Hospital · CCN 100359

Sarasota Memorial Hospital - Venice

2600 Laurel Rd E, North Venice, FL 34275 · Sarasota County
Part of Sarasota Memorial Health Care System · 110 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

123 admission types 55 outpatient services price file: ok 2 Medicare-file findings
Billed per dollar paid, all admissions
6.27×
$282.6M billed against $45.1M paid across 5,111 Medicare discharges; the national figure is 5.03×.
1.9%
of adults in Sarasota County have medical debt in collections
13.5%
uninsured in the county · state 13.9%
$78K
median household income
6.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
29.2%
obesity in the countyⓘ
13.0%
diagnosed diabetes (PLACES)
9.4%
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
470
$64,149
$12,294
5.2× st 7.2×
291
Heart failure and shock with mcc
310
$40,981
$8,067
5.1× st 6.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
214
$35,961
$5,282
6.8× st 7.5×
690
Kidney and urinary tract infections without mcc
142
$32,147
$5,419
5.9× st 6.6×
177
Respiratory infections and inflammations with mcc
138
$46,919
$10,483
4.5× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
134
$43,162
$6,665
6.5× st 7.0×
193
Simple pneumonia and pleurisy with mcc
114
$49,717
$8,522
5.8× st 7.2×
190
Chronic obstructive pulmonary disease with mcc
106
$45,938
$7,226
6.4× st 6.5×
689
Kidney and urinary tract infections with mcc
105
$39,920
$7,571
5.3× st 6.4×
312
Syncope and collapse
104
$37,301
$5,805
6.4× st 7.6×
378
Gastrointestinal hemorrhage with cc
101
$43,843
$6,425
6.8× st 7.4×
309
Cardiac arrhythmia and conduction disorders with cc
92
$34,678
$4,977
7.0× st 6.9×
683
Renal failure with cc
88
$35,975
$5,888
6.1× st 6.7×
481
Hip and femur procedures except major joint with cc
86
$102,343
$13,298
7.7× st 8.8×
280
Acute myocardial infarction, discharged alive with mcc
86
$64,530
$10,263
6.3× st 7.3×
603
Cellulitis without mcc
77
$38,880
$5,841
6.7× st 5.9×
305
Hypertension without mcc
70
$34,754
$5,103
6.8× st 7.5×
281
Acute myocardial infarction, discharged alive with cc
65
$46,417
$6,002
7.7× st 8.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
61
$103,789
$14,252
7.3× st 8.7×
698
Other kidney and urinary tract diagnoses with mcc
61
$57,233
$10,381
5.5× st 6.7×
552
Medical back problems without mcc
60
$39,690
$6,274
6.3× st 7.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
60
$34,229
$5,315
6.4× st 6.9×
194
Simple pneumonia and pleurisy with cc
59
$38,147
$5,653
6.7× st 6.9×
308
Cardiac arrhythmia and conduction disorders with mcc
59
$37,851
$7,982
4.7× st 6.6×
699
Other kidney and urinary tract diagnoses with cc
58
$33,973
$6,499
5.2× st 6.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
55
$51,848
$6,570
7.9× st 8.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
54
$117,544
$12,735
9.2× st 9.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
49
$41,587
$8,399
5.0× st 6.7×
178
Respiratory infections and inflammations with cc
49
$35,575
$6,235
5.7× st 6.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
47
$116,044
$12,536
9.3× st 9.1×
682
Renal failure with mcc
46
$54,836
$9,561
5.7× st 7.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
45
$149,082
$28,703
5.2× st 7.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
41
$54,703
$8,559
6.4× st 6.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
41
$32,697
$6,151
5.3× st 7.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
40
$27,369
$3,719
7.4× st 7.1×
189
Pulmonary edema and respiratory failure
40
$50,857
$8,159
6.2× st 6.8×
394
Other digestive system diagnoses with cc
40
$45,006
$6,241
7.2× st 7.3×
389
Gastrointestinal obstruction with cc
39
$36,626
$5,213
7.0× st 7.1×
069
Transient ischemia without thrombolytic
39
$44,053
$5,359
8.2× st 10.3×
948
Signs and symptoms without mcc
38
$33,431
$5,157
6.5× st 6.2×
313
Chest pain
38
$35,022
$4,827
7.3× st 7.3×
149
Dysequilibrium
37
$36,225
$5,048
7.2× st 8.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
36
$73,027
$11,591
6.3× st 7.8×
812
Red blood cell disorders without mcc
36
$38,372
$6,117
6.3× st 6.3×
282
Acute myocardial infarction, discharged alive without cc/mcc
35
$39,219
$4,974
7.9× st 9.0×
536
Fractures of hip and pelvis without mcc
34
$32,194
$5,084
6.3× st 7.4×
377
Gastrointestinal hemorrhage with mcc
32
$73,438
$11,470
6.4× st 7.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
31
$70,044
$7,258
9.7× st 8.9×
057
Degenerative nervous system disorders without mcc
31
$45,286
$8,481
5.3× st 6.1×
660
Kidney and ureter procedures for non-neoplasm with cc
30
$60,758
$9,043
6.7× st 8.1×
330
Major small and large bowel procedures with cc
29
$127,476
$15,941
8.0× st 8.5×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
28
$97,317
$13,411
7.3× st 7.3×
092
Other disorders of nervous system with cc
27
$42,634
$6,597
6.5× st 6.9×
638
Diabetes with cc
27
$35,369
$6,095
5.8× st 6.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
25
$91,665
$18,094
5.1× st 7.3×
864
Fever and inflammatory conditions
23
$42,258
$5,967
7.1× st 6.4×
811
Red blood cell disorders with mcc
23
$49,316
$9,313
5.3× st 7.5×
813
Coagulation disorders
21
$44,718
$10,400
4.3× st 5.7×
300
Peripheral vascular disorders with cc
21
$41,906
$6,969
6.0× st 6.3×
101
Seizures without mcc
21
$38,367
$5,990
6.4× st 7.2×
315
Other circulatory system diagnoses with cc
20
$37,980
$6,312
6.0× st 6.2×
242
Permanent cardiac pacemaker implant with mcc
20
$108,240
$20,766
5.2× st 7.7×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
20
$65,620
$7,069
9.3× st 8.4×
917
Poisoning and toxic effects of drugs with mcc
19
$53,982
$10,281
5.3× st 6.0×
884
Organic disturbances and intellectual disability
19
$33,846
$9,188
3.7× st 5.5×
202
Bronchitis and asthma with cc/mcc
19
$46,298
$6,406
7.2× st 6.4×
418
Laparoscopic cholecystectomy without c.d.e. with cc
19
$96,313
$10,840
8.9× st 9.6×
243
Permanent cardiac pacemaker implant with cc
19
$90,455
$15,184
6.0× st 8.0×
393
Other digestive system diagnoses with mcc
19
$56,027
$10,789
5.2× st 6.2×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
18
$50,817
$6,784
7.5× st 6.6×
372
Major gastrointestinal disorders and peritoneal infections with cc
18
$51,644
$6,899
7.5× st 6.3×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
18
$37,038
$6,936
5.3× st 7.7×
186
Pleural effusion with mcc
18
$61,258
$9,653
6.3× st 6.1×
480
Hip and femur procedures except major joint with mcc
18
$125,995
$17,665
7.1× st 8.6×
070
Other cerebrovascular disorders with mcc
18
$55,741
$9,722
5.7× st 6.3×
521
Hip replacement with principal diagnosis of hip fracture with mcc
17
$125,620
$18,476
6.8× st 7.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
17
$139,662
$18,546
7.5× st 9.0×
331
Major small and large bowel procedures without cc/mcc
17
$122,389
$11,208
10.9× st 8.7×
176
Pulmonary embolism without mcc
17
$37,688
$5,436
6.9× st 7.2×
195
Simple pneumonia and pleurisy without cc/mcc
17
$32,081
$4,118
7.8× st 6.0×
071
Other cerebrovascular disorders with cc
17
$47,585
$6,777
7.0× st 6.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
16
$79,160
$14,350
5.5× st 7.0×
229
Other cardiothoracic procedures without mcc
16
$247,791
$28,456
8.7× st 6.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
16
$57,226
$9,117
6.3× st 6.8×
432
Cirrhosis and alcoholic hepatitis with mcc
16
$67,771
$12,803
5.3× st 6.9×
551
Medical back problems with mcc
16
$51,835
$10,382
5.0× st 7.4×
482
Hip and femur procedures except major joint without cc/mcc
16
$84,494
$10,002
8.4× st 8.1×
920
Complications of treatment with cc
15
$39,757
$6,816
5.8× st 5.3×
244
Permanent cardiac pacemaker implant without cc/mcc
15
$91,187
$12,117
7.5× st 7.7×
445
Disorders of the biliary tract with cc
15
$42,885
$6,946
6.2× st 7.9×
329
Major small and large bowel procedures with mcc
15
$238,080
$32,757
7.3× st 7.5×
439
Disorders of pancreas except malignancy with cc
15
$39,318
$5,668
6.9× st 6.8×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
15
$33,791
$5,625
6.0× st 7.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
14
$41,228
$5,458
7.6× st 6.4×
862
Postoperative and post-traumatic infections with mcc
14
$93,010
$12,863
7.2× st 5.7×
379
Gastrointestinal hemorrhage without cc/mcc
14
$33,764
$4,292
7.9× st 6.3×
643
Endocrine disorders with mcc
14
$58,345
$10,680
5.5× st 6.2×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
13
$128,443
$14,213
9.0× st 7.6×
100
Seizures with mcc
13
$90,636
$12,160
7.5× st 6.7×
483
Major joint or limb reattachment procedures of upper extremities
13
$129,127
$17,053
7.6× st 9.4×
086
Traumatic stupor and coma <1 hour with cc
13
$54,568
$8,768
6.2× st 8.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
13
$90,036
$13,117
6.9× st 8.6×
390
Gastrointestinal obstruction without cc/mcc
13
$29,371
$3,776
7.8× st 7.0×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
13
$88,476
$9,921
8.9× st 8.8×
554
Bone diseases and arthropathies without mcc
13
$35,028
$5,554
6.3× st 6.5×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
13
$88,939
$8,834
10.1× st 10.0×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
13
$109,076
$15,672
7.0× st 8.8×
637
Diabetes with mcc
13
$57,121
$10,058
5.7× st 6.8×
388
Gastrointestinal obstruction with mcc
13
$63,100
$9,728
6.5× st 6.6×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
13
$128,855
$16,047
8.0× st 9.0×
602
Cellulitis with mcc
12
$62,534
$9,549
6.5× st 5.9×
283
Acute myocardial infarction, expired with mcc
12
$63,062
$13,151
4.8× st 5.5×
314
Other circulatory system diagnoses with mcc
12
$70,270
$13,580
5.2× st 5.9×
440
Disorders of pancreas except malignancy without cc/mcc
12
$33,174
$4,138
8.0× st 7.9×
091
Other disorders of nervous system with mcc
12
$46,358
$11,234
4.1× st 6.9×
191
Chronic obstructive pulmonary disease with cc
11
$29,660
$5,803
5.1× st 7.1×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
11
$47,764
$10,499
4.6× st 5.6×
271
Other major cardiovascular procedures with cc
11
$163,235
$23,189
7.0× st 7.8×
535
Fractures of hip and pelvis with mcc
11
$48,917
$7,866
6.2× st 6.6×
919
Complications of treatment with mcc
11
$57,682
$11,864
4.9× st 5.3×
644
Endocrine disorders with cc
11
$36,048
$6,740
5.3× st 5.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
11
$39,687
$4,654
8.5× st 8.8×
074
Cranial and peripheral nerve disorders without mcc
11
$38,967
$6,970
5.6× st 7.1×
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
873
$22,833
$2,469
9.2×
5115
Level 5 Musculoskeletal Procedures
378
$99,903
$11,906
8.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
362
$13,632
$1,459
9.3×
5374
Level 4 Urology and Related Services
269
$25,822
$3,140
8.2×
5375
Level 5 Urology and Related Services
264
$45,095
$4,669
9.7×
5191
Level 1 Endovascular Procedures
235
$34,783
$2,948
11.8×
5116
Level 6 Musculoskeletal Procedures
204
$117,226
$16,845
7.0×
5373
Level 3 Urology and Related Services
192
$16,163
$1,837
8.8×
5361
Level 1 Laparoscopy and Related Services
167
$48,827
$5,227
9.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
150
$18,479
$2,574
7.2×
5183
Level 3 Vascular Procedures
147
$21,454
$2,872
7.5×
5193
Level 3 Endovascular Procedures
113
$89,028
$9,957
8.9×
5182
Level 2 Vascular Procedures
113
$7,933
$1,451
5.5×
5114
Level 4 Musculoskeletal Procedures
94
$59,507
$6,425
9.3×
5223
Level 3 Pacemaker and Similar Procedures
84
$59,747
$9,666
6.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
69
$32,093
$3,134
10.2×
5222
Level 2 Pacemaker and Similar Procedures
59
$51,917
$7,696
6.7×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
44
$35,267
$3,453
10.2×
5194
Level 4 Endovascular Procedures
44
$140,594
$15,529
9.1×
5112
Level 2 Musculoskeletal Procedures
36
$21,424
$1,456
14.7×
5362
Level 2 Laparoscopy and Related Services
35
$100,833
$9,319
10.8×
5113
Level 3 Musculoskeletal Procedures
34
$39,275
$2,932
13.4×
5192
Level 2 Endovascular Procedures
33
$46,464
$5,178
9.0×
5302
Level 2 Upper GI Procedures
32
$13,490
$1,724
7.8×
5414
Level 4 Gynecologic Procedures
29
$27,432
$2,832
9.7×
5155
Level 5 Airway Endoscopy
29
$50,509
$6,200
8.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
28
$53,694
$5,907
9.1×
5232
Level 2 ICD and Similar Procedures
27
$200,500
$29,695
6.8×
5184
Level 4 Vascular Procedures
25
$42,718
$4,978
8.6×
5224
Level 4 Pacemaker and Similar Procedures
21
$125,532
$17,611
7.1×
5372
Level 2 Urology and Related Services
20
$13,678
$619
22.1×
5165
Level 5 ENT Procedures
19
$53,129
$5,305
10.0×
5464
Level 4 Neurostimulator and Related Procedures
17
$142,777
$19,767
7.2×
5313
Level 3 Lower GI Procedures
16
$25,021
$2,543
9.8×
5462
Level 2 Neurostimulator and Related Procedures
14
$20,253
$6,195
3.3×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
14
$91,271
$8,537
10.7×
5164
Level 4 ENT Procedures
12
$32,767
$2,916
11.2×
5154
Level 4 Airway Endoscopy
12
$20,453
$3,392
6.0×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 6/30/2026, template 3.0.0, 525,495 rows scanned, 20,745 distinct code–setting items kept. 3,859 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$720
18
clean
Liver dis 10 assays w/ash
—
—
$197
15
clean
Liver dis 10 assays w/nash
—
—
$197
15
clean
Onco prst8 3 gene ur alg
—
—
$760
18
clean
Anesth salivary gland
—
—
$16
8
clean
Anesth repair of cleft lip
—
—
$16
8
clean
Anesth blepharoplasty
—
—
$16
8
clean
Anesth electroshock
—
—
$16
8
clean
Anesth ear surgery
—
—
$16
8
clean
Anesth ear exam
—
—
$16
8
clean
Anesth tympanotomy
—
—
$16
8
clean
Onc mrna 5 gen rsk urthl ca
—
—
$760
18
clean
Onc mrna 5 gen recr urthl ca
—
—
$760
18
clean
Anesth procedures on eye
—
—
$16
8
clean
Anesth lens surgery
—
—
$16
8
clean
Anesth corneal transplant
—
—
$16
8
clean
Anesth vitreoretinal surg
—
—
$16
8
clean
Anesth iridectomy
—
—
$16
8
clean
Anesth eye exam
—
—
$16
8
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,305
18
clean
Anesth nose/sinus surgery
—
—
$16
8
clean
Anesth nose/sinus surgery
—
—
$16
8
clean
Anesth biopsy of nose
—
—
$16
8
clean
Onc bladder mrna 219 gen alg
—
—
$3,490
18
clean
Anesth procedure on mouth
—
—
$16
8
clean
Anesth cleft palate repair
—
—
$16
8
clean
Anesth pharyngeal surgery
—
—
$16
8
clean
Anesth pharyngeal surgery
—
—
$16
8
clean
Onc thyr 10 microrna seq alg
—
—
$3,002
18
clean
Anesth face/skull bone surg
—
—
$16
8
clean
Anesth facial bone surgery
—
—
$16
8
clean
Anesth cranial surg nos
—
—
$16
8
clean
Anesth cran surg hemotoma
—
—
$16
8
clean
Anesth skull drainage
—
—
$16
8
clean
Anesth skull drainage
—
—
$16
8
clean
Anesth skull repair/fract
—
—
$16
8
clean
Anesth head vessel surgery
—
—
$16
8
clean
Anesth special head surgery
—
—
$16
8
clean
Anesth intrcrn nerve
—
—
$16
8
clean
Anesth head nerve surgery
—
—
$16
8
clean
Onc aml dna detcj/nondetcj
—
—
$249
18
clean
Glyca nuc mr spectrsc quan
—
—
$34
18
clean
Onc thyr dna&mrna 112 genes
—
—
$3,600
18
clean
Jak2 gene trgt seq alys
—
—
$122
18
clean
Rx metab advrs trgt seq alys
—
—
$742
18
clean
Anesth head/neck/ptrunk
—
—
$16
8
clean
Anesth neck organ 1yr/>
—
—
$16
8
clean
Anesth biopsy of thyroid
—
—
$16
8
clean
Tpmt nudt15 genes
—
—
$466
18
clean
Anesth neck vessel surgery
—
—
$16
8
clean
Anesth neck vessel surgery
—
—
$16
8
clean
Neuro csf prion prtn qual
—
—
$541
18
clean
Trgt gen seq dna 324 genes
—
—
$3,500
18
clean
Anesth skin ext/per/atrunk
—
—
$16
8
clean
Anesth surgery of breast
—
—
$16
8
clean
Anesth surgery of breast
—
—
$16
8
clean
Anesth surgery of breast
—
—
$16
8
clean
Anesth correct heart rhythm
—
—
$16
8
clean
B brgdrferi antb 5 prtn igm
—
—
$17
18
clean
Ct perfusion w/contrast cbf
—
—
$223
8
clean
B brgdrferi antb 12 prtn igg
—
—
$17
18
clean
Tbrf b grp antb 4 prtn igm
—
—
$15
18
clean
Tbrf b grp antb 4 prtn igg
—
—
$15
18
clean
Anesth surgery of shoulder
—
—
$16
8
clean
Anesth collar bone biopsy
—
—
$16
8
clean
Onc brst dux carc is 12 gene
—
—
$3,873
18
clean
Anesth removal of rib
—
—
$16
8
clean
Anesth chest wall repair
—
—
$16
8
clean
Anesth surgery of rib
—
—
$16
8
clean
Onc prst8 mrna 17 gene alg
—
—
$3,873
18
clean
Anesth esophageal surgery
—
—
$16
8
clean
Anesth chest procedure
—
—
$16
8
clean
Anesth chest lining biopsy
—
—
$16
8
clean
Anesth chest drainage
—
—
$16
8
clean
Anes mediascpy & dx thorscpy
—
—
$16
8
clean
Anes medscpy&thorscpy 1 lung
—
—
$16
8
clean
Anesth pacemaker insertion
—
—
$16
8
clean
Anesth vascular access
—
—
$16
8
clean
Anesth cardioverter/defib
—
—
$16
8
clean
Anesth cardiac electrophys
—
—
$16
8
clean
Anesth trach-bronch reconst
—
—
$16
8
clean
Anesth chest surgery
—
—
$16
8
clean
Anesth one lung ventilation
—
—
$16
8
clean
Anesthesia removal pleura
—
—
$16
8
clean
Anesth lung chest wall surg
—
—
$16
8
clean
Anesth trachea bronchi surg
—
—
$16
8
clean
Bone srgry cmptr fluor image
—
—
$3,063
4
clean
Anesth sternal debridement
—
—
$16
8
clean
Bone srgry cmptr ct/mri imag
—
—
$3,063
4
clean
Anesth heart surg w/o pump
—
—
$16
8
clean
Anesth hrt surg w/pmp age 1+
—
—
$16
8
clean
Anesth heart surg w/arrest
—
—
$16
8
clean
Anesth cabg w/o pump
—
—
$16
8
clean
Anesth cabg w/pump
—
—
$16
8
clean
Anesth heart/lung transplnt
—
—
$16
8
clean
Onc merkel cll carc srm quan
—
—
$323
18
clean
Onc merkel cll carc srm +/-
—
—
$323
18
clean
Anesth spine cord surgery
—
—
$16
8
clean
Anesth sitting procedure
—
—
$16
8
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$25
18
clean
Anesth spine cord surgery
—
—
$16
8
clean
Anes spine tranthor w/o vent
—
—
$16
8
clean
Anes spine transthor w/vent
—
—
$16
8
clean
Anesth spine cord surgery
—
—
$16
8
clean
Anesth removal of nerves
—
—
$16
8
clean
Anesth lumbar puncture
—
—
$16
8
clean
Anesth spine manipulation
—
—
$16
8
clean
Antb tp total&rpr ia qual
—
—
$31
18
clean
Syfls tst nontreponemal antb
—
—
$18
18
clean
Anesth spine cord surgery
—
—
$16
8
clean
Candida species pnl amp prb
—
—
$143
18
clean
Anesth abdominal wall surg
—
—
$16
8
clean
Anesth for liver biopsy
—
—
$16
8
clean
Anesth abdominal wall surg
—
—
$16
8
clean
Anes upr gi ndsc px nos
—
—
$16
8
clean
Anes upr gi ndsc px ercp
—
—
$16
8
clean
Anes hrna rpr upr abd nos
—
—
$16
8
clean
Anes hrna rpr lmbr&vnt&/dehs
—
—
$16
8
clean
Anes hrna rpr omphalocele
—
—
$16
8
clean
Anes hrna rpr diphrg hrna
—
—
$16
8
clean
Perq stent/chest vert art
—
—
$6,553
17
clean
Anes px maj abd blood vessel
—
—
$16
8
clean
Ig paraprotein qual bld/ur
—
—
$43
18
clean
Anes iper upr abd nos
—
—
$16
8
clean
Anes iper upr abd prtl hptc
—
—
$16
8
clean
Anes iper upr abd pncrtect
—
—
$16
8
clean
Anes iper upr abd lvr trnspl
—
—
$16
8
clean
Anes iper upr abd gstr px mo
—
—
$16
8
clean
Anesth abdominal wall surg
—
—
$16
8
clean
Anesth fat layer removal
—
—
$16
8
clean
Onc lng 5 clin rsk factr alg
—
—
$3,520
18
clean
Anes lwr intst ndsc nos
—
—
$16
8
clean
Anes lwr intst scr colsc
—
—
$16
8
clean
Anes upr lwr gi ndsc px
—
—
$16
8
clean
Anesth abdominal wall surg
—
—
$16
8
clean
Anesth repair of hernia
—
—
$16
8
clean
Anesth repair of hernia
—
—
$16
8
clean
Anesth hernia repair preemie
—
—
$16
8
clean
Anesth surg lower abdomen
—
—
$16
8
clean
Anesth pelvis surgery
—
—
$16
8
clean
Anesth hysterectomy
—
—
$16
8
clean
Anesth pelvic organ surg
—
—
$16
8
clean
Anesth tubal ligation
—
—
$16
8
clean
Anesth surgery of abdomen
—
—
$16
8
clean
Anesth kidney/ureter surg
—
—
$16
8
clean
Anesth removal of bladder
—
—
$16
8
clean
Anesth removal of prostate
—
—
$16
8
clean
Anesth removal of adrenal
—
—
$16
8
clean
Anesth kidney transplant
—
—
$16
8
clean
Anesth bladder stone surg
—
—
$16
8
clean
Anesth kidney stone destruct
—
—
$16
8
clean
Anesth kidney stone destruct
—
—
$16
8
clean
Anesth abdomen vessel surg
—
—
$16
8
clean
Anesth major vein ligation
—
—
$16
8
clean
Onc mlnma prame & linc00518
—
—
$760
18
clean
Anesth anorectal surgery
—
—
$16
8
clean
Anesth perineal surgery
—
—
$16
8
clean
Anes vulvectomy
—
—
$16
8
clean
Anesth removal of prostate
—
—
$16
8
clean
Onc cutan mlnma mrna 23 gene
—
—
$1,755
18
clean
Anesth bladder surgery
—
—
$16
8
clean
Anesth bladder tumor surg
—
—
$16
8
clean
Anesth removal of prostate
—
—
$16
8
clean
Anesth bleeding control
—
—
$16
8
clean
Anesth stone removal
—
—
$16
8
clean
Anesth genitalia surgery
—
—
$16
8
clean
Anesth vasectomy
—
—
$16
8
clean
Anesth sperm duct surgery
—
—
$16
8
clean
Anesth testis exploration
—
—
$16
8
clean
Anesth removal of testis
—
—
$16
8
clean
Anesth removal of testis
—
—
$16
8
clean
Anesth testis suspension
—
—
$16
8
clean
Anesth amputation of penis
—
—
$16
8
clean
Anesth penis nodes removal
—
—
$16
8
clean
Anesth insert penis device
—
—
$16
8
clean
Anesth vaginal procedures
—
—
$16
8
clean
Anesth surg on vag/urethral
—
—
$16
8
clean
Anesth vaginal hysterectomy
—
—
$16
8
clean
Anesth repair of cervix
—
—
$16
8
clean
Anesth hysteroscope/graph
—
—
$16
8
clean
Esw muscskel sys nos
—
—
$352
19
clean
Hered colon ca do 15 genes
—
—
$1,744
18
clean
Neph ckd mult eclia tum nec
—
—
$950
18
clean
Touch quant sensory test
—
—
$91
15
clean
Gstr emptg 7 timed brth spec
—
—
$874
18
clean
Vibrate quant sensory test
—
—
$91
15
clean
Cool quant sensory test
—
—
$91
15
clean
Gi barrett esoph 9 prtn bmrk
—
—
$4,950
18
clean
Heat quant sensory test
—
—
$91
15
clean
Anesth bone aspirate/bx
—
—
$16
8
clean
Anesth pelvis surgery
—
—
$16
8
clean
Iadi 16s&18s rrna genes
—
—
$356
18
clean
Anesth body cast procedure
—
—
$16
8
clean
Anesth amputation at pelvis
—
—
$16
8
clean
Anesth pelvic tumor surgery
—
—
$16
8
clean
Anesth pelvis procedure
—
—
$16
8
clean
Anesth pelvis surgery
—
—
$16
8
clean
Anesth fx repair pelvis
—
—
$16
8
clean
Trnsplj don-drv cll-fr dna
—
—
$2,753
18
clean
Crd ceramides liq chrom plsm
—
—
$84
18
clean

Showing the first 200 of 20,745 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
992 of 3,492 comparable items (28%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $11,969 exceeds the gross charge $5,855
warn
mrf_rate_without_estimate
26,143 of 26,143 percentage/algorithm rates across 5,601 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 33214/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 47536/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 74176/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78700/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 82565/o
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 85362/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87015/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90733/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96361/b
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 C1772/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 J0490/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 J2510/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 J9266/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 11057/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 64510/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 74177/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 78707/b
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 82570/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85379/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87040/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 90734/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96361/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1772/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0500/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 J2515/b
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 J9267/b
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 33215/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 47539/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 74178/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 82575/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85384/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96365/b
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 C1773/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 J0515/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 J2515/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9267/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11102/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 64517/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 74181/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78740/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 85390/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 87045/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 90744/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96365/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1773/o
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 J2540/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 J9268/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 33222/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 47541/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 82585/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 90746/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96366/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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 79 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 J0561/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 J2543/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 11103/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 64520/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 74182/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 78761/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 85397/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 87046/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 96366/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 80 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 J2543/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9271/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 11104/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 33223/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 47542/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 78800/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 82595/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 87070/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90791/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96367/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C1777/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 J0565/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J9280/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64530/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 74183/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 78801/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 82607/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85410/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 87075/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96368/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C1777/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0571/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2547/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 11105/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 33226/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 47543/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 85415/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 87076/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90792/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 C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 23 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 J0583/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2550/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J9282/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 11106/b
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 64600/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 74190/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 78802/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 82610/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 87077/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96369/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 C1778/o
info
mrf_item_fields_vary
this code and setting cover at least 23 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 J2560/b
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 J9293/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 11106/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 33233/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 47544/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 74220/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85461/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87081/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 90832/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 C1780/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 J0585/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2560/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64610/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 74221/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78803/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 82626/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 85520/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87086/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96370/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 C1780/o
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 J2590/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 J9298/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11107/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 33241/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 47552/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 74230/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85525/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87088/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90834/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 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, min, max differ, so no cross-line comparison was made for this item
CPT C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 37 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 J0586/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 J2590/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9299/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11200/b
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 64620/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 78808/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 82627/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 87101/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96372/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2597/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11200/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 33249/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 47553/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 74240/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 85530/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 87102/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90837/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 C1782/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 J0588/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2598/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9301/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 64633/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 80048/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 82652/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 85549/b
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 96374/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 C1782/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2679/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11305/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 33266/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 47554/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 74246/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 80051/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82653/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 85549/o
info
mrf_item_fields_vary
this code and setting cover at least 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 87103/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 90839/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 96375/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 C1784/b
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 J0600/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 J2680/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 J9303/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 11400/b
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 33270/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 64640/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 74248/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80053/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82657/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85576/o
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 87106/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96376/b
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 C1785/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 J0612/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 11400/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 47556/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 64999/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 74250/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80061/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85597/b
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 87107/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90840/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96376/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 3,859 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 331
info
inp_charge_10x_payment
average charge $122,389 is 10.9× the total payment
MS-DRG 419
info
inp_charge_10x_payment
average charge $88,939 is 10.1× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 149.3M bytes · fetched 2026-08-23 · sha256 68744d621246…

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.