Hospital · CCN 100087

Sarasota Memorial Hospital

1700 S Tamiami Trl, Sarasota, FL 34239 · Sarasota County
Part of Sarasota Memorial Health Care System · 786 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

287 admission types 64 outpatient services price file: ok
Billed per dollar paid, all admissions
6.48×
$1,557.6M billed against $240.3M paid across 16,770 Medicare discharges; the national figure is 5.03×.
1.9%
of adults in Sarasota County have medical debt in collections
13.5%
uninsured in the county · state 13.9%
$78K
median household income
6.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
29.2%
obesity in the countyⓘ
13.0%
diagnosed diabetes (PLACES)
9.4%
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
1,052
$74,950
$14,272
5.3× st 7.2×
274
Percutaneous and other intracardiac procedures without mcc
631
$186,314
$23,660
7.9× st 7.5×
291
Heart failure and shock with mcc
592
$47,281
$9,813
4.8× st 6.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
351
$39,412
$6,352
6.2× st 7.5×
177
Respiratory infections and inflammations with mcc
302
$54,821
$12,265
4.5× st 6.5×
193
Simple pneumonia and pleurisy with mcc
284
$52,024
$10,015
5.2× st 7.2×
690
Kidney and urinary tract infections without mcc
283
$35,734
$6,420
5.6× st 6.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
253
$107,258
$14,230
7.5× st 9.1×
378
Gastrointestinal hemorrhage with cc
247
$46,896
$7,721
6.1× st 7.4×
552
Medical back problems without mcc
239
$42,690
$7,341
5.8× st 7.8×
312
Syncope and collapse
237
$39,883
$6,856
5.8× st 7.6×
689
Kidney and urinary tract infections with mcc
227
$45,408
$9,115
5.0× st 6.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
226
$47,045
$7,936
5.9× st 7.0×
280
Acute myocardial infarction, discharged alive with mcc
214
$64,512
$11,856
5.4× st 7.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
179
$57,041
$7,845
7.3× st 8.8×
481
Hip and femur procedures except major joint with cc
173
$118,352
$16,137
7.3× st 8.8×
309
Cardiac arrhythmia and conduction disorders with cc
172
$31,348
$5,865
5.3× st 6.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
170
$311,241
$35,427
8.8× st 7.2×
603
Cellulitis without mcc
166
$35,649
$6,918
5.2× st 5.9×
190
Chronic obstructive pulmonary disease with mcc
158
$46,795
$8,461
5.5× st 6.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
154
$81,638
$14,468
5.6× st 7.8×
683
Renal failure with cc
152
$36,700
$7,150
5.1× st 6.7×
698
Other kidney and urinary tract diagnoses with mcc
149
$61,473
$11,821
5.2× st 6.7×
194
Simple pneumonia and pleurisy with cc
144
$36,056
$6,531
5.5× st 6.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
142
$33,827
$6,103
5.5× st 6.9×
460
Spinal fusion except cervical without mcc
127
$233,488
$27,471
8.5× st 7.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
122
$236,242
$37,114
6.4× st 7.5×
281
Acute myocardial infarction, discharged alive with cc
122
$43,915
$7,304
6.0× st 8.5×
308
Cardiac arrhythmia and conduction disorders with mcc
121
$47,156
$9,174
5.1× st 6.6×
377
Gastrointestinal hemorrhage with mcc
117
$76,058
$13,412
5.7× st 7.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
115
$45,808
$9,786
4.7× st 6.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
114
$126,462
$14,209
8.9× st 9.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
113
$61,119
$8,504
7.2× st 8.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
111
$41,210
$6,919
6.0× st 7.1×
069
Transient ischemia without thrombolytic
111
$44,016
$6,516
6.8× st 10.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
110
$50,404
$10,144
5.0× st 6.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
107
$27,557
$4,564
6.0× st 7.1×
236
Coronary bypass without cardiac catheterization without mcc
106
$238,430
$28,939
8.2× st 8.9×
699
Other kidney and urinary tract diagnoses with cc
106
$38,091
$7,642
5.0× st 6.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
102
$115,094
$15,558
7.4× st 8.7×
948
Signs and symptoms without mcc
102
$40,193
$6,136
6.6× st 6.2×
682
Renal failure with mcc
101
$47,186
$10,929
4.3× st 7.0×
389
Gastrointestinal obstruction with cc
99
$36,197
$6,398
5.7× st 7.1×
057
Degenerative nervous system disorders without mcc
93
$44,188
$9,882
4.5× st 6.1×
305
Hypertension without mcc
91
$35,048
$6,005
5.8× st 7.5×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
88
$358,662
$46,409
7.7× st 6.5×
178
Respiratory infections and inflammations with cc
85
$38,401
$7,386
5.2× st 6.4×
092
Other disorders of nervous system with cc
84
$47,931
$8,205
5.8× st 6.9×
812
Red blood cell disorders without mcc
81
$34,571
$7,217
4.8× st 6.3×
189
Pulmonary edema and respiratory failure
79
$53,355
$9,439
5.7× st 6.8×
071
Other cerebrovascular disorders with cc
78
$46,298
$7,985
5.8× st 6.3×
329
Major small and large bowel procedures with mcc
77
$186,046
$33,618
5.5× st 7.5×
330
Major small and large bowel procedures with cc
77
$141,650
$18,446
7.7× st 8.5×
149
Dysequilibrium
77
$37,255
$6,024
6.2× st 8.8×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
76
$356,984
$52,694
6.8× st 6.7×
454
Combined anterior and posterior spinal fusion with cc
75
$337,402
$47,156
7.2× st 6.4×
638
Diabetes with cc
73
$34,176
$7,059
4.8× st 6.5×
313
Chest pain
73
$34,376
$5,722
6.0× st 7.3×
394
Other digestive system diagnoses with cc
72
$40,079
$7,475
5.4× st 7.3×
536
Fractures of hip and pelvis without mcc
70
$33,568
$6,039
5.6× st 7.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
68
$79,460
$16,328
4.9× st 7.0×
025
Craniotomy and endovascular intracranial procedures with mcc
67
$170,318
$30,864
5.5× st 7.4×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
67
$325,045
$38,877
8.4× st 7.1×
101
Seizures without mcc
66
$39,913
$7,114
5.6× st 7.2×
243
Permanent cardiac pacemaker implant with cc
66
$113,847
$17,530
6.5× st 8.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
65
$158,302
$21,699
7.3× st 9.0×
086
Traumatic stupor and coma <1 hour with cc
64
$62,710
$9,885
6.3× st 8.3×
273
Percutaneous and other intracardiac procedures with mcc
62
$216,797
$28,924
7.5× st 8.3×
164
Major chest procedures with cc
60
$174,720
$18,715
9.3× st 7.4×
315
Other circulatory system diagnoses with cc
59
$49,460
$7,356
6.7× st 6.2×
468
Revision of hip or knee replacement without cc/mcc
59
$134,325
$20,849
6.4× st 7.2×
100
Seizures with mcc
58
$70,199
$14,768
4.8× st 6.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
58
$235,827
$33,479
7.0× st 6.7×
229
Other cardiothoracic procedures without mcc
57
$206,706
$24,781
8.3× st 6.9×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
57
$43,228
$7,279
5.9× st 7.7×
483
Major joint or limb reattachment procedures of upper extremities
57
$181,795
$19,452
9.3× st 9.4×
660
Kidney and ureter procedures for non-neoplasm with cc
57
$69,686
$10,621
6.6× st 8.1×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
56
$277,911
$34,674
8.0× st 7.9×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
56
$54,676
$8,308
6.6× st 8.4×
300
Peripheral vascular disorders with cc
55
$43,098
$8,213
5.2× st 6.3×
472
Cervical spinal fusion with cc
54
$152,291
$23,412
6.5× st 7.1×
480
Hip and femur procedures except major joint with mcc
54
$143,916
$20,874
6.9× st 8.6×
920
Complications of treatment with cc
52
$49,433
$8,117
6.1× st 5.3×
467
Revision of hip or knee replacement with cc
52
$185,058
$26,562
7.0× st 7.7×
372
Major gastrointestinal disorders and peritoneal infections with cc
51
$47,109
$8,160
5.8× st 6.3×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
51
$38,349
$7,045
5.4× st 6.4×
884
Organic disturbances and intellectual disability
51
$41,619
$11,552
3.6× st 5.5×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
51
$112,318
$15,254
7.4× st 7.3×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
49
$130,693
$18,043
7.2× st 9.0×
314
Other circulatory system diagnoses with mcc
48
$66,808
$15,347
4.4× st 5.9×
163
Major chest procedures with mcc
48
$237,694
$34,111
7.0× st 6.9×
551
Medical back problems with mcc
47
$70,047
$12,583
5.6× st 7.4×
191
Chronic obstructive pulmonary disease with cc
46
$39,413
$6,540
6.0× st 7.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
46
$228,544
$30,807
7.4× st 6.3×
202
Bronchitis and asthma with cc/mcc
45
$36,320
$7,569
4.8× st 6.4×
070
Other cerebrovascular disorders with mcc
44
$65,848
$13,531
4.9× st 6.3×
473
Cervical spinal fusion without cc/mcc
44
$129,460
$18,137
7.1× st 6.6×
103
Headaches without mcc
43
$43,047
$6,910
6.2× st 7.3×
390
Gastrointestinal obstruction without cc/mcc
42
$30,817
$4,926
6.3× st 7.0×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
42
$177,652
$18,951
9.4× st 7.6×
393
Other digestive system diagnoses with mcc
42
$55,808
$12,431
4.5× st 6.2×
235
Coronary bypass without cardiac catheterization with mcc
41
$300,968
$40,256
7.5× st 8.1×
445
Disorders of the biliary tract with cc
41
$63,038
$8,526
7.4× st 7.9×
885
Psychoses
41
$44,174
$10,926
4.0× st 3.2×
439
Disorders of pancreas except malignancy with cc
41
$40,031
$7,025
5.7× st 6.8×
271
Other major cardiovascular procedures with cc
40
$181,187
$29,819
6.1× st 7.8×
270
Other major cardiovascular procedures with mcc
40
$213,019
$40,058
5.3× st 7.2×
282
Acute myocardial infarction, discharged alive without cc/mcc
40
$42,439
$5,745
7.4× st 9.0×
919
Complications of treatment with mcc
39
$64,293
$13,864
4.6× st 5.3×
036
Carotid artery stent procedures without cc/mcc
39
$96,258
$14,906
6.5× st 8.8×
917
Poisoning and toxic effects of drugs with mcc
39
$48,235
$11,644
4.1× st 6.0×
862
Postoperative and post-traumatic infections with mcc
39
$89,806
$14,064
6.4× st 5.7×
331
Major small and large bowel procedures without cc/mcc
39
$120,074
$13,264
9.1× st 8.7×
244
Permanent cardiac pacemaker implant without cc/mcc
39
$88,603
$13,667
6.5× st 7.7×
435
Malignancy of hepatobiliary system or pancreas with mcc
39
$81,566
$13,500
6.0× st 6.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
38
$95,548
$22,453
4.3× st 7.3×
317
Concomitant left atrial appendage closure and cardiac ablation
38
$362,257
$51,071
7.1× st 7.1×
180
Respiratory neoplasms with mcc
38
$81,233
$14,009
5.8× st 7.2×
637
Diabetes with mcc
38
$47,533
$10,800
4.4× st 6.8×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
38
$37,308
$6,590
5.7× st 7.5×
455
Combined anterior and posterior spinal fusion without cc/mcc
38
$275,954
$36,494
7.6× st 6.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
37
$59,089
$10,196
5.8× st 6.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
37
$127,044
$16,498
7.7× st 8.6×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
37
$117,065
$18,145
6.5× st 5.5×
056
Degenerative nervous system disorders with mcc
36
$102,031
$16,958
6.0× st 5.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
36
$100,439
$13,291
7.6× st 9.6×
176
Pulmonary embolism without mcc
36
$44,561
$6,276
7.1× st 7.2×
091
Other disorders of nervous system with mcc
36
$60,170
$12,751
4.7× st 6.9×
204
Respiratory signs and symptoms
36
$40,092
$6,509
6.2× st 6.9×
026
Craniotomy and endovascular intracranial procedures with cc
35
$160,785
$22,188
7.2× st 5.5×
184
Major chest trauma with cc
35
$53,178
$8,704
6.1× st 7.8×
696
Kidney and urinary tract signs and symptoms without mcc
35
$23,709
$5,539
4.3× st 5.1×
039
Extracranial procedures without cc/mcc
34
$73,799
$8,726
8.5× st 8.9×
947
Signs and symptoms with mcc
34
$44,634
$9,117
4.9× st 5.8×
252
Other vascular procedures with mcc
34
$171,892
$29,657
5.8× st 7.2×
444
Disorders of the biliary tract with mcc
34
$79,680
$12,775
6.2× st 7.0×
242
Permanent cardiac pacemaker implant with mcc
34
$139,730
$24,502
5.7× st 7.7×
087
Traumatic stupor and coma <1 hour without cc/mcc
34
$47,840
$6,937
6.9× st 10.0×
482
Hip and femur procedures except major joint without cc/mcc
34
$91,032
$12,492
7.3× st 8.1×
907
Other o.r. procedures for injuries with mcc
33
$212,207
$30,268
7.0× st 6.5×
908
Other o.r. procedures for injuries with cc
33
$129,590
$15,297
8.5× st 7.0×
074
Cranial and peripheral nerve disorders without mcc
33
$45,656
$7,520
6.1× st 7.1×
811
Red blood cell disorders with mcc
33
$46,267
$10,820
4.3× st 7.5×
083
Traumatic stupor and coma >1 hour with cc
33
$79,673
$10,575
7.5× st 8.5×
520
Back and neck procedures except spinal fusion without cc/mcc
32
$76,761
$10,851
7.1× st 7.0×
085
Traumatic stupor and coma <1 hour with mcc
32
$89,230
$14,548
6.1× st 7.8×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
32
$146,356
$22,771
6.4× st 8.2×
388
Gastrointestinal obstruction with mcc
32
$70,535
$10,872
6.5× st 6.6×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
32
$47,508
$8,282
5.7× st 6.6×
228
Other cardiothoracic procedures with mcc
31
$220,377
$36,627
6.0× st 6.3×
813
Coagulation disorders
31
$57,532
$11,903
4.8× st 5.7×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
31
$166,102
$30,722
5.4× st 7.9×
521
Hip replacement with principal diagnosis of hip fracture with mcc
31
$144,007
$21,265
6.8× st 7.7×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
31
$57,947
$10,875
5.3× st 6.9×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
31
$103,534
$14,709
7.0× st 7.6×
602
Cellulitis with mcc
30
$53,623
$10,842
4.9× st 5.9×
205
Other respiratory system diagnoses with mcc
30
$54,682
$12,952
4.2× st 5.3×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
29
$84,732
$10,408
8.1× st 10.0×
554
Bone diseases and arthropathies without mcc
29
$30,721
$6,456
4.8× st 6.5×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
29
$87,486
$11,262
7.8× st 8.8×
327
Stomach, esophageal and duodenal procedures with cc
29
$165,158
$18,054
9.1× st 6.2×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
29
$210,383
$36,656
5.7× st 7.1×
165
Major chest procedures without cc/mcc
28
$153,450
$16,006
9.6× st 8.4×
196
Interstitial lung disease with mcc
28
$80,187
$13,779
5.8× st 5.8×
253
Other vascular procedures with cc
28
$136,742
$20,676
6.6× st 7.4×
328
Stomach, esophageal and duodenal procedures without cc/mcc
27
$129,305
$16,622
7.8× st 6.5×
379
Gastrointestinal hemorrhage without cc/mcc
26
$33,778
$5,111
6.6× st 6.3×
659
Kidney and ureter procedures for non-neoplasm with mcc
26
$103,291
$19,205
5.4× st 6.9×
694
Urinary stones without mcc
26
$38,070
$6,194
6.1× st 8.4×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
26
$117,109
$16,261
7.2× st 7.1×
643
Endocrine disorders with mcc
25
$62,662
$12,361
5.1× st 6.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
25
$48,791
$5,553
8.8× st 8.8×
870
Septicemia or severe sepsis with mv >96 hours
25
$255,408
$47,022
5.4× st 6.6×
125
Other disorders of the eye without mcc
24
$42,822
$6,393
6.7× st 7.1×
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
24
$415,402
$46,948
8.8× st 6.0×
438
Disorders of pancreas except malignancy with mcc
24
$58,391
$12,652
4.6× st 5.3×
914
Traumatic injury without mcc
24
$47,259
$7,334
6.4× st 7.8×
432
Cirrhosis and alcoholic hepatitis with mcc
23
$56,898
$14,266
4.0× st 6.9×
519
Back and neck procedures except spinal fusion with cc
23
$122,143
$14,408
8.5× st 7.5×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
23
$141,340
$17,570
8.0× st 8.8×
200
Pneumothorax with cc
23
$61,847
$8,063
7.7× st 9.2×
195
Simple pneumonia and pleurisy without cc/mcc
22
$29,518
$5,379
5.5× st 6.0×
299
Peripheral vascular disorders with mcc
22
$87,638
$13,856
6.3× st 6.6×
580
Other skin, subcutaneous tissue and breast procedures with cc
22
$106,791
$12,897
8.3× st 8.1×
082
Traumatic stupor and coma >1 hour with mcc
22
$98,389
$16,998
5.8× st 6.8×
371
Major gastrointestinal disorders and peritoneal infections with mcc
22
$63,028
$12,952
4.9× st 5.2×
375
Digestive malignancy with cc
22
$67,948
$8,994
7.6× st 6.4×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
22
$51,060
$12,133
4.2× st 6.0×
187
Pleural effusion with cc
21
$51,591
$7,812
6.6× st 6.9×
446
Disorders of the biliary tract without cc/mcc
21
$58,102
$6,404
9.1× st 9.2×
436
Malignancy of hepatobiliary system or pancreas with cc
21
$61,260
$8,643
7.1× st 7.9×
123
Neurological eye disorders
21
$45,415
$6,416
7.1× st 7.8×
276
Cardiac defibrillator implant with mcc or carotid sinus neurostimulator
21
$348,576
$47,940
7.3× st 8.2×
864
Fever and inflammatory conditions
21
$41,644
$6,982
6.0× st 6.4×
277
Cardiac defibrillator implant without mcc
21
$265,945
$34,595
7.7× st 6.8×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
21
$57,372
$9,487
6.0× st 5.8×
254
Other vascular procedures without cc/mcc
20
$77,430
$14,193
5.5× st 7.6×
406
Pancreas, liver and shunt procedures with cc
20
$142,689
$20,533
6.9× st 6.9×
863
Postoperative and post-traumatic infections without mcc
20
$47,476
$7,562
6.3× st 5.9×
433
Cirrhosis and alcoholic hepatitis with cc
20
$48,280
$8,193
5.9× st 6.5×
405
Pancreas, liver and shunt procedures with mcc
20
$213,317
$36,129
5.9× st 5.5×
440
Disorders of pancreas except malignancy without cc/mcc
20
$40,177
$5,024
8.0× st 7.9×
186
Pleural effusion with mcc
20
$61,677
$11,827
5.2× st 6.1×
451
Single level spinal fusion except cervical without mcc
20
$210,427
$23,696
8.9× st 7.6×
669
Transurethral procedures with cc
20
$82,288
$11,918
6.9× st 6.8×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
19
$101,830
$13,866
7.3× st 6.1×
093
Other disorders of nervous system without cc/mcc
19
$32,170
$6,353
5.1× st 7.3×
988
Non-extensive o.r. procedures unrelated to principal diagnosis with cc
19
$76,024
$12,338
6.2× st 7.9×
326
Stomach, esophageal and duodenal procedures with mcc
19
$397,492
$49,867
8.0× st 5.8×
035
Carotid artery stent procedures with cc
19
$111,150
$17,186
6.5× st 8.2×
684
Renal failure without cc/mcc
18
$29,045
$4,862
6.0× st 5.6×
179
Respiratory infections and inflammations without cc/mcc
18
$33,917
$5,751
5.9× st 6.1×
038
Extracranial procedures with cc
18
$73,643
$13,162
5.6× st 7.0×
535
Fractures of hip and pelvis with mcc
18
$42,463
$9,739
4.4× st 6.6×
292
Heart failure and shock with cc
18
$35,812
$6,597
5.4× st 4.4×
565
Other musculoskeletal system and connective tissue diagnoses with cc
17
$41,018
$8,114
5.1× st 6.8×
303
Atherosclerosis without mcc
17
$26,876
$5,294
5.1× st 6.8×
657
Kidney and ureter procedures for neoplasm with cc
17
$136,093
$13,962
9.7× st 7.4×
206
Other respiratory system diagnoses without mcc
17
$46,607
$7,492
6.2× st 6.8×
153
Otitis media and uri without mcc
17
$31,079
$5,800
5.4× st 6.1×
673
Other kidney and urinary tract procedures with mcc
17
$127,385
$28,627
4.5× st 5.7×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
17
$546,779
$73,165
7.5× st 7.1×
918
Poisoning and toxic effects of drugs without mcc
17
$29,610
$6,764
4.4× st 5.7×
571
Skin debridement with cc
17
$78,818
$11,862
6.6× st 6.2×
427
Multiple level combined anterior and posterior spinal fusion except cervical with cc
17
$380,989
$53,479
7.1× st 5.9×
607
Minor skin disorders without mcc
17
$34,597
$7,029
4.9× st 4.9×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
17
$376,346
$47,216
8.0× st 8.9×
478
Biopsies of musculoskeletal system and connective tissue with cc
16
$119,535
$17,560
6.8× st 6.7×
964
Other multiple significant trauma with cc
16
$74,454
$11,496
6.5× st 8.7×
166
Other respiratory system o.r. procedures with mcc
16
$135,480
$26,406
5.1× st 5.3×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
16
$88,840
$13,232
6.7× st 5.6×
336
Peritoneal adhesiolysis with cc
16
$100,768
$17,154
5.9× st 6.5×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
16
$55,804
$7,407
7.5× st 5.6×
374
Digestive malignancy with mcc
16
$68,587
$14,571
4.7× st 5.3×
356
Other digestive system o.r. procedures with mcc
16
$242,880
$35,720
6.8× st 6.4×
199
Pneumothorax with mcc
16
$65,685
$14,297
4.6× st 6.9×
272
Other major cardiovascular procedures without cc/mcc
16
$153,401
$18,100
8.5× st 9.3×
448
Multiple level spinal fusion except cervical without mcc
15
$255,287
$30,563
8.4× st 7.6×
658
Kidney and ureter procedures for neoplasm without cc/mcc
15
$95,597
$12,836
7.4× st 10.2×
644
Endocrine disorders with cc
15
$32,672
$7,856
4.2× st 5.8×
084
Traumatic stupor and coma >1 hour without cc/mcc
15
$63,885
$7,320
8.7× st 8.4×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
15
$64,148
$11,997
5.3× st 6.1×
304
Hypertension with mcc
15
$29,420
$8,900
3.3× st 6.3×
054
Nervous system neoplasms with mcc
15
$62,522
$10,928
5.7× st 6.1×
355
Hernia procedures except inguinal and femoral without cc/mcc
15
$65,446
$10,268
6.4× st 8.8×
545
Connective tissue disorders with mcc
14
$55,990
$16,421
3.4× st 5.6×
029
Spinal procedures with cc or spinal neurostimulators
14
$155,467
$24,529
6.3× st 6.9×
726
Benign prostatic hypertrophy without mcc
14
$38,635
$6,372
6.1× st 7.6×
264
Other circulatory system o.r. procedures
14
$96,272
$22,728
4.2× st 6.5×
381
Complicated peptic ulcer with cc
14
$62,274
$8,508
7.3× st 6.6×
921
Complications of treatment without cc/mcc
14
$39,790
$5,609
7.1× st 7.1×
515
Other musculoskeletal system and connective tissue o.r. procedures with mcc
13
$127,247
$21,340
6.0× st 6.5×
880
Acute adjustment reaction and psychosocial dysfunction
13
$29,579
$7,432
4.0× st 6.4×
357
Other digestive system o.r. procedures with cc
13
$128,449
$16,031
8.0× st 7.5×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
13
$897,954
$167,053
5.4× st 5.9×
841
Lymphoma and non-acute leukemia with cc
13
$61,601
$11,977
5.1× st 7.1×
221
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
13
$296,670
$40,542
7.3× st 7.3×
311
Angina pectoris
13
$33,560
$5,580
6.0× st 6.0×
398
Appendix procedures with cc
13
$87,040
$11,554
7.5× st 7.2×
181
Respiratory neoplasms with cc
13
$60,463
$8,729
6.9× st 7.6×
511
Shoulder, elbow or forearm procedures, except major joint procedures with cc
13
$108,099
$14,656
7.4× st 8.7×
737
Uterine and adnexa procedures for ovarian or adnexal malignancy with cc
13
$129,264
$14,931
8.7× st 10.0×
316
Other circulatory system diagnoses without cc/mcc
13
$38,152
$5,598
6.8× st 6.8×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
13
$178,566
$19,606
9.1× st 7.4×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
12
$83,681
$15,378
5.4× st 8.0×
072
Other cerebrovascular disorders without cc/mcc
12
$33,731
$6,090
5.5× st 6.6×
951
Other factors influencing health status
12
$17,868
$4,759
3.8× st 2.9×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
12
$89,110
$13,308
6.7× st 6.0×
167
Other respiratory system o.r. procedures with cc
12
$124,364
$14,298
8.7× st 7.4×
713
Transurethral prostatectomy with cc/mcc
12
$53,415
$10,979
4.9× st 7.8×
654
Major bladder procedures with cc
12
$177,384
$17,945
9.9× st 6.0×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
12
$150,017
$22,563
6.6× st 7.6×
283
Acute myocardial infarction, expired with mcc
12
$80,805
$14,824
5.5× st 5.5×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
12
$175,740
$29,953
5.9× st 6.6×
141
Major head and neck procedures with cc
12
$114,131
$15,363
7.4× st 6.4×
386
Inflammatory bowel disease with cc
12
$38,370
$7,764
4.9× st 6.7×
203
Bronchitis and asthma without cc/mcc
11
$28,340
$5,620
5.0× st 5.4×
306
Cardiac congenital and valvular disorders with mcc
11
$57,021
$11,626
4.9× st 7.1×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
11
$123,082
$24,178
5.1× st 6.4×
728
Inflammation of the male reproductive system without mcc
11
$41,377
$6,504
6.4× st 6.9×
142
Major head and neck procedures without cc/mcc
11
$90,412
$11,722
7.7× st 7.7×
560
Aftercare, musculoskeletal system and connective tissue with cc
11
$38,122
$8,396
4.5× st 5.7×
940
O.r. procedures with diagnoses of other contact with health services with cc
11
$142,430
$16,107
8.8× st 7.5×
558
Tendonitis, myositis and bursitis without mcc
11
$34,546
$6,087
5.7× st 5.2×
395
Other digestive system diagnoses without cc/mcc
11
$30,375
$5,221
5.8× st 7.9×
909
Other o.r. procedures for injuries without cc/mcc
11
$58,474
$9,995
5.9× st 5.9×
155
Other ear, nose, mouth and throat diagnoses with cc
11
$47,427
$7,449
6.4× st 7.2×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
1,401
$21,769
$2,464
8.8×
5191
Level 1 Endovascular Procedures
1,053
$33,566
$2,950
11.4×
5213
Level 3 Electrophysiologic Procedures
955
$189,852
$21,311
8.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
827
$12,983
$1,458
8.9×
5115
Level 5 Musculoskeletal Procedures
719
$91,234
$11,741
7.8×
5302
Level 2 Upper GI Procedures
535
$16,142
$1,716
9.4×
5375
Level 5 Urology and Related Services
376
$38,868
$4,667
8.3×
5361
Level 1 Laparoscopy and Related Services
371
$50,790
$5,204
9.8×
5373
Level 3 Urology and Related Services
352
$16,447
$1,834
9.0×
5183
Level 3 Vascular Procedures
332
$24,245
$2,887
8.4×
5374
Level 4 Urology and Related Services
294
$28,639
$3,158
9.1×
5193
Level 3 Endovascular Procedures
294
$85,784
$9,877
8.7×
5362
Level 2 Laparoscopy and Related Services
290
$84,335
$9,296
9.1×
5114
Level 4 Musculoskeletal Procedures
281
$60,054
$6,446
9.3×
5223
Level 3 Pacemaker and Similar Procedures
264
$65,978
$9,636
6.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
261
$20,224
$2,567
7.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
195
$31,609
$3,108
10.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
190
$28,677
$3,453
8.3×
5184
Level 4 Vascular Procedures
185
$42,635
$4,399
9.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
183
$48,151
$5,852
8.2×
5165
Level 5 ENT Procedures
170
$61,351
$5,280
11.6×
5116
Level 6 Musculoskeletal Procedures
161
$145,271
$16,845
8.6×
5182
Level 2 Vascular Procedures
146
$9,077
$1,446
6.3×
5414
Level 4 Gynecologic Procedures
145
$29,952
$2,832
10.6×
5154
Level 4 Airway Endoscopy
131
$26,529
$3,392
7.8×
5194
Level 4 Endovascular Procedures
127
$122,502
$15,758
7.8×
5303
Level 3 Upper GI Procedures
126
$25,971
$3,469
7.5×
5232
Level 2 ICD and Similar Procedures
124
$228,368
$29,570
7.7×
5313
Level 3 Lower GI Procedures
120
$25,252
$2,543
9.9×
5222
Level 2 Pacemaker and Similar Procedures
104
$54,115
$7,646
7.1×
5224
Level 4 Pacemaker and Similar Procedures
94
$126,980
$17,555
7.2×
5113
Level 3 Musculoskeletal Procedures
93
$25,102
$2,887
8.7×
5464
Level 4 Neurostimulator and Related Procedures
83
$155,966
$19,767
7.9×
5155
Level 5 Airway Endoscopy
83
$41,124
$6,085
6.8×
5153
Level 3 Airway Endoscopy
82
$7,730
$1,522
5.1×
5112
Level 2 Musculoskeletal Procedures
69
$17,551
$1,443
12.2×
5331
Complex GI Procedures
60
$44,320
$5,162
8.6×
5192
Level 2 Endovascular Procedures
56
$55,188
$5,177
10.7×
5415
Level 5 Gynecologic Procedures
55
$45,161
$4,505
10.0×
5465
Level 5 Neurostimulator and Related Procedures
53
$223,261
$28,046
8.0×
5492
Level 2 Intraocular Procedures
52
$46,734
$3,683
12.7×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
46
$135,769
$8,537
15.9×
5212
Level 2 Electrophysiologic Procedures
38
$64,261
$6,765
9.5×
5376
Level 6 Urology and Related Services
31
$74,640
$8,343
8.9×
5378
Level 8 Urology and Related Services
31
$168,808
$18,230
9.3×
5372
Level 2 Urology and Related Services
27
$11,409
$589
19.4×
5431
Level 1 Nerve Procedures
26
$22,063
$1,714
12.9×
5164
Level 4 ENT Procedures
23
$36,411
$2,916
12.5×
5462
Level 2 Neurostimulator and Related Procedures
22
$46,008
$6,195
7.4×
5166
Cochlear Implant Procedure
19
$274,612
$30,285
9.1×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
15
$130,438
$15,930
8.2×
5231
Level 1 ICD and Similar Procedures
15
$175,421
$21,297
8.2×
5416
Level 6 Gynecologic Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via smh.com/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 6/30/2026, template 3.0.0, 1,337,891 rows scanned, 24,517 distinct code–setting items kept. 11,175 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$756
49
clean
Liver dis 10 assays w/ash
—
—
$534
46
clean
Liver dis 10 assays w/nash
—
—
$534
46
clean
Onco prst8 3 gene ur alg
—
—
$806
49
clean
Anesth salivary gland
—
—
$83
24
clean
Anesth repair of cleft lip
—
—
$100
24
clean
Anesth blepharoplasty
—
—
$83
24
clean
Anesth electroshock
—
—
$66
24
clean
Anesth ear surgery
—
—
$83
24
clean
Anesth ear exam
—
—
$66
24
clean
Anesth tympanotomy
—
—
$66
24
clean
Onc mrna 5 gen rsk urthl ca
—
—
$806
49
clean
Onc mrna 5 gen recr urthl ca
—
—
$806
49
clean
Anesth procedures on eye
—
—
$83
24
clean
Anesth lens surgery
—
—
$100
24
clean
Anesth corneal transplant
—
—
$100
24
clean
Anesth vitreoretinal surg
—
—
$100
24
clean
Anesth iridectomy
—
—
$16
8
clean
Anesth eye exam
—
—
$66
24
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,371
48
clean
Anesth nose/sinus surgery
—
—
$83
24
clean
Anesth nose/sinus surgery
—
—
$116
24
clean
Anesth biopsy of nose
—
—
$66
24
clean
Onc bladder mrna 219 gen alg
—
—
$3,664
48
clean
Anesth procedure on mouth
—
—
$83
24
clean
Anesth cleft palate repair
—
—
$100
24
clean
Anesth pharyngeal surgery
—
—
$100
24
clean
Anesth pharyngeal surgery
—
—
$120
32
clean
Onc thyr 10 microrna seq alg
—
—
$3,152
49
clean
Anesth face/skull bone surg
—
—
$83
24
clean
Anesth facial bone surgery
—
—
$116
26
clean
Anesth cranial surg nos
—
—
$183
24
clean
Anesth cran surg hemotoma
—
—
$154
32
clean
Anesth skull drainage
—
—
$16
8
clean
Anesth skull drainage
—
—
$154
32
clean
Anesth skull repair/fract
—
—
$154
32
clean
Anesth head vessel surgery
—
—
$249
24
clean
Anesth special head surgery
—
—
$216
24
clean
Anesth intrcrn nerve
—
—
$166
24
clean
Anesth head nerve surgery
—
—
$100
24
clean
Onc aml dna detcj/nondetcj
—
—
$261
49
clean
Glyca nuc mr spectrsc quan
—
—
$36
49
clean
Onc thyr dna&mrna 112 genes
—
—
$3,816
49
clean
Jak2 gene trgt seq alys
—
—
$129
49
clean
Rx metab advrs trgt seq alys
—
—
$779
49
clean
Anesth head/neck/ptrunk
—
—
$83
24
clean
Anesth neck organ 1yr/>
—
—
$100
24
clean
Anesth biopsy of thyroid
—
—
$50
24
clean
Tpmt nudt15 genes
—
—
$494
49
clean
Anesth neck vessel surgery
—
—
$166
24
clean
Anesth neck vessel surgery
—
—
$83
24
clean
Neuro csf prion prtn qual
—
—
$568
49
clean
Trgt gen seq dna 324 genes
—
—
$3,710
49
clean
Anesth skin ext/per/atrunk
—
—
$50
24
clean
Anesth surgery of breast
—
—
$83
24
clean
Anesth surgery of breast
—
—
$83
24
clean
Anesth surgery of breast
—
—
$216
24
clean
Anesth correct heart rhythm
—
—
$66
24
clean
B brgdrferi antb 5 prtn igm
—
—
$18
49
clean
Ct perfusion w/contrast cbf
—
—
$220
22
clean
B brgdrferi antb 12 prtn igg
—
—
$18
49
clean
Tbrf b grp antb 4 prtn igm
—
—
$16
49
clean
Tbrf b grp antb 4 prtn igg
—
—
$16
49
clean
Anesth surgery of shoulder
—
—
$83
24
clean
Anesth collar bone biopsy
—
—
$50
24
clean
Onc brst dux carc is 12 gene
—
—
$4,105
49
clean
Anesth removal of rib
—
—
$100
24
clean
Anesth chest wall repair
—
—
$166
24
clean
Anesth surgery of rib
—
—
$216
26
clean
Onc prst8 mrna 17 gene alg
—
—
$4,105
49
clean
Anesth esophageal surgery
—
—
$249
24
clean
Anesth chest procedure
—
—
$100
24
clean
Anesth chest lining biopsy
—
—
$66
24
clean
Anesth chest drainage
—
—
$68
32
clean
Anes mediascpy & dx thorscpy
—
—
$133
24
clean
Anes medscpy&thorscpy 1 lung
—
—
$183
24
clean
Anesth pacemaker insertion
—
—
$66
24
clean
Anesth vascular access
—
—
$66
24
clean
Anesth cardioverter/defib
—
—
$116
24
clean
Anesth cardiac electrophys
—
—
$166
24
clean
Anesth trach-bronch reconst
—
—
$299
24
clean
Anesth chest surgery
—
—
$205
32
clean
Anesth one lung ventilation
—
—
$249
24
clean
Anesthesia removal pleura
—
—
$256
32
clean
Anesth lung chest wall surg
—
—
$256
32
clean
Anesth trachea bronchi surg
—
—
$283
24
clean
Bone srgry cmptr fluor image
—
—
$253
14
clean
Anesth sternal debridement
—
—
$166
24
clean
Bone srgry cmptr ct/mri imag
—
—
$253
14
clean
Anesth heart surg w/o pump
—
—
$256
32
clean
Anesth hrt surg w/pmp age 1+
—
—
$342
32
clean
Anesth heart surg w/arrest
—
—
$416
24
clean
Anesth cabg w/o pump
—
—
$416
24
clean
Anesth cabg w/pump
—
—
$427
32
clean
Anesth heart/lung transplnt
—
—
$342
32
clean
Onc merkel cll carc srm quan
—
—
$342
49
clean
Onc merkel cll carc srm +/-
—
—
$342
49
clean
Anesth spine cord surgery
—
—
$166
24
clean
Anesth sitting procedure
—
—
$216
26
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$27
49
clean
Anesth spine cord surgery
—
—
$166
24
clean
Anes spine tranthor w/o vent
—
—
$166
24
clean
Anes spine transthor w/vent
—
—
$166
24
clean
Anesth spine cord surgery
—
—
$133
24
clean
Anesth removal of nerves
—
—
$120
32
clean
Anesth lumbar puncture
—
—
$67
24
clean
Anesth spine manipulation
—
—
$50
24
clean
Antb tp total&rpr ia qual
—
—
$33
49
clean
Syfls tst nontreponemal antb
—
—
$19
49
clean
Anesth spine cord surgery
—
—
$216
24
clean
Candida species pnl amp prb
—
—
$150
49
clean
Anesth abdominal wall surg
—
—
$67
24
clean
Anesth for liver biopsy
—
—
$66
24
clean
Anesth abdominal wall surg
—
—
$83
24
clean
Anes upr gi ndsc px nos
—
—
$83
24
clean
Anes upr gi ndsc px ercp
—
—
$83
24
clean
Anes hrna rpr upr abd nos
—
—
$66
24
clean
Anes hrna rpr lmbr&vnt&/dehs
—
—
$100
24
clean
Anes hrna rpr omphalocele
—
—
$116
24
clean
Anes hrna rpr diphrg hrna
—
—
$116
24
clean
Perq stent/chest vert art
—
—
$4,482
34
clean
Anes px maj abd blood vessel
—
—
$249
24
clean
Ig paraprotein qual bld/ur
—
—
$46
48
clean
Anes iper upr abd nos
—
—
$116
24
clean
Anes iper upr abd prtl hptc
—
—
$222
32
clean
Anes iper upr abd pncrtect
—
—
$137
32
clean
Anes iper upr abd lvr trnspl
—
—
$513
32
clean
Anes iper upr abd gstr px mo
—
—
$166
24
clean
Anesth abdominal wall surg
—
—
$67
24
clean
Anesth fat layer removal
—
—
$83
24
clean
Onc lng 5 clin rsk factr alg
—
—
$3,696
49
clean
Anes lwr intst ndsc nos
—
—
$83
24
clean
Anes lwr intst scr colsc
—
—
$83
24
clean
Anes upr lwr gi ndsc px
—
—
$83
24
clean
Anesth abdominal wall surg
—
—
$83
24
clean
Anesth repair of hernia
—
—
$66
24
clean
Anesth repair of hernia
—
—
$100
24
clean
Anesth hernia repair preemie
—
—
$100
24
clean
Anesth surg lower abdomen
—
—
$100
24
clean
Anesth pelvis surgery
—
—
$120
32
clean
Anesth hysterectomy
—
—
$137
32
clean
Anesth pelvic organ surg
—
—
$137
32
clean
Anesth tubal ligation
—
—
$100
24
clean
Anesth surgery of abdomen
—
—
$100
24
clean
Anesth kidney/ureter surg
—
—
$116
24
clean
Anesth removal of bladder
—
—
$137
32
clean
Anesth removal of prostate
—
—
$116
24
clean
Anesth removal of adrenal
—
—
$171
32
clean
Anesth kidney transplant
—
—
$171
32
clean
Anesth bladder stone surg
—
—
$83
24
clean
Anesth kidney stone destruct
—
—
$116
24
clean
Anesth kidney stone destruct
—
—
$83
24
clean
Anesth abdomen vessel surg
—
—
$249
24
clean
Anesth major vein ligation
—
—
$171
32
clean
Onc mlnma prame & linc00518
—
—
$798
49
clean
Anesth anorectal surgery
—
—
$83
24
clean
Anesth perineal surgery
—
—
$116
26
clean
Anes vulvectomy
—
—
$66
24
clean
Anesth removal of prostate
—
—
$103
32
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,048
49
clean
Anesth bladder surgery
—
—
$50
24
clean
Anesth bladder tumor surg
—
—
$83
24
clean
Anesth removal of prostate
—
—
$83
24
clean
Anesth bleeding control
—
—
$83
24
clean
Anesth stone removal
—
—
$83
24
clean
Anesth genitalia surgery
—
—
$50
24
clean
Anesth vasectomy
—
—
$50
24
clean
Anesth sperm duct surgery
—
—
$100
24
clean
Anesth testis exploration
—
—
$66
24
clean
Anesth removal of testis
—
—
$66
24
clean
Anesth removal of testis
—
—
$100
24
clean
Anesth testis suspension
—
—
$66
24
clean
Anesth amputation of penis
—
—
$68
32
clean
Anesth penis nodes removal
—
—
$103
32
clean
Anesth insert penis device
—
—
$16
8
clean
Anesth vaginal procedures
—
—
$50
24
clean
Anesth surg on vag/urethral
—
—
$66
24
clean
Anesth vaginal hysterectomy
—
—
$100
24
clean
Anesth repair of cervix
—
—
$66
24
clean
Anesth hysteroscope/graph
—
—
$66
24
clean
Esw muscskel sys nos
—
—
$317
30
clean
Hered colon ca do 15 genes
—
—
$1,831
49
clean
Neph ckd mult eclia tum nec
—
—
$998
49
clean
Touch quant sensory test
—
—
$41
26
clean
Gstr emptg 7 timed brth spec
—
—
$918
48
clean
Vibrate quant sensory test
—
—
$53
26
clean
Cool quant sensory test
—
—
$63
26
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,198
48
clean
Heat quant sensory test
—
—
$53
26
clean
Anesth bone aspirate/bx
—
—
$83
24
clean
Anesth pelvis surgery
—
—
$100
24
clean
Iadi 16s&18s rrna genes
—
—
$374
48
clean
Anesth body cast procedure
—
—
$50
24
clean
Anesth amputation at pelvis
—
—
$249
26
clean
Anesth pelvic tumor surgery
—
—
$166
26
clean
Anesth pelvis procedure
—
—
$66
24
clean
Anesth pelvis surgery
—
—
$133
24
clean
Anesth fx repair pelvis
—
—
$200
24
clean
Trnsplj don-drv cll-fr dna
—
—
$2,891
48
clean
Crd ceramides liq chrom plsm
—
—
$88
48
clean

Showing the first 200 of 24,517 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,004 of 3,492 comparable items (29%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $11,969 exceeds the gross charge $5,855
warn
mrf_rate_without_estimate
26,168 of 26,168 percentage/algorithm rates across 5,612 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 0744T/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 15730/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 20999/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 22634/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24670/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26483/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27392/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28106/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29906/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 32900/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33814/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35700/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 37788/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43112/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45110/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49187/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50750/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54530/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58800/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 61886/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 64585/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 67105/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74160/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78814/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81240/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82239/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 85396/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86717/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87484/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88374/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93229/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 95806/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99225/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 C1780/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT E0291/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E1089/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1162/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 J3373/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT K0052/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0777T/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 15731/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 21010/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 22800/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24675/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26485/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27393/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28107/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29907/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 32905/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33820/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35701/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37790/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 43113/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45111/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49188/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50760/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54535/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58805/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61888/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64590/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 67107/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70210/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77002/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78815/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82240/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83873/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87485/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88375/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93260/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95807/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99226/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 C1780/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT E0292/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E1090/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0129/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 J1163/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3373/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT K0053/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q5118/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 0779T/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 15733/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 21011/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 22802/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24685/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26489/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 27394/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28108/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 29914/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 32906/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33822/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35702/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37799/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43116/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45112/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49189/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50770/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54550/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58820/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61889/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64595/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 67108/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74170/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77003/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78816/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81241/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82247/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83874/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85397/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 87486/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93261/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95808/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99231/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 37 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT E0293/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E1092/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0130/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1163/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3379/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 K0056/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0790T/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 15734/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21012/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 22804/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24800/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26490/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 27395/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28110/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29915/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 32940/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33824/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35703/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37799/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43117/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45113/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49190/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50780/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54560/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58822/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61891/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64596/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 67110/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70220/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74174/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77011/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78830/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81242/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82248/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83880/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85400/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86720/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87487/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88377/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93268/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95810/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99232/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT E0294/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E1093/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0186/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 J1165/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT K0065/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q5120/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0805T/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 15736/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 21013/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 22808/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24802/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26492/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27396/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28111/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29916/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33840/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35800/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 38100/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43118/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45114/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49203/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50782/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54600/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58825/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61892/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64598/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 67113/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70240/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74175/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 77012/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78831/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81243/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82252/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83883/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86723/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87490/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88380/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93270/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 95811/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 11,175 findings, errors first — every finding as JSON →

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. found via cms-hpt.txt · csv-tall · 346.1M bytes · fetched 2026-08-22 · sha256 5cb842b64fca…

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.