Hospital · CCN 110225

Piedmont Mountainside Hospital Inc

1266 Highway 515 South, Jasper, GA 30143 · Pickens County
Part of Piedmont Healthcare · 52 beds · 1
Small town core: primary flow within an urban cluster of 2,500 to 9,999

34 admission types 42 outpatient services price file: ok
Billed per dollar paid, all admissions
4.34×
$51.3M billed against $11.8M paid across 1,029 Medicare discharges; the national figure is 5.03×.
6.2%
of adults in Pickens County have medical debt in collections
15.9%
uninsured in the county · state 13.6%
$78K
median household income
4.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
35.0%
obesity in the countyⓘ
13.6%
diagnosed diabetes (PLACES)
7.9%
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
324
$60,301
$14,799
4.1× st 5.0×
291
Heart failure and shock with mcc
99
$43,780
$10,058
4.4× st 4.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
65
$37,600
$8,851
4.2× st 4.5×
177
Respiratory infections and inflammations with mcc
37
$52,393
$11,882
4.4× st 4.6×
309
Cardiac arrhythmia and conduction disorders with cc
26
$37,687
$6,882
5.5× st 4.6×
389
Gastrointestinal obstruction with cc
23
$29,763
$6,698
4.4× st 4.1×
683
Renal failure with cc
22
$39,220
$7,467
5.3× st 4.1×
308
Cardiac arrhythmia and conduction disorders with mcc
22
$48,513
$11,213
4.3× st 5.0×
689
Kidney and urinary tract infections with mcc
21
$40,302
$8,982
4.5× st 4.5×
378
Gastrointestinal hemorrhage with cc
21
$41,755
$8,095
5.2× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
21
$25,167
$6,681
3.8× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
21
$44,540
$8,795
5.1× st 4.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$33,807
$9,584
3.5× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
19
$156,237
$33,026
4.7× st 5.2×
193
Simple pneumonia and pleurisy with mcc
18
$39,852
$11,870
3.4× st 4.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
17
$23,344
$7,974
2.9× st 4.4×
069
Transient ischemia without thrombolytic
17
$43,038
$6,784
6.3× st 5.4×
690
Kidney and urinary tract infections without mcc
17
$26,871
$6,839
3.9× st 4.2×
698
Other kidney and urinary tract diagnoses with mcc
17
$43,746
$11,799
3.7× st 4.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
17
$27,544
$5,148
5.4× st 4.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
16
$57,981
$13,852
4.2× st 5.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
15
$44,639
$7,602
5.9× st 5.1×
603
Cellulitis without mcc
15
$26,706
$7,344
3.6× st 3.9×
481
Hip and femur procedures except major joint with cc
15
$84,484
$15,408
5.5× st 6.0×
194
Simple pneumonia and pleurisy with cc
15
$33,407
$6,748
5.0× st 4.4×
280
Acute myocardial infarction, discharged alive with mcc
14
$43,937
$11,440
3.8× st 5.6×
682
Renal failure with mcc
14
$48,604
$12,375
3.9× st 4.7×
305
Hypertension without mcc
13
$31,638
$6,489
4.9× st 5.0×
178
Respiratory infections and inflammations with cc
12
$36,227
$7,619
4.8× st 4.5×
149
Dysequilibrium
12
$37,174
$6,402
5.8× st 5.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$72,177
$14,551
5.0× st 5.3×
312
Syncope and collapse
11
$31,387
$7,252
4.3× st 4.7×
480
Hip and femur procedures except major joint with mcc
11
$110,176
$20,798
5.3× st 5.8×
313
Chest pain
11
$33,592
$6,263
5.4× st 5.1×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
139
$13,064
$1,485
8.8×
8011
Comprehensive Observation Services
126
$25,157
$2,460
10.2×
5115
Level 5 Musculoskeletal Procedures
85
$114,292
$11,948
9.6×
5302
Level 2 Upper GI Procedures
76
$15,581
$1,747
8.9×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
53
$52,753
$6,052
8.7×
5375
Level 5 Urology and Related Services
52
$39,691
$4,802
8.3×
5114
Level 4 Musculoskeletal Procedures
49
$49,975
$6,547
7.6×
5374
Level 4 Urology and Related Services
41
$34,981
$3,235
10.8×
5183
Level 3 Vascular Procedures
35
$21,801
$2,891
7.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
35
$25,217
$2,637
9.6×
5361
Level 1 Laparoscopy and Related Services
34
$41,672
$5,229
8.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
26
$34,141
$3,112
11.0×
5153
Level 3 Airway Endoscopy
24
$20,932
$1,575
13.3×
5154
Level 4 Airway Endoscopy
22
$40,693
$3,475
11.7×
5155
Level 5 Airway Endoscopy
21
$70,189
$6,111
11.5×
5113
Level 3 Musculoskeletal Procedures
20
$34,483
$3,004
11.5×
5112
Level 2 Musculoskeletal Procedures
17
$19,812
$1,492
13.3×
5373
Level 3 Urology and Related Services
16
$21,828
$1,890
11.5×
5191
Level 1 Endovascular Procedures
16
$27,663
$3,029
9.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
14
$31,624
$3,537
8.9×
5431
Level 1 Nerve Procedures
12
$26,043
$1,792
14.5×
5223
Level 3 Pacemaker and Similar Procedures
11
$75,080
$9,150
8.2×
5222
Level 2 Pacemaker and Similar Procedures
11
$36,309
$7,884
4.6×
5414
Level 4 Gynecologic Procedures
11
$26,194
$2,901
9.0×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5415
Level 5 Gynecologic 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, 976,784 rows scanned, 4,621 distinct code–setting items kept. 1,231 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Pla RBC Dna Hea 35 Ag 11 Bld Grp
$1,924
$577
$1,327
14
clean
HC Liver Dis 10 Serum Alg W/Nash
$854
$256
$589
14
clean
HC Neuro CSF Prion Prtn Qual
$1,445
$433
$997
14
clean
HC Onc Merkel Cll Carc Srm Quan
$682
$205
$377
14
clean
HC Plc Extracranial Vert Stent Init
$23,665
$7,100
$11,014
15
clean
HC Iadi 16s&18s Rrna Genes
$800
$240
$552
14
clean
HC Nfct Ds Dna Untrgt Ngnrj Seq
$5,200
$1,560
$3,669
12
clean
HC Sacroplsty Uni Inj
$12,842
$3,853
$8,554
15
clean
HC Sacroplsty Bil Inj
$31,873
$9,562
$14,834
15
clean
HC Nfct Ds 22 Trgt Sars-Cov-2
$1,106
$332
$572
14
clean
HC Auto Prp for Wound/Ulcer
$3,572
$1,072
$1,903
16
clean
HC Tlpa Brcp Ea Vssl
$21,074
$6,322
$11,357
15
clean
HC Tlpa Iliac Arty Ea Vssl
$19,314
$5,794
$11,357
15
clean
HC Onc Lung Mrna Quan Pcr 11&3
$18,282
$5,485
$12,898
12
clean
HC Trnscth Rnl Symp Dnrv Perc Bi
$14,316
$4,295
$8,554
15
clean
HC Neu Prksn Msfl α-Syncln Prtn
$3,000
$900
$2,117
12
clean
HC Ins/Rep Card Sys Gen/Elect
$53,326
$15,998
$24,818
15
clean
HC Program Eval Card Module
$389
$117
$292
13
clean
HC Interrog Eval Card Module
$389
$117
$292
13
clean
HC Klhl11 Antb Sr/CSF Asy Qual
$72
$22
$51
12
clean
HC Ablation Perc Plexus Nerve
$10,971
$3,291
$7,680
15
clean
HC Tmvi W/Pros Vlv Perc Approach
$62,724
$18,817
$42,652
15
clean
HC Cysto W/Biopsy(S)
$31,509
$9,453
$21,426
15
clean
HC Esw Integ Wnd Hlg Ini Wnd
$556
$167
$396
15
clean
HC Intra Cor Ffr W 3d Func Map
$4,348
$1,304
$3,091
13
clean
HC Ttvr Perc Approach 1st Prosthe
$29,929
$8,979
$20,351
15
clean
HC Ttvr Perc Approach Add Prosthe
$29,929
$8,979
$20,351
15
clean
HC Insj/Rplcmt Icds Ss Eltrd
$68,961
$20,688
$32,095
15
clean
HC R-T Fluor Wound Img 1st
$678
$203
$461
15
clean
HC R-T Fluor Wound Img Add
$713
$214
$485
15
clean
HC Evasc Ven Artlz Tibl/Prnl Vn
$27,164
$8,149
$18,472
15
clean
HC Perq Njx Algc Fluor Lmbr 1st
$3,477
$1,043
$2,472
15
clean
HC Perq Njx Algc Fluor Lmbr Ea
$3,477
$1,043
$2,434
13
clean
HC Perq Njx Algc CT Lmbr 1st
$3,477
$1,043
$2,472
15
clean
HC Ncntc Ifr Spctrsc O/T Pad 1
$78
$23
$55
11
clean
HC Tcat Rmvl/Dblk Icar Mas Suct Perq
$12,505
$3,751
$8,753
15
clean
HC Egd Flx Transnasal Tube/Cath
$3,269
$981
$2,324
15
clean
HC US Quan Tis Charac W Dx US
$191
$57
$143
13
clean
HC Dgtz Gls Mcrscp Sld Level II / Add on 88302
$100
$30
$71
12
clean
HC Dgtz Gls Mcrscp Sld Lvl III / Add on 88304
$100
$30
$71
12
clean
HC Dgtz Gls Mcrscp Sld Level IV / Add on 88305
$100
$30
$71
12
clean
HC Dgtz Gls Mcrscp Sld Level V / Add on 88307
$100
$30
$71
12
clean
HC Dgtz Gls Mcrscp Sld Spc Grpi / Add on 88312
$100
$30
$71
12
clean
HC Dgtz Gls Mcrscp Sl Spc Grpii / Add on 88313
$100
$30
$71
12
clean
HC Dgtz Gls Mcrscp Sl Imm 1st / Add on 88342
$100
$30
$71
12
clean
HC Dgtz Gls Mcrscp Sl Imm Ea 1 / Add on 88341
$100
$30
$71
12
clean
HC Dgtz Gls Mcrscp Sl Imm Ea M / Add on 88344
$100
$30
$71
12
clean
HC Dgtz Gls Mcrscp Mphmtrc Alys / Add on 88360
$100
$30
$71
12
clean
HC Tcat Insj Perm 2chmbr Ldls Pm Compl Sys
$50,816
$15,245
$34,555
15
clean
HC Tcat Insj Perm 2chmbr Ldls Pm Ra Compnt
$39,089
$11,727
$26,580
15
clean
HC Tcat Insj Perm 2chmbr Ldls Pm Rv Compnt
$39,089
$11,727
$26,580
15
clean
HC Prgrmg Dev Eval Ldls Pm Sys 2chmbr in Person
$347
$104
$247
11
clean
HC Tcat Ins 1chmbr Ldls Pm Ra
$40,684
$12,205
$27,665
15
clean
HC Prgrmg Evl Ldls Pm 1chmbr IP
$75
$23
$53
11
clean
HC Dgtz Gls Mcrscp Cytp Smears / Add on 88104
$104
$31
$73
12
clean
HC Dgtz Gls Mcrscp Cytp Slctv / Add on 88112
$104
$31
$73
12
clean
HC Dgtz Gls Mcrscp Fna I&R / Add on 88173
$104
$31
$73
12
clean
HC Dgtz Gls Mcrscp Mphmtrc Ea M
$104
$31
$73
12
clean
HC Ncntc Ifr Spctrsc O/T Pad Ea
$78
$23
$55
11
clean
HC Fna Bx W/US Gdn 1st Les
$3,439
$1,032
$2,426
14
clean
HC Fna W US Guide Ea Addl
$1,262
$379
$978
12
clean
HC Fna Bx W/Fluor Gdn 1st Les
$3,706
$1,112
$2,615
14
clean
HC Fna W CT Init
$4,269
$1,281
$3,012
14
clean
HC Fna W CT Ea Addl
$6,084
$1,825
$4,292
12
clean
HC Guide Cath Fluid Drain per Sft Tiss
$7,136
$2,141
$4,995
15
clean
HC Plc Perc Sft Tiss Dev 1st W Img
$2,747
$824
$2,027
15
clean
HC Plc Perc Sft Tiss Dev Addl W Img
$2,747
$824
$2,060
13
clean
HC I&D Absc Smpl/Sngl
$2,787
$836
$1,781
17
clean
HC I&D Absc Cmplx/Mult
$4,541
$1,362
$3,179
15
clean
HC I&D Pilonidal Cyst Smpl
$3,952
$1,186
$2,810
15
clean
HC I&D Pilonidal Cyst Cmplx
$15,974
$4,792
$7,434
15
clean
HC Incsn/Rmvl FB Sq Smpl
$5,075
$1,522
$3,552
15
clean
HC Incsn/Rmvl FB Sq Cmplx
$9,957
$2,987
$6,970
15
clean
HC I&D Hema Smpl
$8,561
$2,568
$5,470
17
clean
HC Ndl Asp Absc/Hema/Bulla/Cyst
$9,172
$2,752
$5,861
17
clean
HC I&D Wnd Post-OP Cmplx
$22,735
$6,820
$14,527
17
clean
HC Dbrd Skin & Sq Tiss<=20scm
$5,677
$1,703
$3,627
17
clean
HC Dbrd Mscl/Fascia<=20scm
$9,268
$2,780
$5,922
17
clean
HC Dbrd Bn<=20scm
$10,840
$3,252
$6,927
17
clean
HC Dbrd Skin & Sq Tiss Add 20scm
$6,072
$1,822
$4,129
15
clean
HC Dbrd Mscl/Fascia Add 20scm
$8,771
$2,631
$5,964
15
clean
HC Dbrd Bn Add 20scm
$11,071
$3,321
$7,528
15
clean
HC Rmvl Benign Skin Lesn Sngl
$681
$204
$435
17
clean
HC Rmvl Benign Skin Lesn 2-4
$848
$254
$542
17
clean
HC Rmvl Benign Skin Lesn >4
$742
$223
$474
17
clean
HC Tangntl Bx Skin Single Les
$2,534
$760
$1,619
17
clean
HC Tangntl Bx Skin Ea Addl
$2,816
$845
$1,915
15
clean
HC Punch Bx Skin Single Les
$3,419
$1,026
$2,185
17
clean
HC Punch Bx Skin Ea Addl
$2,534
$760
$1,723
15
clean
HC Incisional Biopsy Skin Sgl
$3,661
$1,098
$2,339
17
clean
HC Incision Bx Skin Ea Addl
$2,816
$845
$1,915
15
clean
HC Rmvl Skin Tags <=15
$1,056
$317
$792
15
clean
HC Rmvl Skin Tags Add 10
$1,056
$317
$792
15
clean
HC Shave Ext Lesn <=0.5cm
$450
$135
$288
17
clean
HC Shave Ext Lesn 0.6-1.0cm
$450
$135
$288
17
clean
HC Shave Ext Lesn 1.1-2.0cm
$925
$278
$591
17
clean
HC Shave Ext Lesn >2.0cm
$1,397
$419
$893
17
clean
HC Shave S/N/H/F/G Lesn <=0.5cm
$925
$278
$591
17
clean
HC Shave S/N/H/F/G Lesn 0.6-1.0cm
$925
$278
$591
17
clean
HC Shave S/N/H/F/G Lesn 1.1-2.0cm
$925
$278
$591
17
clean
HC Shave S/N/H/F/G Lesn > 2.0cm
$1,699
$510
$1,086
17
clean
HC Excsn Lesn Tr/Limb <=0.5cm
$5,116
$1,535
$3,269
17
clean
HC Excsn Skin Lesn Tr/Ext .6-1cm
$5,374
$1,612
$3,434
17
clean
HC Excsn Skin Lesn Tr/Ext 1.1-2cm
$5,374
$1,612
$3,434
17
clean
HC Excsn Lesn Tr/Ext 2.1-3.0cm
$5,417
$1,625
$3,461
17
clean
HC Excsn Lesn Tr/Ext 3.1-4.0cm
$6,285
$1,886
$4,016
17
clean
HC Excsn Skin Lesn Tr/Ext >4cm
$6,367
$1,910
$4,069
17
clean
HC Excsn Lesn Sclp/Nk/Hd/Ft<=0.5
$5,156
$1,547
$3,295
17
clean
HC Exc Bone Les S/N/Ex
$24,141
$7,242
$15,426
17
clean
HC Exc Lesn Mal Trunk/Arm >4.0 Cm
$6,367
$1,910
$4,457
15
clean
HC Trim Nondystrophic Nails
$485
$146
$310
17
clean
HC Dbrd Nail(S) 1-5
$612
$184
$391
17
clean
HC Dbrd Nails >5
$862
$259
$551
17
clean
HC Avul Nail Plate Smpl
$3,834
$1,150
$2,450
17
clean
HC Avul Nail Plate Smpl Add
$519
$156
$353
15
clean
HC Excsn Nail Bed Partial/Complt
$8,280
$2,484
$5,291
17
clean
HC Excsn Ingrown Toenail
$1,946
$584
$1,243
17
clean
HC Inj Intralesns <=7 Lesns
$997
$299
$637
17
clean
HC Inj Intralesns >7 Lesns
$1,108
$332
$708
17
clean
HC Ins Impl Drug Deliv Non-Biodeg
$999
$300
$749
15
clean
HC Rem Impl Drug Deliv Non-Biodeg
$5,555
$1,666
$3,888
15
clean
HC Rem/Reins Impl Drug Deliv
$5,212
$1,564
$3,330
17
clean
HC Rpr Not Feeynolm<=2.5cm
$959
$288
$719
15
clean
HC Rpr Not Feeynolm 2.6-7.5cm
$1,330
$399
$998
15
clean
HC Rpr Not Feeynolm 7.6-12.5cm
$1,724
$517
$1,293
15
clean
HC Rpr Not Feeynolm 12.6-20cm
$2,110
$633
$1,500
15
clean
HC Rpr Not Feeynolm 20.1-30.0cm
$2,725
$818
$1,908
15
clean
HC Rpr Not Feeynolm>30.0cm
$3,296
$989
$2,307
15
clean
HC Rpr Feeynolm<=2.5cm
$1,181
$354
$886
15
clean
HC Rpr Feeynolm 2.6-5.0cm
$1,233
$370
$925
15
clean
HC Rpr Feeynolm 5.1-7.5cm
$1,181
$354
$886
15
clean
HC Rpr Feeynolm 7.6-12.5cm
$1,181
$354
$886
15
clean
HC Rpr Feeynolm 12.6-20cm
$1,749
$525
$1,312
15
clean
HC Rpr Feeynolm 20.1-30cm
$1,749
$525
$1,312
15
clean
HC Tx Wnd Dehis Smpl
$12,104
$3,631
$7,734
17
clean
HC Tx Wnd Dehis W Packing
$7,049
$2,115
$4,504
17
clean
HC Rpr Sclp/Ax/Tr/Ext <=2.5 Int
$1,194
$358
$896
15
clean
HC Rpr Sclp/Ax/Tr/Ext 2.6-7.5 Int
$1,532
$460
$1,149
15
clean
HC Rpr Sclp/Ax/Tr/Ext 7.6-12.5int
$2,157
$647
$1,618
15
clean
HC Rpr Sclp/Ax/Tr/Ext 12.6-20 Int
$2,570
$771
$1,855
15
clean
HC Rpr Sclp/Ax/Tr/Ext 20-30cm Int
$3,548
$1,064
$2,484
15
clean
HC Rpr Sclp/Ax/Tr/Ext >30.0cm Int
$5,874
$1,762
$2,854
15
clean
HC Rpr Feeynolm 5.1-7.5cm Int
$2,779
$834
$1,945
15
clean
HC Rpr Sclp/Limb 1.1-2.5cm Cmplx
$2,416
$725
$1,812
15
clean
HC Rpr Sclp/Limb 2.6-7.5cm Cmplx
$2,416
$725
$1,812
15
clean
HC Rpr Sclp/Limb Add 5cm Cmplx
$1,373
$412
$1,098
13
clean
HC Rpr Face/Ax/Ext 1.1-2.5 Cmplx
$3,415
$1,025
$2,391
15
clean
HC Rpr Face/Ax/Ext 2.6-7.5 Cmplx
$7,432
$2,230
$3,459
15
clean
HC Rpr Face/Ax/Ext Add 5cm Cmplx
$2,274
$682
$1,705
13
clean
HC Rpr Eynoel 1.1-2.5cm Cmplx
$2,416
$725
$1,812
15
clean
HC Rpr Eynoel 2.6-7.5cm Cmplx
$2,416
$725
$1,718
15
clean
HC Rpr Eynoel Add<=5cm Cmplx
$1,836
$551
$1,425
13
clean
HC Rpr Wnd Surgical Secndry
$16,555
$4,966
$10,578
17
clean
HC Prep Wnd Tr/Ext 100scm
$2,285
$686
$1,460
17
clean
HC Prep Wnd Tr/Ext >100scm
$2,249
$675
$1,529
15
clean
HC Prep Wnd Hd/Ext 100scm
$2,728
$818
$1,743
17
clean
HC Prep Wnd Hd/Ext >100scm
$2,249
$675
$1,529
15
clean
HC Graft Pinch Sgl/Mult <2 Cm
$1,574
$472
$1,006
17
clean
HC Epidrm Autograft a/T/L <=100scm
$3,209
$963
$2,051
17
clean
HC Epidrm Autograft a/T/L Add 100scm
$1,620
$486
$1,102
15
clean
HC Grft T/a/L <=100scm 1st 25 Sq Cm
$2,126
$638
$1,358
17
clean
HC Grft a/T/L Add 25scm
$581
$174
$395
15
clean
HC Grft T/a/L >= 100scm 1st 100sq Cm
$3,673
$1,102
$2,347
17
clean
HC Grft T/a/L >= 100scm Ea Adl 100sq Cm
$967
$290
$658
15
clean
HC Grft F/N/H/F/G <=100scm 1st 25 Sq Cm
$2,126
$638
$1,358
17
clean
HC Grft F/N/H/F/G Add 25scm
$581
$174
$395
15
clean
HC Tx Burn 1st Degree Init
$1,063
$319
$797
15
clean
HC Dbrd Burn 2nd Degree <5%
$2,235
$670
$1,428
17
clean
HC Dbrd Burn 2nd Degree 5-10%
$2,481
$744
$1,586
17
clean
HC Dbrd Burn 2nd Degree >10%
$2,818
$845
$1,801
17
clean
HC Dest Lesn Premalig 1st Les
$615
$185
$461
15
clean
HC Dest Lesn Bgn/Premalig 2-14
$246
$74
$197
13
clean
HC Dest Benign Skin Lesn <=14
$3,717
$1,115
$2,375
17
clean
HC Dest Benign Skin Lesn >=15
$3,717
$1,115
$2,375
17
clean
HC Cauterize Chem Granulation Tis
$3,515
$1,054
$2,460
15
clean
HC Bx Abdominal Fat Pad
$4,644
$1,393
$3,251
15
clean
HC Asp Breast Cyst
$2,179
$654
$1,634
15
clean
HC Asp Breast Cyst Add
$3,529
$1,059
$2,509
13
clean
HC Mastotomy W Explr/Drainage
$15,581
$4,674
$10,907
15
clean
HC Inj Proc for Ductogram
$3,845
$1,154
$2,734
13
clean
HC Bx Breast Stereotc Clip Plc
$6,325
$1,898
$4,428
15
clean
HC Bx Breast Stereotc Clip Plc Add
$5,598
$1,679
$3,980
13
clean
HC Bx Breast Ultrasonic Clip Plc
$7,298
$2,189
$5,109
15
clean
HC Bx Breast Ultrasonic Clip Plc Add
$6,056
$1,817
$4,306
13
clean
HC Bx Breast MR Clip Plc
$6,959
$2,088
$4,871
15
clean
HC Bx Breast MR Clip Plc Add
$4,864
$1,459
$3,458
13
clean
HC Plc Breast Local Dev Mammo
$2,181
$654
$1,636
15
clean
HC Plc Breast Local Dev Mammo Add
$1,820
$546
$1,425
13
clean
HC Plc Breast Local Dev Stereo
$3,542
$1,063
$2,519
15
clean
HC Plc Breast Local Dev Stereo Add
$3,535
$1,061
$2,513
13
clean
HC Plc Breast Local Dev Ultra
$3,398
$1,020
$2,416
15
clean
HC Plc Breast Local Dev Ultra Add
$3,038
$912
$2,193
13
clean
HC Plc Breast Local Dev MR
$2,408
$722
$1,806
15
clean
HC Plc Breast Local Dev MR Add
$2,275
$683
$1,706
13
clean
HC Explr Pntrate Wnd Abd/Flnk/Bck
$15,581
$4,674
$7,251
15
clean
HC Explr Pntrate Wnd Ext
$9,957
$2,987
$4,634
15
clean
HC Bx Mscl Perc Ndl
$4,696
$1,409
$3,339
30
clean
HC Bx Bn Trocar/Ndl Supfcl
$4,919
$1,476
$3,444
15
clean
HC Bx Bn Trocar/Ndl Deep
$7,986
$2,396
$5,590
15
clean
Bx Bone Open Superfic
$7,969
$2,391
$5,578
15
clean

Showing the first 200 of 4,621 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
72,465 of 72,465 percentage/algorithm rates across 3,954 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 82397/b
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 C9354/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 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 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 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, max differ, so no cross-line comparison was made for this item
CPT C9363/b
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 093/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 82523/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 C9610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, 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 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 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, max differ, so no cross-line comparison was made for this item
CPT C9797/b
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 095/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 82565/b
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 C9804/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 096/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 82657/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9808/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 097/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 832/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 82947/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9810/b
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 098/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 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 83018/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9812/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, min, max differ, so no cross-line comparison was made for this item
MS-DRG 099/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 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 83020/b
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 C9814/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 101/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 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 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 83021/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 G0151/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 102/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 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 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 83516/b
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 G0153/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 103/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 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 83519/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 G0278/b
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 115/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 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 83520/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, max differ, so no cross-line comparison was made for this item
CPT G0299/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 116/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
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 83525/b
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 G0378/b
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 121/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 470/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 843/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 83615/b
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 J0122/b
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 122/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 471/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 844/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 83721/b
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 J0163/b
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 123/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 472/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 845/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 83789/b
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 J0165/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 124/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 473/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 846/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 83825/b
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 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, min, max differ, so no cross-line comparison was made for this item
MS-DRG 135/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 474/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 847/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 83873/b
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 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, min, max differ, so no cross-line comparison was made for this item
MS-DRG 136/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 475/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 848/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 83916/b
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 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, min, max differ, so no cross-line comparison was made for this item
MS-DRG 138/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 476/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 850/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 83918/b
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 J0295/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 139/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 477/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 853/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 84132/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 J0457/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 140/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 478/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 854/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 84133/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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, min, max differ, so no cross-line comparison was made for this item
MS-DRG 141/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 479/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 855/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 84295/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0613/b
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 142/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 480/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 856/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 84311/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 143/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 481/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 857/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 84376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 144/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 482/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 858/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 84443/b
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 J0692/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 145/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 483/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 862/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 84520/b
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 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 147/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 485/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 863/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 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, min, 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 11 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 148/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 486/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 864/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 85730/b
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 J0697/b
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 149/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 487/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 865/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 86021/b
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 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 150/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 488/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 866/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 86160/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 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 151/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 489/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 867/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 86161/b
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 J0743/b
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 152/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 492/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 868/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 86235/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, 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 153/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 493/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 869/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 86255/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 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 154/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 494/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 870/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 86256/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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 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 155/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 495/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 871/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 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 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 156/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 496/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 872/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 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 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, max differ, so no cross-line comparison was made for this item
MS-DRG 157/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 497/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 876/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 J1163/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 158/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 498/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 880/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 J1171/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 159/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 500/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 1,231 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 · 68.0M bytes · fetched 2026-08-23 · sha256 8016a5958984…

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.