Hospital · CCN 120002

Maui Memorial Medical Center

221 Mahalani Street, Wailuku, HI 96793 · Maui County
Part of Kaiser Permanente · 219 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

27 admission types 40 outpatient services price file: ok
Billed per dollar paid, all admissions
1.91×
$34.0M billed against $17.8M paid across 693 Medicare discharges; the national figure is 5.03×.
1.0%
of adults in Maui County have medical debt in collections
4.7%
uninsured in the county · state 4.3%
$84K
median household income
1.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
26.2%
obesity in the countyⓘ
12.2%
diagnosed diabetes (PLACES)
6.6%
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
112
$59,607
$32,117
1.9× st 2.9×
291
Heart failure and shock with mcc
73
$42,696
$20,618
2.1× st 3.2×
177
Respiratory infections and inflammations with mcc
50
$49,213
$27,338
1.8× st 3.1×
193
Simple pneumonia and pleurisy with mcc
49
$42,188
$21,342
2.0× st 3.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
30
$35,888
$16,551
2.2× st 3.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
30
$45,366
$21,081
2.2× st 3.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
29
$49,815
$32,070
1.6× st 3.7×
378
Gastrointestinal hemorrhage with cc
27
$40,976
$16,162
2.5× st 3.3×
377
Gastrointestinal hemorrhage with mcc
23
$52,511
$28,428
1.8× st 3.1×
689
Kidney and urinary tract infections with mcc
22
$31,320
$18,770
1.7× st 2.9×
481
Hip and femur procedures except major joint with cc
20
$72,357
$33,513
2.2× st 2.9×
698
Other kidney and urinary tract diagnoses with mcc
19
$41,762
$26,359
1.6× st 3.3×
603
Cellulitis without mcc
18
$23,688
$14,215
1.7× st 2.9×
690
Kidney and urinary tract infections without mcc
18
$21,404
$13,036
1.6× st 3.1×
885
Psychoses
16
$28,727
$22,003
1.3× st 2.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$46,425
$17,104
2.7× st 3.6×
189
Pulmonary edema and respiratory failure
16
$41,798
$21,318
2.0× st 3.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
16
$66,812
$33,976
2.0× st 3.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
16
$162,377
$84,284
1.9× st 3.2×
280
Acute myocardial infarction, discharged alive with mcc
12
$49,242
$25,817
1.9× st 3.6×
389
Gastrointestinal obstruction with cc
12
$20,007
$12,759
1.6× st 2.5×
312
Syncope and collapse
12
$31,779
$13,938
2.3× st 4.0×
552
Medical back problems without mcc
12
$33,899
$17,817
1.9× st 2.7×
329
Major small and large bowel procedures with mcc
12
$119,742
$66,745
1.8× st 3.7×
602
Cellulitis with mcc
11
$52,930
$24,074
2.2× st 3.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
11
$21,581
$13,062
1.7× st 3.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
11
$26,934
$12,558
2.1× st 3.3×
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
152
$20,731
$3,302
6.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
42
$9,475
$1,921
4.9×
5112
Level 2 Musculoskeletal Procedures
41
$9,751
$1,980
4.9×
5361
Level 1 Laparoscopy and Related Services
41
$32,797
$6,831
4.8×
5375
Level 5 Urology and Related Services
31
$31,541
$6,374
4.9×
5183
Level 3 Vascular Procedures
30
$12,640
$3,926
3.2×
5302
Level 2 Upper GI Procedures
28
$11,541
$2,139
5.4×
5191
Level 1 Endovascular Procedures
28
$21,219
$3,917
5.4×
5114
Level 4 Musculoskeletal Procedures
27
$34,296
$8,562
4.0×
5115
Level 5 Musculoskeletal Procedures
25
$42,882
$14,484
3.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
25
$19,118
$4,126
4.6×
5193
Level 3 Endovascular Procedures
24
$42,404
$13,529
3.1×
5182
Level 2 Vascular Procedures
18
$8,128
$1,852
4.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
16
$16,941
$3,500
4.8×
5184
Level 4 Vascular Procedures
12
$31,354
$6,769
4.6×
5192
Level 2 Endovascular Procedures
12
$21,081
$7,041
3.0×
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5194
Level 4 Endovascular 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 6/22/2026, template 3.0.0, 365,878 rows scanned, 18,765 distinct code–setting items kept. 127 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
FNA BX W/O IMG GDN EA ADDL
—
—
$1,022
8
clean
FNA BX W/US GDN 1ST LES
—
—
$857
18
clean
FNA BX W/US GDN EA ADDL
—
—
$1,022
8
clean
FNA BX W/FLUOR GDN 1ST LES
—
—
$857
18
clean
FNA BX W/CT GDN 1ST LES
—
—
$857
18
clean
FNA BX W/CT GDN EA ADDL
—
—
$1,022
8
clean
FNA BX W/MR GDN 1ST LES
—
—
$857
18
clean
FNA BX W/MR GDN EA ADDL
—
—
$1,290
5
clean
FNA BX W/O IMG GDN 1ST LES
—
—
$480
18
clean
IMG GID FLU COLL DRG SFT TIS
—
—
$857
18
clean
PLMT SFT TISS LOCLZJ DEV 1ST
—
—
$857
18
clean
PLMT SFT TISS LOCLZJ DEV EA
—
—
$1,022
8
clean
ACNE SURGERY
—
—
$243
16
clean
I&D ABSCESS SIMPLE/SINGLE
—
—
$237
18
clean
I&D ABSCESS COMP/MULTIPLE
—
—
$492
16
clean
I&D PILONIDAL CYST SIMPLE
—
—
$837
18
clean
I&D PILONIDAL CYST COMP
—
—
$857
18
clean
INC&RMVL FB SUBQ TISS SMPL
—
—
$480
18
clean
INC&RMVL FB SUBQ TISS COMP
—
—
$1,951
18
clean
I&D HMTMA SEROMA/FLUID COLLJ
—
—
$1,951
18
clean
PNXR ASPIR ABSC HMTMA BULLA
—
—
$480
18
clean
I&D COMPLEX PO WOUND INFCTJ
—
—
$3,431
18
clean
DBRDMT ECZ/INFECTED SKIN<10%
—
—
$480
18
clean
DBRDMT ECZ/INFCT SKN EA ADDL
—
—
$1,022
8
clean
DBRDMT SKIN XTRNL GENT&PER
—
—
$1,268
6
clean
DBRDMT SKIN ABDOMINAL WALL
—
—
$2,647
8
clean
DBRDMT SKIN XTRNL GENT PER
—
—
$1,268
6
clean
RMV PRSTC MTRL/MESH ABD WALL
—
—
$1,268
6
clean
DEBRIDE SKIN AT FX SITE
—
—
$857
18
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$857
18
clean
DEB SKIN BONE AT FX SITE
—
—
$3,431
18
clean
DBRDMT SUBQ TIS 1ST 20SQCM/<
—
—
$480
18
clean
DBRDMT MUSC&/FSCA 1ST 20/<
—
—
$895
18
clean
DBRDMT BONE 1ST 20 SQ CM/<
—
—
$1,951
18
clean
DBRDMT SUBQ TISS EACH ADDL
—
—
$1,022
8
clean
DBRDMT MUSC&/FSCA EA ADDL
—
—
$1,022
8
clean
DBRDMT BONE EACH ADDL
—
—
$1,022
8
clean
PARING/CUTG B9 HYPRKER LES 1
—
—
$237
18
clean
PARNG/CUTG B9 HYPRKR LES 2-4
—
—
$237
18
clean
PARNG/CUTG B9 HYPRKR LES >4
—
—
$237
18
clean
TANGNTL BX SKIN SINGLE LES
—
—
$480
18
clean
TANGNTL BX SKIN EA SEP/ADDL
—
—
$1,022
8
clean
PUNCH BX SKIN SINGLE LESION
—
—
$480
18
clean
PUNCH BX SKIN EA SEP/ADDL
—
—
$1,022
8
clean
INCAL BX SKN SINGLE LES
—
—
$873
18
clean
INCAL BX SKN EA SEP/ADDL
—
—
$1,022
8
clean
RMVL SKIN TAGS UP TO&INC 15
—
—
$243
16
clean
RMVL SKIN TAGS EA ADDL 10
—
—
$1,268
6
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$480
18
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$237
18
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$237
18
clean
SHAVE SKIN LESION >2.0 CM
—
—
$480
18
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$237
18
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$237
18
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$237
18
clean
SHAVE SKIN LESION >2.0 CM
—
—
$480
18
clean
SHAVE SKIN LESION 0.5 CM/<
—
—
$237
18
clean
SHAVE SKIN LESION 0.6-1.0 CM
—
—
$237
18
clean
SHAVE SKIN LESION 1.1-2.0 CM
—
—
$480
18
clean
SHAVE SKIN LESION >2.0 CM
—
—
$480
18
clean
EXC TR-EXT B9+MARG 0.5 CM<
—
—
$837
18
clean
EXC TR-EXT B9+MARG 0.6-1 CM
—
—
$480
18
clean
EXC TR-EXT B9+MARG 1.1-2 CM
—
—
$837
18
clean
EXC TR-EXT B9+MARG 2.1-3CM
—
—
$837
18
clean
EXC TR-EXT B9+MARG 3.1-4 CM
—
—
$1,951
18
clean
EXC TR-EXT B9+MARG >4.0 CM
—
—
$1,951
18
clean
EXC H-F-NK-SP B9+MARG 0.5/<
—
—
$1,951
18
clean
EXC H-F-NK-SP B9+MARG 0.6-1
—
—
$837
18
clean
EXC H-F-NK-SP B9+MARG 1.1-2
—
—
$1,951
18
clean
EXC H-F-NK-SP B9+MARG 2.1-3
—
—
$1,951
18
clean
EXC H-F-NK-SP B9+MARG 3.1-4
—
—
$1,951
18
clean
EXC H-F-NK-SP B9+MARG >4 CM
—
—
$3,431
18
clean
EXC FACE-MM B9+MARG 0.5 CM/<
—
—
$837
18
clean
EXC FACE-MM B9+MARG 0.6-1 CM
—
—
$837
18
clean
EXC FACE-MM B9+MARG 1.1-2 CM
—
—
$837
18
clean
EXC FACE-MM B9+MARG 2.1-3 CM
—
—
$1,951
18
clean
EXC FACE-MM B9+MARG 3.1-4 CM
—
—
$1,951
18
clean
EXC FACE-MM B9+MARG >4 CM
—
—
$3,431
18
clean
EXC SKN HDRDNT AX SMPL/NTRM
—
—
$3,431
18
clean
EXC SKN HDRDNT AX COMPLEX
—
—
$3,431
18
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
—
$3,431
18
clean
EXC SKN HDRDNT ING COMPLEX
—
—
$3,431
18
clean
EXC SKN H/P/P/U SMPL/NTRM
—
—
$3,431
18
clean
EXC SKN H/P/P/U COMPLEX
—
—
$3,431
18
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
—
—
$837
18
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
—
—
$837
18
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
—
—
$480
18
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
—
—
$837
18
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
—
—
$857
18
clean
EXC TR-EXT MAL+MARG >4 CM
—
—
$1,951
18
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
—
—
$1,951
18
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
—
—
$837
18
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
—
—
$837
18
clean
EXC S/N/H/F/G MAL+MRG 2.1-3
—
—
$1,951
18
clean
EXC S/N/H/F/G MAL+MRG 3.1-4
—
—
$1,951
18
clean
EXC S/N/H/F/G MAL+MRG >4 CM
—
—
$3,431
18
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
—
—
$837
18
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
—
—
$837
18
clean
EXC F/E/E/N/L MAL+MRG 1.1-2
—
—
$837
18
clean
EXC F/E/E/N/L MAL+MRG 2.1-3
—
—
$1,951
18
clean
EXC F/E/E/N/L MAL+MRG 3.1-4
—
—
$1,951
18
clean
EXC F/E/E/N/L MAL+MRG >4 CM
—
—
$3,431
18
clean
TRIM NAIL(S) ANY NUMBER
—
—
$70
18
clean
DEBRIDE NAIL 1-5
—
—
$70
18
clean
DEBRIDE NAIL 6 OR MORE
—
—
$70
18
clean
REMOVAL OF NAIL PLATE
—
—
$237
18
clean
REMOVE NAIL PLATE ADD-ON
—
—
$1,022
8
clean
DRAIN BLOOD FROM UNDER NAIL
—
—
$157
18
clean
REMOVAL OF NAIL BED
—
—
$480
18
clean
BIOPSY NAIL UNIT
—
—
$837
18
clean
REPAIR OF NAIL BED
—
—
$895
18
clean
RECONSTRUCTION OF NAIL BED
—
—
$2,437
18
clean
EXCISION OF NAIL FOLD TOE
—
—
$480
18
clean
REMOVE PILONIDAL CYST SIMPLE
—
—
$3,431
18
clean
REMOVE PILONIDAL CYST EXTEN
—
—
$3,431
18
clean
REMOVE PILONIDAL CYST COMPL
—
—
$3,431
18
clean
INJECT SKIN LESIONS </W 7
—
—
$237
18
clean
INJECT SKIN LESIONS >7
—
—
$237
18
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$873
18
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$895
18
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$1,022
8
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$873
18
clean
INSERT TISSUE EXPANDER(S)
—
—
$4,186
18
clean
RPLCMT TISS XPNDR PERM IMPLT
—
—
$8,572
18
clean
RMVL TIS XPNDR WO INSJ IMPLT
—
—
$3,431
18
clean
IMPLANT HORMONE PELLET(S)
—
—
$528
18
clean
INSERTION DRUG DLVR IMPLANT
—
—
$166
18
clean
REMOVE DRUG IMPLANT DEVICE
—
—
$528
18
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$528
18
clean
RPR S/N/AX/GEN/TRNK 2.5CM/<
—
—
$237
18
clean
RPR S/N/AX/GEN/TRNK2.6-7.5CM
—
—
$237
18
clean
RPR S/N/AX/GEN/TRK7.6-12.5CM
—
—
$249
18
clean
RPR S/N/A/GEN/TRK12.6-20.0CM
—
—
$480
18
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
—
—
$480
18
clean
RPR S/N/AX/GEN/TRNK >30.0 CM
—
—
$263
18
clean
RPR F/E/E/N/L/M 2.5 CM/<
—
—
$237
18
clean
RPR F/E/E/N/L/M 2.6-5.0 CM
—
—
$237
18
clean
RPR F/E/E/N/L/M 5.1-7.5 CM
—
—
$260
18
clean
RPR F/E/E/N/L/M 7.6-12.5 CM
—
—
$263
18
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
—
—
$480
18
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
—
—
$492
16
clean
RPR F/E/E/N/L/M >30.0 CM
—
—
$263
16
clean
TX SUPFC WND DEHSN SMPL CLSR
—
—
$873
18
clean
TX SUPFC WND DEHSN W/PACKING
—
—
$480
18
clean
INTMD RPR S/A/T/EXT 2.5 CM/<
—
—
$480
18
clean
INTMD RPR S/A/T/EXT 2.6-7.5
—
—
$480
18
clean
INTMD RPR S/TR/EXT 7.6-12.5
—
—
$480
18
clean
INTMD RPR S/A/T/EXT 12.6-20
—
—
$480
18
clean
INTMD RPR S/A/T/EXT 20.1-30
—
—
$873
18
clean
INTMD RPR S/TR/EXT >30.0 CM
—
—
$2,437
18
clean
INTMD RPR N-HF/GENIT 2.5CM/<
—
—
$480
18
clean
INTMD RPR N-HF/GENIT2.6-7.5
—
—
$480
18
clean
INTMD RPR N-HF/GENIT7.6-12.5
—
—
$873
18
clean
INTMD RPR N-HF/GENIT12.6-20
—
—
$873
18
clean
INTMD RPR N-HF/GENIT20.1-30
—
—
$873
18
clean
INTMD RPR N-HF/GENIT >30.0CM
—
—
$2,437
18
clean
INTMD RPR FACE/MM 2.5 CM/<
—
—
$480
18
clean
INTMD RPR FACE/MM 2.6-5.0 CM
—
—
$480
18
clean
INTMD RPR FACE/MM 5.1-7.5 CM
—
—
$480
18
clean
INTMD RPR FACE/MM 7.6-12.5CM
—
—
$480
18
clean
INTMD RPR FACE/MM 12.6-20 CM
—
—
$533
18
clean
INTMD RPR FACE/MM 20.1-30.0
—
—
$533
18
clean
INTMD RPR FACE/MM >30.0 CM
—
—
$533
18
clean
CMPLX RPR TRUNK 1.1-2.5 CM
—
—
$873
18
clean
CMPLX RPR TRUNK 2.6-7.5 CM
—
—
$873
18
clean
CMPLX RPR TRUNK ADDL 5CM/<
—
—
$1,022
8
clean
CMPLX RPR S/A/L 1.1-2.5 CM
—
—
$485
18
clean
CMPLX RPR S/A/L 2.6-7.5 CM
—
—
$533
18
clean
CMPLX RPR S/A/L ADDL 5 CM/>
—
—
$1,022
8
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$520
18
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$533
18
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
—
—
$1,022
8
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
—
—
$873
18
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
—
—
$873
18
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
—
—
$1,022
8
clean
SEC CLSR SURG WND/DEHSN XTN
—
—
$4,186
18
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
—
$2,437
18
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
—
$2,437
18
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
$2,437
18
clean
TIS TRNFR S/A/L 10.1-30 SQCM
—
—
$2,437
18
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,437
18
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$2,437
18
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
—
—
$2,437
18
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
$2,437
18
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
$4,186
18
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$1,268
6
clean
FILLETED FINGER/TOE FLAP
—
—
$2,437
18
clean
WOUND PREP TRK/ARM/LEG
—
—
$969
18
clean
WOUND PREP ADDL 100 CM
—
—
$1,022
8
clean
WOUND PREP F/N/HF/G
—
—
$533
18
clean
WND PREP F/N/HF/G ADDL CM
—
—
$1,022
8
clean
HARVEST CULTURED SKIN GRAFT
—
—
$2,437
18
clean
PINCH GRAFT UP TO 2 CM DIAM
—
—
$895
18
clean
SKIN SPLT GRFT TRNK/ARM/LEG
—
—
$2,437
18
clean
SKIN SPLT GRFT T/A/L ADD-ON
—
—
$1,022
8
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
—
—
$2,437
18
clean
EPIDRM AUTOGRFT T/A/L ADD-ON
—
—
$1,268
6
clean
EPIDRM A-GRFT FACE/NCK/HF/G
—
—
$2,437
18
clean
EPIDRM A-GRFT F/N/HF/G ADDL
—
—
$1,268
6
clean
SKN SPLT A-GRFT FAC/NCK/HF/G
—
—
$4,186
18
clean

Showing the first 200 of 18,765 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT C7539/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,068 exceeds the gross charge $990
CPT C8001/b
warn
mrf_negotiated_above_gross
highest negotiated rate $178 exceeds the gross charge $148
warn
mrf_rate_without_estimate
68,357 of 68,357 percentage/algorithm rates across 18,565 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT C1725/b
info
mrf_item_fields_vary
this code and setting cover at least 310 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 C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 226 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 C1727/b
info
mrf_item_fields_vary
this code and setting cover at least 26 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 C1728/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
CPT C1729/b
info
mrf_item_fields_vary
this code and setting cover at least 897 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 C1730/b
info
mrf_item_fields_vary
this code and setting cover at least 280 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 C1731/b
info
mrf_item_fields_vary
this code and setting cover at least 42 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 C1732/b
info
mrf_item_fields_vary
this code and setting cover at least 65 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 C1733/b
info
mrf_item_fields_vary
this code and setting cover at least 70 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 C1734/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
CPT C1735/b
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 C1737/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
CPT C1738/b
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 C1739/b
info
mrf_item_fields_vary
this code and setting cover at least 31 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 C1747/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 C1750/b
info
mrf_item_fields_vary
this code and setting cover at least 204 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 C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 546 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 C1752/b
info
mrf_item_fields_vary
this code and setting cover at least 117 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 C1753/b
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1755/b
info
mrf_item_fields_vary
this code and setting cover at least 150 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 C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 217 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 C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 143 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 C1759/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
CPT C1760/b
info
mrf_item_fields_vary
this code and setting cover at least 141 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 C1761/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 C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 1125 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 C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 461 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 C1764/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, min, max differ, so no cross-line comparison was made for this item
CPT C1765/b
info
mrf_item_fields_vary
this code and setting cover at least 64 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 C1766/b
info
mrf_item_fields_vary
this code and setting cover at least 22 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 C1767/b
info
mrf_item_fields_vary
this code and setting cover at least 58 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 C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 1063 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 C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 559 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 C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 49 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 C1772/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
CPT C1773/b
info
mrf_item_fields_vary
this code and setting cover at least 122 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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 2442 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 C1777/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
CPT C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 69 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 C1779/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
CPT C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 765 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 C1782/b
info
mrf_item_fields_vary
this code and setting cover at least 29 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 C1783/b
info
mrf_item_fields_vary
this code and setting cover at least 33 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 C1784/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
CPT C1785/b
info
mrf_item_fields_vary
this code and setting cover at least 64 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 C1786/b
info
mrf_item_fields_vary
this code and setting cover at least 42 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 C1787/b
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1788/b
info
mrf_item_fields_vary
this code and setting cover at least 140 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 C1789/b
info
mrf_item_fields_vary
this code and setting cover at least 61 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 C1813/b
info
mrf_item_fields_vary
this code and setting cover at least 60 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 C1814/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
CPT C1815/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, min, max differ, so no cross-line comparison was made for this item
CPT C1816/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
CPT C1817/b
info
mrf_item_fields_vary
this code and setting cover at least 52 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 C1818/b
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 C1819/b
info
mrf_item_fields_vary
this code and setting cover at least 61 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 C1820/b
info
mrf_item_fields_vary
this code and setting cover at least 66 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 C1821/b
info
mrf_item_fields_vary
this code and setting cover at least 395 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 C1822/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
CPT C1830/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
CPT C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 342 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 C1875/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 257 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 C1877/b
info
mrf_item_fields_vary
this code and setting cover at least 42 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 C1878/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
CPT C1880/b
info
mrf_item_fields_vary
this code and setting cover at least 33 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 C1881/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 C1882/b
info
mrf_item_fields_vary
this code and setting cover at least 58 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 C1883/b
info
mrf_item_fields_vary
this code and setting cover at least 102 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 C1884/b
info
mrf_item_fields_vary
this code and setting cover at least 350 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 C1885/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
CPT C1886/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 515 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 C1888/b
info
mrf_item_fields_vary
this code and setting cover at least 22 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 C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 614 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 C1891/b
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 C1892/b
info
mrf_item_fields_vary
this code and setting cover at least 154 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 C1893/b
info
mrf_item_fields_vary
this code and setting cover at least 148 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 C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 499 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 C1895/b
info
mrf_item_fields_vary
this code and setting cover at least 24 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 C1896/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1897/b
info
mrf_item_fields_vary
this code and setting cover at least 24 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 C1898/b
info
mrf_item_fields_vary
this code and setting cover at least 70 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 C1900/b
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2616/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
CPT C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 243 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 C2618/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2619/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
CPT C2620/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
CPT C2621/b
info
mrf_item_fields_vary
this code and setting cover at least 21 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 C2622/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2623/b
info
mrf_item_fields_vary
this code and setting cover at least 28 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2624/b
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 C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 119 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 C2626/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
CPT C2627/b
info
mrf_item_fields_vary
this code and setting cover at least 82 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 C2628/b
info
mrf_item_fields_vary
this code and setting cover at least 58 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 C2629/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
CPT C2630/b
info
mrf_item_fields_vary
this code and setting cover at least 31 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 C2631/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, min, max differ, so no cross-line comparison was made for this item
CPT C2634/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 differ, so no cross-line comparison was made for this item
CPT C2638/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
CPT C2639/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2640/b
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 C2641/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
CPT C2699/b
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 C9250/b
info
mrf_item_fields_vary
this code and setting cover at least 24 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 C9254/b
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 C9352/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
CPT C9353/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
CPT C9354/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9355/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
CPT C9356/b
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 C9358/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
CPT C9359/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9362/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, 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 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
CPT C9364/b
info
mrf_item_fields_vary
this code and setting cover at least 30 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 C9399/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, 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 21 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 C9806/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
CPT C9807/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 8 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 C9809/b
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

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 · 60.9M bytes · fetched 2026-08-27 · sha256 be1c0a629285…

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.