Hospital · CCN 150002

Methodist Hospitals Inc

600 Grant St, Gary, IN 46402 · Lake County
Part of The Methodist Hospitals · 405 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

52 admission types 52 outpatient services price file: ok
Billed per dollar paid, all admissions
4.98×
$91.3M billed against $18.3M paid across 1,591 Medicare discharges; the national figure is 5.03×.
3.5%
of adults in Lake County have medical debt in collections
7.7%
uninsured in the county · state 8.2%
$69K
median household income
4.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
39.9%
obesity in the countyⓘ
15.1%
diagnosed diabetes (PLACES)
7.1%
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
172
$38,600
$9,751
4.0× st 4.0×
871
Septicemia or severe sepsis without mv >96 hours with mcc
155
$89,489
$15,321
5.8× st 4.1×
193
Simple pneumonia and pleurisy with mcc
69
$49,888
$10,898
4.6× st 4.1×
690
Kidney and urinary tract infections without mcc
63
$29,590
$6,699
4.4× st 4.1×
683
Renal failure with cc
53
$37,663
$7,275
5.2× st 4.1×
177
Respiratory infections and inflammations with mcc
48
$59,178
$12,411
4.8× st 4.0×
682
Renal failure with mcc
48
$52,991
$11,491
4.6× st 3.9×
812
Red blood cell disorders without mcc
41
$24,640
$7,260
3.4× st 4.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
40
$55,196
$10,472
5.3× st 4.8×
689
Kidney and urinary tract infections with mcc
39
$48,640
$9,438
5.2× st 4.0×
885
Psychoses
39
$21,944
$10,988
2.0× st 2.9×
189
Pulmonary edema and respiratory failure
38
$50,244
$10,120
5.0× st 4.0×
190
Chronic obstructive pulmonary disease with mcc
33
$42,380
$9,011
4.7× st 4.6×
638
Diabetes with cc
31
$38,597
$6,828
5.7× st 4.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
31
$99,824
$15,579
6.4× st 4.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
30
$33,590
$6,602
5.1× st 4.2×
312
Syncope and collapse
29
$36,164
$7,186
5.0× st 4.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
28
$61,594
$11,859
5.2× st 4.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
28
$34,816
$6,599
5.3× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
26
$295,891
$48,746
6.1× st 4.4×
280
Acute myocardial infarction, discharged alive with mcc
26
$61,405
$12,427
4.9× st 4.5×
377
Gastrointestinal hemorrhage with mcc
26
$77,868
$14,263
5.5× st 4.8×
194
Simple pneumonia and pleurisy with cc
25
$38,702
$6,879
5.6× st 4.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
25
$65,980
$16,017
4.1× st 4.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
25
$44,437
$8,346
5.3× st 4.2×
603
Cellulitis without mcc
25
$24,179
$7,049
3.4× st 3.7×
309
Cardiac arrhythmia and conduction disorders with cc
24
$34,086
$6,556
5.2× st 4.5×
378
Gastrointestinal hemorrhage with cc
23
$45,406
$8,085
5.6× st 4.9×
178
Respiratory infections and inflammations with cc
22
$38,451
$7,944
4.8× st 4.3×
274
Percutaneous and other intracardiac procedures without mcc
22
$111,437
$25,171
4.4× st 5.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
21
$52,020
$9,370
5.6× st 6.4×
698
Other kidney and urinary tract diagnoses with mcc
20
$43,677
$11,961
3.7× st 4.1×
101
Seizures without mcc
18
$37,439
$7,637
4.9× st 4.3×
191
Chronic obstructive pulmonary disease with cc
17
$33,016
$7,092
4.7× st 4.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$94,643
$17,881
5.3× st 4.4×
870
Septicemia or severe sepsis with mv >96 hours
16
$187,427
$47,698
3.9× st 4.2×
308
Cardiac arrhythmia and conduction disorders with mcc
16
$42,255
$9,702
4.4× st 4.7×
811
Red blood cell disorders with mcc
15
$62,244
$11,431
5.4× st 4.7×
069
Transient ischemia without thrombolytic
14
$41,742
$6,828
6.1× st 5.1×
100
Seizures with mcc
14
$66,594
$15,550
4.3× st 4.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
13
$108,152
$13,990
7.7× st 7.6×
684
Renal failure without cc/mcc
13
$32,307
$5,333
6.1× st 4.1×
314
Other circulatory system diagnoses with mcc
13
$105,092
$14,435
7.3× st 4.4×
313
Chest pain
12
$31,309
$6,175
5.1× st 5.3×
202
Bronchitis and asthma with cc/mcc
12
$39,490
$7,969
5.0× st 3.8×
699
Other kidney and urinary tract diagnoses with cc
11
$25,506
$8,376
3.0× st 4.4×
637
Diabetes with mcc
11
$43,008
$11,610
3.7× st 4.5×
315
Other circulatory system diagnoses with cc
11
$25,871
$7,485
3.5× st 4.4×
602
Cellulitis with mcc
11
$67,391
$10,184
6.6× st 4.3×
552
Medical back problems without mcc
11
$46,290
$8,121
5.7× st 4.0×
433
Cirrhosis and alcoholic hepatitis with cc
11
$55,698
$8,633
6.5× st 4.2×
481
Hip and femur procedures except major joint with cc
11
$106,509
$14,530
7.3× st 5.4×
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
221
$21,318
$2,546
8.4×
5183
Level 3 Vascular Procedures
89
$24,258
$2,971
8.2×
5191
Level 1 Endovascular Procedures
87
$25,102
$2,994
8.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
65
$11,512
$1,525
7.6×
5213
Level 3 Electrophysiologic Procedures
53
$224,365
$21,889
10.3×
5114
Level 4 Musculoskeletal Procedures
38
$53,486
$6,728
7.9×
5193
Level 3 Endovascular Procedures
37
$89,517
$10,102
8.9×
5373
Level 3 Urology and Related Services
35
$16,851
$1,828
9.2×
5491
Level 1 Intraocular Procedures
35
$21,060
$2,142
9.8×
5113
Level 3 Musculoskeletal Procedures
29
$26,550
$3,044
8.7×
5192
Level 2 Endovascular Procedures
28
$72,510
$5,222
13.9×
5414
Level 4 Gynecologic Procedures
23
$26,362
$2,838
9.3×
5375
Level 5 Urology and Related Services
23
$32,768
$4,866
6.7×
5115
Level 5 Musculoskeletal Procedures
22
$89,777
$12,360
7.3×
5361
Level 1 Laparoscopy and Related Services
22
$51,079
$5,427
9.4×
5374
Level 4 Urology and Related Services
18
$27,190
$3,279
8.3×
5194
Level 4 Endovascular Procedures
17
$140,845
$15,593
9.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
17
$21,811
$2,672
8.2×
5182
Level 2 Vascular Procedures
16
$11,108
$1,506
7.4×
5302
Level 2 Upper GI Procedures
15
$15,540
$1,695
9.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
15
$33,610
$3,254
10.3×
5116
Level 6 Musculoskeletal Procedures
13
$98,949
$17,488
5.7×
5223
Level 3 Pacemaker and Similar Procedures
12
$71,242
$10,034
7.1×
5372
Level 2 Urology and Related Services
12
$12,188
$642
19.0×
5362
Level 2 Laparoscopy and Related Services
11
$76,598
$9,674
7.9×
5431
Level 1 Nerve Procedures
11
$8,276
$1,816
4.6×
5376
Level 6 Urology and Related Services
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 8/18/2026, template 3.0.0, 22,449 rows scanned, 8,881 distinct code–setting items kept. 7,332 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Biofire Respiratory Panel W/Sars-Cov-2
$2,250
$1,575
$849
28
clean
HC Atherectomy Upper Ext
$37,628
$26,340
$14,449
35
clean
HC Iliac Atherectomy
$91,884
$64,319
$38,213
35
clean
HC Transcath Renal Denerve Bilat
$77,142
$53,999
$11,864
35
clean
HC Endovenous Femoral-Popliteal Arterial Revascularization
$31,211
$21,848
$20,054
29
clean
Insj/Rplcmt Compl Iims
$37,726
$26,408
$22,636
35
clean
HC Tcat Rmvl/Debulk Icar Mass Suction Device Perq
$15,979
$11,185
$9,236
35
clean
HC Transcath Insert Dual Chmbr Ldls Pacemaker, Complete
$52,151
$36,506
$30,418
35
clean
HC Transcath Insert Dual Chmbr Ldls Pacemaker, Rt Atrial
$52,151
$36,506
$30,418
35
clean
HC Transcath Insert Dual Chmbr Ldls Pacemaker, Rt Ventricular
$52,151
$36,506
$30,418
35
clean
HC Transcath Insert Single Chmbr Ldls Pacemaker, Rt Atrial
$52,151
$36,506
$30,418
35
clean
Fna Bx W/US Gdn 1st Les
$2,915
$2,041
$1,984
35
clean
Fna Bx W/US Gdn Ea Addl
$1,109
$776
$462
29
clean
Fna Bx W/Fluor Gdn 1st Les
$2,216
$1,551
$1,596
35
clean
Fna Bx W/CT Gdn 1st Les
$2,082
$1,457
$1,520
35
clean
Fna Bx W/CT Gdn Ea Addl
$522
$365
$200
29
clean
HC Fluid Drainage by Catheter, Incl US Guide
$2,484
$1,739
$1,788
35
clean
HC Perq Dev Soft Tiss 1st Imag
$2,160
$1,512
$1,555
35
clean
HC Perq Dev Soft Tiss Add Imag
$2,160
$1,512
$866
29
clean
Extraction
$0
$0
$215
15
clean
I&D Absc; Smpl or Sgl
$1,089
$762
$438
70
clean
I&D Abscess, Cmplx or Multpl
$1,089
$762
$806
35
clean
I&D Pilonidial Cyst; Smpl
$1,089
$762
$760
35
clean
Drainage of Pilonidal Cyst
$2,009
$1,406
$1,230
35
clean
Remove FB Sub Q Superficial
$1,089
$762
$678
35
clean
HC Incision & Removal Foreign Body, Subcutaneous Tissues; Complicated
$4,601
$3,221
$2,816
35
clean
I&D Hematoma/Fld Collection
$5,604
$3,923
$2,869
70
clean
Punct Asp. Abscess/Hema/Cyst
$623
$436
$436
35
clean
I&D Complx, Post OP Wound Inf
$5,604
$3,923
$3,375
35
clean
Dbrdmt ecz/infected skin<10%
$0
$0
$428
21
clean
Dbrdmt ecz/infct skn ea addl
$0
$0
$0
15
clean
Dbrdmt skin xtrnl gent&per
$0
$0
$1,139
7
clean
Dbrdmt skin abdominal wall
$0
$0
$1,139
7
clean
Dbrdmt skin xtrnl gent per
$0
$0
$1,139
7
clean
Rmv prstc mtrl/mesh abd wall
$0
$0
$1,139
7
clean
Debride skin at fx site
$0
$0
$1,491
21
clean
Debride skin musc at fx site
$0
$0
$1,491
21
clean
Deb Subq Tissue 20 Sq Cm/<
$986
$690
$710
35
clean
Debride Musc/Fasc/Sq First 20 Sqcm
$1,115
$781
$825
35
clean
Debridement Bone Muscle &/Fascia 20 Sq Cm/<
$4,475
$3,133
$2,062
35
clean
HC Debride Subq Tiss Ea Addl 20 Sqcm
$986
$690
$614
70
clean
Debride Musc/Fasc/Sq Ea Addl 20 Sqcm
$1,115
$781
$648
35
clean
HC Debride Bone/Musc/Fasc/Sq Ea Addl 20 Sqcm
$4,476
$3,133
$2,274
35
clean
HC Incisional Biopsy of Skin; Single Lesion
$1,682
$1,177
$1,045
35
clean
HC Incisional Biopsy of Skin; Each Sep/Addl Lesion
$1,007
$705
$627
35
clean
Rmvl skin tags ea addl 10
$0
$0
$0
21
clean
Shave skin lesion 0.6-1.0 cm
$0
$0
$381
21
clean
Shave skin lesion 1.1-2.0 cm
$0
$0
$381
21
clean
Shave skin lesion >2.0 cm
$0
$0
$648
21
clean
Shave skin lesion 0.5 cm/<
$0
$0
$286
21
clean
Shave skin lesion 0.6-1.0 cm
$0
$0
$381
21
clean
Shave skin lesion 1.1-2.0 cm
$0
$0
$381
21
clean
Shave skin lesion >2.0 cm
$0
$0
$648
21
clean
Shave skin lesion 0.5 cm/<
$0
$0
$286
21
clean
Shave skin lesion 0.6-1.0 cm
$0
$0
$381
21
clean
Exc skn hdrdnt ax complex
$0
$0
$3,058
21
clean
Exc skn h/p/p/u smpl/ntrm
$0
$0
$3,058
21
clean
Exc skn h/p/p/u complex
$0
$0
$3,058
21
clean
Exc h-f-nk-sp mal+marg 0.5/<
$0
$0
$1,739
21
clean
Exc s/n/h/f/g mal+mrg 0.6-1
$0
$0
$1,045
21
clean
Exc s/n/h/f/g mal+mrg 1.1-2
$0
$0
$1,045
21
clean
Exc f/e/e/n/l mal+mrg 3.1-4
$0
$0
$1,739
21
clean
HC Trimming of Nondystrophic Nails, Any Number
$175
$123
$126
35
clean
Avulsion Nail Plate, Smpl/Sing
$474
$332
$317
35
clean
Avulsion Nail Plate: Ea Addtl
$342
$239
$191
35
clean
Drainage Subungal Hematoma
$308
$216
$231
35
clean
HC Excision Nail & Nail Matrix, Partial or Complete, Permanent Removal
$1,133
$793
$706
35
clean
Repair Nailbed
$814
$570
$778
35
clean
Reconstruction of nail bed
$0
$0
$2,172
21
clean
Wedge Excis Ingrwn Toenail
$520
$364
$442
35
clean
Inject skin lesions >7
$0
$0
$381
21
clean
Correct skin color 6.0 cm/<
$0
$0
$1,167
21
clean
Correct skn color 6.1-20.0cm
$0
$0
$1,167
21
clean
Correct skin color ea 20.0cm
$0
$0
$0
21
clean
Subq njx fil matrl 1.1-5.0cc
$0
$0
$794
15
clean
Implant hormone pellet(s)
$0
$0
$470
21
clean
Remove/insert drug implant
$0
$0
$470
21
clean
Repair, Simple; 2.5 Cm or Less
$640
$448
$381
35
clean
HC Simple Repair of Superficial Wounds of Scalp, Neck, Axillae, External Genitalia, Trunk and/or Extremities; 2.6 Cm to 7.5 Cm
$570
$399
$418
35
clean
HC Simple Repair of Superficial Wounds of Scalp, Neck, Axillae, External Genitalia, Trunk and/or Extremities; 7.6 Cm to 12.5 Cm
$570
$399
$418
35
clean
HC Simple Repair of Superficial Wounds of Scalp, Neck, Axillae, External Genitalia, Trunk and/or Extremities; 12.6 Cm to 20.0 Cm
$1,133
$793
$838
35
clean
HC Simple Repair of Superficial Wounds of Scalp, Neck, Axillae, External Genitalia, Trunk and/or Extremities; 20.1 Cm to 30.0 Cm
$1,133
$793
$838
35
clean
HC Simple Repair of Superficial Wounds of Scalp, Neck, Axillae, External Genitalia, Trunk and/or Extremities; Over 30.0 Cm
$570
$399
$418
35
clean
HC Simple Repair of Superficial Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.5 Cm or Less
$570
$399
$381
35
clean
HC Simple Repair of Superficial Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.6 Cm to 5.0 Cm
$570
$399
$418
35
clean
Smpl Rep F/E/N/L/Mm; 5.1-7.5cm
$733
$513
$528
35
clean
HC Simple Repair of Superficial Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 7.6 Cm to 12.5 Cm
$570
$399
$418
35
clean
HC Simple Repair of Superficial Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 12.6 Cm to 20.0 Cm
$1,133
$793
$838
35
clean
HC Simple Repair of Superficial Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 20.1 Cm to 30.0 Cm
$1,133
$793
$838
35
clean
HC Simple Repair of Superficial Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; Over 30.0 Cm
$570
$399
$418
35
clean
Tx supfc wnd dehsn w/packing
$0
$0
$856
21
clean
HC Repair, Intermediate, Wounds of Scalp, Axillae, Trunk and/or Extremities (Excluding Hands and Feet); 2.5 Cm or Less
$1,133
$793
$706
35
clean
HC Repair, Intermediate, Wounds of Scalp, Axillae, Trunk and/or Extremities (Excluding Hands and Feet); 2.6 Cm to 7.5 Cm
$1,133
$793
$838
35
clean
HC Repair, Intermediate, Wounds of Scalp, Axillae, Trunk and/or Extremities (Excluding Hands and Feet); 7.6 Cm to 12.5 Cm
$1,133
$793
$838
35
clean
HC Repair, Intermediate, Wounds of Scalp, Axillae, Trunk and/or Extremities (Excluding Hands and Feet); 12.6 Cm to 20.0 Cm
$1,133
$793
$838
35
clean
HC Repair, Intermediate, Wounds of Scalp, Axillae, Trunk and/or Extremities (Excluding Hands and Feet); 20.1 Cm to 30.0 Cm
$1,783
$1,248
$1,284
35
clean
HC Repair, Intermediate, Wounds of Scalp, Axillae, Trunk and/or Extremities (Excluding Hands and Feet); Over 30.0 Cm
$5,175
$3,623
$3,105
35
clean
HC Repair, Intermediate, Wounds of Neck, Hands, Feet and/or External Genitalia; 2.5 Cm or Less
$1,133
$793
$706
35
clean
HC Repair, Intermediate, Wounds of Neck, Hands, Feet and/or External Genitalia; 2.6 Cm to 7.5 Cm
$1,133
$793
$838
35
clean
HC Repair, Intermediate, Wounds of Neck, Hands, Feet and/or External Genitalia; 7.6 Cm to 12.5 Cm
$1,783
$1,248
$1,284
35
clean
HC Repair, Intermediate, Wounds of Neck, Hands, Feet and/or External Genitalia; 12.6 Cm to 20.0 Cm
$1,783
$1,248
$1,284
35
clean
HC Repair, Intermediate, Wounds of Neck, Hands, Feet and/or External Genitalia; 20.1 Cm to 30.0 Cm
$1,783
$1,248
$1,319
35
clean
HC Repair, Intermediate, Wounds of Neck, Hands, Feet and/or External Genitalia; Over 30.0 Cm
$5,175
$3,623
$3,105
35
clean
HC Repair, Intermediate, Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.5 Cm or Less
$1,133
$793
$706
35
clean
HC Repair, Intermediate, Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.6 Cm to 5.0 Cm
$1,133
$793
$838
35
clean
HC Repair, Intermediate, Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 5.1 Cm to 7.5 Cm
$1,133
$793
$838
35
clean
HC Repair, Intermediate, Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 7.6 Cm to 12.5 Cm
$1,133
$793
$838
35
clean
HC Repair, Intermediate, Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 12.6 Cm to 20.0 Cm
$1,133
$793
$838
35
clean
HC Repair, Intermediate, Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 20.1 Cm to 30.0 Cm
$1,133
$793
$838
35
clean
HC Repair, Intermediate, Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; Over 30.0 Cm
$1,133
$793
$838
35
clean
HC Repair, Complex, Trunk; 1.1 Cm to 2.5 Cm
$1,783
$1,248
$1,284
35
clean
HC Repair, Complex, Trunk; 2.6 Cm to 7.5 Cm
$1,783
$1,248
$1,284
35
clean
HC Repair, Complex, Trunk; Each Additional 5 Cm or Less
$1,783
$1,248
$1,031
35
clean
HC Repair, Complex, Scalp, Arms, and/or Legs; 1.1 Cm to 2.5 Cm
$1,783
$1,248
$1,139
35
clean
HC Repair, Complex, Scalp, Arms, and/or Legs; 2.6 Cm to 7.5 Cm
$1,783
$1,248
$1,139
35
clean
HC Repair, Complex, Scalp, Arms, and/or Legs; Each Additional 5 Cm or Less
$1,783
$1,248
$1,031
35
clean
HC Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands and/or Feet; 1.1 Cm to 2.5 Cm
$1,133
$793
$838
35
clean
HC Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands and/or Feet; 2.6 Cm to 7.5 Cm
$1,783
$1,248
$1,139
35
clean
HC Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands and/or Feet; Each Additional 5 Cm or Less
$1,783
$1,248
$1,031
35
clean
HC Repair, Complex, Eyelids, Nose, Ears and/or Lips; 1.1 Cm to 2.5 Cm
$1,783
$1,248
$1,284
35
clean
HC Repair, Complex, Eyelids, Nose, Ears and/or Lips; 2.6 Cm to 7.5 Cm
$1,783
$1,248
$1,284
35
clean
HC Repair, Complex, Eyelids, Nose, Ears and/or Lips; Each Additional 5 Cm or Less
$1,783
$1,248
$1,031
35
clean
Wound Closure, Complicated
$7,140
$4,998
$3,805
35
clean
Tis trnfr trunk 10.1-30sqcm
$0
$0
$2,172
21
clean
Tis trnfr s/a/l 10.1-30 sqcm
$0
$0
$2,172
21
clean
Tis trnfr f/c/c/m/n/a/g/h/f
$0
$0
$2,172
21
clean
Tis trnfr e/n/e/l 10 sq cm/<
$0
$0
$2,172
21
clean
Tis trnfr e/n/e/l10.1-30sqcm
$0
$0
$2,172
21
clean
Filleted finger/toe flap
$0
$0
$2,172
21
clean
Wnd Prep, Ch/Inf, Trk/Arm/Lg
$6,321
$4,425
$2,071
35
clean
Wnd Prep Ch/Inf, F/N/Hf/G
$1,635
$1,145
$1,019
35
clean
Wnd prep f/n/hf/g addl cm
$0
$0
$0
21
clean
Pinch graft up to 2 cm diam
$0
$0
$1,167
21
clean
Epidrm agrft t/a/l 1st 100
$0
$0
$2,172
21
clean
Epidrm agrft t/a/l ea addl
$0
$0
$0
21
clean
Epdrm agrft f/s/n/h/f/g/m 1
$0
$0
$2,172
21
clean
Epdrm agrft f/s/n/h/f/g/m ea
$0
$0
$0
21
clean
Splt agrft f/s/n/h/f/g/m 1st
$0
$0
$3,731
21
clean
Splt agrft f/s/n/h/f/g/m ea
$0
$0
$0
21
clean
Drm agrft t/a/l 1st 100 sqcm
$0
$0
$2,172
21
clean
Drm agrft t/a/l ea addl
$0
$0
$0
21
clean
Drm agrft f/s/n/h/f/g/m 1st
$0
$0
$3,731
21
clean
Tis cltr agrft f/s/n/h/f/g 1
$0
$0
$3,731
21
clean
Fth/gft fr trnk 20 sq cm/<
$0
$0
$2,172
21
clean
Fth/gft fr trnk each addl
$0
$0
$0
21
clean
Fth/gft fr s/a/l each addl
$0
$0
$0
21
clean
Fth/gft f/c/c/m/n/a/g/h/f ea
$0
$0
$0
21
clean
Fth/gft fr n/e/e/l each addl
$0
$0
$0
21
clean
HC Skin Sub Graft Trnk/Arm/Leg
$6,939
$4,857
$2,071
35
clean
HC Skin Sub Graftt/a/L, Up to 100, Add-on 25sqcm
$2,777
$1,944
$286
35
clean
HC Skin Sub Grft T/Arm/Lg >= 1st 100, 1%Child
$11,437
$8,006
$4,135
35
clean
HC Skin Sub Grft T/Arm/Lg >=100, Add 100, or 1%Child
$4,578
$3,205
$648
35
clean
Skin Sub Graft Face/Nk/Hf/G Up to 100, 1st 25sqcm
$6,939
$4,857
$2,071
35
clean
Skin Sub Graft Face/Nk/Hf/G Up to 100, Add on 25sqcm
$2,777
$1,944
$286
35
clean
Skin Sub Grft of Child >= 100scm 1st 100sq Cm
$6,939
$4,857
$3,027
35
clean
HC Low Cost Skin Sub Grft F/N/Hf/G >=100, Add 100, or 1% Child
$553
$387
$406
70
clean
Skin pedicle flap trunk
$0
$0
$2,172
21
clean
Skin pedicle flap arms/legs
$0
$0
$3,731
21
clean
Pedicle e/n/e/l/ntroral
$0
$0
$2,172
21
clean
Delay flap trunk
$0
$0
$3,731
21
clean
Delay flap arms/legs
$0
$0
$2,172
21
clean
Delay flap eye/nos/ear/lip
$0
$0
$2,172
21
clean
Transfer skin pedicle flap
$0
$0
$3,122
21
clean
Mdfc flap w/prsrv vasc pedcl
$0
$0
$5,596
21
clean
Forehead flap w/vasc pedicle
$0
$0
$3,731
21
clean
Muscle-skin graft arm
$0
$0
$2,172
21
clean
Muscle-skin graft leg
$0
$0
$3,731
21
clean
Island pedicle flap graft
$0
$0
$2,172
21
clean
Neurovascular pedicle flap
$0
$0
$3,731
21
clean
Free myo/skin flap microvasc
$0
$0
$3,138
7
clean
Free skin flap microvasc
$0
$0
$3,138
7
clean
Free fascial flap microvasc
$0
$0
$3,138
7
clean
Composite skin graft
$0
$0
$2,172
21
clean
Derma-fat-fascia graft
$0
$0
$3,731
21
clean
Grfg autol fat lipo 25 cc/<
$0
$0
$3,258
21
clean
Gfrg autol fat lipo ea addl
$0
$0
$0
15
clean
Impl absrb msh/prsth dly cls
$0
$0
$1,917
7
clean
Dermabrasion total face
$0
$0
$3,058
21
clean
Dermabrasion segmental face
$0
$0
$746
21
clean
Dermabrasion other than face
$0
$0
$3,058
21
clean
Chemical peel facial epidrm
$0
$0
$437
15
clean
Chemical peel facial dermal
$0
$0
$794
15
clean
Chem peel nonfacial epidrm
$0
$0
$794
15
clean
Chemical peel nonfacial drm
$0
$0
$437
15
clean
Blepharoplasty lower eyelid
$0
$0
$2,172
21
clean
Blepharp upr eyelid xcsv skn
$0
$0
$2,274
21
clean
Rhytidectomy forehead
$0
$0
$2,216
15
clean
Rhytidectomy smas flap
$0
$0
$3,805
15
clean
Exc excessive skin thigh
$0
$0
$4,316
21
clean
Exc excessive skin leg
$0
$0
$4,211
21
clean
Exc excessive skin hip
$0
$0
$3,958
21
clean
Exc excessive skin buttock
$0
$0
$3,958
21
clean
Exc excsv skin forearm/hand
$0
$0
$3,122
21
clean
Nerve palsy fascial graft
$0
$0
$3,731
21
clean
Nerve palsy muscle graft
$0
$0
$3,731
21
clean
Skin and muscle repair face
$0
$0
$3,731
21
clean
Removal sutr/stapl xreq anes
$0
$0
$0
15
clean
Removal sutr&stapl xreq anes
$0
$0
$0
15
clean
Exc coccygl pr ulc prim sutr
$0
$0
$3,058
21
clean
Exc sacral pr ulc prim sutr
$0
$0
$3,058
21
clean

Showing the first 200 of 8,881 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 86885/o
error
mrf_negotiated_above_max
a negotiated rate of $597 is above the file's own maximum $20
CPT 84255/o
error
mrf_negotiated_above_max
a negotiated rate of $77 is above the file's own maximum $69
CPT 86904/o
error
mrf_negotiated_above_max
a negotiated rate of $207 is above the file's own maximum $57
CPT 86906/o
error
mrf_negotiated_above_max
a negotiated rate of $131 is above the file's own maximum $27
CPT 86921/o
error
mrf_negotiated_above_max
a negotiated rate of $538 is above the file's own maximum $474
CPT 86922/o
error
mrf_negotiated_above_max
a negotiated rate of $538 is above the file's own maximum $474
CPT 88307/o
error
mrf_negotiated_above_max
a negotiated rate of $1,132 is above the file's own maximum $996
CPT 88309/o
error
mrf_negotiated_above_max
a negotiated rate of $2,545 is above the file's own maximum $2,239
CPT 84410/o
error
mrf_negotiated_above_max
a negotiated rate of $154 is above the file's own maximum $146
CPT 88319/o
error
mrf_negotiated_above_max
a negotiated rate of $2,545 is above the file's own maximum $2,239
CPT 88321/o
error
mrf_negotiated_above_max
a negotiated rate of $118 is above the file's own maximum $104
CPT 88325/o
error
mrf_negotiated_above_max
a negotiated rate of $538 is above the file's own maximum $474
CPT 86975/o
error
mrf_negotiated_above_max
a negotiated rate of $1,411 is above the file's own maximum $1,242
CPT 88331/o
error
mrf_negotiated_above_max
a negotiated rate of $538 is above the file's own maximum $474
CPT 86985/o
error
mrf_negotiated_above_max
a negotiated rate of $538 is above the file's own maximum $474
CPT 88344/o
error
mrf_negotiated_above_max
a negotiated rate of $1,132 is above the file's own maximum $996
MS-DRG 202/i
error
mrf_negotiated_above_max
a negotiated rate of $53,373 is above the file's own maximum $36,129
CPT 88361/o
error
mrf_negotiated_above_max
a negotiated rate of $1,132 is above the file's own maximum $996
CPT 81200/o
error
mrf_negotiated_above_max
a negotiated rate of $142 is above the file's own maximum $125
CPT 88365/o
error
mrf_negotiated_above_max
a negotiated rate of $538 is above the file's own maximum $474
CPT 81209/o
error
mrf_negotiated_above_max
a negotiated rate of $118 is above the file's own maximum $104
CPT 81220/o
error
mrf_negotiated_above_max
a negotiated rate of $1,670 is above the file's own maximum $1,469
MS-DRG 921/i
error
mrf_negotiated_above_max
a negotiated rate of $79,071 is above the file's own maximum $25,608
CPT 81227/o
error
mrf_negotiated_above_max
a negotiated rate of $524 is above the file's own maximum $465
MS-DRG 346/i
error
mrf_negotiated_above_max
a negotiated rate of $90,932 is above the file's own maximum $44,127
CPT 82233/o
error
mrf_negotiated_above_max
a negotiated rate of $387 is above the file's own maximum $354
CPT 81242/o
error
mrf_negotiated_above_max
a negotiated rate of $110 is above the file's own maximum $97
MS-DRG 379/i
error
mrf_negotiated_above_max
a negotiated rate of $39,536 is above the file's own maximum $23,451
MS-DRG 381/i
error
mrf_negotiated_above_max
a negotiated rate of $83,025 is above the file's own maximum $40,306
MS-DRG 395/i
error
mrf_negotiated_above_max
a negotiated rate of $59,303 is above the file's own maximum $24,143
CPT 81251/o
error
mrf_negotiated_above_max
a negotiated rate of $142 is above the file's own maximum $125
CPT 81255/o
error
mrf_negotiated_above_max
a negotiated rate of $154 is above the file's own maximum $136
CPT 81257/o
error
mrf_negotiated_above_max
a negotiated rate of $307 is above the file's own maximum $270
CPT 81260/o
error
mrf_negotiated_above_max
a negotiated rate of $118 is above the file's own maximum $104
CPT 81272/o
error
mrf_negotiated_above_max
a negotiated rate of $989 is above the file's own maximum $870
CPT 87483/o
error
mrf_negotiated_above_max
a negotiated rate of $1,250 is above the file's own maximum $1,100
CPT 82653/o
error
mrf_negotiated_above_max
a negotiated rate of $69 is above the file's own maximum $61
CPT 81290/o
error
mrf_negotiated_above_max
a negotiated rate of $118 is above the file's own maximum $104
CPT 82725/o
error
mrf_negotiated_above_max
a negotiated rate of $56 is above the file's own maximum $50
MS-DRG 537/i
error
mrf_negotiated_above_max
a negotiated rate of $79,071 is above the file's own maximum $35,500
CPT 86352/o
error
mrf_negotiated_above_max
a negotiated rate of $408 is above the file's own maximum $359
CPT 87538/o
error
mrf_negotiated_above_max
a negotiated rate of $105 is above the file's own maximum $93
CPT 81329/o
error
mrf_negotiated_above_max
a negotiated rate of $411 is above the file's own maximum $362
CPT 81330/o
error
mrf_negotiated_above_max
a negotiated rate of $141 is above the file's own maximum $124
CPT 86580/o
error
mrf_negotiated_above_max
a negotiated rate of $91 is above the file's own maximum $84
CPT 86581/o
error
mrf_negotiated_above_max
a negotiated rate of $276 is above the file's own maximum $243
CPT 87636/o
error
mrf_negotiated_above_max
a negotiated rate of $428 is above the file's own maximum $403
MS-DRG 638/i
error
mrf_negotiated_above_max
a negotiated rate of $35,582 is above the file's own maximum $33,339
CPT 87651/o
error
mrf_negotiated_above_max
a negotiated rate of $105 is above the file's own maximum $101
CPT 80151/o
error
mrf_negotiated_above_max
a negotiated rate of $56 is above the file's own maximum $52
CPT 86682/o
error
mrf_negotiated_above_max
a negotiated rate of $39 is above the file's own maximum $37
CPT 81361/o
error
mrf_negotiated_above_max
a negotiated rate of $524 is above the file's own maximum $461
CPT 81363/o
error
mrf_negotiated_above_max
a negotiated rate of $607 is above the file's own maximum $534
CPT 83698/o
error
mrf_negotiated_above_max
a negotiated rate of $139 is above the file's own maximum $132
CPT 86708/o
error
mrf_negotiated_above_max
a negotiated rate of $37 is above the file's own maximum $33
CPT 83789/o
error
mrf_negotiated_above_max
a negotiated rate of $72 is above the file's own maximum $69
MS-DRG 696/i
error
mrf_negotiated_above_max
a negotiated rate of $39,536 is above the file's own maximum $25,631
CPT 83876/o
error
mrf_negotiated_above_max
a negotiated rate of $153 is above the file's own maximum $134
CPT 81422/o
error
mrf_negotiated_above_max
a negotiated rate of $2,277 is above the file's own maximum $2,004
CPT 88184/o
error
mrf_negotiated_above_max
a negotiated rate of $1,132 is above the file's own maximum $996
MS-DRG 066/i
error
mrf_negotiated_above_max
a negotiated rate of $85,661 is above the file's own maximum $31,531
CPT 88235/o
error
mrf_negotiated_above_max
a negotiated rate of $451 is above the file's own maximum $420
CPT 88239/o
error
mrf_negotiated_above_max
a negotiated rate of $443 is above the file's own maximum $389
CPT 81443/o
error
mrf_negotiated_above_max
a negotiated rate of $7,346 is above the file's own maximum $6,464
CPT 86860/o
error
mrf_negotiated_above_max
a negotiated rate of $538 is above the file's own maximum $474
CPT 86870/o
error
mrf_negotiated_above_max
a negotiated rate of $1,132 is above the file's own maximum $996
warn
mrf_negotiated_above_gross_systematic
6,328 of 8,023 comparable items (79%) 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 $4,425 exceeds the gross charge $2,588
warn
mrf_rate_without_estimate
78,723 of 78,723 percentage/algorithm rates across 8,881 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 73110/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2210/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73120/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86880/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 88262/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 J2212/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 J2248/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73200/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 81025/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 88264/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 95851/o
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 J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 51701/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 73201/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 81050/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 86890/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 J2260/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 51702/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 56420/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 73202/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84238/o
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 95852/o
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 A9541/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 J2265/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, max differ, so no cross-line comparison was made for this item
CPT 73206/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 86901/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 J2270/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 51705/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 73218/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2274/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20527/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 73219/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88280/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2278/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73220/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 84295/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 A9558/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 J2300/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 73222/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 84300/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88285/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT A9560/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 J2353/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 73223/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2354/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2356/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 A9577/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2357/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 20605/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 81479/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88302/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 A9579/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 J2359/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88305/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 J2371/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20610/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 J2401/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73560/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84392/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 88307/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2405/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73562/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84393/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2426/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73564/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84402/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 J2430/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 84403/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 88312/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 J2440/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73590/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 88313/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT B4082/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2470/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, max differ, so no cross-line comparison was made for this item
CPT 73592/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88314/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT B4087/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2501/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 37215/o
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 73600/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 84432/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 86945/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1052/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 J2540/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, max differ, so no cross-line comparison was made for this item
CPT 88319/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1601/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2543/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73620/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 C1605/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 J2545/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73630/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 84443/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 242 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2550/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73700/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1714/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 J2560/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73701/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 J2590/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73702/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 J2597/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73706/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 J2675/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73718/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 C1721/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2680/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73719/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 96372/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 C1724/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2690/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73720/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 84540/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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 50 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2700/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73722/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2710/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73723/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 84560/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 31 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2720/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73725/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86999/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 88341/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 C1730/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2760/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 74175/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88342/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 C1731/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2765/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87015/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 C1732/o
info
mrf_item_fields_vary
this code and setting cover at least 13 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 7,332 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 · 82.0M bytes · fetched 2026-08-25 · sha256 1d532fdce153…

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.