Hospital · CCN 100051

Orlando Health South Lake Hospital

1900 Don Wickham Dr, Clermont, FL 34711 · Lake County
Part of Orlando Health · 172 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

87 admission types 51 outpatient services price file: ok 19 Medicare-file findings
Billed per dollar paid, all admissions
8.72×
$299.1M billed against $34.3M paid across 3,251 Medicare discharges; the national figure is 5.03×.
6.1%
of adults in Lake County have medical debt in collections
12.6%
uninsured in the county · state 13.9%
$71K
median household income
6.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
35.3%
obesity in the countyⓘ
14.5%
diagnosed diabetes (PLACES)
8.5%
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
516
$108,270
$13,476
8.0× st 7.2×
291
Heart failure and shock with mcc
189
$79,946
$9,116
8.8× st 6.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
135
$69,083
$8,381
8.2× st 7.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
111
$59,998
$6,365
9.4× st 7.5×
690
Kidney and urinary tract infections without mcc
74
$49,870
$6,175
8.1× st 6.6×
309
Cardiac arrhythmia and conduction disorders with cc
73
$51,533
$5,966
8.6× st 6.9×
280
Acute myocardial infarction, discharged alive with mcc
71
$107,850
$11,199
9.6× st 7.3×
177
Respiratory infections and inflammations with mcc
67
$85,685
$11,646
7.4× st 6.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
66
$249,074
$31,546
7.9× st 7.5×
378
Gastrointestinal hemorrhage with cc
60
$76,890
$7,651
10.0× st 7.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
57
$84,482
$9,133
9.3× st 8.9×
698
Other kidney and urinary tract diagnoses with mcc
54
$85,858
$10,822
7.9× st 6.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
51
$46,720
$4,625
10.1× st 7.1×
312
Syncope and collapse
51
$52,759
$6,786
7.8× st 7.6×
552
Medical back problems without mcc
50
$61,120
$7,096
8.6× st 7.8×
189
Pulmonary edema and respiratory failure
46
$77,581
$9,058
8.6× st 6.8×
603
Cellulitis without mcc
46
$61,015
$6,931
8.8× st 5.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
45
$149,521
$14,896
10.0× st 9.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
44
$73,295
$6,977
10.5× st 8.8×
193
Simple pneumonia and pleurisy with mcc
44
$72,491
$9,488
7.6× st 7.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
43
$77,782
$9,539
8.2× st 6.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
43
$58,397
$6,447
9.1× st 6.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
43
$182,452
$13,544
13.5× st 9.7×
313
Chest pain
42
$51,948
$5,693
9.1× st 7.3×
683
Renal failure with cc
40
$58,487
$6,753
8.7× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
40
$61,993
$8,015
7.7× st 6.5×
689
Kidney and urinary tract infections with mcc
38
$60,726
$8,161
7.4× st 6.4×
308
Cardiac arrhythmia and conduction disorders with mcc
36
$80,035
$8,937
9.0× st 6.6×
377
Gastrointestinal hemorrhage with mcc
35
$112,021
$12,739
8.8× st 7.2×
281
Acute myocardial infarction, discharged alive with cc
34
$64,602
$7,468
8.7× st 8.5×
069
Transient ischemia without thrombolytic
34
$64,641
$6,377
10.1× st 10.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
33
$84,896
$9,427
9.0× st 6.8×
389
Gastrointestinal obstruction with cc
32
$50,877
$6,100
8.3× st 7.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
30
$130,027
$15,309
8.5× st 7.0×
682
Renal failure with mcc
28
$86,966
$10,193
8.5× st 7.0×
638
Diabetes with cc
26
$58,900
$7,305
8.1× st 6.5×
637
Diabetes with mcc
24
$72,143
$8,925
8.1× st 6.8×
481
Hip and femur procedures except major joint with cc
24
$149,326
$14,597
10.2× st 8.8×
660
Kidney and ureter procedures for non-neoplasm with cc
23
$86,815
$9,959
8.7× st 8.1×
305
Hypertension without mcc
23
$54,554
$5,872
9.3× st 7.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
22
$78,314
$13,864
5.6× st 7.8×
884
Organic disturbances and intellectual disability
22
$51,100
$10,356
4.9× st 5.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
22
$234,654
$22,302
10.5× st 9.0×
812
Red blood cell disorders without mcc
22
$68,999
$7,432
9.3× st 6.3×
071
Other cerebrovascular disorders with cc
22
$60,823
$7,385
8.2× st 6.3×
194
Simple pneumonia and pleurisy with cc
22
$62,554
$6,204
10.1× st 6.9×
854
Infectious and parasitic diseases with o.r. procedures with cc
21
$120,814
$14,443
8.4× st 8.6×
460
Spinal fusion except cervical without mcc
21
$252,367
$24,881
10.1× st 7.8×
948
Signs and symptoms without mcc
21
$57,580
$6,216
9.3× st 6.2×
811
Red blood cell disorders with mcc
20
$91,053
$10,283
8.9× st 7.5×
314
Other circulatory system diagnoses with mcc
20
$109,515
$15,148
7.2× st 5.9×
149
Dysequilibrium
19
$68,396
$5,975
11.4× st 8.8×
178
Respiratory infections and inflammations with cc
18
$58,202
$7,065
8.2× st 6.4×
057
Degenerative nervous system disorders without mcc
18
$71,933
$9,215
7.8× st 6.1×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
17
$53,923
$6,436
8.4× st 6.4×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
17
$72,309
$7,816
9.3× st 8.4×
202
Bronchitis and asthma with cc/mcc
16
$66,163
$7,309
9.1× st 6.4×
536
Fractures of hip and pelvis without mcc
16
$44,423
$5,945
7.5× st 7.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
16
$184,643
$14,689
12.6× st 8.7×
480
Hip and femur procedures except major joint with mcc
16
$222,141
$20,164
11.0× st 8.6×
659
Kidney and ureter procedures for non-neoplasm with mcc
16
$145,671
$17,375
8.4× st 6.9×
551
Medical back problems with mcc
15
$83,463
$11,187
7.5× st 7.4×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
15
$69,350
$5,391
12.9× st 8.8×
252
Other vascular procedures with mcc
14
$181,998
$23,458
7.8× st 7.2×
242
Permanent cardiac pacemaker implant with mcc
14
$202,869
$23,068
8.8× st 7.7×
070
Other cerebrovascular disorders with mcc
14
$71,469
$11,352
6.3× st 6.3×
390
Gastrointestinal obstruction without cc/mcc
14
$44,268
$4,638
9.5× st 7.0×
394
Other digestive system diagnoses with cc
14
$81,911
$8,293
9.9× st 7.3×
176
Pulmonary embolism without mcc
13
$75,353
$6,231
12.1× st 7.2×
191
Chronic obstructive pulmonary disease with cc
13
$52,524
$6,363
8.3× st 7.1×
101
Seizures without mcc
13
$65,413
$7,267
9.0× st 7.2×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
13
$142,993
$9,669
14.8× st 10.0×
699
Other kidney and urinary tract diagnoses with cc
13
$61,613
$8,849
7.0× st 6.1×
243
Permanent cardiac pacemaker implant with cc
12
$199,134
$16,262
12.2× st 8.0×
388
Gastrointestinal obstruction with mcc
12
$107,021
$10,908
9.8× st 6.6×
602
Cellulitis with mcc
12
$96,777
$10,229
9.5× st 5.9×
330
Major small and large bowel procedures with cc
12
$206,906
$16,490
12.5× st 8.5×
315
Other circulatory system diagnoses with cc
12
$54,095
$6,982
7.7× st 6.2×
253
Other vascular procedures with cc
12
$233,660
$28,776
8.1× st 7.4×
673
Other kidney and urinary tract procedures with mcc
12
$244,942
$27,177
9.0× st 5.7×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
11
$63,327
$6,697
9.5× st 7.7×
282
Acute myocardial infarction, discharged alive without cc/mcc
11
$56,168
$5,624
10.0× st 9.0×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$47,847
$6,689
7.2× st 7.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$139,086
$18,506
7.5× st 7.3×
435
Malignancy of hepatobiliary system or pancreas with mcc
11
$85,995
$12,334
7.0× st 6.9×
917
Poisoning and toxic effects of drugs with mcc
11
$90,796
$10,360
8.8× st 6.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
11
$158,520
$11,929
13.3× st 9.6×
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
850
$34,388
$2,466
13.9×
5491
Level 1 Intraocular Procedures
323
$24,709
$2,095
11.8×
5375
Level 5 Urology and Related Services
157
$53,034
$4,687
11.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
138
$16,367
$1,453
11.3×
5114
Level 4 Musculoskeletal Procedures
129
$84,799
$6,440
13.2×
5191
Level 1 Endovascular Procedures
116
$32,556
$2,921
11.1×
5373
Level 3 Urology and Related Services
103
$25,621
$1,831
14.0×
5113
Level 3 Musculoskeletal Procedures
84
$42,158
$2,904
14.5×
5372
Level 2 Urology and Related Services
83
$13,089
$619
21.2×
5374
Level 4 Urology and Related Services
69
$45,536
$3,158
14.4×
5112
Level 2 Musculoskeletal Procedures
60
$24,929
$1,456
17.1×
5115
Level 5 Musculoskeletal Procedures
58
$137,835
$11,906
11.6×
5116
Level 6 Musculoskeletal Procedures
51
$159,125
$16,845
9.4×
5183
Level 3 Vascular Procedures
51
$46,786
$2,842
16.5×
5193
Level 3 Endovascular Procedures
43
$125,696
$9,957
12.6×
5465
Level 5 Neurostimulator and Related Procedures
38
$190,878
$28,046
6.8×
5415
Level 5 Gynecologic Procedures
30
$65,233
$4,505
14.5×
5302
Level 2 Upper GI Procedures
28
$23,223
$1,724
13.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
27
$32,800
$2,498
13.1×
5431
Level 1 Nerve Procedures
19
$31,442
$1,749
18.0×
5182
Level 2 Vascular Procedures
18
$15,738
$1,451
10.8×
5192
Level 2 Endovascular Procedures
18
$70,228
$4,948
14.2×
5416
Level 6 Gynecologic Procedures
17
$88,366
$6,845
12.9×
5464
Level 4 Neurostimulator and Related Procedures
17
$122,775
$19,767
6.2×
5414
Level 4 Gynecologic Procedures
16
$48,028
$2,832
17.0×
5153
Level 3 Airway Endoscopy
16
$23,423
$1,461
16.0×
5222
Level 2 Pacemaker and Similar Procedures
15
$83,494
$7,696
10.8×
5361
Level 1 Laparoscopy and Related Services
14
$83,399
$4,929
16.9×
5462
Level 2 Neurostimulator and Related Procedures
13
$29,059
$6,195
4.7×
5194
Level 4 Endovascular Procedures
13
$184,241
$14,632
12.6×
5223
Level 3 Pacemaker and Similar Procedures
11
$103,950
$9,666
10.8×
5492
Level 2 Intraocular Procedures
11
$24,843
$3,684
6.7×
5432
Level 2 Nerve Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery 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, 30,344 rows scanned, 17,221 distinct code–setting items kept. 5,810 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$742
21
clean
Liver dis 10 assays w/ash
—
—
$529
19
clean
Liver dis 10 assays w/nash
—
—
$529
19
clean
Hb Nash-Fibro Test- Ref
$744
$298
—
0
clean
Onco prst8 3 gene ur alg
—
—
$783
21
clean
Onc mrna 5 gen rsk urthl ca
—
—
$783
21
clean
Onc mrna 5 gen recr urthl ca
—
—
$783
21
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,345
21
clean
Onc bladder mrna 209 gen alg
—
—
$3,594
21
clean
Onc thyr 10 microrna seq alg
—
—
$3,092
21
clean
Onc aml dna detcj/nondetcj
—
—
$256
21
clean
Glyca nuc mr spectrsc quan
—
—
$35
21
clean
Onc thyr dna&mrna 112 genes
—
—
$3,708
21
clean
Hb Jak2 Exon 12-15 Sequencing, Reflex-Ref
$390
$156
—
0
clean
Jak2 gene trgt seq alys
—
—
$126
21
clean
Rx metab advrs trgt seq alys
—
—
$765
21
clean
Hb Focused Pharmacogenomics Panel, V Mayo-Ref
$1,300
$520
—
0
clean
Hb Tpmt-Mayo-Ref
$1,003
$401
—
0
clean
Tpmt nudt15 genes
—
—
$480
21
clean
Neuro csf prion prtn qual
—
—
$557
21
clean
Hb Neurology Csf Detection Prion Protein-Ref
$1,200
$480
—
0
clean
Trgt gen seq dna 324 genes
—
—
$3,605
21
clean
Hb Foundation One Cdx Zb7Ve-Ref
$7,000
$2,800
—
0
clean
B brgdrferi antb 5 prtn igm
—
—
$18
21
clean
Hb Ct Cerebral Perf W/Contrast
$4,512
$1,805
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$18
21
clean
Tbrf b grp antb 4 prtn igm
—
—
$15
21
clean
Tbrf b grp antb 4 prtn igg
—
—
$15
21
clean
Onc brst dux carc is 12 gene
—
—
$3,989
21
clean
Onc prst8 mrna 17 gene alg
—
—
$3,989
21
clean
Bone srgry cmptr fluor image
—
—
$5,560
2
clean
Bone srgry cmptr ct/mri imag
—
—
$5,560
2
clean
Onc merkel cll carc srm quan
—
—
$333
21
clean
Hb Merkel Cell Carcinoma Ab (Arup)-Ref
$683
$273
—
0
clean
Onc merkel cll carc srm +/-
—
—
$333
21
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$26
21
clean
Antb tp total&rpr ia qual
—
—
$32
21
clean
Syfls tst nontreponemal antb
—
—
$19
21
clean
Candida species pnl amp prb
—
—
$147
21
clean
Perq Stent/Chest Vert Art
—
—
$23,360
2
clean
Hb Transcath Stent Ica/Ecv-Init
$80,916
$32,366
—
0
clean
Hb M-Protein Mass-Fix, 24 Hr, Urine (Mayo-Mptu)-Ref
$340
$136
—
0
clean
Ig paraprotein qual bld/ur
—
—
$45
21
clean
Onc lng 5 clin rsk factr alg
—
—
$3,626
21
clean
Onc mlnma prame & linc00518
—
—
$783
21
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,009
21
clean
Extracorp shockwv tx hi enrg
—
—
$374
16
clean
Hered colon ca do 15 genes
—
—
$1,796
21
clean
Neph ckd mult eclia tum nec
—
—
$979
21
clean
Touch Quant Sensory Test
—
—
$43
14
clean
Gstr emptg 7 timed brth spec
—
—
$901
21
clean
Vibrate Quant Sensory Test
—
—
$43
14
clean
Cool Quant Sensory Test
—
—
$68
14
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,099
21
clean
Heat Quant Sensory Test
—
—
$43
14
clean
Iadi 16s&18s rrna genes
—
—
$367
21
clean
Hb Molecular Microbial Diagnostic Test- Ref
$500
$200
—
0
clean
Trnsplj don-drv cll-fr dna
—
—
$2,836
21
clean
Crd ceramides liq chrom plsm
—
—
$86
21
clean
Hered brst ca rltd do panel
—
—
$1,343
21
clean
Nfct bct fng prst dna >1000
—
—
$2,190
21
clean
Hb Microbial Cell Free Dna(Karius) Zb4Sv-Ref
$3,000
$1,200
—
0
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$115
21
clean
Liver ds 10 biochem asy srm
—
—
$519
21
clean
Onc sld tum alys brca1 brca2
—
—
$3,121
21
clean
Onc solid tumor 30 prtn trgt
—
—
$1,345
21
clean
Exc rectal tumor endoscopic
—
—
$9,193
16
clean
Perq sacral augmt unilat inj
—
—
$9,954
16
clean
Hb Sacral Augmentation-Perc-Uni
$30,080
$12,032
—
0
clean
Perq sacral augmt bilat inj
—
—
$9,954
16
clean
Hb Sacral Augmentation-Perc-Bilat
$30,080
$12,032
—
0
clean
Post vert arthrplst 1 lumbar
—
—
$17,487
16
clean
Hb Respiratory Panel,Pcr,V-Mayo-Ref
$1,000
$400
—
0
clean
Nfct ds 22 trgt sars-cov-2
—
—
$429
21
clean
Neuro alzheimer cell aggregj
—
—
$2,282
21
clean
Clear eyelid gland w/heat
—
—
$201
16
clean
Neuro alzheimer quan imaging
—
—
$506
5
clean
Njx platelet plasma
—
—
$676
16
clean
Hb Njx Pltlt Plasma W/Img Harvest/ Preparation
$3,250
$1,300
—
0
clean
Trluml perip athrc brchiocph
—
—
$17,480
16
clean
Hb Atherectomy W/S&I Ileac Artery Each Vessel
$201,808
$80,723
—
0
clean
Trluml perip athrc iliac art
—
—
$27,758
16
clean
Trgt gen seq alys pnl 311+
—
—
$3,605
21
clean
Hb Foundation One Liquid Z00D8-Ref
$7,000
$2,800
—
0
clean
Hb Sars-Cov2/Flu/Rsv-Cepheid (Z02Mm)
$167
$67
—
0
clean
Trgt gen seq alys pnl 55-74
—
—
$5,150
21
clean
Onc thyr mut alys 10 gen&37
—
—
$1,304
21
clean
Onc sld org neo dna 505 gene
—
—
$3,007
21
clean
Implt/rpl crtd sns dev total
—
—
$62,024
2
clean
Hb Im/Repl Cartd Sinus Baroreflx Activ Dev Tot Syst
$206,142
$82,457
—
0
clean
Implt/rpl crtd sns dev gen
—
—
$62,024
2
clean
Hb Im/Repl Cartd Sins Barreflx Act Dev Pls Gen Only
$206,142
$82,457
—
0
clean
Hb Interrogation Carotid Sinus Baroflex
$940
$376
—
0
clean
Hb Inter/Reprog Carotid Sinus Baroflex
$940
$376
—
0
clean
Perq lamot/lam lumbar
—
—
$19,593
2
clean
Hb Perc Lamino-/Laminectomy Indir Imag Guide Lumbar
$36,994
$14,798
—
0
clean
Tempr
—
—
$195
16
clean
Onc lung mrna quan pcr 11&3
—
—
$3,989
21
clean
Onc brst dux carc 7 proteins
—
—
$5,598
21
clean
Crd cad alys 3 prtn plsm alg
—
—
$402
21
clean
Crd cv ds aly 4 prtn plm alg
—
—
$402
21
clean
Nfct ds bct quan antmcrb sc
—
—
$8
21
clean
Ai ds sle alys 8 igg autoant
—
—
$866
21
clean
Onc cutan sq cll ca mrna 40
—
—
$8,755
21
clean
Neph rna psttrnspl perph bld
—
—
$2,730
21
clean
Trgt gen seq alys pnl 83+
—
—
$5,150
21
clean
Onc neo xome&trns seq alys
—
—
$3,541
21
clean
Tear film img uni/bi w/i&r
—
—
$43
14
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,605
21
clean
Onc plsm cell do&myeloma id
—
—
$2,508
21
clean
Onc sld tum crcg tum cl slct
—
—
$2,508
21
clean
Hb Transcatheter Renal Denrv Bilat
$53,992
$21,597
—
0
clean
Trnscth renal symp denrv bil
—
—
$8,618
16
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$783
21
clean
Onc pan ca alys mrd plasma
—
—
$3,805
21
clean
Hep nafld semiq evl 28 lipid
—
—
$816
21
clean
Psyc genom alys pnl 15 gen
—
—
$1,376
21
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,376
21
clean
Rx metab/pcx dna 25 gen alys
—
—
$765
21
clean
Rx metab/pcx dna 27gen rx ia
—
—
$765
21
clean
RSA lower extr exam
—
—
$132
16
clean
Nfct ds bct/viral trail ip10
—
—
$268
21
clean
Oct brst/node i&r per spec
—
—
$2,168
2
clean
Apol1 risk variants
—
—
$141
21
clean
Onc orop 17 dna ddpcr alg
—
—
$1,854
21
clean
BIA whole body
—
—
$34
14
clean
Neuro alys b-amyl 1-42&1-40
—
—
$268
21
clean
Hb Beta-Amyloid Ratio (1-42/1-40). Csf-Ref
$1,400
$560
—
0
clean
Onc prst8 ca alys all psa
—
—
$783
21
clean
Onc lung elisa 7 autoant alg
—
—
$866
21
clean
Hb Neurofilament Light Chain, P-Ref
$1,500
$600
—
0
clean
Neurflmnt lt chn dig ia quan
—
—
$116
2
clean
Onc urthl mrna 5 gen alg
—
—
$783
21
clean
Onc bldr 10 prb bldr ca
—
—
$924
21
clean
Onc bldr 10 prb recr bldr ca
—
—
$924
21
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$924
21
clean
Onc prst8 ca img alys 128
—
—
$727
21
clean
Vis field assmnt tech suppt
—
—
$43
14
clean
Tgsap sl or neo dna523&rna55
—
—
$3,387
21
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,605
21
clean
Hb Invisionfirst-Lung (Neogenomics) Zb51N-Ref
$5,740
$2,296
—
0
clean
Neu prksn msfl ?-syncln prtn
—
—
$557
21
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$205
21
clean
Gi baret esph dna mthyln aly
—
—
$1,808
21
clean
Collagen crosslinking cornea
—
—
$3,600
16
clean
Onc prst8 mrna 18 gen dre ur
—
—
$783
21
clean
Onc brst semiq meas thym kn
—
—
$333
21
clean
Onc lung flow cytmtry 5 mrk
—
—
$783
21
clean
Neph dbtc ckd mult eclia alg
—
—
$979
21
clean
Insj/rplc cardiac modulj sys
—
—
$47,529
16
clean
Hb Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd
$148,269
$59,308
—
0
clean
Onc sld tum dna 80 & rna 36
—
—
$3,007
21
clean
Psyc genom alys pnl 15 gen
—
—
$1,376
21
clean
Cv ds acs bld alg 5 yr score
—
—
$402
21
clean
Prgrmg eval cardiac modulj
—
—
$43
14
clean
Hb Prgrmg Device Evaluation Cardiac Modulj System
$433
$173
—
0
clean
Interro eval cardiac modulj
—
—
$43
14
clean
Hb Interro Device Evaluation Cardiac Modulj System
$300
$120
—
0
clean
Waterjet prostate abltj cmpl
—
—
$16,651
2
clean
Onc pan solid tum alys dna
—
—
$2,040
19
clean
Gi malabs aat calpro pncrtc
—
—
$63
21
clean
Hb Malabsorption Evaluation Panel, F (Mayo)-Ref
$490
$196
—
0
clean
Hb Glycine Alpha1 Lcba, Csf (Mayo)-Ref
$1,000
$400
—
0
clean
Gly rcptr alpha1 igg srm/csf
—
—
$38
21
clean
Klhl11 antb sr/csf asy qual
—
—
$38
21
clean
Hb Klhl11 Ab Cba, Csf (Mayo)-Ref
$1,000
$400
—
0
clean
Onc prst8 5 dna reg mrk pcr
—
—
$783
21
clean
Rx metab advrs vrnt alys 25
—
—
$429
21
clean
Impltj synth rnfcmt abdl wal
—
—
$5,560
2
clean
Abltj perc lxtr/perph nrv
—
—
$2,957
16
clean
Abltj perc plex/trncl nrv
—
—
$13,288
16
clean
Hb Cryoablation Neurolysis- Intercostal Nerve W/Img
$30,297
$12,119
—
0
clean
Neurflmnt lt chn ultrsens ia
—
—
$122
19
clean
Insj impltbl glucose sensor
—
—
$5,273
16
clean
Rmvl impltbl glucose sensor
—
—
$304
16
clean
Remvl insj impltbl gluc sens
—
—
$5,273
16
clean
Insj aqueous drain dev 1st
—
—
$8,058
16
clean
Visual ep test for glaucoma
—
—
$149
14
clean
Onc sld tum bld/slv 648 gene
—
—
$4,635
21
clean
Hered prst8 ca gsap 23 genes
—
—
$1,343
21
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$1,119
16
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$5,560
2
clean
Tmvi percutaneous approach
—
—
$23,360
2
clean
Tmvi transthoracic exposure
—
—
$23,360
2
clean
Oct mid ear i&r unilateral
—
—
$43
14
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,832
19
clean
Oct mid ear i&r bilateral
—
—
$43
14
clean
Prep & cannulj cdvr don lung
—
—
$23,360
2
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$23,360
2
clean
Ev fempop artl revsc
—
—
$17,480
16
clean
Near ifr 2img mibmn glnd i&r
—
—
$68
14
clean
Pattern erg w/i&r
—
—
$250
14
clean
Esw integ wnd hlg 1st wnd
—
—
$304
16
clean
Esw integ wnd hlg ea addl
—
—
$5,560
2
clean
Ntrapx c ffr w/3d funcjl map
—
—
$5,560
2
clean
Hb Coronary Ffr W/ 3D Functional Mapping
$6,997
$2,799
—
0
clean
Insj/rplcmt compl iims
—
—
$29,166
16
clean
Prgrmg dev eval iims ip
—
—
$43
14
clean
Interrog dev eval iims ip
—
—
$43
14
clean
Antmc guide 3d print 1st gd
—
—
$148
16
clean

Showing the first 200 of 17,221 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
50,673 of 50,673 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 70480/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83550/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 85027/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74181/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86615/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 88346/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 97110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1777/b
info
mrf_item_fields_vary
this code and setting cover at least 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q0162/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70481/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83586/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85045/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87252/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 J0743/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 0274U/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74182/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81187/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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88348/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 97112/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2425/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9065/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70482/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82139/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83605/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 85048/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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74183/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81194/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86618/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88350/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97113/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9075/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 70486/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82140/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 83615/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 85049/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0770/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74185/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 86622/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 88360/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 97116/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9100/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 36415/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70487/b
info
mrf_item_fields_vary
this code and setting cover at least 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87305/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1787/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 J0780/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 J2440/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 81202/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83630/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 85130/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 86625/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88361/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97124/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70488/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82157/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87324/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81203/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97129/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0834/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9120/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 70490/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86631/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87328/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88364/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 5 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 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9130/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 Q2009/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70491/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81206/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 86632/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87329/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88365/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97140/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82172/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 83690/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 85230/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 J2501/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 70492/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81207/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 97150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9145/b
info
mrf_item_fields_vary
this code and setting cover at least 3 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 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82175/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 85240/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 86638/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 87338/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 88368/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 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 70496/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 81208/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97161/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0878/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9150/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 Q2053/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83700/b
info
mrf_item_fields_vary
this code and setting cover at least 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86644/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 87340/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 J2515/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 70498/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82232/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 97162/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 J9153/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86645/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 87341/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88374/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 J2540/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 70540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83704/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97163/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0883/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 J9155/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4074/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86648/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87350/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88377/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 J2543/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 70542/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81219/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83718/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 97164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0894/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 J9171/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 Q4100/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86651/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 88381/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 70543/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81220/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 82248/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83721/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 87385/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0895/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 J9173/b
info
mrf_item_fields_vary
this code and setting cover at least 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86652/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 89050/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70544/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81222/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87389/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 97166/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0896/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9176/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 86653/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 89051/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 43499/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70545/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83735/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 87420/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97167/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 J0897/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 J2562/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 J9177/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4107/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82271/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 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 differ, so no cross-line comparison was made for this item
CPT 86654/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 89055/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 70546/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87425/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 97168/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2590/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 J9179/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82272/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83789/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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 89060/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 70547/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85291/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 87426/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9181/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81229/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 82274/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 83825/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 86663/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1884/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 5,810 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $73,295 is 10.5× the total payment
MS-DRG 066
info
inp_charge_10x_payment
average charge $69,350 is 12.9× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $64,641 is 10.1× the total payment
MS-DRG 149
info
inp_charge_10x_payment
average charge $68,396 is 11.4× the total payment
MS-DRG 176
info
inp_charge_10x_payment
average charge $75,353 is 12.1× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $62,554 is 10.1× the total payment
MS-DRG 243
info
inp_charge_10x_payment
average charge $199,134 is 12.2× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $46,720 is 10.1× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $234,654 is 10.5× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $182,452 is 13.5× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $206,906 is 12.5× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $76,890 is 10.0× the total payment
MS-DRG 418
info
inp_charge_10x_payment
average charge $158,520 is 13.3× the total payment
MS-DRG 419
info
inp_charge_10x_payment
average charge $142,993 is 14.8× the total payment
MS-DRG 460
info
inp_charge_10x_payment
average charge $252,367 is 10.1× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $149,521 is 10.0× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $222,141 is 11.0× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $149,326 is 10.2× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $184,643 is 12.6× 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 · 70.6M bytes · fetched 2026-08-23 · sha256 445a0b64156b…

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.