Hospital · CCN 100046

Adventhealth Zephyrhills

7050 Gall Blvd, Zephyrhills, FL 33541 · Pasco County
Part of AdventHealth · 149 beds · 2
Secondary flow 30% to <50% to a larger urbanized area of 50,000 and greater

55 admission types 44 outpatient services price file: ok 3 Medicare-file findings
Billed per dollar paid, all admissions
6.94×
$121.1M billed against $17.4M paid across 1,524 Medicare discharges; the national figure is 5.03×.
3.8%
of adults in Pasco County have medical debt in collections
12.3%
uninsured in the county · state 13.9%
$72K
median household income
8.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (7 in the inpatient or outpatient file)ⓘ
31.8%
obesity in the countyⓘ
12.8%
diagnosed diabetes (PLACES)
7.7%
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
168
$99,362
$14,475
6.9× st 7.2×
280
Acute myocardial infarction, discharged alive with mcc
112
$80,676
$12,543
6.4× st 7.3×
291
Heart failure and shock with mcc
87
$56,562
$10,479
5.4× st 6.3×
698
Other kidney and urinary tract diagnoses with mcc
60
$72,094
$11,363
6.3× st 6.7×
193
Simple pneumonia and pleurisy with mcc
58
$60,791
$11,192
5.4× st 7.2×
177
Respiratory infections and inflammations with mcc
50
$74,272
$11,555
6.4× st 6.5×
690
Kidney and urinary tract infections without mcc
49
$44,441
$6,779
6.6× st 6.6×
190
Chronic obstructive pulmonary disease with mcc
47
$61,781
$8,346
7.4× st 6.5×
689
Kidney and urinary tract infections with mcc
41
$57,385
$8,459
6.8× st 6.4×
189
Pulmonary edema and respiratory failure
39
$62,977
$9,334
6.7× st 6.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
39
$60,490
$6,784
8.9× st 7.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
38
$54,954
$7,828
7.0× st 7.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
29
$224,605
$32,202
7.0× st 7.5×
312
Syncope and collapse
28
$52,675
$6,771
7.8× st 7.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
28
$85,504
$10,786
7.9× st 6.8×
552
Medical back problems without mcc
25
$56,701
$7,325
7.7× st 7.8×
378
Gastrointestinal hemorrhage with cc
25
$85,972
$8,462
10.2× st 7.4×
603
Cellulitis without mcc
24
$42,907
$6,757
6.4× st 5.9×
389
Gastrointestinal obstruction with cc
23
$56,098
$6,880
8.2× st 7.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
23
$143,479
$17,370
8.3× st 9.7×
377
Gastrointestinal hemorrhage with mcc
22
$104,347
$14,588
7.2× st 7.2×
659
Kidney and ureter procedures for non-neoplasm with mcc
22
$163,113
$18,856
8.7× st 6.9×
660
Kidney and ureter procedures for non-neoplasm with cc
21
$134,258
$12,060
11.1× st 8.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
19
$72,415
$8,094
8.9× st 8.9×
309
Cardiac arrhythmia and conduction disorders with cc
19
$49,018
$5,898
8.3× st 6.9×
682
Renal failure with mcc
19
$70,182
$10,616
6.6× st 7.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
18
$53,392
$9,619
5.6× st 6.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
18
$86,273
$13,230
6.5× st 7.8×
252
Other vascular procedures with mcc
18
$154,740
$31,260
5.0× st 7.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$60,087
$9,504
6.3× st 8.8×
281
Acute myocardial infarction, discharged alive with cc
17
$46,527
$6,811
6.8× st 8.5×
313
Chest pain
17
$47,375
$5,771
8.2× st 7.3×
243
Permanent cardiac pacemaker implant with cc
16
$150,517
$16,378
9.2× st 8.0×
683
Renal failure with cc
15
$61,157
$8,277
7.4× st 6.7×
394
Other digestive system diagnoses with cc
15
$53,196
$7,355
7.2× st 7.3×
070
Other cerebrovascular disorders with mcc
15
$80,052
$12,320
6.5× st 6.3×
699
Other kidney and urinary tract diagnoses with cc
15
$53,456
$7,591
7.0× st 6.1×
100
Seizures with mcc
14
$45,537
$11,680
3.9× st 6.7×
308
Cardiac arrhythmia and conduction disorders with mcc
14
$70,533
$9,136
7.7× st 6.6×
305
Hypertension without mcc
14
$30,106
$6,524
4.6× st 7.5×
481
Hip and femur procedures except major joint with cc
14
$149,192
$15,527
9.6× st 8.8×
069
Transient ischemia without thrombolytic
13
$73,806
$6,282
11.7× st 10.3×
101
Seizures without mcc
13
$44,145
$8,320
5.3× st 7.2×
812
Red blood cell disorders without mcc
13
$57,674
$7,094
8.1× st 6.3×
194
Simple pneumonia and pleurisy with cc
13
$38,194
$6,495
5.9× st 6.9×
242
Permanent cardiac pacemaker implant with mcc
13
$156,916
$24,623
6.4× st 7.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$49,601
$6,099
8.1× st 6.9×
638
Diabetes with cc
13
$33,920
$8,283
4.1× st 6.5×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
12
$70,627
$8,362
8.4× st 8.4×
811
Red blood cell disorders with mcc
12
$98,297
$10,577
9.3× st 7.5×
202
Bronchitis and asthma with cc/mcc
12
$55,434
$7,482
7.4× st 6.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
12
$197,841
$21,124
9.4× st 9.0×
637
Diabetes with mcc
11
$64,805
$11,448
5.7× st 6.8×
253
Other vascular procedures with cc
11
$185,148
$30,705
6.0× st 7.4×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
11
$69,326
$12,806
5.4× st 5.6×
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
397
$30,855
$2,470
12.5×
5372
Level 2 Urology and Related Services
225
$4,338
$619
7.0×
5191
Level 1 Endovascular Procedures
134
$32,789
$2,957
11.1×
5373
Level 3 Urology and Related Services
98
$18,365
$1,845
10.0×
5193
Level 3 Endovascular Procedures
79
$87,460
$9,957
8.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
71
$17,523
$1,452
12.1×
5374
Level 4 Urology and Related Services
42
$44,112
$3,158
14.0×
5183
Level 3 Vascular Procedures
36
$30,166
$2,887
10.4×
5375
Level 5 Urology and Related Services
34
$60,956
$4,467
13.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
34
$25,585
$2,574
9.9×
5223
Level 3 Pacemaker and Similar Procedures
30
$79,526
$9,666
8.2×
5192
Level 2 Endovascular Procedures
21
$54,567
$5,178
10.5×
5184
Level 4 Vascular Procedures
18
$56,454
$4,978
11.3×
5376
Level 6 Urology and Related Services
16
$78,056
$7,924
9.9×
5113
Level 3 Musculoskeletal Procedures
15
$52,782
$2,932
18.0×
5302
Level 2 Upper GI Procedures
15
$32,350
$1,723
18.8×
5232
Level 2 ICD and Similar Procedures
14
$184,654
$29,712
6.2×
5115
Level 5 Musculoskeletal Procedures
13
$142,477
$11,116
12.8×
5491
Level 1 Intraocular Procedures
13
$23,754
$2,111
11.3×
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 12,778 rows scanned, 9,393 distinct code–setting items kept. 2,391 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$763
9
clean
Liver dis 10 assays w/ash
—
—
$534
9
clean
Liver dis 10 assays w/nash
—
—
$534
9
clean
Onco prst8 3 gene ur alg
—
—
$806
9
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,384
9
clean
Onc bladder mrna 209 gen alg
—
—
$3,699
9
clean
Onc thyr 10 microrna seq alg
—
—
$3,182
9
clean
Onc aml dna detcj/nondetcj
—
—
$263
9
clean
Glyca nuc mr spectrsc quan
—
—
$36
9
clean
Onc thyr dna&mrna 112 genes
—
—
$3,816
9
clean
Jak2 gene trgt seq alys
—
—
$129
9
clean
Rx metab advrs trgt seq alys
—
—
$787
9
clean
Tpmt nudt15 genes
—
—
$494
9
clean
HC NEURO PRION PROTEIN - 14 3 3 PROTEIN CSF - ARUP
$8,350
$8,350
—
0
clean
Neuro csf prion prtn qual
—
—
$573
9
clean
Trgt gen seq dna 324 genes
—
—
$3,710
9
clean
B brgdrferi antb 5 prtn igm
—
—
$18
9
clean
HC CERBRAL PERFUSION STUDY, CT W/ CONTRAST
$4,408
$4,408
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$18
9
clean
Tbrf b grp antb 4 prtn igm
—
—
$16
9
clean
Tbrf b grp antb 4 prtn igg
—
—
$16
9
clean
Onc brst dux carc is 12 gene
—
—
$4,105
9
clean
Onc prst8 mrna 17 gene alg
—
—
$4,105
9
clean
Onc merkel cll carc srm quan
—
—
$342
9
clean
Onc merkel cll carc srm +/-
—
—
$342
9
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$27
9
clean
Antb tp total&rpr ia qual
—
—
$33
9
clean
Syfls tst nontreponemal antb
—
—
$19
9
clean
Candida species pnl amp prb
—
—
$151
9
clean
Ig paraprotein qual bld/ur
—
—
$46
9
clean
Onc lng 5 clin rsk factr alg
—
—
$3,731
9
clean
Onc mlnma prame & linc00518
—
—
$806
9
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,067
9
clean
Extracorp shockwv tx hi enrg
—
—
$273
9
clean
Hered colon ca do 15 genes
—
—
$1,849
9
clean
Neph ckd mult eclia tum nec
—
—
$1,007
9
clean
Gstr emptg 7 timed brth spec
—
—
$927
9
clean
Cool Quant Sensory Test
—
—
$65
9
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,247
9
clean
Iadi 16s&18s rrna genes
—
—
$378
9
clean
Trnsplj don-drv cll-fr dna
—
—
$2,918
9
clean
Crd ceramides liq chrom plsm
—
—
$89
9
clean
Hered brst ca rltd do panel
—
—
$1,382
9
clean
Nfct bct fng prst dna >1000
—
—
$2,254
9
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$119
9
clean
Liver ds 10 biochem asy srm
—
—
$534
9
clean
Onc sld tum alys brca1 brca2
—
—
$3,212
9
clean
Onc solid tumor 30 prtn trgt
—
—
$1,384
9
clean
Perq sacral augmt unilat inj
—
—
$8,032
9
clean
Perq sacral augmt bilat inj
—
—
$8,032
9
clean
Post vert arthrplst 1 lumbar
—
—
$14,212
9
clean
Nfct ds 22 trgt sars-cov-2
—
—
$442
9
clean
HC BIOFIRE RESP PNL 22 TARGETS INCLUDING SARSCOV2
$1,773
$1,773
—
0
clean
Neuro alzheimer cell aggregj
—
—
$2,348
9
clean
Clear eyelid gland w/heat
—
—
$147
9
clean
Trluml perip athrc brchiocph
—
—
$12,779
9
clean
Trluml perip athrc iliac art
—
—
$20,292
9
clean
HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH
$27,537
$27,537
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$3,710
9
clean
Trgt gen seq alys pnl 55-74
—
—
$5,300
9
clean
Onc thyr mut alys 10 gen&37
—
—
$1,342
9
clean
Onc sld org neo dna 505 gene
—
—
$3,095
9
clean
Tempr
—
—
$142
9
clean
Onc lung mrna quan pcr 11&3
—
—
$4,105
9
clean
Onc brst dux carc 7 proteins
—
—
$5,761
9
clean
Crd cad alys 3 prtn plsm alg
—
—
$414
9
clean
Crd cv ds aly 4 prtn plm alg
—
—
$414
9
clean
Nfct ds bct quan antmcrb sc
—
—
$9
9
clean
Ai ds sle alys 8 igg autoant
—
—
$891
9
clean
Onc cutan sq cll ca mrna 40
—
—
$9,010
9
clean
Neph rna psttrnspl perph bld
—
—
$2,809
9
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,710
9
clean
Onc plsm cell do&myeloma id
—
—
$2,581
9
clean
Onc sld tum crcg tum cl slct
—
—
$2,581
9
clean
Trnscth renal symp denrv bil
—
—
$6,300
9
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$806
9
clean
Onc pan ca alys mrd plasma
—
—
$3,805
9
clean
Hep nafld semiq evl 28 lipid
—
—
$840
9
clean
Psyc genom alys pnl 15 gen
—
—
$1,416
9
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,416
9
clean
Rx metab/pcx dna 25 gen alys
—
—
$787
9
clean
Rx metab/pcx dna 27gen rx ia
—
—
$787
9
clean
RSA lower extr exam
—
—
$102
13
clean
Nfct ds bct/viral trail ip10
—
—
$276
9
clean
Oct brst/node i&r per spec
—
—
$2,040
4
clean
Apol1 risk variants
—
—
$145
9
clean
Onc orop 17 dna ddpcr alg
—
—
$1,908
9
clean
Neuro alys b-amyl 1-42&1-40
—
—
$276
9
clean
Onc prst8 ca alys all psa
—
—
$806
9
clean
Onc lung elisa 7 autoant alg
—
—
$891
9
clean
Onc urthl mrna 5 gen alg
—
—
$806
9
clean
Onc bldr 10 prb bldr ca
—
—
$951
9
clean
Onc bldr 10 prb recr bldr ca
—
—
$951
9
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$951
9
clean
Onc prst8 ca img alys 128
—
—
$749
9
clean
Tgsap sl or neo dna523&rna55
—
—
$3,486
9
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,710
9
clean
Neu prksn msfl ?-syncln prtn
—
—
$573
9
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$211
9
clean
Gi baret esph dna mthyln aly
—
—
$1,860
9
clean
Onc prst8 mrna 18 gen dre ur
—
—
$806
9
clean
Onc brst semiq meas thym kn
—
—
$342
9
clean
Onc lung flow cytmtry 5 mrk
—
—
$806
9
clean
Neph dbtc ckd mult eclia alg
—
—
$1,007
9
clean
Onc sld tum dna 80 & rna 36
—
—
$3,095
9
clean
Psyc genom alys pnl 15 gen
—
—
$1,416
9
clean
Cv ds acs bld alg 5 yr score
—
—
$414
9
clean
Onc pan solid tum alys dna
—
—
$2,060
9
clean
Gi malabs aat calpro pncrtc
—
—
$65
9
clean
Gly rcptr alpha1 igg srm/csf
—
—
$39
9
clean
Klhl11 antb sr/csf asy qual
—
—
$39
9
clean
Onc prst8 5 dna reg mrk pcr
—
—
$806
9
clean
Rx metab advrs vrnt alys 25
—
—
$442
9
clean
Abltj perc lxtr/perph nrv
—
—
$2,162
9
clean
Neurflmnt lt chn ultrsens ia
—
—
$123
9
clean
Rmvl impltbl glucose sensor
—
—
$222
9
clean
Visual ep test for glaucoma
—
—
$142
9
clean
Onc sld tum bld/slv 648 gene
—
—
$4,770
9
clean
Hered prst8 ca gsap 23 genes
—
—
$1,382
9
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$818
9
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,868
9
clean
Ev fempop artl revsc
—
—
$12,779
9
clean
Near ifr 2img mibmn glnd i&r
—
—
$65
9
clean
Pattern erg w/i&r
—
—
$239
9
clean
Esw integ wnd hlg 1st wnd
—
—
$222
9
clean
HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$9,693
$9,693
—
0
clean
Antmc guide 3d print 1st gd
—
—
$145
13
clean
Evac meibomian glnd heat bi
—
—
$65
9
clean
Ncntc r-t fluor wnd img 1st
—
—
$253
13
clean
Ire abltj 1+tum organ perq
—
—
$11,767
9
clean
Ire abltj 1+tumors open
—
—
$11,767
9
clean
Rem oct rta techl sprt min 8
—
—
$76
4
clean
Perq njx algc fluor lmbr 1st
—
—
$14,212
9
clean
Perq njx algc ct lmbr 1st
—
—
$14,212
9
clean
Ct breast w/3d bi c-/c+
—
—
$408
13
clean
Tcat rmvl/dblk icar mas perq
—
—
$6,300
9
clean
Insj gtube perq mag gastrpxy
—
—
$2,124
9
clean
Quan mr alys tiss w/o mri
—
—
$1,010
13
clean
Egd flx transnasal tube/cath
—
—
$4,268
9
clean
Tprnl focal abltj mal prst8
—
—
$5,935
9
clean
Elec impd spectrsc 1+skn les
—
—
$69
13
clean
Abltj b9 thyr ndul perq lasr
—
—
$1,828
9
clean
Histotripsy mal hepatcel tis
—
—
$37,206
13
clean
Njx b1 sub mtrl sbchdrl dfct
—
—
$3,622
9
clean
Instlj fecal microbiota ssp
—
—
$147
9
clean
Rem mlt day uroflow setup
—
—
$147
9
clean
Rem mlt day uroflow dev sply
—
—
$142
9
clean
Opn insj/rplcmt ins ptn subq
—
—
$21,475
9
clean
Opn insj/rplcmt ins ptn subf
—
—
$21,475
9
clean
Low ntsty eswt corpus cvrnsm
—
—
$277
9
clean
Quan mri alys brn w/dx mri
—
—
$279
13
clean
HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
$5,548
$5,548
—
0
clean
Fna bx w/us gdn 1st les
—
—
$784
9
clean
HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL
$5,979
$5,979
—
0
clean
Fna bx w/fluor gdn 1st les
—
—
$784
9
clean
Fna bx w/ct gdn 1st les
—
—
$784
9
clean
HC FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION
$8,219
$8,219
—
0
clean
HC FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL
$2,061
$2,061
—
0
clean
Fna bx w/mr gdn 1st les
—
—
$784
9
clean
Fna w/o image
—
—
$450
9
clean
HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE
$5,322
$5,322
—
0
clean
Guide cathet fluid drainage
—
—
$784
9
clean
Perq dev soft tiss 1st imag
—
—
$784
9
clean
Acne surgery
—
—
$222
9
clean
HC DRAIN SKIN ABSCESS SIMPLE
$1,047
$1,047
—
0
clean
Drainage of skin abscess
—
—
$222
9
clean
HC DRAIN SKIN ABSCESS COMPLIC
$1,276
$1,276
—
0
clean
Drainage of skin abscess
—
—
$450
9
clean
Drainage of pilonidal cyst
—
—
$784
9
clean
HC DRAIN PILONIDAL CYST SIMPL
$7,166
$7,166
—
0
clean
Drainage of pilonidal cyst
—
—
$784
9
clean
HC DRAIN PILONIDAL CYST COMPLIC
$7,166
$7,166
—
0
clean
Remove foreign body
—
—
$450
9
clean
HC REMOVE FOREIGN BODY SIMPLE
$4,244
$4,244
—
0
clean
Remove foreign body
—
—
$1,828
9
clean
HC REMOVE FOREIGN BODY COMPLIC
$16,444
$16,444
—
0
clean
Drainage of hematoma/fluid
—
—
$1,828
9
clean
HC DRAINAGE OF HEMATOMA/FLUID
$5,187
$5,187
—
0
clean
Puncture drainage of lesion
—
—
$450
9
clean
HC PUNCTURE DRAINAGE OF LESION
$1,276
$1,276
—
0
clean
Complex drainage wound
—
—
$3,215
9
clean
Debride infected skin
—
—
$450
9
clean
Debride skin at fx site
—
—
$784
9
clean
Debride skin musc at fx site
—
—
$784
9
clean
Deb skin bone at fx site
—
—
$3,215
9
clean
Deb subq tissue 20 sq cm/<
—
—
$450
9
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM
$2,506
$2,506
—
0
clean
Deb musc/fascia 20 sq cm/<
—
—
$818
9
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,=<20 SQ CM
$1,979
$1,979
—
0
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,=<20 SQ CM
$6,407
$6,407
—
0
clean
Deb bone 20 sq cm/<
—
—
$1,828
9
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM
$1,523
$1,523
—
0
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,EACH ADD 20 SQ CM
$1,109
$1,109
—
0
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,EACH ADD 20 SQ CM
$5,524
$5,524
—
0
clean
HC TRIM HYPERKERATOTIC SKIN LESION, ONE
$618
$618
—
0
clean
Trim skin lesion
—
—
$222
9
clean
Trim skin lesions 2 to 4
—
—
$222
9
clean
HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4
$2,130
$2,130
—
0
clean
Trim skin lesions over 4
—
—
$222
9
clean
Tangntl bx skin single les
—
—
$450
9
clean

Showing the first 200 of 9,393 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
12,446 of 12,446 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 83090/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1921/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 J1939/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 83516/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 86431/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1940/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9395/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 83519/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1953/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86580/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 J1956/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 86592/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86593/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90377/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2001/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 83540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2003/b
info
mrf_item_fields_vary
this code and setting cover at least 42 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9045/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 86606/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2004/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9046/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 86611/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90632/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9047/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83655/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 86617/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90651/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2060/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90656/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 J2175/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 Q0138/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2185/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 90677/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2212/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q2050/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 86658/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90715/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A2002/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 J2251/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 83835/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A9573/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86665/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4150/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90746/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 A9575/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2270/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83874/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4151/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86682/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A9577/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2272/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 Q5101/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 J2305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86695/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT A9585/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q5106/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2310/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q5107/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q5108/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83986/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2354/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 Q5115/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2357/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 C9046/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q5119/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2360/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 C9088/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2371/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 Q5123/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9254/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 J2401/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 Q5129/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9290/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 J2404/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 C9399/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2405/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 Q9958/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 J2430/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9963/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80299/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2440/b
info
mrf_item_fields_vary
this code and setting cover at least 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9966/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2469/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 80307/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9967/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2470/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 80320/b
info
mrf_item_fields_vary
this code and setting cover at least 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9968/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 84157/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2506/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80323/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2543/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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2550/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 J2560/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 J2597/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 J2598/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 J2680/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0279/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2704/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0131/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 J2710/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 84311/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2720/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 J2765/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 84403/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0136/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2785/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 81002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84432/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0153/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87046/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0171/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2795/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84436/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87070/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2800/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 J0280/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87075/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2916/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0282/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 J2997/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81241/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3010/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 J0290/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 81261/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0295/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3105/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87102/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0330/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 differ, so no cross-line comparison was made for this item
CPT J3111/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0360/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 J3230/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 J0456/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 81340/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87116/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0461/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 3 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0500/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 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 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 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0561/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87177/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0612/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3370/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3372/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 J0640/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3410/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82043/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87186/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 48 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3411/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 J3420/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 87206/b
info
mrf_item_fields_vary
this code and setting cover at least 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/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 J3430/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 87207/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82105/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3475/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87210/b
info
mrf_item_fields_vary
this code and setting cover at least 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/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3480/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0735/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 J3489/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 J0736/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 J3490/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 J0737/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 J7030/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 J0744/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 J7042/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 82247/b
info
mrf_item_fields_vary
this code and setting cover at least 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/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 J7060/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 J0881/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 J7070/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

Showing the first 200 of 2,391 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 069
info
inp_charge_10x_payment
average charge $73,806 is 11.7× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $85,972 is 10.2× the total payment
MS-DRG 660
info
inp_charge_10x_payment
average charge $134,258 is 11.1× 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 · 22.9M bytes · fetched 2026-08-23 · sha256 c8d9d69176c8…

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.