Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Case Western Reserve Univ Panel Neuro CSF Prion Prtn Qual
$252
$252
$225
36
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
$19,207
36
clean
HC Karius Nfct Ds Mcrb Cll Fr Dna Untrgt Next Genrj Seq
$2,500
$2,500
$2,225
36
clean
Removal of rectal tumor using an endoscope
$10,986
$10,986
$9,668
39
clean
Injections of one side of sacrum for enlargement, 1 or more needles, accessed through the skin
$14,738
$14,738
$13,117
36
clean
Injections of both sides of sacrum for enlargement, 2 or more needles, accessed through the skin
$14,738
$14,738
$13,117
36
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
$1,855
$1,855
$1,632
39
clean
Harvest and injections of platelet rich plasma using imaging guidance
$1,025
$1,025
$887
32
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
$24,938
36
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
3
clean
Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation
$33,500
$33,500
$18,716
3
clean
Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation
$33,500
$33,500
$29,815
36
clean
Destruction of nerves of arteries of one kidney accessed through the skin with fluoroscopy and radiological supervision and interpretation
$11,004
$11,004
$9,684
39
clean
Freezing destruction of nerve in leg, accessed through the skin, using imaging guidance
$5,383
$5,383
$4,791
36
clean
Freezing destruction of nerve plexus, accessed through the skin, using imaging guidance
$13,137
$13,137
$11,561
39
clean
Creation of skin pocket and insertion of glucose sensor, with patient training
$12,520
$12,520
$10,830
32
clean
Removal of glucose sensor from skin pocket
$69
$69
$60
32
clean
Removal of glucose sensor from skin pocket with creation of new skin pocket and insertion of new glucose sensor
$11,677
$11,677
$10,101
32
clean
Insertion of artificial valve between left heart chambers, accessed through the skin
$29,508
$29,508
$26,262
36
clean
HC Ttvr Percutaneous Approach Initial Prosthesis
$29,508
$29,508
$26,262
36
clean
HC Ttvr Percutaneous Approach Each Addl Prosthesis
$29,508
$29,508
$26,262
36
clean
HC Ablation Mal Brst Tumor Perq Crtx Unilateral
$10,392
$10,392
$9,249
36
clean
Removal or reduction of mass within heart by suction through catheter
$11,004
$11,004
$9,684
39
clean
HC Ttvi/Rplcmt Prostc Vlv Perq W/R Hrt Cath&Angrph
$29,508
$29,508
$26,262
36
clean
Remote programming device evaluation of subcutaneous (under skin) heart rhythm monitor system
$186
$186
$166
36
clean
Laser destruction of benign growth of thyroid using imaging guidance
$4,347
$4,347
$3,869
36
clean
Body surface-activation mapping of cardiac resynchronization therapy device, with review, and report, at time of follow-up device evaluation
$186
$186
$166
36
clean
Injection of bone-substitute material into defect of bone using imaging guidance and endoscope
$8,372
$8,372
$7,451
36
clean
HC Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys
$20,158
$20,158
$17,739
39
clean
HC Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt
$20,158
$20,158
$17,739
39
clean
HC Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt
$20,158
$20,158
$17,739
39
clean
HC Prgrmg Dev Eval Ldls Pm Sys 2chmbr in Person
$104
$104
$92
39
clean
HC Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial
$20,158
$20,158
$17,941
36
clean
HC Prgrmg Dev Eval Ldls Pm Single Car Chamber IP
$104
$104
$93
36
clean
Fine needle aspiration biopsy, each additional growth
$1,117
$1,117
$966
32
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
$1,783
$1,783
—
0
clean
Fine needle aspiration biopsy using ultrasound guidance, first growth
$1,783
$1,783
$1,516
31
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
$1,783
$1,783
$1,587
36
clean
Fine needle aspiration biopsy using ultrasound guidance, each additional growth
$1,783
$1,783
$1,159
3
clean
Fine needle aspiration biopsy using fluoroscopic guidance, first growth
$1,783
$1,783
—
0
clean
Fine needle aspiration biopsy using fluoroscopic guidance, first growth
$1,783
$1,783
$1,569
35
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
$1,783
$1,783
—
0
clean
Fine needle aspiration biopsy of growth using CT guidance, first growth
$1,783
$1,783
$1,569
35
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
$1,783
$1,783
$1,569
35
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
$1,783
$1,783
—
0
clean
Fine needle aspiration biopsy, first growth
$1,117
$1,117
—
0
clean
Fine needle aspiration biopsy, first growth
$1,117
$1,117
$949
31
clean
Drainage of fluid collection in soft tissue using imaging guidance
$1,783
$1,783
—
0
clean
Drainage of fluid collection in soft tissue using imaging guidance
$1,783
$1,783
$1,569
35
clean
Placement of soft tissue locating device using X-ray, first growth
$1,783
$1,783
$1,569
35
clean
Placement of soft tissue locating device using X-ray, first growth
$1,783
$1,783
—
0
clean
Placement of soft tissue locating device using X-ray, each additional growth
$1,783
$1,783
$1,587
36
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
—
0
clean
Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)
$556
$556
$473
31
clean
Simple or single drainage of skin abscess
$556
$556
—
0
clean
Simple or single drainage of skin abscess
$556
$556
$473
31
clean
Complicated or multiple drainage of skin abscess
$1,117
$1,117
$949
31
clean
Complicated or multiple drainage of skin abscess
$1,117
$1,117
—
0
clean
Simple drainage of cyst of tailbone
$1,783
$1,783
—
0
clean
Simple drainage of cyst of tailbone
$1,783
$1,783
$1,516
31
clean
Complicated drainage of cyst of tailbone
$1,783
$1,783
—
0
clean
Complicated drainage of cyst of tailbone
$1,783
$1,783
$1,569
35
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$1,117
$1,117
$949
31
clean
Removal of foreign body from tissue, accessed beneath the skin, simple
$1,117
$1,117
—
0
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$4,347
$4,347
—
0
clean
Removal of foreign body from tissue, accessed beneath the skin, complex
$4,347
$4,347
$3,825
35
clean
Drainage of blood or fluid accumulation
$4,347
$4,347
—
0
clean
Drainage of blood or fluid accumulation
$4,347
$4,347
$3,695
31
clean
Aspiration of abscess, blood, or cyst
$1,117
$1,117
$949
31
clean
Aspiration of abscess, blood, or cyst
$1,117
$1,117
—
0
clean
Complex drainage of wound infection after surgery
$7,765
$7,765
—
0
clean
Complex drainage of wound infection after surgery
$7,765
$7,765
$6,600
31
clean
Removal of inflamed or infected skin, up to 10% of body surface
$1,686
$1,686
—
0
clean
Removal of inflamed or infected skin, up to 10% of body surface
$1,686
$1,686
$1,433
31
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
$1,783
$1,783
$1,569
35
clean
Removal of foreign material from skin and tissue at open broken and/or dislocated bone
$1,783
$1,783
—
0
clean
Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone
$1,783
$1,783
—
0
clean
Removal of foreign material from skin, tissue, and muscle at open broken and/or dislocated bone
$1,783
$1,783
$1,569
35
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
$7,765
$7,765
—
0
clean
Removal of foreign material from skin, tissue, muscle, and bone at open broken and/or dislocated bone
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue, 20.0 sq cm or less
$1,117
$1,117
$949
31
clean
Removal of skin and tissue, 20.0 sq cm or less
$1,117
$1,117
—
0
clean
Removal of muscle and/or tissue, 20.0 sq cm or less
$1,686
$1,686
$1,484
35
clean
Removal of muscle and/or tissue, 20.0 sq cm or less
$1,686
$1,686
—
0
clean
Removal of bone, 20.0 sq cm or less
$4,347
$4,347
—
0
clean
Removal of bone, 20.0 sq cm or less
$4,347
$4,347
$3,695
31
clean
Removal of skin and tissue, each additional 20.0 sq cm or less
$1,117
$1,117
$966
32
clean
Removal of muscle and/or tissue, each additional 20.0 sq cm or less
$1,686
$1,686
$1,458
32
clean
Removal of bone, each additional 20.0 sq cm or less
$4,347
$4,347
$3,869
36
clean
Removal of bone, each additional 20.0 sq cm or less
$4,347
$4,347
$2,260
3
clean
Removal of noncancer thickened skin growth, 1 growth
$556
$556
—
0
clean
Removal of noncancer thickened skin growth, 1 growth
$556
$556
$473
31
clean
Removal of noncancer thickened skin growth, 2-4 growths
$556
$556
—
0
clean
Removal of noncancer thickened skin growth, 2-4 growths
$556
$556
$473
31
clean
Removal of noncancer thickened skin growth, more than 4 growths
$556
$556
$473
31
clean
Removal of noncancer thickened skin growth, more than 4 growths
$556
$556
—
0
clean
Biopsy of related skin growth, first growth
$556
$556
—
0
clean
Biopsy of related skin growth, first growth
$556
$556
$473
31
clean
Biopsy of related skin growth, each additional growth
$556
$556
$481
32
clean
Punch biopsy, first skin growth
$1,117
$1,117
—
0
clean
Punch biopsy, first skin growth
$1,117
$1,117
$949
31
clean
Punch biopsy, each additional skin growth
$1,117
$1,117
$966
32
clean
Incision biopsy, first skin growth
$1,686
$1,686
—
0
clean
Incision biopsy, first skin growth
$1,686
$1,686
$1,433
31
clean
Incision biopsy, each additional skin growth
$1,686
$1,686
$1,458
32
clean
Removal of skin tag, 1-15 skin tags
$556
$556
—
0
clean
Removal of skin tag, 1-15 skin tags
$556
$556
$473
31
clean
Removal of skin tag, each additional 10 skin tags
$373
$373
$323
32
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
$1,117
$1,117
—
0
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
$1,117
$1,117
$949
31
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
$556
$556
—
0
clean
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
$556
$556
—
0
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
$1,117
$1,117
—
0
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
$1,117
$1,117
$949
31
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$556
$556
—
0
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$556
$556
$473
31
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$556
$556
—
0
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$556
$556
—
0
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm
$1,117
$1,117
—
0
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm
$1,117
$1,117
$949
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$556
$556
$473
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$556
$556
—
0
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$556
$556
—
0
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$556
$556
$473
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,117
$1,117
—
0
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,117
$1,117
$949
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
$1,117
$1,117
$949
31
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
$1,117
$1,117
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,117
$1,117
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,117
$1,117
$949
31
clean
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
$4,347
$4,347
$3,825
35
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
$7,765
$7,765
—
0
clean
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
$7,765
$7,765
$6,600
31
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
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
$1,783
$1,783
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
$1,783
$1,783
—
0
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
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
$1,783
$1,783
—
0
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
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
$4,347
$4,347
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
$7,765
$7,765
—
0
clean
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of underarms for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of underarms for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
$7,765
$7,765
$6,600
31
clean
Removal of skin and tissue of groin for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of groin for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
$6,833
35
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
$7,765
$7,765
—
0
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
$7,765
$7,765
$6,833
35
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,117
$1,117
—
0
clean
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
$1,117
$1,117
$949
31
clean
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
—
0
clean
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm
$4,347
$4,347
$3,695
31
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
—
0
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less
$4,347
$4,347
$3,825
35
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$1,783
$1,783
—
0
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
$1,783
$1,783
$1,516
31
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm
$4,347
$4,347
—
0
clean
Showing the first 200 of 14,041 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
MS-DRG 157/i
warn
mrf_negotiated_above_gross
highest negotiated rate $42,438 exceeds the gross charge $34,129
CPT 96366/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $161
MS-DRG 166/i
warn
mrf_negotiated_above_gross
highest negotiated rate $129,666 exceeds the gross charge $110,553
MS-DRG 175/i
warn
mrf_negotiated_above_gross
highest negotiated rate $31,453 exceeds the gross charge $19,775
CPT 96367/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $249
CPT C9606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $36,216 exceeds the gross charge $28,020
MS-DRG 176/i
warn
mrf_negotiated_above_gross
highest negotiated rate $20,924 exceeds the gross charge $16,830
MS-DRG 177/i
warn
mrf_negotiated_above_gross
highest negotiated rate $52,833 exceeds the gross charge $25,487
CPT 84202/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $25
CPT 96368/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $161
CPT E0114/o
warn
mrf_negotiated_above_gross
highest negotiated rate $148 exceeds the gross charge $67
MS-DRG 178/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,288 exceeds the gross charge $40,145
CPT 84206/o
warn
mrf_negotiated_above_gross
highest negotiated rate $100 exceeds the gross charge $41
MS-DRG 179/i
warn
mrf_negotiated_above_gross
highest negotiated rate $27,353 exceeds the gross charge $23,659
CPT 80369/o
warn
mrf_negotiated_above_gross
highest negotiated rate $109 exceeds the gross charge $94
CPT 84207/o
warn
mrf_negotiated_above_gross
highest negotiated rate $105 exceeds the gross charge $19
CPT 96372/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $249
MS-DRG 182/i
warn
mrf_negotiated_above_gross
highest negotiated rate $29,302 exceeds the gross charge $27,396
CPT 84210/o
warn
mrf_negotiated_above_gross
highest negotiated rate $54 exceeds the gross charge $36
CPT E0484/o
warn
mrf_negotiated_above_gross
highest negotiated rate $64 exceeds the gross charge $58
MS-DRG 183/i
warn
mrf_negotiated_above_gross
highest negotiated rate $35,893 exceeds the gross charge $32,598
CPT 80428/o
warn
mrf_negotiated_above_gross
highest negotiated rate $250 exceeds the gross charge $83
CPT 96375/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $161
MS-DRG 187/i
warn
mrf_negotiated_above_gross
highest negotiated rate $31,585 exceeds the gross charge $28,392
CPT 81162/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,387 exceeds the gross charge $2,512
MS-DRG 189/i
warn
mrf_negotiated_above_gross
highest negotiated rate $50,844 exceeds the gross charge $25,501
CPT 84252/o
warn
mrf_negotiated_above_gross
highest negotiated rate $76 exceeds the gross charge $57
CPT 96376/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $337
CPT E1800/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,184 exceeds the gross charge $360
MS-DRG 190/i
warn
mrf_negotiated_above_gross
highest negotiated rate $30,644 exceeds the gross charge $26,454
CPT 84255/o
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $19
CPT E1825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,195 exceeds the gross charge $198
MS-DRG 193/i
warn
mrf_negotiated_above_gross
highest negotiated rate $33,901 exceeds the gross charge $24,727
CPT 84260/o
warn
mrf_negotiated_above_gross
highest negotiated rate $116 exceeds the gross charge $43
MS-DRG 197/i
warn
mrf_negotiated_above_gross
highest negotiated rate $34,909 exceeds the gross charge $21,477
CPT 97169/o
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $57
MS-DRG 202/i
warn
mrf_negotiated_above_gross
highest negotiated rate $24,212 exceeds the gross charge $14,392
CPT 97170/o
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $90
CPT L4398/o
warn
mrf_negotiated_above_gross
highest negotiated rate $148 exceeds the gross charge $100
MS-DRG 203/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,266 exceeds the gross charge $16,376
CPT 84295/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $37
CPT 97171/o
warn
mrf_negotiated_above_gross
highest negotiated rate $198 exceeds the gross charge $104
CPT L6676/o
warn
mrf_negotiated_above_gross
highest negotiated rate $294 exceeds the gross charge $199
MS-DRG 215/i
warn
mrf_negotiated_above_gross
highest negotiated rate $452,975 exceeds the gross charge $353,283
CPT 81220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,948 exceeds the gross charge $238
CPT 86972/o
warn
mrf_negotiated_above_gross
highest negotiated rate $598 exceeds the gross charge $193
CPT 97172/o
warn
mrf_negotiated_above_gross
highest negotiated rate $99 exceeds the gross charge $72
CPT L7368/o
warn
mrf_negotiated_above_gross
highest negotiated rate $984 exceeds the gross charge $340
MS-DRG 228/i
warn
mrf_negotiated_above_gross
highest negotiated rate $180,980 exceeds the gross charge $148,258
CPT 81223/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,747 exceeds the gross charge $833
CPT 86976/o
warn
mrf_negotiated_above_gross
highest negotiated rate $86 exceeds the gross charge $49
CPT L8047/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,781 exceeds the gross charge $1,047
MS-DRG 229/i
warn
mrf_negotiated_above_gross
highest negotiated rate $122,199 exceeds the gross charge $119,475
CPT 97811/o
warn
mrf_negotiated_above_gross
highest negotiated rate $109 exceeds the gross charge $65
CPT G0101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $28 exceeds the gross charge $25
CPT L8501/o
warn
mrf_negotiated_above_gross
highest negotiated rate $240 exceeds the gross charge $163
MS-DRG 239/i
warn
mrf_negotiated_above_gross
highest negotiated rate $145,857 exceeds the gross charge $125,850
CPT 84302/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18 exceeds the gross charge $17
CPT 97814/o
warn
mrf_negotiated_above_gross
highest negotiated rate $121 exceeds the gross charge $65
CPT G0102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $31
MS-DRG 243/i
warn
mrf_negotiated_above_gross
highest negotiated rate $78,013 exceeds the gross charge $72,986
CPT 84305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $80 exceeds the gross charge $25
MS-DRG 244/i
warn
mrf_negotiated_above_gross
highest negotiated rate $64,587 exceeds the gross charge $57,915
CPT 81235/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,136 exceeds the gross charge $388
CPT G0129/o
warn
mrf_negotiated_above_gross
highest negotiated rate $999 exceeds the gross charge $268
MS-DRG 245/i
warn
mrf_negotiated_above_gross
highest negotiated rate $125,462 exceeds the gross charge $74,227
CPT 81240/o
warn
mrf_negotiated_above_gross
highest negotiated rate $230 exceeds the gross charge $81
CPT G0176/o
warn
mrf_negotiated_above_gross
highest negotiated rate $999 exceeds the gross charge $278
MS-DRG 256/i
warn
mrf_negotiated_above_gross
highest negotiated rate $48,225 exceeds the gross charge $45,973
CPT 81241/o
warn
mrf_negotiated_above_gross
highest negotiated rate $257 exceeds the gross charge $60
CPT G0177/o
warn
mrf_negotiated_above_gross
highest negotiated rate $946 exceeds the gross charge $253
MS-DRG 259/i
warn
mrf_negotiated_above_gross
highest negotiated rate $48,341 exceeds the gross charge $38,337
CPT 81243/o
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $119
CPT 99401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $141 exceeds the gross charge $84
CPT G0283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $31
MS-DRG 260/i
warn
mrf_negotiated_above_gross
highest negotiated rate $91,964 exceeds the gross charge $86,848
CPT 99403/o
warn
mrf_negotiated_above_gross
highest negotiated rate $335 exceeds the gross charge $196
CPT G0400/o
warn
mrf_negotiated_above_gross
highest negotiated rate $925 exceeds the gross charge $743
MS-DRG 261/i
warn
mrf_negotiated_above_gross
highest negotiated rate $52,695 exceeds the gross charge $45,641
CPT 99404/o
warn
mrf_negotiated_above_gross
highest negotiated rate $400 exceeds the gross charge $252
CPT G0404/o
warn
mrf_negotiated_above_gross
highest negotiated rate $146 exceeds the gross charge $13
MS-DRG 265/i
warn
mrf_negotiated_above_gross
highest negotiated rate $80,299 exceeds the gross charge $42,603
MS-DRG 266/i
warn
mrf_negotiated_above_gross
highest negotiated rate $254,181 exceeds the gross charge $177,192
CPT 81256/o
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $119
CPT 87110/o
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $33
MS-DRG 267/i
warn
mrf_negotiated_above_gross
highest negotiated rate $177,583 exceeds the gross charge $107,942
CPT 81261/o
warn
mrf_negotiated_above_gross
highest negotiated rate $693 exceeds the gross charge $262
CPT 84425/o
warn
mrf_negotiated_above_gross
highest negotiated rate $80 exceeds the gross charge $35
CPT L8609/o
warn
mrf_negotiated_above_gross
highest negotiated rate $13,051 exceeds the gross charge $933
MS-DRG 273/i
warn
mrf_negotiated_above_gross
highest negotiated rate $94,986 exceeds the gross charge $89,551
MS-DRG 274/i
warn
mrf_negotiated_above_gross
highest negotiated rate $69,485 exceeds the gross charge $68,760
MS-DRG 276/i
warn
mrf_negotiated_above_gross
highest negotiated rate $189,753 exceeds the gross charge $149,936
MS-DRG 277/i
warn
mrf_negotiated_above_gross
highest negotiated rate $146,126 exceeds the gross charge $125,276
CPT 81270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $321 exceeds the gross charge $171
CPT 84442/o
warn
mrf_negotiated_above_gross
highest negotiated rate $55 exceeds the gross charge $21
MS-DRG 288/i
warn
mrf_negotiated_above_gross
highest negotiated rate $90,244 exceeds the gross charge $37,379
CPT 81275/o
warn
mrf_negotiated_above_gross
highest negotiated rate $676 exceeds the gross charge $544
CPT 84445/o
warn
mrf_negotiated_above_gross
highest negotiated rate $191 exceeds the gross charge $51
MS-DRG 291/i
warn
mrf_negotiated_above_gross
highest negotiated rate $42,404 exceeds the gross charge $24,958
CPT 84446/o
warn
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $16
CPT 87153/o
warn
mrf_negotiated_above_gross
highest negotiated rate $433 exceeds the gross charge $225
MS-DRG 312/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,079 exceeds the gross charge $18,702
CPT 81291/o
warn
mrf_negotiated_above_gross
highest negotiated rate $229 exceeds the gross charge $101
CPT 87177/o
warn
mrf_negotiated_above_gross
highest negotiated rate $33 exceeds the gross charge $19
MS-DRG 317/i
warn
mrf_negotiated_above_gross
highest negotiated rate $189,025 exceeds the gross charge $164,481
CPT 81301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,220 exceeds the gross charge $362
CPT A0425/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $37
MS-DRG 320/i
warn
mrf_negotiated_above_gross
highest negotiated rate $71,734 exceeds the gross charge $40,621
MS-DRG 329/i
warn
mrf_negotiated_above_gross
highest negotiated rate $143,269 exceeds the gross charge $113,153
CPT 87209/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $19
MS-DRG 344/i
warn
mrf_negotiated_above_gross
highest negotiated rate $85,166 exceeds the gross charge $46,020
CPT 84466/o
warn
mrf_negotiated_above_gross
highest negotiated rate $48 exceeds the gross charge $10
CPT A0435/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $95
MS-DRG 371/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,407 exceeds the gross charge $27,600
CPT A0436/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $180
MS-DRG 374/i
warn
mrf_negotiated_above_gross
highest negotiated rate $62,739 exceeds the gross charge $57,614
CPT 81332/o
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $126
CPT 84479/o
warn
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $9
CPT A0999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $97
MS-DRG 378/i
warn
mrf_negotiated_above_gross
highest negotiated rate $20,603 exceeds the gross charge $11,857
CPT 81374/o
warn
mrf_negotiated_above_gross
highest negotiated rate $260 exceeds the gross charge $32
MS-DRG 382/i
warn
mrf_negotiated_above_gross
highest negotiated rate $21,230 exceeds the gross charge $19,585
CPT 84482/o
warn
mrf_negotiated_above_gross
highest negotiated rate $59 exceeds the gross charge $25
CPT 87255/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $31
MS-DRG 383/i
warn
mrf_negotiated_above_gross
highest negotiated rate $36,855 exceeds the gross charge $32,353
CPT 87278/o
warn
mrf_negotiated_above_gross
highest negotiated rate $59 exceeds the gross charge $47
MS-DRG 389/i
warn
mrf_negotiated_above_gross
highest negotiated rate $22,629 exceeds the gross charge $13,892
CPT 81401/o
warn
mrf_negotiated_above_gross
highest negotiated rate $480 exceeds the gross charge $228
CPT 87327/o
warn
mrf_negotiated_above_gross
highest negotiated rate $50 exceeds the gross charge $30
MS-DRG 390/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,133 exceeds the gross charge $13,111
CPT 87329/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $20
MS-DRG 392/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,198 exceeds the gross charge $17,742
MS-DRG 393/i
warn
mrf_negotiated_above_gross
highest negotiated rate $49,209 exceeds the gross charge $36,090
CPT 84585/o
warn
mrf_negotiated_above_gross
highest negotiated rate $58 exceeds the gross charge $22
MS-DRG 394/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,873 exceeds the gross charge $23,172
CPT 84588/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $58
MS-DRG 395/i
warn
mrf_negotiated_above_gross
highest negotiated rate $19,888 exceeds the gross charge $18,310
CPT 84590/o
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $14
CPT 87350/o
warn
mrf_negotiated_above_gross
highest negotiated rate $43 exceeds the gross charge $20
CPT A4344/o
warn
mrf_negotiated_above_gross
highest negotiated rate $31 exceeds the gross charge $23
MS-DRG 421/i
warn
mrf_negotiated_above_gross
highest negotiated rate $58,675 exceeds the gross charge $30,748
CPT A4356/o
warn
mrf_negotiated_above_gross
highest negotiated rate $88 exceeds the gross charge $66
MS-DRG 424/i
warn
mrf_negotiated_above_gross
highest negotiated rate $66,139 exceeds the gross charge $50,159
CPT 81406/o
warn
mrf_negotiated_above_gross
highest negotiated rate $990 exceeds the gross charge $908
CPT 87476/o
warn
mrf_negotiated_above_gross
highest negotiated rate $132 exceeds the gross charge $118
CPT A4371/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $2
MS-DRG 437/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,229 exceeds the gross charge $14,020
CPT 81420/o
warn
mrf_negotiated_above_gross
highest negotiated rate $797 exceeds the gross charge $469
CPT 84681/o
warn
mrf_negotiated_above_gross
highest negotiated rate $78 exceeds the gross charge $12
CPT A4414/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12 exceeds the gross charge $1
MS-DRG 438/i
warn
mrf_negotiated_above_gross
highest negotiated rate $53,847 exceeds the gross charge $49,492
CPT A4432/o
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $4
CPT J0225/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7,005 exceeds the gross charge $5,729
MS-DRG 439/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,271 exceeds the gross charge $21,163
CPT A4461/o
warn
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $5
MS-DRG 441/i
warn
mrf_negotiated_above_gross
highest negotiated rate $92,820 exceeds the gross charge $48,346
CPT 82024/o
warn
mrf_negotiated_above_gross
highest negotiated rate $145 exceeds the gross charge $28
MS-DRG 463/i
warn
mrf_negotiated_above_gross
highest negotiated rate $167,493 exceeds the gross charge $126,829
CPT 85014/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $18
MS-DRG 495/i
warn
mrf_negotiated_above_gross
highest negotiated rate $78,096 exceeds the gross charge $63,118
CPT 87496/o
warn
mrf_negotiated_above_gross
highest negotiated rate $132 exceeds the gross charge $118
MS-DRG 533/i
warn
mrf_negotiated_above_gross
highest negotiated rate $39,709 exceeds the gross charge $37,831
MS-DRG 536/i
warn
mrf_negotiated_above_gross
highest negotiated rate $22,547 exceeds the gross charge $16,866
CPT 85060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $101 exceeds the gross charge $90
MS-DRG 539/i
warn
mrf_negotiated_above_gross
highest negotiated rate $115,779 exceeds the gross charge $74,517
CPT 82085/o
warn
mrf_negotiated_above_gross
highest negotiated rate $36 exceeds the gross charge $8
CPT 85220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $31
MS-DRG 541/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,482 exceeds the gross charge $22,646
CPT P9012/o
warn
mrf_negotiated_above_gross
highest negotiated rate $127 exceeds the gross charge $83
MS-DRG 542/i
warn
mrf_negotiated_above_gross
highest negotiated rate $101,103 exceeds the gross charge $49,611
CPT 85230/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $38
MS-DRG 545/i
warn
mrf_negotiated_above_gross
highest negotiated rate $81,780 exceeds the gross charge $69,300
MS-DRG 549/i
warn
mrf_negotiated_above_gross
highest negotiated rate $34,964 exceeds the gross charge $23,600
CPT 85247/o
warn
mrf_negotiated_above_gross
highest negotiated rate $86 exceeds the gross charge $85
CPT P9021/b
warn
mrf_negotiated_above_gross
highest negotiated rate $589 exceeds the gross charge $329
MS-DRG 559/i
warn
mrf_negotiated_above_gross
highest negotiated rate $97,709 exceeds the gross charge $61,084
CPT 85270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $67 exceeds the gross charge $62
CPT J9226/o
warn
mrf_negotiated_above_gross
highest negotiated rate $85,539 exceeds the gross charge $60,218
CPT P9035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $974 exceeds the gross charge $842
MS-DRG 561/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,527 exceeds the gross charge $14,337
CPT 85280/o
warn
mrf_negotiated_above_gross
highest negotiated rate $73 exceeds the gross charge $59
CPT P9039/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,307 exceeds the gross charge $755
MS-DRG 566/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,965 exceeds the gross charge $15,175
CPT P9040/o
warn
mrf_negotiated_above_gross
highest negotiated rate $512 exceeds the gross charge $336
MS-DRG 570/i
warn
mrf_negotiated_above_gross
highest negotiated rate $125,569 exceeds the gross charge $94,966
MS-DRG 573/i
warn
mrf_negotiated_above_gross
highest negotiated rate $145,686 exceeds the gross charge $138,176
CPT 82106/o
warn
mrf_negotiated_above_gross
highest negotiated rate $64 exceeds the gross charge $34
MS-DRG 594/i
warn
mrf_negotiated_above_gross
highest negotiated rate $23,155 exceeds the gross charge $17,811
CPT 82127/o
warn
mrf_negotiated_above_gross
highest negotiated rate $53 exceeds the gross charge $29
CPT 85301/o
warn
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $29
MS-DRG 595/i
warn
mrf_negotiated_above_gross
highest negotiated rate $57,046 exceeds the gross charge $45,529
CPT 85302/o
warn
mrf_negotiated_above_gross
highest negotiated rate $45 exceeds the gross charge $19
MS-DRG 596/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,705 exceeds the gross charge $24,024
CPT A5063/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $4
CPT P9052/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,822 exceeds the gross charge $1,319
MS-DRG 597/i
warn
mrf_negotiated_above_gross
highest negotiated rate $51,125 exceeds the gross charge $43,304
CPT 85305/o
warn
mrf_negotiated_above_gross
highest negotiated rate $44 exceeds the gross charge $29
CPT A6010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $74 exceeds the gross charge $73
CPT P9059/o
warn
mrf_negotiated_above_gross
highest negotiated rate $142 exceeds the gross charge $65
MS-DRG 603/i
warn
mrf_negotiated_above_gross
highest negotiated rate $20,628 exceeds the gross charge $15,869