Hospital · CCN 100168
Boca Raton Regional Hospital
800 Meadows Rd, Boca Raton, FL 33486 · Palm Beach County
Part of Baptist Health South Florida · 361 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
164 admission types 57 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
6.28×
$549.2M billed against $87.4M paid across 6,686 Medicare discharges; the national figure is 5.03×.
3.2%
of adults in Palm Beach County have medical debt in collections
16.3%
uninsured in the county · state 13.9%
$85K
median household income
9.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (12 in the inpatient or outpatient file)ⓘ
26.6%
obesity in the countyⓘ
13.7%
diagnosed diabetes (PLACES)
7.9%
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
385
$89,909
$14,446
6.2× st 7.2×
291
Heart failure and shock with mcc
348
$51,134
$9,676
5.3× st 6.3×
177
Respiratory infections and inflammations with mcc
252
$69,877
$12,587
5.6× st 6.5×
690
Kidney and urinary tract infections without mcc
221
$32,808
$6,087
5.4× st 6.6×
193
Simple pneumonia and pleurisy with mcc
193
$54,651
$10,138
5.4× st 7.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
174
$36,885
$6,147
6.0× st 7.5×
603
Cellulitis without mcc
155
$29,052
$6,701
4.3× st 5.9×
689
Kidney and urinary tract infections with mcc
139
$49,205
$8,847
5.6× st 6.4×
378
Gastrointestinal hemorrhage with cc
139
$45,267
$7,766
5.8× st 7.4×
312
Syncope and collapse
129
$38,109
$6,747
5.6× st 7.6×
274
Percutaneous and other intracardiac procedures without mcc
113
$176,508
$24,085
7.3× st 7.5×
194
Simple pneumonia and pleurisy with cc
111
$35,586
$6,398
5.6× st 6.9×
309
Cardiac arrhythmia and conduction disorders with cc
97
$34,040
$5,820
5.8× st 6.9×
683
Renal failure with cc
89
$39,210
$6,948
5.6× st 6.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
86
$47,749
$7,885
6.1× st 7.0×
178
Respiratory infections and inflammations with cc
84
$43,436
$7,679
5.7× st 6.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
83
$32,048
$6,015
5.3× st 6.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
76
$304,228
$38,535
7.9× st 7.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
74
$68,161
$10,479
6.5× st 6.7×
481
Hip and femur procedures except major joint with cc
72
$101,642
$15,472
6.6× st 8.8×
190
Chronic obstructive pulmonary disease with mcc
66
$66,691
$8,726
7.6× st 6.5×
308
Cardiac arrhythmia and conduction disorders with mcc
65
$56,282
$9,423
6.0× st 6.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
63
$253,762
$41,396
6.1× st 7.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
62
$68,417
$7,569
9.0× st 8.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
61
$25,335
$4,283
5.9× st 7.1×
280
Acute myocardial infarction, discharged alive with mcc
61
$77,198
$11,840
6.5× st 7.3×
389
Gastrointestinal obstruction with cc
60
$32,516
$6,293
5.2× st 7.1×
682
Renal failure with mcc
58
$69,245
$10,299
6.7× st 7.0×
330
Major small and large bowel procedures with cc
58
$116,787
$17,739
6.6× st 8.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
58
$106,112
$16,043
6.6× st 8.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
58
$127,170
$13,854
9.2× st 9.7×
698
Other kidney and urinary tract diagnoses with mcc
57
$69,097
$11,841
5.8× st 6.7×
699
Other kidney and urinary tract diagnoses with cc
56
$38,227
$7,627
5.0× st 6.1×
329
Major small and large bowel procedures with mcc
55
$200,753
$34,140
5.9× st 7.5×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
54
$333,519
$48,931
6.8× st 6.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
52
$94,573
$14,585
6.5× st 7.8×
812
Red blood cell disorders without mcc
49
$41,240
$7,086
5.8× st 6.3×
394
Other digestive system diagnoses with cc
48
$41,597
$7,158
5.8× st 7.3×
552
Medical back problems without mcc
45
$40,069
$7,470
5.4× st 7.8×
377
Gastrointestinal hemorrhage with mcc
45
$75,394
$13,557
5.6× st 7.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
44
$67,702
$8,300
8.2× st 8.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
43
$73,681
$10,746
6.9× st 6.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
41
$121,769
$14,385
8.5× st 9.1×
069
Transient ischemia without thrombolytic
40
$46,750
$6,151
7.6× st 10.3×
331
Major small and large bowel procedures without cc/mcc
39
$94,455
$13,036
7.2× st 8.7×
057
Degenerative nervous system disorders without mcc
38
$95,344
$10,118
9.4× st 6.1×
202
Bronchitis and asthma with cc/mcc
37
$39,930
$7,689
5.2× st 6.4×
536
Fractures of hip and pelvis without mcc
34
$33,843
$6,168
5.5× st 7.4×
390
Gastrointestinal obstruction without cc/mcc
34
$30,904
$4,538
6.8× st 7.0×
445
Disorders of the biliary tract with cc
33
$79,240
$8,394
9.4× st 7.9×
195
Simple pneumonia and pleurisy without cc/mcc
33
$28,393
$4,870
5.8× st 6.0×
638
Diabetes with cc
32
$39,440
$6,729
5.9× st 6.5×
660
Kidney and ureter procedures for non-neoplasm with cc
32
$67,827
$10,405
6.5× st 8.1×
025
Craniotomy and endovascular intracranial procedures with mcc
32
$204,178
$32,368
6.3× st 7.4×
468
Revision of hip or knee replacement without cc/mcc
31
$106,780
$21,466
5.0× st 7.2×
467
Revision of hip or knee replacement with cc
31
$163,182
$24,404
6.7× st 7.7×
313
Chest pain
31
$33,503
$5,534
6.1× st 7.3×
602
Cellulitis with mcc
31
$51,231
$11,101
4.6× st 5.9×
314
Other circulatory system diagnoses with mcc
30
$77,715
$16,353
4.8× st 5.9×
092
Other disorders of nervous system with cc
30
$46,480
$7,708
6.0× st 6.9×
455
Combined anterior and posterior spinal fusion without cc/mcc
29
$305,908
$45,748
6.7× st 6.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
29
$110,137
$18,482
6.0× st 7.0×
480
Hip and femur procedures except major joint with mcc
29
$146,875
$22,221
6.6× st 8.6×
189
Pulmonary edema and respiratory failure
28
$54,570
$9,563
5.7× st 6.8×
813
Coagulation disorders
28
$64,447
$12,115
5.3× st 5.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
27
$139,381
$21,319
6.5× st 7.3×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
27
$52,324
$8,004
6.5× st 8.4×
164
Major chest procedures with cc
27
$145,922
$20,421
7.1× st 7.4×
243
Permanent cardiac pacemaker implant with cc
27
$112,688
$16,828
6.7× st 8.0×
460
Spinal fusion except cervical without mcc
26
$181,851
$26,305
6.9× st 7.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
26
$88,430
$10,922
8.1× st 6.8×
444
Disorders of the biliary tract with mcc
26
$92,145
$12,601
7.3× st 7.0×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
26
$34,077
$6,412
5.3× st 7.1×
393
Other digestive system diagnoses with mcc
26
$65,228
$12,686
5.1× st 6.2×
435
Malignancy of hepatobiliary system or pancreas with mcc
25
$99,504
$14,353
6.9× st 6.9×
281
Acute myocardial infarction, discharged alive with cc
25
$54,678
$7,082
7.7× st 8.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
24
$212,987
$38,317
5.6× st 6.7×
163
Major chest procedures with mcc
24
$260,133
$39,160
6.6× st 6.9×
418
Laparoscopic cholecystectomy without c.d.e. with cc
24
$93,404
$12,714
7.3× st 9.6×
372
Major gastrointestinal disorders and peritoneal infections with cc
24
$39,293
$8,413
4.7× st 6.3×
315
Other circulatory system diagnoses with cc
23
$31,913
$7,232
4.4× st 6.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
23
$57,699
$5,446
10.6× st 8.8×
482
Hip and femur procedures except major joint without cc/mcc
23
$90,705
$12,706
7.1× st 8.1×
920
Complications of treatment with cc
23
$50,255
$7,983
6.3× st 5.3×
292
Heart failure and shock with cc
23
$40,054
$6,276
6.4× st 4.4×
948
Signs and symptoms without mcc
22
$40,227
$5,920
6.8× st 6.2×
305
Hypertension without mcc
22
$31,619
$5,889
5.4× st 7.5×
101
Seizures without mcc
22
$52,090
$6,682
7.8× st 7.2×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
22
$83,757
$16,609
5.0× st 7.3×
039
Extracranial procedures without cc/mcc
21
$46,511
$8,650
5.4× st 8.9×
244
Permanent cardiac pacemaker implant without cc/mcc
21
$94,545
$13,838
6.8× st 7.7×
472
Cervical spinal fusion with cc
20
$133,527
$22,039
6.1× st 7.1×
811
Red blood cell disorders with mcc
20
$61,866
$11,007
5.6× st 7.5×
242
Permanent cardiac pacemaker implant with mcc
20
$168,643
$24,704
6.8× st 7.7×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
20
$36,836
$6,338
5.8× st 6.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$196,272
$22,037
8.9× st 9.0×
439
Disorders of pancreas except malignancy with cc
19
$48,779
$6,751
7.2× st 6.8×
684
Renal failure without cc/mcc
19
$25,809
$4,732
5.5× st 5.6×
919
Complications of treatment with mcc
18
$67,336
$13,605
4.9× st 5.3×
643
Endocrine disorders with mcc
18
$57,422
$11,983
4.8× st 6.2×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
18
$32,098
$7,122
4.5× st 7.7×
454
Combined anterior and posterior spinal fusion with cc
18
$350,244
$59,214
5.9× st 6.4×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
18
$271,246
$44,436
6.1× st 7.1×
180
Respiratory neoplasms with mcc
18
$93,358
$14,564
6.4× st 7.2×
375
Digestive malignancy with cc
17
$39,535
$8,646
4.6× st 6.4×
273
Percutaneous and other intracardiac procedures with mcc
17
$251,438
$33,232
7.6× st 8.3×
379
Gastrointestinal hemorrhage without cc/mcc
17
$29,685
$5,009
5.9× st 6.3×
381
Complicated peptic ulcer with cc
17
$61,933
$8,398
7.4× st 6.6×
388
Gastrointestinal obstruction with mcc
17
$49,116
$9,902
5.0× st 6.6×
863
Postoperative and post-traumatic infections without mcc
17
$42,211
$7,749
5.4× st 5.9×
056
Degenerative nervous system disorders with mcc
17
$118,684
$16,323
7.3× st 5.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
16
$126,208
$18,845
6.7× st 8.6×
637
Diabetes with mcc
16
$71,679
$10,412
6.9× st 6.8×
917
Poisoning and toxic effects of drugs with mcc
16
$61,528
$11,272
5.5× st 6.0×
644
Endocrine disorders with cc
16
$50,178
$7,519
6.7× st 5.8×
100
Seizures with mcc
16
$118,388
$16,325
7.3× st 6.7×
254
Other vascular procedures without cc/mcc
16
$75,406
$13,018
5.8× st 7.6×
191
Chronic obstructive pulmonary disease with cc
16
$35,861
$6,711
5.3× st 7.1×
186
Pleural effusion with mcc
16
$71,426
$11,523
6.2× st 6.1×
326
Stomach, esophageal and duodenal procedures with mcc
16
$264,445
$43,598
6.1× st 5.8×
374
Digestive malignancy with mcc
16
$75,742
$15,212
5.0× st 5.3×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
15
$85,337
$10,128
8.4× st 10.0×
870
Septicemia or severe sepsis with mv >96 hours
15
$225,285
$47,498
4.7× st 6.6×
673
Other kidney and urinary tract procedures with mcc
15
$180,113
$29,264
6.2× st 5.7×
884
Organic disturbances and intellectual disability
14
$65,009
$14,506
4.5× st 5.5×
091
Other disorders of nervous system with mcc
14
$69,218
$11,704
5.9× st 6.9×
336
Peritoneal adhesiolysis with cc
14
$126,519
$17,906
7.1× st 6.5×
074
Cranial and peripheral nerve disorders without mcc
14
$86,333
$8,005
10.8× st 7.1×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
14
$30,908
$9,069
3.4× st 5.8×
386
Inflammatory bowel disease with cc
14
$35,413
$7,593
4.7× st 6.7×
033
Ventricular shunt procedures without cc/mcc
14
$122,029
$12,276
9.9× st 6.4×
179
Respiratory infections and inflammations without cc/mcc
14
$27,679
$5,911
4.7× st 6.1×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
14
$103,044
$17,959
5.7× st 9.0×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
13
$412,792
$62,373
6.6× st 8.9×
149
Dysequilibrium
13
$38,927
$5,698
6.8× st 8.8×
371
Major gastrointestinal disorders and peritoneal infections with mcc
13
$74,973
$13,735
5.5× st 5.2×
252
Other vascular procedures with mcc
13
$250,160
$37,057
6.8× st 7.2×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
13
$43,832
$8,103
5.4× st 6.6×
674
Other kidney and urinary tract procedures with cc
13
$115,346
$18,380
6.3× st 7.3×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
13
$70,529
$11,515
6.1× st 8.8×
304
Hypertension with mcc
13
$64,018
$9,326
6.9× st 6.3×
299
Peripheral vascular disorders with mcc
13
$52,528
$10,835
4.8× st 6.6×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
12
$97,570
$14,817
6.6× st 7.1×
436
Malignancy of hepatobiliary system or pancreas with cc
12
$56,504
$8,667
6.5× st 7.9×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
12
$99,611
$14,662
6.8× st 5.6×
864
Fever and inflammatory conditions
12
$35,017
$6,856
5.1× st 6.4×
466
Revision of hip or knee replacement with mcc
12
$261,970
$38,098
6.9× st 6.5×
438
Disorders of pancreas except malignancy with mcc
12
$63,435
$13,461
4.7× st 5.3×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
12
$126,854
$19,012
6.7× st 7.6×
253
Other vascular procedures with cc
12
$119,456
$20,987
5.7× st 7.4×
535
Fractures of hip and pelvis with mcc
12
$55,905
$10,148
5.5× st 6.6×
483
Major joint or limb reattachment procedures of upper extremities
12
$204,316
$20,076
10.2× st 9.4×
521
Hip replacement with principal diagnosis of hip fracture with mcc
12
$179,227
$24,841
7.2× st 7.7×
206
Other respiratory system diagnoses without mcc
12
$42,563
$7,141
6.0× st 6.8×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
11
$235,950
$38,212
6.2× st 7.6×
271
Other major cardiovascular procedures with cc
11
$134,253
$25,954
5.2× st 7.8×
270
Other major cardiovascular procedures with mcc
11
$309,826
$38,532
8.0× st 7.2×
269
Aortic and heart assist procedures except pulsation balloon without mcc
11
$109,248
$31,228
3.5× st 6.3×
165
Major chest procedures without cc/mcc
11
$132,342
$12,133
10.9× st 8.4×
166
Other respiratory system o.r. procedures with mcc
11
$114,097
$35,744
3.2× st 5.3×
205
Other respiratory system diagnoses with mcc
11
$96,883
$14,078
6.9× st 5.3×
395
Other digestive system diagnoses without cc/mcc
11
$33,684
$5,547
6.1× st 7.9×
840
Lymphoma and non-acute leukemia with mcc
11
$57,831
$21,383
2.7× st 4.8×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
11
$211,465
$23,255
9.1× st 8.0×
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
2,493
$20,403
$2,465
8.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
799
$11,042
$1,464
7.5×
5302
Level 2 Upper GI Procedures
533
$17,334
$1,713
10.1×
5191
Level 1 Endovascular Procedures
284
$34,962
$2,949
11.9×
5115
Level 5 Musculoskeletal Procedures
272
$81,297
$11,839
6.9×
5373
Level 3 Urology and Related Services
251
$25,334
$1,845
13.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
247
$18,823
$2,557
7.4×
5183
Level 3 Vascular Procedures
243
$17,065
$2,887
5.9×
5361
Level 1 Laparoscopy and Related Services
242
$50,611
$5,209
9.7×
5431
Level 1 Nerve Procedures
237
$13,202
$1,749
7.5×
5375
Level 5 Urology and Related Services
214
$33,804
$4,655
7.3×
5213
Level 3 Electrophysiologic Procedures
211
$203,688
$21,373
9.5×
5114
Level 4 Musculoskeletal Procedures
201
$56,766
$6,464
8.8×
5374
Level 4 Urology and Related Services
154
$26,326
$3,158
8.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
153
$37,815
$3,453
11.0×
5362
Level 2 Laparoscopy and Related Services
145
$77,813
$9,319
8.4×
5303
Level 3 Upper GI Procedures
141
$35,169
$3,437
10.2×
5192
Level 2 Endovascular Procedures
135
$48,878
$5,177
9.4×
5331
Complex GI Procedures
131
$56,203
$5,134
10.9×
5193
Level 3 Endovascular Procedures
129
$85,300
$9,957
8.6×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
129
$50,725
$5,907
8.6×
5182
Level 2 Vascular Procedures
114
$5,658
$1,451
3.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
78
$33,390
$3,134
10.7×
5313
Level 3 Lower GI Procedures
77
$21,917
$2,543
8.6×
5154
Level 4 Airway Endoscopy
75
$31,483
$3,392
9.3×
5113
Level 3 Musculoskeletal Procedures
74
$26,544
$2,932
9.1×
5184
Level 4 Vascular Procedures
70
$45,344
$4,907
9.2×
5223
Level 3 Pacemaker and Similar Procedures
63
$67,933
$9,666
7.0×
5116
Level 6 Musculoskeletal Procedures
47
$133,138
$16,845
7.9×
5465
Level 5 Neurostimulator and Related Procedures
42
$112,844
$28,046
4.0×
5194
Level 4 Endovascular Procedures
36
$116,912
$15,411
7.6×
5112
Level 2 Musculoskeletal Procedures
31
$16,071
$1,418
11.3×
5224
Level 4 Pacemaker and Similar Procedures
30
$142,566
$17,611
8.1×
5232
Level 2 ICD and Similar Procedures
29
$208,472
$29,712
7.0×
5464
Level 4 Neurostimulator and Related Procedures
28
$98,198
$19,120
5.1×
5415
Level 5 Gynecologic Procedures
25
$33,298
$4,506
7.4×
5462
Level 2 Neurostimulator and Related Procedures
24
$38,451
$5,990
6.4×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
24
$86,180
$8,537
10.1×
5414
Level 4 Gynecologic Procedures
23
$29,287
$2,832
10.3×
5376
Level 6 Urology and Related Services
22
$48,951
$8,343
5.9×
5155
Level 5 Airway Endoscopy
21
$59,100
$6,200
9.5×
5153
Level 3 Airway Endoscopy
19
$20,437
$1,538
13.3×
5211
Level 1 Electrophysiologic Procedures
17
$5,850
$1,078
5.4×
5372
Level 2 Urology and Related Services
16
$5,344
$619
8.6×
5627
Level 7 Radiation Therapy
14
$57,681
$7,054
8.2×
5212
Level 2 Electrophysiologic Procedures
14
$49,060
$6,765
7.3×
5461
Level 1 Neurostimulator and Related Procedures
13
$28,779
$3,082
9.3×
5463
Level 3 Neurostimulator and Related Procedures
12
$135,633
$12,322
11.0×
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5416
Level 6 Gynecologic 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-tall, last updated 2026-03-30, template 3.0.0, 443,817 rows scanned, 4,982 distinct code–setting items kept. 1,385 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Showing the first 200 of 4,982 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
CPT A9508/b
warn
mrf_negotiated_above_gross
highest negotiated rate $991 exceeds the gross charge $723
CPT A9551/b
warn
mrf_negotiated_above_gross
highest negotiated rate $686 exceeds the gross charge $550
CPT 81177/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 81178/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 81179/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 0001U/b
warn
mrf_negotiated_above_gross
highest negotiated rate $525 exceeds the gross charge $505
CPT 81180/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 0035U/b
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $73
CPT 81181/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 81182/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 81183/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 0528U/b
warn
mrf_negotiated_above_gross
highest negotiated rate $506 exceeds the gross charge $487
CPT 81184/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT J9055/b
warn
mrf_negotiated_above_gross
highest negotiated rate $82 exceeds the gross charge $71
CPT 86902/b
warn
mrf_negotiated_above_gross
highest negotiated rate $382 exceeds the gross charge $129
CPT 81208/b
warn
mrf_negotiated_above_gross
highest negotiated rate $145 exceeds the gross charge $139
CPT 86923/b
warn
mrf_negotiated_above_gross
highest negotiated rate $182 exceeds the gross charge $136
CPT J9266/b
warn
mrf_negotiated_above_gross
highest negotiated rate $29,561 exceeds the gross charge $14,351
CPT 81284/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 81286/b
warn
mrf_negotiated_above_gross
highest negotiated rate $259 exceeds the gross charge $249
CPT 81307/b
warn
mrf_negotiated_above_gross
highest negotiated rate $694 exceeds the gross charge $667
CPT L0150/b
warn
mrf_negotiated_above_gross
highest negotiated rate $138 exceeds the gross charge $88
CPT L1832/b
warn
mrf_negotiated_above_gross
highest negotiated rate $876 exceeds the gross charge $485
CPT L8501/b
warn
mrf_negotiated_above_gross
highest negotiated rate $167 exceeds the gross charge $83
CPT G0481/b
warn
mrf_negotiated_above_gross
highest negotiated rate $69 exceeds the gross charge $66
CPT 81343/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 81344/b
warn
mrf_negotiated_above_gross
highest negotiated rate $128 exceeds the gross charge $123
CPT 81351/b
warn
mrf_negotiated_above_gross
highest negotiated rate $658 exceeds the gross charge $633
CPT P9047/b
warn
mrf_negotiated_above_gross
highest negotiated rate $55 exceeds the gross charge $15
CPT J0475/b
warn
mrf_negotiated_above_gross
highest negotiated rate $188 exceeds the gross charge $63
CPT 37184/b
warn
mrf_negotiated_above_gross
highest negotiated rate $19,551 exceeds the gross charge $12,635
CPT 81412/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,571 exceeds the gross charge $1,511
CPT 81422/b
warn
mrf_negotiated_above_gross
highest negotiated rate $602 exceeds the gross charge $579
CPT 81511/b
warn
mrf_negotiated_above_gross
highest negotiated rate $138 exceeds the gross charge $133
CPT 41010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,655 exceeds the gross charge $1,361
CPT 81520/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,025 exceeds the gross charge $986
CPT 81539/b
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $190
CPT 42960/b
warn
mrf_negotiated_above_gross
highest negotiated rate $575 exceeds the gross charge $483
CPT 44500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $967 exceeds the gross charge $953
CPT 47555/b
warn
mrf_negotiated_above_gross
highest negotiated rate $6,905 exceeds the gross charge $6,761
CPT J1212/b
warn
mrf_negotiated_above_gross
highest negotiated rate $779 exceeds the gross charge $66
CPT 89240/b
warn
mrf_negotiated_above_gross
highest negotiated rate $56 exceeds the gross charge $8
CPT 75870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,368 exceeds the gross charge $2,502
CPT 75898/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,368 exceeds the gross charge $3,046
CPT 93610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,319 exceeds the gross charge $7,099
warn
mrf_rate_without_estimate
27,341 of 27,341 percentage/algorithm rates across 1,627 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 77334/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 83070/b
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 86631/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 99195/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 J2804/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 77336/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 83080/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, max differ, so no cross-line comparison was made for this item
CPT 86632/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99202/b
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 J2805/b
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 77338/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 83088/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 86635/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99203/b
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 J2820/b
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 77370/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 83090/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 86638/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 99204/b
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 J2850/b
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 77372/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 83150/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 86644/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99205/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 J2916/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 77373/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 83491/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, max differ, so no cross-line comparison was made for this item
CPT 86645/b
info
mrf_item_fields_vary
this code and setting cover at least 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 99211/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2919/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 77402/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 83497/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, max differ, so no cross-line comparison was made for this item
CPT 86651/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99212/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 J2997/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 77407/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 83498/b
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 86652/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99213/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 J3010/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 77412/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 83516/b
info
mrf_item_fields_vary
this code and setting cover at least 84 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 86653/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99214/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 J3030/b
info
mrf_item_fields_vary
this code and setting cover at least 14 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 77470/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 83519/b
info
mrf_item_fields_vary
this code and setting cover at least 50 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86654/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99215/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 J3095/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, max differ, so no cross-line comparison was made for this item
CPT 77767/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 83520/b
info
mrf_item_fields_vary
this code and setting cover at least 92 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 86658/b
info
mrf_item_fields_vary
this code and setting cover at least 14 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 99411/b
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 J3101/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, max differ, so no cross-line comparison was made for this item
CPT 77768/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 83521/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, max differ, so no cross-line comparison was made for this item
CPT 86665/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99429/b
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 J3105/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 77770/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 83525/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, max differ, so no cross-line comparison was made for this item
CPT 86666/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, max differ, so no cross-line comparison was made for this item
CPT A2004/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, max differ, so no cross-line comparison was made for this item
CPT J3243/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 77771/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 83529/b
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 86668/b
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 A2007/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3250/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 77772/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 83540/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, max differ, so no cross-line comparison was made for this item
CPT 86671/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, max differ, so no cross-line comparison was made for this item
CPT A4648/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3262/b
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 77778/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 83550/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, max differ, so no cross-line comparison was made for this item
CPT 86674/b
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 A6010/b
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 J3301/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 77799/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 83605/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 86677/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 A9270/b
info
mrf_item_fields_vary
this code and setting cover at least 1502 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 J3360/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78018/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83615/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86682/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3370/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78801/b
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 83655/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86689/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A9517/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 J3373/b
info
mrf_item_fields_vary
this code and setting cover at least 26 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78814/b
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 83664/b
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 86692/b
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 J3410/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 78815/b
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 83690/b
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 86694/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 A9572/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 J3411/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 79005/b
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 83695/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, max differ, so no cross-line comparison was made for this item
CPT 86695/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A9575/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, max differ, so no cross-line comparison was made for this item
CPT J3430/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 79101/b
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 83698/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 86696/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 A9579/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3465/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, max differ, so no cross-line comparison was made for this item
CPT 80048/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, max differ, so no cross-line comparison was made for this item
CPT 83700/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86698/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A9581/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, max differ, so no cross-line comparison was made for this item
CPT J3475/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 80053/b
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 83701/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, max differ, so no cross-line comparison was made for this item
CPT 86701/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, max differ, so no cross-line comparison was made for this item
CPT A9607/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 J3480/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 80061/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 83704/b
info
mrf_item_fields_vary
this code and setting cover at least 12 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 86702/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, max differ, so no cross-line comparison was made for this item
CPT C1602/b
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 J3486/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, max differ, so no cross-line comparison was made for this item
CPT 80074/b
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 83718/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, max differ, so no cross-line comparison was made for this item
CPT 86703/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 C1605/b
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 J3489/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80143/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83721/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86704/b
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 C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 2411 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 J3490/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 80150/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, max differ, so no cross-line comparison was made for this item
CPT 83735/b
info
mrf_item_fields_vary
this code and setting cover at least 13 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 86705/b
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 C1716/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 J3590/b
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 80155/b
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 83785/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 86706/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, max differ, so no cross-line comparison was made for this item
CPT C1717/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 J7165/b
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 80156/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, max differ, so no cross-line comparison was made for this item
CPT 83789/b
info
mrf_item_fields_vary
this code and setting cover at least 15 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 86707/b
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 C1721/b
info
mrf_item_fields_vary
this code and setting cover at least 28 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 J7169/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 80158/b
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
Showing the first 200 of 1,385 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 066
info
inp_charge_10x_payment
average charge $57,699 is 10.6× the total payment
MS-DRG 074
info
inp_charge_10x_payment
average charge $86,333 is 10.8× the total payment
MS-DRG 165
info
inp_charge_10x_payment
average charge $132,342 is 10.9× the total payment
MS-DRG 483
info
inp_charge_10x_payment
average charge $204,316 is 10.2× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Boca Raton Regional Hospital — standard charges file · FL · updated 2026-03-30· csv-tall · 8.0M bytes · fetched 2026-08-23 · sha256 bb2bd0f272e7…
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.