Hospital · CCN 110168

Adventhealth Redmond

501 Redmond Road Nw, Rome, GA 30165 · Floyd County
Part of AdventHealth · 217 beds · 2
Metropolitan area high commuting: primary flow 30% or more to a urbanized area of 50,000 and greater

72 admission types 53 outpatient services price file: ok 20 Medicare-file findings
Billed per dollar paid, all admissions
9.05×
$342.8M billed against $37.9M paid across 2,393 Medicare discharges; the national figure is 5.03×.
14.2%
of adults in Floyd County have medical debt in collections
15.7%
uninsured in the county · state 13.6%
$61K
median household income
9.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
37.3%
obesity in the countyⓘ
14.1%
diagnosed diabetes (PLACES)
7.1%
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
346
$130,875
$14,995
8.7× st 5.0×
280
Acute myocardial infarction, discharged alive with mcc
206
$109,957
$12,500
8.8× st 5.6×
291
Heart failure and shock with mcc
126
$84,534
$10,590
8.0× st 4.4×
274
Percutaneous and other intracardiac procedures without mcc
66
$218,600
$25,382
8.6× st 5.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
64
$246,750
$24,059
10.3× st 6.4×
281
Acute myocardial infarction, discharged alive with cc
64
$73,977
$7,944
9.3× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
59
$202,227
$14,630
13.8× st 6.9×
177
Respiratory infections and inflammations with mcc
57
$117,606
$13,583
8.7× st 4.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
57
$287,819
$40,254
7.2× st 5.2×
377
Gastrointestinal hemorrhage with mcc
53
$106,718
$13,244
8.1× st 5.1×
378
Gastrointestinal hemorrhage with cc
53
$69,269
$7,994
8.7× st 4.8×
682
Renal failure with mcc
50
$107,507
$12,099
8.9× st 4.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
48
$81,854
$8,217
10.0× st 4.5×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
45
$482,824
$49,762
9.7× st 5.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
44
$97,910
$8,827
11.1× st 5.6×
193
Simple pneumonia and pleurisy with mcc
42
$77,889
$10,351
7.5× st 4.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
38
$100,372
$8,135
12.3× st 5.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
38
$121,331
$15,924
7.6× st 5.1×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
36
$414,786
$38,051
10.9× st 6.0×
309
Cardiac arrhythmia and conduction disorders with cc
34
$45,025
$6,051
7.4× st 4.6×
698
Other kidney and urinary tract diagnoses with mcc
34
$109,569
$12,987
8.4× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
33
$77,312
$8,843
8.7× st 4.8×
689
Kidney and urinary tract infections with mcc
32
$89,362
$8,953
10.0× st 4.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
31
$59,141
$6,477
9.1× st 4.5×
189
Pulmonary edema and respiratory failure
30
$75,037
$9,915
7.6× st 4.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
27
$142,184
$16,844
8.4× st 4.9×
308
Cardiac arrhythmia and conduction disorders with mcc
25
$80,742
$9,719
8.3× st 5.0×
312
Syncope and collapse
23
$64,338
$6,980
9.2× st 4.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
19
$80,942
$6,385
12.7× st 4.4×
070
Other cerebrovascular disorders with mcc
19
$121,982
$13,128
9.3× st 4.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
19
$155,003
$14,727
10.5× st 5.8×
637
Diabetes with mcc
19
$109,674
$11,417
9.6× st 4.8×
683
Renal failure with cc
19
$58,366
$6,843
8.5× st 4.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
18
$80,558
$10,597
7.6× st 4.5×
811
Red blood cell disorders with mcc
17
$116,549
$13,183
8.8× st 4.7×
038
Extracranial procedures with cc
17
$168,269
$12,450
13.5× st 6.7×
069
Transient ischemia without thrombolytic
17
$83,553
$6,739
12.4× st 5.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
17
$152,432
$21,097
7.2× st 5.0×
236
Coronary bypass without cardiac catheterization without mcc
16
$474,807
$46,842
10.1× st 5.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
16
$175,990
$15,629
11.3× st 5.7×
603
Cellulitis without mcc
16
$61,872
$7,215
8.6× st 3.9×
100
Seizures with mcc
16
$140,679
$14,462
9.7× st 4.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
16
$99,821
$10,240
9.7× st 4.5×
854
Infectious and parasitic diseases with o.r. procedures with cc
16
$114,244
$16,708
6.8× st 5.3×
305
Hypertension without mcc
16
$62,608
$6,263
10.0× st 5.0×
330
Major small and large bowel procedures with cc
16
$226,060
$20,778
10.9× st 5.0×
481
Hip and femur procedures except major joint with cc
16
$167,357
$16,579
10.1× st 6.0×
432
Cirrhosis and alcoholic hepatitis with mcc
15
$164,537
$16,441
10.0× st 5.0×
242
Permanent cardiac pacemaker implant with mcc
15
$231,937
$25,085
9.2× st 6.0×
313
Chest pain
14
$62,908
$5,790
10.9× st 5.1×
552
Medical back problems without mcc
14
$71,200
$7,935
9.0× st 4.6×
252
Other vascular procedures with mcc
14
$261,050
$27,142
9.6× st 5.1×
164
Major chest procedures with cc
13
$266,342
$21,566
12.4× st 5.4×
812
Red blood cell disorders without mcc
13
$56,181
$7,269
7.7× st 3.9×
813
Coagulation disorders
13
$75,475
$12,645
6.0× st 5.1×
282
Acute myocardial infarction, discharged alive without cc/mcc
13
$61,288
$5,808
10.6× st 5.8×
196
Interstitial lung disease with mcc
12
$96,140
$14,642
6.6× st 6.2×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
12
$747,389
$78,525
9.5× st 4.6×
870
Septicemia or severe sepsis with mv >96 hours
12
$400,502
$52,748
7.6× st 5.4×
638
Diabetes with cc
12
$48,864
$7,227
6.8× st 4.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$49,979
$4,570
10.9× st 4.4×
467
Revision of hip or knee replacement with cc
12
$284,909
$28,939
9.8× st 6.4×
690
Kidney and urinary tract infections without mcc
12
$57,614
$6,603
8.7× st 4.2×
057
Degenerative nervous system disorders without mcc
11
$76,455
$9,877
7.7× st 3.6×
393
Other digestive system diagnoses with mcc
11
$79,655
$13,051
6.1× st 4.8×
480
Hip and femur procedures except major joint with mcc
11
$226,661
$20,066
11.3× st 5.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$103,728
$10,947
9.5× st 4.6×
394
Other digestive system diagnoses with cc
11
$71,577
$7,480
9.6× st 4.3×
235
Coronary bypass without cardiac catheterization with mcc
11
$583,531
$55,493
10.5× st 5.6×
454
Combined anterior and posterior spinal fusion with cc
11
$318,569
$67,357
4.7× st 4.6×
243
Permanent cardiac pacemaker implant with cc
11
$138,177
$19,776
7.0× st 5.5×
884
Organic disturbances and intellectual disability
11
$82,748
$12,186
6.8× st 3.4×
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
5191
Level 1 Endovascular Procedures
335
$53,487
$2,931
18.2×
8011
Comprehensive Observation Services
214
$51,314
$2,440
21.0×
5115
Level 5 Musculoskeletal Procedures
152
$135,231
$11,711
11.5×
5193
Level 3 Endovascular Procedures
101
$145,303
$9,773
14.9×
5361
Level 1 Laparoscopy and Related Services
97
$64,844
$5,143
12.6×
5213
Level 3 Electrophysiologic Procedures
81
$150,686
$21,152
7.1×
5374
Level 4 Urology and Related Services
73
$50,107
$3,179
15.8×
5114
Level 4 Musculoskeletal Procedures
70
$63,117
$6,412
9.8×
5372
Level 2 Urology and Related Services
62
$3,695
$623
5.9×
5375
Level 5 Urology and Related Services
57
$53,396
$4,520
11.8×
5302
Level 2 Upper GI Procedures
53
$23,522
$1,709
13.8×
5232
Level 2 ICD and Similar Procedures
51
$332,310
$29,906
11.1×
5116
Level 6 Musculoskeletal Procedures
47
$222,940
$16,649
13.4×
5223
Level 3 Pacemaker and Similar Procedures
42
$82,156
$9,536
8.6×
5183
Level 3 Vascular Procedures
40
$69,597
$2,848
24.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
39
$23,369
$1,428
16.4×
5184
Level 4 Vascular Procedures
29
$135,128
$5,010
27.0×
5113
Level 3 Musculoskeletal Procedures
26
$37,637
$2,951
12.8×
5373
Level 3 Urology and Related Services
24
$32,489
$1,857
17.5×
5194
Level 4 Endovascular Procedures
17
$172,780
$13,139
13.2×
5313
Level 3 Lower GI Procedures
13
$42,472
$2,560
16.6×
5192
Level 2 Endovascular Procedures
13
$84,052
$5,211
16.1×
5222
Level 2 Pacemaker and Similar Procedures
12
$73,791
$7,232
10.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
12
$60,319
$3,155
19.1×
5378
Level 8 Urology and Related Services
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 17,986 rows scanned, 14,921 distinct code–setting items kept. 2,205 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$803
10
clean
Liver dis 10 assays w/ash
—
—
$642
6
clean
Liver dis 10 assays w/nash
—
—
$642
6
clean
Onco prst8 3 gene ur alg
—
—
$847
10
clean
Onc mrna 5 gen rsk urthl ca
—
—
$847
10
clean
Onc mrna 5 gen recr urthl ca
—
—
$847
10
clean
Adrnl cortcl tum bchm asy 25
—
—
$1,455
10
clean
Onc bladder mrna 209 gen alg
—
—
$3,891
10
clean
Onc thyr 10 microrna seq alg
—
—
$3,347
10
clean
Onc aml dna detcj/nondetcj
—
—
$277
10
clean
Glyca nuc mr spectrsc quan
—
—
$38
10
clean
Onc thyr dna&mrna 112 genes
—
—
$4,014
10
clean
Jak2 gene trgt seq alys
—
—
$136
10
clean
Rx metab advrs trgt seq alys
—
—
$828
10
clean
Tpmt nudt15 genes
—
—
$520
10
clean
Neuro csf prion prtn qual
—
—
$603
10
clean
HC NEURO CSF PRION PRTN QUAL
$28,995
$28,995
—
0
clean
Trgt gen seq dna 324 genes
—
—
$3,903
10
clean
B brgdrferi antb 5 prtn igm
—
—
$19
10
clean
HC CERBRAL PERFUSION STUDY, CT W/ CONTRAST
$6,081
$6,081
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$19
10
clean
Tbrf b grp antb 4 prtn igm
—
—
$17
10
clean
Tbrf b grp antb 4 prtn igg
—
—
$17
10
clean
Onc brst dux carc is 12 gene
—
—
$4,318
10
clean
Onc prst8 mrna 17 gene alg
—
—
$4,318
10
clean
Bone srgry cmptr fluor image
—
—
$1,727
5
clean
Bone srgry cmptr ct/mri imag
—
—
$1,727
5
clean
Onc merkel cll carc srm quan
—
—
$360
10
clean
HC MERKEL POLYOMAVIRUS VP1 CAPSID ANTIBODY - ARUP
$904
$904
—
0
clean
Onc merkel cll carc srm +/-
—
—
$360
10
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$28
10
clean
Antb tp total&rpr ia qual
—
—
$35
10
clean
Syfls tst nontreponemal antb
—
—
$20
10
clean
Candida species pnl amp prb
—
—
$159
10
clean
Perq Stent/Chest Vert Art
—
—
$5,211
4
clean
Ig paraprotein qual bld/ur
—
—
$48
10
clean
Onc lng 5 clin rsk factr alg
—
—
$3,925
10
clean
Onc mlnma prame & linc00518
—
—
$847
10
clean
Onc cutan mlnma mrna 23 gene
—
—
$2,059
10
clean
Extracorp shockwv tx hi enrg
—
—
$3,108
11
clean
Hered colon ca do 15 genes
—
—
$1,770
10
clean
Neph ckd mult eclia tum nec
—
—
$1,059
10
clean
Gstr emptg 7 timed brth spec
—
—
$975
10
clean
Cool Quant Sensory Test
—
—
$64
5
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,024
10
clean
Iadi 16s&18s rrna genes
—
—
$397
10
clean
Trnsplj don-drv cll-fr dna
—
—
$3,070
10
clean
Crd ceramides liq chrom plsm
—
—
$93
10
clean
Hered brst ca rltd do panel
—
—
$1,356
10
clean
Nfct bct fng prst dna >1000
—
—
$2,371
10
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$125
10
clean
Liver ds 10 biochem asy srm
—
—
$561
10
clean
Onc sld tum alys brca1 brca2
—
—
$3,378
10
clean
Onc solid tumor 30 prtn trgt
—
—
$1,455
10
clean
Exc rectal tumor endoscopic
—
—
$6,499
13
clean
Perq sacral augmt unilat inj
—
—
$8,901
11
clean
Perq sacral augmt bilat inj
—
—
$8,901
11
clean
Post vert arthrplst 1 lumbar
—
—
$13,343
11
clean
Nfct ds 22 trgt sars-cov-2
—
—
$465
10
clean
Neuro alzheimer cell aggregj
—
—
$2,470
10
clean
Clear eyelid gland w/heat
—
—
$1,322
13
clean
Neuro alzheimer quan imaging
—
—
$603
5
clean
Njx platelet plasma
—
—
$1,322
13
clean
HC INJ PLATELET RICH PLASMA
$1,574
$1,574
—
0
clean
Trluml perip athrc brchiocph
—
—
$12,358
13
clean
Trluml perip athrc iliac art
—
—
$19,624
13
clean
Trgt gen seq alys pnl 311+
—
—
$3,903
10
clean
Nfct ds vir resp rna 3 trgt
—
—
$148
4
clean
Nfct ds vir resp rna 4 trgt
—
—
$148
4
clean
Trgt gen seq alys pnl 55-74
—
—
$5,575
10
clean
Onc thyr mut alys 10 gen&37
—
—
$1,412
10
clean
Onc sld org neo dna 505 gene
—
—
$3,255
10
clean
Implt/rpl crtd sns dev total
—
—
$20,977
4
clean
Implt/rpl crtd sns dev gen
—
—
$16,695
6
clean
Interrogate crtd sns dev
—
—
$2,868
3
clean
Interrogate crtd sns w/pgrmg
—
—
$2,868
3
clean
Perq lamot/lam lumbar
—
—
$10,999
6
clean
Tempr
—
—
$1,277
11
clean
Onc lung mrna quan pcr 11&3
—
—
$4,318
10
clean
Onc brst dux carc 7 proteins
—
—
$5,517
10
clean
Crd cad alys 3 prtn plsm alg
—
—
$436
10
clean
Crd cv ds aly 4 prtn plm alg
—
—
$436
10
clean
Nfct ds bct quan antmcrb sc
—
—
$9
10
clean
Ai ds sle alys 8 igg autoant
—
—
$937
10
clean
Onc cutan sq cll ca mrna 40
—
—
$9,478
10
clean
Neph rna psttrnspl perph bld
—
—
$2,955
10
clean
Trgt gen seq alys pnl 83+
—
—
$5,575
10
clean
Onc neo xome&trns seq alys
—
—
$3,833
10
clean
Onc sld orgn tgsa dna 84/+
—
—
$3,640
10
clean
Onc plsm cell do&myeloma id
—
—
$2,715
10
clean
Onc sld tum crcg tum cl slct
—
—
$2,715
10
clean
Trnscth renal symp denrv bil
—
—
$6,211
13
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$847
10
clean
Onc pan ca alys mrd plasma
—
—
$4,198
10
clean
Hep nafld semiq evl 28 lipid
—
—
$883
10
clean
Psyc genom alys pnl 15 gen
—
—
$1,490
10
clean
Beta amyl a?40&a?42 lc-ms/ms
—
—
$84
1
clean
Rx metab/pcx dna 16 gen alys
—
—
$1,490
10
clean
Rx metab/pcx dna 25 gen alys
—
—
$828
10
clean
Rx metab/pcx dna 27gen rx ia
—
—
$828
10
clean
RSA lower extr exam
—
—
$160
9
clean
Nfct ds bct/viral trail ip10
—
—
$290
10
clean
Oct brst/node i&r per spec
—
—
$254
4
clean
Nfct ds bv&vaginitis amp prb
—
—
$128
1
clean
Iadna chlmyd&gonorr amp prb
—
—
$63
1
clean
Apol1 risk variants
—
—
$153
10
clean
Onc orop 17 dna ddpcr alg
—
—
$2,124
9
clean
Neuro alys b-amyl 1-42&1-40
—
—
$290
10
clean
Onc prst8 ca alys all psa
—
—
$847
10
clean
Onc lung elisa 7 autoant alg
—
—
$937
10
clean
Neurflmnt lt chn dig ia quan
—
—
$145
4
clean
Onc urthl mrna 5 gen alg
—
—
$847
10
clean
Onc bldr 10 prb bldr ca
—
—
$1,000
10
clean
Onc bldr 10 prb recr bldr ca
—
—
$1,000
10
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$1,000
10
clean
Onc prst8 ca img alys 128
—
—
$787
10
clean
Tgsap sl or neo dna523&rna55
—
—
$3,880
9
clean
Rx metb advrs trgt sq aly 20
—
—
$375
1
clean
Onc nonsm cll lng ca 37 gen
—
—
$4,130
9
clean
Neu prksn msfl ?-syncln prtn
—
—
$603
10
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$222
10
clean
Mrgfus strtctc les abltj
—
—
$14,878
3
clean
Gi baret esph dna mthyln aly
—
—
$2,071
9
clean
Collagen crosslinking cornea
—
—
$2,595
13
clean
Onc prst8 mrna 18 gen dre ur
—
—
$847
10
clean
Onc brst semiq meas thym kn
—
—
$360
10
clean
Onc lung flow cytmtry 5 mrk
—
—
$847
10
clean
Neph dbtc ckd mult eclia alg
—
—
$1,059
10
clean
Insj/rplc cardiac modulj sys
—
—
$22,075
13
clean
HC INS/REPL CCM SYSTEM, PULSE GEN W/ TV ELECTRODES
$168,936
$168,936
—
0
clean
Onc sld tum dna 80 & rna 36
—
—
$3,255
10
clean
Psyc genom alys pnl 15 gen
—
—
$1,490
10
clean
Cv ds acs bld alg 5 yr score
—
—
$436
10
clean
Waterjet prostate abltj cmpl
—
—
$4,913
7
clean
Onc pan solid tum alys dna
—
—
$2,040
5
clean
Gi malabs aat calpro pncrtc
—
—
$73
9
clean
Gly rcptr alpha1 igg srm/csf
—
—
$43
9
clean
Klhl11 antb sr/csf asy qual
—
—
$43
9
clean
Onc prst8 5 dna reg mrk pcr
—
—
$897
9
clean
Rx metab advrs vrnt alys 25
—
—
$492
9
clean
Impltj synth rnfcmt abdl wal
—
—
$1,878
4
clean
Abltj perc lxtr/perph nrv
—
—
$3,967
12
clean
Abltj perc plex/trncl nrv
—
—
$8,575
12
clean
Neurflmnt lt chn ultrsens ia
—
—
$122
5
clean
Insj impltbl glucose sensor
—
—
$3,114
12
clean
Rmvl impltbl glucose sensor
—
—
$1,300
12
clean
Remvl insj impltbl gluc sens
—
—
$3,114
12
clean
Insj aqueous drain dev 1st
—
—
$5,752
12
clean
Visual ep test for glaucoma
—
—
$140
5
clean
Onc sld tum bld/slv 648 gene
—
—
$5,310
9
clean
Hered prst8 ca gsap 23 genes
—
—
$1,539
9
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$2,285
12
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$2,434
3
clean
Tmvi percutaneous approach
—
—
$5,063
7
clean
Tmvi transthoracic exposure
—
—
$5,063
7
clean
Onc sol tum cfdna&rna ngs gm
—
—
$3,832
5
clean
Prep & cannulj cdvr don lung
—
—
$5,063
7
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$5,211
4
clean
Ev fempop artl revsc
—
—
$12,598
11
clean
Near ifr 2img mibmn glnd i&r
—
—
$64
5
clean
Pattern erg w/i&r
—
—
$236
5
clean
Esw integ wnd hlg 1st wnd
—
—
$1,636
12
clean
Esw integ wnd hlg ea addl
—
—
$1,322
1
clean
Ntrapx c ffr w/3d funcjl map
—
—
$1,322
1
clean
Insj/rplcmt compl iims
—
—
$20,019
11
clean
Car-t cll admn autologous
—
—
$2,868
3
clean
Antmc guide 3d print 1st gd
—
—
$138
9
clean
Evac meibomian glnd heat bi
—
—
$1,322
11
clean
Ttvr perq appr 1st prosth
—
—
$12,495
4
clean
Ttvr perq ea addl prosth
—
—
$12,495
4
clean
Insj/rplcmt icds ss eltrd
—
—
$32,623
11
clean
Abltj mal brst tum perq crtx
—
—
$5,378
11
clean
Ncntc r-t fluor wnd img 1st
—
—
$506
9
clean
Ire abltj 1+tum organ perq
—
—
$9,837
12
clean
Ire abltj 1+tumors open
—
—
$9,837
12
clean
Rem oct rta techl sprt min 8
—
—
$71
4
clean
Insertion of iris prosthesis
—
—
$4,092
6
clean
Insj iris prosth w/rmvl&insj
—
—
$4,988
6
clean
Insj iris prosth sec io lens
—
—
$4,988
6
clean
Cysto w/prst8 commissurotomy
—
—
$5,411
7
clean
Evasc ven artlz tibl/prnl vn
—
—
$25,001
11
clean
Perq njx algc fluor lmbr 1st
—
—
$14,011
11
clean
Perq njx algc fluor lmbr ea
—
—
$2,434
3
clean
Perq njx algc ct lmbr 1st
—
—
$14,011
11
clean
Ct breast w/3d bi c-/c+
—
—
$462
6
clean
Tcat rmvl/dblk icar mas perq
—
—
$6,660
11
clean
Ttvi/rplcmt w/prstc vlv perq
—
—
$12,495
4
clean
Insj gtube perq mag gastrpxy
—
—
$3,107
11
clean
Quan mr alys tiss w/o mri
—
—
$1,450
9
clean
Quan mr alys tiss w/mri
—
—
$1,647
8
clean
Egd flx transnasal tube/cath
—
—
$4,007
11
clean
Tprnl focal abltj mal prst8
—
—
$5,740
11
clean
Elec impd spectrsc 1+skn les
—
—
$113
12
clean
Implt ant sgm io nbio rx sys
—
—
$5,411
11
clean
Insj ant sgm aq drg dev 1+
—
—
$5,471
12
clean
Abltj b9 thyr ndul perq lasr
—
—
$2,809
12
clean
Histotripsy mal hepatcel tis
—
—
$33,951
14
clean
Njx b1 sub mtrl sbchdrl dfct
—
—
$4,359
12
clean
R-t prs sensing edrl gdn sys
—
—
$2,739
2
clean
Instlj fecal microbiota ssp
—
—
$1,322
11
clean

Showing the first 200 of 14,921 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
11,557 of 11,557 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 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 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 C9399/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2470/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 80307/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2506/b
info
mrf_item_fields_vary
this code and setting cover at least 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 80320/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 J2543/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2550/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 93308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2560/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 80335/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 differ, so no cross-line comparison was made for this item
CPT J2597/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 G0279/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2598/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 80346/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2680/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93350/b
info
mrf_item_fields_vary
this code and setting cover at least 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 87070/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 J2704/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0131/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 J2710/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2720/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 87081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84425/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2765/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 J0136/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84432/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2785/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0153/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 J2795/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0171/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2800/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 84450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0280/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2916/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87153/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0282/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 J2997/b
info
mrf_item_fields_vary
this code and setting cover at least 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 J0283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3010/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84478/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0290/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81241/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87186/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0295/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3105/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87205/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0330/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3111/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84484/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0360/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3230/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0456/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 81276/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0461/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3260/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84560/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0500/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3262/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36416/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3301/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0561/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3360/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3370/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0612/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3372/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84999/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 J0640/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3410/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93975/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0665/b
info
mrf_item_fields_vary
this code and setting cover at least 48 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3411/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93976/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3420/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85014/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0690/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3430/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82088/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3475/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87385/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82103/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3480/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3489/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0735/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3490/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0736/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7030/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 94660/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0737/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7042/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82164/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0744/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7060/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0780/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7070/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0881/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7120/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0885/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82247/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7121/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0895/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7131/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0897/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87507/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1010/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7321/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1030/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82310/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7325/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1050/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1071/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1100/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7517/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82378/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1120/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7613/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7620/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86003/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1170/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9000/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1171/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82465/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86022/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9017/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1200/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 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 differ, so no cross-line comparison was made for this item
CPT J9022/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9025/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1250/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82533/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1265/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87899/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9041/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1308/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9045/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82570/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96372/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1327/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9055/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1335/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9060/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1442/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9065/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1447/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86235/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 88184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9145/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86255/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 88185/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1459/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9171/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86256/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1561/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1568/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9181/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1569/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9190/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97032/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1580/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82728/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97033/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9201/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1596/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86317/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9206/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 77002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82784/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1630/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86335/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97113/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9227/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82787/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1642/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,205 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 038
info
inp_charge_10x_payment
average charge $168,269 is 13.5× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $100,372 is 12.3× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $83,553 is 12.4× the total payment
MS-DRG 164
info
inp_charge_10x_payment
average charge $266,342 is 12.3× the total payment
MS-DRG 235
info
inp_charge_10x_payment
average charge $583,531 is 10.5× the total payment
MS-DRG 236
info
inp_charge_10x_payment
average charge $474,807 is 10.1× the total payment
MS-DRG 267
info
inp_charge_10x_payment
average charge $414,786 is 10.9× the total payment
MS-DRG 282
info
inp_charge_10x_payment
average charge $61,288 is 10.6× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $97,910 is 11.1× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $49,979 is 10.9× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $62,908 is 10.9× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $246,750 is 10.3× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $202,227 is 13.8× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $226,060 is 10.9× the total payment
MS-DRG 432
info
inp_charge_10x_payment
average charge $164,537 is 10.0× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $155,003 is 10.5× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $226,661 is 11.3× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $167,357 is 10.1× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $175,990 is 11.3× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $80,942 is 12.7× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 28.8M bytes · fetched 2026-08-23 · sha256 7e94540128bc…

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.