

$26,645

7.6× st 7.6×

440

Disorders of pancreas except malignancy without cc/mcc

$67,642

$6,289

10.8× st 7.9×

696

Kidney and urinary tract signs and symptoms without mcc

$38,452

$7,734

5.0× st 5.1×

301

Peripheral vascular disorders without cc/mcc

$45,033

$9,480

4.8× st 5.9×

463

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d

$487,136

$58,788

8.3× st 8.3×

545

Connective tissue disorders with mcc

$134,766

$19,448

6.9× st 5.6×

355

Hernia procedures except inguinal and femoral without cc/mcc

$147,033

$13,554

10.8× st 8.8×

068

Precerebral occlusion without infarction without mcc

$94,912

$7,692

12.3× st 10.4×

466

Revision of hip or knee replacement with mcc

$377,309

$36,353

10.4× st 6.5×

395

Other digestive system diagnoses without cc/mcc

$36,205

$6,432

5.6× st 7.9×

823

Lymphoma and non-acute leukemia with other procedures with mcc

$372,338

$54,081

6.9× st 6.0×

302

Atherosclerosis with mcc

$67,687

$10,047

6.7× st 5.7×

123

Neurological eye disorders

$77,876

$8,126

9.6× st 7.8×

040

Peripheral, cranial nerve and other nervous system procedures with mcc

$246,479

$34,568

7.1× st 7.6×

464

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d

$265,773

$26,238

10.1× st 7.4×

033

Ventricular shunt procedures without cc/mcc

$121,589

$15,602

7.8× st 6.4×

083

Traumatic stupor and coma >1 hour with cc

$94,665

$11,162

8.5× st 8.5×

406

Pancreas, liver and shunt procedures with cc

$295,117

$36,590

8.1× st 6.9×

737

Uterine and adnexa procedures for ovarian or adnexal malignancy with cc

$171,919

$15,802

10.9× st 10.0×

847

Chemotherapy without acute leukemia as secondary diagnosis with cc

$113,955

$12,969

8.8× st 6.2×

093

Other disorders of nervous system without cc/mcc

$66,836

$7,681

8.7× st 7.3×

357

Other digestive system o.r. procedures with cc

$203,160

$20,364

10.0× st 7.5×

353

Hernia procedures except inguinal and femoral with mcc

$243,581

$22,939

10.6× st 10.6×

384

Uncomplicated peptic ulcer without mcc

$57,257

$9,678

5.9× st 5.9×

167

Other respiratory system o.r. procedures with cc

$192,205

$17,048

11.3× st 7.4×

988

Non-extensive o.r. procedures unrelated to principal diagnosis with cc

$111,043

$15,714

7.1× st 7.9×

041

Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur

$154,602

$22,654

6.8× st 6.7×

306

Cardiac congenital and valvular disorders with mcc

$128,201

$12,472

10.3× st 7.1×

240

Amputation for circulatory system disorders except upper limb and toe with cc

$196,441

$23,648

8.3× st 5.8×

494

Lower extremity and humerus procedures except hip, foot and femur without cc/mcc

$138,683

$14,353

9.7× st 7.6×

034

Carotid artery stent procedures with mcc

$252,516

$28,654

8.8× st 6.6×

453

Combined anterior and posterior spinal fusion with mcc

$476,202

$65,826

7.2× st 6.5×

645

Endocrine disorders without cc/mcc

$45,789

$6,777

6.8× st 5.8×

865

Viral illness with mcc

$98,015

$17,230

5.7× st 5.7×

974

Hiv with major related condition with mcc

$177,328

$26,688

6.6× st 5.5×

158

Dental and oral diseases with cc

$65,792

$8,084

8.1× st 6.7×

427

Multiple level combined anterior and posterior spinal fusion except cervical with cc

$362,645

$58,698

6.2× st 5.9×

743

Uterine and adnexa procedures for non-malignancy without cc/mcc

$146,999

$11,049

13.3× st 13.3×

078

Hypertensive encephalopathy with cc

$75,880

$12,404

6.1× st 6.1×

381

Complicated peptic ulcer with cc

$79,649

$11,682

6.8× st 6.6×

179

Respiratory infections and inflammations without cc/mcc

$54,402

$6,523

8.3× st 6.1×

277

Cardiac defibrillator implant without mcc

$325,264

$50,628

6.4× st 6.8×

200

Pneumothorax with cc

$66,060

$10,619

6.2× st 9.2×

215

Other heart assist system implant

$851,524

$101,042

8.4× st 8.2×

399

Appendix procedures without cc/mcc

$84,796

$12,174

7.0× st 7.0×

520

Back and neck procedures except spinal fusion without cc/mcc

$92,986

$11,543

8.1× st 7.0×

653

Major bladder procedures with mcc

$451,677

$50,255

9.0× st 9.0×

474

Amputation for musculoskeletal system and connective tissue disorders with mcc

$317,090

$31,566

10.0× st 10.0×

546

Connective tissue disorders with cc

$77,507

$9,881

7.8× st 7.8×

559

Aftercare, musculoskeletal system and connective tissue with mcc

$110,716

$13,607

8.1× st 8.1×

654

Major bladder procedures with cc

$242,865

$35,032

6.9× st 6.0×

564

Other musculoskeletal system and connective tissue diagnoses with mcc

$75,489

$11,888

6.4× st 6.1×

187

Pleural effusion with cc

$62,204

$8,602

7.2× st 6.9×

385

Inflammatory bowel disease with mcc

$89,922

$11,443

7.9× st 7.9×

593

Skin ulcers with cc

$63,688

$9,887

6.4× st 6.4×

628

Other endocrine, nutritional and metabolic o.r. procedures with mcc

$164,816

$38,491

4.3× st 4.3×

700

Other kidney and urinary tract diagnoses without cc/mcc

$38,864

$6,332

6.1× st 4.0×

714

Transurethral prostatectomy without cc/mcc

$126,640

$9,320

13.6× st 13.6×

020

Intracranial vascular procedures with principal diagnosis hemorrhage with mcc

$410,170

$61,546

6.7× st 7.0×

029

Spinal procedures with cc or spinal neurostimulators

$191,791

$25,679

7.5× st 6.9×

669

Transurethral procedures with cc

$71,387

$15,990

4.5× st 6.8×

072

Other cerebrovascular disorders without cc/mcc

$60,785

$8,419

7.2× st 6.6×

379

Gastrointestinal hemorrhage without cc/mcc

$48,149

$5,814

8.3× st 6.3×

544

Pathological fractures and musculoskeletal and connective tissue malignancy without cc/m

$70,962

$6,347

11.2× st 8.4×

027

Craniotomy and endovascular intracranial procedures without cc/mcc

$220,926

$33,630

6.6× st 5.5×

577

Skin graft except for skin ulcer or cellulitis with cc

$211,602

$23,564

9.0× st 6.4×

469

Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota

$251,076

$38,065

6.6× st 6.5×

405

Pancreas, liver and shunt procedures with mcc

$510,625

$43,352

11.8× st 5.5×

913

Traumatic injury with mcc

$94,804

$12,365

7.7× st 7.7×

629

Other endocrine, nutritional and metabolic o.r. procedures with cc

$115,850

$24,707

4.7× st 7.1×

260

Cardiac pacemaker revision except device replacement with mcc

$381,719

$40,674

9.4× st 9.4×

250

Percutaneous cardiovascular procedures without intraluminal device with mcc

$194,561

$23,767

8.2× st 8.2×

620

O.r. procedures for obesity with cc

$178,557

$12,652

14.1× st 9.3×

154

Other ear, nose, mouth and throat diagnoses with mcc

$73,799

$14,307

5.2× st 5.2×

203

Bronchitis and asthma without cc/mcc

$42,723

$7,685

5.6× st 5.4×

146

Ear, nose, mouth and throat malignancy with mcc

$132,452

$26,072

5.1× st 5.1×

124

Other disorders of the eye with mcc or thrombolytic agent

$65,668

$10,693

6.1× st 6.1×

102

Headaches with mcc

$83,666

$9,962

8.4× st 8.4×

687

Kidney and urinary tract neoplasms with cc

$61,450

$8,836

7.0× st 7.0×

668

Transurethral procedures with mcc

$197,302

$28,178

7.0× st 7.0×

423

Other hepatobiliary or pancreas o.r. procedures with mcc

$286,833

$38,100

7.5× st 7.5×

504

Foot procedures with cc

$126,719

$22,682

5.6× st 5.6×

684

Renal failure without cc/mcc

$47,167

$5,292

8.9× st 5.6×

212

Concomitant aortic and mitral valve procedures

$862,443

$118,559

7.3× st 7.3×

555

Signs and symptoms of musculoskeletal system and connective tissue with mcc

$88,419

$11,411

7.7× st 7.7×

596

Major skin disorders without mcc

$48,282

$8,103

6.0× st 3.3×

468

Revision of hip or knee replacement without cc/mcc

$213,665

$28,339

7.5× st 7.2×

307

Cardiac congenital and valvular disorders without mcc

$55,266

$8,086

6.8× st 5.8×

451

Single level spinal fusion except cervical without mcc

$180,875

$30,049

6.0× st 7.6×

087

Traumatic stupor and coma <1 hour without cc/mcc

$65,447

$7,536

8.7× st 10.0×

275

Cardiac defibrillator implant with cardiac catheterization and mcc

$490,130

$56,378

8.7× st 7.9×

337

Peritoneal adhesiolysis without cc/mcc

$92,545

$14,661

6.3× st 5.1×

686

Kidney and urinary tract neoplasms with mcc

$183,078

$16,527

11.1× st 11.1×

511

Shoulder, elbow or forearm procedures, except major joint procedures with cc

$120,271

$15,336

7.8× st 8.7×

597

Malignant breast disorders with mcc

$155,734

$19,769

7.9× st 7.9×

492

Lower extremity and humerus procedures except hip, foot and femur with mcc

$225,891

$31,924

7.1× st 7.6×

867

Other infectious and parasitic diseases diagnoses with mcc

$162,819

$15,350

10.6× st 10.6×

539

Osteomyelitis with mcc

$88,496

$14,275

6.2× st 6.2×

665

Prostatectomy with mcc

$142,137

$24,771

5.7× st 5.7×

663

Minor bladder procedures with cc

$136,385

$12,343

11.1× st 7.6×

726

Benign prostatic hypertrophy without mcc

$61,946

$6,656

9.3× st 7.6×

518

Back and neck procedures except spinal fusion with mcc or disc device or neurostimulator

$224,211

$44,996

5.0× st 4.0×

553

Bone diseases and arthropathies with mcc

$77,020

$10,400

7.4× st 7.4×

373

Major gastrointestinal disorders and peritoneal infections without cc/mcc

$60,350

$6,525

9.3× st 9.2×

181

Respiratory neoplasms with cc

$96,228

$10,068

9.6× st 7.6×

459

Spinal fusion except cervical with mcc

$426,299

$47,204

9.0× st 9.3×

837

Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy a

$325,151

$46,132

7.0× st 3.1×

151

Epistaxis without mcc

$41,123

$6,795

6.1× st 6.1×

621

O.r. procedures for obesity without cc/mcc

$150,551

$15,796

9.5× st 11.3×

217

Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit

$493,239

$85,772

5.8× st 5.8×

014

Allogeneic bone marrow transplant

$1,287,283

$228,579

5.6× st 3.5×

448

Multiple level spinal fusion except cervical without mcc

$268,882

$35,289

7.6× st 7.6×

824

Lymphoma and non-acute leukemia with other procedures with cc

$157,661

$23,178

6.8× st 6.8×

407

Pancreas, liver and shunt procedures without cc/mcc

$194,933

$17,178

11.3× st 9.6×

244

Permanent cardiac pacemaker implant without cc/mcc

$101,070

$18,346

5.5× st 7.7×

350

Inguinal and femoral hernia procedures with mcc

$206,518

$15,377

13.4× st 13.4×

814

Reticuloendothelial and immunity disorders with mcc

$60,815

$16,423

3.7× st 3.7×

815

Reticuloendothelial and immunity disorders with cc

$84,530

$11,250

7.5× st 7.5×

639

Diabetes without cc/mcc

$38,889

$6,914

5.6× st 5.6×

864

Fever and inflammatory conditions

$74,981

$9,673

7.8× st 6.4×

540

Osteomyelitis with cc

$57,180

$13,492

4.2× st 3.6×

144

Other ear, nose, mouth and throat o.r. procedures with cc

$185,153

$17,545

10.6× st 10.6×

513

Hand or wrist procedures, except major thumb or joint procedures with cc/mcc

$72,149

$12,782

5.6× st 8.6×

728

Inflammation of the male reproductive system without mcc

$53,544

$7,276

7.4× st 6.9×

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

3,106

$37,344

$2,427

15.4×

5302

Level 2 Upper GI Procedures

823

$18,952

$1,699

11.2×

5191

Level 1 Endovascular Procedures

770

$38,790

$2,924

13.3×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

709

$18,766

$1,437

13.1×

5183

Level 3 Vascular Procedures

585

$27,195

$2,853

9.5×

5373

Level 3 Urology and Related Services

537

$22,838

$1,837

12.4×

5361

Level 1 Laparoscopy and Related Services

534

$80,402

$5,134

15.7×

5362

Level 2 Laparoscopy and Related Services

510

$139,452

$9,183

15.2×

5115

Level 5 Musculoskeletal Procedures

483

$130,036

$11,802

11.0×

5213

Level 3 Electrophysiologic Procedures

453

$241,555

$21,371

11.3×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

438

$33,676

$2,565

13.1×

5375

Level 5 Urology and Related Services

383

$48,118

$4,648

10.4×

5193

Level 3 Endovascular Procedures

372

$99,453

$9,845

10.1×

5114

Level 4 Musculoskeletal Procedures

349

$73,623

$6,451

11.4×

5374

Level 4 Urology and Related Services

349

$33,175

$3,129

10.6×

5113

Level 3 Musculoskeletal Procedures

235

$37,823

$2,880

13.1×

5182

Level 2 Vascular Procedures

224

$11,977

$1,435

8.3×

5154

Level 4 Airway Endoscopy

219

$39,818

$3,380

11.8×

5492

Level 2 Intraocular Procedures

217

$29,974

$3,629

8.3×

5431

Level 1 Nerve Procedures

216

$22,020

$1,737

12.7×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

193

$42,935

$3,108

13.8×

5112

Level 2 Musculoskeletal Procedures

187

$18,492

$1,450

12.8×

5165

Level 5 ENT Procedures

186

$50,269

$5,282

9.5×

5184

Level 4 Vascular Procedures

180

$59,036

$4,934

12.0×

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

179

$35,777

$3,441

10.4×

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

179

$54,471

$5,907

9.2×

5153

Level 3 Airway Endoscopy

175

$19,315

$1,516

12.7×

5223

Level 3 Pacemaker and Similar Procedures

173

$82,084

$9,666

8.5×

5313

Level 3 Lower GI Procedures

173

$29,949

$2,512

11.9×

5376

Level 6 Urology and Related Services

163

$98,254

$8,343

11.8×

5331

Complex GI Procedures

139

$53,728

$5,133

10.5×

5414

Level 4 Gynecologic Procedures

132

$32,559

$2,832

11.5×

5465

Level 5 Neurostimulator and Related Procedures

128

$212,309

$28,046

7.6×

5116

Level 6 Musculoskeletal Procedures

118

$132,838

$16,716

7.9×

5303

Level 3 Upper GI Procedures

118

$38,532

$3,399

11.3×

5192

Level 2 Endovascular Procedures

116

$73,592

$5,072

14.5×

5194

Level 4 Endovascular Procedures

103

$154,673

$15,714

9.8×

5232

Level 2 ICD and Similar Procedures

$213,932

$29,108

7.4×

5491

Level 1 Intraocular Procedures

$19,937

$2,111

9.4×

5222

Level 2 Pacemaker and Similar Procedures

$47,586

$7,479

6.4×

5415

Level 5 Gynecologic Procedures

$48,212

$4,505

10.7×

5155

Level 5 Airway Endoscopy

$71,936

$6,200

11.6×

5464

Level 4 Neurostimulator and Related Procedures

$162,189

$19,767

8.2×

5378

Level 8 Urology and Related Services

$122,257

$17,953

6.8×

5463

Level 3 Neurostimulator and Related Procedures

$207,444

$12,322

16.8×

5224

Level 4 Pacemaker and Similar Procedures

$152,492

$17,499

8.7×

5093

Level 3 Breast/Lymphatic Surgery and Related Procedures

$102,054

$8,230

12.4×

5166

Cochlear Implant Procedure

$217,929

$30,286

7.2×

5416

Level 6 Gynecologic Procedures

$74,213

$6,845

10.8×

5164

Level 4 ENT Procedures

$36,596

$2,917

12.5×

5462

Level 2 Neurostimulator and Related Procedures

$29,528

$5,358

5.5×

5503

Level 3 Extraocular, Repair, and Plastic Eye Procedures

$24,746

$2,117

11.7×

5627

Level 7 Radiation Therapy

$159,850

$7,054

22.7×

5372

Level 2 Urology and Related Services

$20,929

$586

35.7×

5493

Level 3 Intraocular Procedures

$40,245

$4,734

8.5×

5212

Level 2 Electrophysiologic Procedures

$97,220

$6,428

15.1×

5231

Level 1 ICD and Similar Procedures

$145,427

$21,297

6.8×

5094

Level 4 Breast/Lymphatic Surgery and Related Procedures

$141,084

$15,930

8.9×

5163

Level 3 ENT Procedures

$22,885

$1,382

16.6×

5504

Level 4 Extraocular, Repair, and Plastic Eye Procedures

—

5494

Level 4 Intraocular Procedures

—

5377

Level 7 Urology and Related Services

—

5461

Level 1 Neurostimulator and Related Procedures

—

5432

Level 2 Nerve Procedures

—

5342

Level 2 Abdominal/Peritoneal/Biliary and Related Procedures

—

5200

Implantation Wireless PA Pressure Monitor

—

5471

Implantation of Drug Infusion Device

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 21,567 rows scanned, 14,480 distinct code–setting items kept. 5,793 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Rbc dna hea 35 ag 11 bld grp

CPT 0001U

—

$763

clean

Liver dis 10 assays w/ash

CPT 0002M

—

$534

clean

Liver dis 10 assays w/nash

CPT 0003M

—

$534

clean

Onco prst8 3 gene ur alg

CPT 0005U

—

$806

clean

Onc mrna 5 gen rsk urthl ca

CPT 0012M

—

$806

clean

Onc mrna 5 gen recr urthl ca

CPT 0013M

—

$806

clean

Adrnl cortcl tum bchm asy 25

CPT 0015M

—

$1,384

clean

Onc bladder mrna 209 gen alg

CPT 0016M

—

$3,699

clean

Onc thyr 10 microrna seq alg

CPT 0018U

—

$3,182

clean

Onc aml dna detcj/nondetcj

CPT 0023U

—

$263

clean

Glyca nuc mr spectrsc quan

CPT 0024U

—

$36

clean

Onc thyr dna&mrna 112 genes

CPT 0026U

—

$3,816

clean

Jak2 gene trgt seq alys

CPT 0027U

—

$129

clean

Rx metab advrs trgt seq alys

CPT 0029U

—

$787

clean

Tpmt nudt15 genes

CPT 0034U

—

$494

clean

Neuro csf prion prtn qual

CPT 0035U

—

$573

clean

HC NEURO CSF PRION PRTN QUAL

CPT 0035U

$986

—

clean

Trgt gen seq dna 324 genes

CPT 0037U

—

$3,710

clean

HC PLA: TARGETED GENOMIC SEQ, DNA ANALYSIS 324 GENES (F1CDX)

CPT 0037U

$5,912

—

clean

B brgdrferi antb 5 prtn igm

CPT 0041U

—

$18

clean

HC CERBRAL PERFUSION STUDY, CT W/ CONTRAST

CPT 0042T

$7,865

—

clean

B brgdrferi antb 12 prtn igg

CPT 0042U

—

$18

clean

Tbrf b grp antb 4 prtn igm

CPT 0043U

—

$16

clean

Tbrf b grp antb 4 prtn igg

CPT 0044U

—

$16

clean

Onc brst dux carc is 12 gene

CPT 0045U

—

$4,105

clean

Onc prst8 mrna 17 gene alg

CPT 0047U

—

$4,105

clean

Onc merkel cll carc srm quan

CPT 0058U

—

$342

clean

HC PLA: MERKEL CELL CARC A/B, SERUM, QUANT

CPT 0058U

$3,788

—

clean

Onc merkel cll carc srm +/-

CPT 0059U

—

$342

clean

HC MERKEL POLYOMAVIRUS VP1 CAPSID ANTIBODY - ARUP

CPT 0059U

$1,318

—

clean

Tc meas 5 bmrk sfdi m-s alys

CPT 0061U

—

$27

clean

Antb tp total&rpr ia qual

CPT 0064U

—

$33

clean

Syfls tst nontreponemal antb

CPT 0065U

—

$19

clean

Candida species pnl amp prb

CPT 0068U

—

$151

clean

HC TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL

CPT 0075T

$26,772

—

clean

Ig paraprotein qual bld/ur

CPT 0077U

—

$46

clean

Onc lng 5 clin rsk factr alg

CPT 0080U

—

$3,731

clean

Onc mlnma prame & linc00518

CPT 0089U

—

$806

clean

Onc cutan mlnma mrna 23 gene

CPT 0090U

—

$2,067

clean

Extracorp shockwv tx hi enrg

CPT 0101T

—

$273

clean

Hered colon ca do 15 genes

CPT 0101U

—

$1,849

clean

Neph ckd mult eclia tum nec

CPT 0105U

—

$1,007

clean

Touch Quant Sensory Test

CPT 0106T

—

$41

clean

Gstr emptg 7 timed brth spec

CPT 0106U

—

$927

clean

Vibrate Quant Sensory Test

CPT 0107T

—

$41

clean

Cool Quant Sensory Test

CPT 0108T

—

$65

clean

Gi barrett esoph 9 prtn bmrk

CPT 0108U

—

$5,247

clean

Heat Quant Sensory Test

CPT 0109T

—

$41

clean

Iadi 16s&18s rrna genes

CPT 0112U

—

$378

clean

Trnsplj don-drv cll-fr dna

CPT 0118U

—

$2,918

clean

Crd ceramides liq chrom plsm

CPT 0119U

—

$89

clean

Hered brst ca rltd do panel

CPT 0129U

—

$1,382

clean

Nfct bct fng prst dna >1000

CPT 0152U

—

$2,254

clean

HC ORGANISM NGS KARIUS

CPT 0152U

$4,177

—

clean

Gi ibs ia anti-cdtb&vinculin

CPT 0164U

—

$119

clean

Liver ds 10 biochem asy srm

CPT 0166U

—

$534

clean

Onc sld tum alys brca1 brca2

CPT 0172U

—

$3,212

clean

Onc solid tumor 30 prtn trgt

CPT 0174U

—

$1,384

clean

Exc rectal tumor endoscopic

CPT 0184T

—

$6,720

clean

HC PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL

CPT 0200T

$15,329

—

clean

Perq sacral augmt unilat inj

CPT 0200T

—

$8,032

clean

HC PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS

CPT 0201T

$20,972

—

clean

Perq sacral augmt bilat inj

CPT 0201T

—

$8,032

clean

Post vert arthrplst 1 lumbar

CPT 0202T

—

$14,212

clean

Nfct ds 22 trgt sars-cov-2

CPT 0202U

—

$442

clean

HC BIOFIRE RESP PNL 22 TARGETS INCLUDING SARSCOV2

CPT 0202U

$3,067

—

clean

Neuro alzheimer cell aggregj

CPT 0206U

—

$2,348

clean

Clear eyelid gland w/heat

CPT 0207T

—

$147

clean

HC INJ PLATELET RICH PLASMA

CPT 0232T

$4,759

—

clean

Njx platelet plasma

CPT 0232T

—

$494

clean

Trluml perip athrc brchiocph

CPT 0237T

—

$12,779

clean

HC TRLUML PERIP ATHRC BRCHIOCPH

CPT 0237T

$93,709

—

clean

Trluml perip athrc iliac art

CPT 0238T

—

$20,292

clean

HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH

CPT 0238T

$24,172

—

clean

Trgt gen seq alys pnl 311+

CPT 0239U

—

$3,710

clean

HC RESP VIRUS PNL 3 TARGETS SARS-COV-2 FLU A FLU B QUAL

CPT 0240U

$530

—

clean

HC RESP VIRUS PNL 4 TARGETS SARS-COV-2 FLU A FLU B RSV QUAL

CPT 0241U

$530

—

clean

Trgt gen seq alys pnl 55-74

CPT 0242U

—

$5,300

clean

Onc thyr mut alys 10 gen&37

CPT 0245U

—

$1,342

clean

Onc sld org neo dna 505 gene

CPT 0250U

—

$3,095

clean

HC IN PERSON DEVICE INTERROG CRTD SINUS BAROREFLEX SYS W/ PROG

CPT 0273T

$530

—

clean

HC PILD/MILD LUMBAR DECOMPRESS LSS

CPT 0275T

$21,719

—

clean

Tempr

CPT 0278T

—

$142

clean

Onc lung mrna quan pcr 11&3

CPT 0288U

—

$4,105

clean

Onc brst dux carc 7 proteins

CPT 0295U

—

$5,761

clean

Crd cad alys 3 prtn plsm alg

CPT 0308U

—

$414

clean

Crd cv ds aly 4 prtn plm alg

CPT 0309U

—

$414

clean

Nfct ds bct quan antmcrb sc

CPT 0311U

—

clean

Ai ds sle alys 8 igg autoant

CPT 0312U

—

$891

clean

Onc cutan sq cll ca mrna 40

CPT 0315U

—

$9,010

clean

Neph rna psttrnspl perph bld

CPT 0320U

—

$2,809

clean

Trgt gen seq alys pnl 83+

CPT 0326U

—

$5,300

clean

Onc neo xome&trns seq alys

CPT 0329U

—

$3,644

clean

Tear film img uni/bi w/i&r

CPT 0330T

—

$41

clean

Onc sld orgn tgsa dna 84/+

CPT 0334U

—

$3,710

clean

Onc plsm cell do&myeloma id

CPT 0337U

—

$2,581

clean

Onc sld tum crcg tum cl slct

CPT 0338U

—

$2,581

clean

Trnscth renal symp denrv bil

CPT 0339T

—

$6,300

clean

HC TRANSCATH RENAL SYMP DENERV BIL

CPT 0339T

$53,176

—

clean

Onc prst8 mrna hoxc6 & dlx1

CPT 0339U

—

$806

clean

Onc pan ca alys mrd plasma

CPT 0340U

—

$3,805

clean

Hep nafld semiq evl 28 lipid

CPT 0344U

—

$840

clean

Psyc genom alys pnl 15 gen

CPT 0345U

—

$1,416

clean

Rx metab/pcx dna 16 gen alys

CPT 0347U

—

$1,416

clean

Rx metab/pcx dna 25 gen alys

CPT 0348U

—

$787

clean

Rx metab/pcx dna 27gen rx ia

CPT 0349U

—

$787

clean

RSA lower extr exam

CPT 0350T

—

$106

clean

Nfct ds bct/viral trail ip10

CPT 0351U

—

$276

clean

Oct brst/node i&r per spec

CPT 0352T

—

$1,651

clean

Apol1 risk variants

CPT 0355U

—

$145

clean

Onc orop 17 dna ddpcr alg

CPT 0356U

—

$1,908

clean

HC BIOELEC IMPEDANCE ANALYSIS WHOLE BODY SCAN

CPT 0358T

$231

—

clean

Neuro alys b-amyl 1-42&1-40

CPT 0358U

—

$276

clean

HC BETA-AMYLOID RATIO (1-42/1-40) CSF - MAYO

CPT 0358U

$2,099

—

clean

Onc prst8 ca alys all psa

CPT 0359U

—

$806

clean

Onc lung elisa 7 autoant alg

CPT 0360U

—

$891

clean

Onc urthl mrna 5 gen alg

CPT 0363U

—

$806

clean

Onc bldr 10 prb bldr ca

CPT 0365U

—

$951

clean

Onc bldr 10 prb recr bldr ca

CPT 0366U

—

$951

clean

Onc ovrn bchm asy 7 prtn alg

CPT 0375U

—

$951

clean

Onc prst8 ca img alys 128

CPT 0376U

—

$749

clean

Vis field assmnt tech suppt

CPT 0379T

—

$41

clean

Tgsap sl or neo dna523&rna55

CPT 0379U

—

$3,486

clean

Onc nonsm cll lng ca 37 gen

CPT 0388U

—

$3,710

clean

Neu prksn msfl ?-syncln prtn

CPT 0393U

—

$573

clean

Pfas 16 pfas compnd lc ms/ms

CPT 0394U

—

$211

clean

Gi baret esph dna mthyln aly

CPT 0398U

—

$1,860

clean

Collagen crosslinking cornea

CPT 0402T

—

$2,632

clean

Onc prst8 mrna 18 gen dre ur

CPT 0403U

—

$806

clean

Onc brst semiq meas thym kn

CPT 0404U

—

$342

clean

Onc lung flow cytmtry 5 mrk

CPT 0406U

—

$806

clean

Neph dbtc ckd mult eclia alg

CPT 0407U

—

$1,007

clean

HC INS/REPL CCM SYSTEM, PULSE GEN W/ TV ELECTRODES

CPT 0408T

$27,737

—

clean

Insj/rplc cardiac modulj sys

CPT 0408T

—

$34,745

clean

Onc sld tum dna 80 & rna 36

CPT 0409U

—

$3,095

clean

Psyc genom alys pnl 15 gen

CPT 0411U

—

$1,416

clean

Cv ds acs bld alg 5 yr score

CPT 0415U

—

$414

clean

HC PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM

CPT 0417T

$132

—

clean

HC INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM

CPT 0418T

$132

—

clean

Onc pan solid tum alys dna

CPT 0422U

—

$2,060

clean

Gi malabs aat calpro pncrtc

CPT 0430U

—

$65

clean

Gly rcptr alpha1 igg srm/csf

CPT 0431U

—

$39

clean

Klhl11 antb sr/csf asy qual

CPT 0432U

—

$39

clean

Onc prst8 5 dna reg mrk pcr

CPT 0433U

—

$806

clean

Rx metab advrs vrnt alys 25

CPT 0434U

—

$442

clean

Abltj perc lxtr/perph nrv

CPT 0441T

—

$2,162

clean

Neurflmnt lt chn ultrsens ia

CPT 0443U

—

$123

clean

Rmvl impltbl glucose sensor

CPT 0447T

—

$222

clean

Insj aqueous drain dev 1st

CPT 0449T

—

$5,890

clean

Visual ep test for glaucoma

CPT 0464T

—

$142

clean

Onc sld tum bld/slv 648 gene

CPT 0473U

—

$4,770

clean

Hered prst8 ca gsap 23 genes

CPT 0475U

—

$1,382

clean

Fxjl abl lsr 1st 100 sq cm

CPT 0479T

—

$818

clean

HC CATH TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH

CPT 0483T

$68,439

—

clean

HC CATH TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE

CPT 0484T

$62,838

—

clean

Oct mid ear i&r unilateral

CPT 0485T

—

$41

clean

Onc sol tum cfdna&rna ngs gm

CPT 0485U

—

$3,868

clean

Oct mid ear i&r bilateral

CPT 0486T

—

$41

clean

Ev fempop artl revsc

CPT 0505T

—

$12,779

clean

Near ifr 2img mibmn glnd i&r

CPT 0507T

—

$65

clean

Pattern erg w/i&r

CPT 0509T

—

$239

clean

Esw integ wnd hlg 1st wnd

CPT 0512T

—

$222

clean

HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING

CPT 0523T

$11,779

—

clean

Insj/rplcmt compl iims

CPT 0525T

—

$21,321

clean

HC INSRT/REPLCE ISCHEMIA MON SYS COMPLETE

CPT 0525T

$27,737

—

clean

HC PROG EVAL ADJUST ISCHEMIA MON SYS W/ REPORT

CPT 0528T

$27,737

—

clean

HC INTERROGATE ISCHEMIA MON DEVICE W/ REPORT

CPT 0529T

$27,737

—

clean

Antmc guide 3d print 1st gd

CPT 0561T

—

$143

clean

Evac meibomian glnd heat bi

CPT 0563T

—

$65

clean

HC CCL TTVR PERQ APPR INIT PROSTHESIS

CPT 0569T

$69,276

—

clean

HC CCL TTVR PERQ APPR EA ADDL PROSTHESIS

CPT 0570T

$16,359

—

clean

Insj/rplcmt icds ss eltrd

CPT 0571T

—

$34,745

clean

HC INS/REPL ICDS W/ SUBSTERNAL ELECTRODE

CPT 0571T

$57,586

—

clean

Abltj mal brst tum perq crtx

CPT 0581T

—

$4,334

clean

HC NONCONTRACT RT FLUOR IMG 1ST ANAT SITE

CPT 0598T

$1,119

—

clean

Ncntc r-t fluor wnd img 1st

CPT 0598T

—

$379

clean

HC NONCONTRACT RT FLUOR IMG EA ADDL ANAT SITE

CPT 0599T

$1,119

—

clean

Ire abltj 1+tum organ perq

CPT 0600T

—

$11,767

clean

Ire abltj 1+tumors open

CPT 0601T

—

$11,767

clean

Rem oct rta techl sprt min 8

CPT 0605T

—

$62

clean

Perq njx algc fluor lmbr 1st

CPT 0627T

—

$14,212

clean

Perq njx algc ct lmbr 1st

CPT 0629T

—

$14,212

clean

Ct breast w/3d bi c-/c+

CPT 0638T

—

$612

clean

Ncntc nr ifr spctrsc wnd

CPT 0640T

—

$41

clean

Tcat rmvl/dblk icar mas perq

CPT 0644T

—

$6,300

clean

HC TRANCATH RMVL/DBLK INTRCARD MASS SUCTION DVC PERQ

CPT 0644T

$31,285

—

clean

Insj gtube perq mag gastrpxy

CPT 0647T

—

$2,124

clean

Quan mr alys tiss w/o mri

CPT 0648T

—

$1,001

clean

Egd flx transnasal tube/cath

CPT 0654T

—

$4,268

clean

Tprnl focal abltj mal prst8

CPT 0655T

—

$5,935

clean

Elec impd spectrsc 1+skn les

CPT 0658T

—

$95

clean

Implt ant sgm io nbio rx sys

CPT 0660T

—

$4,575

clean

HC SCALP COOL PLMT MNTR RMVL

CPT 0663T

$411

—

clean

Insj ant sgm aq drg dev 1+

CPT 0671T

—

$5,890

clean

Abltj b9 thyr ndul perq lasr

CPT 0673T

—

$1,828

clean

Histotripsy mal hepatcel tis

CPT 0686T

—

$36,849

clean

HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN

CPT 0686T

$71,999

—

clean

Njx b1 sub mtrl sbchdrl dfct

CPT 0707T

—

$3,622

clean

HC INSTILLATION FECAL MICROBIOTA SSP

CPT 0780T

$385

—

clean

Instlj fecal microbiota ssp

CPT 0780T

—

$147

clean

Showing the first 200 of 14,480 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_rate_without_estimate

26,670 of 26,670 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 29580/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 36522/b

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 72141/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 80047/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 88313/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J1335/b

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J9045/b

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 81265/b

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 82542/b

info

mrf_item_fields_vary

this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 84075/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 85384/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87278/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 Q4137/b

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 0058U/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 29581/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 72142/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 80048/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 86671/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 96360/b

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 J9055/b

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 81266/b

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 82550/b

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 84080/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 85385/b

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 88319/b

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 Q4140/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 29584/b

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 72146/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86674/b

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 96361/b

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 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 differ, so no cross-line comparison was made for this item

CPT J9060/b

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 80051/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 81267/b

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 82552/b

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 87281/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 72147/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 84100/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 85397/b

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 86677/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 96365/b

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 J1447/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT Q4148/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 80053/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 81268/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 82553/b

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 72148/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 75989/b

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 84105/b

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86682/b

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 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 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J9065/b

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 Q4150/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 82565/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 85415/b

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 A9573/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 72149/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 80061/b

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 81270/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 84110/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86689/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87305/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 96367/b

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 Q4151/b

info

mrf_item_fields_vary

this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 82570/b

info

mrf_item_fields_vary

this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 85420/b

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 A9575/b

info

mrf_item_fields_vary

this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 differ, so no cross-line comparison was made for this item

CPT 72156/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 81271/b

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 86692/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87324/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 96368/b

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 Q4152/b

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/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 84120/b

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 A9577/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J9145/b

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 72157/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 81272/b

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 86694/b

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87327/b

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 88342/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 0086U/b

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/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 85520/b

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J1568/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J9171/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 Q4156/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 72158/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 81273/b

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 82600/b

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 84132/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86695/b

info

mrf_item_fields_vary

this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87328/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 85525/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 88346/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 96372/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 A9585/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J1569/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT Q4158/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 differ, so no cross-line comparison was made for this item

CPT 72159/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 81275/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 82607/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 84133/b

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86696/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 differ, so no cross-line comparison was made for this item

CPT 87329/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 80145/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1715/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J9181/b

info

mrf_item_fields_vary

this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 81276/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 82608/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 84134/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 85540/b

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 86698/b

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 88350/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 96374/b

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 Q4160/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 76120/b

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/b

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 87337/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J1596/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J9190/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 differ, so no cross-line comparison was made for this item

CPT 72191/b

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 81279/b

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 82610/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 85549/b

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 86701/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 88360/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 96375/b

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 Q4166/b

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 80151/b

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 84143/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87338/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1728/b

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 72192/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 82626/b

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 86702/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 88361/b

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 96376/b

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 J9201/b

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 76380/b

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 81287/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 84144/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87340/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J1630/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 Q4176/b

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 72193/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 80156/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 82627/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 85576/b

info

mrf_item_fields_vary

this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 96377/b

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 76390/b

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 81288/b

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 84145/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86704/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87341/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT J9206/b

info

mrf_item_fields_vary

this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT Q4186/b

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 36591/b

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 72194/b

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 80157/b

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 96401/b

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 J1642/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 0152U/b

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 81291/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 82634/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 84146/b

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 85598/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 86705/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87350/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 88365/b

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 Q4187/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 36592/b

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 72195/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 80158/b

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 96402/b

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 J1644/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 differ, so no cross-line comparison was made for this item

CPT J9227/b

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 76497/b

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 85610/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 differ, so no cross-line comparison was made for this item

CPT 86706/b

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 87385/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT C1889/b

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 Q4188/b

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 36593/b

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 72196/b

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/b

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 82642/b

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 J1650/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 differ, so no cross-line comparison was made for this item

CPT J9228/b

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 76498/b

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 84153/b

info

mrf_item_fields_vary

this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 85611/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86707/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 5,793 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service

Severity

Rule

Detail

MS-DRG 743

info

inp_charge_10x_payment

average charge $146,999 is 13.3× the total payment

MS-DRG 748

info

inp_charge_10x_payment

average charge $183,302 is 16.3× the total payment

MS-DRG 867

info

inp_charge_10x_payment

average charge $162,818 is 10.6× the total payment

MS-DRG 024

info

inp_charge_10x_payment

average charge $332,769 is 11.2× the total payment

MS-DRG 061

info

inp_charge_10x_payment

average charge $273,625 is 11.5× the total payment

MS-DRG 062

info

inp_charge_10x_payment

average charge $194,010 is 11.2× the total payment

MS-DRG 066

info

inp_charge_10x_payment

average charge $78,379 is 12.2× the total payment

MS-DRG 068

info

inp_charge_10x_payment

average charge $94,912 is 12.3× the total payment

MS-DRG 069

info

inp_charge_10x_payment

average charge $78,775 is 10.2× the total payment

MS-DRG 144

info

inp_charge_10x_payment

average charge $185,153 is 10.6× the total payment

MS-DRG 164

info

inp_charge_10x_payment

average charge $247,530 is 11.0× the total payment

MS-DRG 167

info

inp_charge_10x_payment

average charge $192,205 is 11.3× the total payment

MS-DRG 306

info

inp_charge_10x_payment

average charge $128,201 is 10.3× the total payment

MS-DRG 350

info

inp_charge_10x_payment

average charge $206,518 is 13.4× the total payment

MS-DRG 353

info

inp_charge_10x_payment

average charge $243,581 is 10.6× the total payment

MS-DRG 355

info

inp_charge_10x_payment

average charge $147,033 is 10.8× the total payment

MS-DRG 405

info

inp_charge_10x_payment

average charge $510,625 is 11.8× the total payment

MS-DRG 407

info

inp_charge_10x_payment

average charge $194,933 is 11.3× the total payment

MS-DRG 440

info

inp_charge_10x_payment

average charge $67,642 is 10.8× the total payment

MS-DRG 464

info

inp_charge_10x_payment

average charge $265,773 is 10.1× the total payment

MS-DRG 466

info

inp_charge_10x_payment

average charge $377,309 is 10.4× the total payment

MS-DRG 474

info

inp_charge_10x_payment

average charge $317,090 is 10.0× the total payment

MS-DRG 544

info

inp_charge_10x_payment

average charge $70,962 is 11.2× the total payment

MS-DRG 620

info

inp_charge_10x_payment

average charge $178,556 is 14.1× the total payment

MS-DRG 652

info

inp_charge_10x_payment

average charge $430,160 is 12.6× the total payment

MS-DRG 657

info

inp_charge_10x_payment

average charge $164,988 is 10.5× the total payment

MS-DRG 658

info

inp_charge_10x_payment

average charge $169,937 is 12.4× the total payment

MS-DRG 663

info

inp_charge_10x_payment

average charge $136,385 is 11.1× the total payment

MS-DRG 686

info

inp_charge_10x_payment

average charge $183,078 is 11.1× the total payment

MS-DRG 714

info

inp_charge_10x_payment

average charge $126,640 is 13.6× the total payment

MS-DRG 737

info

inp_charge_10x_payment

average charge $171,919 is 10.9× the total payment

MS-DRG 742

info

inp_charge_10x_payment

average charge $168,965 is 10.6× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
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)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
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
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)
Adventhealth Orlando — standard charges file · FL · updated 2026-04-01
· json · 36.6M bytes · fetched 2026-08-23 · sha256 0d81b8b08882…

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.