Hospital · CCN 140135

Decatur Memorial Hospital

2300 North Edward Street, Decatur, IL 62526 · Macon County
Part of Memorial Health System · 178 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

67 admission types 53 outpatient services price file: ok
Billed per dollar paid, all admissions
4.07×
$102.7M billed against $25.2M paid across 2,197 Medicare discharges; the national figure is 5.03×.
—
of adults in Macon County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
5.4%
uninsured in the county · state 7.7%
$61K
median household income
4.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
42.1%
obesity in the countyⓘ
13.3%
diagnosed diabetes (PLACES)
7.5%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
192
$59,569
$15,080
4.0× st 4.2×
291
Heart failure and shock with mcc
188
$33,789
$10,500
3.2× st 3.9×
177
Respiratory infections and inflammations with mcc
93
$42,542
$12,384
3.4× st 4.2×
189
Pulmonary edema and respiratory failure
86
$55,165
$12,352
4.5× st 4.4×
193
Simple pneumonia and pleurisy with mcc
72
$40,673
$10,454
3.9× st 4.2×
690
Kidney and urinary tract infections without mcc
67
$23,484
$6,499
3.6× st 4.2×
689
Kidney and urinary tract infections with mcc
65
$30,517
$8,783
3.5× st 4.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
59
$36,007
$7,748
4.6× st 5.0×
194
Simple pneumonia and pleurisy with cc
58
$25,086
$6,578
3.8× st 4.3×
190
Chronic obstructive pulmonary disease with mcc
51
$39,127
$8,474
4.6× st 4.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
48
$28,569
$6,683
4.3× st 4.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
47
$27,455
$6,437
4.3× st 4.3×
812
Red blood cell disorders without mcc
44
$26,361
$7,718
3.4× st 4.1×
683
Renal failure with cc
41
$28,191
$7,010
4.0× st 4.1×
682
Renal failure with mcc
41
$47,810
$14,290
3.3× st 4.0×
309
Cardiac arrhythmia and conduction disorders with cc
41
$22,193
$6,339
3.5× st 4.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
41
$80,719
$15,104
5.3× st 4.9×
378
Gastrointestinal hemorrhage with cc
39
$32,204
$7,744
4.2× st 4.5×
308
Cardiac arrhythmia and conduction disorders with mcc
39
$30,103
$12,289
2.5× st 4.2×
603
Cellulitis without mcc
38
$28,039
$7,086
4.0× st 3.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
37
$34,709
$9,989
3.5× st 3.8×
481
Hip and femur procedures except major joint with cc
37
$79,820
$15,617
5.1× st 5.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
31
$34,975
$7,935
4.4× st 4.2×
305
Hypertension without mcc
26
$27,770
$6,200
4.5× st 4.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
26
$140,344
$36,550
3.8× st 4.0×
389
Gastrointestinal obstruction with cc
25
$27,343
$6,243
4.4× st 4.1×
176
Pulmonary embolism without mcc
24
$28,713
$7,421
3.9× st 4.7×
483
Major joint or limb reattachment procedures of upper extremities
24
$164,293
$22,730
7.2× st 5.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
23
$105,058
$14,895
7.1× st 5.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
23
$40,869
$11,356
3.6× st 4.0×
698
Other kidney and urinary tract diagnoses with mcc
23
$45,115
$11,680
3.9× st 3.9×
468
Revision of hip or knee replacement without cc/mcc
20
$127,695
$26,739
4.8× st 4.5×
638
Diabetes with cc
20
$32,212
$7,361
4.4× st 4.0×
313
Chest pain
20
$26,437
$5,818
4.5× st 4.8×
637
Diabetes with mcc
19
$36,194
$13,612
2.7× st 4.3×
178
Respiratory infections and inflammations with cc
19
$30,213
$7,926
3.8× st 4.4×
280
Acute myocardial infarction, discharged alive with mcc
19
$64,848
$13,701
4.7× st 4.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
18
$51,937
$13,080
4.0× st 4.3×
377
Gastrointestinal hemorrhage with mcc
18
$32,399
$13,117
2.5× st 4.4×
394
Other digestive system diagnoses with cc
18
$24,009
$7,315
3.3× st 4.1×
811
Red blood cell disorders with mcc
18
$39,932
$11,048
3.6× st 4.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
18
$133,260
$24,432
5.5× st 5.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
17
$33,439
$7,424
4.5× st 5.5×
312
Syncope and collapse
16
$28,547
$9,443
3.0× st 4.3×
329
Major small and large bowel procedures with mcc
16
$141,143
$42,052
3.4× st 4.3×
948
Signs and symptoms without mcc
16
$22,847
$6,407
3.6× st 4.4×
467
Revision of hip or knee replacement with cc
16
$149,726
$23,944
6.3× st 4.3×
331
Major small and large bowel procedures without cc/mcc
15
$55,637
$12,645
4.4× st 4.5×
393
Other digestive system diagnoses with mcc
15
$37,387
$12,417
3.0× st 3.9×
699
Other kidney and urinary tract diagnoses with cc
15
$25,327
$8,260
3.1× st 3.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
15
$82,167
$20,497
4.0× st 4.4×
330
Major small and large bowel procedures with cc
15
$75,420
$17,475
4.3× st 4.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
15
$94,217
$15,539
6.1× st 4.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
14
$53,490
$11,118
4.8× st 4.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$53,397
$17,118
3.1× st 4.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
14
$46,593
$9,994
4.7× st 5.3×
418
Laparoscopic cholecystectomy without c.d.e. with cc
13
$54,270
$12,448
4.4× st 5.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$26,473
$4,694
5.6× st 4.8×
460
Spinal fusion except cervical without mcc
12
$115,164
$30,947
3.7× st 4.0×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$31,544
$10,622
3.0× st 4.7×
602
Cellulitis with mcc
12
$40,881
$11,335
3.6× st 3.9×
390
Gastrointestinal obstruction without cc/mcc
11
$16,393
$4,653
3.5× st 4.6×
372
Major gastrointestinal disorders and peritoneal infections with cc
11
$31,078
$8,230
3.8× st 4.1×
149
Dysequilibrium
11
$30,825
$5,886
5.2× st 4.9×
552
Medical back problems without mcc
11
$32,574
$7,990
4.1× st 4.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$22,260
$7,184
3.1× st 4.2×
304
Hypertension with mcc
11
$30,339
$8,903
3.4× 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
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
414
$10,746
$1,493
7.2×
8011
Comprehensive Observation Services
245
$16,023
$2,522
6.4×
5115
Level 5 Musculoskeletal Procedures
236
$74,214
$12,057
6.2×
5373
Level 3 Urology and Related Services
234
$8,620
$1,882
4.6×
5431
Level 1 Nerve Procedures
158
$14,886
$1,776
8.4×
5374
Level 4 Urology and Related Services
138
$15,643
$3,222
4.9×
5112
Level 2 Musculoskeletal Procedures
109
$9,709
$1,465
6.6×
5113
Level 3 Musculoskeletal Procedures
108
$19,403
$2,991
6.5×
5375
Level 5 Urology and Related Services
104
$27,787
$4,782
5.8×
5114
Level 4 Musculoskeletal Procedures
103
$40,605
$6,562
6.2×
5183
Level 3 Vascular Procedures
98
$17,156
$2,922
5.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
86
$17,126
$3,179
5.4×
5361
Level 1 Laparoscopy and Related Services
83
$26,563
$5,281
5.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
77
$14,543
$2,626
5.5×
5302
Level 2 Upper GI Procedures
72
$10,197
$1,739
5.9×
5491
Level 1 Intraocular Procedures
71
$12,842
$2,154
6.0×
5193
Level 3 Endovascular Procedures
69
$76,713
$10,158
7.6×
5191
Level 1 Endovascular Procedures
65
$20,928
$2,983
7.0×
5182
Level 2 Vascular Procedures
61
$6,722
$1,480
4.5×
5372
Level 2 Urology and Related Services
55
$3,662
$631
5.8×
5116
Level 6 Musculoskeletal Procedures
53
$119,918
$17,185
7.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
44
$37,947
$6,027
6.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
41
$19,857
$3,523
5.6×
5153
Level 3 Airway Endoscopy
39
$7,031
$1,548
4.5×
5192
Level 2 Endovascular Procedures
30
$33,994
$5,282
6.4×
5154
Level 4 Airway Endoscopy
28
$13,362
$3,399
3.9×
5362
Level 2 Laparoscopy and Related Services
27
$43,778
$9,265
4.7×
5213
Level 3 Electrophysiologic Procedures
24
$167,799
$21,893
7.7×
5414
Level 4 Gynecologic Procedures
22
$9,206
$2,824
3.3×
5313
Level 3 Lower GI Procedures
22
$16,235
$2,595
6.3×
5165
Level 5 ENT Procedures
17
$30,347
$5,412
5.6×
5415
Level 5 Gynecologic Procedures
15
$21,871
$4,597
4.8×
5194
Level 4 Endovascular Procedures
14
$90,593
$16,172
5.6×
5465
Level 5 Neurostimulator and Related Procedures
12
$121,254
$26,365
4.6×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-02-09, template 3.0.0, 203,342 rows scanned, 4,032 distinct code–setting items kept. 4,327 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT Diamox
$1,354
$1,354
$812
94
clean
IR-STNT EXTCRNL CTID/VERT-INIT
$15,139
$15,139
$9,083
47
clean
CT Sacroplasty Lt
$11,161
$11,161
$7,422
118
clean
CT Sacroplasty Bi
$16,742
$16,742
$8,907
59
clean
Biofire Respiratory Panel
$1,513
$1,513
$705
69
clean
CCLP-TRNSCTH RENL SYM DENRV B
$15,397
$15,397
$8,961
59
clean
IR-CRYOABLATION MISC
$4,172
$4,172
$2,428
59
clean
CCLP-TMVI/R W VALVPERC APP
$33,360
$33,360
$20,016
46
clean
CCLP-TTVR PERQ APPR 1ST PROSTH
$31,897
$31,897
$19,138
46
clean
CCLP-TTVR PERQ EA ADDL PROSTH
$6,028
$6,028
$3,963
46
clean
CT Cryoablation Breast
$8,950
$8,950
$5,209
58
clean
CT Plaque Analysis
$2,376
$2,376
$1,426
59
clean
CCLP-ANGIOVAC
$12,446
$12,446
$7,343
59
clean
MR Quantitative tissue wo Diag MRI
$2,342
$2,342
$1,405
59
clean
MR Quantitative Tissue Analysis
$1,983
$1,983
$1,190
47
clean
US Quantitative Tissue Analysis
$445
$445
$267
47
clean
CCLP-TCAT INS 2CHMBR LDLS PM CMPL
$35,587
$35,587
$20,641
57
clean
ED-FNA BX W/US GDE-1ST LESION
$2,755
$2,755
$944
276
clean
ED-FNA BX W/US GDE-ADL LESION
$1,425
$1,425
$404
227
clean
CT FNA w Image Guidance 1st lesion
$2,068
$2,068
$1,034
138
clean
CT FNA w Image Guidance addt l lesion
$905
$905
$543
57
clean
ER-Fine Needle Aspirtn w/o Img
$834
$834
$479
207
clean
US Abscess Drainage
$3,501
$3,501
$1,477
621
clean
US Axilla Ndl Loc Lt
$2,249
$2,249
$1,196
1,035
clean
US Axilla Clip Placement Rt Addt l
$975
$975
$585
399
clean
ER-I D AbscessSimple/Single
$415
$415
$249
344
clean
ER-I D AbscessComplictd/Mltpl
$834
$834
$436
206
clean
ER-I D Pilonidal CystSimple
$1,332
$1,332
$759
138
clean
ER-I D Pilonidal CystComplctd
$1,590
$1,590
$846
69
clean
ER-I D Frn BodySubq TissSmpl
$1,182
$1,182
$571
138
clean
ER-I D Frn BodySubq TissComp
$3,254
$3,254
$1,756
138
clean
ER-I D Hematoma/Seroma/Fluid
$3,254
$3,254
$1,770
345
clean
ER-Punc AspAbs/Hema/Bull/Cyst
$1,013
$1,013
$472
552
clean
ER-Complex Drainage Wound
$5,838
$5,838
$3,113
207
clean
ER-Debride Infected Skin
$1,276
$1,276
$779
69
clean
DEBRIDE ABDOM WALL - NRS
$3,359
$3,359
$2,015
57
clean
ER-Debride Skin At Fx Site
$1,332
$1,332
$759
69
clean
ER-Deb Skin Bone At Fx Site
$4,026
$4,026
$2,617
69
clean
ER-Deb Subq Tissue 20 Sq Cm/<
$1,598
$1,598
$745
206
clean
ER-Deb Musc/Fascia 20 Sq cm/<
$2,468
$2,468
$1,061
275
clean
ER-Deb Bone 20 Sq cm/<
$3,966
$3,966
$1,862
206
clean
ER-DBRD SUBQ TISU EA ADL 20CM
$426
$426
$256
169
clean
ER-Dbrd Subq/Mscl Ea Adl 20CM
$510
$510
$306
169
clean
WC-Dbr Sbq/Mscl/Bne Addl 20cm
$1,563
$1,563
$938
56
clean
ER-Trim Skin Lesion
$289
$289
$197
137
clean
WC-Trim Skin Lesion 2-4 Lesns
$415
$415
$215
68
clean
WC-Trim Skin Lesion >4 Lesns
$553
$553
$254
69
clean
ER-TANGENTL BX SKIN-SNGL LESN
$679
$679
$316
206
clean
ER-TANGENTL BX SKIN-ADDL LESN
$166
$166
$100
170
clean
US Breast Guided Punch Biopsy Lt
$834
$834
$444
344
clean
ER-PUNCH BX SKIN-ADDL LESN
$163
$163
$98
284
clean
ER-INCISIONL BX SKIN-SNGL LESN
$1,276
$1,276
$779
206
clean
ER-INCISIONL BX SKIN-ADDL LESN
$169
$169
$101
113
clean
ER-Removal Of Skin Tags <W/15
$415
$415
$215
207
clean
ER-Shav Skin LsnTal 1.1-2.0CM
$415
$415
$221
69
clean
ER-SHAV SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM
$415
$415
$221
69
clean
ER-Exc Tr-Ext B9 Marg 1.1-2 CM
$1,632
$1,632
$830
138
clean
ER-Exc H-F-NK-SP B9 Marg 0.5/<
$3,254
$3,254
$1,742
138
clean
ER-Exc H-F-NK-SP B9 Marg 0.6-1
$2,239
$2,239
$1,132
69
clean
ER-Exc H-F-NK-SP B9 Marg 2.1-3
$3,254
$3,254
$1,742
69
clean
ER-Exc Face-MM B9 Marg 0.5 /<
$1,312
$1,312
$759
69
clean
ER-Exc Face-MM B9 Marg 0.6-1
$1,332
$1,332
$759
69
clean
ER-Exc Face-MM B9 Marg 2.1-3
$3,254
$3,254
$1,742
69
clean
ER-Trim Nail(s) Any Number
$125
$125
$67
137
clean
ER-Debride Nail 1-5
$234
$234
$98
206
clean
WC-Debride Nail -6 or more
$174
$174
$87
68
clean
ER-Removal Of Nail Plate
$456
$456
$230
206
clean
ER-Remove Nail Plate Add-On
$202
$202
$121
56
clean
ER-Drain Blood From Under Nail
$325
$325
$173
69
clean
ER-Removal Of Nail Bed
$834
$834
$444
69
clean
ER-Repair Of Nail Bed
$1,276
$1,276
$779
138
clean
ER-Reconstruction Of Nail Bed
$4,828
$4,828
$2,414
69
clean
ER-Excision Of Nail Fold Toe
$834
$834
$444
69
clean
ER-EXCISION PILONIDAL CYST/SINUS SIMPLE
$5,838
$5,838
$3,106
69
clean
PC-INJ INTRALESN < 7 LESNS
$415
$415
$215
137
clean
ER-REMOVAL TISSUE EXPANDER W/O IMPLANT
$5,838
$5,838
$3,106
69
clean
FMS-INSERT DRUG IMPLANT DEVICE
$270
$270
$157
276
clean
ER-Rpr S/N/AX/GEN/TRNK 2.5CM/<
$683
$683
$345
206
clean
ER-Rpr S/N/AX/GEN/TRNK2.6-7.5
$774
$774
$391
276
clean
ER-Rpr S/N/AX/GEN/TRK7.6-12.5
$915
$915
$462
138
clean
ER-Rpr S/N/A/GEN/TRK12.6-20.0
$1,103
$1,103
$557
138
clean
ER-RPR S/N/A/GEN/TRK20.1-30.0
$1,365
$1,365
$726
69
clean
ER-Rpr S/N/AX/GEN/TRNK >30.0
$1,694
$1,694
$784
138
clean
ER-Rpr F/E/E/N/L/M 2.5 CM/<
$684
$684
$346
138
clean
ER-RPR F/E/E/N/L/M 2.6-5.0 CM
$734
$734
$371
138
clean
ER-RPR F/E/E/N/L/M 5.1-7.5 CM
$800
$800
$436
69
clean
ER-Rpr F/E/E/N/L/M 7.6-12.5 CM
$1,013
$1,013
$577
138
clean
ER-Rpr FE/E/EN/L/M 12.6-20.0
$1,373
$1,373
$744
69
clean
ER-Rpr FE/E/EN/L/M 20.1-30.0
$1,956
$1,956
$982
69
clean
ER-Rpr F/E/E/N/L/M >30.0 CM
$1,877
$1,877
$982
69
clean
ER-Closure Of Split Wound Smpl
$1,276
$1,276
$776
138
clean
ER-Closure Split Wound-W Pack
$1,013
$1,013
$539
69
clean
ER-Intmd Rpr S/A/T/EXT 2.5/<
$834
$834
$440
138
clean
ER-Intmd Rpr S/A/T/EXT 2.6-7.5
$1,107
$1,107
$520
207
clean
ER-Intmd Rpr S/TR/EXT 7.6-12.5
$1,265
$1,265
$673
69
clean
ER-Intmd Rpr S/A/T/EXT 12.6-20
$1,492
$1,492
$794
69
clean
ER-Intmd Rpr S/A/T/EXT 20.1-30
$1,739
$1,739
$925
69
clean
ER-Intmd Rpr S/TR/EXT >30.0 CM
$2,988
$2,988
$1,942
69
clean
ER-Intmd Rpr N-HF/Genit 2.5/<
$855
$855
$455
138
clean
ER-Intmd Rpr N-HF/Genit2.6-7.5
$1,113
$1,113
$542
138
clean
ER-Intm Rpr N-HF/Genit 7.6-12.5
$1,276
$1,276
$779
138
clean
ER-Intmd Rpr N-HF/Genit 12.6-20
$1,618
$1,618
$874
69
clean
ER-Intmd Rpr N-HF/Genit 20.1-30
$1,813
$1,813
$965
69
clean
ER-Intmd Rpr N-HF/Genit >30.0
$2,453
$2,453
$1,594
69
clean
WC-Repr Intrm Wnd Fce < 2.5CM
$902
$902
$448
207
clean
ER-Intmd Rpr Face/MM 2.6-5.0
$1,047
$1,047
$506
138
clean
ER-Intmd Rpr Face/MM 5.1-7.5
$1,129
$1,129
$580
138
clean
ER-Intmd Rpr Face/MM 7.6-12.5
$1,153
$1,153
$671
69
clean
ER-Intmd Rpr Face/MM 12.6-20
$1,581
$1,581
$920
69
clean
ER-Intmd Rpr Face/MM 20.1-30.0
$2,059
$2,059
$1,041
69
clean
ER-Intmd Rpr Face/MM >30.0 CM
$2,246
$2,246
$1,135
69
clean
ER-Cmplx Rpr Trunk 1.1-2.5 CM
$1,276
$1,276
$779
69
clean
ER-Cmplx Rpr Trunk 2.6-7.5 CM
$1,276
$1,276
$779
69
clean
ER-Cmplx Rpr Trunk Addl 5CM/<
$963
$963
$578
56
clean
ER-Cmplx Rpr S/A/L 1.1-2.5 CM
$1,276
$1,276
$779
138
clean
ER-Cmplx Rpr S/A/L 2.6-7.5 CM
$1,276
$1,276
$779
138
clean
ER-Cmplx Rpr S/A/L ADDL 5 CM/>
$384
$384
$230
56
clean
ER-Rpr Fac/Hnd/Ft 1.1-2.5 Cplx
$834
$834
$500
207
clean
ER-Rpr Fac/Hnd/Ft 2.6-7.5 Cplx
$1,276
$1,276
$792
138
clean
ER-Rpr Fac/Hnd/Ft Addl 5 Cplx
$633
$633
$411
113
clean
ER-Cmplx Rpr E/N/E/L 1.1-2.5
$1,276
$1,276
$779
138
clean
ER-Cmplx Rpr E/N/E/L 2.6-7.5
$1,533
$1,533
$892
138
clean
ER-Cmplx Rpr E/N/E/L Addl 5CM<
$517
$517
$310
56
clean
ER-Late Closure Of Wound
$5,892
$5,892
$2,946
69
clean
ER-Tis Trnfr F/C/C/M/N/A/G/H/F
$4,614
$4,614
$2,307
69
clean
ER-TIS TRNSFR E/N/E/L 10 SQCM/<
$3,806
$3,806
$2,176
69
clean
ER-Tissue Trnsfr30.1-60.0SQCM
$7,560
$7,560
$3,798
69
clean
ER-Tissue TrnsfrEA ADL 30SQCM
$2,777
$2,777
$1,666
56
clean
ER-Wound Prep Trk/Arm/Leg
$3,806
$3,806
$2,176
138
clean
WC-Wound Prep Adl 100cm-TAL
$439
$439
$263
57
clean
ER-Wound Prep F/N/HF/G
$1,276
$1,276
$779
138
clean
WC-Wound Prep Adl 100cm-FCE
$595
$595
$357
57
clean
ER-Graft Skin Pinch
$1,472
$1,472
$857
69
clean
ER-Grft Skin Splt Trnk/Arm/Leg
$5,526
$5,526
$2,937
138
clean
WC-Autograft Adl 100cm-TAL
$1,425
$1,425
$855
57
clean
ER- A-Grft Skn Fac/Nck/Hf/G
$7,560
$7,560
$3,798
138
clean
WC-Autograft Adl 100cm-FCE
$2,648
$2,648
$1,589
57
clean
ER-Grft Skin Fll Face/Genit/Hf
$4,655
$4,655
$2,328
69
clean
ER- APP SKN SUB 1ST 25SQCM-TAL
$3,806
$3,806
$2,211
137
clean
WC-APP SKN SUB ADL 25SQCM-TAL
$301
$301
$181
56
clean
ER-APP SKN SUB 1ST100SQCM-TAL
$7,560
$7,560
$3,798
137
clean
ER-APP SKN SUB ADL100SQCM-TAL
$739
$739
$448
112
clean
ER-Graft Skin Sub Face/Nk/Hf/G
$3,806
$3,806
$2,215
137
clean
WC-APP SKN SUB ADL 25SQCM-FCE
$530
$530
$318
56
clean
WC-APP SKN SUB 1ST100SQCM-FCE
$3,806
$3,806
$2,213
68
clean
ER-Form Pedclw/wo TransFrhd
$3,806
$3,806
$2,180
69
clean
ER-Transfer Skin Pedicle Flap
$4,927
$4,927
$2,464
69
clean
ER-GRAFT COMPOSIT SKIN W/ PRIM CLOSURE
$3,806
$3,806
$2,211
69
clean
DRESSING CHANGE NOT FOR BURN-NRSG
$1,276
$1,276
$766
69
clean
WC-REMOVAL OF SUTR/STAPL W/O ANES
$137
$137
$82
112
clean
ER-Test For Blood Flow In Graft
$830
$830
$479
69
clean
ER-Removal Of Pressure Sore
$1,069
$1,069
$727
59
clean
ER-Initial Treatment Burn(s)
$415
$415
$221
69
clean
ER-Dress/Debrid P-Thick Burn S
$420
$420
$252
206
clean
ER-Dress/Debrid P-Thick Burn M
$538
$538
$313
206
clean
ER-Dress/Debrid P-Thick Burn L
$834
$834
$440
206
clean
ESCHAROTOMY-NRSG
$1,123
$1,123
$589
138
clean
ER-Escharotomy Incision Addl
$211
$211
$127
56
clean
ER-Destruct Premalg Lesion
$415
$415
$221
69
clean
ER-Destruct B9 Lesion 1-14
$415
$415
$221
69
clean
ER-Chemical Cautery Tissue
$652
$652
$330
207
clean
ER-Skin Tissue Procedure
$461
$461
$277
236
clean
ER-Drainage Of Breast Lesion
$1,332
$1,332
$759
276
clean
MAM Breast Cyst Asp Add Lt
$512
$512
$307
228
clean
ER-Incision Of Breast Lesion
$3,965
$3,965
$1,784
276
clean
MAM Galactogram Lt Inj
$743
$743
$446
114
clean
MAM Affirm Bx Vac Assist LT
$6,420
$6,420
$2,978
414
clean
MAM Stereo Brst Lt Add. Lesion
$2,537
$2,537
$1,670
171
clean
US Breast Bx Lt Ndl W Imag Guide
$5,689
$5,689
$2,651
207
clean
US Breast Bx Lt Add. Lesion
$2,998
$2,998
$1,745
114
clean
MR Stereotactic Breast Bx Bi
$7,295
$7,295
$3,399
207
clean
MRI Breast Bx Prc Mag Guide Ea Add
$2,669
$2,669
$1,601
57
clean
MAM Bx Ndl Core-No Imag Dev
$2,395
$2,395
$1,593
69
clean
MAM Breast Loc Initial Wire Place Lt
$3,254
$3,254
$1,742
552
clean
Mam RF Tag Rt AddtÆl Lesion
$958
$958
$637
285
clean
US Breast Ndl Loc Lt
$2,037
$2,037
$1,084
759
clean
US Breast RF Tag Rt AddtÆl Lesion
$1,139
$1,139
$683
456
clean
MR Breast Clip Placement LT
$2,516
$2,516
$1,339
138
clean
MR Breast Add l Lesion LT
$1,065
$1,065
$639
114
clean
ER-RMVL INTACT BREAST IMPLANT
$7,857
$7,857
$4,129
69
clean
ER-Breast Surgery Procedure
$4,113
$4,113
$2,760
59
clean
ER-EXPLORE PENETRATING WOUND NECK
$1,541
$1,541
$897
69
clean
ER-EXPLORTN PENTRT WOUND-CHEST
$2,160
$2,160
$1,404
69
clean
ER-Explore Wound Abdomen
$3,806
$3,806
$2,176
69
clean
ER-Explore Wound Extremity
$1,817
$1,817
$1,208
69
clean
US Bx Superficial
$3,643
$3,643
$2,120
207
clean
CT Bx Muscle / Soft Tissue
$2,148
$2,148
$1,289
345
clean
CT Bx Bone
$3,254
$3,254
$1,742
276
clean
CT Bx Bone Deep
$4,837
$4,837
$2,246
205
clean
WC-Biopsy Bne Excisionl SF
$5,277
$5,277
$3,113
69
clean
CT Sinus Tract Injection
$3,145
$3,145
$1,663
69
clean
IR-INJ SINUS TRACT-DIAG
$656
$656
$394
171
clean
ER-Removal Of Foreign Body-S
$3,254
$3,254
$1,742
69
clean
ER-Removal Of Foreign Body-C
$5,838
$5,838
$3,106
69
clean
ER-Inj Tendon Sheath/Ligament
$1,041
$1,041
$370
206
clean
INJECTION SINGLE TENDON ORIGIN/INSERTION
$616
$616
$359
69
clean
ER-Inj Trigger Point 1/2 Muscl
$1,066
$1,066
$497
206
clean
PC-Trigger Point 3 or > Muscle
$1,411
$1,411
$642
68
clean
PT - Dry Needle 1-2 muscles
$25
$25
$18
134
clean
PT - Dry Needle 3 muscles
$40
$40
$29
134
clean

Showing the first 200 of 4,032 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,059 of 2,634 comparable items (40%) 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 $17,496 exceeds the gross charge $11,161
warn
mrf_rate_without_estimate
7,629 of 7,629 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 28240/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33240/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45915/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58301/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 70546/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80203/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84144/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86970/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92978/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 97761/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0279/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0486/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 15860/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25520/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36581/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70547/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75893/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80204/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84145/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92979/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 97763/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G0283/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0621/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 28400/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33241/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45999/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58340/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70548/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75894/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80305/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84146/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86971/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92986/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0288/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT L0627/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 15999/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25530/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28405/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36582/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70549/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75898/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80307/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84153/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 98925/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0628/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 0042T/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 25535/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33244/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36584/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 46040/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58700/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70551/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75901/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80320/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84154/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86972/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92987/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99152/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G0378/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0631/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0075T/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 16000/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28430/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36585/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58999/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 70552/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75902/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80323/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99153/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G0379/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT L0637/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0076T/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 16020/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25560/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33249/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46050/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70553/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75956/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80324/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84155/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86977/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92990/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99183/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT G0390/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0638/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 16025/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28435/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36589/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 59000/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 70554/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75957/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80325/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84156/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99202/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0639/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0200T/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25565/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33262/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36590/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 46083/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71045/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75958/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80335/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84157/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86978/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92997/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99203/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G0416/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0642/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 16030/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28450/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36591/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 59020/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71046/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75959/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80338/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84165/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86999/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99204/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G0472/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0648/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0201T/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25575/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33263/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36592/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 46221/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71047/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75970/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80342/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84166/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87040/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92998/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99205/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G0476/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0650/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0202U/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 16035/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28455/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36593/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 46320/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 59025/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71048/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75984/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80345/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84207/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87045/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93005/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99211/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0129/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0651/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25600/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33264/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71100/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 75989/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80346/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84210/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87046/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93017/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99212/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0174/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0700/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0338T/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 16036/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28470/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36595/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46600/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 59160/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71101/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76000/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80347/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87070/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93225/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99213/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0175/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0710/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25605/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33270/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36596/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 71110/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76010/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80348/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84238/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87071/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93242/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99214/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0180/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0810/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0339T/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 17000/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28475/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 46999/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 59200/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 71111/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80349/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93246/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99215/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0185/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L0859/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 4,327 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 669.1M bytes · fetched 2026-08-27 · sha256 28cb069d2e09…

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.