Hospital · CCN 140124

John H Stroger Jr Hospital

1901 W Harrison St, Chicago, IL 60612 · Cook County
Part of Cook County Health and Hospital System · 429 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

16 admission types 46 outpatient services price file: ok 14 Medicare-file findings
Billed per dollar paid, all admissions
0.81×
$18.5M billed against $22.9M paid across 318 Medicare discharges; the national figure is 5.03×.
—
of adults in Cook County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
9.7%
uninsured in the county · state 7.7%
$81K
median household income
3.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (48 in the inpatient or outpatient file)ⓘ
31.0%
obesity in the countyⓘ
11.8%
diagnosed diabetes (PLACES)
5.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
291
Heart failure and shock with mcc
70
$36,861
$65,164
0.6× st 3.9×
871
Septicemia or severe sepsis without mv >96 hours with mcc
54
$63,233
$77,715
0.8× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
21
$254,260
$167,310
1.5× st 4.0×
189
Pulmonary edema and respiratory failure
17
$53,578
$56,458
0.9× st 4.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
16
$51,512
$70,095
0.7× st 4.5×
312
Syncope and collapse
16
$28,113
$54,524
0.5× st 4.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
14
$28,932
$60,972
0.5× st 4.2×
280
Acute myocardial infarction, discharged alive with mcc
14
$65,797
$72,237
0.9× st 4.4×
682
Renal failure with mcc
14
$42,237
$60,162
0.7× st 4.0×
603
Cellulitis without mcc
13
$19,775
$49,891
0.4× st 3.6×
552
Medical back problems without mcc
13
$25,019
$61,769
0.4× st 4.2×
190
Chronic obstructive pulmonary disease with mcc
12
$28,939
$57,621
0.5× st 4.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
11
$53,636
$73,790
0.7× st 3.8×
812
Red blood cell disorders without mcc
11
$22,959
$54,086
0.4× st 4.1×
193
Simple pneumonia and pleurisy with mcc
11
$34,786
$58,655
0.6× st 4.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
11
$83,482
$66,821
1.2× st 4.3×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
252
$13,078
$2,588
5.1×
5372
Level 2 Urology and Related Services
100
$2,386
$645
3.7×
5491
Level 1 Intraocular Procedures
98
$11,828
$2,197
5.4×
5373
Level 3 Urology and Related Services
78
$8,926
$1,914
4.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
59
$8,048
$1,513
5.3×
5183
Level 3 Vascular Procedures
46
$14,570
$3,026
4.8×
5374
Level 4 Urology and Related Services
42
$18,936
$3,231
5.9×
5191
Level 1 Endovascular Procedures
32
$21,793
$3,099
7.0×
5375
Level 5 Urology and Related Services
26
$33,378
$4,913
6.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
26
$10,697
$2,698
4.0×
5192
Level 2 Endovascular Procedures
25
$19,086
$5,427
3.5×
5302
Level 2 Upper GI Procedures
19
$7,991
$1,807
4.4×
5184
Level 4 Vascular Procedures
19
$32,144
$4,668
6.9×
5414
Level 4 Gynecologic Procedures
18
$16,259
$2,968
5.5×
5154
Level 4 Airway Endoscopy
16
$16,422
$3,555
4.6×
5361
Level 1 Laparoscopy and Related Services
13
$45,522
$5,478
8.3×
5492
Level 2 Intraocular Procedures
13
$20,988
$3,860
5.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
12
$28,636
$3,619
7.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
11
$30,412
$3,285
9.3×
5213
Level 3 Electrophysiologic Procedures
11
$82,800
$22,490
3.7×
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via cookcountyhealth.org/cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 4/1/2026, template 3.0.0, 19,505 rows scanned, 8,769 distinct code–setting items kept. 3,112 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RL-AML DNA GENOTYPING TANDEM
$622
$435
$395
8
clean
PF-EXC RECTAL TUMOR ENDOSCOPIC
$2,306
$1,614
$796
7
clean
PERQ SACRAL AUGMT UNILAT INJ
$18,538
$12,977
$3,277
16
clean
PERQ SACRAL AUGMT BILAT INJ
$18,538
$12,977
$3,277
16
clean
TRLUML PERIP ATHEREC BRACHIOCP
$29,429
$20,600
$19,129
16
clean
TRLUML PERIP ATHEREC ILIAC ART
$46,598
$32,619
$20,377
16
clean
MYOCARDIAL CONTRAST PERFUSION
$50
$35
$76
8
clean
PF-C-FXJL ABL LSR 1ST 100 CM
$479
$335
$205
7
clean
FXJL ABL LSR 1ST 100 SQ CM
$1,589
$1,112
$588
8
clean
PF-TCAT RMV/DBLK ICAR MAS PERQ
$839
$587
$545
7
clean
PF-INSJ ANT SGM AQ DRG DEV 1+
$2,677
$1,874
$1,740
7
clean
PF-ABLTJ THYR NDUL PERQ LASR
$1,550
$1,085
$1,008
7
clean
FNA BX W/O IMG GDN EA ADDL
$813
$569
$158
8
clean
PF-FNA W/IMAGE
$107
$75
$67
8
clean
FNA W US GUIDE - 1ST
$1,809
$1,266
$100
8
clean
PF-FNA W US GUIDANCE - 1ST
$176
$123
$147
8
clean
PF-FNA W US GUIDANCE EA ADDL
$121
$85
$76
8
clean
FNA W US GUIDE EA ADDL
$363
$254
$71
8
clean
FNA W FLUORO GUIDE - 1ST
$1,809
$1,266
$178
8
clean
PF-FNA W FLUORO GUIDANCE - 1ST
$231
$162
$135
8
clean
FNA W CT GUIDE - 1ST
$1,809
$1,266
$264
8
clean
PF-FNA W CT GUIDANCE - 1ST
$260
$182
$157
8
clean
FNA W CT GUIDE EA ADDL
$363
$254
$173
8
clean
PF-FNA W CT GUIDANCE EA ADDL
$189
$132
$119
8
clean
PF-FNA W MR GUIDANCE - 1ST
$662
$463
$430
7
clean
FNA W MR GUIDE - 1ST
$1,809
$1,266
$396
6
clean
FNA W MR GUIDE EA ADDL
$363
$254
$238
6
clean
PF-FNA W MR GUIDANCE EA ADDL
$281
$197
$183
7
clean
PF-ASP FINE NDL W/O IMAGIN
$132
$92
$84
8
clean
DRAIN BY CATH SOFT TISSUE
$1,809
$1,266
$249
16
clean
PF-PERQ DEV SOFT TISS 1ST IMAG
$198
$139
$161
8
clean
PF-PERQ DEV SOFT TISS ADD IMAG
$105
$74
$86
8
clean
ACNE SURGERY
$513
$359
$199
8
clean
PF-ACNE SURGERY
$116
$81
$111
8
clean
PF-I&D ABSC SMP
$267
$187
$112
8
clean
PF-DRAINAGE OF SKIN ABSCESS
$472
$330
$206
8
clean
I&D CYST PILONIDAL SMP
$1,809
$1,266
$202
14
clean
I&D CYST PILONIDAL CPLX
$1,809
$1,266
$236
14
clean
INCISION/REM FB SUBQ SMP
$1,039
$727
$148
16
clean
ED-REMOVE FOREIGN BODY
$1,896
$1,327
$237
6
clean
PF-REMOVE FOREIGN BODY
$473
$331
$258
8
clean
I&D HEMATOMA/SEROMA/FLUID
$4,219
$2,953
$126
8
clean
PF-I&D HEMATOMA/SEROMA/FLU
$314
$220
$156
8
clean
PUNCTURE DRAINAGE OF LESION
$1,039
$727
$144
16
clean
PF-COMPLEX DRAINAGE WOUND
$496
$347
$256
8
clean
I&D WOUND POST OP CPLX
$7,420
$5,194
$192
8
clean
PF-DEBR SKIN 10% BODY SURF
$67
$47
$60
8
clean
ED-DEBR SKIN EA ADD 10% BODY
$150
$105
$28
14
clean
ED-DEBRIDE SKIN AT FX SITE
$1,809
$1,266
$428
14
clean
DEBRIDE SKIN MUSC FX SITE
$1,809
$1,266
$406
8
clean
PF-DEBRIDE SKIN MSC AT FX SITE
$769
$538
$418
8
clean
DEBRIDE SKIN BONE FX SITE
$7,420
$5,194
$567
8
clean
PF-DEB SKIN BONE AT FX SITE
$1,054
$738
$594
8
clean
PF-DEB SUBQ TISSUE 20 SQ CM/<
$155
$109
$130
8
clean
DEB SUBQ TISSUE 20 SQ CM/<
$1,039
$727
$279
8
clean
FCT-DEB MUSC/FASCIA 20 SQ CM/<
$1,888
$1,322
$304
6
clean
PF-DEB MUSC/FASCIA 20 SQ CM/<
$394
$276
$237
8
clean
DEB BONE 20 SQ CM/<
$4,219
$2,953
$296
8
clean
PF-DEB BONE 20 SQ CM/<
$575
$403
$339
8
clean
PF-DEB SUBQ TISSUE ADD-ON
$63
$44
$52
8
clean
DEB SUBQ TISSUE ADD-ON
$195
$137
$82
8
clean
DEB MUSC/FASCIA ADD-ON
$305
$214
$56
8
clean
PF-DEB MUSC/FASCIA ADD-ON
$141
$99
$70
8
clean
DEB BONE ADD-ON
$845
$592
$97
8
clean
PF-DEB BONE ADD-ON
$252
$176
$121
8
clean
PF-TRIM SKIN LESION
$38
$27
$46
8
clean
TRIM SKIN LESION
$513
$359
$76
8
clean
PARING LESN BENIGN 2-4
$513
$359
$42
8
clean
PF-TRIM SKIN LESIONS 2 TO 4
$54
$38
$37
8
clean
PARING LESN BENIGN >4
$513
$359
$53
8
clean
PF-TRIM SKIN LESIONS OVER 4
$70
$49
$47
8
clean
TANGENTIAL SKIN BIOPSY 1ST
$1,039
$727
$74
16
clean
TANGENTIAL SKIN BIOPSY ADD
$28
$20
$34
8
clean
PF-TANGENTIAL SKIN BIOPSY ADDL
$49
$34
$32
8
clean
PUNCH SKIN BIOPSY 1ST
$1,039
$727
$82
8
clean
PF-PUNCH SKIN BIOPSY 1ST
$106
$74
$69
8
clean
PF-PUNCH SKIN BIOPSY ADDL
$62
$43
$50
8
clean
PUNCH SKIN BIOPSY ADDL
$111
$78
$51
8
clean
INCISIONAL SKIN BIOPSY 1ST
$1,888
$1,322
$99
8
clean
PF-INCISIONAL SKIN BIOPSY 1ST
$130
$91
$79
8
clean
INCISIONAL SKIN BIOPSY ADD
$197
$138
$61
8
clean
PF-INCISIONAL SKIN BIOPSY ADDL
$70
$49
$58
8
clean
REMOVE SKIN TAG UP TO 15
$513
$359
$60
16
clean
REMOVE SKIN TAG EA ADDL 10
$150
$105
$24
16
clean
SHV LESN TRUNK/ARM TO .5CM
$1,039
$727
$46
8
clean
PF-SHV LESN TRUNK/ARM TO 0.5CM
$77
$54
$41
8
clean
SHV LESN TRK/ARM 0.6-1.0CM
$513
$359
$66
8
clean
PF-SHV LESN TRUNK/ARM .6-1.0CM
$114
$80
$63
8
clean
PF-SHV LESN TRNK/ARM 1.1-2.0CM
$132
$92
$75
8
clean
SHV LESN TRK/ARM 1.1-2.0CM
$513
$359
$81
8
clean
SHAVE SKIN LESION >2.0 CM
$1,039
$727
$89
16
clean
PF-SHV LESN SKN SCALP TO 0.5CM
$90
$63
$63
8
clean
SHV LESN SKN SCALP TO .5CM
$513
$359
$68
8
clean
SHV LESN SKN SCALP.6-1.0CM
$513
$359
$76
16
clean
PF-SHV LESN SKN SCA 1.1-2.0 CM
$142
$99
$80
8
clean
SHV LESN SKN SCALP 1.1-2CM
$513
$359
$83
8
clean
SHV LESN SKN SCALP >2.0CM
$1,039
$727
$96
16
clean
PF-SHV LESN FACE/EAR TO 0.5CM
$100
$70
$66
8
clean
SHV LESN FACE/EAR TO 0.5CM
$513
$359
$74
8
clean
SHV LESN FACE/EAR .6-1.0CM
$513
$359
$79
8
clean
PF-SHV LESN FACE/EAR .6-1.0CM
$140
$98
$78
8
clean
SHV LESN FACE/EAR 1.1-2CM
$1,039
$727
$91
8
clean
PF-SHV LESN FACE/EAR 1.1-2.0CM
$167
$117
$91
8
clean
SHV LESN FACE/EAR >2.0CM
$1,039
$727
$117
8
clean
PF-SHV LESN FACE/EAR >2.0CM
$213
$149
$119
8
clean
PF-EXC TR-EXT B9+MARG 0.5 < CM
$205
$144
$118
8
clean
EXC LES BGN TRK/ARM TO .5C
$1,809
$1,266
$104
8
clean
EXC LESN BGN T/ARM .6-1CM
$1,039
$727
$114
8
clean
PF-EXC TR-EXT B9+MARG 0.6-1 CM
$255
$179
$132
8
clean
EXC LESN BGN T/ARM 1.1-2.0
$1,809
$1,266
$129
8
clean
PF-EXC TR-EXT B9+MARG 1.1-2 CM
$278
$195
$147
8
clean
PF-EXC TR-EXT B9+MARG 2.1-3 CM
$368
$258
$188
8
clean
EXC LESN BGN T/ARM 2.1-3.0
$1,809
$1,266
$151
8
clean
EXC LESN BGN T/ARM 3.1-4.0
$4,219
$2,953
$176
8
clean
PF-EXC TR-EXT B9+MARG 3.1-4 CM
$421
$295
$217
8
clean
EXC LESN BGN T/ARM >4.0CM
$4,219
$2,953
$234
8
clean
PF-EXC TR-EXT B9+MARG > 4.0 CM
$642
$449
$294
8
clean
PF-EXC H-F-NK-SP B9+MARG 0.5 <
$204
$143
$150
8
clean
LES BGN SCALP/HND TO .5CM
$4,219
$2,953
$190
8
clean
LESN BGN SCLP/HND .6-1.0CM
$1,809
$1,266
$124
8
clean
PF-EXC H-F-NK-SP B9+MARG 0.6-1
$267
$187
$143
8
clean
LESN BGN SCALP/HND 1.1-2.0
$4,219
$2,953
$141
8
clean
PF-EXC H-F-NK-SP B9+MARG 1.1-2
$336
$235
$174
8
clean
PF-EXC H-F-NK-SP B9+MARG 2.1-3
$391
$274
$203
8
clean
LESN BGN SCALP/HND 2.1-3.0
$4,219
$2,953
$164
8
clean
LESN BGN SCALP/HND 3.1-4.0
$4,219
$2,953
$190
8
clean
PF-EXC H-F-NK-SP B9+MARG 3.1-4
$455
$319
$235
8
clean
LESN BGN SCALP/HND >4.0CM
$7,420
$5,194
$277
16
clean
LES BGN FACE/EAR TO 0.5CM
$1,809
$1,266
$167
16
clean
PF-EXC FACE-MM B9+MARG 0.6-1
$323
$226
$203
8
clean
LESN BGN FACE/EAR .6-1.0CM
$1,809
$1,266
$138
8
clean
LESN BGN FACE/EAR 1.1-2.0
$1,809
$1,266
$155
8
clean
PF-EXC FACE-MM B9+MARG 1.1-2
$356
$249
$188
8
clean
LESN BGN FACE/EAR 2.1-3.0
$4,219
$2,953
$189
8
clean
PF-EXC FACE-MM B9+MARG 2.1-3
$433
$303
$231
8
clean
LESN BGN FACE/EAR 3.1-4.0
$4,219
$2,953
$241
16
clean
LESN BGN FACE/EAR > 4.0 CM
$7,420
$5,194
$329
16
clean
PF-REMOVAL SWEAT GLAND LESION
$719
$503
$330
8
clean
REMOVE SWEAT GLAND LES
$7,420
$5,194
$337
8
clean
PF-REMOVAL SWEAT GLAND LESION
$913
$639
$443
8
clean
PF-REMOVAL SWEAT GLAND LESION
$680
$476
$406
8
clean
C-REMOVE SWEAT GLAND LES COMPL
$7,420
$5,194
$348
8
clean
C-REMOVE SWEAT GLAND LES SMPL
$7,420
$5,194
$345
8
clean
PF-REMOVAL SWEAT GLAND LESION
$889
$622
$428
8
clean
C-REMOVAL SWEAT GLAND LESION
$7,420
$5,194
$532
8
clean
PF-REMOVAL SWEAT GLAND LESION
$792
$554
$443
8
clean
PF-REMOVAL SWEAT GLAND LESION
$934
$654
$463
8
clean
LES MAL TRUNK/ARM TO 0.5CM
$1,809
$1,266
$229
8
clean
PF-EXC TR-EXT MLG+MARG 0.5 <
$296
$207
$237
8
clean
PF-EXC TR-EXT MLG+MARG 0.6-1
$349
$244
$179
8
clean
EXC LES MAL TRK/ARM .6-1CM
$1,809
$1,266
$165
8
clean
LESN MAL TRUNK/ARM 1.1-2.0
$1,039
$727
$187
8
clean
PF-EXC TR-EXT MLG+MARG 1.1-2
$369
$258
$199
8
clean
EXC TR-EXT MAL+MARG 2.1-3
$1,809
$1,266
$209
8
clean
PF-EXC TR-EXT MLG+MARG 2.1-3
$447
$313
$231
8
clean
PF-EXC TR-EXT MLG+MARG 3.1-4
$499
$349
$265
8
clean
EXC TR-EXT MAL+MARG 3.1-4
$1,809
$1,266
$241
8
clean
EXC LESN TRUNK/ARM >4.0 CM
$4,219
$2,953
$312
8
clean
PF-EXC TR-EXT MLG+MARG > 4 CM
$783
$548
$369
8
clean
EXC H-F-NK-SP MAL+MARG 0.5
$4,219
$2,953
$258
8
clean
PF-EXC H-F-NK-SP MLG+MRG 0.5 <
$298
$209
$240
8
clean
PF-EXC H-F-NK-SP MLG+MRG 0.6-1
$351
$246
$181
8
clean
EXC S/N/H/F/G MAL+ .6-1
$1,809
$1,266
$166
8
clean
EXC LESN MAL SCALP/HND 1.1-2.0
$1,809
$1,266
$192
16
clean
PF-EXC H-F-NK-SP MLG+MRG 2.1-3
$488
$342
$250
8
clean
EXC S/N/H/F/G MAL+ 2.1-3
$4,219
$2,953
$223
8
clean
PF-EXC H-F-NK-SP MLG+MRG 3.1-4
$563
$394
$295
8
clean
EXC S/N/H/F/G MAL+ 3.1-4
$4,219
$2,953
$261
8
clean
EXC S/N/H/F/G MAL+ >4 CM
$7,420
$5,194
$327
8
clean
PF-EXC H-F-NK-SP MLG+MAR > 4
$722
$505
$381
8
clean
EXC LES MAL FACE/EAR .5 CM
$1,809
$1,266
$246
8
clean
PF-EXC FACE-MM MALIG+MRG 0.5 <
$301
$211
$245
8
clean
PF-EXC FACE-MM MALIG+MRG 0.6-1
$367
$257
$199
8
clean
EXC LESN MAL FACE .6-1.0CM
$1,809
$1,266
$184
8
clean
LESN MAL FACE/EAR 1.1-2.0
$1,809
$1,266
$256
16
clean
PF-EXC FACE-MM MALIG+MRG 2.1-3
$533
$373
$283
8
clean
EXC LESN FACE/EAR 2.1-3.0
$4,219
$2,953
$251
8
clean
EXC LESN FACE/EAR 3.1-4.0
$4,219
$2,953
$317
8
clean
PF-EXC FACE-MM MALIG+MRG 3.1-4
$667
$467
$359
8
clean
EXC LESN FACE/EAR >4.0 CM
$7,420
$5,194
$436
8
clean
PF-EXC FACE-MM MLG+MARG > 4 CM
$941
$659
$512
8
clean
TRIM NAILS NONDYSTROPHIC
$151
$106
$23
16
clean
DEBR NAIL(S) UP TO 5
$151
$106
$23
8
clean
PF-DEBRIDE NAIL 1-5
$36
$25
$34
8
clean
PF-DEBRIDE NAIL 6 OR MORE
$60
$42
$36
8
clean
DEBR NAIL(S) 6 OR MORE
$151
$106
$35
8
clean
AVULSION NAIL PLATE SINGLE
$513
$359
$75
8
clean
PF-REMOVAL OF NAIL PLATE
$132
$92
$77
8
clean
AVULSION NAIL PLATE EA ADD
$150
$105
$46
8
clean
PF-REMOVE NAIL PLATE ADD-ON
$42
$29
$40
8
clean
PF-DRAIN BLOOD FROM UNDER NAIL
$83
$58
$39
8
clean
EVAC HEMATOMA SUBUNGAL
$340
$238
$190
6
clean
REMOVAL OF NAIL BED
$1,039
$727
$195
14
clean
PF-BIOPSY NAIL UNIT
$149
$104
$90
8
clean
BX NAIL UNIT
$1,809
$1,266
$99
8
clean
REPAIR OF NAIL BED
$1,888
$1,322
$158
16
clean
RECONSTRUCT NAIL BED W/GR
$5,270
$3,689
$232
16
clean
EXC WEDGE SKIN NAIL FOLD
$1,039
$727
$170
14
clean
PF-REMOVAL OF PILONIDAL LESION
$521
$365
$260
8
clean
REMOVE PILONIDAL CYST SMP
$7,420
$5,194
$221
8
clean

Showing the first 200 of 8,769 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,087 of 6,764 comparable items (16%) 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 $823 exceeds the gross charge $536
CPT 29010/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 37243/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49423/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64461/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76514/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 92315/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 95864/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1731/b
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8522/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19282/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 29015/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 37244/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49424/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64463/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76516/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 92316/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 95865/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1732/b
info
mrf_item_fields_vary
this code and setting cover at least 29 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8530/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29035/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 37246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49426/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64466/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71120/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92317/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 95866/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1733/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8540/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37247/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 49427/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64467/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 71130/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76519/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 92325/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 95867/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1750/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8700/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19285/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29065/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 37248/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49429/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64468/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 71250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76519/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 92326/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 95868/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9000/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29075/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 37249/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 49435/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 64469/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 71260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92352/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 95869/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1752/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9017/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 29200/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 49440/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64473/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 71270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76536/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92353/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 95870/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1753/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9022/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 29240/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 49441/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64474/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 71271/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76604/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92354/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 95872/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1755/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9026/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 29260/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 37607/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64479/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71275/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76641/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92355/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 95873/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9033/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 37609/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 49446/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64480/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71550/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76642/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92358/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 95874/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19296/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29305/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 49450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64483/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71551/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76700/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92371/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 95875/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1759/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29325/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 37660/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49451/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64484/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71552/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76705/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92504/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 95885/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1760/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9045/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29345/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 49452/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64486/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 71555/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76706/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95886/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1761/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9047/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 29435/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 37765/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 49460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 72020/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76770/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95887/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9055/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29450/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 37766/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 49465/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 72040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76775/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95905/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20205/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29520/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 76776/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82040/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 95907/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1764/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9075/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 29530/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 49999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64490/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72052/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76800/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95908/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1766/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9100/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 29540/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 38220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 50080/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64491/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72070/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76801/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95909/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1767/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9145/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20225/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 50081/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64492/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72072/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76802/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95910/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9155/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20240/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 50200/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64493/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72074/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76805/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95911/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 27 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 J9171/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20245/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 29580/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 50382/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64494/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76810/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95912/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9176/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20500/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 38790/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 50384/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64495/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72082/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76811/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95913/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1772/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9177/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20501/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 38792/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 3,112 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 189
info
inp_payment_exceeds_charge
total payment $56,458 exceeds the average charge $53,578
MS-DRG 190
info
inp_payment_exceeds_charge
total payment $57,621 exceeds the average charge $28,939
MS-DRG 193
info
inp_payment_exceeds_charge
total payment $58,655 exceeds the average charge $34,786
MS-DRG 280
info
inp_payment_exceeds_charge
total payment $72,237 exceeds the average charge $65,796
MS-DRG 286
info
inp_payment_exceeds_charge
total payment $70,095 exceeds the average charge $51,512
MS-DRG 291
info
inp_payment_exceeds_charge
total payment $65,164 exceeds the average charge $36,861
MS-DRG 312
info
inp_payment_exceeds_charge
total payment $54,524 exceeds the average charge $28,113
MS-DRG 552
info
inp_payment_exceeds_charge
total payment $61,769 exceeds the average charge $25,019
MS-DRG 603
info
inp_payment_exceeds_charge
total payment $49,891 exceeds the average charge $19,775
MS-DRG 640
info
inp_payment_exceeds_charge
total payment $73,790 exceeds the average charge $53,636
MS-DRG 682
info
inp_payment_exceeds_charge
total payment $60,162 exceeds the average charge $42,237
MS-DRG 812
info
inp_payment_exceeds_charge
total payment $54,086 exceeds the average charge $22,959
MS-DRG 871
info
inp_payment_exceeds_charge
total payment $77,715 exceeds the average charge $63,233
MS-DRG 872
info
inp_payment_exceeds_charge
total payment $60,972 exceeds the average charge $28,932

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. found via cms-hpt.txt · csv-wide · 8.2M bytes · fetched 2026-08-22 · sha256 8fa6cbbc6e09…

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.