Hospital · CCN 100032

Orlando Health Bayfront Hospital

701 6th St S, Saint Petersburg, FL 33701 · Pinellas County
Part of Orlando Health · 262 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

63 admission types 51 outpatient services price file: ok 7 Medicare-file findings
Billed per dollar paid, all admissions
8.27×
$168.9M billed against $20.4M paid across 1,451 Medicare discharges; the national figure is 5.03×.
2.6%
of adults in Pinellas County have medical debt in collections
13.0%
uninsured in the county · state 13.9%
$71K
median household income
6.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (11 in the inpatient or outpatient file)ⓘ
31.5%
obesity in the countyⓘ
13.1%
diagnosed diabetes (PLACES)
8.2%
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
150
$165,910
$17,225
9.6× st 7.2×
291
Heart failure and shock with mcc
71
$82,464
$12,160
6.8× st 6.3×
312
Syncope and collapse
51
$53,467
$9,165
5.8× st 7.6×
690
Kidney and urinary tract infections without mcc
44
$62,337
$8,928
7.0× st 6.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
41
$144,456
$16,336
8.8× st 7.8×
274
Percutaneous and other intracardiac procedures without mcc
38
$221,122
$27,915
7.9× st 7.5×
193
Simple pneumonia and pleurisy with mcc
33
$107,912
$11,812
9.1× st 7.2×
481
Hip and femur procedures except major joint with cc
33
$152,075
$17,800
8.5× st 8.8×
689
Kidney and urinary tract infections with mcc
33
$84,114
$11,159
7.5× st 6.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
30
$74,115
$8,781
8.4× st 7.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
30
$63,657
$8,064
7.9× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
30
$89,813
$12,366
7.3× st 6.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
30
$94,830
$9,801
9.7× st 8.8×
552
Medical back problems without mcc
29
$56,462
$9,861
5.7× st 7.8×
101
Seizures without mcc
29
$65,948
$9,767
6.8× st 7.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
25
$91,796
$12,398
7.4× st 6.8×
189
Pulmonary edema and respiratory failure
24
$95,443
$12,172
7.8× st 6.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
23
$50,777
$8,933
5.7× st 7.1×
057
Degenerative nervous system disorders without mcc
22
$73,507
$13,550
5.4× st 6.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
22
$380,728
$40,225
9.5× st 7.5×
698
Other kidney and urinary tract diagnoses with mcc
21
$139,176
$14,769
9.4× st 6.7×
378
Gastrointestinal hemorrhage with cc
20
$85,112
$10,019
8.5× st 7.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
20
$101,769
$10,435
9.8× st 7.0×
177
Respiratory infections and inflammations with mcc
20
$128,892
$15,240
8.5× st 6.5×
100
Seizures with mcc
19
$124,743
$17,652
7.1× st 6.7×
280
Acute myocardial infarction, discharged alive with mcc
19
$121,348
$14,631
8.3× st 7.3×
309
Cardiac arrhythmia and conduction disorders with cc
19
$64,956
$8,295
7.8× st 6.9×
948
Signs and symptoms without mcc
18
$50,398
$8,076
6.2× st 6.2×
683
Renal failure with cc
18
$68,004
$9,261
7.3× st 6.7×
377
Gastrointestinal hemorrhage with mcc
18
$145,219
$19,643
7.4× st 7.2×
308
Cardiac arrhythmia and conduction disorders with mcc
18
$167,807
$13,831
12.1× st 6.6×
313
Chest pain
18
$55,100
$8,040
6.9× st 7.3×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
17
$76,199
$9,660
7.9× st 7.7×
190
Chronic obstructive pulmonary disease with mcc
17
$74,632
$10,679
7.0× st 6.5×
682
Renal failure with mcc
17
$109,198
$15,928
6.9× st 7.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
17
$48,806
$6,788
7.2× st 7.1×
091
Other disorders of nervous system with mcc
16
$171,153
$16,754
10.2× st 6.9×
603
Cellulitis without mcc
16
$71,543
$9,446
7.6× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
16
$186,154
$16,416
11.3× st 9.7×
069
Transient ischemia without thrombolytic
16
$62,029
$8,627
7.2× st 10.3×
480
Hip and femur procedures except major joint with mcc
15
$248,180
$24,472
10.1× st 8.6×
070
Other cerebrovascular disorders with mcc
15
$169,729
$14,028
12.1× st 6.3×
870
Septicemia or severe sepsis with mv >96 hours
15
$394,319
$48,916
8.1× st 6.6×
083
Traumatic stupor and coma >1 hour with cc
15
$136,447
$13,184
10.3× st 8.5×
086
Traumatic stupor and coma <1 hour with cc
15
$94,749
$12,384
7.7× st 8.3×
092
Other disorders of nervous system with cc
14
$70,087
$10,596
6.6× st 6.9×
149
Dysequilibrium
14
$61,746
$8,276
7.5× st 8.8×
082
Traumatic stupor and coma >1 hour with mcc
14
$180,381
$19,147
9.4× st 6.8×
330
Major small and large bowel procedures with cc
14
$259,417
$19,930
13.0× st 8.5×
482
Hip and femur procedures except major joint without cc/mcc
14
$127,108
$14,667
8.7× st 8.1×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
14
$168,022
$20,378
8.2× st 9.0×
536
Fractures of hip and pelvis without mcc
14
$58,121
$8,616
6.7× st 7.4×
551
Medical back problems with mcc
14
$81,013
$15,004
5.4× st 7.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
13
$180,359
$18,437
9.8× st 8.7×
884
Organic disturbances and intellectual disability
13
$52,997
$14,993
3.5× st 5.5×
178
Respiratory infections and inflammations with cc
12
$58,674
$9,037
6.5× st 6.4×
389
Gastrointestinal obstruction with cc
12
$67,938
$8,552
7.9× st 7.1×
314
Other circulatory system diagnoses with mcc
11
$109,850
$19,083
5.8× st 5.9×
393
Other digestive system diagnoses with mcc
11
$154,307
$17,363
8.9× st 6.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
11
$154,503
$19,503
7.9× st 9.1×
699
Other kidney and urinary tract diagnoses with cc
11
$75,772
$9,625
7.9× st 6.1×
194
Simple pneumonia and pleurisy with cc
11
$39,123
$9,251
4.2× st 6.9×
638
Diabetes with cc
11
$77,986
$9,689
8.0× st 6.5×
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
301
$30,604
$2,460
12.4×
5115
Level 5 Musculoskeletal Procedures
104
$145,845
$11,708
12.5×
5302
Level 2 Upper GI Procedures
66
$26,791
$1,703
15.7×
5191
Level 1 Endovascular Procedures
54
$35,267
$2,917
12.1×
5375
Level 5 Urology and Related Services
53
$59,697
$4,617
12.9×
5374
Level 4 Urology and Related Services
50
$50,108
$3,158
15.9×
5213
Level 3 Electrophysiologic Procedures
42
$258,240
$21,459
12.0×
5313
Level 3 Lower GI Procedures
38
$47,284
$2,543
18.6×
5465
Level 5 Neurostimulator and Related Procedures
37
$202,486
$28,046
7.2×
5222
Level 2 Pacemaker and Similar Procedures
33
$78,598
$7,696
10.2×
5114
Level 4 Musculoskeletal Procedures
26
$99,079
$6,282
15.8×
5373
Level 3 Urology and Related Services
25
$35,044
$1,845
19.0×
5362
Level 2 Laparoscopy and Related Services
24
$140,930
$9,319
15.1×
5223
Level 3 Pacemaker and Similar Procedures
23
$108,112
$9,666
11.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
23
$20,533
$1,469
14.0×
5193
Level 3 Endovascular Procedures
22
$138,548
$9,653
14.4×
5154
Level 4 Airway Endoscopy
21
$77,102
$3,392
22.7×
5113
Level 3 Musculoskeletal Procedures
21
$58,043
$2,821
20.6×
5361
Level 1 Laparoscopy and Related Services
20
$86,869
$5,227
16.6×
5112
Level 2 Musculoskeletal Procedures
15
$34,318
$1,456
23.6×
5116
Level 6 Musculoskeletal Procedures
13
$159,620
$16,845
9.5×
5155
Level 5 Airway Endoscopy
12
$123,942
$6,200
20.0×
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 29,636 rows scanned, 16,893 distinct code–setting items kept. 5,204 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$756
21
clean
Liver dis 10 assays w/ash
—
—
$531
18
clean
Hb Nash-Fibro Test- Ref
$744
$298
—
0
clean
Liver dis 10 assays w/nash
—
—
$531
18
clean
Onco prst8 3 gene ur alg
—
—
$798
21
clean
Onc mrna 5 gen rsk urthl ca
—
—
$798
21
clean
Onc mrna 5 gen recr urthl ca
—
—
$798
21
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,371
21
clean
Onc bladder mrna 209 gen alg
—
—
$3,664
21
clean
Onc thyr 10 microrna seq alg
—
—
$3,152
21
clean
Onc aml dna detcj/nondetcj
—
—
$261
21
clean
Glyca nuc mr spectrsc quan
—
—
$36
21
clean
Onc thyr dna&mrna 112 genes
—
—
$3,780
21
clean
Jak2 gene trgt seq alys
—
—
$128
21
clean
Hb Jak2 Exon 12-15 Sequencing, Reflex-Ref
$390
$156
—
0
clean
Rx metab advrs trgt seq alys
—
—
$779
21
clean
Hb Focused Pharmacogenomics Panel, V Mayo-Ref
$1,300
$520
—
0
clean
Tpmt nudt15 genes
—
—
$489
21
clean
Hb Tpmt-Mayo-Ref
$1,003
$401
—
0
clean
Neuro csf prion prtn qual
—
—
$568
21
clean
Hb Neurology Csf Detection Prion Protein-Ref
$1,200
$480
—
0
clean
Trgt gen seq dna 324 genes
—
—
$3,675
21
clean
Hb Foundation One Cdx Zb7Ve-Ref
$7,000
$2,800
—
0
clean
B brgdrferi antb 5 prtn igm
—
—
$18
21
clean
Hb Ct Cerebral Perf W/Contrast
$4,512
$1,805
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$18
21
clean
Tbrf b grp antb 4 prtn igm
—
—
$16
21
clean
Tbrf b grp antb 4 prtn igg
—
—
$16
21
clean
Onc brst dux carc is 12 gene
—
—
$4,067
21
clean
Onc prst8 mrna 17 gene alg
—
—
$4,067
21
clean
Bone srgry cmptr fluor image
—
—
$5,549
3
clean
Bone srgry cmptr ct/mri imag
—
—
$5,549
3
clean
Hb Merkel Cell Carcinoma Ab (Arup)-Ref
$683
$273
—
0
clean
Onc merkel cll carc srm quan
—
—
$339
21
clean
Onc merkel cll carc srm +/-
—
—
$339
21
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$26
21
clean
Antb tp total&rpr ia qual
—
—
$33
21
clean
Syfls tst nontreponemal antb
—
—
$19
21
clean
Candida species pnl amp prb
—
—
$150
21
clean
Perq Stent/Chest Vert Art
—
—
$23,317
3
clean
Hb Transcath Stent Ica/Ecv-Init
$80,916
$32,366
—
0
clean
Ig paraprotein qual bld/ur
—
—
$46
21
clean
Hb M-Protein Mass-Fix, 24 Hr, Urine (Mayo-Mptu)-Ref
$340
$136
—
0
clean
Onc lng 5 clin rsk factr alg
—
—
$3,696
21
clean
Onc mlnma prame & linc00518
—
—
$798
21
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,048
21
clean
Extracorp shockwv tx hi enrg
—
—
$493
16
clean
Hered colon ca do 15 genes
—
—
$1,796
21
clean
Neph ckd mult eclia tum nec
—
—
$998
21
clean
Gstr emptg 7 timed brth spec
—
—
$918
21
clean
Cool Quant Sensory Test
—
—
$108
13
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,099
21
clean
Iadi 16s&18s rrna genes
—
—
$374
21
clean
Hb Molecular Microbial Diagnostic Test- Ref
$500
$200
—
0
clean
Trnsplj don-drv cll-fr dna
—
—
$2,891
21
clean
Crd ceramides liq chrom plsm
—
—
$88
21
clean
Hered brst ca rltd do panel
—
—
$1,343
21
clean
Nfct bct fng prst dna >1000
—
—
$2,233
21
clean
Hb Microbial Cell Free Dna(Karius) Zb4Sv-Ref
$3,000
$1,200
—
0
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$118
21
clean
Liver ds 10 biochem asy srm
—
—
$529
21
clean
Onc sld tum alys brca1 brca2
—
—
$3,182
21
clean
Onc solid tumor 30 prtn trgt
—
—
$1,371
21
clean
Exc rectal tumor endoscopic
—
—
$11,144
16
clean
Perq sacral augmt unilat inj
—
—
$11,215
16
clean
Hb Sacral Augmentation-Perc-Uni
$30,080
$12,032
—
0
clean
Perq sacral augmt bilat inj
—
—
$11,215
16
clean
Hb Sacral Augmentation-Perc-Bilat
$30,080
$12,032
—
0
clean
Post vert arthrplst 1 lumbar
—
—
$19,593
16
clean
Hb Respiratory Panel,Pcr,V-Mayo-Ref
$1,000
$400
—
0
clean
Nfct ds 22 trgt sars-cov-2
—
—
$438
21
clean
Neuro alzheimer cell aggregj
—
—
$2,326
21
clean
Clear eyelid gland w/heat
—
—
$266
16
clean
Neuro alzheimer quan imaging
—
—
$509
6
clean
Njx platelet plasma
—
—
$893
16
clean
Hb Njx Pltlt Plasma W/Img Harvest/ Preparation
$3,250
$1,300
—
0
clean
Trluml perip athrc brchiocph
—
—
$22,001
16
clean
Hb Atherectomy W/S&I Ileac Artery Each Vessel
$201,808
$80,723
—
0
clean
Trluml perip athrc iliac art
—
—
$34,800
16
clean
Hb Foundation One Liquid Z00D8-Ref
$7,000
$2,800
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$3,675
21
clean
Hb Sars-Cov2/Flu/Rsv-Cepheid (Z02Mm)
$167
$67
—
0
clean
Trgt gen seq alys pnl 55-74
—
—
$5,250
21
clean
Onc thyr mut alys 10 gen&37
—
—
$1,329
21
clean
Onc sld org neo dna 505 gene
—
—
$3,066
21
clean
Implt/rpl crtd sns dev total
—
—
$61,909
3
clean
Hb Im/Repl Cartd Sinus Baroreflx Activ Dev Tot Syst
$206,142
$82,457
—
0
clean
Implt/rpl crtd sns dev gen
—
—
$61,909
3
clean
Hb Im/Repl Cartd Sins Barreflx Act Dev Pls Gen Only
$206,142
$82,457
—
0
clean
Hb Interrogation Carotid Sinus Baroflex
$940
$376
—
0
clean
Hb Inter/Reprog Carotid Sinus Baroflex
$940
$376
—
0
clean
Perq lamot/lam lumbar
—
—
$19,556
3
clean
Hb Perc Lamino-/Laminectomy Indir Imag Guide Lumbar
$36,994
$14,798
—
0
clean
Tempr
—
—
$257
16
clean
Onc lung mrna quan pcr 11&3
—
—
$4,067
21
clean
Onc brst dux carc 7 proteins
—
—
$5,598
21
clean
Crd cad alys 3 prtn plsm alg
—
—
$410
21
clean
Crd cv ds aly 4 prtn plm alg
—
—
$410
21
clean
Nfct ds bct quan antmcrb sc
—
—
$8
21
clean
Ai ds sle alys 8 igg autoant
—
—
$883
21
clean
Onc cutan sq cll ca mrna 40
—
—
$8,925
21
clean
Neph rna psttrnspl perph bld
—
—
$2,783
21
clean
Trgt gen seq alys pnl 83+
—
—
$5,250
21
clean
Onc neo xome&trns seq alys
—
—
$3,610
21
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,605
21
clean
Onc plsm cell do&myeloma id
—
—
$2,557
21
clean
Onc sld tum crcg tum cl slct
—
—
$2,557
21
clean
Trnscth renal symp denrv bil
—
—
$10,830
16
clean
Hb Transcatheter Renal Denrv Bilat
$53,992
$21,597
—
0
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$798
21
clean
Onc pan ca alys mrd plasma
—
—
$3,920
21
clean
Hep nafld semiq evl 28 lipid
—
—
$832
21
clean
Psyc genom alys pnl 15 gen
—
—
$1,403
21
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,403
21
clean
Rx metab/pcx dna 25 gen alys
—
—
$779
21
clean
Rx metab/pcx dna 27gen rx ia
—
—
$779
21
clean
RSA lower extr exam
—
—
$173
15
clean
Nfct ds bct/viral trail ip10
—
—
$274
21
clean
Oct brst/node i&r per spec
—
—
$2,168
2
clean
Apol1 risk variants
—
—
$144
21
clean
Onc orop 17 dna ddpcr alg
—
—
$1,890
21
clean
BIA whole body
—
—
$53
13
clean
Hb Beta-Amyloid Ratio (1-42/1-40). Csf-Ref
$1,400
$560
—
0
clean
Neuro alys b-amyl 1-42&1-40
—
—
$274
21
clean
Onc prst8 ca alys all psa
—
—
$798
21
clean
Onc lung elisa 7 autoant alg
—
—
$883
21
clean
Neurflmnt lt chn dig ia quan
—
—
$116
3
clean
Hb Neurofilament Light Chain, P-Ref
$1,500
$600
—
0
clean
Onc urthl mrna 5 gen alg
—
—
$798
21
clean
Onc bldr 10 prb bldr ca
—
—
$942
21
clean
Onc bldr 10 prb recr bldr ca
—
—
$942
21
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$942
21
clean
Onc prst8 ca img alys 128
—
—
$742
21
clean
Tgsap sl or neo dna523&rna55
—
—
$3,453
21
clean
Hb Invisionfirst-Lung (Neogenomics) Zb51N-Ref
$5,740
$2,296
—
0
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,675
21
clean
Neu prksn msfl ?-syncln prtn
—
—
$568
21
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$209
21
clean
Gi baret esph dna mthyln aly
—
—
$1,843
21
clean
Collagen crosslinking cornea
—
—
$4,754
16
clean
Onc prst8 mrna 18 gen dre ur
—
—
$798
21
clean
Onc brst semiq meas thym kn
—
—
$339
21
clean
Onc lung flow cytmtry 5 mrk
—
—
$798
21
clean
Neph dbtc ckd mult eclia alg
—
—
$998
21
clean
Insj/rplc cardiac modulj sys
—
—
$59,821
16
clean
Hb Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd
$148,269
$59,308
—
0
clean
Onc sld tum dna 80 & rna 36
—
—
$3,066
21
clean
Psyc genom alys pnl 15 gen
—
—
$1,403
21
clean
Cv ds acs bld alg 5 yr score
—
—
$410
21
clean
Hb Prgrmg Device Evaluation Cardiac Modulj System
$433
$173
—
0
clean
Hb Interro Device Evaluation Cardiac Modulj System
$300
$120
—
0
clean
Waterjet prostate abltj cmpl
—
—
$16,620
3
clean
Onc pan solid tum alys dna
—
—
$2,050
18
clean
Hb Malabsorption Evaluation Panel, F (Mayo)-Ref
$490
$196
—
0
clean
Gi malabs aat calpro pncrtc
—
—
$65
21
clean
Gly rcptr alpha1 igg srm/csf
—
—
$38
21
clean
Hb Glycine Alpha1 Lcba, Csf (Mayo)-Ref
$1,000
$400
—
0
clean
Klhl11 antb sr/csf asy qual
—
—
$38
21
clean
Hb Klhl11 Ab Cba, Csf (Mayo)-Ref
$1,000
$400
—
0
clean
Onc prst8 5 dna reg mrk pcr
—
—
$798
21
clean
Rx metab advrs vrnt alys 25
—
—
$438
21
clean
Impltj synth rnfcmt abdl wal
—
—
$5,549
3
clean
Abltj perc lxtr/perph nrv
—
—
$3,905
16
clean
Hb Cryoablation Neurolysis- Intercostal Nerve W/Img
$30,297
$12,119
—
0
clean
Abltj perc plex/trncl nrv
—
—
$16,329
16
clean
Neurflmnt lt chn ultrsens ia
—
—
$123
18
clean
Insj impltbl glucose sensor
—
—
$5,560
16
clean
Rmvl impltbl glucose sensor
—
—
$401
16
clean
Remvl insj impltbl gluc sens
—
—
$5,560
16
clean
Insj aqueous drain dev 1st
—
—
$10,642
16
clean
Visual ep test for glaucoma
—
—
$235
13
clean
Onc sld tum bld/slv 648 gene
—
—
$4,725
21
clean
Hered prst8 ca gsap 23 genes
—
—
$1,369
21
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$1,478
16
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$5,549
3
clean
Tmvi percutaneous approach
—
—
$23,317
3
clean
Tmvi transthoracic exposure
—
—
$23,317
3
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,850
18
clean
Prep & cannulj cdvr don lung
—
—
$23,317
3
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$23,317
3
clean
Ev fempop artl revsc
—
—
$22,001
16
clean
Near ifr 2img mibmn glnd i&r
—
—
$108
13
clean
Pattern erg w/i&r
—
—
$395
13
clean
Esw integ wnd hlg 1st wnd
—
—
$401
16
clean
Esw integ wnd hlg ea addl
—
—
$5,549
3
clean
Hb Coronary Ffr W/ 3D Functional Mapping
$6,997
$2,799
—
0
clean
Ntrapx c ffr w/3d funcjl map
—
—
$5,549
3
clean
Insj/rplcmt compl iims
—
—
$35,650
16
clean
Antmc guide 3d print 1st gd
—
—
$160
15
clean
Evac meibomian glnd heat bi
—
—
$118
16
clean
Ttvr perq appr 1st prosth
—
—
$23,317
3
clean
Ttvr perq ea addl prosth
—
—
$23,317
3
clean
Insj/rplcmt icds ss eltrd
—
—
$59,821
16
clean
Abltj mal brst tum perq crtx
—
—
$7,830
16
clean
Ncntc r-t fluor wnd img 1st
—
—
$428
15
clean
Hb Nctct R-T Fluor Wound Img 1St Anatomic Site
$1,532
$613
—
0
clean
Hb Nctct R-T Fluor Wound Img Ea Addl Antmc Site
$1,532
$613
—
0
clean
Ire abltj 1+tum organ perq
—
—
$19,491
16
clean
Ire abltj 1+tumors open
—
—
$19,491
16
clean
Rem oct rta techl sprt min 8
—
—
$86
2
clean

Showing the first 200 of 16,893 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT A9500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $743 exceeds the gross charge $102
CPT A9502/o
warn
mrf_negotiated_above_gross
highest negotiated rate $187 exceeds the gross charge $116
CPT A9505/o
warn
mrf_negotiated_above_gross
highest negotiated rate $81 exceeds the gross charge $46
CPT A9537/o
warn
mrf_negotiated_above_gross
highest negotiated rate $187 exceeds the gross charge $107
CPT A9558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $489 exceeds the gross charge $385
CPT J0801/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,231 exceeds the gross charge $13,091
CPT A9562/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,268 exceeds the gross charge $1,120
CPT J3245/o
warn
mrf_negotiated_above_gross
highest negotiated rate $408 exceeds the gross charge $86
warn
mrf_rate_without_estimate
44,450 of 44,450 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 72131/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0618/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82585/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 85730/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 86765/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 87581/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 J0640/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72132/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 J0650/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L0172/b
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 45385/b
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 82595/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 85732/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 87591/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 J0665/o
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72133/b
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 81301/b
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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86769/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 J0666/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80170/b
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 87593/b
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 J0670/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 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 82607/b
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 86774/b
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 J0689/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84153/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 86001/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 87594/b
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 J0690/o
info
mrf_item_fields_vary
this code and setting cover at least 18 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 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 81305/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 86777/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 J0692/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80176/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 84154/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 86003/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 87626/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 J0694/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 81309/b
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 86778/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 J0696/o
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 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 84155/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 86008/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 87633/b
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 J0702/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 80178/b
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 81310/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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86780/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 A8000/b
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 J0713/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84156/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 86015/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 J0717/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 87635/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 J0735/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82634/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 84157/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 86021/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 86787/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 J0736/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 81315/b
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 87637/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 J0737/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80184/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 84160/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 86022/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 86788/b
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 A9516/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0741/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 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 J0743/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76641/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80185/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 86789/b
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 87641/b
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 A9541/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0770/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 82652/b
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 84165/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 86036/b
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 A9552/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0780/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76642/b
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 86790/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 87651/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 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 80187/b
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 84166/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 86038/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 J0834/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82656/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 A9577/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0878/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72159/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 80188/b
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 84181/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 86039/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 86800/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 87653/b
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 A9579/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0881/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81329/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 82657/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 A9585/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0883/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84182/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 86803/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 87660/b
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 J0885/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0894/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32555/b
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 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 82664/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 86043/b
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 87661/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 J0895/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0897/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38204/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 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 80195/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 82668/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 84207/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 J1010/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81339/b
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 86053/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 87797/b
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 J1050/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 80197/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 82670/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 C1713/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 J1071/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81340/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 84220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86060/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 86828/b
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 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 33 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1073/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 38207/b
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 80198/b
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 82671/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 L2820/b
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 84238/b
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 86063/b
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 87799/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 J1100/o
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 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 80200/b
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 81342/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 82677/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 C1717/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1120/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84244/b
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 87801/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 J1160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 81345/b
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 86140/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 J1163/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80202/b
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 87804/b
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 J1165/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72197/b
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 81350/b
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 82693/b
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 84255/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86141/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 86850/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 J1171/o
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 87806/b
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 J1190/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72198/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 82705/b
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 86146/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 86860/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 5,204 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 070
info
inp_charge_10x_payment
average charge $169,729 is 12.1× the total payment
MS-DRG 083
info
inp_charge_10x_payment
average charge $136,447 is 10.3× the total payment
MS-DRG 091
info
inp_charge_10x_payment
average charge $171,153 is 10.2× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $167,807 is 12.1× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $186,154 is 11.3× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $259,417 is 13.0× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $248,180 is 10.1× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 68.5M bytes · fetched 2026-08-23 · sha256 388110878e38…

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.