Hospital · CCN 130049

Kootenai Health

2003 Kootenai Health Way, Coeur D'alene, ID 83814 · Kootenai County
Part of Kootenai Health · 326 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

127 admission types 56 outpatient services price file: ok
Billed per dollar paid, all admissions
3.52×
$228.9M billed against $65.0M paid across 3,994 Medicare discharges; the national figure is 5.03×.
0.6%
of adults in Kootenai County have medical debt in collections
9.3%
uninsured in the county · state 9.8%
$75K
median household income
3.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
31.7%
obesity in the countyⓘ
9.9%
diagnosed diabetes (PLACES)
6.7%
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
327
$46,866
$14,770
3.2× st 4.1×
291
Heart failure and shock with mcc
222
$32,983
$9,759
3.4× st 4.4×
274
Percutaneous and other intracardiac procedures without mcc
173
$105,597
$24,545
4.3× st 4.9×
189
Pulmonary edema and respiratory failure
126
$30,497
$10,171
3.0× st 4.1×
177
Respiratory infections and inflammations with mcc
119
$41,902
$11,773
3.6× st 4.0×
885
Psychoses
98
$40,786
$11,769
3.5× st 4.3×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
76
$146,085
$37,292
3.9× st 4.4×
378
Gastrointestinal hemorrhage with cc
75
$26,980
$7,614
3.5× st 4.3×
193
Simple pneumonia and pleurisy with mcc
74
$31,662
$9,666
3.3× st 4.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
73
$74,906
$15,132
5.0× st 5.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
67
$105,610
$33,617
3.1× st 4.2×
683
Renal failure with cc
60
$21,325
$7,145
3.0× st 4.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
60
$22,317
$6,519
3.4× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
56
$29,246
$7,932
3.7× st 4.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
55
$28,057
$8,048
3.5× st 4.9×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
50
$17,471
$7,025
2.5× st 2.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
49
$96,523
$21,937
4.4× st 5.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
45
$64,525
$16,875
3.8× st 4.7×
481
Hip and femur procedures except major joint with cc
45
$54,599
$15,204
3.6× st 5.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
44
$24,183
$6,362
3.8× st 4.2×
377
Gastrointestinal hemorrhage with mcc
43
$47,396
$14,579
3.3× st 4.0×
330
Major small and large bowel procedures with cc
42
$61,369
$18,282
3.4× st 4.4×
682
Renal failure with mcc
42
$28,211
$10,298
2.7× st 3.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
41
$62,838
$16,467
3.8× st 5.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
40
$35,651
$9,745
3.7× st 4.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
39
$66,203
$21,054
3.1× st 5.0×
689
Kidney and urinary tract infections with mcc
37
$27,702
$8,686
3.2× st 4.2×
308
Cardiac arrhythmia and conduction disorders with mcc
37
$30,747
$9,699
3.2× st 4.7×
280
Acute myocardial infarction, discharged alive with mcc
36
$46,210
$12,376
3.7× st 5.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
35
$44,767
$13,804
3.2× st 4.8×
603
Cellulitis without mcc
35
$19,200
$6,715
2.9× st 3.4×
698
Other kidney and urinary tract diagnoses with mcc
34
$35,140
$11,235
3.1× st 4.1×
389
Gastrointestinal obstruction with cc
33
$16,425
$6,637
2.5× st 3.2×
390
Gastrointestinal obstruction without cc/mcc
32
$15,851
$4,659
3.4× st 3.2×
025
Craniotomy and endovascular intracranial procedures with mcc
30
$116,453
$34,421
3.4× st 4.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
30
$32,917
$10,596
3.1× st 4.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
30
$168,001
$46,728
3.6× st 3.0×
253
Other vascular procedures with cc
29
$60,025
$19,665
3.1× st 4.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
28
$33,994
$10,387
3.3× st 4.1×
329
Major small and large bowel procedures with mcc
28
$130,423
$41,225
3.2× st 4.2×
394
Other digestive system diagnoses with cc
27
$22,279
$7,388
3.0× st 3.3×
194
Simple pneumonia and pleurisy with cc
26
$23,232
$6,405
3.6× st 3.6×
039
Extracranial procedures without cc/mcc
26
$39,158
$8,928
4.4× st 5.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
26
$22,782
$8,131
2.8× st 3.5×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
26
$278,840
$69,777
4.0× st 4.0×
690
Kidney and urinary tract infections without mcc
26
$22,477
$6,278
3.6× st 4.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
25
$40,806
$9,080
4.5× st 6.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
24
$55,291
$16,276
3.4× st 4.4×
236
Coronary bypass without cardiac catheterization without mcc
24
$159,149
$34,909
4.6× st 5.5×
252
Other vascular procedures with mcc
24
$95,451
$27,626
3.5× st 5.4×
281
Acute myocardial infarction, discharged alive with cc
23
$32,250
$7,299
4.4× st 5.4×
480
Hip and femur procedures except major joint with mcc
22
$76,986
$23,204
3.3× st 4.2×
190
Chronic obstructive pulmonary disease with mcc
21
$32,977
$8,509
3.9× st 4.3×
243
Permanent cardiac pacemaker implant with cc
21
$61,801
$17,038
3.6× st 4.4×
314
Other circulatory system diagnoses with mcc
21
$46,514
$14,764
3.2× st 4.2×
178
Respiratory infections and inflammations with cc
20
$22,106
$7,482
3.0× st 3.4×
269
Aortic and heart assist procedures except pulsation balloon without mcc
20
$118,566
$31,407
3.8× st 3.8×
101
Seizures without mcc
20
$22,720
$7,100
3.2× st 5.9×
229
Other cardiothoracic procedures without mcc
19
$120,663
$28,901
4.2× st 7.3×
521
Hip replacement with principal diagnosis of hip fracture with mcc
19
$76,981
$21,415
3.6× st 4.1×
637
Diabetes with mcc
19
$32,855
$12,956
2.5× st 3.7×
309
Cardiac arrhythmia and conduction disorders with cc
19
$24,114
$6,007
4.0× st 5.0×
552
Medical back problems without mcc
19
$28,625
$9,167
3.1× st 4.0×
673
Other kidney and urinary tract procedures with mcc
19
$67,584
$30,084
2.2× st 2.9×
638
Diabetes with cc
19
$23,565
$7,671
3.1× st 3.8×
163
Major chest procedures with mcc
18
$113,348
$33,234
3.4× st 4.3×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
18
$64,743
$17,589
3.7× st 4.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
18
$47,599
$14,951
3.2× st 3.3×
482
Hip and femur procedures except major joint without cc/mcc
17
$47,698
$13,212
3.6× st 5.5×
467
Revision of hip or knee replacement with cc
17
$97,573
$25,671
3.8× st 4.1×
699
Other kidney and urinary tract diagnoses with cc
17
$24,973
$7,585
3.3× st 4.2×
312
Syncope and collapse
17
$24,465
$6,520
3.8× st 4.8×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
17
$196,861
$40,044
4.9× st 6.9×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
16
$131,986
$30,708
4.3× st 4.4×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
16
$48,300
$14,020
3.4× st 3.6×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
16
$222,530
$49,593
4.5× st 4.1×
536
Fractures of hip and pelvis without mcc
16
$23,426
$7,090
3.3× st 3.7×
057
Degenerative nervous system disorders without mcc
16
$20,078
$8,431
2.4× st 4.0×
917
Poisoning and toxic effects of drugs with mcc
16
$47,158
$13,824
3.4× st 4.6×
164
Major chest procedures with cc
16
$84,150
$21,608
3.9× st 5.4×
393
Other digestive system diagnoses with mcc
16
$32,648
$12,522
2.6× st 3.0×
919
Complications of treatment with mcc
15
$33,760
$14,032
2.4× st 3.1×
235
Coronary bypass without cardiac catheterization with mcc
15
$219,382
$55,586
3.9× st 3.9×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
15
$260,719
$65,778
4.0× st 3.9×
292
Heart failure and shock with cc
15
$26,291
$6,425
4.1× st 4.1×
270
Other major cardiovascular procedures with mcc
15
$116,907
$41,575
2.8× st 3.0×
331
Major small and large bowel procedures without cc/mcc
15
$49,863
$13,849
3.6× st 5.2×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
15
$28,092
$7,520
3.7× st 3.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$19,587
$5,093
3.8× st 5.1×
092
Other disorders of nervous system with cc
14
$25,879
$7,561
3.4× st 4.8×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
14
$62,697
$15,469
4.1× st 5.2×
315
Other circulatory system diagnoses with cc
14
$23,972
$7,397
3.2× st 3.2×
643
Endocrine disorders with mcc
14
$42,813
$11,983
3.6× st 4.4×
439
Disorders of pancreas except malignancy with cc
14
$23,366
$6,867
3.4× st 3.4×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
14
$402,866
$166,223
2.4× st 2.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
13
$72,763
$14,458
5.0× st 5.1×
305
Hypertension without mcc
13
$23,254
$6,097
3.8× st 4.9×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
13
$41,067
$11,543
3.6× st 3.6×
862
Postoperative and post-traumatic infections with mcc
13
$47,616
$13,441
3.5× st 3.6×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
13
$21,625
$5,616
3.9× st 5.6×
069
Transient ischemia without thrombolytic
13
$22,949
$6,420
3.6× st 5.5×
176
Pulmonary embolism without mcc
12
$31,363
$8,068
3.9× st 4.4×
907
Other o.r. procedures for injuries with mcc
12
$90,032
$28,749
3.1× st 3.1×
071
Other cerebrovascular disorders with cc
12
$32,518
$8,472
3.8× st 4.2×
180
Respiratory neoplasms with mcc
12
$38,042
$15,707
2.4× st 2.4×
472
Cervical spinal fusion with cc
12
$69,499
$22,258
3.1× st 4.8×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$27,971
$10,455
2.7× st 2.7×
271
Other major cardiovascular procedures with cc
12
$92,706
$26,099
3.6× st 4.5×
519
Back and neck procedures except spinal fusion with cc
12
$57,300
$14,453
4.0× st 6.1×
326
Stomach, esophageal and duodenal procedures with mcc
12
$146,188
$48,937
3.0× st 3.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
12
$20,866
$7,007
3.0× st 4.4×
894
Alcohol, drug abuse or dependence, left ama
11
$13,414
$4,921
2.7× st 2.7×
070
Other cerebrovascular disorders with mcc
11
$33,182
$12,151
2.7× st 3.7×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
11
$35,486
$13,745
2.6× st 3.4×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
11
$52,755
$14,241
3.7× st 3.7×
038
Extracranial procedures with cc
11
$50,695
$13,856
3.7× st 3.7×
036
Carotid artery stent procedures without cc/mcc
11
$52,875
$13,957
3.8× st 3.8×
884
Organic disturbances and intellectual disability
11
$28,396
$11,166
2.5× st 3.4×
881
Depressive neuroses
11
$17,313
$7,288
2.4× st 2.4×
435
Malignancy of hepatobiliary system or pancreas with mcc
11
$34,585
$13,586
2.5× st 4.0×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$47,836
$14,796
3.2× st 4.4×
356
Other digestive system o.r. procedures with mcc
11
$115,362
$37,391
3.1× st 3.1×
091
Other disorders of nervous system with mcc
11
$35,304
$11,993
2.9× st 4.5×
813
Coagulation disorders
11
$25,126
$12,036
2.1× st 3.7×
602
Cellulitis with mcc
11
$30,705
$10,209
3.0× st 3.2×
199
Pneumothorax with mcc
11
$52,648
$13,718
3.8× st 3.8×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
11
$70,247
$17,209
4.1× st 4.5×
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
1,028
$14,166
$2,579
5.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
412
$6,098
$1,523
4.0×
5302
Level 2 Upper GI Procedures
373
$6,080
$1,765
3.4×
5191
Level 1 Endovascular Procedures
347
$21,582
$3,065
7.0×
5213
Level 3 Electrophysiologic Procedures
283
$104,681
$22,438
4.7×
5115
Level 5 Musculoskeletal Procedures
234
$53,454
$12,164
4.4×
5183
Level 3 Vascular Procedures
211
$14,739
$2,983
4.9×
5361
Level 1 Laparoscopy and Related Services
186
$23,649
$5,460
4.3×
5112
Level 2 Musculoskeletal Procedures
172
$6,862
$1,486
4.6×
5374
Level 4 Urology and Related Services
171
$13,192
$3,259
4.0×
5375
Level 5 Urology and Related Services
170
$18,701
$4,849
3.9×
5114
Level 4 Musculoskeletal Procedures
143
$29,863
$6,761
4.4×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
124
$11,634
$2,657
4.4×
5362
Level 2 Laparoscopy and Related Services
117
$39,701
$9,706
4.1×
5223
Level 3 Pacemaker and Similar Procedures
108
$39,474
$10,060
3.9×
5193
Level 3 Endovascular Procedures
104
$52,361
$10,445
5.0×
5113
Level 3 Musculoskeletal Procedures
93
$14,370
$3,052
4.7×
5222
Level 2 Pacemaker and Similar Procedures
77
$32,953
$7,990
4.1×
5192
Level 2 Endovascular Procedures
71
$30,383
$5,432
5.6×
5182
Level 2 Vascular Procedures
68
$5,675
$1,504
3.8×
5154
Level 4 Airway Endoscopy
61
$14,757
$3,559
4.1×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
52
$14,031
$3,288
4.3×
5224
Level 4 Pacemaker and Similar Procedures
49
$73,757
$18,475
4.0×
5373
Level 3 Urology and Related Services
49
$10,545
$1,865
5.7×
5331
Complex GI Procedures
47
$21,421
$4,979
4.3×
5155
Level 5 Airway Endoscopy
44
$19,522
$6,504
3.0×
5303
Level 3 Upper GI Procedures
43
$16,741
$3,640
4.6×
5194
Level 4 Endovascular Procedures
43
$57,241
$15,855
3.6×
5232
Level 2 ICD and Similar Procedures
43
$116,834
$29,796
3.9×
5414
Level 4 Gynecologic Procedures
39
$13,786
$2,971
4.6×
5184
Level 4 Vascular Procedures
36
$25,187
$5,222
4.8×
5153
Level 3 Airway Endoscopy
31
$7,788
$1,613
4.8×
5431
Level 1 Nerve Procedures
30
$11,106
$1,737
6.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
28
$25,223
$6,197
4.1×
5165
Level 5 ENT Procedures
27
$24,042
$5,565
4.3×
5116
Level 6 Musculoskeletal Procedures
24
$62,122
$17,671
3.5×
5313
Level 3 Lower GI Procedures
24
$10,248
$2,567
4.0×
5415
Level 5 Gynecologic Procedures
24
$19,429
$4,727
4.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
24
$16,613
$3,623
4.6×
5164
Level 4 ENT Procedures
16
$7,019
$1,530
4.6×
5212
Level 2 Electrophysiologic Procedures
16
$29,720
$7,097
4.2×
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5462
Level 2 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-tall, last updated 2026-03-27, template 3.0.0, 1,473,412 rows scanned, 34,391 distinct code–setting items kept. 6,562 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$734
5
clean
RBC DNA HEA 35 AG 11 BLD GRP
—
—
$727
11
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$513
5
clean
LIVER DIS 10 ASSAYS W/ASH
—
—
$508
11
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$513
5
clean
LIVER DIS 10 ASSAYS W/NASH
—
—
$508
11
clean
ONCO PRST8 3 GENE UR ALG
—
—
$775
5
clean
ONCO PRST8 3 GENE UR ALG
—
—
$768
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$775
5
clean
ONC MRNA 5 GEN RSK URTHL CA
—
—
$768
11
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$775
5
clean
ONC MRNA 5 GEN RECR URTHL CA
—
—
$768
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,331
5
clean
ADRNL CORTCL TUM BCHM ASY 25
—
—
$1,318
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,559
5
clean
ONC BLADDER MRNA 219 GEN ALG
—
—
$3,525
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,062
5
clean
ONC THYR 10 MICRORNA SEQ ALG
—
—
$3,032
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$253
5
clean
ONC AML DNA DETCJ/NONDETCJ
—
—
$251
11
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$35
5
clean
GLYCA NUC MR SPECTRSC QUAN
—
—
$35
11
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,672
5
clean
ONC THYR DNA&MRNA 112 GENES
—
—
$3,636
11
clean
JAK2 GENE TRGT SEQ ALYS
—
—
$124
5
clean
HC JAK2 EXON 12 MUTATION ANALYS,B (REF LAB)
$436
$327
$266
42
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$757
5
clean
RX METAB ADVRS TRGT SEQ ALYS
—
—
$750
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
TPMT NUDT15 GENES
—
—
$475
5
clean
HC THIOPURINE METHYLTRANSFERASE (TPMT) AND NUDIX HYDROLASE (NUDT15), (REF LAB)
$590
$443
$471
21
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
NEURO CSF PRION PRTN QUAL
—
—
$552
5
clean
HC C NEURO (PRION DISEASE),CEREBROSPINAL FLUID,DETEC PRION PROTEIN BY QUAKG CONFIRM,QUALITATIVE (REF LAB)
$787
$590
$541
42
clean
TRGT GEN SEQ DNA 324 GENES
—
—
$3,570
5
clean
HC FOUNDATIONONE CDX (REF LAB)
$4,428
$3,321
$3,535
21
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$18
5
clean
B BRGDRFERI ANTB 5 PRTN IGM
—
—
$17
11
clean
Professional Services
—
—
$299
7
clean
Outpatient Services
—
—
$2,039
1
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$18
5
clean
B BRGDRFERI ANTB 12 PRTN IGG
—
—
$17
11
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
5
clean
TBRF B GRP ANTB 4 PRTN IGM
—
—
$15
11
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
5
clean
TBRF B GRP ANTB 4 PRTN IGG
—
—
$15
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,950
5
clean
ONC BRST DUX CARC IS 12 GENE
—
—
$3,912
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,950
5
clean
ONC PRST8 MRNA 17 GENE ALG
—
—
$3,912
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
BONE SRGRY CMPTR FLUOR IMAGE
—
—
$275
3
clean
Outpatient Services
—
—
$1
2
clean
BONE SRGRY CMPTR CT/MRI IMAG
—
—
$259
4
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
3
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$329
5
clean
ONC MERKEL CLL CARC SRM QUAN
—
—
$326
11
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$329
5
clean
ONC MERKEL CLL CARC SRM +/-
—
—
$326
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$26
5
clean
TC MEAS 5 BMRK SFDI M-S ALYS
—
—
$25
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
ANTB TP TOTAL&RPR IA QUAL
—
—
$32
5
clean
HC SYPHILIS TOTAL AB (REF LAB)
$62
$47
$38
21
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$18
5
clean
SYFLS TST NONTREPONEMAL ANTB
—
—
$18
11
clean
Outpatient Services
—
—
$1
2
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$145
5
clean
CANDIDA SPECIES PNL AMP PRB
—
—
$144
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
PERQ STENT/CHEST VERT ART
—
—
$937
9
clean
HC STENT PLACEMENT VERTEBRAL 1ST VSL
$7,943
$5,957
$6,331
14
clean
Outpatient Services
—
—
$1
2
clean
IG PARAPROTEIN QUAL BLD/UR
—
—
$44
5
clean
HC KH MAYO PEISO IG PARAPROTEIN QUAL BLD/UR
$70
$53
$46
126
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,590
5
clean
ONC LNG 5 CLIN RSK FACTR ALG
—
—
$3,555
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
3
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
ONC MLNMA PRAME & LINC00518
—
—
$775
5
clean
ONC MLNMA PRAME & LINC00518
—
—
$768
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
3
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$1,989
5
clean
ONC CUTAN MLNMA MRNA 23 GENE
—
—
$1,970
11
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean
Outpatient Services
—
—
$1
2
clean

Showing the first 200 of 34,391 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,121 of 2,059 comparable items (54%) 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 $1,678 exceeds the gross charge $590
warn
mrf_rate_without_estimate
99,850 of 99,850 percentage/algorithm rates across 3,086 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 78492/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 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 82136/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 83516/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 84540/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 86318/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 86940/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 87651/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 89346/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93893/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0118/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0791/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2323/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1100/o
info
mrf_item_fields_vary
this code and setting cover at least 39 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9280/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 L1810/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 L3913/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 L6584/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 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 0111U/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 70549/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74230/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76872/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78494/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82136/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 83516/o
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84545/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 86320/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86940/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 89352/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93896/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0130/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0830/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2324/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1120/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, max differ, so no cross-line comparison was made for this item
CPT L1820/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 L3917/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 L6586/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 Q4051/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 0112U/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 76873/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78496/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81232/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 82139/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 83518/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 84550/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 86325/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86941/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 87652/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 89353/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93897/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4409/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT E0135/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0840/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2325/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1160/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 J9293/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 L1830/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 L3919/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 L6588/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 Q4081/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 0113U/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 70551/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74235/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76881/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78579/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81235/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 83519/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 84560/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 86327/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86945/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 87653/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 89354/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93898/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4425/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 E0140/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0849/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2326/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J9298/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 L1830/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 differ, so no cross-line comparison was made for this item
CPT L3921/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 L6590/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 Q4116/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 0114U/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 70552/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74240/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76882/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78580/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82140/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 83519/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, max differ, so no cross-line comparison was made for this item
CPT 84560/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 86329/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 86950/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 87660/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 89356/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93922/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0141/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0850/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2327/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1163/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, max differ, so no cross-line comparison was made for this item
CPT J9299/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 L1831/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 L3923/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 L6600/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 Q4118/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 0115U/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 70553/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74241/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76883/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82140/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 83520/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 84577/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 86331/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 86960/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 87661/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 A4450/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0143/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0855/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2328/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1170/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 J9301/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 L1832/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 L3933/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 L6605/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 Q4125/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 74245/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76885/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78582/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81240/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 82143/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 83520/o
info
mrf_item_fields_vary
this code and setting cover at least 46 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 84578/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 86331/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 86965/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 87797/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 90375/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, min differ, so no cross-line comparison was made for this item
CPT 93923/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4452/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0144/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0856/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2329/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1171/o
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 J9303/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 L1832/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 L3935/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 L6610/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 Q4130/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 0116U/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 70554/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74246/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76886/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78597/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 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 82150/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 83521/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 84580/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 86332/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 86970/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 87798/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 90380/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 A4481/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT E0147/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0860/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2330/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1200/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, max differ, so no cross-line comparison was made for this item
CPT J9304/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 L1834/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 L3960/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 L6615/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 Q4186/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 0117U/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 70555/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74247/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76930/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78598/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81241/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 82150/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 83521/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 84583/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 87798/o
info
mrf_item_fields_vary
this code and setting cover at least 37 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 90471/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 93924/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4550/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 E0148/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E0870/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2331/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1203/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 J9305/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 differ, so no cross-line comparison was made for this item
CPT L1836/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 L3961/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 L6616/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 Q4196/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 0118U/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 70557/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 74248/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76932/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 78600/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max 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 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

Showing the first 200 of 6,562 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. Kootenai Health — standard charges file · ID · updated 2026-03-27
    · csv-tall · 347.6M bytes · fetched 2026-08-25 · sha256 8a1150a8c5ee…

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.