Hospital · CCN 100035

Manatee Memorial Hospital

206 2nd St E, Bradenton, FL 34208 · Manatee County
Part of Universal Health Services · 295 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

85 admission types 53 outpatient services price file: ok 45 Medicare-file findings
Billed per dollar paid, all admissions
11.65×
$500.4M billed against $42.9M paid across 2,831 Medicare discharges; the national figure is 5.03×.
3.8%
of adults in Manatee County have medical debt in collections
15.8%
uninsured in the county · state 13.9%
$79K
median household income
10.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
32.1%
obesity in the countyⓘ
14.0%
diagnosed diabetes (PLACES)
8.8%
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
266
$166,869
$15,236
11.0× st 7.2×
274
Percutaneous and other intracardiac procedures without mcc
192
$361,599
$25,621
14.1× st 7.5×
291
Heart failure and shock with mcc
143
$86,628
$10,484
8.3× st 6.3×
177
Respiratory infections and inflammations with mcc
80
$106,546
$13,488
7.9× st 6.5×
690
Kidney and urinary tract infections without mcc
68
$65,497
$7,215
9.1× st 6.6×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
67
$612,163
$37,822
16.2× st 7.2×
193
Simple pneumonia and pleurisy with mcc
61
$101,487
$10,855
9.3× st 7.2×
813
Coagulation disorders
57
$109,667
$13,009
8.4× st 5.7×
312
Syncope and collapse
55
$66,841
$7,747
8.6× st 7.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
54
$339,247
$22,335
15.2× st 9.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
54
$89,025
$7,110
12.5× st 7.5×
689
Kidney and urinary tract infections with mcc
54
$82,734
$9,764
8.5× st 6.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
51
$233,633
$15,214
15.4× st 9.7×
682
Renal failure with mcc
50
$105,678
$11,851
8.9× st 7.0×
189
Pulmonary edema and respiratory failure
48
$83,445
$10,391
8.0× st 6.8×
378
Gastrointestinal hemorrhage with cc
47
$112,212
$8,660
13.0× st 7.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
45
$91,904
$8,961
10.3× st 7.0×
683
Renal failure with cc
44
$66,481
$7,957
8.4× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
43
$76,809
$9,619
8.0× st 6.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
42
$448,403
$38,475
11.7× st 7.5×
698
Other kidney and urinary tract diagnoses with mcc
41
$146,728
$13,387
11.0× st 6.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
40
$115,063
$8,949
12.9× st 8.8×
280
Acute myocardial infarction, discharged alive with mcc
39
$99,524
$12,844
7.7× st 7.3×
481
Hip and femur procedures except major joint with cc
38
$168,225
$16,470
10.2× st 8.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
37
$72,485
$6,992
10.4× st 6.9×
699
Other kidney and urinary tract diagnoses with cc
36
$79,398
$8,571
9.3× st 6.1×
308
Cardiac arrhythmia and conduction disorders with mcc
36
$88,164
$10,251
8.6× st 6.6×
309
Cardiac arrhythmia and conduction disorders with cc
33
$65,715
$6,977
9.4× st 6.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
32
$160,223
$15,284
10.5× st 7.8×
057
Degenerative nervous system disorders without mcc
32
$76,505
$11,364
6.7× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
29
$81,146
$10,735
7.6× st 6.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
28
$218,574
$17,156
12.7× st 8.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
27
$136,710
$9,666
14.1× st 8.9×
637
Diabetes with mcc
26
$110,934
$12,083
9.2× st 6.8×
069
Transient ischemia without thrombolytic
25
$96,788
$6,719
14.4× st 10.3×
377
Gastrointestinal hemorrhage with mcc
25
$137,002
$13,835
9.9× st 7.2×
305
Hypertension without mcc
24
$76,576
$6,931
11.0× st 7.5×
552
Medical back problems without mcc
24
$82,705
$8,503
9.7× st 7.8×
330
Major small and large bowel procedures with cc
23
$258,299
$18,840
13.7× st 8.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
22
$360,259
$34,319
10.5× st 6.7×
603
Cellulitis without mcc
22
$51,314
$7,954
6.5× st 5.9×
917
Poisoning and toxic effects of drugs with mcc
21
$106,935
$12,886
8.3× st 6.0×
389
Gastrointestinal obstruction with cc
20
$78,573
$7,216
10.9× st 7.1×
812
Red blood cell disorders without mcc
20
$75,933
$8,132
9.3× st 6.3×
243
Permanent cardiac pacemaker implant with cc
20
$254,581
$18,694
13.6× st 8.0×
394
Other digestive system diagnoses with cc
19
$69,349
$8,284
8.4× st 7.3×
101
Seizures without mcc
19
$98,332
$8,132
12.1× st 7.2×
372
Major gastrointestinal disorders and peritoneal infections with cc
19
$99,607
$8,790
11.3× st 6.3×
884
Organic disturbances and intellectual disability
19
$68,523
$11,320
6.1× st 5.5×
271
Other major cardiovascular procedures with cc
18
$480,309
$25,944
18.5× st 7.8×
329
Major small and large bowel procedures with mcc
18
$397,092
$33,455
11.9× st 7.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
17
$175,118
$18,436
9.5× st 7.0×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
17
$742,756
$48,463
15.3× st 6.5×
270
Other major cardiovascular procedures with mcc
17
$647,187
$42,278
15.3× st 7.2×
163
Major chest procedures with mcc
17
$360,015
$34,426
10.5× st 6.9×
215
Other heart assist system implant
17
$1,013,205
$77,509
13.1× st 8.2×
638
Diabetes with cc
17
$78,007
$8,267
9.4× st 6.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
16
$70,496
$8,003
8.8× st 7.1×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
16
$61,322
$8,194
7.5× st 7.7×
480
Hip and femur procedures except major joint with mcc
16
$275,625
$23,341
11.8× st 8.6×
418
Laparoscopic cholecystectomy without c.d.e. with cc
16
$229,254
$12,896
17.8× st 9.6×
281
Acute myocardial infarction, discharged alive with cc
16
$91,662
$7,647
12.0× st 8.5×
313
Chest pain
16
$54,138
$6,251
8.7× st 7.3×
178
Respiratory infections and inflammations with cc
15
$61,560
$8,468
7.3× st 6.4×
036
Carotid artery stent procedures without cc/mcc
15
$223,780
$14,668
15.3× st 8.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$124,080
$11,055
11.2× st 6.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
14
$223,656
$21,742
10.3× st 7.3×
092
Other disorders of nervous system with cc
14
$70,445
$9,069
7.8× st 6.9×
331
Major small and large bowel procedures without cc/mcc
14
$224,335
$12,758
17.6× st 8.7×
300
Peripheral vascular disorders with cc
14
$95,482
$9,080
10.5× st 6.3×
273
Percutaneous and other intracardiac procedures with mcc
13
$383,106
$30,547
12.5× st 8.3×
948
Signs and symptoms without mcc
13
$51,784
$7,230
7.2× st 6.2×
252
Other vascular procedures with mcc
13
$273,653
$24,793
11.0× st 7.2×
303
Atherosclerosis without mcc
13
$57,375
$6,194
9.3× st 6.8×
194
Simple pneumonia and pleurisy with cc
13
$65,553
$7,911
8.3× st 6.9×
445
Disorders of the biliary tract with cc
12
$162,478
$9,486
17.1× st 7.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$49,348
$5,406
9.1× st 7.1×
602
Cellulitis with mcc
12
$89,400
$12,576
7.1× st 5.9×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
12
$654,802
$55,077
11.9× st 8.9×
315
Other circulatory system diagnoses with cc
11
$109,112
$8,402
13.0× st 6.2×
482
Hip and femur procedures except major joint without cc/mcc
11
$139,984
$13,116
10.7× st 8.1×
056
Degenerative nervous system disorders with mcc
11
$113,600
$16,116
7.0× st 5.7×
536
Fractures of hip and pelvis without mcc
11
$54,661
$7,057
7.7× st 7.4×
202
Bronchitis and asthma with cc/mcc
11
$57,765
$8,593
6.7× st 6.4×
035
Carotid artery stent procedures with cc
11
$281,268
$18,286
15.4× st 8.2×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
361
$38,519
$2,458
15.7×
5193
Level 3 Endovascular Procedures
205
$177,107
$9,957
17.8×
5191
Level 1 Endovascular Procedures
163
$78,418
$2,936
26.7×
5361
Level 1 Laparoscopy and Related Services
161
$123,936
$5,201
23.8×
5194
Level 4 Endovascular Procedures
132
$271,960
$15,539
17.5×
5213
Level 3 Electrophysiologic Procedures
131
$246,500
$21,312
11.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
93
$24,843
$1,456
17.1×
5223
Level 3 Pacemaker and Similar Procedures
74
$136,363
$9,666
14.1×
5362
Level 2 Laparoscopy and Related Services
54
$152,652
$9,319
16.4×
5183
Level 3 Vascular Procedures
53
$37,278
$2,801
13.3×
5114
Level 4 Musculoskeletal Procedures
45
$111,515
$6,480
17.2×
5373
Level 3 Urology and Related Services
43
$30,144
$1,845
16.3×
5192
Level 2 Endovascular Procedures
38
$109,600
$5,069
21.6×
5374
Level 4 Urology and Related Services
34
$52,777
$3,158
16.7×
5222
Level 2 Pacemaker and Similar Procedures
31
$67,025
$7,696
8.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
31
$49,453
$2,574
19.2×
5115
Level 5 Musculoskeletal Procedures
30
$166,740
$11,906
14.0×
5232
Level 2 ICD and Similar Procedures
28
$275,367
$29,712
9.3×
5224
Level 4 Pacemaker and Similar Procedures
27
$228,311
$17,611
13.0×
5302
Level 2 Upper GI Procedures
27
$19,237
$1,724
11.2×
5375
Level 5 Urology and Related Services
22
$67,298
$4,687
14.4×
5182
Level 2 Vascular Procedures
22
$14,513
$1,451
10.0×
5113
Level 3 Musculoskeletal Procedures
22
$59,433
$2,932
20.3×
5112
Level 2 Musculoskeletal Procedures
19
$28,139
$1,456
19.3×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
18
$111,011
$5,907
18.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
18
$89,276
$3,134
28.5×
5153
Level 3 Airway Endoscopy
16
$27,385
$1,538
17.8×
5414
Level 4 Gynecologic Procedures
15
$56,153
$2,682
20.9×
5165
Level 5 ENT Procedures
14
$134,975
$5,305
25.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
13
$58,709
$3,453
17.0×
5303
Level 3 Upper GI Procedures
12
$35,758
$3,469
10.3×
5184
Level 4 Vascular Procedures
12
$85,903
$4,978
17.3×
5313
Level 3 Lower GI Procedures
11
$57,074
$2,359
24.2×
5431
Level 1 Nerve Procedures
11
$35,517
$1,749
20.3×
5416
Level 6 Gynecologic Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5378
Level 8 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 csv-wide, last updated 1/1/2026, template 3.0.0, 157,674 rows scanned, 9,480 distinct code–setting items kept. 3,912 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT PERFUSION W/CON CBF/VOLUME
$8,350
$3,340
$673
11
clean
CAROTID STENT PLCMT INTL-IP
$96,311
$38,524
$2,410
13
clean
NFCT DS DNA UNTRGT NGNRJ SEQ
$1,524
$610
$673
13
clean
PERC SACROPLASTY UNILAT 1>NDLE
$39,705
$15,882
$4,964
26
clean
INFECT DISEAS 22 TRGT SARSCOV2
$684
$274
$474
13
clean
ATHERECTOMY TRANSL BRACHIOCEPH
$43,289
$17,316
$2,352
13
clean
ATHERECTOMY TRANSLUM ILIAC-59
$8,267
$3,307
$2,003
52
clean
NFCT DS VIR RESP RNA 4 TRGT
$334
$134
$180
26
clean
IMPLNT/REP CARTD BAROREFLX SYS
$195,957
$78,383
$22,983
26
clean
IMPLT/RPL CRTD SNS DEV GEN
$195,957
$78,383
$22,983
13
clean
INTERROGATE CRTD SNS DEV
$930
$372
$474
11
clean
INTERROGATE CRTD SNS W/PGRMG
$930
$372
$474
11
clean
TMVI PERCUTANEOUS APPROACH IP
$133,660
$53,464
$2,410
13
clean
NTRAPX C FFR W/3D FUNCJL MAP
$17,278
$6,911
$1,391
13
clean
INST/REPLACEMENT COMPLETE IIMS
$61,356
$24,542
$4,910
13
clean
PRGRMG DEVICE EVAL IN PERSON
$220
$88
$187
11
clean
INTERROGATION DEVICE EVAL IIMS
$220
$88
$187
11
clean
TTVR PERQ APPR 1ST PROSTH IP
$128,853
$51,541
$2,410
13
clean
TTVR PERQ EA ADDL PROSTH
$64,425
$25,770
$2,410
13
clean
TRANSCATH RMV INTRACARD MASS
$30,625
$12,250
$6,738
13
clean
TTVI/RPLCMT W/PRSTC VLV PERQ
$99,118
$39,647
$2,410
13
clean
TCAT INS 2CHAMBR LDLS PM COMP
$89,686
$35,874
$11,538
13
clean
TCAT INS 2CHMBR LDLS PM RV
$89,686
$35,874
$11,538
13
clean
FNA W/O GUIDANCE ADDL LES
$2,606
$1,042
$673
13
clean
FNA W/US GUIDANCE
$2,755
$1,102
$1,828
52
clean
FNA W/US GUIDE EA ADDL
$1,374
$550
$673
26
clean
BX LUNG/MED NDL PERC RT
$2,606
$1,042
$1,726
65
clean
FNA W/ CT IMAGING GUIDANCE
$4,362
$1,745
$1,828
52
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
—
—
$2,278
9
clean
Fine needle aspiration biopsy of growth using MRI guidance, each additional growth
—
—
$673
9
clean
FNA W/O IMAGING GUIDANCE
$1,088
$435
$1,391
39
clean
DRAIN ABD ABSC PERC CS
$6,575
$2,630
$2,084
39
clean
Acne surgery
—
—
$1,805
7
clean
I&D ABSCESS SIMPLE
$2,068
$827
$1,535
39
clean
I&D ABSCESS CMPLX
$1,321
$528
$1,391
26
clean
I&D PILONIDAL ABSC 450
$2,031
$812
$1,726
13
clean
I&D PILONIDAL ABSC COMP 450
$3,183
$1,273
$1,828
13
clean
INCISION/REMOV FB SUBQ SIMPLE
$1,555
$622
$1,391
26
clean
FB REM SUBQ COMP 450
$14,537
$5,815
$3,649
13
clean
I AND D HEMATOMA
$10,531
$4,212
$3,649
52
clean
PUNCT/ASPIR ABSCESS HEMAT CYST
$1,342
$537
$1,391
39
clean
I&D POSTOP INFECTION CMPLX
$23,139
$9,256
$4,674
39
clean
DEBR INFCTD SKIN UP TO 10% 450
$508
$203
$1,391
13
clean
DEBR INFCTD SKIN EA ADDL 10%
$480
$192
$673
13
clean
Removal of infected skin, tissue or muscle of genitals
—
—
$20,548
7
clean
Removal of infected skin, tissue or muscle of abdomen
—
—
$20,548
7
clean
Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen
—
—
$20,548
7
clean
Removal of infected artificial material or mesh from abdomen
—
—
$20,548
7
clean
DEBRIDE SUBQ TISSUE<=20CM
$3,700
$1,480
$2,084
39
clean
DEBRIDE MUSCLE/FASCIA<=20CM
$9,574
$3,830
$2,198
26
clean
DEBRIDE BONE<=20CM
$10,670
$4,268
$3,649
13
clean
DEBRIDE SUBQ TIS EA ADDL 20CM
$3,060
$1,224
$673
26
clean
DEBRIDE MUSC/FASC EA ADDL 20CM
$3,669
$1,468
$807
13
clean
DEBRIDE BONE EA ADDL 20CM
$5,579
$2,232
$1,227
13
clean
PARING BENIGN LES SNGL
$1,291
$516
$1,391
13
clean
PARING BENIGN LES 2-4
$584
$234
$1,391
13
clean
PARING BENIGN LES >4
$590
$236
$1,391
13
clean
TANGENTIAL BX 1 LESION
$1,026
$410
$1,391
13
clean
TANGENTIAL BX ADDL/SEP LESION
$208
$83
$673
13
clean
PUNCH BX 1 LESION
$1,386
$554
$1,391
13
clean
PUNCH BX ADDL/SEP LESION
$216
$86
$673
13
clean
INCISIONAL BX 1 LESION
$989
$396
$1,645
26
clean
INCISIONAL BX ADDL/SEP LESION
$55
$22
$673
13
clean
REM OF SKIN TAG UP TO 15 450
$831
$332
$1,391
13
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
—
—
$2,404
7
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
—
—
$1,805
7
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
—
—
$2,404
7
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
—
—
$1,805
7
clean
SHAVE LESION S/NK/H/FT/G <2CM
$531
$212
$1,253
13
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
—
—
$1,805
7
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
—
—
$1,805
7
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
—
—
$2,404
7
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
—
—
$2,404
7
clean
EXC BEN LES TRK/EXT <=.5CM 450
$1,489
$596
$1,645
13
clean
EXC BEN LES TRK/EXT.6-1.0CM450
$1,652
$661
$1,404
13
clean
EXC BEN LES SC/HND/FT<=0.5CM
$4,219
$1,688
$2,084
13
clean
EXC BEN LES SC/HD/FT 2.1-3CM
$11,176
$4,470
$3,649
13
clean
EXC BEN LES FACE <=0.5CM 450
$3,911
$1,564
$2,084
13
clean
EXC BEN LES FACE 2.1-3.0CM 450
$8,847
$3,539
$3,096
13
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
—
—
$5,208
9
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
—
—
$5,208
9
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
—
—
$5,208
9
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
—
—
$5,208
9
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
—
—
$2,278
9
clean
EXC MAL TRNK/ARM/LEG 0.6-1CM
$2,032
$813
$1,727
13
clean
EXC MAL LESION 1.1-2 CM
$2,420
$968
$1,535
13
clean
EXC MALIGNT T/A/L 2.1-3CM
$4,849
$1,940
$1,828
13
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
—
—
$3,649
9
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
—
—
$5,208
9
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
—
—
$3,649
9
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
—
—
$5,208
9
clean
TRIM NONDYSTROPH NAILS
$558
$223
$1,253
13
clean
DEBR NAIL 1-5
$733
$293
$1,391
26
clean
DEBR NAIL 6 OR MORE
$571
$228
$1,391
13
clean
REMOVE NAIL PLT SNGL
$993
$397
$1,391
26
clean
REMOVE NAIL PLT EA ADDL
$590
$236
$673
26
clean
I&D SUBUNGUAL HEMA 450
$1,054
$422
$1,391
13
clean
EXC NAIL AND MATRIX PERM
$1,093
$437
$1,391
26
clean
REPAIR NAIL SIMPLE 450
$1,822
$729
$1,535
13
clean
Repair of fingernail or toenail bed with graft
—
—
$3,649
9
clean
WDGE EXC OF SKN OF NAIL FLD450
$1,064
$426
$1,391
13
clean
Injection into skin growth, more than 7 growths
—
—
$1,652
9
clean
Tattooing of skin to correct color issue, 6.0 sq cm or less
—
—
$2,198
9
clean
Tattooing of skin to correct color issue, 6.1-20.0 sq cm
—
—
$2,198
9
clean
Tattooing of skin to correct color issue, each additional 20.0 sq cm
—
—
$673
9
clean
Injection of filling material under skin, 1.1-5.0 cc
—
—
$2,404
7
clean
Replacement of tissue expander with permanent implant
—
—
$13,033
9
clean
Placement of hormone pellet under skin
—
—
$2,198
9
clean
INSERT DRUG DELIVERY IMPLANT
$609
$244
$1,391
13
clean
REMOVE DRUG IMPLANT DEVICE
$1,983
$793
$1,535
26
clean
REMOVE/REINSERT DRUG IMPLANT
$1,983
$793
$1,535
13
clean
LAC REP SIM TRUNK < 2.6 450
$1,611
$644
$1,391
26
clean
LAC REP SIM TRUNK 2.6-7.5 450
$2,071
$828
$1,322
26
clean
LAC REP SIM TRUNK 7.6-12.5 450
$2,117
$847
$1,535
13
clean
LAC REP SIM TRUNK 12.6-20 450
$3,379
$1,352
$2,084
13
clean
LAC REP SIM TRUNK 20.1-30 450
$3,736
$1,494
$2,084
13
clean
LAC REP SIM TRUNK > 30 450
$3,812
$1,525
$1,758
13
clean
LAC REP SIM FACE EAR <2.6 450
$1,983
$793
$1,391
13
clean
LAC REP SIM FACE EAR 2.6-5 450
$2,181
$872
$1,391
13
clean
LAC REP SIM FACE EAR5.1-7.5450
$2,400
$960
$1,535
13
clean
LAC REP SIM FACE ER7.6-12.5450
$2,640
$1,056
$1,535
13
clean
LAC REP SIM FACE EAR12.6-20450
$3,736
$1,494
$2,084
13
clean
LAC REP SIM FACE EAR20.1-30450
$4,110
$1,644
$2,084
13
clean
LAC REP SIM FACE EAR >30 450
$3,531
$1,412
$1,758
13
clean
SIMP CLOSE WOUND DEHISCENCE
$3,514
$1,406
$1,535
39
clean
WOUND DEHISCENCE W PACKING 450
$2,606
$1,042
$1,535
13
clean
LAC REP INT SCALP TK<2.6 450
$3,185
$1,274
$1,535
13
clean
LAC REP INT SCALP TK2.6-7.5450
$3,504
$1,402
$1,463
26
clean
LAC REP INT SCALP T7.6-12.5450
$3,854
$1,542
$2,084
13
clean
LAC REP INT SCALP TK12.6-20450
$3,557
$1,423
$2,084
13
clean
LAC REP INT SCALP TK20.1-30450
$4,239
$1,696
$2,084
13
clean
LAC REP INT SCALP TK >30 450
$9,566
$3,826
$3,348
13
clean
LAC REP INT FEET HAND<2.6 450
$3,281
$1,312
$1,535
13
clean
LAC REP INT FEET HAN2.6-7.5450
$3,609
$1,444
$1,535
13
clean
LAC REP INT FEET HAN7.6-12.450
$3,495
$1,398
$2,084
13
clean
LAC REP INT FEET HAN12.6-20450
$3,970
$1,588
$2,084
13
clean
LAC REP INT FEET HAN20.1-30450
$4,367
$1,747
$2,084
13
clean
LAC REP INT FEET HAN >30 450
$9,566
$3,826
$3,348
13
clean
LAC REP INT FACE EAR <2.6 450
$1,882
$753
$1,535
13
clean
LAC REP INT FACE EAR2.6-5 450
$1,934
$774
$1,535
13
clean
LAC REP INT FACE EAR5.1-7.5450
$2,401
$960
$1,535
13
clean
LAC REP INT FACE EA7.6-12.5450
$3,557
$1,423
$2,084
13
clean
LAC REP INT FACE EAR12.6-20450
$3,531
$1,412
$2,084
13
clean
LAC REP INT FACE EAR20.1-30450
$3,531
$1,412
$2,084
13
clean
LAC REP INT FACE EAR >30 450
$9,566
$3,826
$2,198
13
clean
LAC REP COMP TRUNK 1.1-2.5 450
$3,495
$1,398
$2,084
13
clean
LAC REP COMP TRUNK 2.6-7.5 450
$5,586
$2,234
$2,198
13
clean
LAC REP TRNK EA AD 5CM OR< 450
$2,665
$1,066
$673
13
clean
LAC REP COM SCLP ARM1.1-2.5
$3,675
$1,470
$2,084
13
clean
LAC REP COM SCALP TK2.6-7.5450
$3,925
$1,570
$2,198
13
clean
LAC REP COM SCALP TK + 5CM 450
$474
$190
$673
13
clean
LAC REP COM FT HAND 1.1-2.5450
$8,555
$3,422
$2,198
13
clean
LAC REP COM FT HAND 2.6-7.5450
$3,729
$1,492
$2,198
13
clean
LAC REP COM FT HAND EA ADDL5CM
$436
$174
$673
13
clean
LAC REP COM FACE EAR1.1-2.5450
$10,037
$4,015
$2,352
13
clean
LAC REP COM FACE EAR2.6-7.5450
$12,086
$4,834
$2,441
13
clean
LAC REP COM FACE EAR E+5CM 450
$2,767
$1,107
$673
13
clean
LATE CLOSURE OF WOUND COMP 450
$4,151
$1,660
$2,410
13
clean
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm
—
—
$3,649
9
clean
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
—
—
$3,649
9
clean
AJ TIS TH/CH DEF M 10SQCM
$9,653
$3,861
$3,379
13
clean
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
—
—
$3,649
9
clean
Repair of wound by transferring skin, 30.1-60.0 sq cm
—
—
$13,033
9
clean
Repair of wound by transferring skin, each additional 30.0 sq cm
—
—
$673
9
clean
Repair of tissue loss of finger or toe
—
—
$3,649
9
clean
SURG PREP HD/H/FT/GEN 100SQCM
$3,120
$1,248
$2,084
13
clean
Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$673
9
clean
EPIDM AUTOGRF T/ARMLEG <=100CM
$12,975
$5,190
$3,649
13
clean
EPIDM AUTOGRF FC/NK 1ST100SQCM
$11,267
$4,507
$3,649
13
clean
Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
—
—
$13,033
9
clean
Partial thickness self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$673
9
clean
Deep layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$3,649
9
clean
Deep layer self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area of infants and children, or less
—
—
$673
9
clean
Deep layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$13,033
9
clean
Tissue self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less
—
—
$13,033
9
clean
Full thickness skin graft to trunk, 20.0 sq cm or less
—
—
$3,649
9
clean
Full thickness skin graft to trunk, each additional 20.0 sq cm
—
—
$673
9
clean
Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less
—
—
$3,649
9
clean
Full thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm
—
—
$673
9
clean
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 20.0 sq cm
—
—
$673
9
clean
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
—
—
$3,649
9
clean
Full thickness skin graft to nose, ears, eyelids, or lips, each additional 20.0 sq cm
—
—
$673
9
clean
SKIN SUB GRAFT T/ARMLEG 25CM
$5,735
$2,294
$2,410
13
clean
SKIN SUB GRAFT T/ARMLEG ADD25
$749
$300
$673
13
clean
SKIN SUB GRFT T/ARMLEG1ST100CM
$15,156
$6,062
$5,305
13
clean
SKIN SUB GRFT T/ARMLEG ADD100
$749
$300
$673
13
clean
SKN SUB GRFT F/N/HF/G 25CM
$8,238
$3,295
$2,883
13
clean
SKN SUB GRFT F/N/HF/G ADD25CM
$749
$300
$673
13
clean
SKN SUB GRFT F/N/HF/G 1ST100CM
$3,095
$1,238
$2,410
13
clean
SKN SUB GRFT F/N/HF/G ADD100CM
$2,032
$813
$673
13
clean
Creation of flap graft to trunk
—
—
$3,649
9
clean
Creation of flap graft to scalp, arms, or legs
—
—
$13,033
9
clean
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet
—
—
$3,649
9
clean
Creation of flap graft to eyelids, nose, ears, lips, or mouth
—
—
$3,649
9
clean
Transfer of skin flap to trunk
—
—
$13,033
9
clean
Transfer of skin flap to scalp, arms, or legs
—
—
$3,649
9
clean
Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet
—
—
$3,649
9
clean
Transfer of skin flap to eyelids, nose, ears, or lips
—
—
$3,649
9
clean
Transfer of skin flap
—
—
$3,649
9
clean
Creation of flap graft to midface
—
—
$13,033
9
clean

Showing the first 200 of 9,480 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_negotiated_above_max_systematic
1,183 of 8,974 comparable items (13%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. a negotiated rate of $7,098 is above the file's own maximum $2,922
CPT 80329/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $25
CPT 80330/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $25
CPT Q0138/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT 80331/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $25
CPT 80332/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT J0641/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $216
CPT Q0162/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $90
CPT 80333/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $13
CPT 80334/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $9
CPT 80335/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80336/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80337/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80338/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $11
CPT 80339/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $18
CPT 80340/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $18
CPT 82784/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $8
CPT 80341/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $18
CPT 80342/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80343/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 86927/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $6
CPT 80344/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80345/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $14
CPT 80346/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $24
CPT 80347/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $24
CPT 80348/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $15
CPT J3465/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $474
CPT 80349/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80350/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80351/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $15
CPT 80352/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $15
CPT 80353/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 82947/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $4
CPT 80354/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80355/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $16
CPT 80356/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $24
CPT 80357/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80358/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $20
CPT 80359/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80360/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80361/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $31
CPT 80362/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $27
CPT 80363/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT J7050/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $13
CPT 80364/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $14
CPT 80365/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $24
CPT 80366/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 36416/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $3
CPT 80367/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80368/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $21
CPT 80369/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80370/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80371/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80372/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80373/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80374/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80375/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $20
CPT 80376/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 80377/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT 85540/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $8
CPT Q5101/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $264
CPT J7507/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $27
CPT 87181/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $4
CPT 87185/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $4
CPT Q9958/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $29
CPT Q9963/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $58
CPT J1270/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $40
CPT J8610/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $6
CPT J9025/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT J1447/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT J1453/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT J9171/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $474
CPT 87350/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $10
CPT 83992/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $2
CPT C9254/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $96
CPT 81425/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT 81426/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT 81427/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT 81471/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT J9263/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT J9351/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $474
CPT 82075/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $27
CPT 86592/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $4
CPT J2359/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $28
CPT 82310/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $5
CPT J2401/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $22
CPT J2469/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $474
CPT J0131/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $79
CPT 84478/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $5
CPT J0132/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $287
CPT J2675/b
error
mrf_negotiated_below_min
a negotiated rate of $1 is below the file's own minimum $120
CPT 82585/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $8
CPT J0348/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $210
CPT 88240/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $9
CPT 85027/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $6
CPT 80320/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $21
CPT 80321/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $13
CPT 80322/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $13
CPT J0583/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $474
CPT 80323/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $37
CPT 80324/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80325/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80326/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $19
CPT 80327/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $32
CPT 80328/b
error
mrf_negotiated_below_min
a negotiated rate of $0 is below the file's own minimum $32
warn
mrf_negotiated_above_gross_systematic
811 of 1,708 comparable items (47%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $3,455 exceeds the gross charge $1,524
CPT 72072/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85240/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86880/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 88312/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 93975/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 37 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0114/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36100/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 72074/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86886/b
info
mrf_item_fields_vary
this code and setting cover at least 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 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 93976/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1759/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0637/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3230/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 36140/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 48102/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82726/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85245/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88319/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 93978/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1760/b
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0640/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49082/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 72080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76499/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82728/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86900/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1761/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3243/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86901/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 C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 433 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36215/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 49083/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 72082/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76506/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 136 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 76536/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82746/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 85247/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86902/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88333/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93986/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C1764/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, max differ, so no cross-line comparison was made for this item
CPT J0665/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J3260/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q0164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 36216/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 76604/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82747/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 93990/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1765/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0666/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3262/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q0167/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 36217/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 72084/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82775/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 85250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86905/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 C1766/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0670/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 J3285/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q0169/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 49405/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72100/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76641/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 82776/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88341/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C1767/b
info
mrf_item_fields_vary
this code and setting cover at least 27 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0690/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 36218/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 72110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 194 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3301/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 49406/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 72114/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76642/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 85270/b
info
mrf_item_fields_vary
this code and setting cover at least 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 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 599 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0692/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 J3360/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 72120/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76700/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82784/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 85280/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86922/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 45 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0694/b
info
mrf_item_fields_vary
this code and setting cover at least 10 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 3,912 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 035
info
inp_charge_10x_payment
average charge $281,268 is 15.4× the total payment
MS-DRG 036
info
inp_charge_10x_payment
average charge $223,780 is 15.3× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $160,223 is 10.5× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $115,063 is 12.9× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $96,788 is 14.4× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $98,332 is 12.1× the total payment
MS-DRG 163
info
inp_charge_10x_payment
average charge $360,015 is 10.5× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $223,656 is 10.3× the total payment
MS-DRG 215
info
inp_charge_10x_payment
average charge $1,013,205 is 13.1× the total payment
MS-DRG 233
info
inp_charge_10x_payment
average charge $654,802 is 11.9× the total payment
MS-DRG 243
info
inp_charge_10x_payment
average charge $254,581 is 13.6× the total payment
MS-DRG 252
info
inp_charge_10x_payment
average charge $273,653 is 11.0× the total payment
MS-DRG 266
info
inp_charge_10x_payment
average charge $742,756 is 15.3× the total payment
MS-DRG 267
info
inp_charge_10x_payment
average charge $612,163 is 16.2× the total payment
MS-DRG 270
info
inp_charge_10x_payment
average charge $647,187 is 15.3× the total payment
MS-DRG 271
info
inp_charge_10x_payment
average charge $480,309 is 18.5× the total payment
MS-DRG 273
info
inp_charge_10x_payment
average charge $383,106 is 12.5× the total payment
MS-DRG 274
info
inp_charge_10x_payment
average charge $361,599 is 14.1× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $91,662 is 12.0× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $136,710 is 14.1× the total payment
MS-DRG 300
info
inp_charge_10x_payment
average charge $95,482 is 10.5× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $76,576 is 11.0× the total payment
MS-DRG 315
info
inp_charge_10x_payment
average charge $109,112 is 13.0× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $339,247 is 15.2× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $233,633 is 15.4× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $397,092 is 11.9× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $258,299 is 13.7× the total payment
MS-DRG 331
info
inp_charge_10x_payment
average charge $224,335 is 17.6× the total payment
MS-DRG 372
info
inp_charge_10x_payment
average charge $99,607 is 11.3× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $112,212 is 13.0× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $78,572 is 10.9× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $124,080 is 11.2× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $89,025 is 12.5× the total payment
MS-DRG 418
info
inp_charge_10x_payment
average charge $229,254 is 17.8× the total payment
MS-DRG 445
info
inp_charge_10x_payment
average charge $162,478 is 17.1× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $275,625 is 11.8× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $168,225 is 10.2× the total payment
MS-DRG 482
info
inp_charge_10x_payment
average charge $139,984 is 10.7× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $218,574 is 12.7× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $72,485 is 10.4× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $146,728 is 11.0× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $448,403 is 11.7× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $166,869 is 11.0× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $91,904 is 10.3× the total payment
MS-DRG 981
info
inp_charge_10x_payment
average charge $360,259 is 10.5× 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. · csv-wide · 137.2M bytes · fetched 2026-08-25 · sha256 0e42e2bef394…

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.