Hospital · CCN 100122

North Okaloosa Medical Center

151 Redstone Ave Se, Crestview, FL 32539 · Okaloosa County
Part of Community Health Systems · 110 beds · 5
Metropolitan area high commuting: primary flow 30% or more to a urbanized area of 50,000 and greater

40 admission types 50 outpatient services price file: ok 13 Medicare-file findings
Billed per dollar paid, all admissions
9.11×
$119.9M billed against $13.2M paid across 1,225 Medicare discharges; the national figure is 5.03×.
3.5%
of adults in Okaloosa County have medical debt in collections
11.9%
uninsured in the county · state 13.9%
$82K
median household income
12.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
30.7%
obesity in the countyⓘ
10.8%
diagnosed diabetes (PLACES)
6.1%
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
188
$118,165
$13,570
8.7× st 7.2×
291
Heart failure and shock with mcc
105
$74,953
$9,326
8.0× st 6.3×
177
Respiratory infections and inflammations with mcc
68
$93,992
$11,525
8.2× st 6.5×
689
Kidney and urinary tract infections with mcc
59
$75,380
$8,647
8.7× st 6.4×
193
Simple pneumonia and pleurisy with mcc
59
$88,894
$9,610
9.3× st 7.2×
378
Gastrointestinal hemorrhage with cc
46
$104,629
$7,408
14.1× st 7.4×
682
Renal failure with mcc
38
$82,388
$10,231
8.1× st 7.0×
690
Kidney and urinary tract infections without mcc
38
$56,730
$6,193
9.2× st 6.6×
309
Cardiac arrhythmia and conduction disorders with cc
38
$49,781
$5,946
8.4× st 6.9×
190
Chronic obstructive pulmonary disease with mcc
37
$64,998
$8,094
8.0× st 6.5×
280
Acute myocardial infarction, discharged alive with mcc
34
$95,830
$11,071
8.7× st 7.3×
312
Syncope and collapse
32
$62,671
$6,592
9.5× st 7.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
30
$71,012
$6,057
11.7× st 7.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
29
$291,293
$32,637
8.9× st 7.5×
308
Cardiac arrhythmia and conduction disorders with mcc
28
$77,456
$9,526
8.1× st 6.6×
189
Pulmonary edema and respiratory failure
28
$81,930
$9,282
8.8× st 6.8×
683
Renal failure with cc
26
$64,174
$7,104
9.0× st 6.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
23
$73,032
$7,983
9.1× st 7.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
22
$63,647
$6,010
10.6× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
21
$62,451
$9,375
6.7× st 6.7×
281
Acute myocardial infarction, discharged alive with cc
19
$73,043
$6,944
10.5× st 8.5×
870
Septicemia or severe sepsis with mv >96 hours
17
$366,388
$44,728
8.2× st 6.6×
377
Gastrointestinal hemorrhage with mcc
16
$92,642
$12,029
7.7× st 7.2×
305
Hypertension without mcc
15
$50,230
$5,812
8.6× st 7.5×
432
Cirrhosis and alcoholic hepatitis with mcc
15
$118,418
$14,471
8.2× st 6.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
15
$185,656
$17,163
10.8× st 8.7×
637
Diabetes with mcc
14
$85,761
$10,694
8.0× st 6.8×
603
Cellulitis without mcc
14
$60,745
$6,749
9.0× st 5.9×
194
Simple pneumonia and pleurisy with cc
14
$72,400
$6,258
11.6× st 6.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
14
$87,030
$9,493
9.2× st 6.8×
313
Chest pain
14
$85,796
$5,557
15.4× st 7.3×
481
Hip and femur procedures except major joint with cc
13
$175,148
$14,828
11.8× st 8.8×
069
Transient ischemia without thrombolytic
13
$74,587
$6,888
10.8× st 10.3×
071
Other cerebrovascular disorders with cc
13
$64,261
$7,868
8.2× st 6.3×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$181,928
$12,114
15.0× st 9.6×
394
Other digestive system diagnoses with cc
12
$98,798
$7,064
14.0× st 7.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
12
$90,078
$7,623
11.8× st 8.8×
330
Major small and large bowel procedures with cc
12
$204,374
$17,408
11.7× st 8.5×
314
Other circulatory system diagnoses with mcc
11
$140,286
$14,955
9.4× st 5.9×
948
Signs and symptoms without mcc
11
$46,969
$5,971
7.9× st 6.2×
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
5491
Level 1 Intraocular Procedures
161
$26,105
$2,059
12.7×
8011
Comprehensive Observation Services
137
$32,854
$2,422
13.6×
5191
Level 1 Endovascular Procedures
117
$31,447
$2,902
10.8×
5361
Level 1 Laparoscopy and Related Services
86
$92,916
$5,084
18.3×
5183
Level 3 Vascular Procedures
67
$46,819
$2,810
16.7×
5375
Level 5 Urology and Related Services
55
$81,013
$4,483
18.1×
5374
Level 4 Urology and Related Services
50
$59,608
$3,108
19.2×
5302
Level 2 Upper GI Procedures
49
$28,286
$1,724
16.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
46
$38,046
$1,422
26.8×
5373
Level 3 Urology and Related Services
39
$47,922
$1,845
26.0×
5222
Level 2 Pacemaker and Similar Procedures
38
$45,990
$7,534
6.1×
5193
Level 3 Endovascular Procedures
28
$90,558
$9,957
9.1×
5194
Level 4 Endovascular Procedures
24
$108,619
$15,301
7.1×
5376
Level 6 Urology and Related Services
22
$66,111
$8,344
7.9×
5493
Level 3 Intraocular Procedures
22
$43,084
$4,563
9.4×
5492
Level 2 Intraocular Procedures
20
$46,757
$3,536
13.2×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
17
$48,791
$2,117
23.1×
5213
Level 3 Electrophysiologic Procedures
13
$129,238
$21,459
6.0×
5462
Level 2 Neurostimulator and Related Procedures
12
$46,691
$6,195
7.5×
5192
Level 2 Endovascular Procedures
12
$48,690
$5,177
9.4×
5182
Level 2 Vascular Procedures
12
$28,653
$1,451
19.8×
5313
Level 3 Lower GI Procedures
11
$51,651
$2,359
21.9×
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-04-01, template 3.0.0, 19,998 rows scanned, 3,032 distinct code–setting items kept. 2,576 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
BONE SRGRY CMPTR CT/MRI IMAG
$193,114
$34,761
$7,143
22
clean
TRLUML PERIP ATHRC ILIAC ART
$112,435
$20,238
$18,795
49
clean
INSJ AQUEOUS DRAIN DEV 1ST
$41,133
$7,404
$5,723
49
clean
INSJ ANT SGM AQ DRG DEV 1+
$33,156
$5,968
$5,723
49
clean
IR-CATH FLUID DRAIN
$1,523
$274
$764
168
clean
DRAINAGE OF SKIN ABSCESS
$6,497
$1,169
$244
56
clean
DRAINAGE OF SKIN ABSCESS
$7,705
$1,387
$495
56
clean
DRAINAGE OF PILONIDAL CYST
$8,248
$1,485
$862
56
clean
DRAINAGE OF PILONIDAL CYST
$14,829
$2,669
$879
56
clean
REMOVE FOREIGN BODY
$3,215
$579
$495
56
clean
DRAINAGE OF HEMATOMA/FLUID
$171,902
$30,942
$4,935
56
clean
PUNCTURE DRAINAGE OF LESION
$4,679
$842
$495
56
clean
DBRDMT SKIN XTRNL GENT&PER
$73,505
$13,231
$24,913
27
clean
DEBRIDE SKIN, FX
$56,148
$10,107
$1,664
56
clean
DEBRIDE SKIN/TISSUE
$35,065
$6,312
$495
56
clean
DEBRIDE TISSUE/MUSCLE
$20,990
$3,778
$797
56
clean
DBRDMT SUBQ TISS EACH ADDL
$71,157
$12,808
$2,820
38
clean
DBRDMT MUSC&/FSCA EA ADDL
$47,533
$8,556
$2,990
38
clean
INCAL BX SKN SINGLE LES
$19,927
$3,587
$777
56
clean
REMOVAL OF SKIN TAGS
$57,563
$10,361
$471
56
clean
REMOVAL OF SKIN LESION
$8,933
$1,608
$862
56
clean
REMOVAL OF SKIN LESION
$62,038
$11,167
$664
56
clean
REMOVAL OF SKIN LESION
$40,541
$7,297
$862
56
clean
REMOVAL OF SKIN LESION
$47,561
$8,561
$1,664
56
clean
REMOVAL OF SKIN LESION
$32,176
$5,792
$2,011
56
clean
REMOVAL OF SKIN LESION
$32,808
$5,906
$2,011
56
clean
REMOVAL OF SKIN LESION
$81,593
$14,687
$3,110
56
clean
REMOVAL OF SKIN LESION
$86,410
$15,554
$1,664
56
clean
REMOVAL OF SKIN LESION
$51,213
$9,218
$2,011
56
clean
REMOVAL OF SKIN LESION
$39,118
$7,041
$3,537
56
clean
REMOVAL OF SKIN LESION
$17,693
$3,185
$862
56
clean
REMOVAL OF SKIN LESION
$54,591
$9,826
$1,664
56
clean
REMOVAL OF SKIN LESION
$77,341
$13,921
$1,951
56
clean
REMOVAL OF SKIN LESION
$53,052
$9,549
$3,742
56
clean
REMOVAL OF NAIL PLATE
$4,330
$779
$244
56
clean
DRAIN BLOOD FROM UNDER NAIL
$4,004
$721
$154
56
clean
REMOVAL OF NAIL BED
$24,067
$4,332
$495
56
clean
REPAIR OF NAIL BED
$31,848
$5,733
$797
56
clean
REMOVAL OF PILONIDAL LESION
$65,664
$11,820
$3,537
52
clean
REMOVAL OF PILONIDAL LESION
$49,912
$8,984
$3,134
52
clean
REMOVAL OF PILONIDAL LESION
$69,221
$12,460
$3,537
52
clean
REMOVE DRUG IMPLANT DEVICE
$71,435
$12,858
$664
56
clean
REPAIR SUPERFICIAL WOUND(S)
$5,792
$1,043
$236
56
clean
REPAIR SUPERFICIAL WOUND(S)
$10,427
$1,877
$244
56
clean
REPAIR SUPERFICIAL WOUND(S)
$9,272
$1,669
$231
56
clean
REPAIR SUPERFICIAL WOUND(S)
$16,958
$3,052
$470
56
clean
REPAIR SUPERFICIAL WOUND(S)
$13,435
$2,418
$495
56
clean
REPAIR SUPERFICIAL WOUND(S)
$9,107
$1,639
$211
56
clean
REPAIR SUPERFICIAL WOUND(S)
$17,609
$3,170
$231
56
clean
REPAIR SUPERFICIAL WOUND(S)
$17,344
$3,122
$231
56
clean
REPAIR SUPERFICIAL WOUND(S)
$14,770
$2,659
$231
56
clean
REPAIR SUPERFICIAL WOUND(S)
$14,422
$2,596
$495
56
clean
LAYER CLOSURE OF WOUND(S)
$30,100
$5,418
$427
56
clean
LAYER CLOSURE OF WOUND(S)
$37,545
$6,758
$427
56
clean
LAYER CLOSURE OF WOUND(S)
$45,780
$8,240
$439
56
clean
LAYER CLOSURE OF WOUND(S)
$48,222
$8,680
$664
56
clean
LAYER CLOSURE OF WOUND(S)
$45,737
$8,233
$439
56
clean
LAYER CLOSURE OF WOUND(S)
$26,616
$4,791
$427
56
clean
LAYER CLOSURE OF WOUND(S)
$19,134
$3,444
$797
56
clean
LAYER CLOSURE OF WOUND(S)
$25,490
$4,588
$495
56
clean
LAYER CLOSURE OF WOUND(S)
$20,998
$3,780
$495
56
clean
REPAIR OF WOUND OR LESION
$13,304
$2,395
$797
56
clean
REPAIR OF WOUND OR LESION
$9,145
$1,646
$495
56
clean
REPAIR OF WOUND OR LESION
$39,791
$7,162
$797
56
clean
SKIN SUB GRAFT FACE/NK/HF/G
$40,549
$7,299
$1,493
54
clean
REVISION OF UPPER EYELID
$76,531
$13,776
$2,688
56
clean
RMV SUTURE OR STAPLE
$374
$67
$634
55
clean
TREATMENT OF BURN(S)
$4,513
$812
$237
56
clean
TREATMENT OF BURN(S)
$2,158
$388
$244
56
clean
DESTRUCT LESION, 1-14
$53,000
$9,540
$471
56
clean
CHEMICAL CAUTERY, TISSUE
$10,435
$1,878
$211
56
clean
DRAINAGE OF BREAST LESION
$3,391
$610
$764
56
clean
BX BREAST 1ST LESION US IMAG
$16,085
$2,895
$1,736
56
clean
REMOVAL OF BREAST LESION
$56,059
$10,091
$4,225
56
clean
EXCISION, BREAST LESION
$159,516
$28,713
$4,225
56
clean
PARTIAL MASTECTOMY
$98,752
$17,775
$4,303
56
clean
MAST SIMPLE COMPLETE
$136,225
$24,521
$7,164
56
clean
MAST MOD RAD
$163,988
$29,518
$7,164
56
clean
INJECT SINUS TRACT FOR X-RAY
$26,997
$4,859
$5,185
38
clean
INJECT TENDON/LIGAMENT/CYST
$2,469
$444
$374
56
clean
NJX 1/MLT TRIGGER POINT 1/2
$7,200
$1,296
$374
56
clean
DRAIN/INJECT, JOINT/BURSA
$4,107
$739
$374
56
clean
DRAIN/INJECT, JOINT/BURSA
$12,106
$2,179
$374
56
clean
REMOVAL OF SUPPORT IMPLANT
$46,816
$8,427
$3,446
56
clean
EXC FACE LES SC <2 CM
$26,405
$4,753
$2,011
56
clean
EXC FACE LES SBQ 2 CM/>
$54,407
$9,793
$3,110
56
clean
EAR CARTILAGE GRAFT
$100,257
$18,046
$6,900
56
clean
TREAT NASAL SEPTAL FRACTURE
$29,500
$5,310
$3,577
56
clean
BIOPSY OF NECK/CHEST
$44,316
$7,977
$2,011
56
clean
EXC NECK LES SC 3 CM/>
$64,537
$11,617
$5,119
56
clean
REMOVE LESION, NECK/CHEST
$26,959
$4,853
$2,011
56
clean
REMOVE TUMOR, NECK/CHEST
$124,839
$22,471
$4,416
56
clean
EXC CHEST WALL TUMOR W/RIBS
$44,316
$7,977
$3,537
56
clean
EXC BACK LES SC 3 CM/>
$50,430
$9,077
$1,782
52
clean
PERQ VERTEBRAL AUGMENTATION
$47,769
$8,599
$7,629
56
clean
PERQ VERTEBRAL AUGMENTATION
$41,748
$7,515
$7,629
56
clean
EXC ABD LES SC 3 CM/>
$89,261
$16,067
$6,433
56
clean
ABDOMEN SURGERY PROCEDURE
$170,704
$30,727
$4,858
55
clean
EXC SHOULDER LES SC 3 CM/>
$40,288
$7,252
$2,011
56
clean
EXC SHOULDER TUM DEEP 5 CM/>
$27,645
$4,976
$3,537
56
clean
S-INJ SHOULDER ARTH
$859
$155
$693
114
clean
REPAIR BICEPS TENDON
$140,394
$25,271
$7,829
56
clean
RECONSTRUCT SHOULDER JOINT
$204,964
$36,894
$17,979
54
clean
TREAT CLAVICLE FRACTURE
$132,974
$23,935
$9,437
54
clean
TREAT CLAVICLE DISLOCATION
$112,510
$20,252
$9,437
54
clean
TREAT HUMERUS FRACTURE
$123,900
$22,302
$13,407
54
clean
TREAT SHOULDER DISLOCATION
$15,514
$2,793
$365
56
clean
TREAT DISLOCATION/FRACTURE
$15,891
$2,860
$1,958
56
clean
SHOULDER SURGERY PROCEDURE
$104,159
$18,749
$634
55
clean
EXC ARM/ELBOW LES SC 3 CM/>
$26,712
$4,808
$3,537
56
clean
S-INJ ELBOW ARTHRO
$1,084
$195
$677
76
clean
REPAIR OF RUPTURED TENDON
$118,167
$21,270
$8,244
56
clean
TREAT HUMERUS FRACTURE
$11,606
$2,089
$1,735
56
clean
TREAT HUMERUS FRACTURE
$59,546
$10,718
$7,737
56
clean
TREAT HUMERUS FRACTURE
$169,874
$30,577
$13,407
54
clean
TREAT ELBOW DISLOCATION
$16,388
$2,950
$382
56
clean
TREAT ELBOW DISLOCATION
$4,786
$862
$365
56
clean
EXC FOREARM LES SC 3 CM/>
$42,968
$7,734
$2,011
56
clean
REMOVAL OF FOREARM LESION
$66,635
$11,994
$3,836
56
clean
REMOVE WRIST TENDON LESION
$64,433
$11,598
$3,555
56
clean
S-INJ WRIST ARTHRO
$1,084
$195
$677
76
clean
TREAT FRACTURE OF RADIUS
$11,310
$2,036
$1,927
56
clean
TREAT FRACTURE OF RADIUS
$109,143
$19,646
$9,437
54
clean
TREAT FRACTURE OF ULNA
$11,573
$2,083
$439
56
clean
TREAT FRACTURE RADIUS & ULNA
$18,695
$3,365
$1,735
56
clean
TREAT FRACTURE RADIUS/ULNA
$120,305
$21,655
$9,131
54
clean
TREAT FRACTURE RADIUS/ULNA
$14,899
$2,682
$1,958
56
clean
PERQ SKEL FIXJ DSTL RDL FX
$58,995
$10,619
$4,191
56
clean
OPTX DST RD XARTC FX/EPI SEP
$148,022
$26,644
$7,755
54
clean
OPTX DST RD XART FX/EPI SEP2
$108,286
$19,491
$7,755
54
clean
OPTX DST RD XART FX/EP SEP3+
$143,050
$25,749
$7,755
54
clean
PERQ SKEL FIX ULNAR STYLD FX
$69,524
$12,514
$4,623
56
clean
OPTX ULNAR STYLOID FRACTURE
$161,201
$29,016
$7,755
54
clean
DRAINAGE OF FINGER ABSCESS
$3,822
$688
$288
56
clean
INCISE FINGER TENDON SHEATH
$44,875
$8,078
$1,949
56
clean
RELEASE PALM CONTRACTURE
$64,300
$11,574
$5,181
56
clean
RELEASE PALM CONTRACTURE
$64,300
$11,574
$5,078
38
clean
REMOVE TENDON SHEATH LESION
$31,017
$5,583
$1,958
56
clean
REPAIR FINGER/HAND TENDON
$74,364
$13,386
$4,015
56
clean
REPAIR FINGER TENDON
$91,890
$16,540
$2,426
56
clean
REPAIR NONUNION HAND
$124,762
$22,457
$7,829
56
clean
TREAT METACARPAL FRACTURE
$6,462
$1,163
$365
56
clean
TREAT METACARPAL FRACTURE
$84,957
$15,292
$5,344
56
clean
TREAT KNUCKLE DISLOCATION
$6,805
$1,225
$365
56
clean
TREAT FINGER FRACTURE, EACH
$35,969
$6,474
$365
56
clean
TREAT FINGER FRACTURE, EACH
$11,760
$2,117
$3,765
56
clean
TREAT FINGER FRACTURE, EACH
$76,083
$13,695
$5,029
56
clean
TREAT FINGER FRACTURE, EACH
$17,441
$3,139
$1,735
56
clean
TREAT FINGER FRACTURE, EACH
$56,148
$10,107
$3,710
56
clean
TREAT FINGER DISLOCATION
$8,770
$1,579
$365
56
clean
AMPUTATION OF FINGER/THUMB
$72,783
$13,101
$4,441
56
clean
AMPUTATION OF FINGER/THUMB
$55,822
$10,048
$3,960
56
clean
S-INJ HIP ARTHRO
$1,232
$222
$943
114
clean
TOTAL HIP REPLACEMENT
$208,027
$37,445
$13,174
54
clean
TREAT HIP DISLOCATION
$46,430
$8,357
$575
56
clean
TREAT HIP DISLOCATION
$28,739
$5,173
$402
56
clean
TREAT HIP DISLOCATION
$59,317
$10,677
$3,778
56
clean
S-INJ KNEE ARTHRO
$887
$160
$650
76
clean
REPAIR OF KNEECAP TENDON
$121,936
$21,948
$8,837
56
clean
REPAIR OF KNEE LIGAMENT
$93,123
$16,762
$7,755
56
clean
REVISION OF KNEE JOINT
$185,280
$33,350
$13,407
54
clean
TOTAL KNEE REPLACEMENT
$168,490
$30,328
$13,407
54
clean
REVISE/REPLACE KNEE JOINT
$127,558
$22,960
$22,960
45
clean
TREAT KNEE FRACTURE
$127,162
$22,889
$13,323
43
clean
TREAT KNEE FRACTURE
$123,227
$22,181
$13,154
43
clean
TREAT KNEECAP DISLOCATION
$11,492
$2,069
$379
56
clean
TREAT KNEECAP DISLOCATION
$12,436
$2,238
$690
56
clean
PARTIAL REMOVAL OF FIBULA
$87,822
$15,808
$3,573
56
clean
REPAIR ACHILLES TENDON
$130,954
$23,572
$8,973
54
clean
REPAIR/GRAFT ACHILLES TENDON
$93,458
$16,822
$8,814
54
clean
REPAIR OF LEG TENDON, EACH
$62,683
$11,283
$3,985
56
clean
REPAIR OF ANKLE LIGAMENT
$99,063
$17,831
$7,755
54
clean
TREATMENT OF ANKLE FRACTURE
$186,897
$33,641
$7,829
56
clean
TREATMENT OF ANKLE FRACTURE
$104,683
$18,843
$7,997
54
clean
TREATMENT OF ANKLE FRACTURE
$93,419
$16,815
$9,437
54
clean
TREATMENT OF ANKLE FRACTURE
$17,358
$3,124
$1,958
56
clean
TREATMENT OF ANKLE FRACTURE
$141,057
$25,390
$9,437
54
clean
TREATMENT OF ANKLE FRACTURE
$114,429
$20,597
$7,849
54
clean
TREAT LOWER LEG JOINT
$186,897
$33,641
$7,755
54
clean
PARTIAL REMOVAL OF FOOT BONE
$51,450
$9,261
$3,956
56
clean
REMOVAL OF FOOT FOREIGN BODY
$3,618
$651
$764
56
clean
REPAIR OF HAMMERTOE
$61,556
$11,080
$3,985
56
clean
TREATMENT OF TOE FRACTURE
$5,828
$1,049
$365
56
clean
TREAT TOE DISLOCATION
$13,213
$2,378
$365
56
clean
TREAT TOE DISLOCATION
$8,428
$1,517
$365
56
clean
APPLY LONG ARM SPLINT
$12,217
$2,199
$198
56
clean
APPLY FOREARM SPLINT
$9,952
$1,791
$162
56
clean
APPLICATION OF FINGER SPLINT
$5,224
$940
$162
56
clean
APPLICATION OF FINGER SPLINT
$4,390
$790
$72
56
clean
APPLY RIGID LEG CAST
$7,075
$1,273
$341
56
clean
APPLICATION, LONG LEG SPLINT
$16,424
$2,956
$198
56
clean
APPLICATION LOWER LEG SPLINT
$9,010
$1,622
$198
56
clean
STRAPPING OF TOES
$3,834
$690
$72
56
clean
STRPPNG UNA BOOT PT
$414
$75
$231
45
clean
APPL MULTLAYER CMPRN SYS LEG
$30,167
$5,430
$198
56
clean
SHO ARTHRS SRG CAPSULORRAPHY
$109,965
$19,794
$7,829
56
clean
SHOULDER ARTHROSCOPY/SURGERY
$116,576
$20,984
$3,530
56
clean
SHOULDER ARTHROSCOPY/SURGERY
$133,799
$24,084
$3,786
56
clean
SHO ARTHRS SRG DSTL CLAVICLC
$150,088
$27,016
$3,530
56
clean
SHOULDER ARTHROSCOPY/SURGERY
$145,335
$26,160
$4,644
38
clean

Showing the first 200 of 3,032 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
573 of 1,960 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 $4,478,316 exceeds the gross charge $193,114
warn
mrf_rate_without_estimate
4,667 of 4,667 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 27658/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 43248/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 74150/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 81270/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 85300/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 95977/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 J0714/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 27695/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 43249/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 64400/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 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81273/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 85301/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 88309/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 J7525/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 27766/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 43251/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 64415/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 74170/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 81291/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 85302/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 96360/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 J0736/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 27792/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 43255/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 64417/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 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 81305/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 85303/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 88311/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 96361/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 J0737/o
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 27814/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 43261/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 64445/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 81339/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 85305/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 88312/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 96365/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 J0743/o
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 J8540/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 27818/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 43262/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 64447/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 74176/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 81364/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 85306/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 88313/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 J0744/o
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 27822/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 43264/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 64448/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 74177/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 81379/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 85307/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 96366/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 27823/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 43270/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 64450/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 74178/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 81403/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 85347/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 88314/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 J0759/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 J9041/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 27829/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 64530/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 74181/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 81420/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 85362/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 96367/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 J9217/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 28122/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 43273/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 64561/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 74182/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 81450/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 85379/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 88319/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 43274/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 64581/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 74183/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 81511/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 85384/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 96368/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 28190/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 43275/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 64585/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 74220/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 81517/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 85460/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 88323/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 96372/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 J0840/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 28285/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 43277/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 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74230/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 81596/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 85461/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 88329/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 96374/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 43280/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 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74240/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 82009/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 85549/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 88331/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 96375/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 J0841/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 28515/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 43281/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 64718/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 74246/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 82010/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 85610/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 L8699/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 28630/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 43282/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 64721/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 82017/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 85613/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 88332/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 96376/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 28660/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 43450/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 64788/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 74248/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 82024/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 85651/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 96523/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 J0881/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 M0249/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 29105/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 65205/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 74250/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 82040/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 85652/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 88333/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 97010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT 29125/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 43752/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 74270/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 82042/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 85660/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 97012/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0882/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 M0250/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 29130/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 43753/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 65220/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 74280/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 82043/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 85670/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 88341/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 97016/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 29131/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 43762/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 65222/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 82077/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 85730/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 97022/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0883/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 P9012/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 65400/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 74300/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 82085/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 85810/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 88342/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 97033/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9016/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 29445/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 44180/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 65420/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 82088/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 86000/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 97035/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0885/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 29505/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 44238/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 65426/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 74340/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 82103/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 86001/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 88344/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 97110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT P9017/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 29515/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 44312/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 65435/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 74400/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 82104/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 86003/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 97112/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT P9034/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 29550/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 44382/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 2,576 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $90,078 is 11.8× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $74,587 is 10.8× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $72,400 is 11.6× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $73,043 is 10.5× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $85,796 is 15.4× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $204,374 is 11.7× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $104,629 is 14.1× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $71,012 is 11.7× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $98,798 is 14.0× the total payment
MS-DRG 418
info
inp_charge_10x_payment
average charge $181,928 is 15.0× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $175,148 is 11.8× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $185,656 is 10.8× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $63,647 is 10.6× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 112.3M bytes · fetched 2026-08-26 · sha256 90a05764fd68…

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.