Hospital · CCN 130002
St Luke's Magic Valley Rmc
801 Pole Line Road West, Twin Falls, ID 83301 · Twin Falls County
Part of Saint Lukes · 175 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999
45 admission types 51 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
4.29×
$76.7M billed against $17.9M paid across 1,309 Medicare discharges; the national figure is 5.03×.
2.5%
of adults in Twin Falls County have medical debt in collections
11.2%
uninsured in the county · state 9.8%
$67K
median household income
4.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
33.3%
obesity in the countyⓘ
11.0%
diagnosed diabetes (PLACES)
6.5%
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
244
$62,176
$15,425
4.0× st 4.1×
177
Respiratory infections and inflammations with mcc
81
$39,603
$12,930
3.1× st 4.0×
291
Heart failure and shock with mcc
78
$48,172
$11,914
4.0× st 4.4×
193
Simple pneumonia and pleurisy with mcc
68
$39,035
$10,717
3.6× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
45
$38,939
$9,723
4.0× st 4.4×
280
Acute myocardial infarction, discharged alive with mcc
44
$69,414
$14,119
4.9× st 5.0×
683
Renal failure with cc
37
$32,588
$7,643
4.3× st 4.1×
189
Pulmonary edema and respiratory failure
36
$35,652
$10,025
3.6× st 4.1×
682
Renal failure with mcc
35
$47,171
$11,667
4.0× st 3.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
31
$93,825
$14,274
6.6× st 5.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
30
$29,927
$6,917
4.3× st 4.2×
377
Gastrointestinal hemorrhage with mcc
25
$53,190
$16,187
3.3× st 4.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
24
$41,618
$10,513
4.0× st 4.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
24
$26,205
$6,918
3.8× st 4.0×
378
Gastrointestinal hemorrhage with cc
23
$35,751
$8,307
4.3× st 4.3×
690
Kidney and urinary tract infections without mcc
23
$28,849
$6,849
4.2× st 4.6×
481
Hip and femur procedures except major joint with cc
23
$94,993
$15,673
6.1× st 5.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
23
$129,617
$21,568
6.0× st 5.9×
480
Hip and femur procedures except major joint with mcc
22
$97,899
$24,935
3.9× st 4.2×
689
Kidney and urinary tract infections with mcc
22
$40,885
$9,430
4.3× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
21
$144,656
$38,077
3.8× st 4.2×
698
Other kidney and urinary tract diagnoses with mcc
21
$49,129
$14,533
3.4× st 4.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
20
$36,020
$9,280
3.9× st 4.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
19
$43,942
$10,378
4.2× st 4.1×
638
Diabetes with cc
18
$32,881
$8,821
3.7× st 3.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
18
$61,222
$11,131
5.5× st 4.2×
308
Cardiac arrhythmia and conduction disorders with mcc
18
$62,964
$9,792
6.4× st 4.7×
243
Permanent cardiac pacemaker implant with cc
16
$68,460
$17,125
4.0× st 4.4×
813
Coagulation disorders
16
$60,571
$13,124
4.6× st 3.7×
312
Syncope and collapse
16
$38,090
$7,458
5.1× st 4.8×
603
Cellulitis without mcc
14
$34,196
$7,559
4.5× st 3.4×
281
Acute myocardial infarction, discharged alive with cc
14
$37,909
$7,724
4.9× st 5.4×
309
Cardiac arrhythmia and conduction disorders with cc
14
$44,084
$6,637
6.6× st 5.0×
389
Gastrointestinal obstruction with cc
13
$25,598
$7,028
3.6× st 3.2×
460
Spinal fusion except cervical without mcc
13
$223,873
$37,453
6.0× st 4.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
13
$103,538
$20,191
5.1× st 5.0×
314
Other circulatory system diagnoses with mcc
13
$91,451
$16,066
5.7× st 4.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$166,229
$37,170
4.5× st 4.4×
917
Poisoning and toxic effects of drugs with mcc
12
$44,576
$12,405
3.6× st 4.6×
190
Chronic obstructive pulmonary disease with mcc
12
$36,574
$9,072
4.0× st 4.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
12
$54,151
$15,216
3.6× st 4.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
12
$86,203
$20,056
4.3× st 5.0×
521
Hip replacement with principal diagnosis of hip fracture with mcc
11
$119,837
$22,098
5.4× st 4.1×
951
Other factors influencing health status
11
$19,054
$5,573
3.4× st 4.3×
329
Major small and large bowel procedures with mcc
11
$146,102
$38,415
3.8× st 4.2×
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
316
$14,188
$2,585
5.5×
5302
Level 2 Upper GI Procedures
286
$9,952
$1,829
5.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
191
$8,936
$1,544
5.8×
5115
Level 5 Musculoskeletal Procedures
176
$39,462
$12,354
3.2×
5372
Level 2 Urology and Related Services
127
$550
$656
0.8×
5191
Level 1 Endovascular Procedures
124
$25,591
$3,127
8.2×
5183
Level 3 Vascular Procedures
114
$9,981
$3,031
3.3×
5431
Level 1 Nerve Procedures
111
$17,191
$1,826
9.4×
5375
Level 5 Urology and Related Services
108
$16,225
$4,950
3.3×
5374
Level 4 Urology and Related Services
75
$15,417
$3,360
4.6×
5113
Level 3 Musculoskeletal Procedures
73
$11,002
$3,086
3.6×
5114
Level 4 Musculoskeletal Procedures
69
$30,449
$6,738
4.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
69
$16,815
$2,739
6.1×
5361
Level 1 Laparoscopy and Related Services
66
$19,758
$5,360
3.7×
5373
Level 3 Urology and Related Services
60
$4,305
$1,963
2.2×
5223
Level 3 Pacemaker and Similar Procedures
54
$26,802
$10,179
2.6×
5193
Level 3 Endovascular Procedures
46
$58,212
$10,593
5.5×
5182
Level 2 Vascular Procedures
37
$4,056
$1,510
2.7×
5116
Level 6 Musculoskeletal Procedures
33
$56,309
$17,428
3.2×
5362
Level 2 Laparoscopy and Related Services
31
$46,291
$9,913
4.7×
5153
Level 3 Airway Endoscopy
30
$5,262
$1,636
3.2×
5222
Level 2 Pacemaker and Similar Procedures
29
$14,718
$7,962
1.8×
5192
Level 2 Endovascular Procedures
29
$24,666
$5,509
4.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
27
$12,797
$3,039
4.2×
5165
Level 5 ENT Procedures
26
$22,820
$5,644
4.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
24
$32,225
$6,076
5.3×
5155
Level 5 Airway Endoscopy
24
$73,153
$6,597
11.1×
5112
Level 2 Musculoskeletal Procedures
23
$6,821
$1,549
4.4×
5194
Level 4 Endovascular Procedures
23
$87,980
$16,202
5.4×
5164
Level 4 ENT Procedures
22
$21,938
$2,999
7.3×
5465
Level 5 Neurostimulator and Related Procedures
20
$49,350
$28,805
1.7×
5154
Level 4 Airway Endoscopy
18
$14,927
$3,609
4.1×
5462
Level 2 Neurostimulator and Related Procedures
17
$14,664
$3,569
4.1×
5376
Level 6 Urology and Related Services
14
$25,333
$8,875
2.9×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
13
$16,551
$3,674
4.5×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related 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 3/25/2026, template 3.0.0, 111,459 rows scanned, 14,358 distinct code–setting items kept. 6,908 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Insertion of stents into vertebral artery via catheter, open or accessed through the skin including radiologic supervision and interpretation, initial vessel
$21,581
$21,581
$1,146
2
clean
Insertion of stents into vertebral artery via catheter, open or accessed through the skin including radiologic supervision and interpretation, initial vessel
$21,581
$21,581
$17,265
40
clean
Injections of one side of sacrum for enlargement, 1 or more needles, accessed through the skin
$14,738
$14,738
$12,527
25
clean
Injections of one side of sacrum for enlargement, 1 or more needles, accessed through the skin
$14,738
$14,738
$11,644
27
clean
Injections of both sides of sacrum for enlargement, 2 or more needles, accessed through the skin
$14,738
$14,738
$11,644
27
clean
Injections of both sides of sacrum for enlargement, 2 or more needles, accessed through the skin
$14,738
$14,738
$12,527
25
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
$3,209
$3,209
$417
29
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
$3,209
$3,209
$2,728
25
clean
Harvest and injections of platelet rich plasma using imaging guidance
$1,025
$1,025
$871
19
clean
Harvest and injections of platelet rich plasma using imaging guidance
$1,025
$1,025
$650
27
clean
Catheter removal of plaque from upper arm artery, accessed through the skin or open procedure including radiological supervision and interpretation
$28,020
$28,020
$14,615
29
clean
Catheter removal of plaque from upper arm artery, accessed through the skin or open procedure including radiological supervision and interpretation
$28,020
$28,020
$23,817
25
clean
Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation
$33,500
$33,500
$28,475
25
clean
Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation
$33,500
$33,500
$22,513
29
clean
Destruction of nerves of arteries of one kidney accessed through the skin with fluoroscopy and radiological supervision and interpretation
$11,004
$11,004
$9,293
33
clean
Destruction of nerves of arteries of one kidney accessed through the skin with fluoroscopy and radiological supervision and interpretation
$11,004
$11,004
$9,353
27
clean
Freezing destruction of nerve in leg, accessed through the skin, using imaging guidance
$5,383
$5,383
$3,183
27
clean
Freezing destruction of nerve in leg, accessed through the skin, using imaging guidance
$5,383
$5,383
$4,576
25
clean
Freezing destruction of nerve plexus, accessed through the skin, using imaging guidance
$13,137
$13,137
$10,439
27
clean
Freezing destruction of nerve plexus, accessed through the skin, using imaging guidance
$13,137
$13,137
$11,166
27
clean
Creation of skin pocket and insertion of glucose sensor, with patient training
$12,520
$12,520
$5,109
27
clean
Creation of skin pocket and insertion of glucose sensor, with patient training
$12,520
$12,520
$10,642
21
clean
Removal of glucose sensor from skin pocket with creation of new skin pocket and insertion of new glucose sensor
$11,677
$11,677
$5,109
27
clean
Removal of glucose sensor from skin pocket with creation of new skin pocket and insertion of new glucose sensor
$11,677
$11,677
$9,925
21
clean
Insertion of artificial valve between left heart chambers, accessed through the skin
$29,508
$29,508
$23,606
8
clean
Insertion of artificial valve between left heart chambers, accessed through the skin
$29,508
$29,508
$23,606
40
clean
Removal or reduction of mass within heart by suction through catheter
$11,004
$11,004
$9,353
27
clean
Removal or reduction of mass within heart by suction through catheter
$11,004
$11,004
$9,293
33
clean
Remote programming device evaluation of subcutaneous (under skin) heart rhythm monitor system
$186
$186
$61
33
clean
Remote programming device evaluation of subcutaneous (under skin) heart rhythm monitor system
$186
$186
$158
25
clean
Laser destruction of benign growth of thyroid using imaging guidance
$4,347
$4,347
$3,695
25
clean
Laser destruction of benign growth of thyroid using imaging guidance
$4,347
$4,347
$2,641
33
clean
Body surface-activation mapping of cardiac resynchronization therapy device, with review, and report, at time of follow-up device evaluation
$186
$186
$61
33
clean
Body surface-activation mapping of cardiac resynchronization therapy device, with review, and report, at time of follow-up device evaluation
$186
$186
$158
25
clean
Injection of bone-substitute material into defect of bone using imaging guidance and endoscope
$8,372
$8,372
$5,289
33
clean
Injection of bone-substitute material into defect of bone using imaging guidance and endoscope
$8,372
$8,372
$7,116
25
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
$1,783
$1,783
$1,274
68
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
$1,783
$1,783
$2,184
34
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
$1,783
$1,783
$1,516
27
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
$1,783
$1,783
$1,159
2
clean
Fine needle aspiration biopsy using fluoroscopic guidance, first growth
$1,783
$1,783
$1,516
23
clean
Fine needle aspiration biopsy using fluoroscopic guidance, first growth
$1,783
$1,783
$1,115
33
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
$1,783
$1,783
$1,115
33
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
$1,783
$1,783
$1,516
23
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
$1,783
$1,783
$1,787
20
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
$1,783
$1,783
$1,516
23
clean
Drainage of fluid collection in soft tissue using imaging guidance
$1,783
$1,783
$1,115
33
clean
Drainage of fluid collection in soft tissue using imaging guidance
$1,783
$1,783
$1,516
23
clean
Placement of soft tissue locating device using X-ray, first growth
$1,783
$1,783
$1,115
33
clean
Placement of soft tissue locating device using X-ray, first growth
$1,783
$1,783
$1,516
23
clean
Placement of soft tissue locating device using X-ray, each additional growth
$1,783
$1,783
$1,516
27
clean
Placement of soft tissue locating device using X-ray, each additional growth
$1,783
$1,783
—
0
clean
Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)
$556
$556
$315
33
clean
Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)
$556
$556
$473
17
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$1,117
$1,117
$949
17
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$1,117
$1,117
$633
33
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$4,347
$4,347
$2,568
33
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$4,347
$4,347
$3,695
23
clean
Removal of inflamed or infected skin, up to 10% of body surface
$1,686
$1,686
$970
33
clean
Removal of inflamed or infected skin, up to 10% of body surface
$1,686
$1,686
$1,433
17
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
$1,783
$1,783
$1,115
33
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
$1,783
$1,783
$1,516
23
clean
Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone
$1,783
$1,783
$1,516
23
clean
Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone
$1,783
$1,783
$1,115
33
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
$7,765
$7,765
$4,536
33
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
$7,765
$7,765
$6,600
23
clean
Removal of skin and tissue, each additional 20.0 sq cm or less
$1,117
$1,117
$949
21
clean
Removal of muscle and/or tissue, each additional 20.0 sq cm or less
$1,686
$1,686
$1,433
21
clean
Removal of muscle and/or tissue, each additional 20.0 sq cm or less
$1,686
$1,686
$742
2
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
$1,117
$1,117
$633
33
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
$1,117
$1,117
$949
17
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$556
$556
$315
33
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$556
$556
$473
17
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$556
$556
$473
17
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$556
$556
$315
33
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$556
$556
$228
46
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$556
$556
$473
17
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm
$1,117
$1,117
$633
33
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm
$1,117
$1,117
$949
17
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$556
$556
$473
17
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$556
$556
$228
46
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$556
$556
$473
17
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$556
$556
$315
33
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,117
$1,117
$633
33
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,117
$1,117
$949
17
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
$1,117
$1,117
$633
33
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
$1,117
$1,117
$949
17
clean
Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
$1,516
17
clean
Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
$806
46
clean
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,117
$1,117
$463
46
clean
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,117
$1,117
$949
17
clean
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,783
$1,783
$1,115
33
clean
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,783
$1,783
$1,516
17
clean
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
$1,516
17
clean
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
$806
46
clean
Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm
$4,347
$4,347
$1,881
46
clean
Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm
$4,347
$4,347
$3,695
17
clean
Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
$1,881
46
clean
Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
$3,695
17
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
$3,695
17
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
$2,568
33
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
$1,115
33
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
$1,516
17
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$4,347
$4,347
$2,568
33
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$4,347
$4,347
$3,695
17
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$4,347
$4,347
$3,695
17
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$4,347
$4,347
$2,568
33
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
$4,347
$4,347
$2,568
33
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
$4,347
$4,347
$3,695
23
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
$7,765
$7,765
$4,536
33
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
$7,765
$7,765
$6,600
17
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$1,783
$1,783
$1,516
17
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$1,783
$1,783
$1,115
33
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$1,783
$1,783
$1,516
17
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$1,783
$1,783
$1,115
33
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,783
$1,783
$1,115
33
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,783
$1,783
$1,516
17
clean
Showing the first 200 of 14,358 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
4,556 of 12,070 comparable items (38%) 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 $1,217 exceeds the gross charge $252
warn
mrf_rate_without_estimate
26,833 of 26,833 percentage/algorithm rates across 5,544 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 30465/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 69210/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 80368/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 96381/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 A9547/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 J0278/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 J1756/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 J3486/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 S3620/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 28190/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 69220/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 84075/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 86762/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 96401/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 A9548/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 J0280/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 J1756/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 J3486/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L3765/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 S4990/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 69220/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 84080/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 86762/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, max differ, so no cross-line comparison was made for this item
CPT 96402/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 A9548/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 J0280/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, max differ, so no cross-line comparison was made for this item
CPT J1790/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 J3489/b
info
mrf_item_fields_vary
this code and setting cover at least 38 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 L3765/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 S4990/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, max differ, so no cross-line comparison was made for this item
CPT 80372/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 84080/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 86765/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 96409/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 J0281/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 J1790/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 J3489/o
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 L3766/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 S5010/b
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 84105/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 96411/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 J0281/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 J1800/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 J3490/b
info
mrf_item_fields_vary
this code and setting cover at least 260 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 L3766/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 S8101/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 84110/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 86777/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 96413/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 A9560/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 J0282/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 J1805/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 L3806/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 S8101/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 84110/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 86778/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 96415/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 A9560/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 J0282/o
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 J1805/o
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 J7030/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3806/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 69420/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 86780/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 96416/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 A9577/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0289/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 J1806/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 J7030/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 L3807/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 86780/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 96417/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 A9577/o
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 J0289/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 J1806/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 J7042/b
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 L3807/o
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36000/b
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 69424/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 84132/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 86787/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 96523/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 A9579/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 J0290/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 J1808/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 J7042/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 L3808/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 69433/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 81206/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 84133/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86787/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 A9579/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0290/o
info
mrf_item_fields_vary
this code and setting cover at least 34 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 J1808/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 J7050/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3808/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT V2599/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 36012/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 69436/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 81206/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 84133/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 86788/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 A9581/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 J0295/b
info
mrf_item_fields_vary
this code and setting cover at least 36 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 J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 38 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 J7050/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 L3809/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 V2599/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, min, max differ, so no cross-line comparison was made for this item
CPT 36012/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 81207/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 86788/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 A9581/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 J0295/o
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 J1836/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7060/b
info
mrf_item_fields_vary
this code and setting cover at least 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 L3809/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 30901/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 62367/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 81207/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 84144/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 86789/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 A9582/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 J0330/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 J1836/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J7060/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 L3900/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 V2630/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 30901/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 84146/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 86789/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 91320/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 A9582/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 J0360/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1885/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 J7100/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 L3900/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 V2632/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 51702/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 62368/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 81210/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 84146/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, max differ, so no cross-line comparison was made for this item
CPT 86790/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 91320/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 A9584/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 J0360/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 31 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J7120/b
info
mrf_item_fields_vary
this code and setting cover at least 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 L3901/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 81210/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84153/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 86790/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 A9584/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 J0401/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 J1920/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 J7120/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 L3901/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 V2785/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 62369/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 84153/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, max differ, so no cross-line comparison was made for this item
CPT A9585/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0401/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 J1920/o
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 J7121/b
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 L3905/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 V2785/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 84154/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 86803/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 92014/b
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 A9585/o
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 J0456/b
info
mrf_item_fields_vary
this code and setting cover at least 48 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1921/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 J7165/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 L3905/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 V2790/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 36247/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 62370/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 81229/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 84154/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 86803/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 92014/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 A9592/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 J0456/o
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1921/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 J7165/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, max differ, so no cross-line comparison was made for this item
CPT L3906/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 V2797/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 30930/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 36247/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 81229/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84156/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A9592/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 J0457/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 J1938/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 L3906/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 V2797/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 31000/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 81232/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 84156/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
Showing the first 200 of 6,908 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
APC 5372
info
out_allowed_exceeds_charge
allowed amount $656 exceeds the submitted charge $550
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- St Luke's Magic Valley Rmc — standard charges file · ID · updated 3/25/2026· csv-wide · 468.9M bytes · fetched 2026-08-23 · sha256 b6687aa75f92…
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.