Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Nfct Ds 22 Trgt Sars-Cov-2
$1,274
$1,147
$584
2
clean
HC Nfct Ds Vir Resp Rna 4 Trgt
$1,152
$1,037
$140
6
clean
HC Nfct Ds Vir Resp Rna 4 Trgt
$357
$321
$152
2
clean
HC Fxjl Abl Lsr 1st 100 Sq Cm
$19,666
$17,700
$781
5
clean
HC Fxjl Abl Lsr 1st 100 Sq Cm
$1,628
$1,465
$781
7
clean
HC Fxjl Abl Lsr Ea Addl 100sqcm
$1,628
$1,465
$872
1
clean
HC Fxjl Abl Lsr Ea Addl 100sqcm
$15,634
$14,070
$781
1
clean
HC Fna Bx/US Gdn 1st Les
$4,587
$4,129
$2,273
25
clean
HC Fna Bx/US Gdn 1st Les
$2,871
$2,584
$2,273
27
clean
HC Fna Bx W/US Gdn Ea Addl
$1,170
$1,053
$445
1
clean
HC Fine Needle Aspir W/O Imaging
$3,487
$3,138
$430
1
clean
HC Fine Needle Aspir W/O Imaging
$1,034
$930
$430
1
clean
HC Guide Cath Fluid Drainage
$5,000
$4,500
$1,905
4
clean
HC Guide Cath Fluid Drainage
$3,887
$3,498
$1,905
4
clean
HC I&D Abscess Simple/Single
$1,288
$1,159
$381
11
clean
HC I&D Abscess Simple/Single
$1,953
$1,758
$381
11
clean
HC I&D Complex/Multiple Abscess
$1,853
$1,668
$1,044
4
clean
HC I&D Complex/Multiple Abscess
$1,610
$1,449
$1,044
4
clean
HC I&D Pilonidal Cyst Compl
$3,235
$2,912
$1,044
1
clean
HC Foreign Body Removal Sq/Simple
$1,625
$1,463
$381
12
clean
HC Foreign Body Removal Sq/Simple
$15,242
$13,718
$381
12
clean
Incision & Removal Foreign Body Subq Tiss Comp
$42,046
$37,842
$1,044
1
clean
HC I& Rem Foreign Body Compl \
$5,688
$5,119
$1,044
1
clean
HC I&D Hematoma/Seroma/Fluid Co
$28,836
$25,952
$1,064
4
clean
HC I&D Hematoma/Seroma/Fluid Co
$5,711
$5,140
$1,064
4
clean
HC Punct Asp Absc/Hema/Bulla/Cyst
$1,034
$930
$381
6
clean
HC Punct Asp Absc/Hema/Bulla/Cyst
$1,319
$1,187
$381
6
clean
HC I&D Post OP Wound Inf Complex
$10,379
$9,341
$1,728
3
clean
HC Debride Open Fx SkinMuscleBone
$5,543
$4,989
$3,121
9
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$63,776
$57,398
$3,121
8
clean
HC Debride Skin to Sq Tissue 20cm<
$22,458
$20,212
$1,728
1
clean
HC Debride Skin to Sq Tissue 20cm<
$1,413
$1,272
$1,728
1
clean
Debridement Muscle &/Fascia 1st 20 Sq Cm/<
$35,688
$32,120
$1,728
5
clean
HC Debride Skin to Muscle/Fascia<20c
$1,903
$1,713
$1,728
5
clean
HC Debride Skin to Bone 20cm or Less
$4,328
$3,895
$1,728
4
clean
HC Debride Skin to Bone 20cm or Less
$37,830
$34,047
$1,728
4
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$35,688
$32,120
$648
4
clean
HC Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$952
$857
$648
4
clean
Debridement Bone Each Additional 20 Sq Cm
$27,372
$24,635
$2,273
1
clean
HC Debridement Bone Each Additional 20 Sq Cm
$2,164
$1,948
$2,273
1
clean
HC Paring/Cutting of Benign Lesion
$490
$441
$1,242
1
clean
HC Paring/Cutting of Benign Lesion
$31,989
$28,790
$1,242
1
clean
HC Tangntl Bx Skin Single Les
$1,830
$1,647
$1,905
27
clean
HC Tangntl Bx Skin Single Les
$519
$467
$1,905
27
clean
HC Tangntl Bx Skin Ea Sep/Addl
$3,068
$2,761
$430
1
clean
HC Tangntl Bx Skin Ea Sep/Addl
$318
$286
$121
1
clean
HC Punch Bx Skin Single Lesion
$1,034
$930
$648
25
clean
HC Punch Bx Skin Single Lesion
$3,204
$2,884
$648
23
clean
HC Incal Bx Skn Single Les
$3,611
$3,250
$1,044
3
clean
HC Incal Bx Skn Single Les
$1,628
$1,465
$1,044
3
clean
HC Remove Skin Tags<=15 Lesions
$905
$815
$261
6
clean
HC Remove Skin Tags<=15 Lesions
$708
$637
$324
8
clean
HC Exc Tr-Ext Ben Les W/Marg 0.5cm<
$21,013
$18,912
$381
3
clean
HC Exc Tr-Ext Ben Les W/Marg 0.5cm<
$2,496
$2,246
$381
3
clean
HC Be Trunk/Arms/Legs 0.6-1.0 Cm
$2,447
$2,202
$648
8
clean
HC Be Trunk/Arms/Legs 0.6-1.0 Cm
$4,816
$4,334
$648
8
clean
HC Be Trunk/Arms/Legs 1.1-2.0 Cm
$7,042
$6,338
$648
14
clean
HC Be Trunk/Arms/Legs 1.1-2.0 Cm
$3,750
$3,375
$648
15
clean
HC Be Trunk/Arms/Legs 2.1-3.0 Cm
$9,507
$8,556
$1,044
7
clean
HC Be Trunk/Arms/Legs 2.1-3.0 Cm
$3,286
$2,957
$1,044
8
clean
HC Excision Benign Les T/a/L 3.1-4.0
$5,828
$5,245
$1,747
3
clean
HC Excision Benign Les T/a/L 3.1-4.0
$11,462
$10,315
$1,747
3
clean
HC Excision Benign Les T/a/L >4cm
$25,052
$22,547
$1,728
7
clean
HC Excision Benign Les T/a/L >4cm
$5,973
$5,376
$1,728
7
clean
HC Exc Ben Lesn SNHFG0.5cm Or<
$4,400
$3,960
$381
2
clean
HC Exc Ben Lesn SNHFG0.5cm Or<
$4,203
$3,782
$381
2
clean
HC Be S/N/H/F/G 0.6-1.0 Cm
$2,397
$2,157
$648
6
clean
HC Be S/N/H/F/G 0.6-1.0 Cm
$4,418
$3,976
$648
6
clean
HC Be S/N/H/F/G 1.1-2.0 Cm
$10,130
$9,117
$648
9
clean
HC Be S/N/H/F/G 1.1-2.0 Cm
$5,903
$5,313
$648
9
clean
HC Be S/N/H/F/G 2.1-3.0 Cm
$12,235
$11,012
$1,044
5
clean
HC Be S/N/H/F/G 2.1-3.0 Cm
$4,977
$4,479
$1,044
5
clean
HC Exc Benign Lesion S/N/G 3.1-4.0cm
$5,973
$5,376
$1,738
4
clean
HC Exc Benign Lesion S/N/G 3.1-4.0cm
$8,124
$7,311
$1,728
3
clean
HC Excise Benign Lesion Snhfg>4.0cm
$30,501
$27,451
$1,728
1
clean
HC Excise Benign Lesion Snhfg>4.0cm
$7,366
$6,629
$1,728
1
clean
HC Be F/E/E/N/L <0.5 Cm
$7,555
$6,799
$381
2
clean
HC Be F/E/E/N/L <0.5 Cm
$1,824
$1,641
$381
2
clean
HC Excise Keloid Face 0.6-1.0cm
$5,247
$4,722
$749
5
clean
HC Excise Keloid Face 0.6-1.0cm
$7,555
$6,799
$699
4
clean
HC Be F/E/E/N/L 1.1-2.0 Cm
$5,731
$5,158
$648
15
clean
HC Be F/E/E/N/L 1.1-2.0 Cm
$3,125
$2,813
$648
15
clean
HC Be F/E/E/N/L 2.1-3.0 Cm
$6,732
$6,059
$1,044
5
clean
HC Be F/E/E/N/L 2.1-3.0 Cm
$4,203
$3,782
$1,044
10
clean
HC Exc Benign Face Lesions 3.1-4.0cm
$8,736
$7,863
$1,242
3
clean
HC Exc Benign Face Lesions 3.1-4.0cm
$5,194
$4,675
$1,242
3
clean
HC Excision Benign 4.0cm-Face Lesion
$7,366
$6,629
$1,728
1
clean
Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M > 4.0cm
$30,149
$27,134
$1,728
1
clean
Excision Hidradenitis Axillary Complex Repair
$39,054
$35,149
$1,728
1
clean
HC Removal Sweat Gland Lesion
$7,366
$6,629
$1,728
1
clean
HC Excision of Skin & Subcutaneious Tissue for Hidradentitis Inguinal
$28,264
$25,438
$3,073
1
clean
HC Excision of Skin & Subcutaneious Tissue for Hidradentitis Inguinal
$7,366
$6,629
$3,073
1
clean
HC Ex Malignant LesionT/a/L.6-1.0
$1,824
$1,641
$1,044
1
clean
HC Ex Malignant LesionT/a/L.6-1.0
$6,220
$5,598
$1,044
1
clean
HC Me Trunk/Arms/Legs 1.1-2.0 Cm
$3,832
$3,449
$430
5
clean
HC Me Trunk/Arms/Legs 1.1-2.0 Cm
$1,558
$1,402
$430
5
clean
HC Me Trunk/Arms/Legs 2.1-3.0 Cm
$4,199
$3,779
$749
5
clean
HC Me Trunk/Arms/Legs 2.1-3.0 Cm
$1,907
$1,716
$749
5
clean
HC Exc Tr-Ext Mal+Marg 3.1-4cm
$2,193
$1,974
$749
1
clean
HC Exc Tr-Ext Mal+Marg 3.1-4cm
$5,021
$4,519
$749
1
clean
Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm
$63,125
$56,812
$1,728
2
clean
HC Excision Mles T/a/L >4.0cm
$4,328
$3,895
$1,728
2
clean
HC Exc H-F-Nk-Sp Mal+Marg 0.5/<
$4,203
$3,782
$648
1
clean
Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm
$38,454
$34,608
$749
1
clean
HC Me S/N/H/F/G 1.1-2.0 Cm
$2,543
$2,289
$749
1
clean
HC Me S/N/H/F/G 2.1-3.0 Cm
$25,512
$22,961
$3,424
2
clean
HC Me S/N/H/F/G 2.1-3.0 Cm
$4,328
$3,895
$1,747
2
clean
HC Exc Mal Tumor S/N/H/F/G>4.0cm
$7,366
$6,629
$1,728
1
clean
Excision Malignant Lesion S/N/H/F/G >4.0 Cm
$31,311
$28,180
$1,728
1
clean
HC Trimming of Nondystrophic Nails
$158,346
$142,511
$190
7
clean
HC Trimming of Nondystrophic Nails
$233
$210
$190
8
clean
HC Biopsy Nail Unit
$2,648
$2,383
$749
1
clean
HC Biopsy Nail Unit
$1,824
$1,641
$749
1
clean
HC Remove Pilonidal Cyst Simple
$7,366
$6,629
$1,905
1
clean
Excision Pilonidal Cyst/Sinus Simple
$29,303
$26,373
$1,905
1
clean
Excision Pilonidal Cyst/Sinus Extensive
$28,662
$25,796
$1,905
1
clean
Excision Pilonidal Cyst/Sinus Complicated
$30,822
$27,740
$1,905
1
clean
HC Injection of 1-7 Lesions
$750
$675
$285
24
clean
HC Injection of 1-7 Lesions
$519
$467
$285
27
clean
HC Injection of 8 or More Lesions
$750
$675
$381
4
clean
HC Injection of 8 or More Lesions
$519
$467
$381
4
clean
HC Insertion Tissue Expander Incl Sbsq Xpnsj
$13,854
$12,469
$1,728
1
clean
Insertion Tissue Expander Incl Sbsq Xpnsj
$55,662
$50,096
$1,728
1
clean
HC Implant Hormone Pellet(S)
$5,358
$4,822
$427
4
clean
HC Implant Hormone Pellet(S)
$1,033
$930
$393
5
clean
HC Insert Drug Implant
$4,579
$4,121
$85
7
clean
HC Insert Drug Implant
$1,656
$1,490
$85
7
clean
HC Remove Drug Implant Device
$1,033
$930
$85
12
clean
HC Remove Drug Implant Device
$2,217
$1,995
$85
10
clean
HC Remove W/Insertion Drug Implant
$3,090
$2,781
$85
1
clean
HC Remove W/Insertion Drug Implant
$1,053
$948
$85
3
clean
HC Sim Lc 2.6-7.5 Body Scalp Ext
$1,209
$1,088
$648
1
clean
HC Sim Lac 20.1-30 BodyScalpExt
$800
$720
$1,728
1
clean
HC Simple Repair F/E/E/N/L/M 2.5cm/< Sp
$352
$352
$381
2
clean
HC IR Scalp/Axilla/Trunk/Ext<2.5c
$5,968
$5,371
$648
9
clean
HC IR Scalp/Axilla/Trunk/Ext<2.5c
$1,625
$1,463
$648
9
clean
HC IR Sclp/Axla/Trnk/Ext2.6-7.5cm
$1,755
$1,580
$1,044
15
clean
HC IR Sclp/Axla/Trnk/Ext2.6-7.5cm
$7,414
$6,672
$1,044
14
clean
HC Intmd Repair-S/Tr/Ext 7.6-12.5cm
$6,220
$5,598
$1,728
9
clean
HC Intmd Repair-S/Tr/Ext 7.6-12.5cm
$1,773
$1,596
$1,728
9
clean
HC Int Lac 12.6-20 Cm BodyScalp
$33,317
$29,985
$1,728
1
clean
HC Int Lac 12.6-20 Cm BodyScalp
$3,092
$2,783
$1,728
1
clean
HC IR Nk/Hnd/Ft/Genitalia<2.5cm
$1,475
$1,328
$648
7
clean
HC IR Nk/Hnd/Ft/Genitalia<2.5cm
$10,130
$9,117
$648
7
clean
HC IR Nk/Hnd/Ft/Genital 2.6-7.5cm
$12,235
$11,012
$1,044
1
clean
HC IR Nk/Hnd/Ft/Genital 2.6-7.5cm
$1,355
$1,220
$1,044
1
clean
HC IR Face Ear Eyelid Nose<2.5cm
$6,176
$5,558
$648
9
clean
HC IR Face Ear Eyelid Nose<2.5cm
$2,048
$1,843
$648
10
clean
HC Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm
$7,081
$6,373
$1,044
3
clean
HC Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm
$1,526
$1,373
$1,044
4
clean
HC Int Lac 12.6-20 FaceEarsNose
$1,488
$1,339
$1,728
1
clean
HC Int Lac 12.6-20 FaceEarsNose
$42,108
$37,897
$1,728
1
clean
HC Complex Repair Trunk 2.6-7.5cm
$4,138
$3,724
$1,905
3
clean
HC Complex Repair Trunk 2.6-7.5cm
$1,824
$1,642
$1,905
6
clean
HC Complex Repair S/a/L 2.6-7.5cm
$31,661
$28,495
$1,905
3
clean
HC Complex Repair S/a/L 2.6-7.5cm
$2,188
$1,969
$1,905
3
clean
HC Rep Cpx Sca/Arm/Leg Eaq Addtl 5<
$867
$780
$1,905
2
clean
HC Rep Cpx Sca/Arm/Leg Eaq Addtl 5<
$31,661
$28,495
$1,905
2
clean
HC Compl Rep Wnd E/N/E/L 2.6-7.5cm
$34,847
$31,363
$1,905
2
clean
HC Compl Rep Wnd E/N/E/L 2.6-7.5cm
$1,736
$1,562
$1,905
2
clean
Secondary Closure Surg Wound/Dehsn Xtnsv/Comp
$26,930
$24,237
$2,739
6
clean
HC Late Closure of Wound
$4,727
$4,254
$2,739
6
clean
HC Tis Trnfr S/a/L 10 Sq Cm/<
$4,727
$4,254
$1,905
1
clean
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/<
$31,145
$28,031
$1,905
1
clean
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm
$43,245
$38,920
$2,182
1
clean
HC Tis Trnfr S/a/L 10.1-30 Sqcm
$4,727
$4,254
$2,182
1
clean
HC Tis Trnfr F/C/C/M/N/a/G/H/F
$25,429
$22,886
$1,728
9
clean
HC Tis Trnfr F/C/C/M/N/a/G/H/F
$4,727
$4,254
$1,728
18
clean
HC Tis Trnfr F/C/C/M/N/a/G/H/F
$4,727
$4,254
$1,905
6
clean
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm
$60,906
$54,815
$1,905
6
clean
HC Att E/N/E/L Defect 10 Sq Cm
$36,228
$32,605
$1,905
6
clean
HC Att E/N/E/L Defect 10 Sq Cm
$5,144
$4,630
$1,905
12
clean
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm
$31,403
$28,263
$1,905
1
clean
HC Tis Trnfr E/N/E/L10.1-30sqcm
$4,727
$4,254
$1,905
1
clean
HC Skin Tissue Rearr 30.1-60.0 Sq Cm
$9,300
$8,370
$2,273
24
clean
Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm
$53,028
$47,725
$2,273
12
clean
Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm
$46,050
$41,445
$2,273
6
clean
HC Tis Trnfr Addl 30 Sq Cm
$2,819
$2,537
$2,273
6
clean
Prep Site Trunk/Arm/Leg 1st 100 Sq Cm/1pct
$41,247
$37,122
$1,728
14
clean
HC Wound Prep Trk/Arm/Leg
$6,484
$5,835
$1,728
15
clean
Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct
$47,312
$42,581
$1,728
2
clean
HC Wound Prep Addl 100 Cm
$2,042
$1,838
$1,728
2
clean
HC Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct
$4,804
$4,324
$1,728
10
clean
HC Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct
$42,046
$37,842
$1,728
10
clean
Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct
$46,647
$41,982
$1,728
1
clean
HC Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct
$2,042
$1,838
$1,728
1
clean
Splt Agrft T/a/L 1st 100 Sqcm/</1% Bdy Inft/Chld
$38,084
$34,275
$1,728
14
clean
Splt Agrft T/a/L Ea Add 100 Sqcm/Ea 1% Inft/Chld
$41,593
$37,434
$1,905
2
clean
Splt Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/</1%
$42,471
$38,224
$1,728
5
clean
Splt Agrft F/S/N/H/F/G/M/Dgt Ea 100 Sqcm/Ea 1%
$40,276
$36,249
$1,905
1
clean
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/<
$58,625
$52,763
$2,182
2
clean
HC Skin Full Graft Trunk
$4,727
$4,254
$2,182
2
clean
HC Skin Full Graft Sclp/Arm/Leg
$37,048
$33,343
$2,182
2
clean
HC Skin Full Graft Sclp/Arm/Leg
$4,729
$4,256
$2,182
3
clean
HC Skin Full GraftF/G/H/F20sqcm
$3,928
$3,535
$1,905
18
clean
HC Skin Full GraftF/G/H/F20sqcm
$43,245
$38,920
$1,905
9
clean
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F Ea Addl
$43,245
$38,920
$1,905
5
clean
HC Skin Full Graft E/E/N&Lips<20cm
$4,727
$4,254
$2,182
2
clean
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<
$30,481
$27,433
$2,182
2
clean
App Skn Subgrft T/a/L Area/100sq Cm 1st 100sq Cm
$65,690
$59,121
$2,182
1
clean
Showing the first 200 of 2,899 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
MS-DRG 682/i
error
mrf_min_above_max
de-identified minimum $11,143 exceeds maximum $8,563
CPT 17108/o
error
mrf_min_above_max
de-identified minimum $2,182 exceeds maximum $1,354
MS-DRG 557/i
error
mrf_negotiated_above_max
a negotiated rate of $25,500 is above the file's own maximum $23,382
MS-DRG 592/i
error
mrf_negotiated_above_max
a negotiated rate of $26,343 is above the file's own maximum $24,208
MS-DRG 606/i
error
mrf_negotiated_above_max
a negotiated rate of $25,782 is above the file's own maximum $24,512
MS-DRG 682/i
error
mrf_negotiated_above_max
a negotiated rate of $25,437 is above the file's own maximum $8,563
MS-DRG 684/i
error
mrf_negotiated_above_max
a negotiated rate of $15,984 is above the file's own maximum $12,918
CPT 11042/b
error
mrf_negotiated_above_max
a negotiated rate of $1,728 is above the file's own maximum $1,413
MS-DRG 694/i
error
mrf_negotiated_above_max
a negotiated rate of $17,931 is above the file's own maximum $16,235
CPT 11047/b
error
mrf_negotiated_above_max
a negotiated rate of $2,273 is above the file's own maximum $2,164
MS-DRG 793/i
error
mrf_negotiated_above_max
a negotiated rate of $65,058 is above the file's own maximum $18,335
CPT 11055/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $490
MS-DRG 814/i
error
mrf_negotiated_above_max
a negotiated rate of $32,367 is above the file's own maximum $28,265
CPT 11102/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $519
MS-DRG 846/i
error
mrf_negotiated_above_max
a negotiated rate of $37,366 is above the file's own maximum $32,702
CPT 11102/o
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $1,830
CPT 11900/b
error
mrf_negotiated_above_max
a negotiated rate of $560 is above the file's own maximum $519
CPT 11980/b
error
mrf_negotiated_above_max
a negotiated rate of $1,247 is above the file's own maximum $1,033
CPT 11982/b
error
mrf_negotiated_above_max
a negotiated rate of $1,247 is above the file's own maximum $1,033
CPT 12006/b
error
mrf_negotiated_above_max
a negotiated rate of $1,728 is above the file's own maximum $800
CPT 12055/b
error
mrf_negotiated_above_max
a negotiated rate of $1,728 is above the file's own maximum $1,488
CPT 13122/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $867
CPT 13152/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $1,736
CPT 15777/b
error
mrf_negotiated_above_max
a negotiated rate of $4,315 is above the file's own maximum $2,133
CPT 17108/o
error
mrf_negotiated_above_max
a negotiated rate of $4,211 is above the file's own maximum $1,354
CPT 23500/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $699
CPT 23500/o
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $896
CPT 23570/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $999
CPT 24500/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $974
CPT 24530/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $974
CPT 24650/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $699
CPT 24650/o
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $1,205
CPT 25530/b
error
mrf_negotiated_above_max
a negotiated rate of $1,044 is above the file's own maximum $699
CPT 25560/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $839
CPT 25600/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $1,199
CPT 26720/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $699
CPT 26720/o
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $1,267
CPT 27096/b
error
mrf_negotiated_above_max
a negotiated rate of $285 is above the file's own maximum $183
CPT 27501/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $999
CPT 27786/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $699
CPT 27808/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $800
CPT 28400/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $742
CPT 28450/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $999
CPT 28470/b
error
mrf_negotiated_above_max
a negotiated rate of $1,044 is above the file's own maximum $742
CPT 30905/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $974
CPT 31231/b
error
mrf_negotiated_above_max
a negotiated rate of $1,283 is above the file's own maximum $1,211
CPT 32408/b
error
mrf_negotiated_above_max
a negotiated rate of $4,315 is above the file's own maximum $4,203
CPT 33229/b
error
mrf_negotiated_above_max
a negotiated rate of $20,379 is above the file's own maximum $19,851
CPT 33286/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $1,692
CPT 33286/o
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $1,838
CPT 37182/b
error
mrf_negotiated_above_max
a negotiated rate of $26,103 is above the file's own maximum $10,843
CPT 41800/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $974
CPT 46600/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $476
CPT 46600/o
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $673
CPT 51600/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $667
CPT 51610/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $456
CPT 51784/b
error
mrf_negotiated_above_max
a negotiated rate of $648 is above the file's own maximum $469
CPT 58558/b
error
mrf_negotiated_above_max
a negotiated rate of $9,036 is above the file's own maximum $8,104
CPT 59812/b
error
mrf_negotiated_above_max
a negotiated rate of $9,036 is above the file's own maximum $8,104
CPT 61624/b
error
mrf_negotiated_above_max
a negotiated rate of $26,103 is above the file's own maximum $14,265
CPT 62302/b
error
mrf_negotiated_above_max
a negotiated rate of $2,273 is above the file's own maximum $2,107
CPT 62328/b
error
mrf_negotiated_above_max
a negotiated rate of $1,970 is above the file's own maximum $1,804
CPT 64494/b
error
mrf_negotiated_above_max
a negotiated rate of $1,242 is above the file's own maximum $1,026
CPT 64566/b
error
mrf_negotiated_above_max
a negotiated rate of $856 is above the file's own maximum $768
CPT 64566/o
error
mrf_negotiated_above_max
a negotiated rate of $856 is above the file's own maximum $768
CPT 64642/b
error
mrf_negotiated_above_max
a negotiated rate of $1,970 is above the file's own maximum $1,793
CPT 64999/b
error
mrf_negotiated_above_max
a negotiated rate of $1,905 is above the file's own maximum $768
CPT 66761/b
error
mrf_negotiated_above_max
a negotiated rate of $3,121 is above the file's own maximum $1,817
CPT 66761/o
error
mrf_negotiated_above_max
a negotiated rate of $3,121 is above the file's own maximum $2,095
CPT 67820/b
error
mrf_negotiated_above_max
a negotiated rate of $381 is above the file's own maximum $331
CPT 70355/b
error
mrf_negotiated_above_max
a negotiated rate of $242 is above the file's own maximum $201
CPT 86900/b
error
mrf_negotiated_above_max
a negotiated rate of $371 is above the file's own maximum $237
CPT 90471/b
error
mrf_negotiated_above_max
a negotiated rate of $200 is above the file's own maximum $191
CPT 90791/b
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $345
CPT 90791/o
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $345
CPT 90792/b
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $368
CPT 90832/b
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $327
CPT 90837/b
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $393
CPT 90837/o
error
mrf_negotiated_above_max
a negotiated rate of $495 is above the file's own maximum $393
CPT 92587/b
error
mrf_negotiated_above_max
a negotiated rate of $602 is above the file's own maximum $448
CPT 93620/b
error
mrf_negotiated_above_max
a negotiated rate of $13,051 is above the file's own maximum $11,095
CPT 94664/b
error
mrf_negotiated_above_max
a negotiated rate of $611 is above the file's own maximum $535
CPT 96127/b
error
mrf_negotiated_above_max
a negotiated rate of $104 is above the file's own maximum $95
CPT 99406/b
error
mrf_negotiated_above_max
a negotiated rate of $104 is above the file's own maximum $80
MS-DRG 068/i
error
mrf_negotiated_above_max
a negotiated rate of $18,819 is above the file's own maximum $18,405
MS-DRG 157/i
error
mrf_negotiated_above_max
a negotiated rate of $27,967 is above the file's own maximum $26,133
MS-DRG 264/i
error
mrf_negotiated_above_max
a negotiated rate of $45,395 is above the file's own maximum $44,116
MS-DRG 379/i
error
mrf_negotiated_above_max
a negotiated rate of $16,307 is above the file's own maximum $14,688
MS-DRG 420/i
error
mrf_negotiated_above_max
a negotiated rate of $46,109 is above the file's own maximum $38,224
MS-DRG 539/i
error
mrf_negotiated_above_max
a negotiated rate of $30,682 is above the file's own maximum $19,036
MS-DRG 556/i
error
mrf_negotiated_above_max
a negotiated rate of $18,456 is above the file's own maximum $10,168
CPT J0585/b
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $13
MS-DRG 557/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,500 exceeds the gross charge $23,382
MS-DRG 592/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,343 exceeds the gross charge $24,208
MS-DRG 606/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,782 exceeds the gross charge $24,512
MS-DRG 682/i
warn
mrf_negotiated_above_gross
highest negotiated rate $25,437 exceeds the gross charge $8,563
MS-DRG 684/i
warn
mrf_negotiated_above_gross
highest negotiated rate $15,984 exceeds the gross charge $12,918
CPT 11042/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,728 exceeds the gross charge $1,413
MS-DRG 694/i
warn
mrf_negotiated_above_gross
highest negotiated rate $17,931 exceeds the gross charge $16,235
CPT 11047/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,273 exceeds the gross charge $2,164
MS-DRG 793/i
warn
mrf_negotiated_above_gross
highest negotiated rate $65,058 exceeds the gross charge $18,335
CPT 11055/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $490
MS-DRG 814/i
warn
mrf_negotiated_above_gross
highest negotiated rate $32,367 exceeds the gross charge $28,265
CPT 11102/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $519
MS-DRG 846/i
warn
mrf_negotiated_above_gross
highest negotiated rate $37,366 exceeds the gross charge $32,702
CPT 11102/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $1,830
CPT 11900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $560 exceeds the gross charge $519
CPT 11980/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,247 exceeds the gross charge $1,033
CPT 11982/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,247 exceeds the gross charge $1,033
CPT 12006/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,728 exceeds the gross charge $800
CPT 12055/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,728 exceeds the gross charge $1,488
CPT 13122/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $867
CPT 13152/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $1,736
CPT 15777/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,315 exceeds the gross charge $2,133
CPT 17108/o
warn
mrf_negotiated_above_gross
highest negotiated rate $4,211 exceeds the gross charge $1,354
CPT 23500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $699
CPT 23500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $896
CPT 23570/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $999
CPT 24500/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $974
CPT 24530/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $974
CPT 24650/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $699
CPT 24650/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $1,205
CPT 25530/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,044 exceeds the gross charge $699
CPT 25560/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $839
CPT 25600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $1,199
CPT 26720/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $699
CPT 26720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $1,267
CPT 27096/b
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $183
CPT 27501/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $999
CPT 27786/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $699
CPT 27808/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $800
CPT 28400/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $742
CPT 28450/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $999
CPT 28470/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,044 exceeds the gross charge $742
CPT 30905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $974
CPT 31231/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,283 exceeds the gross charge $1,211
CPT 32408/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,315 exceeds the gross charge $4,203
CPT 33229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $20,379 exceeds the gross charge $19,851
CPT 33286/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $1,692
CPT 33286/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $1,838
CPT 37182/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26,103 exceeds the gross charge $10,843
CPT 41800/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $974
CPT 46600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $476
CPT 46600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $673
CPT 51600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $667
CPT 51610/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $456
CPT 51784/b
warn
mrf_negotiated_above_gross
highest negotiated rate $648 exceeds the gross charge $469
CPT 58558/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,036 exceeds the gross charge $8,104
CPT 59812/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9,036 exceeds the gross charge $8,104
CPT 61624/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26,103 exceeds the gross charge $14,265
CPT 62302/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,273 exceeds the gross charge $2,107
CPT 62328/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,970 exceeds the gross charge $1,804
CPT 64494/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,242 exceeds the gross charge $1,026
CPT 64566/b
warn
mrf_negotiated_above_gross
highest negotiated rate $856 exceeds the gross charge $768
CPT 64566/o
warn
mrf_negotiated_above_gross
highest negotiated rate $856 exceeds the gross charge $768
CPT 64642/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,970 exceeds the gross charge $1,793
CPT 64999/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,905 exceeds the gross charge $768
CPT 66761/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,121 exceeds the gross charge $1,817
CPT 66761/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,121 exceeds the gross charge $2,095
CPT 67820/b
warn
mrf_negotiated_above_gross
highest negotiated rate $381 exceeds the gross charge $331
CPT 70355/b
warn
mrf_negotiated_above_gross
highest negotiated rate $242 exceeds the gross charge $201
CPT 86900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $371 exceeds the gross charge $237
CPT 90471/b
warn
mrf_negotiated_above_gross
highest negotiated rate $200 exceeds the gross charge $191
CPT 90791/b
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $345
CPT 90791/o
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $345
CPT 90792/b
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $368
CPT 90832/b
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $327
CPT 90837/b
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $393
CPT 90837/o
warn
mrf_negotiated_above_gross
highest negotiated rate $495 exceeds the gross charge $393
CPT 92587/b
warn
mrf_negotiated_above_gross
highest negotiated rate $602 exceeds the gross charge $448
CPT 93620/b
warn
mrf_negotiated_above_gross
highest negotiated rate $13,051 exceeds the gross charge $11,095
CPT 94664/b
warn
mrf_negotiated_above_gross
highest negotiated rate $611 exceeds the gross charge $535
CPT 96127/b
warn
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $95
CPT 99406/b
warn
mrf_negotiated_above_gross
highest negotiated rate $104 exceeds the gross charge $80
MS-DRG 068/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,819 exceeds the gross charge $18,405
MS-DRG 157/i
warn
mrf_negotiated_above_gross
highest negotiated rate $27,967 exceeds the gross charge $26,133
MS-DRG 264/i
warn
mrf_negotiated_above_gross
highest negotiated rate $45,395 exceeds the gross charge $44,116
MS-DRG 379/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,307 exceeds the gross charge $14,688
MS-DRG 420/i
warn
mrf_negotiated_above_gross
highest negotiated rate $46,109 exceeds the gross charge $38,224
MS-DRG 539/i
warn
mrf_negotiated_above_gross
highest negotiated rate $30,682 exceeds the gross charge $19,036
MS-DRG 556/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,456 exceeds the gross charge $10,168
MS-DRG 682/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $8,563; the same hospital's average submitted charge to Medicare for this DRG is $45,696 (0.2×)
CPT 11443/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12011/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 13101/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14040/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 14301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 15240/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17003/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17004/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17108/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17111/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17261/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17262/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17263/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 17264/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item