Hospital · CCN 110091

Piedmont Rockdale Hospital

1412 Milstead Avenue, Ne, Conyers, GA 30012 · Rockdale County
Part of Piedmont Healthcare · 141 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

36 admission types 44 outpatient services price file: ok
Billed per dollar paid, all admissions
4.92×
$77.4M billed against $15.7M paid across 1,129 Medicare discharges; the national figure is 5.03×.
6.5%
of adults in Rockdale County have medical debt in collections
14.9%
uninsured in the county · state 13.6%
$76K
median household income
4.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
39.0%
obesity in the countyⓘ
17.0%
diagnosed diabetes (PLACES)
6.5%
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
296
$83,713
$16,792
5.0× st 5.0×
291
Heart failure and shock with mcc
119
$52,767
$11,460
4.6× st 4.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
63
$43,123
$9,264
4.7× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
43
$72,076
$14,258
5.1× st 5.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
37
$48,375
$11,810
4.1× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
36
$209,276
$41,856
5.0× st 5.2×
193
Simple pneumonia and pleurisy with mcc
32
$53,197
$11,918
4.5× st 4.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
28
$48,944
$10,645
4.6× st 5.1×
698
Other kidney and urinary tract diagnoses with mcc
26
$58,881
$13,600
4.3× st 4.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
26
$33,552
$7,958
4.2× st 4.4×
069
Transient ischemia without thrombolytic
24
$40,402
$8,054
5.0× st 5.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
23
$37,498
$7,592
4.9× st 4.5×
305
Hypertension without mcc
22
$30,517
$7,794
3.9× st 5.0×
281
Acute myocardial infarction, discharged alive with cc
21
$39,366
$8,438
4.7× st 5.9×
683
Renal failure with cc
20
$38,093
$8,393
4.5× st 4.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
20
$63,335
$15,058
4.2× st 5.1×
312
Syncope and collapse
20
$43,736
$8,436
5.2× st 4.7×
177
Respiratory infections and inflammations with mcc
20
$67,719
$12,857
5.3× st 4.6×
378
Gastrointestinal hemorrhage with cc
19
$59,160
$9,004
6.6× st 4.8×
377
Gastrointestinal hemorrhage with mcc
18
$75,111
$14,491
5.2× st 5.1×
313
Chest pain
17
$32,001
$7,672
4.2× st 5.1×
812
Red blood cell disorders without mcc
17
$30,461
$8,478
3.6× st 3.9×
870
Septicemia or severe sepsis with mv >96 hours
16
$356,483
$53,407
6.7× st 5.4×
682
Renal failure with mcc
16
$46,494
$11,509
4.0× st 4.7×
439
Disorders of pancreas except malignancy with cc
16
$44,291
$8,092
5.5× st 4.0×
308
Cardiac arrhythmia and conduction disorders with mcc
15
$45,659
$11,025
4.1× st 5.0×
304
Hypertension with mcc
13
$60,661
$10,258
5.9× st 5.6×
190
Chronic obstructive pulmonary disease with mcc
13
$48,737
$9,907
4.9× st 4.8×
637
Diabetes with mcc
13
$61,894
$13,430
4.6× st 4.8×
309
Cardiac arrhythmia and conduction disorders with cc
12
$39,945
$7,666
5.2× st 4.6×
189
Pulmonary edema and respiratory failure
12
$63,690
$10,847
5.9× st 4.8×
811
Red blood cell disorders with mcc
12
$44,010
$12,029
3.7× st 4.7×
699
Other kidney and urinary tract diagnoses with cc
11
$33,551
$9,053
3.7× st 3.6×
603
Cellulitis without mcc
11
$32,165
$8,827
3.6× st 3.9×
638
Diabetes with cc
11
$24,722
$9,594
2.6× st 4.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$157,127
$22,621
6.9× st 6.4×
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
5491
Level 1 Intraocular Procedures
111
$31,101
$2,163
14.4×
8011
Comprehensive Observation Services
98
$23,314
$2,540
9.2×
5302
Level 2 Upper GI Procedures
61
$17,386
$1,743
10.0×
5191
Level 1 Endovascular Procedures
60
$27,890
$2,920
9.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
55
$15,740
$1,505
10.5×
5375
Level 5 Urology and Related Services
43
$40,566
$4,802
8.4×
5183
Level 3 Vascular Procedures
40
$28,751
$2,899
9.9×
5374
Level 4 Urology and Related Services
31
$34,024
$3,235
10.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
31
$28,424
$2,637
10.8×
5361
Level 1 Laparoscopy and Related Services
26
$52,071
$5,196
10.0×
5193
Level 3 Endovascular Procedures
23
$89,923
$9,828
9.2×
5331
Complex GI Procedures
22
$37,717
$4,617
8.2×
5192
Level 2 Endovascular Procedures
20
$58,200
$5,304
11.0×
5373
Level 3 Urology and Related Services
18
$21,760
$1,807
12.0×
5184
Level 4 Vascular Procedures
18
$68,198
$4,874
14.0×
5114
Level 4 Musculoskeletal Procedures
18
$80,495
$6,639
12.1×
5154
Level 4 Airway Endoscopy
14
$35,173
$3,475
10.1×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
14
$48,059
$3,211
15.0×
5115
Level 5 Musculoskeletal Procedures
13
$118,033
$12,197
9.7×
5182
Level 2 Vascular Procedures
12
$9,475
$1,486
6.4×
5493
Level 3 Intraocular Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-07-01, template 3.0.0, 1,019,195 rows scanned, 4,734 distinct code–setting items kept. 1,290 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Pla RBC Dna Hea 35 Ag 11 Bld Grp
$1,924
$577
$1,308
17
clean
HC Liver Dis 10 Serum Alg W/Nash
$854
$256
$598
17
clean
HC Neuro CSF Prion Prtn Qual
$1,445
$433
$983
17
clean
HC Onc Merkel Cll Carc Srm Quan
$682
$205
$464
15
clean
HC Plc Extracranial Vert Stent Init
$23,665
$7,100
$6,679
18
clean
HC Iadi 16s&18s Rrna Genes
$800
$240
$544
16
clean
HC Nfct Ds Dna Untrgt Ngnrj Seq
$5,200
$1,560
$3,640
15
clean
HC Sacroplsty Uni Inj
$12,842
$3,853
$7,773
18
clean
HC Sacroplsty Bil Inj
$31,873
$9,562
$8,941
18
clean
HC Nfct Ds 22 Trgt Sars-Cov-2
$1,106
$332
$392
13
clean
HC Auto Prp for Wound/Ulcer
$3,572
$1,072
$2,501
18
clean
HC Tlpa Brcp Ea Vssl
$21,074
$6,322
$8,907
18
clean
HC Tlpa Iliac Arty Ea Vssl
$19,314
$5,794
$9,000
18
clean
HC Onc Lung Mrna Quan Pcr 11&3
$18,282
$5,485
$12,432
15
clean
HC Trnscth Rnl Symp Dnrv Perc Bi
$14,316
$4,295
$8,013
18
clean
HC Neu Prksn Msfl α-Syncln Prtn
$3,000
$900
$2,040
15
clean
HC Ins/Rep Card Sys Gen/Elect
$53,326
$15,998
$12,078
18
clean
HC Program Eval Card Module
$389
$117
$272
16
clean
HC Interrog Eval Card Module
$389
$117
$272
16
clean
HC Klhl11 Antb Sr/CSF Asy Qual
$72
$22
$49
15
clean
HC Ablation Perc Plexus Nerve
$10,971
$3,291
$6,629
18
clean
HC Tmvi W/Pros Vlv Perc Approach
$62,724
$18,817
$9,568
18
clean
HC Cysto W/Biopsy(S)
$31,509
$9,453
$13,766
18
clean
HC Esw Integ Wnd Hlg Ini Wnd
$556
$167
$417
18
clean
HC Intra Cor Ffr W 3d Func Map
$4,348
$1,304
$3,044
16
clean
HC Ttvr Perc Approach 1st Prosthe
$29,929
$8,979
$9,568
18
clean
HC Ttvr Perc Approach Add Prosthe
$29,929
$8,979
$9,568
18
clean
HC Insj/Rplcmt Icds Ss Eltrd
$68,961
$20,688
$14,561
18
clean
HC R-T Fluor Wound Img 1st
$678
$203
$474
16
clean
HC R-T Fluor Wound Img Add
$713
$214
$499
16
clean
HC Evasc Ven Artlz Tibl/Prnl Vn
$27,164
$8,149
$12,054
18
clean
HC Perq Njx Algc Fluor Lmbr 1st
$3,477
$1,043
$2,525
18
clean
HC Perq Njx Algc Fluor Lmbr Ea
$3,477
$1,043
$2,399
14
clean
HC Perq Njx Algc CT Lmbr 1st
$3,477
$1,043
$2,525
18
clean
HC Ncntc Ifr Spctrsc O/T Pad 1
$78
$23
$54
14
clean
HC Tcat Rmvl/Dblk Icar Mas Suct Perq
$12,505
$3,751
$8,503
18
clean
HC Egd Flx Transnasal Tube/Cath
$3,269
$981
$2,452
18
clean
HC US Quan Tis Charac W Dx US
$191
$57
$134
16
clean
HC Dgtz Gls Mcrscp Sld Level II / Add on 88302
$100
$30
$68
15
clean
HC Dgtz Gls Mcrscp Sld Lvl III / Add on 88304
$100
$30
$68
15
clean
HC Dgtz Gls Mcrscp Sld Level IV / Add on 88305
$100
$30
$68
15
clean
HC Dgtz Gls Mcrscp Sld Level V / Add on 88307
$100
$30
$68
15
clean
HC Dgtz Gls Mcrscp Sld Spc Grpi / Add on 88312
$100
$30
$68
15
clean
HC Dgtz Gls Mcrscp Sl Spc Grpii / Add on 88313
$100
$30
$68
15
clean
HC Dgtz Gls Mcrscp Sl Imm 1st / Add on 88342
$100
$30
$68
15
clean
HC Dgtz Gls Mcrscp Sl Imm Ea 1 / Add on 88341
$100
$30
$68
15
clean
HC Dgtz Gls Mcrscp Sl Imm Ea M / Add on 88344
$100
$30
$68
15
clean
HC Dgtz Gls Mcrscp Mphmtrc Alys / Add on 88360
$100
$30
$68
15
clean
HC Tcat Insj Perm 2chmbr Ldls Pm Compl Sys
$50,816
$15,245
$14,561
18
clean
HC Tcat Insj Perm 2chmbr Ldls Pm Ra Compnt
$39,089
$11,727
$14,561
18
clean
HC Tcat Insj Perm 2chmbr Ldls Pm Rv Compnt
$39,089
$11,727
$14,561
18
clean
HC Prgrmg Dev Eval Ldls Pm Sys 2chmbr in Person
$347
$104
$239
14
clean
HC Tcat Ins 1chmbr Ldls Pm Ra
$40,684
$12,205
$14,561
18
clean
HC Prgrmg Evl Ldls Pm 1chmbr IP
$75
$23
$53
14
clean
HC Dgtz Gls Mcrscp Cytp Smears / Add on 88104
$104
$31
$71
15
clean
HC Dgtz Gls Mcrscp Cytp Slctv / Add on 88112
$104
$31
$71
15
clean
HC Dgtz Gls Mcrscp Fna I&R / Add on 88173
$104
$31
$71
15
clean
HC Dgtz Gls Mcrscp Mphmtrc Ea M
$104
$31
$71
15
clean
HC Ncntc Ifr Spctrsc O/T Pad Ea
$78
$23
$55
12
clean
HC Fna Bx W/US Gdn 1st Les
$3,439
$1,032
$2,407
17
clean
HC Fna W US Guide Ea Addl
$1,262
$379
$883
13
clean
HC Fna Bx W/Fluor Gdn 1st Les
$3,706
$1,112
$2,525
17
clean
HC Fna W CT Init
$4,269
$1,281
$2,525
17
clean
HC Fna W CT Ea Addl
$6,084
$1,825
$2,525
13
clean
HC Guide Cath Fluid Drain per Sft Tiss
$7,136
$2,141
$3,426
16
clean
HC Plc Perc Sft Tiss Dev 1st W Img
$2,747
$824
$2,060
18
clean
HC Plc Perc Sft Tiss Dev Addl W Img
$2,747
$824
$1,923
14
clean
HC I&D Absc Smpl/Sngl
$2,787
$836
$1,951
18
clean
HC I&D Absc Cmplx/Mult
$4,541
$1,362
$2,557
18
clean
HC I&D Pilonidal Cyst Smpl
$3,952
$1,186
$2,646
16
clean
HC I&D Pilonidal Cyst Cmplx
$15,974
$4,792
$2,153
18
clean
HC Incsn/Rmvl FB Sq Smpl
$5,075
$1,522
$3,061
16
clean
HC Incsn/Rmvl FB Sq Cmplx
$9,957
$2,987
$3,573
18
clean
HC I&D Hema Smpl
$8,561
$2,568
$5,243
18
clean
HC Ndl Asp Absc/Hema/Bulla/Cyst
$9,172
$2,752
$5,618
18
clean
HC I&D Wnd Post-OP Cmplx
$22,735
$6,820
$13,925
18
clean
HC Dbrd Skin & Sq Tiss<=20scm
$5,677
$1,703
$3,608
18
clean
HC Dbrd Mscl/Fascia<=20scm
$9,268
$2,780
$5,676
18
clean
HC Dbrd Bn<=20scm
$10,840
$3,252
$6,639
18
clean
HC Dbrd Skin & Sq Tiss Add 20scm
$6,072
$1,822
$4,053
16
clean
HC Dbrd Mscl/Fascia Add 20scm
$8,771
$2,631
$5,855
16
clean
HC Dbrd Bn Add 20scm
$11,071
$3,321
$7,390
16
clean
HC Rmvl Benign Skin Lesn Sngl
$681
$204
$477
18
clean
HC Rmvl Benign Skin Lesn 2-4
$848
$254
$593
18
clean
HC Rmvl Benign Skin Lesn >4
$742
$223
$519
18
clean
HC Tangntl Bx Skin Single Les
$2,534
$760
$1,774
18
clean
HC Tangntl Bx Skin Ea Addl
$2,816
$845
$1,943
16
clean
HC Punch Bx Skin Single Les
$3,419
$1,026
$2,393
18
clean
HC Punch Bx Skin Ea Addl
$2,534
$760
$1,774
16
clean
HC Incisional Biopsy Skin Sgl
$3,661
$1,098
$2,563
18
clean
HC Incision Bx Skin Ea Addl
$2,816
$845
$1,943
16
clean
HC Rmvl Skin Tags <=15
$1,056
$317
$792
16
clean
HC Rmvl Skin Tags Add 10
$1,056
$317
$924
18
clean
HC Shave Ext Lesn <=0.5cm
$450
$135
$315
18
clean
HC Shave Ext Lesn 0.6-1.0cm
$450
$135
$315
18
clean
HC Shave Ext Lesn 1.1-2.0cm
$925
$278
$648
18
clean
HC Shave Ext Lesn >2.0cm
$1,397
$419
$978
18
clean
HC Shave S/N/H/F/G Lesn <=0.5cm
$925
$278
$648
18
clean
HC Shave S/N/H/F/G Lesn 0.6-1.0cm
$925
$278
$648
18
clean
HC Shave S/N/H/F/G Lesn 1.1-2.0cm
$925
$278
$648
18
clean
HC Shave S/N/H/F/G Lesn > 2.0cm
$1,699
$510
$1,189
18
clean
HC Excsn Lesn Tr/Limb <=0.5cm
$5,116
$1,535
$3,415
18
clean
HC Excsn Skin Lesn Tr/Ext .6-1cm
$5,374
$1,612
$3,509
18
clean
HC Excsn Skin Lesn Tr/Ext 1.1-2cm
$5,374
$1,612
$3,509
18
clean
HC Excsn Lesn Tr/Ext 2.1-3.0cm
$5,417
$1,625
$3,523
18
clean
HC Excsn Lesn Tr/Ext 3.1-4.0cm
$6,285
$1,886
$4,275
18
clean
HC Excsn Skin Lesn Tr/Ext >4cm
$6,367
$1,910
$4,303
18
clean
HC Excsn Lesn Sclp/Nk/Hd/Ft<=0.5
$5,156
$1,547
$3,558
18
clean
HC Exc Bone Les S/N/Ex
$24,141
$7,242
$14,786
18
clean
HC Exc Lesn Mal Trunk/Arm >4.0 Cm
$6,367
$1,910
$3,573
18
clean
HC Trim Nondystrophic Nails
$485
$146
$340
18
clean
HC Dbrd Nail(S) 1-5
$612
$184
$429
18
clean
HC Dbrd Nails >5
$862
$259
$603
18
clean
HC Avul Nail Plate Smpl
$3,834
$1,150
$2,645
18
clean
HC Avul Nail Plate Smpl Add
$519
$156
$363
16
clean
HC Excsn Nail Bed Partial/Complt
$8,280
$2,484
$5,072
18
clean
HC Excsn Ingrown Toenail
$1,946
$584
$1,362
18
clean
HC Inj Intralesns <=7 Lesns
$997
$299
$698
18
clean
HC Inj Intralesns >7 Lesns
$1,108
$332
$776
18
clean
HC Ins Impl Drug Deliv Non-Biodeg
$999
$300
$749
16
clean
HC Rem Impl Drug Deliv Non-Biodeg
$5,555
$1,666
$3,198
16
clean
HC Rem/Reins Impl Drug Deliv
$5,212
$1,564
$3,456
18
clean
HC Rpr Not Feeynolm<=2.5cm
$959
$288
$719
16
clean
HC Rpr Not Feeynolm 2.6-7.5cm
$1,330
$399
$998
16
clean
HC Rpr Not Feeynolm 7.6-12.5cm
$1,724
$517
$1,265
16
clean
HC Rpr Not Feeynolm 12.6-20cm
$2,110
$633
$1,583
18
clean
HC Rpr Not Feeynolm 20.1-30.0cm
$2,725
$818
$1,893
18
clean
HC Rpr Not Feeynolm>30.0cm
$3,296
$989
$2,307
18
clean
HC Rpr Feeynolm<=2.5cm
$1,181
$354
$886
16
clean
HC Rpr Feeynolm 2.6-5.0cm
$1,233
$370
$925
16
clean
HC Rpr Feeynolm 5.1-7.5cm
$1,181
$354
$886
16
clean
HC Rpr Feeynolm 7.6-12.5cm
$1,181
$354
$886
16
clean
HC Rpr Feeynolm 12.6-20cm
$1,749
$525
$1,312
18
clean
HC Rpr Feeynolm 20.1-30cm
$1,749
$525
$1,312
18
clean
HC Tx Wnd Dehis Smpl
$12,104
$3,631
$7,414
18
clean
HC Tx Wnd Dehis W Packing
$7,049
$2,115
$4,318
18
clean
HC Rpr Sclp/Ax/Tr/Ext <=2.5 Int
$1,194
$358
$1,045
18
clean
HC Rpr Sclp/Ax/Tr/Ext 2.6-7.5 Int
$1,532
$460
$1,149
16
clean
HC Rpr Sclp/Ax/Tr/Ext 7.6-12.5int
$2,157
$647
$1,583
18
clean
HC Rpr Sclp/Ax/Tr/Ext 12.6-20 Int
$2,570
$771
$1,816
18
clean
HC Rpr Sclp/Ax/Tr/Ext 20-30cm Int
$3,548
$1,064
$2,484
18
clean
HC Rpr Sclp/Ax/Tr/Ext >30.0cm Int
$5,874
$1,762
$2,138
18
clean
HC Rpr Feeynolm 5.1-7.5cm Int
$2,779
$834
$1,893
18
clean
HC Rpr Sclp/Limb 1.1-2.5cm Cmplx
$2,416
$725
$1,752
18
clean
HC Rpr Sclp/Limb 2.6-7.5cm Cmplx
$2,416
$725
$1,752
18
clean
HC Rpr Sclp/Limb Add 5cm Cmplx
$1,373
$412
$995
14
clean
HC Rpr Face/Ax/Ext 1.1-2.5 Cmplx
$3,415
$1,025
$2,391
18
clean
HC Rpr Face/Ax/Ext 2.6-7.5 Cmplx
$7,432
$2,230
$2,138
18
clean
HC Rpr Face/Ax/Ext Add 5cm Cmplx
$2,274
$682
$1,592
14
clean
HC Rpr Eynoel 1.1-2.5cm Cmplx
$2,416
$725
$1,752
18
clean
HC Rpr Eynoel 2.6-7.5cm Cmplx
$2,416
$725
$1,812
18
clean
HC Rpr Eynoel Add<=5cm Cmplx
$1,836
$551
$1,331
14
clean
HC Rpr Wnd Surgical Secndry
$16,555
$4,966
$10,140
18
clean
HC Prep Wnd Tr/Ext 100scm
$2,285
$686
$1,600
18
clean
HC Prep Wnd Tr/Ext >100scm
$2,249
$675
$1,574
16
clean
HC Prep Wnd Hd/Ext 100scm
$2,728
$818
$1,910
18
clean
HC Prep Wnd Hd/Ext >100scm
$2,249
$675
$1,574
16
clean
HC Graft Pinch Sgl/Mult <2 Cm
$1,574
$472
$1,102
18
clean
HC Epidrm Autograft a/T/L <=100scm
$3,209
$963
$2,246
18
clean
HC Epidrm Autograft a/T/L Add 100scm
$1,620
$486
$1,134
16
clean
HC Grft T/a/L <=100scm 1st 25 Sq Cm
$2,126
$638
$1,488
18
clean
HC Grft a/T/L Add 25scm
$581
$174
$407
16
clean
HC Grft T/a/L >= 100scm 1st 100sq Cm
$3,673
$1,102
$2,571
18
clean
HC Grft T/a/L >= 100scm Ea Adl 100sq Cm
$967
$290
$677
16
clean
HC Grft F/N/H/F/G <=100scm 1st 25 Sq Cm
$2,126
$638
$1,488
18
clean
HC Grft F/N/H/F/G Add 25scm
$581
$174
$407
16
clean
HC Tx Burn 1st Degree Init
$1,063
$319
$776
16
clean
HC Dbrd Burn 2nd Degree <5%
$2,235
$670
$1,564
18
clean
HC Dbrd Burn 2nd Degree 5-10%
$2,481
$744
$1,737
18
clean
HC Dbrd Burn 2nd Degree >10%
$2,818
$845
$1,973
18
clean
HC Dest Lesn Premalig 1st Les
$615
$185
$461
16
clean
HC Dest Lesn Bgn/Premalig 2-14
$246
$74
$178
14
clean
HC Dest Benign Skin Lesn <=14
$3,717
$1,115
$2,602
18
clean
HC Dest Benign Skin Lesn >=15
$3,717
$1,115
$2,602
18
clean
HC Cauterize Chem Granulation Tis
$3,515
$1,054
$2,460
16
clean
HC Bx Abdominal Fat Pad
$4,644
$1,393
$3,251
18
clean
HC Asp Breast Cyst
$2,179
$654
$1,634
18
clean
HC Asp Breast Cyst Add
$3,529
$1,059
$2,470
14
clean
HC Mastotomy W Explr/Drainage
$15,581
$4,674
$3,815
18
clean
HC Inj Proc for Ductogram
$3,845
$1,154
$2,525
14
clean
HC Bx Breast Stereotc Clip Plc
$6,325
$1,898
$3,872
18
clean
HC Bx Breast Stereotc Clip Plc Add
$5,598
$1,679
$2,858
14
clean
HC Bx Breast Ultrasonic Clip Plc
$7,298
$2,189
$4,055
18
clean
HC Bx Breast Ultrasonic Clip Plc Add
$6,056
$1,817
$2,988
14
clean
HC Bx Breast MR Clip Plc
$6,959
$2,088
$4,051
18
clean
HC Bx Breast MR Clip Plc Add
$4,864
$1,459
$2,649
14
clean
HC Plc Breast Local Dev Mammo
$2,181
$654
$1,677
18
clean
HC Plc Breast Local Dev Mammo Add
$1,820
$546
$1,274
14
clean
HC Plc Breast Local Dev Stereo
$3,542
$1,063
$2,480
18
clean
HC Plc Breast Local Dev Stereo Add
$3,535
$1,061
$2,475
14
clean
HC Plc Breast Local Dev Ultra
$3,398
$1,020
$2,379
18
clean
HC Plc Breast Local Dev Ultra Add
$3,038
$912
$2,127
14
clean
HC Plc Breast Local Dev MR
$2,408
$722
$1,762
18
clean
HC Plc Breast Local Dev MR Add
$2,275
$683
$1,593
14
clean
HC Explr Pntrate Wnd Abd/Flnk/Bck
$15,581
$4,674
$2,138
18
clean
HC Explr Pntrate Wnd Ext
$9,957
$2,987
$2,138
18
clean
HC Bx Mscl Perc Ndl
$4,696
$1,409
$2,906
36
clean
HC Bx Bn Trocar/Ndl Supfcl
$4,919
$1,476
$2,525
18
clean
HC Bx Bn Trocar/Ndl Deep
$7,986
$2,396
$3,573
18
clean
Bx Bone Open Superfic
$7,969
$2,391
$4,173
18
clean

Showing the first 200 of 4,734 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
29,111 of 29,111 percentage/algorithm rates across 1,664 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 86316/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0490/b
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
MS-DRG 036/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 415/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 798/i
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 86317/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0585/b
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
MS-DRG 038/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 416/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 799/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86341/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 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
MS-DRG 039/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 417/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 800/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86382/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0640/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
MS-DRG 040/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 418/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 801/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86403/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0665/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
MS-DRG 041/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 419/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 802/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86658/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0692/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
MS-DRG 042/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 421/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 803/i
info
mrf_item_fields_vary
this code and setting cover at least 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, max differ, so no cross-line comparison was made for this item
CPT J0694/b
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
MS-DRG 052/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 422/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 804/i
info
mrf_item_fields_vary
this code and setting cover at least 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0696/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
MS-DRG 054/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 423/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 805/i
info
mrf_item_fields_vary
this code and setting cover at least 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0713/b
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
MS-DRG 055/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 424/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 806/i
info
mrf_item_fields_vary
this code and setting cover at least 2 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 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0736/b
info
mrf_item_fields_vary
this code and setting cover at least 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
MS-DRG 056/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 426/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 807/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87081/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0744/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 057/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 427/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 809/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87116/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0885/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
MS-DRG 058/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 428/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 811/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0896/b
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
MS-DRG 059/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 429/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 812/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87186/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0897/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 060/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 430/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 813/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87252/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1100/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
MS-DRG 061/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 432/i
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
MS-DRG 814/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87449/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1120/b
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
MS-DRG 063/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 433/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 815/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87497/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1165/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
MS-DRG 064/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 437/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 816/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1171/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
MS-DRG 065/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 438/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 817/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87799/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 066/i
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
MS-DRG 439/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 818/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87999/b
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 J1265/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
MS-DRG 067/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 440/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 819/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88104/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1271/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 069/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 441/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 820/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88108/b
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 J1308/b
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
MS-DRG 071/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 443/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 821/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88182/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1326/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
MS-DRG 072/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 445/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 822/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88275/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1447/b
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
MS-DRG 073/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 446/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 823/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88305/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1450/b
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
MS-DRG 074/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 447/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 824/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88313/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1459/b
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
MS-DRG 075/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 448/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 825/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88325/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1561/b
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
MS-DRG 076/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 450/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 826/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88346/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1569/b
info
mrf_item_fields_vary
this code and setting cover at least 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
MS-DRG 080/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 451/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 827/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88365/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1570/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 081/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 456/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 828/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90371/b
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 J1580/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
MS-DRG 082/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 457/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 829/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90377/b
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 J1596/b
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
MS-DRG 083/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 458/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 830/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90707/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1642/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
MS-DRG 085/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 461/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 831/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90715/b
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 J1644/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
MS-DRG 086/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 462/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 833/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90901/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1650/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
MS-DRG 087/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 463/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 835/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92588/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1652/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 088/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 464/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 837/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92610/b
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 J1720/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
MS-DRG 089/i
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
MS-DRG 465/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 839/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92960/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1745/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 090/i
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
MS-DRG 466/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 840/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1756/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 091/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 467/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 841/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93307/b
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 J1800/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 092/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 468/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 842/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93312/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1805/b
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
MS-DRG 094/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
MS-DRG 469/i
info
mrf_item_fields_vary
this code and setting cover at 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 1,290 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 71.7M bytes · fetched 2026-08-23 · sha256 052f6b7c915a…

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.