Hospital · CCN 100109

Adventhealth Sebring

4200 Sun N Lake Blvd, Sebring, FL 33872 · Highlands County
Part of AdventHealth · 204 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

66 admission types 50 outpatient services price file: ok
Billed per dollar paid, all admissions
6.08×
$209.4M billed against $34.4M paid across 2,693 Medicare discharges; the national figure is 5.03×.
4.1%
of adults in Highlands County have medical debt in collections
19.1%
uninsured in the county · state 13.9%
$51K
median household income
6.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
36.7%
obesity in the countyⓘ
18.3%
diagnosed diabetes (PLACES)
11.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
455
$90,709
$14,747
6.2× st 7.2×
280
Acute myocardial infarction, discharged alive with mcc
272
$62,490
$12,361
5.1× st 7.3×
281
Acute myocardial infarction, discharged alive with cc
115
$44,087
$7,168
6.2× st 8.5×
177
Respiratory infections and inflammations with mcc
99
$69,703
$12,989
5.4× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
80
$52,689
$8,009
6.6× st 7.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
75
$179,005
$33,855
5.3× st 7.5×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
66
$132,534
$15,775
8.4× st 9.7×
689
Kidney and urinary tract infections with mcc
65
$48,425
$9,308
5.2× st 6.4×
698
Other kidney and urinary tract diagnoses with mcc
65
$85,185
$13,898
6.1× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
63
$49,368
$8,634
5.7× st 6.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
56
$57,774
$10,200
5.7× st 6.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
53
$180,636
$22,852
7.9× st 9.0×
193
Simple pneumonia and pleurisy with mcc
50
$48,896
$10,234
4.8× st 7.2×
377
Gastrointestinal hemorrhage with mcc
48
$89,500
$13,474
6.6× st 7.2×
291
Heart failure and shock with mcc
48
$60,056
$10,015
6.0× st 6.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
48
$54,944
$8,346
6.6× st 8.9×
378
Gastrointestinal hemorrhage with cc
47
$56,882
$7,683
7.4× st 7.4×
690
Kidney and urinary tract infections without mcc
43
$40,650
$7,187
5.7× st 6.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
43
$53,381
$6,990
7.6× st 7.5×
481
Hip and femur procedures except major joint with cc
40
$113,427
$17,824
6.4× st 8.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
35
$71,607
$13,541
5.3× st 7.8×
389
Gastrointestinal obstruction with cc
35
$36,144
$6,996
5.2× st 7.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
34
$55,504
$7,889
7.0× st 8.8×
282
Acute myocardial infarction, discharged alive without cc/mcc
33
$38,594
$6,510
5.9× st 9.0×
069
Transient ischemia without thrombolytic
32
$57,723
$6,526
8.8× st 10.3×
682
Renal failure with mcc
30
$48,285
$9,945
4.9× st 7.0×
699
Other kidney and urinary tract diagnoses with cc
30
$39,512
$7,583
5.2× st 6.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
28
$36,377
$6,515
5.6× st 6.9×
603
Cellulitis without mcc
26
$43,981
$8,236
5.3× st 5.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
25
$116,394
$16,729
7.0× st 8.7×
189
Pulmonary edema and respiratory failure
24
$57,646
$10,683
5.4× st 6.8×
870
Septicemia or severe sepsis with mv >96 hours
24
$315,161
$48,971
6.4× st 6.6×
683
Renal failure with cc
23
$44,567
$7,375
6.0× st 6.7×
637
Diabetes with mcc
22
$62,826
$10,644
5.9× st 6.8×
309
Cardiac arrhythmia and conduction disorders with cc
21
$25,537
$6,222
4.1× st 6.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$56,013
$10,219
5.5× st 6.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
20
$107,433
$19,462
5.5× st 8.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
19
$21,817
$4,896
4.5× st 7.1×
312
Syncope and collapse
19
$36,013
$6,261
5.8× st 7.6×
390
Gastrointestinal obstruction without cc/mcc
18
$31,314
$4,456
7.0× st 7.0×
552
Medical back problems without mcc
18
$40,793
$7,948
5.1× st 7.8×
242
Permanent cardiac pacemaker implant with mcc
18
$156,887
$26,374
5.9× st 7.7×
480
Hip and femur procedures except major joint with mcc
16
$147,893
$20,574
7.2× st 8.6×
638
Diabetes with cc
16
$38,005
$7,256
5.2× st 6.5×
330
Major small and large bowel procedures with cc
14
$139,152
$17,703
7.9× st 8.5×
329
Major small and large bowel procedures with mcc
14
$285,896
$36,867
7.8× st 7.5×
313
Chest pain
14
$26,906
$5,379
5.0× st 7.3×
178
Respiratory infections and inflammations with cc
14
$39,843
$7,605
5.2× st 6.4×
811
Red blood cell disorders with mcc
14
$85,461
$12,971
6.6× st 7.5×
101
Seizures without mcc
13
$32,436
$7,168
4.5× st 7.2×
388
Gastrointestinal obstruction with mcc
13
$55,622
$12,088
4.6× st 6.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
13
$57,314
$10,868
5.3× st 6.8×
252
Other vascular procedures with mcc
13
$194,124
$21,666
9.0× st 7.2×
314
Other circulatory system diagnoses with mcc
13
$110,969
$17,181
6.5× st 5.9×
812
Red blood cell disorders without mcc
13
$40,807
$8,486
4.8× st 6.3×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
13
$91,738
$17,609
5.2× st 9.1×
308
Cardiac arrhythmia and conduction disorders with mcc
12
$46,161
$9,413
4.9× st 6.6×
253
Other vascular procedures with cc
12
$152,085
$18,697
8.1× st 7.4×
521
Hip replacement with principal diagnosis of hip fracture with mcc
12
$110,603
$19,685
5.6× st 7.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$117,792
$12,644
9.3× st 9.6×
536
Fractures of hip and pelvis without mcc
12
$32,387
$6,386
5.1× st 7.4×
243
Permanent cardiac pacemaker implant with cc
11
$114,385
$15,898
7.2× st 8.0×
394
Other digestive system diagnoses with cc
11
$47,639
$7,549
6.3× st 7.3×
444
Disorders of the biliary tract with mcc
11
$57,903
$12,677
4.6× st 7.0×
283
Acute myocardial infarction, expired with mcc
11
$66,127
$14,960
4.4× st 5.5×
149
Dysequilibrium
11
$46,076
$6,118
7.5× st 8.8×
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
384
$24,972
$2,461
10.1×
5372
Level 2 Urology and Related Services
153
$3,958
$617
6.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
152
$16,865
$1,452
11.6×
5191
Level 1 Endovascular Procedures
149
$30,562
$2,956
10.3×
5193
Level 3 Endovascular Procedures
128
$97,013
$9,957
9.7×
5373
Level 3 Urology and Related Services
117
$16,887
$1,836
9.2×
5192
Level 2 Endovascular Procedures
105
$41,656
$5,177
8.0×
5183
Level 3 Vascular Procedures
90
$24,336
$2,864
8.5×
5375
Level 5 Urology and Related Services
81
$39,578
$4,641
8.5×
5361
Level 1 Laparoscopy and Related Services
74
$53,723
$5,227
10.3×
5194
Level 4 Endovascular Procedures
61
$153,005
$14,059
10.9×
5222
Level 2 Pacemaker and Similar Procedures
55
$65,440
$7,584
8.6×
5374
Level 4 Urology and Related Services
51
$28,800
$3,127
9.2×
5302
Level 2 Upper GI Procedures
49
$16,441
$1,724
9.5×
5491
Level 1 Intraocular Procedures
44
$23,397
$2,111
11.1×
5223
Level 3 Pacemaker and Similar Procedures
41
$89,093
$9,274
9.6×
5112
Level 2 Musculoskeletal Procedures
39
$17,391
$1,456
11.9×
5113
Level 3 Musculoskeletal Procedures
30
$30,478
$2,932
10.4×
5182
Level 2 Vascular Procedures
30
$12,485
$1,451
8.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
28
$31,498
$2,574
12.2×
5114
Level 4 Musculoskeletal Procedures
28
$51,383
$6,480
7.9×
5431
Level 1 Nerve Procedures
27
$18,170
$1,749
10.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
21
$34,964
$3,134
11.2×
5115
Level 5 Musculoskeletal Procedures
20
$78,722
$11,906
6.6×
5213
Level 3 Electrophysiologic Procedures
19
$159,786
$21,459
7.4×
5232
Level 2 ICD and Similar Procedures
16
$240,970
$29,712
8.1×
5212
Level 2 Electrophysiologic Procedures
14
$84,672
$6,765
12.5×
5362
Level 2 Laparoscopy and Related Services
13
$79,766
$9,319
8.6×
5414
Level 4 Gynecologic Procedures
12
$43,986
$2,832
15.5×
5224
Level 4 Pacemaker and Similar Procedures
11
$159,438
$17,611
9.1×
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 14,149 rows scanned, 10,011 distinct code–setting items kept. 2,695 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$766
8
clean
Liver dis 10 assays w/ash
—
—
$536
8
clean
Liver dis 10 assays w/nash
—
—
$536
8
clean
Onco prst8 3 gene ur alg
—
—
$809
8
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,390
8
clean
Onc bladder mrna 209 gen alg
—
—
$3,715
8
clean
Onc thyr 10 microrna seq alg
—
—
$3,196
8
clean
Onc aml dna detcj/nondetcj
—
—
$265
8
clean
Glyca nuc mr spectrsc quan
—
—
$36
8
clean
Onc thyr dna&mrna 112 genes
—
—
$3,832
8
clean
Jak2 gene trgt seq alys
—
—
$130
8
clean
Rx metab advrs trgt seq alys
—
—
$790
8
clean
Tpmt nudt15 genes
—
—
$496
8
clean
HC NEURO CSF PRION PRTN QUAL
$5,964
$5,964
—
0
clean
Neuro csf prion prtn qual
—
—
$576
8
clean
Trgt gen seq dna 324 genes
—
—
$3,726
8
clean
B brgdrferi antb 5 prtn igm
—
—
$18
8
clean
B brgdrferi antb 12 prtn igg
—
—
$18
8
clean
Tbrf b grp antb 4 prtn igm
—
—
$16
8
clean
Tbrf b grp antb 4 prtn igg
—
—
$16
8
clean
Onc brst dux carc is 12 gene
—
—
$4,123
8
clean
Onc prst8 mrna 17 gene alg
—
—
$4,123
8
clean
Onc merkel cll carc srm quan
—
—
$344
8
clean
Onc merkel cll carc srm +/-
—
—
$344
8
clean
HC MERKEL POLYOMAVIRUS VP1 CAPSID ANTIBODY - ARUP
$969
$969
—
0
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$27
8
clean
Antb tp total&rpr ia qual
—
—
$33
8
clean
Syfls tst nontreponemal antb
—
—
$19
8
clean
Candida species pnl amp prb
—
—
$152
8
clean
HC TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL
$13,370
$13,370
—
0
clean
Ig paraprotein qual bld/ur
—
—
$46
8
clean
Onc lng 5 clin rsk factr alg
—
—
$3,747
8
clean
Onc mlnma prame & linc00518
—
—
$809
8
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,076
8
clean
Hered colon ca do 15 genes
—
—
$1,856
8
clean
Neph ckd mult eclia tum nec
—
—
$1,011
8
clean
Touch Quant Sensory Test
—
—
$42
8
clean
Gstr emptg 7 timed brth spec
—
—
$931
8
clean
Vibrate Quant Sensory Test
—
—
$42
8
clean
Cool Quant Sensory Test
—
—
$66
8
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,269
8
clean
Heat Quant Sensory Test
—
—
$42
8
clean
Iadi 16s&18s rrna genes
—
—
$379
8
clean
Trnsplj don-drv cll-fr dna
—
—
$2,931
8
clean
Crd ceramides liq chrom plsm
—
—
$89
8
clean
Hered brst ca rltd do panel
—
—
$1,388
8
clean
Nfct bct fng prst dna >1000
—
—
$2,263
8
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$119
8
clean
Liver ds 10 biochem asy srm
—
—
$536
8
clean
Onc sld tum alys brca1 brca2
—
—
$3,225
8
clean
Onc solid tumor 30 prtn trgt
—
—
$1,390
8
clean
Perq sacral augmt unilat inj
—
—
$8,066
8
clean
Perq sacral augmt bilat inj
—
—
$8,066
8
clean
Post vert arthrplst 1 lumbar
—
—
$14,272
8
clean
Nfct ds 22 trgt sars-cov-2
—
—
$444
8
clean
HC BIOFIRE RESP PNL 22 TARGETS INCLUDING SARSCOV2
$2,470
$2,470
—
0
clean
Neuro alzheimer cell aggregj
—
—
$2,358
8
clean
Clear eyelid gland w/heat
—
—
$148
8
clean
Trluml perip athrc brchiocph
—
—
$12,833
8
clean
Trluml perip athrc iliac art
—
—
$20,378
8
clean
HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH
$116,199
$116,199
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$3,726
8
clean
Trgt gen seq alys pnl 55-74
—
—
$5,323
8
clean
Onc thyr mut alys 10 gen&37
—
—
$1,348
8
clean
Onc sld org neo dna 505 gene
—
—
$3,108
8
clean
Tempr
—
—
$143
8
clean
Onc lung mrna quan pcr 11&3
—
—
$4,123
8
clean
Onc brst dux carc 7 proteins
—
—
$5,786
8
clean
Crd cad alys 3 prtn plsm alg
—
—
$416
8
clean
Crd cv ds aly 4 prtn plm alg
—
—
$416
8
clean
Nfct ds bct quan antmcrb sc
—
—
$9
8
clean
Ai ds sle alys 8 igg autoant
—
—
$895
8
clean
Onc cutan sq cll ca mrna 40
—
—
$9,048
8
clean
Neph rna psttrnspl perph bld
—
—
$2,821
8
clean
Tear film img uni/bi w/i&r
—
—
$42
8
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,726
8
clean
Onc plsm cell do&myeloma id
—
—
$2,592
8
clean
Onc sld tum crcg tum cl slct
—
—
$2,592
8
clean
Trnscth renal symp denrv bil
—
—
$6,327
8
clean
HC TRANSCATH RENAL SYMP DENERV BIL
$11,545
$11,545
—
0
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$809
8
clean
Onc pan ca alys mrd plasma
—
—
$3,822
8
clean
Hep nafld semiq evl 28 lipid
—
—
$843
8
clean
Psyc genom alys pnl 15 gen
—
—
$1,422
8
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,422
8
clean
Rx metab/pcx dna 25 gen alys
—
—
$790
8
clean
Rx metab/pcx dna 27gen rx ia
—
—
$790
8
clean
RSA lower extr exam
—
—
$97
8
clean
Nfct ds bct/viral trail ip10
—
—
$277
8
clean
Apol1 risk variants
—
—
$146
8
clean
Onc orop 17 dna ddpcr alg
—
—
$1,916
8
clean
BIA whole body
—
—
$32
8
clean
Neuro alys b-amyl 1-42&1-40
—
—
$277
8
clean
Onc prst8 ca alys all psa
—
—
$809
8
clean
Onc lung elisa 7 autoant alg
—
—
$895
8
clean
Onc urthl mrna 5 gen alg
—
—
$809
8
clean
Onc bldr 10 prb bldr ca
—
—
$955
8
clean
Onc bldr 10 prb recr bldr ca
—
—
$955
8
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$955
8
clean
Onc prst8 ca img alys 128
—
—
$752
8
clean
Vis field assmnt tech suppt
—
—
$42
8
clean
Tgsap sl or neo dna523&rna55
—
—
$3,501
8
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,726
8
clean
Neu prksn msfl ?-syncln prtn
—
—
$576
8
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$212
8
clean
Gi baret esph dna mthyln aly
—
—
$1,868
8
clean
Onc prst8 mrna 18 gen dre ur
—
—
$809
8
clean
Onc brst semiq meas thym kn
—
—
$344
8
clean
Onc lung flow cytmtry 5 mrk
—
—
$809
8
clean
Neph dbtc ckd mult eclia alg
—
—
$1,011
8
clean
Insj/rplc cardiac modulj sys
—
—
$34,893
8
clean
Onc sld tum dna 80 & rna 36
—
—
$3,108
8
clean
Psyc genom alys pnl 15 gen
—
—
$1,422
8
clean
Cv ds acs bld alg 5 yr score
—
—
$416
8
clean
Onc pan solid tum alys dna
—
—
$2,069
8
clean
Gi malabs aat calpro pncrtc
—
—
$66
8
clean
Gly rcptr alpha1 igg srm/csf
—
—
$39
8
clean
Klhl11 antb sr/csf asy qual
—
—
$39
8
clean
Onc prst8 5 dna reg mrk pcr
—
—
$809
8
clean
Rx metab advrs vrnt alys 25
—
—
$444
8
clean
Abltj perc lxtr/perph nrv
—
—
$2,171
8
clean
Neurflmnt lt chn ultrsens ia
—
—
$124
8
clean
Rmvl impltbl glucose sensor
—
—
$223
8
clean
Visual ep test for glaucoma
—
—
$143
8
clean
Onc sld tum bld/slv 648 gene
—
—
$4,790
8
clean
Hered prst8 ca gsap 23 genes
—
—
$1,388
8
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$822
8
clean
Oct mid ear i&r unilateral
—
—
$42
8
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,885
8
clean
Oct mid ear i&r bilateral
—
—
$42
8
clean
Ev fempop artl revsc
—
—
$12,833
8
clean
Near ifr 2img mibmn glnd i&r
—
—
$66
8
clean
Pattern erg w/i&r
—
—
$240
8
clean
Esw integ wnd hlg 1st wnd
—
—
$223
8
clean
Antmc guide 3d print 1st gd
—
—
$148
8
clean
Evac meibomian glnd heat bi
—
—
$66
8
clean
Insj/rplcmt icds ss eltrd
—
—
$34,893
8
clean
Ncntc r-t fluor wnd img 1st
—
—
$240
8
clean
Ire abltj 1+tum organ perq
—
—
$11,817
8
clean
Ire abltj 1+tumors open
—
—
$11,817
8
clean
Perq njx algc fluor lmbr 1st
—
—
$14,272
8
clean
Perq njx algc ct lmbr 1st
—
—
$14,272
8
clean
Ct breast w/3d bi c-/c+
—
—
$388
8
clean
Ncntc nr ifr spctrsc wnd
—
—
$42
8
clean
Tcat rmvl/dblk icar mas perq
—
—
$6,327
8
clean
Insj gtube perq mag gastrpxy
—
—
$2,133
8
clean
Tprnl focal abltj mal prst8
—
—
$5,960
8
clean
Elec impd spectrsc 1+skn les
—
—
$66
8
clean
Abltj b9 thyr ndul perq lasr
—
—
$1,836
8
clean
Njx b1 sub mtrl sbchdrl dfct
—
—
$3,637
8
clean
Instlj fecal microbiota ssp
—
—
$148
8
clean
Rem mlt day uroflow setup
—
—
$148
8
clean
Rem mlt day uroflow dev sply
—
—
$143
8
clean
Opn insj/rplcmt ins ptn subq
—
—
$21,566
8
clean
Opn insj/rplcmt ins ptn subf
—
—
$21,566
8
clean
Low ntsty eswt corpus cvrnsm
—
—
$278
8
clean
Quan mri alys brn w/dx mri
—
—
$265
8
clean
N-invas prst8 cancer est map
—
—
$955
8
clean
HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
$2,653
$2,653
—
0
clean
Fna bx w/us gdn 1st les
—
—
$787
8
clean
HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL
$1,551
$1,551
—
0
clean
Fna bx w/fluor gdn 1st les
—
—
$787
8
clean
Fna bx w/ct gdn 1st les
—
—
$787
8
clean
HC FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION
$3,931
$3,931
—
0
clean
Fna bx w/mr gdn 1st les
—
—
$787
8
clean
Fna w/o image
—
—
$452
8
clean
Guide cathet fluid drainage
—
—
$787
8
clean
HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE
$8,986
$8,986
—
0
clean
HC PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE
$7,817
$7,817
—
0
clean
Perq dev soft tiss 1st imag
—
—
$787
8
clean
Acne surgery
—
—
$223
8
clean
Drainage of skin abscess
—
—
$223
8
clean
HC DRAIN SKIN ABSCESS SIMPLE
$715
$715
—
0
clean
Drainage of skin abscess
—
—
$452
8
clean
HC DRAIN SKIN ABSCESS COMPLIC
$1,257
$1,257
—
0
clean
HC DRAIN PILONIDAL CYST SIMPL
$8,237
$8,237
—
0
clean
Drainage of pilonidal cyst
—
—
$787
8
clean
Drainage of pilonidal cyst
—
—
$787
8
clean
HC DRAIN PILONIDAL CYST COMPLIC
$8,237
$8,237
—
0
clean
HC REMOVE FOREIGN BODY SIMPLE
$5,322
$5,322
—
0
clean
Remove foreign body
—
—
$452
8
clean
Remove foreign body
—
—
$1,836
8
clean
HC REMOVE FOREIGN BODY COMPLIC
$20,622
$20,622
—
0
clean
Drainage of hematoma/fluid
—
—
$1,836
8
clean
HC DRAINAGE OF HEMATOMA/FLUID
$5,111
$5,111
—
0
clean
Puncture drainage of lesion
—
—
$452
8
clean
HC PUNCTURE DRAINAGE OF LESION
$1,257
$1,257
—
0
clean
Complex drainage wound
—
—
$3,229
8
clean
Debride infected skin
—
—
$452
8
clean
Debride skin at fx site
—
—
$787
8
clean
Debride skin musc at fx site
—
—
$787
8
clean
Deb skin bone at fx site
—
—
$3,229
8
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM
$3,905
$3,905
—
0
clean
Deb subq tissue 20 sq cm/<
—
—
$452
8
clean
Deb musc/fascia 20 sq cm/<
—
—
$822
8
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,=<20 SQ CM
$4,830
$4,830
—
0
clean
Deb bone 20 sq cm/<
—
—
$1,836
8
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,=<20 SQ CM
$6,057
$6,057
—
0
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM
$1,474
$1,474
—
0
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,EACH ADD 20 SQ CM
$1,474
$1,474
—
0
clean

Showing the first 200 of 10,011 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
15,113 of 15,113 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 83520/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 87529/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0736/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3490/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80356/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0737/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7030/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80358/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0744/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7042/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80359/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0780/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7060/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80361/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86317/b
info
mrf_item_fields_vary
this code and setting cover at least 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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7070/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80362/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0885/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 J7120/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 86334/b
info
mrf_item_fields_vary
this code and setting cover at least 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7121/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 80365/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86335/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87591/b
info
mrf_item_fields_vary
this code and setting cover at least 2 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7131/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80368/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83695/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1010/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 87624/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 J7321/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80372/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1030/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 86341/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87625/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80373/b
info
mrf_item_fields_vary
this code and setting cover at least 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 J1050/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 J7325/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 29540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1071/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 29550/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1100/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 81003/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7517/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1120/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 95810/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83874/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7613/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87661/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 95811/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1165/b
info
mrf_item_fields_vary
this code and setting cover at least 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7620/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 87798/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 J1170/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 81207/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87799/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1171/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9000/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 86431/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1200/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 J9017/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83921/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86580/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9022/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 59409/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87899/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1250/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 J9025/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 86592/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1265/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86593/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81241/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83986/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87902/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9041/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 86606/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81244/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1308/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 J9045/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 86612/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1327/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81261/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96372/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9055/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88112/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1335/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 86617/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9060/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 84105/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1442/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88142/b
info
mrf_item_fields_vary
this code and setting cover at least 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 2 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1447/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 J1450/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 J9145/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1459/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 J9171/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 88184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1561/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 84153/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 J1568/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 86658/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9181/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 J1569/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 84155/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9190/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 J1580/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 86665/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84157/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88237/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1596/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 J9201/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 84166/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86682/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9206/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 J1630/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 86689/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9227/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1642/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 88291/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9228/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86695/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81479/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86696/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 50 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9263/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 J1652/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9267/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 81513/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1740/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 J9271/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1742/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9280/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1756/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9299/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 82043/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 84311/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 J1790/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 82077/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1805/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 J9303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86735/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82088/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77065/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 86738/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1808/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77066/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 88346/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84403/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77067/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 J1836/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 J9316/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86762/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86765/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84436/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1920/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 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 J1921/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88377/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86780/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1939/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82172/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86787/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1940/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9395/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82175/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 84460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1953/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82232/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86790/b
info
mrf_item_fields_vary
this code and setting cover at least 3 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1956/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99281/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2001/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82247/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86803/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90377/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2003/b
info
mrf_item_fields_vary
this code and setting cover at least 42 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84520/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 J2004/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,695 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. · json · 20.3M bytes · fetched 2026-08-23 · sha256 94dc914d0a2f…

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.