Hospital · CCN 110042

Wellstar Paulding Medical Center

2518 Jimmy Lee Smith Parkway, Hiram, GA 30141 · Paulding County
Part of WellStar Health System · 112 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

46 admission types 53 outpatient services price file: ok 4 Medicare-file findings
Billed per dollar paid, all admissions
7.48×
$126.6M billed against $16.9M paid across 1,598 Medicare discharges; the national figure is 5.03×.
9.1%
of adults in Paulding County have medical debt in collections
11.4%
uninsured in the county · state 13.6%
$94K
median household income
7.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
38.4%
obesity in the countyⓘ
11.6%
diagnosed diabetes (PLACES)
5.0%
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
212
$116,754
$16,059
7.3× st 5.0×
291
Heart failure and shock with mcc
165
$77,669
$9,082
8.6× st 4.4×
193
Simple pneumonia and pleurisy with mcc
86
$87,637
$10,213
8.6× st 4.7×
177
Respiratory infections and inflammations with mcc
71
$87,219
$12,267
7.1× st 4.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
58
$45,359
$6,326
7.2× st 4.5×
683
Renal failure with cc
49
$51,344
$7,006
7.3× st 4.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
48
$74,020
$7,994
9.3× st 4.5×
378
Gastrointestinal hemorrhage with cc
46
$57,503
$6,758
8.5× st 4.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
44
$80,321
$10,914
7.4× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
42
$100,291
$10,748
9.3× st 5.6×
690
Kidney and urinary tract infections without mcc
42
$39,987
$7,358
5.4× st 4.2×
190
Chronic obstructive pulmonary disease with mcc
41
$84,065
$7,776
10.8× st 4.8×
689
Kidney and urinary tract infections with mcc
36
$65,706
$8,204
8.0× st 4.5×
682
Renal failure with mcc
36
$86,493
$11,548
7.5× st 4.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
34
$63,795
$8,168
7.8× st 5.6×
698
Other kidney and urinary tract diagnoses with mcc
33
$77,184
$11,978
6.4× st 4.5×
812
Red blood cell disorders without mcc
32
$68,491
$11,662
5.9× st 3.9×
309
Cardiac arrhythmia and conduction disorders with cc
31
$44,860
$5,909
7.6× st 4.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
30
$43,124
$6,745
6.4× st 4.4×
189
Pulmonary edema and respiratory failure
30
$99,015
$13,372
7.4× st 4.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
27
$112,171
$14,409
7.8× st 6.9×
194
Simple pneumonia and pleurisy with cc
24
$49,270
$6,420
7.7× st 4.4×
312
Syncope and collapse
23
$53,502
$6,046
8.8× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
23
$78,570
$8,404
9.3× st 5.0×
603
Cellulitis without mcc
22
$46,104
$6,598
7.0× st 3.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
21
$98,425
$15,077
6.5× st 4.9×
377
Gastrointestinal hemorrhage with mcc
21
$110,997
$16,253
6.8× st 5.1×
313
Chest pain
21
$42,073
$5,040
8.3× st 5.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
19
$76,985
$11,880
6.5× st 4.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
17
$221,624
$36,160
6.1× st 5.2×
638
Diabetes with cc
17
$43,836
$9,671
4.5× st 4.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$54,081
$8,325
6.5× st 5.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
16
$64,193
$8,761
7.3× st 4.5×
202
Bronchitis and asthma with cc/mcc
16
$67,336
$6,723
10.0× st 4.8×
305
Hypertension without mcc
14
$42,533
$6,604
6.4× st 5.0×
281
Acute myocardial infarction, discharged alive with cc
14
$68,145
$6,350
10.7× st 5.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
14
$91,220
$13,023
7.0× st 5.1×
699
Other kidney and urinary tract diagnoses with cc
13
$37,937
$9,780
3.9× st 3.6×
637
Diabetes with mcc
13
$51,470
$8,975
5.7× st 4.8×
092
Other disorders of nervous system with cc
12
$58,145
$6,801
8.5× st 4.3×
330
Major small and large bowel procedures with cc
12
$94,053
$16,200
5.8× st 5.0×
394
Other digestive system diagnoses with cc
12
$69,403
$6,566
10.6× st 4.3×
372
Major gastrointestinal disorders and peritoneal infections with cc
11
$59,546
$10,210
5.8× st 4.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$146,124
$26,183
5.6× st 6.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$35,555
$6,483
5.5× st 4.4×
481
Hip and femur procedures except major joint with cc
11
$110,573
$14,403
7.7× st 6.0×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
294
$29,744
$2,439
12.2×
5491
Level 1 Intraocular Procedures
163
$23,513
$2,101
11.2×
5191
Level 1 Endovascular Procedures
100
$29,582
$3,029
9.8×
5375
Level 5 Urology and Related Services
71
$32,917
$4,748
6.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
67
$18,310
$1,505
12.2×
5361
Level 1 Laparoscopy and Related Services
60
$40,455
$5,355
7.6×
5374
Level 4 Urology and Related Services
56
$26,541
$3,039
8.7×
5373
Level 3 Urology and Related Services
48
$22,772
$1,890
12.0×
5193
Level 3 Endovascular Procedures
31
$79,089
$10,201
7.8×
5183
Level 3 Vascular Procedures
29
$32,315
$2,775
11.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
27
$29,231
$2,559
11.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
26
$29,084
$3,537
8.2×
5113
Level 3 Musculoskeletal Procedures
24
$26,542
$3,004
8.8×
5194
Level 4 Endovascular Procedures
21
$94,429
$13,920
6.8×
5415
Level 5 Gynecologic Procedures
21
$51,157
$4,616
11.1×
5416
Level 6 Gynecologic Procedures
19
$75,122
$7,013
10.7×
5114
Level 4 Musculoskeletal Procedures
19
$70,435
$6,639
10.6×
5223
Level 3 Pacemaker and Similar Procedures
18
$48,241
$9,902
4.9×
5153
Level 3 Airway Endoscopy
17
$18,510
$1,575
11.8×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
16
$54,045
$5,751
9.4×
5302
Level 2 Upper GI Procedures
14
$26,427
$1,766
15.0×
5192
Level 2 Endovascular Procedures
14
$43,228
$5,304
8.1×
5182
Level 2 Vascular Procedures
14
$16,117
$1,487
10.8×
5493
Level 3 Intraocular Procedures
14
$32,797
$4,851
6.8×
5232
Level 2 ICD and Similar Procedures
14
$173,785
$30,440
5.7×
5362
Level 2 Laparoscopy and Related Services
13
$82,330
$9,547
8.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
11
$32,198
$2,763
11.7×
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-04-01, template 3.0.0, 217,594 rows scanned, 18,335 distinct code–setting items kept. 1,485 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$1,066
10
clean
Liver dis 10 assays w/ash
—
—
$909
12
clean
Liver dis 10 assays w/nash
—
—
$909
12
clean
Onco prst8 3 gene ur alg
—
—
$980
11
clean
Onc mrna 5 gen rsk urthl ca
—
—
$1,125
10
clean
Onc mrna 5 gen recr urthl ca
—
—
$1,125
10
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,932
10
clean
Onc bladder mrna 209 gen alg
—
—
$5,165
10
clean
Onc thyr 10 microrna seq alg
—
—
$4,443
10
clean
Onc aml dna detcj/nondetcj
—
—
$368
10
clean
Glyca nuc mr spectrsc quan
—
—
$62
12
clean
Onc thyr dna&mrna 112 genes
—
—
$5,328
10
clean
Jak2 gene trgt seq alys
—
—
$220
12
clean
Rx metab advrs trgt seq alys
—
—
$1,099
10
clean
Tpmt nudt15 genes
—
—
$841
12
clean
Neuro csf prion prtn qual
—
—
$801
10
clean
Trgt gen seq dna 324 genes
—
—
$6,318
12
clean
B brgdrferi antb 5 prtn igm
—
—
$25
10
clean
Hc Ct Perfusion W/Contrast Cbf
$3,935
$1,535
—
0
clean
Ct perfusion w/contrast cbf
—
—
$774
1
clean
B brgdrferi antb 12 prtn igg
—
—
$25
10
clean
Tbrf b grp antb 4 prtn igm
—
—
$22
10
clean
Tbrf b grp antb 4 prtn igg
—
—
$22
10
clean
Onc brst dux carc is 12 gene
—
—
$6,991
12
clean
Onc prst8 mrna 17 gene alg
—
—
$6,991
12
clean
Bone srgry cmptr fluor image
—
—
$3,028
2
clean
Bone srgry cmptr ct/mri imag
—
—
$3,028
2
clean
Onc merkel cll carc srm quan
—
—
$583
12
clean
Onc merkel cll carc srm +/-
—
—
$583
12
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$45
12
clean
Antb tp total&rpr ia qual
—
—
$46
10
clean
Syfls tst nontreponemal antb
—
—
$27
10
clean
Candida species pnl amp prb
—
—
$211
10
clean
Hc Ip Only - Extracranial Vert Artery Stent Initial Pta
$43,909
$17,125
—
0
clean
Perq Stent/Chest Vert Art
—
—
$6,859
1
clean
Ig paraprotein qual bld/ur
—
—
$64
10
clean
Onc lng 5 clin rsk factr alg
—
—
$5,210
10
clean
Onc mlnma prame & linc00518
—
—
$1,125
10
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,886
10
clean
Extracorp shockwv tx hi enrg
—
—
$464
11
clean
Hered colon ca do 15 genes
—
—
$2,468
10
clean
Neph ckd mult eclia tum nec
—
—
$1,406
10
clean
Touch Quant Sensory Test
—
—
$67
9
clean
Gstr emptg 7 timed brth spec
—
—
$1,294
10
clean
Vibrate Quant Sensory Test
—
—
$67
9
clean
Cool Quant Sensory Test
—
—
$105
9
clean
Gi barrett esoph 9 prtn bmrk
—
—
$7,004
10
clean
Heat Quant Sensory Test
—
—
$67
9
clean
Iadi 16s&18s rrna genes
—
—
$527
10
clean
Trnsplj don-drv cll-fr dna
—
—
$4,075
10
clean
Crd ceramides liq chrom plsm
—
—
$124
10
clean
Hered brst ca rltd do panel
—
—
$1,845
10
clean
Nfct bct fng prst dna >1000
—
—
$3,147
10
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$166
10
clean
Liver ds 10 biochem asy srm
—
—
$745
10
clean
Onc sld tum alys brca1 brca2
—
—
$4,484
10
clean
Onc solid tumor 30 prtn trgt
—
—
$1,932
10
clean
Exc rectal tumor endoscopic
—
—
$8,448
11
clean
Hc Sacroplasty Perc Uni
$40,229
$15,689
—
0
clean
Perq sacral augmt unilat inj
—
—
$8,448
11
clean
Hc Sacroplasty Perc Bilat
$44,157
$17,221
—
0
clean
Perq sacral augmt bilat inj
—
—
$9,032
11
clean
Post vert arthrplst 1 lumbar
—
—
$15,026
11
clean
Nfct ds 22 trgt sars-cov-2
—
—
$617
10
clean
Hc Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2
$360
$140
—
0
clean
Hc Neurology Alzheimer Disease Cell Aggregation
$2,216
$864
—
0
clean
Neuro alzheimer cell aggregj
—
—
$3,279
10
clean
Clear eyelid gland w/heat
—
—
$250
11
clean
Hc Neurology Alzheimer Disease Quantitative Imaging
$512
$200
—
0
clean
Neuro alzheimer quan imaging
—
—
$613
1
clean
Njx platelet plasma
—
—
$839
11
clean
Hc Inj Platelet Rich Plasma Prp W Imaging
$2,831
$1,104
—
0
clean
Trluml perip athrc brchiocph
—
—
$16,710
11
clean
Trluml perip athrc iliac art
—
—
$19,923
11
clean
Hc Iliac Atherectomy Each Vessel
$29,371
$11,455
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$5,180
10
clean
Hc Infectious Disease Rna 3 Targets Upper Respiratory Specimen
$480
$187
—
0
clean
Nfct ds vir resp rna 3 trgt
—
—
$171
1
clean
Nfct ds vir resp rna 4 trgt
—
—
$171
1
clean
Hc Infectious Disease Rna 4 Targets Upper Respiratory Specimen
$480
$187
—
0
clean
Trgt gen seq alys pnl 55-74
—
—
$7,400
10
clean
Onc thyr mut alys 10 gen&37
—
—
$2,228
9
clean
Hc Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes
$10,219
$3,985
—
0
clean
Onc sld org neo dna 505 gene
—
—
$4,321
10
clean
Implt/rpl crtd sns dev total
—
—
$56,095
1
clean
Implt/rpl crtd sns dev gen
—
—
$56,095
1
clean
Hc Interrogation Dev Eval Cartd Sins Barreflx W/I And R
$571
$223
—
0
clean
Hc Introgation Dev Eval Cartd Sins Barreflx W/Prgrm
$571
$223
—
0
clean
Perq lamot/lam lumbar
—
—
$15,026
1
clean
Tempr
—
—
$236
10
clean
Onc lung mrna quan pcr 11&3
—
—
$6,816
9
clean
Onc brst dux carc 7 proteins
—
—
$9,566
9
clean
Crd cad alys 3 prtn plsm alg
—
—
$688
9
clean
Crd cv ds aly 4 prtn plm alg
—
—
$688
9
clean
Nfct ds bct quan antmcrb sc
—
—
$14
9
clean
Ai ds sle alys 8 igg autoant
—
—
$1,480
9
clean
Onc cutan sq cll ca mrna 40
—
—
$14,960
9
clean
Neph rna psttrnspl perph bld
—
—
$4,664
9
clean
Trgt gen seq alys pnl 83+
—
—
$8,800
9
clean
Onc neo xome&trns seq alys
—
—
$6,051
9
clean
Tear film img uni/bi w/i&r
—
—
$67
9
clean
Onc sld orgn tgsa dna 84/+
—
—
$6,160
9
clean
Onc plsm cell do&myeloma id
—
—
$4,286
9
clean
Onc sld tum crcg tum cl slct
—
—
$4,286
9
clean
Trnscth renal symp denrv bil
—
—
$9,016
12
clean
Hc Transcatheter Renal Sympath Denervation Bilat
$20,051
$7,820
—
0
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$1,338
9
clean
Onc pan ca alys mrd plasma
—
—
$6,318
9
clean
Hep nafld semiq evl 28 lipid
—
—
$1,394
9
clean
Psyc genom alys pnl 15 gen
—
—
$2,352
9
clean
Rx metab/pcx dna 16 gen alys
—
—
$2,352
9
clean
Rx metab/pcx dna 25 gen alys
—
—
$1,306
9
clean
Rx metab/pcx dna 27gen rx ia
—
—
$1,306
9
clean
RSA lower extr exam
—
—
$130
11
clean
Nfct ds bct/viral trail ip10
—
—
$458
9
clean
Hc Nfct Ds Bct Vaginosis And Vaginitis Mult Amp Probe
$357
$139
—
0
clean
Apol1 risk variants
—
—
$241
9
clean
Onc orop 17 dna ddpcr alg
—
—
$3,168
9
clean
BIA whole body
—
—
$52
9
clean
Neuro alys b-amyl 1-42&1-40
—
—
$458
9
clean
Onc prst8 ca alys all psa
—
—
$1,338
9
clean
Onc lung elisa 7 autoant alg
—
—
$1,480
9
clean
Hc Neurofilament Light Chain Digital Ia Plasma Quan
$2,988
$1,165
—
0
clean
Onc urthl mrna 5 gen alg
—
—
$1,338
9
clean
Onc bldr 10 prb bldr ca
—
—
$1,579
9
clean
Onc bldr 10 prb recr bldr ca
—
—
$1,579
9
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$1,579
9
clean
Onc prst8 ca img alys 128
—
—
$1,243
9
clean
Vis field assmnt tech suppt
—
—
$67
9
clean
Tgsap sl or neo dna523&rna55
—
—
$5,788
9
clean
Onc nonsm cll lng ca 37 gen
—
—
$6,160
9
clean
Neu prksn msfl ?-syncln prtn
—
—
$952
9
clean
Hdr elctrnc skn surf brchytx
—
—
$443
2
clean
Hc Hdr Electronic Brachytherapy Skin Surf
$845
$330
—
0
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$350
9
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$1,309
11
clean
Hc Hdr Electronic Brachytherapy Ntrstl/Intrcav
$5,020
$1,958
—
0
clean
Gi baret esph dna mthyln aly
—
—
$3,089
9
clean
Hc Collagen Cross-Linking Cornea And Pachymtry
$7,226
$2,818
—
0
clean
Collagen crosslinking cornea
—
—
$4,235
12
clean
Onc prst8 mrna 18 gen dre ur
—
—
$1,338
9
clean
Onc brst semiq meas thym kn
—
—
$568
9
clean
Onc lung flow cytmtry 5 mrk
—
—
$1,338
9
clean
Neph dbtc ckd mult eclia alg
—
—
$1,672
9
clean
Insj/rplc cardiac modulj sys
—
—
$56,112
11
clean
Hc Insertion/Replacement Cardiac Modulation System Pulse Gen Transvenous Electrodes
$66,436
$25,910
—
0
clean
Onc sld tum dna 80 & rna 36
—
—
$5,139
9
clean
Psyc genom alys pnl 15 gen
—
—
$2,352
9
clean
Cv ds acs bld alg 5 yr score
—
—
$688
9
clean
Hc Programming Device Evaluation Cardiac Modulation System
$213
$83
—
0
clean
Hc Interrogation Device Evaluation Cardiac Modulation System
$213
$83
—
0
clean
Waterjet prostate abltj cmpl
—
—
$8,302
2
clean
Onc pan solid tum alys dna
—
—
$3,420
9
clean
Gi malabs aat calpro pncrtc
—
—
$108
9
clean
Gly rcptr alpha1 igg srm/csf
—
—
$64
9
clean
Klhl11 antb sr/csf asy qual
—
—
$64
9
clean
Onc prst8 5 dna reg mrk pcr
—
—
$1,338
9
clean
Rx metab advrs vrnt alys 25
—
—
$734
9
clean
Impltj synth rnfcmt abdl wal
—
—
$3,028
2
clean
Abltj perc lxtr/perph nrv
—
—
$3,491
11
clean
Hc Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv
$18,836
$7,346
—
0
clean
Abltj perc plex/trncl nrv
—
—
$11,889
11
clean
Neurflmnt lt chn ultrsens ia
—
—
$205
9
clean
Insj impltbl glucose sensor
—
—
$4,618
12
clean
Rmvl impltbl glucose sensor
—
—
$377
11
clean
Remvl insj impltbl gluc sens
—
—
$4,618
12
clean
Insj aqueous drain dev 1st
—
—
$9,513
11
clean
Visual ep test for glaucoma
—
—
$230
9
clean
Onc sld tum bld/slv 648 gene
—
—
$7,920
9
clean
Hered prst8 ca gsap 23 genes
—
—
$2,295
9
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$1,430
12
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$3,028
2
clean
Hc Ip Only-Tmvi Percutaneous Approach
$36,289
$14,153
—
0
clean
Tmvi percutaneous approach
—
—
$5,961
2
clean
Hc Ip Only-Tmvi W/Prosthetic Valve Transthoracic Exposure
$36,289
$14,153
—
0
clean
Tmvi transthoracic exposure
—
—
$5,961
2
clean
Oct mid ear i&r unilateral
—
—
$67
9
clean
Onc sol tum cfdna&rna ngs gm
—
—
$6,423
9
clean
Oct mid ear i&r bilateral
—
—
$67
9
clean
Prep & cannulj cdvr don lung
—
—
$5,961
2
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$6,859
1
clean
Ev fempop artl revsc
—
—
$16,710
11
clean
Hc Fl Ev Fempop Artl Revsc Tcat Plmt Iv St Grf And Clsr
$36,135
$14,093
—
0
clean
Near ifr 2img mibmn glnd i&r
—
—
$105
9
clean
Pattern erg w/i&r
—
—
$386
9
clean
Esw integ wnd hlg 1st wnd
—
—
$388
12
clean
Esw integ wnd hlg ea addl
—
—
$3,864
2
clean
Ntrapx c ffr w/3d funcjl map
—
—
$2,665
1
clean
Hc Intraprocedural Coronary Ffp W/3D Funcjl Mapping Add-On
$2,595
$1,012
—
0
clean
Insj/rplcmt compl iims
—
—
$20,934
11
clean
Hc Insertion/Replacement Complete Iims
$36,240
$14,134
—
0
clean
Hc Prgrmg Device Eval Iims In Person
$193
$75
—
0
clean
Hc Interrogation Device Eval Iims In Person
$193
$75
—
0
clean
Hc Car-T Therapy Autologous Cell Administration
$1,083
$422
—
0
clean
Low-level laser therapy
—
—
$2,572
1
clean
Antmc guide 3d print 1st gd
—
—
$238
9
clean
Evac meibomian glnd heat bi
—
—
$111
11
clean
Ttvr perq appr 1st prosth
—
—
$6,859
1
clean
Hc Ip Only ? Ttvr Perc Initial
$59,672
$23,272
—
0
clean
Hc Ip ?Only ? Ttvr Perc Addl?
$14,918
$5,818
—
0
clean

Showing the first 200 of 18,335 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
23,114 of 23,114 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 72193/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 81170/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 84126/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 86784/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 93980/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 L8689/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 72194/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 81177/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 84132/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 86787/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 93981/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 L8690/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72195/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 81178/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 84133/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 86788/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 94002/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 L8691/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 72196/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 81179/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 84134/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 86789/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 94003/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 L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 322 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 72197/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 81180/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 84140/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 86790/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 94618/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 Q0477/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 72202/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 81181/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 84143/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 86793/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 94640/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 Q0479/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 72220/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 81182/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 84144/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 86800/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 94681/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 Q0481/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 73000/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 81183/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 84145/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 86803/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 95800/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 Q0495/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 73010/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 81184/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 84146/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 86812/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 95805/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 Q0497/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 73020/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 81185/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 84153/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 86813/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 95810/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 Q0498/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 73030/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 81187/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 84154/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 86817/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 95811/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 Q0499/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 73040/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 81206/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 84155/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 86828/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 96360/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 Q0501/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 73050/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 81207/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 84156/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 86850/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 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 differ, so no cross-line comparison was made for this item
CPT Q0506/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 73060/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 81210/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 84157/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 86870/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 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 differ, so no cross-line comparison was made for this item
CPT Q0508/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73070/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 81219/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 84165/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 86880/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 96366/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 Q4000/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 73080/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 81220/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 84166/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 86886/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 96367/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 Q4100/b
info
mrf_item_fields_vary
this code and setting cover at least 90 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73085/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 81227/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 84181/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 86900/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 96368/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 Q4102/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 73090/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 81228/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 84182/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 86901/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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4103/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 73092/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 81229/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 84202/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 86902/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 96374/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 Q4118/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 73100/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 81232/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 84206/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 86905/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 96375/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 Q4121/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 73110/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 81234/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 84207/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 86906/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 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 differ, so no cross-line comparison was made for this item
CPT Q4133/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 73115/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 81235/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 84210/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 86920/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 96523/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 Q4152/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 73120/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 81240/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 84220/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 86941/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 97607/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 Q4158/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 73130/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 81241/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 84235/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 86978/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 99195/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 Q4160/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 73140/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 81243/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 84238/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 87015/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 99285/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 Q4180/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 73200/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 81245/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 84295/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 87040/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 99291/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 Q4186/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 73201/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 81256/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 84300/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 87045/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 A2006/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 Q4197/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 73202/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 81257/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 84302/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 87046/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 A2012/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 Q4258/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 73206/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 81259/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 84305/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 87070/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 A4216/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 Q9956/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 73218/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 81261/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 84307/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 87071/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 A4618/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 Q9958/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 73219/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 81263/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 84311/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 87075/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 A4648/b
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9963/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 73220/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 81270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84315/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 87076/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 A4649/b
info
mrf_item_fields_vary
this code and setting cover at least 1117 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q9965/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 73221/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 81271/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 84376/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 87077/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 A6021/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 Q9966/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 73222/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

Showing the first 200 of 1,485 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 190
info
inp_charge_10x_payment
average charge $84,065 is 10.8× the total payment
MS-DRG 202
info
inp_charge_10x_payment
average charge $67,336 is 10.0× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $68,145 is 10.7× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $69,403 is 10.6× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 54.3M bytes · fetched 2026-08-23 · sha256 2d95fc74f7a0…

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.