Hospital · CCN 120028

North Hawaii Community Hospital, Inc

67 1125 Mamalahoa Highway, Kamuela, HI 96743 · Hawaii County
Part of The Queens Health Systems · 33 beds · 1
Small town core: primary flow within an urban cluster of 2,500 to 9,999

7 admission types 29 outpatient services price file: ok
Billed per dollar paid, all admissions
3.30×
$7.4M billed against $2.2M paid across 121 Medicare discharges; the national figure is 5.03×.
1.2%
of adults in Hawaii County have medical debt in collections
5.5%
uninsured in the county · state 4.3%
$73K
median household income
2.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
27.2%
obesity in the countyⓘ
12.5%
diagnosed diabetes (PLACES)
7.6%
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
291
Heart failure and shock with mcc
27
$60,402
$17,440
3.5× st 3.2×
871
Septicemia or severe sepsis without mv >96 hours with mcc
21
$94,943
$24,664
3.9× st 2.9×
193
Simple pneumonia and pleurisy with mcc
20
$48,691
$18,305
2.7× st 3.1×
177
Respiratory infections and inflammations with mcc
15
$57,204
$24,006
2.4× st 3.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
15
$36,193
$10,004
3.6× st 3.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
12
$55,206
$15,793
3.5× st 3.6×
189
Pulmonary edema and respiratory failure
11
$62,653
$15,501
4.0× st 3.0×
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
5115
Level 5 Musculoskeletal Procedures
63
$54,405
$15,948
3.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
55
$10,207
$1,968
5.2×
8011
Comprehensive Observation Services
49
$22,002
$3,324
6.6×
5112
Level 2 Musculoskeletal Procedures
33
$11,473
$1,938
5.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
27
$25,334
$4,143
6.1×
5183
Level 3 Vascular Procedures
20
$21,281
$3,770
5.6×
5361
Level 1 Laparoscopy and Related Services
19
$30,890
$7,107
4.3×
5114
Level 4 Musculoskeletal Procedures
19
$44,459
$8,054
5.5×
5431
Level 1 Nerve Procedures
18
$12,592
$2,378
5.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
14
$18,959
$3,332
5.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
11
$39,437
$8,033
4.9×
5414
Level 4 Gynecologic Procedures
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5184
Level 4 Vascular 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-wide, last updated 3/9/2026, template 3.0.0, 15,281 rows scanned, 4,514 distinct code–setting items kept. 2,170 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
TPMT NUDT15 GENES
$1,984
$1,389
$466
12
clean
NEURO CSF PRION PRTN QUAL
$1,806
$1,264
$541
11
clean
COMPUTED TOMOGRAPHY (CT) OF BRAIN BLOOD FLOW; VOLUME; AND TIMING OF FLOW ANALYSIS WITH CONTRAST
$2,151
$1,506
$246
1
clean
PERQ STENT/CHEST VERT ART
$16,927
$11,849
$1,188
1
clean
TEST FOR DETECTION OF RESPIRATORY DISEASE-CAUSING ORGANISMS FROM BACK OF NOSE AND THROAT (NASOPHARYNX) SPECIMEN; 22 TARGET ORGANISMS INCLUDING SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2
$439
$307
$417
31
clean
NJX PLATELET PLASMA
$780
$546
$562
9
clean
TRLUML PERIP ATHRC BRCHIOCPH
$17,270
$12,089
$14,534
10
clean
TRLUML PERIP ATHRC ILIAC ART
$48,799
$34,159
$23,080
10
clean
IMPLT/RPL CRTD SNS DEV TOTAL
$8,065
$5,646
$1,679
1
clean
IMPLT/RPL CRTD SNS DEV GEN
$6,437
$4,506
$1,679
1
clean
INTERROGATE CRTD SNS DEV
$276
$193
—
0
clean
INTERROGATE CRTD SNS W/PGRMG
$259
$181
—
0
clean
GI MALABS AAT CALPRO PNCRTC
$307
$215
$62
9
clean
TMVI PERCUTANEOUS APPROACH
$27,769
$19,438
$1,188
1
clean
TMVI TRANSTHORACIC EXPOSURE
$22,770
$15,939
$1,188
1
clean
EV FEMPOP ARTL REVSC
$14,834
$10,384
$14,534
12
clean
TCAT RMVL/DBLK ICAR MAS PERQ
$16,809
$11,766
$7,166
10
clean
FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; FIRST GROWTH
$3,465
$2,426
$892
37
clean
FNA BX W/US GDN EA ADDL
$4,481
$3,137
$42
23
clean
FNA BX W/FLUOR GDN 1ST LES
$2,237
$1,566
$892
13
clean
FNA BX W/CT GDN 1ST LES
$4,657
$3,260
$892
13
clean
FNA BX W/CT GDN EA ADDL
$3,512
$2,458
$64
12
clean
FNA BX W/MR GDN 1ST LES
$2,991
$2,094
$892
12
clean
FNA BX W/MR GDN EA ADDL
$2,991
$2,094
$886
1
clean
FNA BX W/O IMG GDN 1ST LES
$816
$571
$512
12
clean
IMG GID FLU COLL DRG SFT TIS
$2,233
$1,563
$892
11
clean
PLMT SFT TISS LOCLZJ DEV 1ST
$1,893
$1,325
$892
13
clean
PLMT SFT TISS LOCLZJ DEV EA
$1,404
$983
$36
12
clean
EXTRACTION
$450
$315
$253
11
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$439
$307
$253
45
clean
I&D ABSCESS COMP/MULTIPLE
$1,019
$713
$512
33
clean
I&D PILONIDAL CYST SIMPLE
$2,021
$1,415
$892
11
clean
COMPLICATED DRAINAGE OF CYST OF TAILBONE
$4,078
$2,855
$892
11
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
$1,288
$902
$512
33
clean
INC&RMVL FB SUBQ TISS COMP
$5,737
$4,016
$2,079
30
clean
DRAINAGE OF BLOOD OR FLUID ACCUMULATION
$3,890
$2,723
$2,079
11
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$907
$635
$512
12
clean
I&D COMPLEX PO WOUND INFCTJ
$7,490
$5,243
$3,657
16
clean
DBRDMT ECZ/INFECTED SKIN<10%
$1,245
$872
$512
11
clean
DBRDMT ECZ/INFCT SKN EA ADDL
$254
$178
$13
11
clean
DEBRIDE SKIN AT FX SITE
$3,385
$2,370
$892
13
clean
DEBRIDE SKIN MUSC AT FX SITE
$3,992
$2,794
$892
13
clean
DEB SKIN BONE AT FX SITE
$6,204
$4,343
$3,657
13
clean
REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS
$907
$635
$512
28
clean
DBRDMT MUSC&/FSCA 1ST 20/<
$1,491
$1,044
$931
16
clean
DBRDMT BONE 1ST 20 SQ CM/<
$3,080
$2,156
$2,079
29
clean
DBRDMT SUBQ TISS EACH ADDL
$758
$531
$22
11
clean
DBRDMT MUSC&/FSCA EA ADDL
$930
$651
$46
11
clean
DBRDMT BONE EACH ADDL
$2,886
$2,020
$82
11
clean
PARING/CUTG B9 HYPRKER LES 1
$403
$282
$253
11
clean
PARNG/CUTG B9 HYPRKR LES 2-4
$509
$356
$253
11
clean
PARNG/CUTG B9 HYPRKR LES >4
$678
$475
$253
11
clean
TANGNTL BX SKIN SINGLE LES
$729
$510
$512
11
clean
TANGNTL BX SKIN EA SEP/ADDL
$645
$452
$18
11
clean
PUNCH BX SKIN SINGLE LESION
$803
$562
$512
23
clean
PUNCH BX SKIN EA SEP/ADDL
$615
$431
$21
11
clean
INCAL BX SKN SINGLE LES
$1,499
$1,049
$931
11
clean
INCAL BX SKN EA SEP/ADDL
$992
$694
$25
11
clean
RMVL SKIN TAGS UP TO&INC 15
$515
$361
$253
11
clean
RMVL SKIN TAGS EA ADDL 10
$539
$377
$13
11
clean
SHAVE SKIN LESION 0.5 CM/<
$589
$412
$512
11
clean
SHAVE SKIN LESION 0.5 CM/<
$450
$315
$253
11
clean
SHAVE SKIN LESION 0.5 CM/<
$671
$470
$253
11
clean
EXC TR-EXT B9+MARG 0.5 CM<
$1,817
$1,272
$892
24
clean
EXC TR-EXT B9+MARG 0.6-1 CM
$2,208
$1,546
$512
23
clean
EXC TR-EXT B9+MARG 1.1-2 CM
$1,668
$1,168
$892
11
clean
EXC TR-EXT B9+MARG 2.1-3CM
$3,138
$2,197
$892
23
clean
EXC TR-EXT B9+MARG 3.1-4 CM
$5,031
$3,522
$2,079
12
clean
EXC TR-EXT B9+MARG >4.0 CM
$4,251
$2,976
$2,079
28
clean
EXC H-F-NK-SP B9+MARG 0.5/<
$2,408
$1,686
$2,079
11
clean
EXC H-F-NK-SP B9+MARG 0.6-1
$2,087
$1,461
$892
11
clean
EXC H-F-NK-SP B9+MARG 1.1-2
$3,974
$2,782
$2,079
11
clean
EXC H-F-NK-SP B9+MARG 2.1-3
$3,974
$2,782
$2,079
11
clean
EXC FACE-MM B9+MARG 0.5 CM/<
$1,931
$1,352
$892
11
clean
EXC FACE-MM B9+MARG 0.6-1 CM
$1,674
$1,172
$892
11
clean
EXC FACE-MM B9+MARG 1.1-2 CM
$1,674
$1,172
$892
11
clean
EXC TR-EXT MAL+MARG 0.5 CM/<
$1,674
$1,172
$892
11
clean
EXC TR-EXT MAL+MARG 0.6-1 CM
$1,674
$1,172
$892
11
clean
EXC TR-EXT MAL+MARG 1.1-2 CM
$1,045
$732
$512
23
clean
EXC TR-EXT MAL+MARG 2.1-3 CM
$1,674
$1,172
$892
23
clean
EXC TR-EXT MAL+MARG 3.1-4 CM
$1,674
$1,172
$892
28
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$12,102
$8,471
$2,079
16
clean
EXC H-F-NK-SP MAL+MARG 0.5/<
$3,974
$2,782
$2,079
11
clean
EXC S/N/H/F/G MAL+MRG 0.6-1
$1,674
$1,172
$892
11
clean
EXC S/N/H/F/G MAL+MRG 1.1-2
$1,674
$1,172
$892
11
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$9,271
$6,490
$3,657
16
clean
EXC F/E/E/N/L MAL+MRG 0.5CM<
$1,674
$1,172
$892
11
clean
EXC F/E/E/N/L MAL+MRG 0.6-1
$1,674
$1,172
$892
23
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM
$11,217
$7,852
$2,079
16
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; MORE THAN 4.0 CM
$17,409
$12,186
$3,657
16
clean
TRIM NAIL(S) ANY NUMBER
$169
$118
$74
11
clean
DEBRIDE NAIL 1-5
$233
$163
$74
11
clean
DEBRIDE NAIL 6 OR MORE
$337
$236
$74
11
clean
SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL
$838
$587
$253
76
clean
REMOVE NAIL PLATE ADD-ON
$420
$294
$15
11
clean
DRAIN BLOOD FROM UNDER NAIL
$281
$197
$168
33
clean
REMOVAL OF NAIL BED
$1,348
$944
$512
33
clean
REPAIR OF NAIL BED
$1,451
$1,016
$931
11
clean
RECONSTRUCTION OF NAIL BED
$6,444
$4,511
$2,598
23
clean
EXCISION OF NAIL FOLD TOE
$1,128
$790
$512
11
clean
REMOVE PILONIDAL CYST SIMPLE
$8,353
$5,847
$3,657
12
clean
INJECT SKIN LESIONS </W 7
$450
$315
$253
11
clean
IMPLANT HORMONE PELLET(S)
$820
$574
$562
11
clean
INSERTION DRUG DLVR IMPLANT
$341
$239
$168
11
clean
REMOVE DRUG IMPLANT DEVICE
$1,006
$704
$562
11
clean
REMOVE/INSERT DRUG IMPLANT
$1,006
$704
$562
23
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$521
$365
$253
88
clean
RPR S/N/AX/GEN/TRNK2.6-7.5CM
$570
$399
$253
55
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$878
$615
$253
22
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$1,479
$1,035
$512
13
clean
RPR S/N/A/GEN/TRK20.1-30.0CM
$2,016
$1,411
$512
13
clean
SIMPLE REPAIR OF SURFACE WOUND TO SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; MORE THAN 30.0 CM
$1,580
$1,106
$253
13
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$439
$307
$253
22
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$439
$307
$253
44
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$865
$606
$253
22
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$1,090
$763
$253
11
clean
RPR FE/E/EN/L/M 12.6-20.0 CM
$1,475
$1,033
$512
13
clean
RPR FE/E/EN/L/M 20.1-30.0 CM
$1,750
$1,225
$512
13
clean
RPR F/E/E/N/L/M >30.0 CM
$1,986
$1,390
$253
13
clean
TX SUPFC WND DEHSN SMPL CLSR
$1,763
$1,234
$931
12
clean
TX SUPFC WND DEHSN W/PACKING
$1,260
$882
$512
13
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$816
$571
$512
23
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$1,026
$718
$512
23
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$1,380
$966
$512
26
clean
INTMD RPR S/A/T/EXT 12.6-20
$1,922
$1,345
$512
26
clean
INTMD RPR S/A/T/EXT 20.1-30
$1,775
$1,243
$931
13
clean
INTMD RPR S/TR/EXT >30.0 CM
$3,148
$2,204
$2,598
13
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.5 CM OR LESS
$734
$514
$512
22
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$847
$593
$512
11
clean
INTMD RPR N-HF/GENIT7.6-12.5
$971
$680
$931
13
clean
INTMD RPR N-HF/GENIT12.6-20
$1,019
$713
$931
13
clean
INTMD RPR N-HF/GENIT20.1-30
$1,169
$818
$931
13
clean
INTMD RPR N-HF/GENIT >30.0CM
$3,518
$2,463
$2,598
13
clean
INTMD RPR FACE/MM 2.5 CM/<
$1,260
$882
$512
11
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$1,551
$1,086
$512
44
clean
INTMD RPR FACE/MM 5.1-7.5 CM
$1,715
$1,201
$512
11
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$1,891
$1,324
$512
13
clean
INTMD RPR FACE/MM 12.6-20 CM
$2,434
$1,704
$512
13
clean
INTMD RPR FACE/MM 20.1-30.0
$2,865
$2,006
$512
13
clean
INTMD RPR FACE/MM >30.0 CM
$3,243
$2,270
$512
13
clean
CMPLX RPR TRUNK 1.1-2.5 CM
$1,970
$1,379
$931
13
clean
CMPLX RPR TRUNK 2.6-7.5 CM
$2,298
$1,609
$931
13
clean
CMPLX RPR TRUNK ADDL 5CM/<
$942
$659
$59
13
clean
CMPLX RPR S/A/L 1.1-2.5 CM
$1,261
$883
$512
13
clean
CMPLX RPR S/A/L 2.6-7.5 CM
$2,517
$1,762
$512
28
clean
CMPLX RPR S/A/L ADDL 5 CM/>
$704
$493
$67
13
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,260
$882
$512
13
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 2.6-7.5 CM
$2,141
$1,499
$512
13
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,258
$881
$101
13
clean
CMPLX RPR E/N/E/L 1.1-2.5 CM
$2,203
$1,542
$931
13
clean
CMPLX RPR E/N/E/L 2.6-7.5 CM
$2,462
$1,723
$931
13
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
$469
$328
$112
13
clean
SEC CLSR SURG WND/DEHSN XTN
$4,290
$3,003
$4,462
16
clean
TIS TRNFR S/A/L 10 SQ CM/<
$6,444
$4,511
$2,598
29
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
$3,973
$2,781
$2,598
28
clean
TIS TRNFR E/N/E/L 10 SQ CM/<
$4,363
$3,054
$2,598
13
clean
PINCH GRAFT UP TO 2 CM DIAM
$1,970
$1,379
$931
13
clean
PARTIAL THICKNESS SELF SKIN GRAFT TO TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$11,218
$7,853
$2,598
16
clean
FTH/GFT F/C/C/M/N/AX/G/H/F20
$4,463
$3,124
$2,598
13
clean
SKIN SUB GRAFT TRNK/ARM/LEG
$2,322
$1,625
$931
13
clean
SKIN SUB GRAFT T/A/L ADD-ON
$160
$112
$14
12
clean
SKIN SUB GRFT T/ARM/LG CHILD
$4,648
$3,254
$2,598
13
clean
SKIN SUB GRAFT FACE/NK/HF/G
$2,322
$1,625
$931
13
clean
SKIN SUB GRAFT F/N/HF/G ADDL
$160
$112
$22
12
clean
SKN SUB GRFT F/N/HF/G CHILD
$3,237
$2,266
$2,598
13
clean
COMPOSITE SKIN GRAFT
$4,880
$3,416
$2,598
13
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA
$17,944
$12,561
$3,657
16
clean
REMOVAL OF SUTURES UNDER ANESTHESIA BY OTHER SURGEON
$7,584
$5,309
$2,598
13
clean
REMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE)
$37
$26
$919
4
clean
REMOVAL SUTR&STAPL XREQ ANES
$45
$32
$919
2
clean
INITIAL TREATMENT OF BURN(S)
$564
$395
$253
11
clean
DRESS/DEBRID P-THICK BURN S
$838
$587
$253
12
clean
DRESS/DEBRID P-THICK BURN M
$1,047
$733
$253
13
clean
DRESS/DEBRID P-THICK BURN L
$1,207
$845
$512
13
clean
INCISION OF BURN SCAB INITI
$1,296
$907
$512
11
clean
DESTRUCT PREMALG LESION
$543
$380
$253
11
clean
DESTRUCT PREMALG LES 2-14
$110
$77
$2
22
clean
DESTROY PREMAL LESIONS 15/>
$1,045
$732
$512
11
clean
DESTRUCTION OF SKIN LESIONS
$1,623
$1,136
$512
11
clean
DESTRUCT B9 LESION 1-14
$543
$380
$253
11
clean
DESTRUCT LESION 15 OR MORE
$543
$380
$253
11
clean
CHEM CAUT OF GRANLTJ TISSUE
$410
$287
$253
23
clean
ASPIRATION OF CYST OF BREAST; FIRST CYST
$1,659
$1,161
$892
21
clean
PUNCTURE ASPIR CYST BRST EA
$542
$379
$18
11
clean
MASTOTOMY EXPL DRG ABSC DP
$9,906
$6,934
$2,079
12
clean
NJX PX ONLY MAM DUCTO/GLCTO
$257
$180
$63
12
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH
$4,133
$2,893
$2,079
31
clean
BX BREAST ADD LESION STRTCTC
$1,112
$778
$68
12
clean
BX BREAST 1ST LESION US IMAG
$3,185
$2,230
$2,079
59
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; EACH ADDITIONAL GROWTH
$949
$664
$64
11
clean
BX BREAST 1ST LESION MR IMAG
$2,584
$1,809
$2,079
12
clean
BX BREAST ADD LESION MR IMAG
$646
$452
$75
12
clean
BX BREAST PERCUT W/O IMAGE
$3,080
$2,156
$2,079
15
clean
BIOPSY OF BREAST OPEN
$11,924
$8,347
$4,930
12
clean
REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE
$11,749
$8,224
$4,930
15
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; FIRST GROWTH
$15,643
$10,950
$4,930
30
clean
PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE; FIRST GROWTH
$1,896
$1,327
$2,079
62
clean
PERQ DEVICE BREAST EA IMAG
$870
$609
$41
12
clean
PERQ DEV BREAST 1ST US IMAG
$1,962
$1,373
$892
34
clean
PERQ DEV BREAST ADD US IMAG
$1,387
$971
$36
12
clean

Showing the first 200 of 4,514 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,317 of 3,056 comparable items (43%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $3,118 exceeds the gross charge $2,532
warn
mrf_rate_without_estimate
92,162 of 92,162 percentage/algorithm rates across 4,514 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 88173/o
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
CPT 27447/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, min differ, so no cross-line comparison was made for this item
CPT P9047/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 88177/o
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
CPT P9052/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 88184/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 differ, so no cross-line comparison was made for this item
CPT 99203/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 P9054/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 73000/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80143/o
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
CPT 88185/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 99204/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 P9059/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 73010/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80177/o
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
CPT 99218/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 12052/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 differ, so no cross-line comparison was made for this item
CPT 73020/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80192/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 88237/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, min differ, so no cross-line comparison was made for this item
CPT 99221/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 73030/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, min differ, so no cross-line comparison was made for this item
CPT 80299/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88264/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 differ, so no cross-line comparison was made for this item
CPT Q2050/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73040/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80307/o
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 73060/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, min differ, so no cross-line comparison was made for this item
CPT 80324/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 88300/o
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
CPT 73070/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, min differ, so no cross-line comparison was made for this item
CPT 81001/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 88302/o
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
CPT 36589/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, min, max differ, so no cross-line comparison was made for this item
CPT 73080/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, min differ, so no cross-line comparison was made for this item
CPT 81003/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 88304/o
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
CPT Q5101/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 36590/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, min differ, so no cross-line comparison was made for this item
CPT 81025/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 88305/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, min differ, so no cross-line comparison was made for this item
CPT 73090/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, min differ, so no cross-line comparison was made for this item
CPT 81207/o
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
CPT 88307/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 differ, so no cross-line comparison was made for this item
CPT 99284/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 Q5106/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 13121/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 differ, so no cross-line comparison was made for this item
CPT 36591/o
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
CPT 73100/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, min differ, so no cross-line comparison was made for this item
CPT 99285/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 Q5107/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 73110/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, min differ, so no cross-line comparison was made for this item
CPT 81219/o
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
CPT 88309/o
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
CPT 99291/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 Q5115/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73115/o
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
CPT 81225/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 88311/o
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
CPT 99292/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 Q9967/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 73120/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, min differ, so no cross-line comparison was made for this item
CPT 81229/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 88312/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 differ, so no cross-line comparison was made for this item
CPT Q9968/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 27650/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 differ, so no cross-line comparison was made for this item
CPT 73130/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, min differ, so no cross-line comparison was made for this item
CPT 81240/o
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
CPT 88313/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 differ, so no cross-line comparison was made for this item
CPT 73140/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, min differ, so no cross-line comparison was made for this item
CPT 81241/o
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
CPT 36598/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 73200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81243/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 73201/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 81256/o
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
CPT 73206/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81257/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 14020/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 differ, so no cross-line comparison was made for this item
CPT 73218/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88333/o
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
CPT 14040/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 differ, so no cross-line comparison was made for this item
CPT 73220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 81270/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, min differ, so no cross-line comparison was made for this item
CPT 88334/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 differ, so no cross-line comparison was made for this item
CPT 73221/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, min, max differ, so no cross-line comparison was made for this item
CPT 88341/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 73222/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 81279/o
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
CPT 88342/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 differ, so no cross-line comparison was made for this item
CPT 73223/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 88344/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 differ, so no cross-line comparison was made for this item
CPT 73502/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 differ, so no cross-line comparison was made for this item
CPT 73522/o
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
CPT 73525/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, min differ, so no cross-line comparison was made for this item
CPT 73552/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 differ, so no cross-line comparison was made for this item
CPT 81339/o
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
CPT 88360/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, min differ, so no cross-line comparison was made for this item
CPT 73560/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, min differ, so no cross-line comparison was made for this item
CPT 27808/o
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
CPT 73562/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, min differ, so no cross-line comparison was made for this item
CPT 81381/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 73564/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, min differ, so no cross-line comparison was made for this item
CPT 88365/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 differ, so no cross-line comparison was made for this item
CPT 15853/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 73565/o
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
CPT 73590/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, min differ, so no cross-line comparison was made for this item
CPT 27816/o
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
CPT 73600/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, min differ, so no cross-line comparison was made for this item
CPT 81479/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 88368/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 differ, so no cross-line comparison was made for this item
CPT 73610/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, min differ, so no cross-line comparison was made for this item
CPT 82024/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 88369/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 73620/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, min differ, so no cross-line comparison was made for this item
CPT 82040/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 88374/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, min differ, so no cross-line comparison was made for this item
CPT A4648/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 73630/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, min differ, so no cross-line comparison was made for this item
CPT 82042/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, min differ, so no cross-line comparison was made for this item
CPT 88377/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, min differ, so no cross-line comparison was made for this item
CPT A9270/o
info
mrf_item_fields_vary
this code and setting cover at least 155 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73650/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, min differ, so no cross-line comparison was made for this item
CPT 88381/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 A9500/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 82103/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 89051/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 17003/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 73660/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 82105/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 A9512/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 73700/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, min, max differ, so no cross-line comparison was made for this item
CPT 82150/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 73701/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 82232/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 90471/o
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
CPT A9531/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 73706/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82247/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 17250/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 73718/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82274/o
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
CPT 90700/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 58301/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 82306/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 90707/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 19000/o
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
CPT 28160/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 differ, so no cross-line comparison was made for this item
CPT 73720/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82330/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 90714/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 A9577/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 73721/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, min, max differ, so no cross-line comparison was made for this item
CPT 82365/o
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
CPT 90715/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 A9585/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 28208/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, min differ, so no cross-line comparison was made for this item
CPT 73722/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, min differ, so no cross-line comparison was made for this item
CPT 82378/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 90716/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 A9596/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 19081/o
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
CPT 73723/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 82525/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 19083/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, min differ, so no cross-line comparison was made for this item
CPT 28285/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 74018/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 differ, so no cross-line comparison was made for this item
CPT 82530/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 A9607/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 74019/o
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
CPT 82533/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 58661/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, min differ, so no cross-line comparison was made for this item
CPT 74022/o
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
CPT 82550/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 74150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 82570/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 90832/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 C1729/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 74160/o
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
CPT 82595/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 90834/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 C1751/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 74170/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82610/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 90837/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 19125/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 59025/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 differ, so no cross-line comparison was made for this item
CPT 74174/o
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
CPT 82728/o
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
CPT C1769/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 19281/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 differ, so no cross-line comparison was made for this item
CPT 74175/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 82731/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 74176/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82784/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, min differ, so no cross-line comparison was made for this item
CPT C1894/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 74177/o
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

Showing the first 200 of 2,170 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-wide · 53.4M bytes · fetched 2026-08-23 · sha256 ebf1543bb133…

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.