Hospital · CCN 150044
Baptist Health Floyd
1850 State St, New Albany, IN 47150 · Floyd County
Part of Baptist Healthcare System · 237 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
101 admission types 49 outpatient services price file: ok 7 Medicare-file findings
Billed per dollar paid, all admissions
6.54×
$280.1M billed against $42.8M paid across 4,063 Medicare discharges; the national figure is 5.03×.
8.3%
of adults in Floyd County have medical debt in collections
6.9%
uninsured in the county · state 8.2%
$79K
median household income
6.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
37.6%
obesity in the countyⓘ
12.5%
diagnosed diabetes (PLACES)
6.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
308
$68,200
$13,231
5.2× st 4.1×
291
Heart failure and shock with mcc
261
$41,546
$8,614
4.8× st 4.0×
690
Kidney and urinary tract infections without mcc
158
$28,186
$5,535
5.1× st 4.1×
193
Simple pneumonia and pleurisy with mcc
154
$43,019
$9,017
4.8× st 4.1×
689
Kidney and urinary tract infections with mcc
125
$40,655
$7,993
5.1× st 4.0×
177
Respiratory infections and inflammations with mcc
116
$54,417
$11,004
4.9× st 4.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
104
$30,125
$5,457
5.5× st 4.5×
194
Simple pneumonia and pleurisy with cc
90
$32,359
$5,761
5.6× st 4.4×
312
Syncope and collapse
87
$34,244
$6,011
5.7× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
85
$38,701
$7,576
5.1× st 4.6×
309
Cardiac arrhythmia and conduction disorders with cc
82
$37,707
$5,666
6.7× st 4.5×
378
Gastrointestinal hemorrhage with cc
81
$42,706
$7,521
5.7× st 4.9×
683
Renal failure with cc
79
$32,710
$6,103
5.4× st 4.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
75
$30,152
$5,344
5.6× st 4.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
72
$47,332
$9,213
5.1× st 4.1×
603
Cellulitis without mcc
71
$28,634
$6,027
4.8× st 3.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
66
$36,287
$7,332
4.9× st 4.2×
274
Percutaneous and other intracardiac procedures without mcc
64
$279,764
$23,033
12.1× st 5.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
62
$184,244
$12,977
14.2× st 7.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
58
$73,201
$7,548
9.7× st 6.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
56
$42,004
$6,795
6.2× st 4.8×
189
Pulmonary edema and respiratory failure
54
$42,995
$8,630
5.0× st 4.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
48
$26,315
$4,043
6.5× st 4.5×
682
Renal failure with mcc
46
$65,489
$12,245
5.3× st 3.9×
698
Other kidney and urinary tract diagnoses with mcc
44
$54,771
$11,332
4.8× st 4.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
40
$164,296
$30,019
5.5× st 4.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
40
$470,579
$42,510
11.1× st 5.9×
292
Heart failure and shock with cc
38
$32,285
$5,943
5.4× st 4.5×
313
Chest pain
38
$37,657
$5,019
7.5× st 5.3×
481
Hip and femur procedures except major joint with cc
38
$99,945
$13,674
7.3× st 5.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
36
$121,101
$14,113
8.6× st 5.7×
552
Medical back problems without mcc
36
$32,454
$6,402
5.1× st 4.0×
948
Signs and symptoms without mcc
36
$30,846
$5,453
5.7× st 4.3×
178
Respiratory infections and inflammations with cc
36
$40,971
$7,115
5.8× st 4.3×
305
Hypertension without mcc
34
$30,505
$5,402
5.6× st 4.2×
812
Red blood cell disorders without mcc
32
$44,387
$6,419
6.9× st 4.1×
191
Chronic obstructive pulmonary disease with cc
32
$31,059
$5,964
5.2× st 4.3×
330
Major small and large bowel procedures with cc
31
$117,608
$15,847
7.4× st 5.2×
377
Gastrointestinal hemorrhage with mcc
31
$81,610
$11,557
7.1× st 4.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
30
$73,887
$12,957
5.7× st 4.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
30
$81,365
$14,971
5.4× st 4.9×
101
Seizures without mcc
29
$37,693
$6,146
6.1× st 4.3×
308
Cardiac arrhythmia and conduction disorders with mcc
29
$44,945
$8,234
5.5× st 4.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
28
$85,246
$18,217
4.7× st 4.4×
439
Disorders of pancreas except malignancy with cc
28
$52,175
$6,180
8.4× st 5.0×
638
Diabetes with cc
28
$33,045
$7,002
4.7× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
27
$64,939
$11,346
5.7× st 4.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
27
$40,733
$8,970
4.5× st 4.5×
329
Major small and large bowel procedures with mcc
26
$178,772
$29,451
6.1× st 4.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
25
$32,157
$6,015
5.3× st 3.8×
394
Other digestive system diagnoses with cc
25
$39,212
$6,319
6.2× st 4.5×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
25
$256,181
$37,714
6.8× st 6.1×
660
Kidney and ureter procedures for non-neoplasm with cc
23
$49,339
$8,894
5.5× st 4.7×
314
Other circulatory system diagnoses with mcc
23
$93,063
$14,131
6.6× st 4.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
22
$219,781
$19,622
11.2× st 6.3×
195
Simple pneumonia and pleurisy without cc/mcc
22
$26,687
$4,435
6.0× st 4.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
21
$90,071
$11,424
7.9× st 5.9×
602
Cellulitis with mcc
21
$44,711
$10,157
4.4× st 4.3×
811
Red blood cell disorders with mcc
20
$47,280
$10,063
4.7× st 4.7×
372
Major gastrointestinal disorders and peritoneal infections with cc
20
$38,949
$6,915
5.6× st 4.3×
176
Pulmonary embolism without mcc
20
$55,720
$5,934
9.4× st 4.6×
315
Other circulatory system diagnoses with cc
20
$52,188
$6,626
7.9× st 4.4×
202
Bronchitis and asthma with cc/mcc
19
$29,053
$6,876
4.2× st 3.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
19
$43,073
$4,843
8.9× st 5.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
19
$59,542
$12,828
4.6× st 4.3×
389
Gastrointestinal obstruction with cc
19
$28,057
$5,292
5.3× st 4.2×
331
Major small and large bowel procedures without cc/mcc
18
$103,905
$11,336
9.2× st 5.2×
243
Permanent cardiac pacemaker implant with cc
17
$206,173
$15,621
13.2× st 5.9×
637
Diabetes with mcc
17
$54,556
$10,673
5.1× st 4.5×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
17
$298,297
$58,766
5.1× st 5.4×
482
Hip and femur procedures except major joint without cc/mcc
17
$79,448
$10,695
7.4× st 5.2×
300
Peripheral vascular disorders with cc
16
$39,576
$6,718
5.9× st 3.9×
393
Other digestive system diagnoses with mcc
16
$63,274
$11,923
5.3× st 4.3×
480
Hip and femur procedures except major joint with mcc
15
$141,650
$19,562
7.2× st 5.2×
854
Infectious and parasitic diseases with o.r. procedures with cc
15
$116,047
$15,126
7.7× st 4.7×
699
Other kidney and urinary tract diagnoses with cc
15
$26,452
$6,810
3.9× st 4.4×
164
Major chest procedures with cc
15
$196,081
$17,379
11.3× st 6.0×
092
Other disorders of nervous system with cc
15
$43,912
$6,536
6.7× st 4.5×
281
Acute myocardial infarction, discharged alive with cc
15
$46,946
$6,453
7.3× st 5.5×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
13
$40,471
$6,803
5.9× st 3.8×
179
Respiratory infections and inflammations without cc/mcc
13
$28,784
$5,255
5.5× st 5.5×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
13
$43,236
$6,285
6.9× st 4.3×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$271,995
$33,183
8.2× st 4.8×
884
Organic disturbances and intellectual disability
13
$33,190
$10,858
3.1× st 2.5×
951
Other factors influencing health status
13
$15,290
$4,170
3.7× st 3.9×
445
Disorders of the biliary tract with cc
13
$55,840
$7,483
7.5× st 4.7×
069
Transient ischemia without thrombolytic
12
$40,779
$5,704
7.1× st 5.1×
388
Gastrointestinal obstruction with mcc
12
$41,843
$9,239
4.5× st 3.5×
100
Seizures with mcc
12
$71,440
$12,881
5.5× st 4.0×
149
Dysequilibrium
12
$41,427
$5,348
7.7× st 5.0×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
12
$130,886
$16,676
7.8× st 5.7×
433
Cirrhosis and alcoholic hepatitis with cc
12
$30,352
$7,412
4.1× st 4.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$52,197
$9,652
5.4× st 4.5×
252
Other vascular procedures with mcc
12
$169,114
$22,237
7.6× st 5.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
12
$528,075
$52,080
10.1× st 4.8×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
12
$304,358
$46,965
6.5× st 5.5×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$58,936
$11,589
5.1× st 4.2×
270
Other major cardiovascular procedures with mcc
11
$260,481
$38,783
6.7× st 5.2×
271
Other major cardiovascular procedures with cc
11
$216,138
$23,784
9.1× st 5.8×
304
Hypertension with mcc
11
$35,506
$7,882
4.5× st 5.2×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
11
$113,341
$15,928
7.1× 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
1,117
$24,470
$2,385
10.3×
5191
Level 1 Endovascular Procedures
248
$39,294
$2,867
13.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
196
$16,958
$1,418
12.0×
5302
Level 2 Upper GI Procedures
142
$18,380
$1,677
11.0×
5431
Level 1 Nerve Procedures
132
$21,446
$1,712
12.5×
5213
Level 3 Electrophysiologic Procedures
123
$373,518
$20,800
18.0×
5183
Level 3 Vascular Procedures
115
$28,004
$2,822
9.9×
5361
Level 1 Laparoscopy and Related Services
110
$50,406
$5,081
9.9×
5115
Level 5 Musculoskeletal Procedures
99
$111,437
$11,619
9.6×
5116
Level 6 Musculoskeletal Procedures
91
$181,789
$16,412
11.1×
5114
Level 4 Musculoskeletal Procedures
90
$63,140
$6,377
9.9×
5223
Level 3 Pacemaker and Similar Procedures
82
$134,864
$9,474
14.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
72
$20,618
$2,533
8.1×
5193
Level 3 Endovascular Procedures
65
$142,190
$9,673
14.7×
5374
Level 4 Urology and Related Services
63
$26,128
$3,107
8.4×
5192
Level 2 Endovascular Procedures
50
$82,533
$5,014
16.5×
5153
Level 3 Airway Endoscopy
49
$12,192
$1,513
8.1×
5155
Level 5 Airway Endoscopy
48
$44,975
$6,101
7.4×
5182
Level 2 Vascular Procedures
43
$15,392
$1,428
10.8×
5154
Level 4 Airway Endoscopy
35
$35,579
$3,338
10.7×
5375
Level 5 Urology and Related Services
33
$34,653
$4,438
7.8×
5232
Level 2 ICD and Similar Procedures
31
$371,031
$29,238
12.7×
5184
Level 4 Vascular Procedures
25
$54,238
$4,898
11.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
25
$32,319
$3,398
9.5×
5194
Level 4 Endovascular Procedures
25
$211,385
$15,599
13.6×
5113
Level 3 Musculoskeletal Procedures
24
$26,414
$2,885
9.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
21
$41,177
$3,084
13.4×
5303
Level 3 Upper GI Procedures
20
$38,111
$3,414
11.2×
5462
Level 2 Neurostimulator and Related Procedures
19
$59,284
$5,775
10.3×
5373
Level 3 Urology and Related Services
19
$18,340
$1,816
10.1×
5222
Level 2 Pacemaker and Similar Procedures
19
$104,431
$7,573
13.8×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
18
$54,053
$5,813
9.3×
5331
Complex GI Procedures
18
$45,181
$5,080
8.9×
5465
Level 5 Neurostimulator and Related Procedures
14
$289,721
$25,744
11.3×
5224
Level 4 Pacemaker and Similar Procedures
12
$253,809
$17,331
14.6×
5362
Level 2 Laparoscopy and Related Services
12
$73,059
$9,171
8.0×
5112
Level 2 Musculoskeletal Procedures
11
$13,333
$1,367
9.8×
5492
Level 2 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5231
Level 1 ICD and Similar 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-tall, last updated 2026-08-13, template 3.0.0, 734,448 rows scanned, 4,126 distinct code–setting items kept. 3,566 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Molecular pathology test for liver disease, including non-alcohol liver disease (NASH FibroSURE)
$3,195
$2,397
$1,047
28
clean
Testing for presence of prion protein in cerebrospinal fluid
$4,375
$3,281
$1,433
28
clean
DNA gene analysis of 324 genes in solid organ tumor tissue
$28,305
$21,229
$9,273
28
clean
Measurement of antibodies to Merkel cell polyoma virus oncoprotein in serum
$2,441
$1,831
$800
28
clean
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine
$981
$736
$147
28
clean
Cell-free DNA sequencing of disease-causing organisms in plasma specimen, with report for significant organisms
$15,909
$11,932
$3,235
28
clean
Injections of one side of sacrum for enlargement, 1 or more needles, accessed through the skin
$16,965
$12,723
$7,677
28
clean
Injections of both sides of sacrum for enlargement, 2 or more needles, accessed through the skin
$25,469
$19,102
$8,344
28
clean
Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2
$772
$579
$417
28
clean
Gene analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers, next-generation sequencing, in fine needle aspirate of thyroid to evaluate risk of thyroid cancer
$4,761
$3,571
$1,539
28
clean
Enzyme immunoassay analysis of beta-amyloid fragments in cerebral spinal fluid to evaluate mild mental impairment
$4,819
$3,614
$1,287
26
clean
Phase separation and immunoassay evaluation of prostate-specific antigen (PSA) in plasma to evaluate risk of prostate cancer
$1,587
$1,190
$760
26
clean
Testing of plasma or serum for 16 perfluoroalkyl substances (PFAS) compounds
$1,325
$993
$326
26
clean
Insertion or replacement of pulse generator and electrodes of heart contractility modulator system
$92,218
$69,164
$33,293
28
clean
Glycine receptor alpha1 IgG live cell-binding assay in serum or cerebral spinal fluid (CSF)
$3,355
$2,516
$561
26
clean
Next-generation sequencing of DNA from tissue sample of 648 genes with comparative sequence analysis from a matched normal blood or saliva specimen in solid tumor cancer
$20,250
$15,188
$5,616
26
clean
Insertion or replacement of complete monitoring system for deficient blood flow in heart muscle using imaging guidance
$54,596
$40,947
$20,393
28
clean
Repair of valve between upper right and lower right chambers of heart (tricuspid valve) using prosthesis delivered via catheter, accessed through skin; initial prosthesis
$73,213
$54,910
$26,166
22
clean
Repair of valve between upper right and lower right chambers of heart (tricuspid valve) using prosthesis delivered via catheter, accessed through skin; each additional prosthesis
$73,213
$54,910
$26,166
22
clean
Insertion or replacement of implantable cardioverter-defibrillator system with electrodes under breastbone
$195,619
$146,714
$64,085
28
clean
Irreversible electroporation destruction of growths of internal organ, accessed through skin
$65,488
$49,116
$21,454
28
clean
Removal or reduction of mass within heart by suction through catheter
$11,521
$8,641
$9,033
54
clean
Quantitative magnetic resonance analysis of tissue composition without diagnostic MRI examination
$7,310
$5,482
$2,395
27
clean
Quantitative magnetic resonance analysis of tissue composition with diagnostic MRI examination
$2,089
$1,567
$984
28
clean
Quantitative ultrasound tissue characterization with interpretation and report, obtained with diagnostic ultrasound examination of same anatomy
$580
$435
$255
20
clean
Digitization of glass microscope slides for level II surgical pathology
$29
$22
$11
20
clean
Digitization of glass microscope slides for level III surgical pathology
$29
$22
$11
20
clean
Digitization of glass microscope slides for level IV surgical pathology
$29
$22
$11
20
clean
Digitization of glass microscope slides for level V surgical pathology
$29
$22
$21
20
clean
Digitization of glass microscope slides for Group I special stain for microorganisms
$29
$22
$13
20
clean
Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry, initial single antibody stain procedure
$29
$22
$12
20
clean
Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry, each additional single antibody stain procedure
$29
$22
$11
20
clean
Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry, each multiplex antibody stain procedure
$29
$22
$19
20
clean
Digitization of glass microscope slides for morphometric analysis, tumor immunohistochemistry, each manual single antibody stain procedure
$29
$22
$14
20
clean
Transcatheter insertion of permanent dual-chamber leadless pacemaker using fluoroscopy and device interrogation of right atrial and right ventricular pacemaker components
$124,092
$93,069
$41,484
28
clean
Insertion of permanent single-chamber leadless pacemaker for pacing the right upper heart chamber using imaging guidance
$123,963
$92,972
$41,441
28
clean
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
$70,411
$52,808
$16,219
28
clean
Treatment of broken lower spine bone with placement of stabilizing device
$70,411
$52,808
$16,219
28
clean
Treatment of broken spine bone with stabilizing device, each additional segment
$49,160
$36,870
$13,133
28
clean
Removal of foreign body of foot tissue, accessed beneath the skin
$4,596
$3,447
$2,525
28
clean
Application of vein wound compression bandages on lower leg, ankle, and foot
$758
$569
$259
84
clean
Application of vein wound compression bandages on upper arm, forearm, hand, and fingers
$758
$569
$248
56
clean
Emergent insertion of breathing tube into windpipe using an endoscope
$1,339
$1,004
$505
28
clean
Exam to assess movement of vocal cord flaps using an endoscope
$1,763
$1,322
$589
28
clean
Exam of windpipe and lung airways through permanent windpipe opening using an endoscope
$3,234
$2,425
$1,752
28
clean
Aspiration of fluid from chest cavity using imaging guidance
$3,860
$2,895
$2,027
28
clean
Surgical removal of piece of sac covering heart for drainage
$8,790
$6,593
$3,142
28
clean
Insertion of pacemaker and upper and lower heart chamber electrode
$96,272
$72,204
$31,539
28
clean
Insertion of temporary pacemaker lead in single heart chamber
$35,591
$26,694
$11,660
28
clean
Insertion of pacemaker pulse generator with existing single lead
$63,019
$47,264
$16,836
28
clean
Insertion of pacemaker pulse generator with existing dual leads
$73,536
$55,152
$19,645
28
clean
Insertion of 1 electrode for permanent pacemaker or defibrillator
$31,833
$23,874
$10,642
28
clean
Insertion of 2 electrodes for permanent pacemaker or defibrillator
$35,888
$26,916
$11,997
28
clean
Repair of electrode for permanent pacemaker or defibrillator
$24,237
$18,178
$7,940
28
clean
Repair of 2 electrodes for permanent pacemaker or defibrillator
$21,602
$16,201
$7,077
28
clean
Insertion of pacemaker pulse generator with existing multiple leads
$69,660
$52,245
$22,821
28
clean
Insertion of left lower heart electrode and attachment to pacemaker or defibrillator
$84,207
$63,155
$27,586
28
clean
Insertion of left lower heart electrode for pacemaker or defibrillator
$78,471
$58,853
$25,707
28
clean
Removal and replacement of single lead permanent pacemaker
$78,135
$58,601
$25,597
28
clean
Removal and replacement of multiple lead permanent pacemaker
$70,072
$52,554
$22,956
28
clean
Insertion or replacement of defibrillator with electrode
$119,003
$89,252
$38,985
28
clean
Insertion of permanent leadless pacemaker using imaging guidance
$119,003
$89,252
$38,985
28
clean
Removal of permanent leadless pacemaker using imaging guidance
$18,540
$13,905
$6,074
28
clean
Insertion of wireless pressure sensor into lung artery through tube with review by radiologist
$86,732
$65,049
$30,423
28
clean
Repair of left upper heart chamber with implant with review by radiologist
$40,129
$30,097
$13,146
28
clean
Repair of mitral valve through the skin, initial prosthesis
$73,213
$54,910
$23,985
28
clean
Repair of mitral valve through the skin, additional prosthesis
$73,213
$54,910
$23,985
28
clean
Injection to cause blood clot in diseased or pseudoaneurysm of arm or leg
$3,472
$2,604
$1,909
28
clean
Insertion of tube into right heart or main pulmonary artery
$23,784
$17,838
$7,792
28
clean
Insertion of tube into chest or arm artery, each first order branch
$2,639
$1,979
$943
28
clean
Insertion of tube into chest or arm artery, initial second order branch
$2,688
$2,016
$961
28
clean
Insertion of tube into chest or arm artery, initial third order branch
$2,767
$2,075
$989
28
clean
Insertion of tube into chest or arm artery, additional second, third order and beyond
$834
$625
$273
28
clean
Insertion of tube into chest aorta for diagnosis or treatment with review by radiologist
$15,785
$11,839
$5,171
28
clean
Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist
$21,570
$16,177
$7,066
28
clean
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist
$49,070
$36,803
$16,075
28
clean
Insertion of tube into chest artery for diagnosis or treatment with review by radiologist
$21,173
$15,880
$6,936
28
clean
Insertion of tube into brain artery for diagnosis or treatment with review by radiologist
$107,464
$80,598
$35,205
28
clean
Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist
$16,585
$12,439
$5,433
28
clean
Insertion of tube into abdominal, pelvic, or leg artery, each first order branch
$4,500
$3,375
$1,474
28
clean
Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch
$4,706
$3,529
$1,542
28
clean
Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch
$4,913
$3,685
$1,610
28
clean
Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond
$2,968
$2,226
$972
28
clean
Insertion of non-tunneled central venous tube for infusion (5 years or older)
$7,189
$5,392
$3,341
28
clean
Insertion of tunneled central venous tube for infusion (5 years or older)
$14,501
$10,876
$4,848
28
clean
Mechanical removal of tissue or obstructive material from central venous tube
$11,154
$8,365
$3,654
28
clean
Repositioning of central venous tube using fluoroscopic guidance
$6,452
$4,839
$2,431
28
clean
Contrast injection for imaging to evaluate central venous access device
$3,872
$2,904
$1,384
28
clean
Insertion of artery tube for blood sampling or infusion through skin
$5,564
$4,173
$1,823
28
clean
Insertion of shunts to bypass blood flow to liver with review by radiologist
$25,330
$18,998
$13,298
28
clean
Revision of shunts to bypass blood flow to liver with review by radiologist
$25,330
$18,998
$8,298
28
clean
Removal and dissolving of blood clot from vein using fluoroscopic guidance, repeat treatment on subsequent day
$7,533
$5,650
$3,433
28
clean
Insertion of tube into artery or vein for drug infusion for blood clot with review by radiologist
$16,726
$12,545
$5,480
28
clean
Insertion of stent in vein with review by radiologist, initial vein
$97,063
$72,797
$31,798
28
clean
Insertion of stent in vein with review by radiologist, each additional vein
$76,322
$57,241
$25,003
28
clean
Ultrasound evaluation of blood vessel with review by radiologist, initial vessel
$11,197
$8,398
$3,668
28
clean
Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel
$10,206
$7,655
$3,412
28
clean
Showing the first 200 of 4,126 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
2,529 of 3,091 comparable items (82%) 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 $5,364 exceeds the gross charge $3,576
CPT 85732/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 87205/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 90734/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1604/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 J0280/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 J2543/o
info
mrf_item_fields_vary
this code and setting cover at least 78 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87206/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 J0281/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 87207/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 90740/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 C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 1947 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 J0282/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 J2550/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0456/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 83018/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 86001/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 87209/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 90744/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 J0283/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 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74177/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 83020/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 86003/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90746/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 C1715/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 J2590/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0464/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 83021/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 87220/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 90750/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 J0289/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 74181/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 81306/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 86008/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 87230/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 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0290/o
info
mrf_item_fields_vary
this code and setting cover at least 59 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 J2597/o
info
mrf_item_fields_vary
this code and setting cover at least 26 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86015/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 C1722/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0295/o
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2598/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0621/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 53899/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 C1724/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, min, max differ, so no cross-line comparison was made for this item
CPT J0330/o
info
mrf_item_fields_vary
this code and setting cover at least 19 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 74185/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 86022/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 87254/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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 229 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 87255/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 C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 36 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 J2680/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 L0627/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 86036/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 J0360/o
info
mrf_item_fields_vary
this code and setting cover at least 14 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 9 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 L0631/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 86037/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 C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 143 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 J0401/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 J2700/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0637/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 C1730/o
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0456/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
CPT J2704/o
info
mrf_item_fields_vary
this code and setting cover at least 43 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0457/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 27 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0640/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 19 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 J0461/o
info
mrf_item_fields_vary
this code and setting cover at least 14 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 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 90853/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 C1733/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, min, max differ, so no cross-line comparison was made for this item
CPT J0462/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, min, 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 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 0644T/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 86051/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 C1737/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 J0475/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, min, 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 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 83498/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 86052/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 C1739/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 J2783/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 83516/o
info
mrf_item_fields_vary
this code and setting cover at least 44 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86053/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 C1741/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2785/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, min, max differ, so no cross-line comparison was made for this item
CPT 81329/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 C1747/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 J0490/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 L1812/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 83519/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 95807/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 L1820/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 83520/o
info
mrf_item_fields_vary
this code and setting cover at least 57 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0500/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 J2790/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 L1830/o
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 71 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 J0515/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 J2791/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 L1832/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 C1752/o
info
mrf_item_fields_vary
this code and setting cover at least 20 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 J0517/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 J2792/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 L1833/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 87305/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 C1753/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0525/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 J2794/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 L1902/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 86148/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 C1755/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, min, max differ, so no cross-line comparison was made for this item
CPT J0558/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 J2795/o
info
mrf_item_fields_vary
this code and setting cover at least 52 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 83540/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 C1757/o
info
mrf_item_fields_vary
this code and setting cover at least 111 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 J0561/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 J2800/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
CPT L1930/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 C1758/o
info
mrf_item_fields_vary
this code and setting cover at least 19 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 J2802/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 86160/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1759/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, min, max differ, so no cross-line comparison was made for this item
CPT J0583/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2804/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 81342/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 86161/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 C1760/o
info
mrf_item_fields_vary
this code and setting cover at least 19 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 J0585/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 J2805/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 C1761/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 J2820/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 83605/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 C1762/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, min, max differ, so no cross-line comparison was made for this item
CPT 83615/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 C1763/o
info
mrf_item_fields_vary
this code and setting cover at least 20 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 J0592/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 J2860/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 74420/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 81350/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 C1764/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 J0595/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 J2865/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 74425/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 C1765/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0597/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 J2916/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 87385/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 C1766/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0612/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2919/o
info
mrf_item_fields_vary
this code and setting cover at least 27 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81355/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 86231/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 C1767/o
info
mrf_item_fields_vary
this code and setting cover at least 14 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 J0613/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 J2993/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 86235/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 C1768/o
info
mrf_item_fields_vary
this code and setting cover at least 77 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 J0616/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 J2997/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 86255/o
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 355 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 J0636/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 L3650/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 86256/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 C1771/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0637/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 J3010/o
info
mrf_item_fields_vary
this code and setting cover at least 51 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L3660/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81373/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 86258/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 C1772/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 J3030/o
info
mrf_item_fields_vary
this code and setting cover at least 14 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 L3670/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64405/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 81374/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 C1773/o
info
mrf_item_fields_vary
this code and setting cover at least 20 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 J0640/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 81375/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 83690/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 87449/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 573 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 J0641/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 C1777/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0650/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 J3095/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 81377/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 C1778/o
info
mrf_item_fields_vary
this code and setting cover at least 20 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 J0651/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 J3101/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 L3808/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 86305/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 C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 109 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 J3105/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
Showing the first 200 of 3,566 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 164
info
inp_charge_10x_payment
average charge $196,081 is 11.3× the total payment
MS-DRG 243
info
inp_charge_10x_payment
average charge $206,173 is 13.2× the total payment
MS-DRG 266
info
inp_charge_10x_payment
average charge $528,075 is 10.1× the total payment
MS-DRG 267
info
inp_charge_10x_payment
average charge $470,579 is 11.1× the total payment
MS-DRG 274
info
inp_charge_10x_payment
average charge $279,764 is 12.1× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $219,781 is 11.2× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $184,244 is 14.2× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Baptist Health Floyd — standard charges file · IN · updated 2026-08-13· csv-tall · 248.9M bytes · fetched 2026-08-23 · sha256 edc395c52203…
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.