Hospital · CCN 100157

Lakeland Regional Medical Center

1324 Lakeland Hills Blvd, Lakeland, FL 33805 · Polk County
Part of Lakeland Regional Health · 764 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

165 admission types 56 outpatient services price file: ok
Billed per dollar paid, all admissions
5.13×
$522.1M billed against $101.8M paid across 7,719 Medicare discharges; the national figure is 5.03×.
6.8%
of adults in Polk County have medical debt in collections
14.7%
uninsured in the county · state 13.9%
$67K
median household income
5.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
40.2%
obesity in the countyⓘ
13.6%
diagnosed diabetes (PLACES)
7.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
613
$74,127
$14,940
5.0× st 7.2×
291
Heart failure and shock with mcc
375
$42,658
$9,829
4.3× st 6.3×
177
Respiratory infections and inflammations with mcc
248
$59,536
$12,531
4.8× st 6.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
182
$38,488
$6,731
5.7× st 7.5×
274
Percutaneous and other intracardiac procedures without mcc
157
$109,055
$24,317
4.5× st 7.5×
690
Kidney and urinary tract infections without mcc
148
$33,386
$6,803
4.9× st 6.6×
689
Kidney and urinary tract infections with mcc
142
$39,351
$9,219
4.3× st 6.4×
698
Other kidney and urinary tract diagnoses with mcc
126
$59,744
$12,619
4.7× st 6.7×
683
Renal failure with cc
125
$34,756
$7,684
4.5× st 6.7×
309
Cardiac arrhythmia and conduction disorders with cc
123
$35,267
$6,598
5.3× st 6.9×
378
Gastrointestinal hemorrhage with cc
120
$50,024
$8,619
5.8× st 7.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
113
$42,156
$10,502
4.0× st 6.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
113
$31,844
$6,687
4.8× st 6.9×
189
Pulmonary edema and respiratory failure
108
$49,361
$9,799
5.0× st 6.8×
682
Renal failure with mcc
106
$45,656
$11,059
4.1× st 7.0×
312
Syncope and collapse
103
$38,750
$7,464
5.2× st 7.6×
193
Simple pneumonia and pleurisy with mcc
101
$45,820
$10,319
4.4× st 7.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
98
$213,530
$39,089
5.5× st 7.5×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
97
$262,528
$36,694
7.2× st 7.2×
178
Respiratory infections and inflammations with cc
96
$36,977
$8,150
4.5× st 6.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
95
$39,674
$8,667
4.6× st 7.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
86
$64,706
$9,226
7.0× st 8.9×
190
Chronic obstructive pulmonary disease with mcc
84
$47,201
$8,916
5.3× st 6.5×
377
Gastrointestinal hemorrhage with mcc
83
$76,981
$14,843
5.2× st 7.2×
481
Hip and femur procedures except major joint with cc
81
$81,457
$15,661
5.2× st 8.8×
552
Medical back problems without mcc
81
$39,484
$8,164
4.8× st 7.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
80
$57,449
$8,178
7.0× st 8.8×
603
Cellulitis without mcc
79
$30,751
$7,446
4.1× st 5.9×
308
Cardiac arrhythmia and conduction disorders with mcc
78
$48,331
$10,020
4.8× st 6.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
77
$113,989
$15,275
7.5× st 9.7×
313
Chest pain
72
$33,906
$6,360
5.3× st 7.3×
069
Transient ischemia without thrombolytic
71
$49,606
$6,795
7.3× st 10.3×
280
Acute myocardial infarction, discharged alive with mcc
70
$62,827
$12,315
5.1× st 7.3×
699
Other kidney and urinary tract diagnoses with cc
70
$39,002
$8,301
4.7× st 6.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
69
$80,917
$15,378
5.3× st 9.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
66
$50,475
$10,110
5.0× st 6.8×
194
Simple pneumonia and pleurisy with cc
65
$30,426
$7,261
4.2× st 6.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
57
$84,893
$16,196
5.2× st 7.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
56
$143,842
$22,670
6.3× st 9.0×
372
Major gastrointestinal disorders and peritoneal infections with cc
55
$41,634
$8,712
4.8× st 6.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
55
$28,786
$5,300
5.4× st 7.1×
314
Other circulatory system diagnoses with mcc
54
$74,600
$15,410
4.8× st 5.9×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
54
$310,040
$46,044
6.7× st 6.5×
191
Chronic obstructive pulmonary disease with cc
53
$34,344
$7,133
4.8× st 7.1×
305
Hypertension without mcc
51
$32,956
$6,650
5.0× st 7.5×
394
Other digestive system diagnoses with cc
50
$43,066
$8,023
5.4× st 7.3×
638
Diabetes with cc
50
$33,608
$7,477
4.5× st 6.5×
071
Other cerebrovascular disorders with cc
48
$37,826
$8,196
4.6× st 6.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
48
$66,400
$13,894
4.8× st 7.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
47
$98,746
$16,119
6.1× st 8.7×
812
Red blood cell disorders without mcc
47
$36,832
$7,584
4.9× st 6.3×
389
Gastrointestinal obstruction with cc
45
$38,431
$7,116
5.4× st 7.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
44
$38,805
$7,384
5.3× st 7.1×
480
Hip and femur procedures except major joint with mcc
43
$107,510
$22,286
4.8× st 8.6×
057
Degenerative nervous system disorders without mcc
42
$34,457
$10,076
3.4× st 6.1×
329
Major small and large bowel procedures with mcc
42
$172,324
$32,051
5.4× st 7.5×
884
Organic disturbances and intellectual disability
42
$35,760
$11,964
3.0× st 5.5×
070
Other cerebrovascular disorders with mcc
39
$60,462
$12,411
4.9× st 6.3×
202
Bronchitis and asthma with cc/mcc
36
$37,683
$8,059
4.7× st 6.4×
252
Other vascular procedures with mcc
36
$138,013
$24,876
5.5× st 7.2×
371
Major gastrointestinal disorders and peritoneal infections with mcc
36
$63,076
$13,633
4.6× st 5.2×
637
Diabetes with mcc
35
$54,542
$10,883
5.0× st 6.8×
660
Kidney and ureter procedures for non-neoplasm with cc
35
$61,857
$10,104
6.1× st 8.1×
870
Septicemia or severe sepsis with mv >96 hours
34
$215,714
$47,183
4.6× st 6.6×
300
Peripheral vascular disorders with cc
32
$45,283
$8,521
5.3× st 6.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
32
$96,456
$20,038
4.8× st 7.3×
811
Red blood cell disorders with mcc
31
$50,394
$11,008
4.6× st 7.5×
149
Dysequilibrium
31
$34,677
$6,617
5.2× st 8.8×
393
Other digestive system diagnoses with mcc
31
$62,022
$12,836
4.8× st 6.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
31
$131,248
$29,970
4.4× st 6.7×
243
Permanent cardiac pacemaker implant with cc
30
$124,891
$18,354
6.8× st 8.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
29
$63,592
$10,635
6.0× st 6.8×
299
Peripheral vascular disorders with mcc
28
$52,826
$11,588
4.6× st 6.6×
281
Acute myocardial infarction, discharged alive with cc
28
$49,811
$8,425
5.9× st 8.5×
242
Permanent cardiac pacemaker implant with mcc
28
$158,005
$27,100
5.8× st 7.7×
330
Major small and large bowel procedures with cc
27
$91,926
$17,568
5.2× st 8.5×
082
Traumatic stupor and coma >1 hour with mcc
27
$74,670
$17,218
4.3× st 6.8×
602
Cellulitis with mcc
27
$43,899
$10,249
4.3× st 5.9×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
27
$92,478
$17,859
5.2× st 9.0×
025
Craniotomy and endovascular intracranial procedures with mcc
26
$182,987
$33,364
5.5× st 7.4×
271
Other major cardiovascular procedures with cc
26
$188,700
$27,388
6.9× st 7.8×
813
Coagulation disorders
26
$43,091
$12,304
3.5× st 5.7×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
26
$79,123
$16,136
4.9× st 7.3×
536
Fractures of hip and pelvis without mcc
26
$29,208
$6,240
4.7× st 7.4×
083
Traumatic stupor and coma >1 hour with cc
25
$68,507
$10,299
6.7× st 8.5×
074
Cranial and peripheral nerve disorders without mcc
24
$42,591
$8,735
4.9× st 7.1×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
24
$37,054
$7,805
4.7× st 7.7×
303
Atherosclerosis without mcc
24
$30,465
$5,975
5.1× st 6.8×
176
Pulmonary embolism without mcc
24
$36,994
$7,894
4.7× st 7.2×
270
Other major cardiovascular procedures with mcc
23
$211,023
$40,595
5.2× st 7.2×
315
Other circulatory system diagnoses with cc
23
$34,078
$7,843
4.3× st 6.2×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
23
$41,682
$8,827
4.7× st 6.6×
388
Gastrointestinal obstruction with mcc
23
$52,077
$11,106
4.7× st 6.6×
948
Signs and symptoms without mcc
23
$33,008
$6,587
5.0× st 6.2×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
21
$50,975
$8,728
5.8× st 8.4×
390
Gastrointestinal obstruction without cc/mcc
21
$32,512
$5,286
6.2× st 7.0×
101
Seizures without mcc
21
$40,809
$7,604
5.4× st 7.2×
445
Disorders of the biliary tract with cc
21
$56,919
$9,132
6.2× st 7.9×
917
Poisoning and toxic effects of drugs with mcc
21
$60,912
$12,153
5.0× st 6.0×
180
Respiratory neoplasms with mcc
20
$63,529
$13,813
4.6× st 7.2×
056
Degenerative nervous system disorders with mcc
20
$57,230
$16,256
3.5× st 5.7×
885
Psychoses
20
$22,656
$10,048
2.3× st 3.2×
920
Complications of treatment with cc
20
$33,091
$8,634
3.8× st 5.3×
253
Other vascular procedures with cc
19
$125,807
$21,120
6.0× st 7.4×
100
Seizures with mcc
19
$66,109
$14,483
4.6× st 6.7×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
19
$190,419
$32,615
5.8× st 7.1×
195
Simple pneumonia and pleurisy without cc/mcc
19
$29,113
$5,976
4.9× st 6.0×
039
Extracranial procedures without cc/mcc
18
$59,337
$9,589
6.2× st 8.9×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
18
$32,061
$7,304
4.4× st 6.4×
551
Medical back problems with mcc
18
$54,525
$13,494
4.0× st 7.4×
304
Hypertension with mcc
18
$41,083
$9,559
4.3× st 6.3×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
17
$41,974
$6,491
6.5× st 8.8×
659
Kidney and ureter procedures for non-neoplasm with mcc
17
$83,999
$20,892
4.0× st 6.9×
914
Traumatic injury without mcc
17
$43,529
$7,325
5.9× st 7.8×
863
Postoperative and post-traumatic infections without mcc
17
$50,289
$8,421
6.0× st 5.9×
521
Hip replacement with principal diagnosis of hip fracture with mcc
17
$118,837
$19,094
6.2× st 7.7×
919
Complications of treatment with mcc
17
$82,119
$14,379
5.7× st 5.3×
092
Other disorders of nervous system with cc
17
$52,921
$8,302
6.4× st 6.9×
694
Urinary stones without mcc
16
$38,392
$6,881
5.6× st 8.4×
091
Other disorders of nervous system with mcc
16
$49,132
$13,202
3.7× st 6.9×
435
Malignancy of hepatobiliary system or pancreas with mcc
16
$87,373
$14,260
6.1× st 6.9×
418
Laparoscopic cholecystectomy without c.d.e. with cc
16
$82,491
$14,069
5.9× st 9.6×
086
Traumatic stupor and coma <1 hour with cc
16
$65,406
$10,416
6.3× st 8.3×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
16
$46,833
$17,193
2.7× st 5.7×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
15
$35,701
$7,870
4.5× st 5.6×
273
Percutaneous and other intracardiac procedures with mcc
15
$144,672
$29,199
5.0× st 8.3×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
15
$34,662
$7,167
4.8× st 7.5×
356
Other digestive system o.r. procedures with mcc
15
$193,151
$33,921
5.7× st 6.4×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
15
$52,447
$11,783
4.5× st 6.0×
713
Transurethral prostatectomy with cc/mcc
14
$27,180
$11,813
2.3× st 7.8×
880
Acute adjustment reaction and psychosocial dysfunction
14
$34,013
$8,137
4.2× st 6.4×
036
Carotid artery stent procedures without cc/mcc
14
$51,569
$13,179
3.9× st 8.8×
673
Other kidney and urinary tract procedures with mcc
14
$110,679
$29,421
3.8× st 5.7×
379
Gastrointestinal hemorrhage without cc/mcc
14
$35,337
$5,997
5.9× st 6.3×
483
Major joint or limb reattachment procedures of upper extremities
14
$118,358
$19,037
6.2× st 9.4×
439
Disorders of pancreas except malignancy with cc
14
$59,012
$7,473
7.9× st 6.8×
433
Cirrhosis and alcoholic hepatitis with cc
14
$42,872
$9,169
4.7× st 6.5×
438
Disorders of pancreas except malignancy with mcc
14
$74,900
$14,293
5.2× st 5.3×
436
Malignancy of hepatobiliary system or pancreas with cc
14
$50,590
$10,844
4.7× st 7.9×
432
Cirrhosis and alcoholic hepatitis with mcc
14
$85,522
$14,322
6.0× st 6.9×
179
Respiratory infections and inflammations without cc/mcc
14
$28,764
$6,722
4.3× st 6.1×
368
Major esophageal disorders with mcc
14
$58,388
$13,419
4.4× st 7.7×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
14
$198,335
$45,522
4.4× st 7.9×
244
Permanent cardiac pacemaker implant without cc/mcc
13
$95,694
$14,151
6.8× st 7.7×
554
Bone diseases and arthropathies without mcc
13
$29,829
$7,222
4.1× st 6.5×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
13
$507,646
$95,011
5.3× st 6.3×
604
Trauma to the skin, subcutaneous tissue and breast with mcc
13
$45,244
$12,028
3.8× st 7.7×
644
Endocrine disorders with cc
13
$41,938
$8,933
4.7× st 5.8×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
13
$225,913
$63,052
3.6× st 8.9×
460
Spinal fusion except cervical without mcc
12
$143,285
$27,219
5.3× st 7.8×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
12
$40,901
$13,185
3.1× st 5.6×
166
Other respiratory system o.r. procedures with mcc
12
$86,123
$28,404
3.0× st 5.3×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
12
$106,340
$14,150
7.5× st 6.1×
184
Major chest trauma with cc
12
$63,098
$9,431
6.7× st 7.8×
038
Extracranial procedures with cc
12
$71,068
$12,887
5.5× st 7.0×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$186,801
$42,788
4.4× st 5.1×
035
Carotid artery stent procedures with cc
11
$65,014
$17,441
3.7× st 8.2×
947
Signs and symptoms with mcc
11
$40,109
$10,006
4.0× st 5.8×
684
Renal failure without cc/mcc
11
$28,845
$5,531
5.2× st 5.6×
093
Other disorders of nervous system without cc/mcc
11
$42,938
$7,569
5.7× st 7.3×
183
Major chest trauma with mcc
11
$61,703
$12,664
4.9× st 7.4×
196
Interstitial lung disease with mcc
11
$88,468
$16,143
5.5× st 5.8×
206
Other respiratory system diagnoses without mcc
11
$40,133
$7,751
5.2× st 6.8×
558
Tendonitis, myositis and bursitis without mcc
11
$34,015
$7,124
4.8× st 5.2×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$106,423
$18,778
5.7× st 8.6×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
858
$23,781
$2,446
9.7×
5372
Level 2 Urology and Related Services
351
$2,157
$615
3.5×
5191
Level 1 Endovascular Procedures
256
$34,869
$2,917
12.0×
5115
Level 5 Musculoskeletal Procedures
181
$72,191
$11,622
6.2×
5375
Level 5 Urology and Related Services
147
$28,885
$4,687
6.2×
5361
Level 1 Laparoscopy and Related Services
135
$29,106
$5,166
5.6×
5373
Level 3 Urology and Related Services
135
$11,839
$1,812
6.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
130
$15,238
$1,432
10.6×
5183
Level 3 Vascular Procedures
119
$24,007
$2,791
8.6×
5374
Level 4 Urology and Related Services
114
$21,068
$3,095
6.8×
5193
Level 3 Endovascular Procedures
92
$72,136
$9,957
7.2×
5302
Level 2 Upper GI Procedures
89
$17,801
$1,698
10.5×
5362
Level 2 Laparoscopy and Related Services
82
$43,164
$9,262
4.7×
5194
Level 4 Endovascular Procedures
71
$119,302
$15,208
7.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
67
$30,382
$2,543
11.9×
5114
Level 4 Musculoskeletal Procedures
64
$40,863
$6,349
6.4×
5113
Level 3 Musculoskeletal Procedures
58
$27,525
$2,895
9.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
49
$64,398
$5,811
11.1×
5223
Level 3 Pacemaker and Similar Procedures
46
$54,635
$9,666
5.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
42
$23,767
$3,074
7.7×
5116
Level 6 Musculoskeletal Procedures
41
$93,938
$16,845
5.6×
5232
Level 2 ICD and Similar Procedures
37
$207,023
$28,953
7.2×
5153
Level 3 Airway Endoscopy
36
$8,316
$1,503
5.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
32
$35,445
$3,453
10.3×
5414
Level 4 Gynecologic Procedures
32
$22,637
$2,832
8.0×
5192
Level 2 Endovascular Procedures
31
$41,947
$5,177
8.1×
5154
Level 4 Airway Endoscopy
29
$17,025
$3,299
5.2×
5431
Level 1 Nerve Procedures
28
$22,110
$1,749
12.6×
5112
Level 2 Musculoskeletal Procedures
28
$17,056
$1,373
12.4×
5213
Level 3 Electrophysiologic Procedures
24
$112,894
$21,459
5.3×
5182
Level 2 Vascular Procedures
24
$12,949
$1,451
8.9×
5415
Level 5 Gynecologic Procedures
23
$26,826
$4,505
6.0×
5376
Level 6 Urology and Related Services
19
$46,441
$8,344
5.6×
5313
Level 3 Lower GI Procedures
19
$26,868
$2,543
10.6×
5184
Level 4 Vascular Procedures
17
$44,878
$4,745
9.5×
5303
Level 3 Upper GI Procedures
14
$31,253
$3,469
9.0×
5331
Complex GI Procedures
11
$37,592
$5,162
7.3×
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
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 12/31/2025, template 3.0.0, 16,101 rows scanned, 2,693 distinct code–setting items kept. 1,926 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
14-3-3 Protein, CSF (Prion Disease)
$2,926
$585
$635
6
clean
CT CEREBRAL PERFUSION
$3,243
$649
$5,202
30
clean
VAS TRANSCATH PLACE INI VESSEL-BO
$983
$197
$7,946
7
clean
Case Level I
$4,608
$922
$7,999
7
clean
VAS ILIAC ATHERECTOMY SC
$19,883
$3,977
$7,973
6
clean
COVID-19/Flu/RSV
$757
$151
$635
6
clean
REMOVE/DEBULK INTRACARDIAC MASS TRANS CATH PERC
$27,360
$5,472
$22,487
7
clean
FNA BX W/O IMG GDN EA ADDL
$1,510
$302
$7,946
7
clean
USN FNA BX W/US 1ST LESION
$3,270
$654
$7,284
42
clean
USN FNA BX W/US EA ADD LESION
$1,652
$330
$6,798
49
clean
CT PERC DRAINAGE SOFT TISSUE
$3,473
$695
$7,284
28
clean
I andD ABSCESS SIMPLE/SINGLE
$439
$88
$6,798
112
clean
INCSN andDRNGE ABSCSS CMPlCTED/MLTPLE
$439
$88
$6,531
14
clean
INCISN and DRNGE PLONDL CYST SMPLE
$439
$88
$7,284
14
clean
I andD PILONIDAL CYST COMPLEX
$1,654
$331
$7,284
7
clean
INCISION andREMOVAL FB SUBQ TISS SMPL
$602
$120
$6,531
63
clean
INCISION andREMOVAL FB SUBQ TISS COMP
$3,047
$609
$7,946
14
clean
I andD HMATMA SEROMA/FLD COLLCTN
$3,478
$696
$7,946
56
clean
ASPIRATE ABSC/HEMAT/CYST
$373
$75
$6,531
49
clean
REMVL DMGD SKN AND UNDRLYNG TSSE
$1,371
$274
$6,531
21
clean
DEBRID WND BONE 1ST 20 SQ CM
$1,109
$222
$6,798
14
clean
PUNCH BX SKIN SINGLE LESION
$680
$136
$6,531
14
clean
Removal of Skin Tags up to 15 lesions
$904
$181
$6,798
7
clean
11719 Triming of nondystrophic nails
$288
$58
$6,798
14
clean
AVLSN NL PLTE PRTL/CMPLTE SMPLE 1
$196
$39
$6,798
126
clean
AVLSN NL PLTE PARTL/CMPLTE SMPL EA
$239
$48
$6,798
14
clean
EVACUATION SUBUNGUAL HEMATOMA
$1,096
$219
$6,798
105
clean
EXC INGRWN NAIL PART/COMPLET
$1,333
$267
$6,531
56
clean
REPAIR NAIL BED
$687
$137
$6,531
105
clean
RPR WND SPFCL <2.5 CM
$575
$115
$6,798
56
clean
REPAIR WOUND SPFCL 2.6-7.5CM
$629
$126
$6,798
70
clean
REPAIR WOUND SPFC 7.6-12.5CM
$636
$127
$6,798
21
clean
REPAIR WOUND SPFCL 12.6-20CM
$636
$127
$6,531
14
clean
REPAIR WOUND SPFCL 20.1-30CM
$453
$91
$6,531
7
clean
REPAIR WOUND SUPRFCL >30CM
$453
$91
$6,798
7
clean
SMPLE REPR F/E/E/N/L/M 2.5CM/<
$406
$81
$6,798
28
clean
SMPLE REPR F/E/E/N/L/M 2.6CM-5.0CM
$406
$81
$6,798
21
clean
SMPLE RPR F/E/E/N/L/M 5.1CM-7.5CM
$415
$83
$6,798
14
clean
SMPLE RPR F/E/E/N/L/M 7.6CM-12.5CM
$415
$83
$6,798
7
clean
SMPLE RPR F/E/E/N/L/M 12.6CM-20.0CM
$415
$83
$6,531
14
clean
REPAIR WOUND INTERMED <2.5CM
$453
$91
$6,531
14
clean
REPAIR WOUND INTERMED 2.6-7.5C
$870
$174
$6,531
27
clean
REPAIR WOUND INTERMED 7.6-12.5
$726
$145
$6,531
14
clean
REPAIR WOUND INTERMED 12.6-20
$636
$127
$6,531
14
clean
REPAIR WOUND INTERMED 20.1-30
$575
$115
$6,531
14
clean
REPAIR WOUND INTERMED >30CM
$575
$115
$8,565
6
clean
REPAIR WND HN FT NK INT <2.5CM
$295
$59
$6,531
14
clean
RPR INTRMDTE N/H/F/XTRNL GNT 2.6-7.5 CM
$295
$59
$6,531
7
clean
RPR INTRMDT F/E/E/N/L/M&/MUC 2.5 CM/<
$295
$59
$6,531
14
clean
RPR INTRMDT F/E/E/N/L/M and/MC 2.6-5.0 CM
$295
$59
$6,531
7
clean
RPR INTRMDT F/E/E/N/L/M and/MUC 5.1-7.5 CM
$295
$59
$6,531
7
clean
RPR INTRMDT F/E/E/N/L/M and/MUC 7.6-12.5 CM
$415
$83
$6,531
14
clean
RPR INTRMDT F/E/E/N/L/M and/MUC 12.6-20.0CM
$1,098
$220
$6,531
7
clean
REPAIR COMPLEX TRUNK 2.6 CM-7.5 CM
$453
$91
$7,108
6
clean
RPR CMPLX SCLP/ARM/LEG 1.1 CM-2.5 CM
$482
$96
$7,108
12
clean
RPR CMPLX SCALP/ARM/LEG 2.6 CM-7.5 CM
$575
$115
$6,531
21
clean
RPR CMPLX SCALP/ARM/LEG EA 5 CM/<
$345
$69
$6,798
14
clean
RPR CMPLX F/C/C/M/N/AX/G/H/F 1.1CM-2.5CM
$272
$54
$6,531
14
clean
RPR CMPX F/C/C/M/N/AX/G/H/F2.6CM-7.5CM
$575
$115
$6,531
35
clean
RPR CMPLX F/C/C/M/N/AX/G/H/F EA5 CM/
$345
$69
$6,798
14
clean
REPR NS ER LP EYLD CLX 1.1-2.5
$453
$91
$6,531
7
clean
RPR CPLX EYELD/NSE/EAR/LIP 2.6-7.5CM
$453
$91
$7,108
12
clean
RPR CMPLX EYELD/NSE/ER/LP EA 5CM/<
$725
$145
$980
5
clean
SEC CLSR SRG WND/DHSN EXTNSVE/OMPLCTD
$3,174
$635
$8,565
6
clean
INTIL TX 1ST DEGRE BRN LCAL TX
$259
$52
$6,798
7
clean
DRS and/DBRDMT PRTL-THKNS BRNS 1ST/SBSQ SML
$468
$94
$6,798
28
clean
DRS and/DBRDMT PRTL-THKNS BRNS 1ST/SBSQ MDM
$485
$97
$6,798
7
clean
Destruct B9 Lesion, 1-14 AMB
$177
$35
$7,973
6
clean
CHEMICAL CAUTERY TISSUE
$602
$120
$6,798
7
clean
USN ASPIRATE CYST BREAST SC
$652
$130
$7,284
21
clean
CT BIOPSY NEEDLE SOFT TISSUE SC
$7,962
$1,592
$7,946
21
clean
CT BIOPSY BONE SUPERFICIAL SC
$7,962
$1,592
$6,798
14
clean
VAS BIOPSY BONE DEEP
$3,255
$651
$7,946
14
clean
DIA INJ SINUS TRACT SC
$779
$156
$6,798
7
clean
REMVAL FRGN BODY MSCLE/TNDN SHTH SMPLE
$873
$175
$980
5
clean
INJ TRIGGER POINT 1/2 MUSC
$1,411
$282
$7,973
12
clean
ASPIRATE JOINT SMALL
$756
$151
$7,973
18
clean
ARTHRCNTES ASPIR and/INJCTN INTRM JT/BRSA
$539
$108
$6,798
21
clean
ARTHRCNTES ASPR and/INJCTN MJR JT/BRS
$539
$108
$6,798
34
clean
DIA ARTHROCENTESIS MAJOR JOINT SC W/US
$1,319
$264
$7,399
24
clean
CT ABLATE BONE TUMORS RADIO PERC SC
$33,619
$6,724
$7,999
7
clean
TX FX NOSE WO STABILIZE
$1,335
$267
$980
5
clean
CLSD TX TMPRMNDBLR DSLCATN 1ST/SBSQ
$357
$71
$6,798
21
clean
I andD NECK/THORAX ABSC/HEMA DEEP
$2,191
$438
$7,973
6
clean
TX FX VERT W/BRACE
$226
$45
$980
5
clean
VAS VERTEBROPLASTY LUMBOSACRAL
$8,357
$1,671
$7,999
7
clean
VAS VERTEBRAL AUGMENT THORACIC-BO
$9,054
$1,811
$7,999
7
clean
VAS VERTEBRAL AUGMENT LUMBAR-BO
$9,054
$1,811
$7,999
7
clean
VAS VERTEBRAL AUGMENT ADD-BO
$4,180
$836
$6,798
7
clean
DIA INJ FOR ARTHROGRAM SHOULDER SC
$1,719
$344
$6,798
21
clean
TX FX CLAVICLE W/MANIP
$2,557
$511
$980
5
clean
TX FX SCAPULA W/MANIP
$238
$48
$1,089
18
clean
TX FX HUMRS PROX W/MAN
$4,383
$877
$7,973
18
clean
CLSD TX SHLDR DISLC W/MNPLTN W/O ANS
$503
$101
$6,798
28
clean
TX SHDR DISLC W/FX>HUMRL W/MAN
$957
$191
$6,798
14
clean
I andD ELBW/UPR ARM ABSC/HEM DEEP
$1,739
$348
$980
5
clean
TX FX HUMRL SHFT W/MAN
$442
$88
$6,798
21
clean
CLTX SPRCNDYLR/TRNSCNDYLR HMRL FX W/MNPJ
$1,009
$202
$6,798
28
clean
TX FX HUMERL EPICONDYL W/MAN
$231
$46
$980
10
clean
CLTX HUMERAL CONDLR FX MEDL/LATRL W/MNPJ
$847
$169
$7,973
6
clean
TREATMENT CLOSED ELBOW DSLCTN W/O ANES
$466
$93
$6,798
21
clean
CLX RDL HD SULXTJ CHLD NRSMD ELBW W/MNPJ
$450
$90
$6,798
28
clean
TX FX RAD HD/NCK W/ MAN
$334
$67
$6,798
7
clean
TX FX RADIAL SHAFT WO MAN
$853
$171
$980
10
clean
CLOSED TX RADIAL SHAFT FRCTRE W/MNPLTN
$969
$194
$6,798
28
clean
TX FX RAD SHFT/DSLOC RAD/UL JT
$288
$58
$7,973
12
clean
TX FX ULNA SHAFT WO MAN
$853
$171
$7,973
12
clean
TX FX RADIAL+ULNA SHAFT W/MAN
$1,463
$293
$6,798
35
clean
TX FX DISTAL RADIUS WO MANIP
$873
$175
$980
5
clean
TX FX DISTAL RADIUS W/MAN
$1,463
$293
$6,798
21
clean
TX DISLOC DSTL RAD W/MA
$811
$162
$6,798
14
clean
TX DISLOC LUNATE W/MAN
$1,382
$276
$1,019
12
clean
I andD FINGER ABSCESS SIMPLE
$453
$91
$6,798
91
clean
I andD FINGER ABSCESS COMPLEX
$2,415
$483
$7,973
18
clean
CLTX MTCRPL FX 1 W/MNPJ EA B1
$448
$90
$6,798
21
clean
26670 Closed Tx of carpometacarpal dislocation
$1,038
$208
$6,798
28
clean
TX METACAR DISLC W/MAN WO ANES
$453
$91
$6,798
14
clean
CLTX PHLNGL FX PRX/MDLE PX/F/T W/MPJ EA
$503
$101
$6,798
63
clean
TX FX KNUCKLE EA W/MAN
$226
$45
$6,798
28
clean
TX FX FNGR/THMB DISTAL W/MAN
$558
$112
$6,798
21
clean
CLTX IPHAL JT DISLC 1 W/MNPJ W/O ANES
$232
$46
$6,798
70
clean
26989 Unlisted procedure, hand or fingers
$1,037
$207
$6,798
14
clean
REMOVE FB PELVIS/HIP SUBQ
$873
$175
$7,973
6
clean
DIA INJ FOR ARTHROGRAM HIP W/O ANE
$525
$105
$6,798
7
clean
TX DISLOC HIP TRAUMTIC WO ANES
$343
$69
$6,798
28
clean
TX DISLOC HIP W/O MAN W/O ANES
$211
$42
$6,798
14
clean
TX HIP DISLOCATION W/O ANES
$1,227
$245
$6,798
28
clean
NJX CNTRST KNE ARTHG/CT/MRI
$695
$139
$7,973
6
clean
CLOSED TX FMRL SHFT FX W/O MNPLTN
$1,296
$259
$7,973
12
clean
TX FX FEM SUPR/TRNSCONDYL WO M
$291
$58
$980
5
clean
TX FX FEM SUPR/TRNSCONDYL W/MN
$265
$53
$980
5
clean
TX FX FEMUR DISTAL W/MAN
$1,463
$293
$6,798
7
clean
CLOSED TX KNEE DSLCTN W/O ANSTHSA
$318
$64
$6,798
21
clean
CLSD TX PTLR DSLCTN W/O ANSTHSA
$503
$101
$6,798
21
clean
CLTX TBL SHFT FX W/MNPJ +-SKL TRCJ
$3,514
$703
$7,946
21
clean
TX FX MEDIAL MALLEOLUS WO MAN
$396
$79
$6,798
7
clean
TX FX MEDIAL MALLEOLUS W/MAN
$1,757
$351
$7,946
14
clean
CLTX PROX FIBULA/SHFT FX W/MNPJ
$3,866
$773
$6,798
21
clean
CLTX DSTL FIBULAR FX LAT MALLS W/MNPJ
$318
$64
$6,798
21
clean
CLSD TX BIMLLLAR ANKLE FRCTRE W MNPJ
$1,463
$293
$6,798
21
clean
CLTX TRIMAL ANKLE FX W/MNPJ
$1,463
$293
$6,798
21
clean
TX FX TIBIA DISTAL W/MAN/TRACT
$3,514
$703
$7,946
14
clean
CLSD TX ANKLE DSLOCTN W/O ANSTHSA
$880
$176
$6,798
14
clean
REMVL FREGN BDY FOOT SBCTNS
$2,027
$405
$7,284
35
clean
TX FX TOE NOT GREAT EA W/MAN
$603
$121
$6,798
42
clean
TX DISLOC TALOTARSAL JOINT
$288
$58
$7,973
12
clean
TX DISLOC METATARSAL JT
$288
$58
$6,798
14
clean
CLTX IPHAL JT DISLC W/O ANES
$503
$101
$6,798
42
clean
APPLCTION LONG ARM SPLINT SHLDER HAND
$261
$52
$6,798
28
clean
APPLCTION SHRT ARM SPLNT FRARM-HND STTIC
$274
$55
$6,798
42
clean
APPLICATION SHORT ARM SPLINT DYNAMIC
$274
$55
$6,798
21
clean
APPLICATION FINGER SPLINT STATIC
$439
$88
$6,798
98
clean
APPLCTION LNG LEG SPLNT THGH ANKLE/TOES
$350
$70
$6,798
28
clean
APPLICATION SHORT LEG SPLINT CALF FOOT
$265
$53
$6,798
35
clean
DRAIN ABSCESS/HEMATOMA NASAL INTERNAL
$1,020
$204
$7,973
6
clean
REMOVAL FB INTRANASAL
$180
$36
$6,798
28
clean
CNTRL NSL HMRHGE ANTRR SMPLE
$345
$69
$6,798
28
clean
CTRL NSL HMRG PST NSL PCKS and/CAUT 1ST
$227
$45
$6,798
21
clean
INTBTN ENDTRCHL EMRGNCY PRCDRE
$567
$113
$6,798
14
clean
TRACH TUBE CHANGE-D
$1,174
$235
$6,798
14
clean
LARYNGOSCOPY FLEX DIAGNOSTIC
$202
$40
$6,798
7
clean
RT Bronch Diagnostic
$3,821
$764
$7,946
7
clean
RT Bronch Charges:Bronch Lavage
$3,275
$655
$7,946
7
clean
RT Bronch with endo biopsy
$5,937
$1,187
$7,946
7
clean
Bronchoscopy, rigid or flexible, including fluoroscopic guid
$1,861
$372
$7,946
21
clean
RT Bronch Charges:Bronch Therapeutic aspiration subsequent
$1,366
$273
$6,531
7
clean
CT BIOPSY NEEDLE PLEURA SC
$7,962
$1,592
$7,946
7
clean
CT LUNG/MEDIASTINUM BIOPSY
$7,374
$1,475
$7,946
28
clean
USN INSERT INDWELLING PLEURAL CATH SC
$5,222
$1,044
$7,999
21
clean
TUBE THORACOSTOMY INCLUDES WATER SEAL
$1,432
$286
$6,798
7
clean
VAS REMOVAL PLEURAL CATHETER
$2,786
$557
$7,685
13
clean
THORACENT NDL/CATH W/O IMAGING
$881
$176
$7,685
5
clean
USN THORACENTESIS NEEDLE/CATH
$1,167
$233
$6,531
21
clean
CT CHEST TUBE INSERT W/IMAG-BO
$4,406
$881
$6,798
42
clean
CT CHEST TUBE CHANGE
$3,495
$699
$6,531
7
clean
33016 Pericardiocentesis, incl imag guid
$7,666
$1,533
$7,999
21
clean
EPS INS ATRIAL ONLY - EPS
$13,119
$2,624
$21,463
12
clean
EPS INS PACER-VENTRICLE ONLY - EPS
$22,599
$4,520
$23,203
7
clean
EPS INS PACER-ATRIAL/VENTRICLE - EPS
$26,943
$5,389
$23,203
14
clean
INSERT TEMPORARY PACER - CLR
$13,906
$2,781
$22,487
7
clean
EPS REPOSITION SINGLE LEAD - EPS
$6,953
$1,391
$19,722
7
clean
EPS INS SNGL LEAD PCR OR ICD - EPS
$10,142
$2,028
$22,487
7
clean
EPS INS DUAL LEAD PCR OR ICD - EPS
$14,486
$2,897
$23,203
5
clean
EPS ICD POCKET REVISION - EPS
$6,086
$1,217
$19,722
7
clean
EPS INS OF LV LEAD ONLY - EPS
$27,233
$5,447
$23,203
5
clean
EPS PLACMENT OF LV LEAD - EPS
$36,214
$7,243
$23,203
7
clean
EPS RMV PCR W/RPL PCR DUAL LD
$24,873
$4,975
$23,203
7
clean
EPS REMOVAL OF EXIST GENERATOR - EPS
$8,765
$1,753
$19,722
7
clean
EPS REM DUAL CHMBR SYS-PACER - EPS
$7,968
$1,594
$19,722
7
clean
EPS REM GENERATOR/LEADS-ICD - EPS
$5,360
$1,072
$21,463
6
clean
EPS SNGL CHMBR SYSTM IMPLANT - EPS
$95,316
$19,063
$23,203
14
clean
EPS RMV ICD W/RPL ICD SGL LD
$68,083
$13,617
$23,203
7
clean
EPS RMV ICD W/RPL ICD DUAL LD
$68,083
$13,617
$23,203
7
clean
EPS LEADLESS C PM INS/RPL VENTR
$82,035
$16,407
$23,203
14
clean
EPS IMPLANT LOOP RECORDER - EPS
$42,190
$8,438
$23,203
7
clean
LAA CLOSURE
$93,600
$18,720
$19,722
7
clean
EPS TAVR W/OPN FEM ART APPRCH
$46,875
$9,375
$19,722
7
clean
EPS TAVR W/OPN AXILLARY ART AP
$46,875
$9,375
$19,722
7
clean
VAS ENDO REPR TAA INCL L SUBCLV SC
$6,225
$1,245
$7,946
7
clean
VAS ENDO REPR TAA EXCL L SUBCLV SC
$5,079
$1,016
$7,946
7
clean

Showing the first 200 of 2,693 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
MS-DRG 121/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 123/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 124/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,214
MS-DRG 173/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 200/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 203/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 206/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 250/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 255/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 258/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 260/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $2,706
MS-DRG 270/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 271/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 272/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 277/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 278/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 289/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 300/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 301/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 302/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 305/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 306/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 307/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 309/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 310/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $845
MS-DRG 311/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 312/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 314/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 322/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,690
MS-DRG 323/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $3,719
MS-DRG 324/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,523
MS-DRG 329/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,603
MS-DRG 330/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 331/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 333/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,058
MS-DRG 350/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $6,933
MS-DRG 351/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $6,933
MS-DRG 352/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $6,933
MS-DRG 360/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $22,487
MS-DRG 370/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 371/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 390/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 391/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $16,900
MS-DRG 402/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,690
MS-DRG 409/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,603
MS-DRG 410/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 420/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,437
MS-DRG 421/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,437
MS-DRG 424/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,437
MS-DRG 430/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,437
MS-DRG 433/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,437
MS-DRG 434/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,437
MS-DRG 439/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $4,943
MS-DRG 440/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,437
MS-DRG 441/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,437
MS-DRG 444/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,437
MS-DRG 450/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $16,900
MS-DRG 479/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
CPT 97597/b
error
mrf_negotiated_above_max
a negotiated rate of $13,190 is above the file's own maximum $1,207
MS-DRG 480/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $3,719
MS-DRG 482/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $3,719
MS-DRG 483/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $3,719
MS-DRG 489/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $3,719
CPT 23575/b
error
mrf_negotiated_above_max
a negotiated rate of $21,626 is above the file's own maximum $1,207
MS-DRG 510/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 615/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $5,496
MS-DRG 618/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $5,496
MS-DRG 682/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 710/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 730/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,523
MS-DRG 740/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $2,029
MS-DRG 761/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
CPT 99284/b
error
mrf_negotiated_above_max
a negotiated rate of $5,749 is above the file's own maximum $4,943
MS-DRG 770/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 801/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 821/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 901/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 905/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 914/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 915/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 921/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,690
MS-DRG 940/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 948/i
error
mrf_negotiated_above_max
a negotiated rate of $22,975 is above the file's own maximum $1,207
MS-DRG 077/i
error
mrf_negotiated_below_min
a negotiated rate of $41 is below the file's own minimum $1,058
MS-DRG 078/i
error
mrf_negotiated_below_min
a negotiated rate of $41 is below the file's own minimum $1,058
MS-DRG 079/i
error
mrf_negotiated_below_min
a negotiated rate of $41 is below the file's own minimum $1,058
MS-DRG 615/i
error
mrf_negotiated_below_min
a negotiated rate of $1,058 is below the file's own minimum $3,672
CPT 59300/b
error
mrf_negotiated_below_min
a negotiated rate of $783 is below the file's own minimum $938
warn
mrf_negotiated_above_gross_systematic
1,288 of 2,217 comparable items (58%) 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 $6,933 exceeds the gross charge $3,243
CPT J9060/b
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 differ, so no cross-line comparison was made for this item
CPT J9071/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88341/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9073/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88342/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9075/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J9100/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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, min, max differ, so no cross-line comparison was made for this item
CPT 88348/b
info
mrf_item_fields_vary
this code and setting cover at least 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 C9764/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 88350/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9765/b
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 C9767/b
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 C9772/b
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 88374/b
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 differ, so no cross-line comparison was made for this item
CPT C9774/b
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 J9173/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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, min differ, so no cross-line comparison was made for this item
CPT J9177/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 89051/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9179/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 69210/b
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 differ, so no cross-line comparison was made for this item
CPT 80200/b
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 J9181/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 89220/b
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 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 80202/b
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 differ, so no cross-line comparison was made for this item
CPT 90471/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT G0237/b
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 J9201/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90472/b
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 differ, so no cross-line comparison was made for this item
CPT G0238/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 70140/b
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 differ, so no cross-line comparison was made for this item
CPT 90623/b
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 J9206/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, min differ, so no cross-line comparison was made for this item
CPT J9208/b
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 differ, so no cross-line comparison was made for this item
CPT 80323/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 85610/b
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 90656/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 36005/b
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 J9217/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT G0463/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, min, max 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, min differ, so no cross-line comparison was made for this item
CPT 36011/b
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 70250/b
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 differ, so no cross-line comparison was made for this item
CPT G0480/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36012/b
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 J9228/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 85670/b
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 differ, so no cross-line comparison was made for this item
CPT J9260/b
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 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 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 36140/b
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 J0132/b
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 J9264/b
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 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 70460/b
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 differ, so no cross-line comparison was made for this item
CPT J0133/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 36200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 86003/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, min, max differ, so no cross-line comparison was made for this item
CPT 70481/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86021/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0153/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 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, min differ, so no cross-line comparison was made for this item
CPT 36215/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 70486/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86022/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, min differ, so no cross-line comparison was made for this item
CPT 70487/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0165/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 36217/b
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 70488/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J0171/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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, min, max 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, min differ, so no cross-line comparison was made for this item
CPT 36221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 86052/b
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 70496/b
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 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, min differ, so no cross-line comparison was made for this item
CPT J9305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86141/b
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 differ, so no cross-line comparison was made for this item
CPT 36223/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 70540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86146/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 92921/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0282/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min 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, min differ, so no cross-line comparison was made for this item
CPT 36224/b
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 70543/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81279/b
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 differ, so no cross-line comparison was made for this item
CPT 86147/b
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 differ, so no cross-line comparison was made for this item
CPT J9309/b
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 differ, so no cross-line comparison was made for this item
CPT 70544/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT J0290/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 70546/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 86160/b
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 differ, so no cross-line comparison was made for this item
CPT 92950/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, min differ, so no cross-line comparison was made for this item
CPT J0295/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9312/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 36226/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J0360/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 70551/b
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 J9316/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 36227/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 70553/b
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 J0456/b
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 differ, so no cross-line comparison was made for this item
CPT 36228/b
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 71045/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, min, max differ, so no cross-line comparison was made for this item
CPT J9351/b
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 differ, so no cross-line comparison was made for this item
CPT 71046/b
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 differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,926 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. · csv-wide · 69.2M bytes · fetched 2026-08-26 · sha256 3389b651a0cc…

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.