Hospital · CCN 100319

Adventhealth Wesley Chapel

2600 Bruce B Downs Blvd, Wesley Chapel, FL 33544 · Pasco County
Part of AdventHealth · 169 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

59 admission types 50 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
6.79×
$158.2M billed against $23.3M paid across 1,836 Medicare discharges; the national figure is 5.03×.
3.8%
of adults in Pasco County have medical debt in collections
12.3%
uninsured in the county · state 13.9%
$72K
median household income
8.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (7 in the inpatient or outpatient file)ⓘ
31.8%
obesity in the countyⓘ
12.8%
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
224
$93,272
$14,705
6.3× st 7.2×
280
Acute myocardial infarction, discharged alive with mcc
87
$76,271
$11,527
6.6× st 7.3×
291
Heart failure and shock with mcc
83
$58,351
$9,512
6.1× st 6.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
73
$54,177
$7,114
7.6× st 7.5×
690
Kidney and urinary tract infections without mcc
71
$42,970
$7,198
6.0× st 6.6×
689
Kidney and urinary tract infections with mcc
62
$55,753
$8,975
6.2× st 6.4×
193
Simple pneumonia and pleurisy with mcc
62
$74,067
$10,310
7.2× st 7.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
50
$61,966
$9,874
6.3× st 7.0×
177
Respiratory infections and inflammations with mcc
46
$84,538
$11,705
7.2× st 6.5×
190
Chronic obstructive pulmonary disease with mcc
45
$59,560
$9,012
6.6× st 6.5×
378
Gastrointestinal hemorrhage with cc
39
$73,472
$8,083
9.1× st 7.4×
312
Syncope and collapse
39
$47,438
$6,673
7.1× st 7.6×
698
Other kidney and urinary tract diagnoses with mcc
38
$93,698
$11,475
8.2× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
37
$232,470
$32,237
7.2× st 7.5×
189
Pulmonary edema and respiratory failure
35
$72,898
$10,667
6.8× st 6.8×
603
Cellulitis without mcc
34
$40,664
$6,663
6.1× st 5.9×
281
Acute myocardial infarction, discharged alive with cc
33
$60,621
$6,981
8.7× st 8.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
32
$55,861
$10,504
5.3× st 6.7×
552
Medical back problems without mcc
32
$50,908
$8,549
6.0× st 7.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
31
$72,471
$8,839
8.2× st 8.9×
682
Renal failure with mcc
30
$68,360
$10,907
6.3× st 7.0×
377
Gastrointestinal hemorrhage with mcc
30
$107,392
$16,596
6.5× st 7.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
26
$62,083
$11,298
5.5× st 6.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
26
$66,383
$7,337
9.0× st 8.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
25
$211,151
$28,770
7.3× st 9.0×
309
Cardiac arrhythmia and conduction disorders with cc
25
$44,125
$6,263
7.0× st 6.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
24
$138,513
$15,863
8.7× st 9.7×
683
Renal failure with cc
24
$50,527
$8,165
6.2× st 6.7×
660
Kidney and ureter procedures for non-neoplasm with cc
23
$103,132
$13,218
7.8× st 8.1×
699
Other kidney and urinary tract diagnoses with cc
22
$53,590
$8,767
6.1× st 6.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
21
$106,205
$17,248
6.2× st 7.8×
313
Chest pain
19
$37,117
$7,596
4.9× st 7.3×
305
Hypertension without mcc
19
$37,451
$6,879
5.4× st 7.5×
194
Simple pneumonia and pleurisy with cc
19
$57,991
$6,975
8.3× st 6.9×
389
Gastrointestinal obstruction with cc
18
$48,461
$6,572
7.4× st 7.1×
454
Combined anterior and posterior spinal fusion with cc
18
$444,450
$75,482
5.9× st 6.4×
481
Hip and femur procedures except major joint with cc
17
$147,916
$14,260
10.4× st 8.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
17
$39,866
$5,946
6.7× st 6.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$94,165
$12,311
7.6× st 6.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
16
$140,788
$15,052
9.4× st 8.7×
308
Cardiac arrhythmia and conduction disorders with mcc
16
$77,497
$8,834
8.8× st 6.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
15
$159,117
$12,470
12.8× st 9.1×
394
Other digestive system diagnoses with cc
14
$68,066
$8,924
7.6× st 7.3×
659
Kidney and ureter procedures for non-neoplasm with mcc
14
$170,099
$22,868
7.4× st 6.9×
101
Seizures without mcc
14
$50,176
$8,683
5.8× st 7.2×
638
Diabetes with cc
14
$40,816
$8,033
5.1× st 6.5×
460
Spinal fusion except cervical without mcc
14
$279,431
$25,369
11.0× st 7.8×
472
Cervical spinal fusion with cc
14
$237,177
$30,112
7.9× st 7.1×
455
Combined anterior and posterior spinal fusion without cc/mcc
13
$347,984
$69,330
5.0× st 6.5×
637
Diabetes with mcc
13
$50,664
$14,264
3.6× st 6.8×
202
Bronchitis and asthma with cc/mcc
13
$62,222
$7,332
8.5× st 6.4×
178
Respiratory infections and inflammations with cc
12
$46,719
$7,544
6.2× st 6.4×
314
Other circulatory system diagnoses with mcc
12
$58,022
$14,192
4.1× st 5.9×
393
Other digestive system diagnoses with mcc
12
$74,797
$18,754
4.0× st 6.2×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
12
$72,994
$15,158
4.8× st 8.4×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$200,648
$38,602
5.2× st 6.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$34,741
$4,511
7.7× st 7.1×
812
Red blood cell disorders without mcc
11
$57,055
$8,014
7.1× st 6.3×
445
Disorders of the biliary tract with cc
11
$84,746
$8,221
10.3× st 7.9×
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
522
$32,512
$2,453
13.3×
5115
Level 5 Musculoskeletal Procedures
223
$120,937
$11,768
10.3×
5191
Level 1 Endovascular Procedures
123
$34,013
$2,939
11.6×
5361
Level 1 Laparoscopy and Related Services
118
$92,391
$5,193
17.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
115
$18,661
$1,448
12.9×
5114
Level 4 Musculoskeletal Procedures
64
$96,172
$6,480
14.8×
5302
Level 2 Upper GI Procedures
63
$34,102
$1,724
19.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
60
$26,804
$2,574
10.4×
5116
Level 6 Musculoskeletal Procedures
59
$157,809
$16,845
9.4×
5155
Level 5 Airway Endoscopy
55
$86,872
$6,200
14.0×
5373
Level 3 Urology and Related Services
54
$27,757
$1,845
15.0×
5193
Level 3 Endovascular Procedures
49
$99,633
$9,957
10.0×
5374
Level 4 Urology and Related Services
40
$51,080
$3,158
16.2×
5154
Level 4 Airway Endoscopy
36
$42,245
$3,392
12.5×
5113
Level 3 Musculoskeletal Procedures
34
$54,597
$2,863
19.1×
5153
Level 3 Airway Endoscopy
26
$27,421
$1,537
17.8×
5375
Level 5 Urology and Related Services
26
$58,809
$4,687
12.5×
5431
Level 1 Nerve Procedures
24
$37,008
$1,713
21.6×
5112
Level 2 Musculoskeletal Procedures
23
$34,102
$1,405
24.3×
5182
Level 2 Vascular Procedures
23
$19,146
$1,451
13.2×
5192
Level 2 Endovascular Procedures
22
$58,108
$5,178
11.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
20
$92,603
$3,134
29.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
18
$48,132
$3,453
13.9×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
18
$27,739
$2,117
13.1×
5183
Level 3 Vascular Procedures
18
$33,211
$2,887
11.5×
5223
Level 3 Pacemaker and Similar Procedures
17
$83,516
$9,666
8.6×
5303
Level 3 Upper GI Procedures
16
$35,600
$3,469
10.3×
5465
Level 5 Neurostimulator and Related Procedures
14
$248,928
$28,046
8.9×
5414
Level 4 Gynecologic Procedures
12
$48,638
$2,832
17.2×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
11
$99,624
$5,907
16.9×
5362
Level 2 Laparoscopy and Related Services
11
$136,653
$9,319
14.7×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 13,540 rows scanned, 9,836 distinct code–setting items kept. 2,513 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$763
9
clean
Liver dis 10 assays w/ash
—
—
$534
9
clean
Liver dis 10 assays w/nash
—
—
$534
9
clean
Onco prst8 3 gene ur alg
—
—
$806
9
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,384
9
clean
Onc bladder mrna 209 gen alg
—
—
$3,699
9
clean
Onc thyr 10 microrna seq alg
—
—
$3,182
9
clean
Onc aml dna detcj/nondetcj
—
—
$263
9
clean
Glyca nuc mr spectrsc quan
—
—
$36
9
clean
Onc thyr dna&mrna 112 genes
—
—
$3,816
9
clean
Jak2 gene trgt seq alys
—
—
$129
9
clean
Rx metab advrs trgt seq alys
—
—
$787
9
clean
Tpmt nudt15 genes
—
—
$494
9
clean
Neuro csf prion prtn qual
—
—
$573
9
clean
Trgt gen seq dna 324 genes
—
—
$3,710
9
clean
B brgdrferi antb 5 prtn igm
—
—
$18
9
clean
HC CERBRAL PERFUSION STUDY, CT W/ CONTRAST
$4,408
$4,408
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$18
9
clean
Tbrf b grp antb 4 prtn igm
—
—
$16
9
clean
Tbrf b grp antb 4 prtn igg
—
—
$16
9
clean
Onc brst dux carc is 12 gene
—
—
$4,105
9
clean
Onc prst8 mrna 17 gene alg
—
—
$4,105
9
clean
Onc merkel cll carc srm quan
—
—
$342
9
clean
Onc merkel cll carc srm +/-
—
—
$342
9
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$27
9
clean
Antb tp total&rpr ia qual
—
—
$33
9
clean
Syfls tst nontreponemal antb
—
—
$19
9
clean
Candida species pnl amp prb
—
—
$151
9
clean
Ig paraprotein qual bld/ur
—
—
$46
9
clean
Onc lng 5 clin rsk factr alg
—
—
$3,731
9
clean
Onc mlnma prame & linc00518
—
—
$806
9
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,067
9
clean
Hered colon ca do 15 genes
—
—
$1,849
9
clean
Neph ckd mult eclia tum nec
—
—
$1,007
9
clean
Gstr emptg 7 timed brth spec
—
—
$927
9
clean
Cool Quant Sensory Test
—
—
$65
9
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,247
9
clean
Iadi 16s&18s rrna genes
—
—
$378
9
clean
Trnsplj don-drv cll-fr dna
—
—
$2,918
9
clean
Crd ceramides liq chrom plsm
—
—
$89
9
clean
Hered brst ca rltd do panel
—
—
$1,382
9
clean
Nfct bct fng prst dna >1000
—
—
$2,254
9
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$119
9
clean
Liver ds 10 biochem asy srm
—
—
$534
9
clean
Onc sld tum alys brca1 brca2
—
—
$3,212
9
clean
Onc solid tumor 30 prtn trgt
—
—
$1,384
9
clean
Perq sacral augmt unilat inj
—
—
$8,032
9
clean
Perq sacral augmt bilat inj
—
—
$8,032
9
clean
Post vert arthrplst 1 lumbar
—
—
$14,212
9
clean
HC BIOFIRE RESP PNL 22 TARGETS INCLUDING SARSCOV2
$1,773
$1,773
—
0
clean
Nfct ds 22 trgt sars-cov-2
—
—
$442
9
clean
Neuro alzheimer cell aggregj
—
—
$2,348
9
clean
Clear eyelid gland w/heat
—
—
$147
9
clean
Trluml perip athrc brchiocph
—
—
$12,779
9
clean
Trluml perip athrc iliac art
—
—
$20,292
9
clean
HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH
$27,537
$27,537
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$3,710
9
clean
Trgt gen seq alys pnl 55-74
—
—
$5,300
9
clean
Onc thyr mut alys 10 gen&37
—
—
$1,342
9
clean
Onc sld org neo dna 505 gene
—
—
$3,095
9
clean
Tempr
—
—
$142
9
clean
Onc lung mrna quan pcr 11&3
—
—
$4,105
9
clean
Onc brst dux carc 7 proteins
—
—
$5,761
9
clean
Crd cad alys 3 prtn plsm alg
—
—
$414
9
clean
Crd cv ds aly 4 prtn plm alg
—
—
$414
9
clean
Nfct ds bct quan antmcrb sc
—
—
$9
9
clean
Ai ds sle alys 8 igg autoant
—
—
$891
9
clean
Onc cutan sq cll ca mrna 40
—
—
$9,010
9
clean
Neph rna psttrnspl perph bld
—
—
$2,809
9
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,710
9
clean
Onc plsm cell do&myeloma id
—
—
$2,581
9
clean
Onc sld tum crcg tum cl slct
—
—
$2,581
9
clean
Trnscth renal symp denrv bil
—
—
$6,300
9
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$806
9
clean
Onc pan ca alys mrd plasma
—
—
$3,805
9
clean
Hep nafld semiq evl 28 lipid
—
—
$840
9
clean
Psyc genom alys pnl 15 gen
—
—
$1,416
9
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,416
9
clean
Rx metab/pcx dna 25 gen alys
—
—
$787
9
clean
Rx metab/pcx dna 27gen rx ia
—
—
$787
9
clean
RSA lower extr exam
—
—
$102
13
clean
Nfct ds bct/viral trail ip10
—
—
$276
9
clean
Oct brst/node i&r per spec
—
—
$1,651
4
clean
Apol1 risk variants
—
—
$145
9
clean
Onc orop 17 dna ddpcr alg
—
—
$1,908
9
clean
HC BIOELEC IMPEDANCE ANALYSIS WHOLE BODY SCAN
$305
$305
—
0
clean
BIA whole body
—
—
$32
9
clean
Neuro alys b-amyl 1-42&1-40
—
—
$276
9
clean
Onc prst8 ca alys all psa
—
—
$806
9
clean
Onc lung elisa 7 autoant alg
—
—
$891
9
clean
Onc urthl mrna 5 gen alg
—
—
$806
9
clean
Onc bldr 10 prb bldr ca
—
—
$951
9
clean
Onc bldr 10 prb recr bldr ca
—
—
$951
9
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$951
9
clean
Onc prst8 ca img alys 128
—
—
$749
9
clean
Tgsap sl or neo dna523&rna55
—
—
$3,486
9
clean
Onc nonsm cll lng ca 37 gen
—
—
$3,710
9
clean
Neu prksn msfl ?-syncln prtn
—
—
$573
9
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$211
9
clean
Gi baret esph dna mthyln aly
—
—
$1,860
9
clean
Collagen crosslinking cornea
—
—
$2,632
9
clean
Onc prst8 mrna 18 gen dre ur
—
—
$806
9
clean
Onc brst semiq meas thym kn
—
—
$342
9
clean
Onc lung flow cytmtry 5 mrk
—
—
$806
9
clean
Neph dbtc ckd mult eclia alg
—
—
$1,007
9
clean
Insj/rplc cardiac modulj sys
—
—
$34,745
9
clean
Onc sld tum dna 80 & rna 36
—
—
$3,095
9
clean
Psyc genom alys pnl 15 gen
—
—
$1,416
9
clean
Cv ds acs bld alg 5 yr score
—
—
$414
9
clean
Onc pan solid tum alys dna
—
—
$2,060
9
clean
Gi malabs aat calpro pncrtc
—
—
$65
9
clean
Gly rcptr alpha1 igg srm/csf
—
—
$39
9
clean
Klhl11 antb sr/csf asy qual
—
—
$39
9
clean
Onc prst8 5 dna reg mrk pcr
—
—
$806
9
clean
Rx metab advrs vrnt alys 25
—
—
$442
9
clean
Abltj perc lxtr/perph nrv
—
—
$2,162
9
clean
Neurflmnt lt chn ultrsens ia
—
—
$123
9
clean
Rmvl impltbl glucose sensor
—
—
$222
9
clean
Visual ep test for glaucoma
—
—
$142
9
clean
Onc sld tum bld/slv 648 gene
—
—
$4,770
9
clean
Hered prst8 ca gsap 23 genes
—
—
$1,382
9
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$818
9
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,868
9
clean
Ev fempop artl revsc
—
—
$12,779
9
clean
Near ifr 2img mibmn glnd i&r
—
—
$65
9
clean
Pattern erg w/i&r
—
—
$239
9
clean
Esw integ wnd hlg 1st wnd
—
—
$222
9
clean
HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$9,693
$9,693
—
0
clean
Antmc guide 3d print 1st gd
—
—
$145
13
clean
Evac meibomian glnd heat bi
—
—
$65
9
clean
Insj/rplcmt icds ss eltrd
—
—
$34,745
9
clean
HC INS/REPL ICDS W/ SUBSTERNAL ELECTRODE
$29,998
$29,998
—
0
clean
Abltj mal brst tum perq crtx
—
—
$4,334
9
clean
Ncntc r-t fluor wnd img 1st
—
—
$253
13
clean
Ire abltj 1+tum organ perq
—
—
$11,767
9
clean
Ire abltj 1+tumors open
—
—
$11,767
9
clean
Rem oct rta techl sprt min 8
—
—
$62
4
clean
Perq njx algc fluor lmbr 1st
—
—
$14,212
9
clean
Perq njx algc ct lmbr 1st
—
—
$14,212
9
clean
Ct breast w/3d bi c-/c+
—
—
$408
13
clean
Tcat rmvl/dblk icar mas perq
—
—
$6,300
9
clean
Insj gtube perq mag gastrpxy
—
—
$2,124
9
clean
Quan mr alys tiss w/o mri
—
—
$1,010
13
clean
Egd flx transnasal tube/cath
—
—
$4,268
9
clean
Tprnl focal abltj mal prst8
—
—
$5,935
9
clean
Elec impd spectrsc 1+skn les
—
—
$69
13
clean
Abltj b9 thyr ndul perq lasr
—
—
$1,828
9
clean
Histotripsy mal hepatcel tis
—
—
$37,206
13
clean
Njx b1 sub mtrl sbchdrl dfct
—
—
$3,622
9
clean
Instlj fecal microbiota ssp
—
—
$147
9
clean
Rem mlt day uroflow setup
—
—
$147
9
clean
Rem mlt day uroflow dev sply
—
—
$142
9
clean
Opn insj/rplcmt ins ptn subq
—
—
$21,475
9
clean
Opn insj/rplcmt ins ptn subf
—
—
$21,475
9
clean
Revj/rmvl ins ptn subq
—
—
$3,870
9
clean
Low ntsty eswt corpus cvrnsm
—
—
$277
9
clean
Quan mri alys brn w/dx mri
—
—
$279
13
clean
N-invas prst8 cancer est map
—
—
$951
9
clean
Fna bx w/us gdn 1st les
—
—
$784
9
clean
HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
$5,548
$5,548
—
0
clean
HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL
$5,979
$5,979
—
0
clean
Fna bx w/fluor gdn 1st les
—
—
$784
9
clean
HC FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION
$8,219
$8,219
—
0
clean
Fna bx w/ct gdn 1st les
—
—
$784
9
clean
Fna bx w/mr gdn 1st les
—
—
$784
9
clean
Fna w/o image
—
—
$450
9
clean
Guide cathet fluid drainage
—
—
$784
9
clean
HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE
$5,322
$5,322
—
0
clean
Perq dev soft tiss 1st imag
—
—
$784
9
clean
HC PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE
$2,280
$2,280
—
0
clean
Acne surgery
—
—
$222
9
clean
HC DRAIN SKIN ABSCESS SIMPLE
$1,047
$1,047
—
0
clean
Drainage of skin abscess
—
—
$222
9
clean
Drainage of skin abscess
—
—
$450
9
clean
HC DRAIN SKIN ABSCESS COMPLIC
$1,276
$1,276
—
0
clean
Drainage of pilonidal cyst
—
—
$784
9
clean
HC DRAIN PILONIDAL CYST SIMPL
$7,166
$7,166
—
0
clean
HC DRAIN PILONIDAL CYST COMPLIC
$7,166
$7,166
—
0
clean
Drainage of pilonidal cyst
—
—
$784
9
clean
Remove foreign body
—
—
$450
9
clean
HC REMOVE FOREIGN BODY SIMPLE
$4,244
$4,244
—
0
clean
HC REMOVE FOREIGN BODY COMPLIC
$16,444
$16,444
—
0
clean
Remove foreign body
—
—
$1,828
9
clean
HC DRAINAGE OF HEMATOMA/FLUID
$5,187
$5,187
—
0
clean
Drainage of hematoma/fluid
—
—
$1,828
9
clean
HC PUNCTURE DRAINAGE OF LESION
$1,276
$1,276
—
0
clean
Puncture drainage of lesion
—
—
$450
9
clean
Complex drainage wound
—
—
$3,215
9
clean
Debride infected skin
—
—
$450
9
clean
Debride skin at fx site
—
—
$784
9
clean
Debride skin musc at fx site
—
—
$784
9
clean
Deb skin bone at fx site
—
—
$3,215
9
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM
$2,506
$2,506
—
0
clean
Deb subq tissue 20 sq cm/<
—
—
$450
9
clean
Deb musc/fascia 20 sq cm/<
—
—
$818
9
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,=<20 SQ CM
$1,979
$1,979
—
0
clean
Deb bone 20 sq cm/<
—
—
$1,828
9
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,=<20 SQ CM
$6,407
$6,407
—
0
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM
$1,523
$1,523
—
0
clean
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,EACH ADD 20 SQ CM
$1,109
$1,109
—
0
clean

Showing the first 200 of 9,836 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
16,002 of 16,002 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 87177/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 J0290/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87181/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 J0295/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3105/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 82378/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 J0330/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 differ, so no cross-line comparison was made for this item
CPT J3111/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 87186/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 J0360/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3230/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0456/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85306/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 87206/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 J0461/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3260/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82465/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 87207/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0500/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 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 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87210/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 J0561/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 J3360/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82525/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 J3370/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0612/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3372/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77063/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82542/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 J0640/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77065/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0665/b
info
mrf_item_fields_vary
this code and setting cover at least 48 distinct chargemaster lines (modifier, billing class or unit); their gross, cash 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 differ, so no cross-line comparison was made for this item
CPT 77066/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82553/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 J3420/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77067/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 85576/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0690/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3430/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87385/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 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, cash differ, so no cross-line comparison was made for this item
CPT J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3475/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0702/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 J3480/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3489/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0735/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3490/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0736/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87476/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 J7030/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85732/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0737/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7042/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0744/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86003/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 J7060/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82670/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0780/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86008/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 87491/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 J7070/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0881/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7120/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87496/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0885/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86022/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7121/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0895/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7131/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0897/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87505/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1010/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7321/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82784/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86041/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1030/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87517/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 86042/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 J7325/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82787/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1050/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87529/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1071/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1100/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7517/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1120/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82945/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7613/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82947/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87591/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7620/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86160/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1170/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87624/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 J9000/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1171/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82977/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 J9017/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87633/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1200/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9022/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9025/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86235/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1250/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83013/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 86255/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1265/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87661/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86256/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9041/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86258/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 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1308/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9045/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87799/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1327/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9055/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1335/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9060/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83090/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86317/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87899/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96372/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1442/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9065/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86331/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 J1447/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83516/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80164/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 83519/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86335/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9145/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83520/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1459/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9171/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88112/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1561/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86341/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1568/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9181/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88142/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1569/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9190/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1580/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9201/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86364/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1596/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9206/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83655/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1630/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9227/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83695/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88230/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1642/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9228/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86431/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9263/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86580/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 50 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9267/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86592/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1652/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9271/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83835/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86593/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1740/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80299/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1742/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9280/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86606/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80307/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9299/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86611/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1756/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80320/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 J1790/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86617/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80323/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1805/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1808/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80335/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 83986/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9316/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1836/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,513 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 445
info
inp_charge_10x_payment
average charge $84,746 is 10.3× the total payment
MS-DRG 460
info
inp_charge_10x_payment
average charge $279,431 is 11.0× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $159,117 is 12.8× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $147,916 is 10.4× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 25.4M bytes · fetched 2026-08-23 · sha256 86f9af197d20…

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.