Hospital · CCN 110234

Sgmc Berrien Campus

1221 E Mcpherson Avenue, Nashville, GA 31639 · Berrien County
Part of South Georgia Medical Center · 10 beds · 3
Metropolitan area high commuting: primary flow 30% or more to a urbanized area of 50,000 and greater

1 outpatient services price file: ok

Billed per dollar paid, all admissions

—

$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.

16.6%

of adults in Berrien County have medical debt in collections

15.1%

uninsured in the county · state 13.6%

$51K

median household income

—

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

38.1%

obesity in the countyⓘ

16.0%

diagnosed diabetes (PLACES)

8.8%

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

Not in the Medicare inpatient file.

02 · Outpatient

Outpatient services

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

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 3/25/2026, template 3.0.0, 12,210 rows scanned, 3,112 distinct code–setting items kept. 613 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

ONC AML DNA DETCJ/NONDETCJ

CPT 0023U

$3,765

$2,824

$298

clean

JAK2 GENE TRGT SEQ ALYS

CPT 0027U

$320

$240

$146

clean

NFCT DS DNA UNTRGT NGNRJ SEQ

CPT 0152U

$3,790

$2,843

$2,551

clean

UNLISTED ANES PROCEDURE

CPT 01999

$940

$705

—

clean

TRLUML PERIP ATHRC BRCHIOCPH

CPT 0237T

$27,000

$20,250

$12,080

clean

TRLUML PERIP ATHRC ILIAC ART

CPT 0238T

$53,164

$39,873

$19,183

clean

FNA BX W/O IMG GDN EA ADDL

CPT 10004

$153

$115

$44

clean

FNA BX W/US GDN 1ST LES

CPT 10005

$1,596

$1,197

$741

clean

FNA BX W/US GDN EA ADDL

CPT 10006

$1,388

$1,041

$52

clean

FNA BX W/FLUOR GDN 1ST LES

CPT 10007

$800

$600

$741

clean

FNA BX W/CT GDN 1ST LES

CPT 10009

$1,367

$1,025

$741

clean

FNA BX W/CT GDN EA ADDL

CPT 10010

$857

$643

$80

clean

FNA BX W/MR GDN 1ST LES

CPT 10011

$1,631

$1,223

$741

clean

FNA BX W/MR GDN EA ADDL

CPT 10012

$983

$737

—

clean

FNA BX W/O IMG GDN 1ST LES

CPT 10021

$788

$591

$425

clean

IMG GID FLU COLL DRG SFT TIS

CPT 10030

$2,623

$1,967

$741

clean

PLMT SFT TISS LOCLZJ DEV 1ST

CPT 10035

$1,454

$1,091

$741

clean

PLMT SFT TISS LOCLZJ DEV EA

CPT 10036

$695

$521

$44

clean

I&D ABSCESS SIMPLE/SINGLE

CPT 10060

$465

$349

$210

clean

I&D ABSCESS COMP/MULTIPLE

CPT 10061

$367

$275

$425

clean

I&D PILONIDAL CYST SIMPLE

CPT 10080

$1,022

$767

$741

clean

I&D PILONIDAL CYST COMP

CPT 10081

$1,555

$1,166

$741

clean

INC&RMVL FB SUBQ TISS SMPL

CPT 10120

$1,290

$968

$425

clean

INC&RMVL FB SUBQ TISS COMP

CPT 10121

$4,004

$3,003

$1,728

clean

I&D HMTMA SEROMA/FLUID COLLJ

CPT 10140

$3,067

$2,300

$1,728

clean

PNXR ASPIR ABSC HMTMA BULLA

CPT 10160

$585

$439

$425

clean

DEBRIDE SKIN MUSC AT FX SITE

CPT 11011

$759

$569

$741

clean

DEB SKIN BONE AT FX SITE

CPT 11012

$2,126

$1,595

$3,040

clean

DBRDMT SUBQ TIS 1ST 20SQCM/<

CPT 11042

$898

$674

$425

clean

DBRDMT MUSC&/FSCA 1ST 20/<

CPT 11043

$689

$517

$773

clean

DBRDMT BONE 1ST 20 SQ CM/<

CPT 11044

$1,673

$1,255

$1,728

clean

DBRDMT SUBQ TISS EACH ADDL

CPT 11045

$302

$227

$27

clean

DBRDMT MUSC&/FSCA EA ADDL

CPT 11046

$820

$615

$58

clean

DBRDMT BONE EACH ADDL

CPT 11047

$2,613

$1,960

$103

clean

PARING/CUTG B9 HYPRKER LES 1

CPT 11055

$397

$298

$210

clean

PARNG/CUTG B9 HYPRKR LES 2-4

CPT 11056

$771

$578

$210

clean

PARNG/CUTG B9 HYPRKR LES >4

CPT 11057

$881

$661

$210

clean

TANGNTL BX SKIN SINGLE LES

CPT 11102

$290

$218

$425

clean

TANGNTL BX SKIN EA SEP/ADDL

CPT 11103

$163

$122

$21

clean

PUNCH BX SKIN SINGLE LESION

CPT 11104

$888

$666

$425

clean

PUNCH BX SKIN EA SEP/ADDL

CPT 11105

$186

$140

$26

clean

INCAL BX SKN SINGLE LES

CPT 11106

$1,398

$1,049

$773

clean

INCAL BX SKN EA SEP/ADDL

CPT 11107

$191

$143

$30

clean

RMVL SKIN TAGS UP TO&INC 15

CPT 11200

$505

$379

$210

clean

RMVL SKIN TAGS EA ADDL 10

CPT 11201

$185

$139

$16

clean

SHAVE SKIN LESION 0.6-1.0 CM

CPT 11301

$480

$360

$210

clean

SHAVE SKIN LESION 1.1-2.0 CM

CPT 11302

$459

$344

$210

clean

SHAVE SKIN LESION >2.0 CM

CPT 11303

$882

$662

$425

clean

SHAVE SKIN LESION 0.5 CM/<

CPT 11305

$484

$363

$210

clean

EXC TR-EXT B9+MARG 0.6-1 CM

CPT 11401

$998

$749

$425

clean

EXC H-F-NK-SP B9+MARG 0.5/<

CPT 11420

$3,662

$2,747

$1,728

clean

EXC H-F-NK-SP B9+MARG 1.1-2

CPT 11422

$3,861

$2,896

$1,728

clean

EXC FACE-MM B9+MARG >4 CM

CPT 11446

$5,738

$4,304

$3,040

clean

EXC TR-EXT MAL+MARG 0.6-1 CM

CPT 11601

$1,216

$912

$741

clean

EXC TR-EXT MAL+MARG 2.1-3 CM

CPT 11603

$2,247

$1,685

$741

clean

TRIM NAIL(S) ANY NUMBER

CPT 11719

$151

$113

$62

clean

DEBRIDE NAIL 1-5

CPT 11720

$165

$124

$62

clean

DEBRIDE NAIL 6 OR MORE

CPT 11721

$231

$173

$62

clean

REMOVAL OF NAIL PLATE

CPT 11730

$380

$285

$210

clean

REMOVE NAIL PLATE ADD-ON

CPT 11732

$163

$122

$18

clean

DRAIN BLOOD FROM UNDER NAIL

CPT 11740

$137

$103

$139

clean

REMOVAL OF NAIL BED

CPT 11750

$1,082

$812

$425

clean

REPAIR OF NAIL BED

CPT 11760

$1,442

$1,082

$773

clean

EXCISION OF NAIL FOLD TOE

CPT 11765

$240

$180

$425

clean

INJECT SKIN LESIONS </W 7

CPT 11900

$483

$362

$210

clean

INJECT SKIN LESIONS >7

CPT 11901

$483

$362

$210

clean

REMOVE DRUG IMPLANT DEVICE

CPT 11982

$946

$710

$467

clean

SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS

CPT 12001

$621

$466

$210

clean

RPR S/N/AX/GEN/TRNK2.6-7.5CM

CPT 12002

$468

$351

$210

clean

RPR S/N/AX/GEN/TRK7.6-12.5CM

CPT 12004

$331

$248

$210

clean

RPR S/N/A/GEN/TRK12.6-20.0CM

CPT 12005

$474

$356

$425

clean

RPR S/N/A/GEN/TRK20.1-30.0CM

CPT 12006

$494

$371

$425

clean

RPR S/N/AX/GEN/TRNK >30.0 CM

CPT 12007

$494

$371

$210

clean

RPR F/E/E/N/L/M 2.5 CM/<

CPT 12011

$723

$542

$210

clean

RPR F/E/E/N/L/M 2.6-5.0 CM

CPT 12013

$290

$218

$210

clean

RPR F/E/E/N/L/M 5.1-7.5 CM

CPT 12014

$474

$356

$210

clean

RPR F/E/E/N/L/M 7.6-12.5 CM

CPT 12015

$494

$371

$210

clean

RPR FE/E/EN/L/M 12.6-20.0 CM

CPT 12016

$471

$353

$425

clean

RPR FE/E/EN/L/M 20.1-30.0 CM

CPT 12017

$453

$340

$425

clean

RPR F/E/E/N/L/M >30.0 CM

CPT 12018

$961

$721

$210

clean

TX SUPFC WND DEHSN SMPL CLSR

CPT 12020

$1,542

$1,157

$773

clean

INTMD RPR S/A/T/EXT 2.5 CM/<

CPT 12031

$1,074

$806

$425

clean

INTMD RPR S/A/T/EXT 2.6-7.5

CPT 12032

$696

$522

$425

clean

INTMD RPR S/TR/EXT 7.6-12.5

CPT 12034

$926

$695

$425

clean

INTMD RPR S/A/T/EXT 12.6-20

CPT 12035

$882

$662

$425

clean

INTMD RPR S/A/T/EXT 20.1-30

CPT 12036

$886

$665

$773

clean

INTMD RPR S/TR/EXT >30.0 CM

CPT 12037

$3,906

$2,930

$2,159

clean

INTMD RPR N-HF/GENIT 2.5CM/<

CPT 12041

$922

$692

$425

clean

INTMD RPR N-HF/GENIT2.6-7.5

CPT 12042

$1,435

$1,076

$425

clean

INTMD RPR N-HF/GENIT7.6-12.5

CPT 12044

$926

$695

$773

clean

INTMD RPR N-HF/GENIT12.6-20

CPT 12045

$805

$604

$773

clean

INTMD RPR N-HF/GENIT20.1-30

CPT 12046

$920

$690

$773

clean

INTMD RPR FACE/MM 2.5 CM/<

CPT 12051

$1,449

$1,087

$425

clean

INTMD RPR FACE/MM 2.6-5.0 CM

CPT 12052

$1,099

$824

$425

clean

INTMD RPR FACE/MM 5.1-7.5 CM

CPT 12053

$805

$604

$425

clean

INTMD RPR FACE/MM 7.6-12.5CM

CPT 12054

$966

$725

$425

clean

INTMD RPR FACE/MM 12.6-20 CM

CPT 12055

$961

$721

$425

clean

INTMD RPR FACE/MM 20.1-30.0

CPT 12056

$886

$665

$425

clean

INTMD RPR FACE/MM >30.0 CM

CPT 12057

$882

$662

$425

clean

CMPLX RPR TRUNK 1.1-2.5 CM

CPT 13100

$1,519

$1,139

$773

clean

CMPLX RPR TRUNK 2.6-7.5 CM

CPT 13101

$1,528

$1,146

$773

clean

CMPLX RPR S/A/L 1.1-2.5 CM

CPT 13120

$1,522

$1,142

$425

clean

CMPLX RPR S/A/L 2.6-7.5 CM

CPT 13121

$1,493

$1,120

$425

clean

CMPLX RPR S/A/L ADDL 5 CM/>

CPT 13122

$980

$735

$81

clean

CMPLX RPR F/C/C/M/N/AX/G/H/F

CPT 13131

$895

$671

$425

clean

CMPLX RPR F/C/C/M/N/AX/G/H/F

CPT 13132

$1,528

$1,146

$425

clean

CMPLX RPR F/C/C/M/N/AX/G/H/F

CPT 13133

$1,022

$767

$122

clean

CMPLX RPR E/N/E/L 1.1-2.5 CM

CPT 13151

$1,475

$1,106

$773

clean

CMPLX RPR E/N/E/L 2.6-7.5 CM

CPT 13152

$1,528

$1,146

$773

clean

CMPLX RPR E/N/E/L ADDL 5CM/<

CPT 13153

$980

$735

$136

clean

WOUND PREP TRK/ARM/LEG

CPT 15002

$4,444

$3,333

$773

clean

WOUND PREP ADDL 100 CM

CPT 15003

$1,570

$1,178

$48

clean

WOUND PREP F/N/HF/G

CPT 15004

$1,496

$1,122

$425

clean

WND PREP F/N/HF/G ADDL CM

CPT 15005

$1,570

$1,178

$95

clean

SKIN SUB GRAFT TRNK/ARM/LEG

CPT 15271

$4,403

$3,302

$773

clean

SKIN SUB GRAFT T/A/L ADD-ON

CPT 15272

$323

$242

$18

clean

SKIN SUB GRFT T/ARM/LG CHILD

CPT 15273

$7,863

$5,897

$2,159

clean

SKN SUB GRFT T/A/L CHILD ADD

CPT 15274

$1,022

$767

$47

clean

SKIN SUB GRAFT FACE/NK/HF/G

CPT 15275

$4,444

$3,333

$773

clean

SKIN SUB GRAFT F/N/HF/G ADDL

CPT 15276

$323

$242

$27

clean

SKN SUB GRFT F/N/HF/G CHILD

CPT 15277

$3,829

$2,872

$2,159

clean

SKN SUB GRFT F/N/HF/G CH ADD

CPT 15278

$937

$703

$59

clean

ACELLULAR DERM MATRIX IMPLT

CPT 15777

$20,190

$15,143

$219

clean

REMOVAL SUTR/STAPL XREQ ANES

CPT 15853

$194

$146

—

clean

INITIAL TREATMENT OF BURN(S)

CPT 16000

$207

$155

$210

clean

DRESS/DEBRID P-THICK BURN S

CPT 16020

$747

$560

$210

clean

DRESS/DEBRID P-THICK BURN M

CPT 16025

$537

$403

$210

clean

DRESS/DEBRID P-THICK BURN L

CPT 16030

$919

$689

$425

clean

DESTRUCT B9 LESION 1-14

CPT 17110

$528

$396

$210

clean

CHEM CAUT OF GRANLTJ TISSUE

CPT 17250

$323

$242

$210

clean

UNLISTD PX SKN MUC MEMB SUBQ

CPT 17999

$488

$366

$210

clean

PUNCTURE ASPIR CYST BREAST

CPT 19000

$626

$470

$741

clean

PUNCTURE ASPIR CYST BRST EA

CPT 19001

$646

$485

$22

clean

MASTOTOMY EXPL DRG ABSC DP

CPT 19020

$3,981

$2,986

$1,728

clean

NJX PX ONLY MAM DUCTO/GLCTO

CPT 19030

$265

$199

$77

clean

BX BREAST 1ST LESION STRTCTC

CPT 19081

$4,982

$3,737

$1,728

clean

BX BREAST ADD LESION STRTCTC

CPT 19082

$1,133

$850

$83

clean

BX BREAST 1ST LESION US IMAG

CPT 19083

$5,457

$4,093

$1,728

clean

BX BREAST ADD LESION US IMAG

CPT 19084

$1,733

$1,300

$78

clean

BX BREAST 1ST LESION MR IMAG

CPT 19085

$4,233

$3,175

$1,728

clean

BX BREAST ADD LESION MR IMAG

CPT 19086

$2,944

$2,208

$91

clean

PERQ DEVICE BREAST 1ST IMAG

CPT 19281

$1,388

$1,041

$1,728

clean

PERQ DEVICE BREAST EA IMAG

CPT 19282

$490

$368

$50

clean

PERQ DEV BREAST 1ST STRTCTC

CPT 19283

$1,442

$1,082

$741

clean

PERQ DEV BREAST ADD STRTCTC

CPT 19284

$426

$320

$51

clean

PERQ DEV BREAST 1ST US IMAG

CPT 19285

$719

$539

$741

clean

PERQ DEV BREAST ADD US IMAG

CPT 19286

$472

$354

$43

clean

EXPL PENTRG WOUND NECK

CPT 20100

$2,306

$1,730

$564

clean

EXPL PENTRG WND ABD/FLNK/BK

CPT 20102

$5,001

$3,751

$2,159

clean

EXPL PENTRG WOUND EXTREMITY

CPT 20103

$3,099

$2,324

$1,728

clean

BIOPSY MUSCLE PERQ NEEDLE

CPT 20206

$2,581

$1,936

$1,728

clean

BONE BIOPSY TROCAR/NDL SUPFC

CPT 20220

$2,332

$1,749

$1,728

clean

BONE BIOPSY TROCAR/NDL DEEP

CPT 20225

$2,742

$2,057

$1,728

clean

REMOVAL OF FOREIGN BODY

CPT 20520

$2,445

$1,834

$1,728

clean

THER INJECTION CARP TUNNEL

CPT 20526

$703

$527

$321

clean

INJ TENDON SHEATH/LIGAMENT

CPT 20550

$728

$546

$321

clean

INJ TENDON ORIGIN/INSERTION

CPT 20551

$700

$525

$321

clean

INJ TRIGGER POINT 1/2 MUSCL

CPT 20552

$541

$406

$321

clean

INJECT TRIGGER POINTS 3/>

CPT 20553

$728

$546

$321

clean

DRAIN/INJ JOINT/BURSA W/O US

CPT 20600

$615

$461

$321

clean

DRAIN/INJ JOINT/BURSA W/US

CPT 20604

$760

$570

$321

clean

DRAIN/INJ JOINT/BURSA W/O US

CPT 20605

$728

$546

$321

clean

DRAIN/INJ JOINT/BURSA W/O US

CPT 20610

$707

$530

$321

clean

DRAIN/INJ JOINT/BURSA W/US

CPT 20611

$698

$524

$321

clean

ASPIRATE/INJ GANGLION CYST

CPT 20612

$735

$551

$321

clean

RMVL TONGS/HALO ANTHR INDIV

CPT 20665

$202

$152

$467

clean

CLSD TX NSL FX MNPJ WO STBLJ

CPT 21315

$4,772

$3,579

$1,624

clean

CLSD TX NSL FX W/MNPJ&STABLJ

CPT 21320

$4,645

$3,484

$3,469

clean

CLTX TMPRMAND DISLC 1ST/SBSQ

CPT 21480

$417

$313

$258

clean

CLTX TMPRMAND DISLC COMP

CPT 21485

$3,442

$2,582

$1,624

clean

BIOPSY OF NECK/CHEST

CPT 21550

$3,016

$2,262

$1,728

clean

EXC NECK TUM DEEP < 5 CM

CPT 21556

$6,161

$4,621

$3,040

clean

PERQ CERVICOTHORACIC INJECT

CPT 22510

$7,963

$5,972

$3,424

clean

PERQ LUMBOSACRAL INJECTION

CPT 22511

$7,938

$5,954

$3,424

clean

VERTEBROPLASTY ADDL INJECT

CPT 22512

$6,903

$5,177

$220

clean

PERQ VERTEBRAL AUGMENTATION

CPT 22513

$15,386

$11,540

$7,593

clean

PERQ VERTEBRAL AUGMENTATION

CPT 22514

$15,386

$11,540

$7,593

clean

PERQ VERTEBRAL AUGMENTATION

CPT 22515

$15,386

$11,540

$229

clean

BIOPSY SHOULDER TISSUES

CPT 23066

$5,617

$4,213

$3,040

clean

INJECTION FOR SHOULDER X-RAY

CPT 23350

$267

$200

$50

clean

CLTX CLAVICULAR FX W/O MNPJ

CPT 23500

$412

$309

$258

clean

CLTX CLAVICULAR FX W/MNPJ

CPT 23505

$1,638

$1,229

$1,683

clean

CLTX PRX HMRL FX MNPJ+-TRACT

CPT 23605

$3,458

$2,594

$1,683

clean

CLTX GR HMRL TBRS FX W/MNPJ

CPT 23625

$3,669

$2,752

$1,683

clean

CLTX SHO DSLC W/MNPJ WO ANES

CPT 23650

$382

$287

$258

clean

CLTX SHO DSLC W/MNPJ W/ANES

CPT 23655

$3,832

$2,874

$1,683

clean

CLTX SHO DSLC FX GR HMRL TBR

CPT 23665

$3,895

$2,921

$1,683

clean

CLTX SHO DISLC NECK FX MNPJ

CPT 23675

$3,566

$2,675

$1,683

clean

I&D UPR A/E DP ABSC/HMTMA

CPT 23930

$6,322

$4,742

$3,040

clean

I&D UPR A/E BURSA

CPT 23931

$3,736

$2,802

$1,728

clean

BIOPSY ARM/ELBOW SOFT TISSUE

CPT 24066

$2,910

$2,183

$3,040

clean

RMVL FB UPPER ARM/ELBW DEEP

CPT 24201

$6,120

$4,590

$3,040

clean

INJECTION PX FOR ELBOW ARTHG

CPT 24220

$354

$266

$67

clean

TREAT HUMERUS FRACTURE

CPT 24505

$4,237

$3,178

$1,683

clean

TREAT HUMERUS FRACTURE

CPT 24530

$641

$481

$258

clean

TREAT HUMERUS FRACTURE

CPT 24535

$1,514

$1,136

$1,683

clean

TREAT HUMERUS FRACTURE

CPT 24565

$426

$320

$1,683

clean

TREAT ELBOW DISLOCATION

CPT 24600

$429

$322

$258

clean

TREAT ELBOW FRACTURE

CPT 24620

$3,375

$2,531

$1,683

clean

TREAT ELBOW DISLOCATION

CPT 24640

$617

$463

$258

clean

Showing the first 200 of 3,112 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

CPT 43265/o

warn

mrf_negotiated_above_gross

highest negotiated rate $7,941 exceeds the gross charge $7,252

CPT 43752/o

warn

mrf_negotiated_above_gross

highest negotiated rate $584 exceeds the gross charge $424

CPT 43753/o

warn

mrf_negotiated_above_gross

highest negotiated rate $282 exceeds the gross charge $194

CPT 49250/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,683 exceeds the gross charge $3,739

CPT 49426/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,683 exceeds the gross charge $3,739

CPT 49465/o

warn

mrf_negotiated_above_gross

highest negotiated rate $312 exceeds the gross charge $198

CPT 51702/o

warn

mrf_negotiated_above_gross

highest negotiated rate $174 exceeds the gross charge $93

CPT 51720/o

warn

mrf_negotiated_above_gross

highest negotiated rate $912 exceeds the gross charge $664

CPT 54420/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,611 exceeds the gross charge $552

CPT 55705/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,611 exceeds the gross charge $3,892

CPT 58301/o

warn

mrf_negotiated_above_gross

highest negotiated rate $399 exceeds the gross charge $371

CPT 64415/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,157 exceeds the gross charge $965

CPT 64417/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,157 exceeds the gross charge $1,135

CPT 86631/o

warn

mrf_negotiated_above_gross

highest negotiated rate $18 exceeds the gross charge $10

CPT 86632/o

warn

mrf_negotiated_above_gross

highest negotiated rate $19 exceeds the gross charge $14

CPT 64617/o

warn

mrf_negotiated_above_gross

highest negotiated rate $923 exceeds the gross charge $641

CPT 64642/o

warn

mrf_negotiated_above_gross

highest negotiated rate $923 exceeds the gross charge $627

CPT 64644/o

warn

mrf_negotiated_above_gross

highest negotiated rate $923 exceeds the gross charge $627

CPT 65220/o

warn

mrf_negotiated_above_gross

highest negotiated rate $584 exceeds the gross charge $276

CPT 86905/o

warn

mrf_negotiated_above_gross

highest negotiated rate $469 exceeds the gross charge $232

CPT 67930/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,110 exceeds the gross charge $2,695

CPT 68705/o

warn

mrf_negotiated_above_gross

highest negotiated rate $415 exceeds the gross charge $256

CPT 69000/o

warn

mrf_negotiated_above_gross

highest negotiated rate $926 exceeds the gross charge $540

CPT 86972/o

warn

mrf_negotiated_above_gross

highest negotiated rate $223 exceeds the gross charge $201

CPT 70320/o

warn

mrf_negotiated_above_gross

highest negotiated rate $312 exceeds the gross charge $209

CPT 72170/o

warn

mrf_negotiated_above_gross

highest negotiated rate $137 exceeds the gross charge $109

CPT 87150/o

warn

mrf_negotiated_above_gross

highest negotiated rate $53 exceeds the gross charge $49

CPT 73502/o

warn

mrf_negotiated_above_gross

highest negotiated rate $114 exceeds the gross charge $107

CPT 88172/o

warn

mrf_negotiated_above_gross

highest negotiated rate $223 exceeds the gross charge $141

CPT 74425/o

warn

mrf_negotiated_above_gross

highest negotiated rate $456 exceeds the gross charge $446

CPT 88274/o

warn

mrf_negotiated_above_gross

highest negotiated rate $64 exceeds the gross charge $31

CPT 75710/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,130 exceeds the gross charge $2,639

CPT 0211U/o

warn

mrf_negotiated_above_gross

highest negotiated rate $12,682 exceeds the gross charge $8,455

CPT 75809/o

warn

mrf_negotiated_above_gross

highest negotiated rate $137 exceeds the gross charge $107

CPT 10007/o

warn

mrf_negotiated_above_gross

highest negotiated rate $926 exceeds the gross charge $800

CPT 75820/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,059 exceeds the gross charge $1,655

CPT 75822/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,059 exceeds the gross charge $1,780

CPT 88329/o

warn

mrf_negotiated_above_gross

highest negotiated rate $77 exceeds the gross charge $71

CPT 75827/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,059 exceeds the gross charge $1,780

CPT 88333/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,054 exceeds the gross charge $627

CPT 11011/o

warn

mrf_negotiated_above_gross

highest negotiated rate $926 exceeds the gross charge $759

CPT 11012/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,799 exceeds the gross charge $2,126

CPT 11044/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,160 exceeds the gross charge $1,673

CPT 11102/o

warn

mrf_negotiated_above_gross

highest negotiated rate $532 exceeds the gross charge $290

CPT 11740/o

warn

mrf_negotiated_above_gross

highest negotiated rate $174 exceeds the gross charge $137

CPT 93451/o

warn

mrf_negotiated_above_gross

highest negotiated rate $14,000 exceeds the gross charge $8,530

CPT 93454/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,241 exceeds the gross charge $3,031

CPT 11765/o

warn

mrf_negotiated_above_gross

highest negotiated rate $532 exceeds the gross charge $240

CPT 78610/o

warn

mrf_negotiated_above_gross

highest negotiated rate $710 exceeds the gross charge $569

CPT 93458/o

warn

mrf_negotiated_above_gross

highest negotiated rate $14,000 exceeds the gross charge $12,374

CPT 93459/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,241 exceeds the gross charge $3,031

CPT 93460/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,241 exceeds the gross charge $3,283

CPT 93797/o

warn

mrf_negotiated_above_gross

highest negotiated rate $169 exceeds the gross charge $6

CPT 12005/o

warn

mrf_negotiated_above_gross

highest negotiated rate $532 exceeds the gross charge $474

CPT 93978/o

warn

mrf_negotiated_above_gross

highest negotiated rate $312 exceeds the gross charge $199

CPT 12006/o

warn

mrf_negotiated_above_gross

highest negotiated rate $532 exceeds the gross charge $494

CPT 94002/o

warn

mrf_negotiated_above_gross

highest negotiated rate $808 exceeds the gross charge $687

CPT 12016/o

warn

mrf_negotiated_above_gross

highest negotiated rate $532 exceeds the gross charge $471

CPT 12017/o

warn

mrf_negotiated_above_gross

highest negotiated rate $532 exceeds the gross charge $453

CPT 94640/o

warn

mrf_negotiated_above_gross

highest negotiated rate $286 exceeds the gross charge $233

CPT 94660/o

warn

mrf_negotiated_above_gross

highest negotiated rate $286 exceeds the gross charge $233

CPT 12036/o

warn

mrf_negotiated_above_gross

highest negotiated rate $967 exceeds the gross charge $886

CPT 94667/o

warn

mrf_negotiated_above_gross

highest negotiated rate $174 exceeds the gross charge $140

CPT 94726/o

warn

mrf_negotiated_above_gross

highest negotiated rate $488 exceeds the gross charge $428

CPT 12044/o

warn

mrf_negotiated_above_gross

highest negotiated rate $967 exceeds the gross charge $926

CPT 95250/o

warn

mrf_negotiated_above_gross

highest negotiated rate $174 exceeds the gross charge $168

CPT 12045/o

warn

mrf_negotiated_above_gross

highest negotiated rate $967 exceeds the gross charge $805

CPT 12046/o

warn

mrf_negotiated_above_gross

highest negotiated rate $967 exceeds the gross charge $920

CPT 96409/o

warn

mrf_negotiated_above_gross

highest negotiated rate $432 exceeds the gross charge $200

CPT 16000/o

warn

mrf_negotiated_above_gross

highest negotiated rate $262 exceeds the gross charge $207

CPT 97803/o

warn

mrf_negotiated_above_gross

highest negotiated rate $32 exceeds the gross charge $29

CPT 81121/o

warn

mrf_negotiated_above_gross

highest negotiated rate $444 exceeds the gross charge $413

CPT 99453/o

warn

mrf_negotiated_above_gross

highest negotiated rate $450 exceeds the gross charge $312

CPT 99457/o

warn

mrf_negotiated_above_gross

highest negotiated rate $450 exceeds the gross charge $108

CPT 20665/o

warn

mrf_negotiated_above_gross

highest negotiated rate $584 exceeds the gross charge $202

CPT 81229/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,740 exceeds the gross charge $1,697

CPT 99458/o

warn

mrf_negotiated_above_gross

highest negotiated rate $450 exceeds the gross charge $108

CPT 23505/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,103 exceeds the gross charge $1,638

CPT 99495/o

warn

mrf_negotiated_above_gross

highest negotiated rate $450 exceeds the gross charge $284

CPT 24066/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,799 exceeds the gross charge $2,910

CPT 99496/o

warn

mrf_negotiated_above_gross

highest negotiated rate $450 exceeds the gross charge $284

CPT 24535/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,103 exceeds the gross charge $1,514

CPT 24565/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,103 exceeds the gross charge $426

CPT 24655/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,103 exceeds the gross charge $1,511

CPT 81292/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,013 exceeds the gross charge $697

CPT 81295/o

warn

mrf_negotiated_above_gross

highest negotiated rate $573 exceeds the gross charge $441

CPT 81298/o

warn

mrf_negotiated_above_gross

highest negotiated rate $963 exceeds the gross charge $694

CPT 81301/o

warn

mrf_negotiated_above_gross

highest negotiated rate $523 exceeds the gross charge $459

CPT 27365/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,280 exceeds the gross charge $634

CPT 81311/o

warn

mrf_negotiated_above_gross

highest negotiated rate $444 exceeds the gross charge $424

CPT C9765/o

warn

mrf_negotiated_above_gross

highest negotiated rate $23,978 exceeds the gross charge $19,008

CPT 81315/o

warn

mrf_negotiated_above_gross

highest negotiated rate $311 exceeds the gross charge $129

CPT 27560/o

warn

mrf_negotiated_above_gross

highest negotiated rate $323 exceeds the gross charge $293

CPT 81317/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,015 exceeds the gross charge $757

CPT 27810/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,103 exceeds the gross charge $1,433

CPT G0257/o

warn

mrf_negotiated_above_gross

highest negotiated rate $898 exceeds the gross charge $782

CPT 27818/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,103 exceeds the gross charge $1,450

CPT 81404/o

warn

mrf_negotiated_above_gross

highest negotiated rate $412 exceeds the gross charge $13

CPT 28600/o

warn

mrf_negotiated_above_gross

highest negotiated rate $323 exceeds the gross charge $232

CPT 81419/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,673 exceeds the gross charge $775

CPT G0463/o

warn

mrf_negotiated_above_gross

highest negotiated rate $174 exceeds the gross charge $137

CPT 29540/o

warn

mrf_negotiated_above_gross

highest negotiated rate $213 exceeds the gross charge $205

CPT 30999/o

warn

mrf_negotiated_above_gross

highest negotiated rate $310 exceeds the gross charge $305

CPT 31600/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,337 exceeds the gross charge $2,479

CPT 31610/o

warn

mrf_negotiated_above_gross

highest negotiated rate $7,743 exceeds the gross charge $2,372

CPT 33222/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,699 exceeds the gross charge $1,599

CPT 33228/o

warn

mrf_negotiated_above_gross

highest negotiated rate $13,672 exceeds the gross charge $8,356

CPT 82157/o

warn

mrf_negotiated_above_gross

highest negotiated rate $44 exceeds the gross charge $30

CPT L3702/o

warn

mrf_negotiated_above_gross

highest negotiated rate $487 exceeds the gross charge $441

CPT L3763/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,339 exceeds the gross charge $1,036

CPT L3765/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,163 exceeds the gross charge $1,811

CPT L3808/o

warn

mrf_negotiated_above_gross

highest negotiated rate $563 exceeds the gross charge $488

CPT L3900/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,635 exceeds the gross charge $1,584

CPT L3906/o

warn

mrf_negotiated_above_gross

highest negotiated rate $712 exceeds the gross charge $596

CPT L3913/o

warn

mrf_negotiated_above_gross

highest negotiated rate $457 exceeds the gross charge $353

CPT L3933/o

warn

mrf_negotiated_above_gross

highest negotiated rate $360 exceeds the gross charge $276

CPT P9011/o

warn

mrf_negotiated_above_gross

highest negotiated rate $233 exceeds the gross charge $209

CPT 36555/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,130 exceeds the gross charge $2,667

CPT 36580/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,059 exceeds the gross charge $1,833

CPT 37184/o

warn

mrf_negotiated_above_gross

highest negotiated rate $23,978 exceeds the gross charge $12,215

CPT 37187/o

warn

mrf_negotiated_above_gross

highest negotiated rate $15,100 exceeds the gross charge $12,154

CPT 40500/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,337 exceeds the gross charge $349

CPT 40804/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,186 exceeds the gross charge $189

CPT 41250/o

warn

mrf_negotiated_above_gross

highest negotiated rate $584 exceeds the gross charge $303

CPT 42809/o

warn

mrf_negotiated_above_gross

highest negotiated rate $584 exceeds the gross charge $375

CPT 42970/o

warn

mrf_negotiated_above_gross

highest negotiated rate $310 exceeds the gross charge $304

CPT 43202/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,510 exceeds the gross charge $2,482

warn

mrf_rate_without_estimate

65,405 of 65,405 percentage/algorithm rates across 3,112 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 83986/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 differ, so no cross-line comparison was made for this item

CPT 83993/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 differ, so no cross-line comparison was made for this item

CPT 84153/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 differ, so no cross-line comparison was made for this item

CPT 43761/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 differ, so no cross-line comparison was made for this item

CPT 84156/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 differ, so no cross-line comparison was made for this item

CPT 43762/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 differ, so no cross-line comparison was made for this item

CPT 84166/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 differ, so no cross-line comparison was made for this item

CPT 44799/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 differ, so no cross-line comparison was made for this item

CPT 84206/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 differ, so no cross-line comparison was made for this item

CPT 45399/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 differ, so no cross-line comparison was made for this item

CPT 84244/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 differ, so no cross-line comparison was made for this item

CPT 45915/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 differ, so no cross-line comparison was made for this item

CPT 84252/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 differ, so no cross-line comparison was made for this item

CPT 46083/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 differ, so no cross-line comparison was made for this item

CPT 84295/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 49082/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 differ, so no cross-line comparison was made for this item

CPT 84300/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 differ, so no cross-line comparison was made for this item

CPT 49083/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 differ, so no cross-line comparison was made for this item

CPT 84311/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 differ, so no cross-line comparison was made for this item

CPT 84439/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 differ, so no cross-line comparison was made for this item

CPT 49423/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 differ, so no cross-line comparison was made for this item

CPT 84446/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 differ, so no cross-line comparison was made for this item

CPT 84478/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 differ, so no cross-line comparison was made for this item

CPT 84479/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, max differ, so no cross-line comparison was made for this item

CPT 51101/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 differ, so no cross-line comparison was made for this item

CPT 84520/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 differ, so no cross-line comparison was made for this item

CPT 51701/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 differ, so no cross-line comparison was made for this item

CPT 84588/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 differ, so no cross-line comparison was made for this item

CPT 84597/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 differ, so no cross-line comparison was made for this item

CPT 84703/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 differ, so no cross-line comparison was made for this item

CPT 85014/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 differ, so no cross-line comparison was made for this item

CPT 85025/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, max differ, so no cross-line comparison was made for this item

CPT 56405/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 differ, so no cross-line comparison was made for this item

CPT 85240/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 differ, so no cross-line comparison was made for this item

CPT 56420/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 differ, so no cross-line comparison was made for this item

CPT 85245/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 differ, so no cross-line comparison was made for this item

CPT 58100/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 differ, so no cross-line comparison was made for this item

CPT 85250/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 differ, so no cross-line comparison was made for this item

CPT 85520/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 62264/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 differ, so no cross-line comparison was made for this item

CPT 85660/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 62270/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, max differ, so no cross-line comparison was made for this item

CPT 86003/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 62273/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 86022/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 differ, so no cross-line comparison was made for this item

CPT 62291/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 differ, so no cross-line comparison was made for this item

CPT 86141/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 differ, so no cross-line comparison was made for this item

CPT 62320/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 differ, so no cross-line comparison was made for this item

CPT 86147/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 differ, so no cross-line comparison was made for this item

CPT 62321/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 differ, so no cross-line comparison was made for this item

CPT 86160/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 differ, so no cross-line comparison was made for this item

CPT 62323/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 86255/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 differ, so no cross-line comparison was made for this item

CPT 86300/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 differ, so no cross-line comparison was made for this item

CPT 86316/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 differ, so no cross-line comparison was made for this item

CPT 64420/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 differ, so no cross-line comparison was made for this item

CPT 86317/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 differ, so no cross-line comparison was made for this item

CPT 64445/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

CPT 86403/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 64450/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 differ, so no cross-line comparison was made for this item

CPT 86592/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 differ, so no cross-line comparison was made for this item

CPT 64479/o

info

mrf_item_fields_vary

this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86606/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 differ, so no cross-line comparison was made for this item

CPT 64480/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 64483/o

info

mrf_item_fields_vary

this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 64484/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86638/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 differ, so no cross-line comparison was made for this item

CPT 64490/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

CPT 86651/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, max differ, so no cross-line comparison was made for this item

CPT 64491/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, max differ, so no cross-line comparison was made for this item

CPT 86652/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, max differ, so no cross-line comparison was made for this item

CPT 64492/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 613 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
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)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
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
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)
Sgmc Berrien Campus — standard charges file · GA · updated 3/25/2026
· csv-wide · 34.8M bytes · fetched 2026-08-26 · sha256 b24078ea46e5…

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.