Hospital · CCN 160032

Mercyone Newton Medical Center

204 N 4th Ave E, Newton, IA 50208 · Jasper County
Part of Trinity Health · 48 beds · 2
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

3 admission types 17 outpatient services price file: ok
Billed per dollar paid, all admissions
2.28×
$2.2M billed against $952K paid across 77 Medicare discharges; the national figure is 5.03×.
3.2%
of adults in Jasper County have medical debt in collections
4.8%
uninsured in the county · state 5.4%
$72K
median household income
2.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
38.3%
obesity in the countyⓘ
11.9%
diagnosed diabetes (PLACES)
7.1%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
48
$29,280
$14,157
2.1× st 3.4×
291
Heart failure and shock with mcc
18
$27,081
$9,295
2.9× st 3.5×
193
Simple pneumonia and pleurisy with mcc
11
$24,781
$9,523
2.6× st 3.4×
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
5431
Level 1 Nerve Procedures
99
$7,563
$1,617
4.7×
8011
Comprehensive Observation Services
79
$18,145
$2,349
7.7×
5491
Level 1 Intraocular Procedures
79
$6,970
$1,980
3.5×
5112
Level 2 Musculoskeletal Procedures
18
$3,574
$1,380
2.6×
5115
Level 5 Musculoskeletal Procedures
16
$45,054
$11,283
4.0×
5114
Level 4 Musculoskeletal Procedures
15
$25,536
$5,814
4.4×
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
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 2026-03-31, template 3.0.0, 1,592,375 rows scanned, 2,355 distinct code–setting items kept. 723 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
PR Anes for Procedures on External Middle & Inner Ear Incl Bx Tympanotomy
—
$630
$630
232
clean
PR Anesthesia Nose & Accessory Sinuses Not Otherwise Specified
—
$882
$882
232
clean
HC Mayo Analysis Gene Jak2 Targeted Sequence Exons 12-15
$839
$545
$772
42
clean
PR Anes Proc on Integumentary Sys Extremities Anterior Trunk & Perineum Nos
—
$756
$756
231
clean
HC Mayo Qmpss Immunoglobulin Paraprotein Ql Immunoprecip Mass Spectrometry Blood Urine Incl Isotype
$143
$93
$132
42
clean
PR Anes for Intraperitoneal Proc Upper Abd Incl Laparoscopy Nos
—
$1,487
$1,487
232
clean
PR Anesthesia Procedures Lower Anterior Abdominal Wall Nos
—
$1,008
$1,008
232
clean
PR Anes Lower Intestinal Endo Proc Endo Introduced Distal to Duodenum Nos
—
$718
$718
232
clean
PR Anes Lower Intest Endo Proc Endoscope Intro Dist Duod Scrn Colonoscopy
—
$529
$529
232
clean
PR Anes Combined Upr & Lwr GI Endo Proc Endo Intro Both Prox & Dis to Duod
—
$882
$882
232
clean
PR Anesthesia Hernia Repairs Lower Abdomen Ventral & Incisional Hernias
—
$1,386
$1,386
232
clean
PR Anes for Intraperitoneal Procedures in Lower Abd Incl Lap Nos
—
$1,260
$1,260
232
clean
PR Anesthesia for Anorectal Procedure
—
$882
$882
232
clean
PR Anes Vaginal Procedure Hysteroscopy and/or Hysterosalpingogram
—
$756
$756
232
clean
PR Anesthesia Open Procedures Involving Hip Joint Total Hip Arthroplasty
—
$1,726
$1,726
232
clean
PR Anes All Proc Nerves/Musc/Tndns Fascia & Bursae of Knee &/ Poplit Area
—
$882
$882
232
clean
PR Anesthesia Open/Surgical Arthroscopic Proc Knee Joint Nos
—
$882
$882
232
clean
PR Anes Open/Surg Arthroscopic Proc Knee Joint Total Knee Arthroplasty
—
$1,638
$1,638
232
clean
PR Anesthesia for Arthroscopic Procedures of Ankle and/or Foot
—
$1,134
$1,134
232
clean
PR Anes Open Procedure on Bones of Lower Leg/Ankle/Foot Nos
—
$756
$756
232
clean
PR Anes Open/Surgical Arthroscopic Proc on Hmrl H&N Sc Jt Acj & Shld Jt Nos
—
$1,260
$1,260
232
clean
PR Anes Open or Surgical Arthroscopic Procedure of the Elbow Nos
—
$882
$882
232
clean
PR Anes All Proc on Nrvs/Musc/Tndn Fascia &Bursae of Forearm Wrist & Hand
—
$756
$756
232
clean
PR Anes Dx/Therap Nrv Block/Inj (by a Diffrnt Phys/Other Qhp) Prone POS
—
$38,747
$7,413
84
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$469
$305
$431
45
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
—
$469
$419
16
clean
HC Injection(S) Platelet Rich Plasma, W Image Guid, Harvesting & Prep When Performed
—
$20,755
$3,343
84
clean
HC Infectious Disease Pathogen Specific Rna Sars-Cov-2/Inf a&B/Rsv Upper Resp Spec Detected or Not
$441
$287
$406
37
clean
HC Quantitative Magnetic Resonance Tissue Composition W/Dx MRI Sgl Organ
$1,017
$661
$953
29
clean
HC Incision & Drainage Abscess Simple/Single
—
$9,255
$205
84
clean
PR Debr Incl Rem Foreign Mat Site Opn Fx &/Opn Dislc Skn&Subq T/M/F Musc&Bn
—
$9,300
$3,343
83
clean
PR Debridement Subcutaneous Tissue <= 20 Sq Cm
$131
$131
$25
778
clean
PR Debridement Subcutaneous Tissue <= 20 Sq Cm|MULTIPLE PROCEDURES
$131
$131
$25
778
clean
PR Debridement Bone <= 20 Sq Cm|MULTIPLE PROCEDURES
$493
$493
$90
1,556
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
—
$11,126
$1,687
84
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm
—
$18,712
$2,968
84
clean
HC Excision Malignant Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
—
$8,460
$723
84
clean
HC Excision Malignant Lesion Trunk/Arms/Legs > 4.0 Cm
—
$13,669
$123
862
clean
PR Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm|ASSISTANT AT SURGERY SERVICE
$89
$89
$18
778
clean
PR Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm
$558
$558
$114
778
clean
PR Repair Nail Bed
—
$348
$47
1,556
clean
PR Excision Pilonidal Cyst/Sinus Complicated
$1,320
$1,320
$253
1,556
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm
—
$11,126
$1,687
84
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 7.6 - 12.5 Cm
—
$13,669
$1,687
168
clean
PR Repair Intermediate Wounds Neck/Hands/Feet/Ext Genitalia 2.6 - 7.5 Cm|MULTIPLE PROCEDURES
$437
$437
$77
778
clean
HC Repair Intermediate Wounds Neck/Hands/Feet/Genitalia 2.6 - 7.5 Cm
$437
$11,182
$77
862
clean
HC Repair Complex Wound Scalp/Arms/Legs 2.6 - 7.5 Cm
$570
$8,460
$98
1,640
clean
HC Repair Complex Wound Scalp/Arms/Legs Each Additional <= 5.0 Cm
—
$8,460
$723
84
clean
PR Adj Tissue Transfer/Rearrangement Trunk Defect 10.1 Sq Cm to 30.0 Sq Cm
$1,473
$1,473
$268
778
clean
PR Adj Tissue Transfer/Rearrangement Trunk Defect 10.1 Sq Cm to 30.0 Sq Cm|MULTIPLE PROCEDURES
$1,473
$1,473
$268
778
clean
PR Transfer/Rearrangement Adjacent Tissue Defect Scalp/Arm/Leg <= 10 Sq Cm
$1,278
$1,278
$227
778
clean
PR Appl Skin Sub Graft Face/Scalp/Neck/Gent < 100 Sqcm <= 25 Sqcm High Cost|MULTIPLE PROCEDURES
$183
$183
$43
1,556
clean
PR Appl Skin Sub Graft Face/Scalp/Neck/Gent < 100 Sqcm <= 25 Sqcm High Cost|ASSISTANT AT SURGERY SERVICE
$29
$29
$6
778
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)
—
$1,472
$314
83
clean
HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S)
$999
$649
$314
112
clean
HC Injection(S) Trigger Point(S) Single/Multiple >= 3 Muscle(S)
$1,142
$742
$314
112
clean
HC Pt Needle Insertion W/O Injection 1 or 2 Muscles
$121
$79
$30
109
clean
HC Pt Needle Insertion W/O Injection 3 or More Muscles
$97
$63
$30
109
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl|TECHNICAL COMPONENT|BILATERAL PROCEDURE
$1,326
$862
$27
4,322
clean
HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt|TECHNICAL COMPONENT|BILATERAL PROCEDURE
—
$1,859
$314
249
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Rt
—
$1,851
$314
83
clean
HC Arthrocentesis/Aspiration/Injection Major Joint/Bursa W/Ultrasound Guidance Rt
$2,421
$1,574
$314
336
clean
PR Removal of Implant Superficial
—
$432
$63
778
clean
HC Removal of Implant Deep
$933
$18,623
$176
1,640
clean
PR Removal of Implant Deep|ASSISTANT SURGEON
$149
$149
$28
1,556
clean
PR Bone Graft Any Donor Area Minor/Small|MULTIPLE PROCEDURES
$391
$391
$72
2,334
clean
PR Bone Graft Any Donor Area Minor/Small|ASSISTANT AT SURGERY SERVICE
$63
$63
$12
778
clean
PR Excision Tumor Soft Tissue Face/Scalp Subfascial >= 2 Cm|ASSISTANT AT SURGERY SERVICE
$190
$190
$34
778
clean
PR Excision Tumor Soft Tissue Face/Scalp Subfascial >= 2 Cm
$1,186
$1,186
$217
778
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Thoracic
$18,232
$11,851
$7,413
112
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Lumbar
$18,232
$11,851
$7,413
112
clean
HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Lumbar
—
$20,955
$7,413
84
clean
HC Augumentation Percutaneous Vertebral Inc Cavity Creation Ea Addl Thoracic/Lumbar Vertebral Body
$9,116
$5,925
$8,542
29
clean
HC Injection for Shoulder Arthrogram or Enhanced CT/MRI Shoulder Arthography Lt
$549
$357
$514
87
clean
PR Repair Ruptured Musculotendinous Cuff Open Acute|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$293
$293
$293
1,556
clean
PR Repair Ruptured Musculotendinous Cuff Open Acute|ASSISTANT AT SURGERY SERVICE
$293
$293
$293
1,556
clean
PR Tenodesis Long Tendon of Biceps|ASSISTANT AT SURGERY SERVICE
$267
$267
$49
778
clean
PR Tenodesis Long Tendon of Biceps
$1,666
$1,666
$267
3,112
clean
PR Manipulation Under Anes Shoulder Joint Incl Application Fixn Apparatus|MULTIPLE PROCEDURES
—
$588
$89
1,556
clean
HC Excision Tumor Soft Tissue Upper Arm/Elbow Subcutaneous => 3cm Rt
—
$7,063
$2,968
83
clean
PR Excision Olecranon Bursa
$841
$841
$159
778
clean
PR Tenotomy Elbow Lat/Med Debr Soft Tiss/Bone Open Tendon Repr/Reattachment
$1,493
$1,493
$274
778
clean
PR Excision Tumor/Soft Tissue Forearm &/or Wrist Area Subcutaneous >= 3 Cm|MULTIPLE PROCEDURES
$950
$950
$152
1,556
clean
PR Excision Tumor/Soft Tissue Forearm &/or Wrist Area Subcutaneous >= 3 Cm|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$152
$152
$152
1,556
clean
HC Excision Tumor Soft Tissue Forearm/Wrist Subcutaneous < 3 Cm Rt
—
$7,159
$1,687
83
clean
PR Excision Ganglion Wrist Primary
$752
$10,604
$143
862
clean
PR Excision Ganglion Wrist Primary|MULTIPLE PROCEDURES
$752
$752
$143
778
clean
PR Capsulorrhaphy/Reconstruction Wrist Open|ASSISTANT SURGEON
$357
$357
$66
778
clean
PR Capsulorrhaphy/Reconstruction Wrist Open
$2,234
$2,234
$413
778
clean
PR Arthroplasty Intercarpal/Carpometacarpal Joints Interpostion
$1,801
$1,801
$358
778
clean
PR Arthroplasty Intercarpal/Carpometacarpal Joints Interpostion|ASSISTANT AT SURGERY SERVICE
$288
$288
$53
778
clean
PR Open Tx Radial Shaft Fracture Incl Internal Fixation When Performed
$1,535
$1,535
$309
778
clean
PR Open Tx Radial Shaft Fracture Incl Internal Fixation When Performed|ASSISTANT AT SURGERY SERVICE
$246
$246
$45
778
clean
PR Closed Treatment of Ulnar Shaft Fracture With Manipulation|MULTIPLE PROCEDURES
—
$1,604
$201
778
clean
PR Open Tx Ulnar Shaft Fracture Includes Internal Fixation When Performed|MINIMUM ASSISTANT SURGEON|MULTIPLE PROCEDURES
$230
$230
$230
1,556
clean
PR Open Tx Ulnar Shaft Fracture Includes Internal Fixation When Performed|ASSISTANT AT SURGERY SERVICE
$230
$230
$230
1,556
clean
PR Open Tx Distal Radial Extra-Artc Fx/Epiphyseal Sep W/Internal Fixn
$1,677
$1,677
$310
778
clean
PR Open Tx Distal Radial Extra-Artc Fx/Epiphyseal Sep W/Internal Fixn|ASSISTANT AT SURGERY SERVICE
$268
$268
$268
1,556
clean
PR Open Tx Distal Rdl Intra-Articular Fx/Epiphyseal Separ W/if 2 Fragments|ASSISTANT AT SURGERY SERVICE
$298
$298
$55
778
clean
HC Treatment Fx Radial Distal Open W/Internal Fixation 2 Frag Lt (Restricted Method II CAH)
$1,864
$24,055
$343
862
clean
PR Treatment Distal Radioulnar Dislocation Closed With Manipulation|MULTIPLE PROCEDURES
—
$1,445
$216
1,556
clean
HC Incision Tendon Sheath
$679
$6,601
$128
1,639
clean
PR Fasciectomy Partial Palmar W/Release Single Digit Incl Proximal Ipj
$1,892
$1,892
$360
778
clean
PR Fasciectomy Partial Palmar W Release Sgl Digit Incl Prx Ipj Ea Add Digit
—
$666
$259
778
clean
PR Excision Lesion Tendon Sheath/Joint Capsule Hand/Finger|MULTIPLE PROCEDURES
$727
$727
$138
778
clean
HC Excision Lesion Tendon Sheath/Joint Capsule Hand/Finger
$727
$6,700
$138
861
clean
HC Treatment Fracture Metacarpal Closed Single W/O Manipulation Each Bone
$2,571
$1,671
$252
112
clean
PR Open Tx Metacarpal Fx Single Includes Internal Fixation Each Bone|MULTIPLE PROCEDURES
$1,311
$1,311
$244
778
clean
PR Open Tx Metacarpal Fx Single Includes Internal Fixation Each Bone
$1,311
$1,311
$244
778
clean
PR Open Tx Phalangeal Shaft Fx Proximal/Middle Phalanx Finger/Thumb Each
$1,370
$1,370
$251
778
clean
PR Open Tx Distal Phalangeal Fx Finger/Thumb Incl Internal Fixation Each
—
$9,300
$3,343
83
clean
PR Amput Fgr/Thumb Prim/Sec Any Joint/Phal Sgl Incl Neurectomies W Dir Clsr|MULTIPLE PROCEDURES
$1,650
$1,650
$312
1,556
clean
PR Amput Fgr/Thumb Prim/Sec Any Joint/Phal Sgl Incl Neurectomies W Dir Clsr|ASSISTANT AT SURGERY SERVICE
$264
$264
$50
778
clean
HC Excision Tumor Soft Tissue of Pelvis and Hip Subcutaneous 3 Cm or Greater Rt
—
$10,628
$2,968
84
clean
HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH)
$2,825
$34,016
$513
1,640
clean
PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE
$904
$904
$452
3,890
clean
HC Excision Tumor Soft Tissue Thigh/Knee Subcutaneous >= 3 Cm Bl
—
$13,011
$2,968
84
clean
PR Ligamentous Reconstruction Knee Extra-Articular
$254
$25,450
$121
2,418
clean
PR Ligamentous Reconstruction Knee Extra-Articular|MULTIPLE PROCEDURES
$1,586
$1,586
$335
778
clean
PR Arthroplasty Knee Condyle and Plateau Medial or Lateral Compartment
$2,534
$2,534
$556
778
clean
PR Arthroplasty Knee Condyle and Plateau Medial or Lateral Compartment|ASSISTANT AT SURGERY SERVICE
$405
$405
$74
778
clean
PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing|BILATERAL PROCEDURE
$5,642
$5,642
$451
3,890
clean
HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH)
$2,821
$33,086
$512
1,640
clean
PR Gastrocnemius Recession
—
$31,598
$7,413
84
clean
PR Repair Primary Disrupted Ligament Ankle Collateral
—
$34,204
$7,413
84
clean
PR Open Treatment of Distal Fibular Fracture Includes Internal Fixation
—
$32,473
$7,413
84
clean
PR Open Tx Distal Tibiofibular Joint Disruption Incl if When Performed
—
$34,204
$7,413
84
clean
PR Excision Tumor/Soft Tissue Foot/Toe Subcutaneous >= 1.5 Cm
—
$11,050
$2,968
84
clean
HC Excision Tumor Soft Tissue Foot or Toe Subcutaneous < 1.5 Cm Rt
—
$11,406
$1,687
84
clean
HC Tenotomy Toe Flexor Open Single
—
$8,747
$3,343
84
clean
HC Tenotomy Foot or Toe Extensor Open Each Tendon
—
$35,136
$13,117
84
clean
PR Hallux Rigidus Corr W Cheilectomy Debr & Capsular Rls 1st Mpj WO Implant|BILATERAL PROCEDURE
—
$22,949
$3,343
84
clean
PR Osteotomy W/WO Len/Shrtg/Angular Corr Metat Other Than First Metat Ea
—
$35,136
$13,117
84
clean
PR Open Treatment Metatarsal Fracture Includes Internal Fixation Each
—
$16,280
$7,413
84
clean
PR Arthrodesis Great Toe Metatarsophalangeal Joint
—
$29,270
$7,413
84
clean
HC Amputation Toe Metatarsophalangeal Joint
—
$10,477
$3,343
84
clean
HC Ot Application Multi Layer Compression Below Knee Bl
$942
$612
$166
336
clean
PR Surgical Arthroscopy Shoulder Extensive Debridement 3+ Structures
$213
$27,866
$99
2,418
clean
PR Surgical Arthroscopy Shoulder Extensive Debridement 3+ Structures|MULTIPLE PROCEDURES
$1,329
$1,329
$280
778
clean
PR Arthroscopy Shoulder Distal Claviculectomy Incl Distal Articular Surface|ASSISTANT AT SURGERY SERVICE
$243
$243
$45
778
clean
HC Arthro Shoulder Surgical Distal Claviculectomy Incl/Distal Art Surf Lt (Rest Method II CAH)
$1,520
$18,623
$284
2,418
clean
HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH)
$370
$27,866
$370
862
clean
PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty|ASSISTANT AT SURGERY SERVICE
$59
$59
$59
1,556
clean
HC Arthroscopy Shoulder With Rotator Cuff Repair Lt (Restricted Method II CAH)
$1,126
$29,102
$167
2,418
clean
PR Arthroscopy Shoulder Surgical With Rotator Cuff Repair|MINIMUM ASSISTANT SURGEON
$180
$180
$77
778
clean
PR Arthroscopy Shoulder Surgical Biceps Tenodesis|ASSISTANT AT SURGERY SERVICE
$325
$325
$325
1,556
clean
PR Arthroscopy Shoulder Surgical Biceps Tenodesis
$325
$29,912
$374
1,640
clean
PR Arthroscopically Aided Tx Tibial Fx Prx Unicondylar Incl Internal Fixn|ASSISTANT AT SURGERY SERVICE
$279
$279
$52
778
clean
PR Arthroscopically Aided Tx Tibial Fx Prx Unicondylar Incl Internal Fixn
$1,745
$22,203
$379
862
clean
PR Arthroscopy Knee Diagnostic With or Without Synovial Biopsy
—
$1,483
$184
1,556
clean
PR Arthroscopy Knee Surgical Debridement/Shaving Articular Cartilage|ASSISTANT AT SURGERY SERVICE
$223
$223
$42
778
clean
PR Arthroscopy Knee Surgical Debridement/Shaving Articular Cartilage
$1,395
$25,450
$260
2,418
clean
HC Arthro Knee W/Mnsc Med and Lat Incl/Chndrplsty Same/Sep Compart Rt (Rest Method II CAH)
$1,264
$12,512
$253
862
clean
PR Arthroscopy Knee Surg W/Meniscectomy Incl Debr/Shv Articular Cartilage|ASSISTANT AT SURGERY SERVICE
$202
$202
$202
1,556
clean
HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH)
$1,220
$13,027
$229
2,418
clean
PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage|BILATERAL PROCEDURE
$2,440
$2,440
$215
1,556
clean
PR Arthroscopy Knee Surgical With Meniscus Repair (Medial or Lateral)|MULTIPLE PROCEDURES
$1,567
$1,567
$108
2,334
clean
PR Arthroscopy Knee Surgical With Meniscus Repair (Medial or Lateral)
$1,567
$18,233
$316
862
clean
PR Arthroscopy Knee Surgical With Meniscus Repair (Medial and Lateral)
—
$19,315
$3,343
84
clean
PR Arthro Knee Surg Drilling Intact Osteochondritis Dissecans Lesion W/If|ASSISTANT AT SURGERY SERVICE
$275
$275
$275
1,556
clean
PR Arthroscopy Ankle Surgical Debridement Extensive
—
$34,204
$7,413
84
clean
HC Intubation Endotracheal Emergency Procedure
$2,448
$1,591
$242
112
clean
HC Aspiration Catheter Nasotracheal
$315
$205
$224
112
clean
HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/O Imaging Guidance Bl
$2,690
$1,749
$641
336
clean
HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt
$1,793
$1,165
$641
336
clean
HC Collection of Venous Blood by Venipuncture
$45
$29
$40
45
clean
HC Transfusion Blood/Blood Component(S)|NC
—
$1,851
$451
166
clean
HC Transfusion Blood/Blood Component(S)
$1,197
$778
$451
112
clean
HC Insertion Peripherally Inserted Central Venous Catheter (Picc) W/O Port/Pump/Img Gud >= 5 Years
$3,111
$2,022
$1,608
112
clean
HC Removal Central Venous Device Tunneled W/Port/Pump Central/Peripheral Insertion
—
$7,400
$1,608
83
clean
HC Collection Blood Specimen From Completely Implantable Venous Access Device
$472
$307
$136
112
clean
HC Collection Blood Specimen Using Established Central/Peripheral Catheter Venous Nos
$472
$307
$136
112
clean
HC Declotting Implanted Vascular Access Device/Catheter by Thrombolytic Agent
$1,173
$762
$337
112
clean
HC Puncture Arterial Withdrawal Blood for Diagnosis
—
$494
$136
84
clean
HC Puncture Arterial Withdrawal Blood for Diagnosis
$175
$114
$136
112
clean
PR Tonsillectomy & Adenoidectomy Younger Than Age 12
—
$11,382
$6,048
84
clean
HC Tonsillectomy Primary or Secondary =>12 Years (Restricted Method II CAH)
—
$10,688
$3,387
84
clean
PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing
—
$10,243
$927
166
clean
HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH)
$301
$7,375
$74
1,640
clean
PR Egd Flexible Transoral W/ Removal Tumor/Polyp/Other Lesion by Snare
—
$7,873
$1,960
84
clean
HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH)
—
$8,047
$104
945
clean
HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)
—
$10,875
$106
862
clean
HC Colonoscopy Flex W/Rem of Tumor(S)/Polyp(S)/Lesion(S) by Hot Biopsy(S) Forceps (Rest Meth II CAH)
—
$6,504
$1,223
84
clean
HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH)
$551
$7,705
$144
862
clean
PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech|MULTIPLE PROCEDURES
$551
$551
$144
778
clean
HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH)
—
$18,286
$6,176
84
clean
PR Laparoscopic Surgical Cholecystectomy W Cholangiography
—
$25,968
$6,176
84
clean
HC Abdominal Paracentesis W/Image Guidance
$2,052
$1,334
$927
112
clean
HC Abdominal Paracentesis W/Image Guidance
—
$2,452
$927
83
clean
HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH)
—
$16,651
$5,746
168
clean
PR Repr Init Ing Hernia 5y or Older Incarcerated/Strangulated
—
$18,344
$3,658
84
clean
PR Repr Ing Hernia Sliding Any Age
—
$14,792
$3,658
84
clean
PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl < 3 Cm Reducible
—
$16,050
$3,658
84
clean
PR Repr Ant Abd Hernia(S) Any Appr Init Incl Impl 3-10 Cm Reducible
—
$14,711
$6,614
84
clean
HC Insertion Catheter Bladder Temporary Simple
—
$312
$136
83
clean
HC Insertion Catheter Bladder Temporary Simple Np
$312
$203
$136
224
clean
HC Change Cystostomy Tube Simple
$479
$311
$255
112
clean
HC Measurement Post Void Urine by Ultrasound
—
$1,266
$107
83
clean
HC Measurement Post Void Urine by Ultrasound
$200
$130
$60
112
clean
HC Circumcision W/Regional Block
$3,650
$2,373
$2,136
112
clean

Showing the first 200 of 2,355 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 88184/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $383
CPT 88307/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $494
CPT 88309/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,564 exceeds the gross charge $817
CPT 88331/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $197
CPT 88333/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,564 exceeds the gross charge $430
CPT 88344/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $583
CPT 91320/b
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $151
CPT 93306/o
warn
mrf_negotiated_above_gross
highest negotiated rate $727 exceeds the gross charge $236
CPT 93308/o
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $85
CPT 93325/o
warn
mrf_negotiated_above_gross
highest negotiated rate $99 exceeds the gross charge $11
CPT 93880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $489 exceeds the gross charge $82
CPT 93922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $203 exceeds the gross charge $26
CPT 93926/o
warn
mrf_negotiated_above_gross
highest negotiated rate $293 exceeds the gross charge $49
CPT 93978/o
warn
mrf_negotiated_above_gross
highest negotiated rate $440 exceeds the gross charge $82
CPT 94010/b
warn
mrf_negotiated_above_gross
highest negotiated rate $419 exceeds the gross charge $341
CPT 0202U/b
warn
mrf_negotiated_above_gross
highest negotiated rate $838 exceeds the gross charge $469
CPT 94060/b
warn
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $697
CPT 94060/o
warn
mrf_negotiated_above_gross
highest negotiated rate $168 exceeds the gross charge $21
CPT 94640/b
warn
mrf_negotiated_above_gross
highest negotiated rate $425 exceeds the gross charge $304
CPT 12042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,206 exceeds the gross charge $437
CPT 94664/b
warn
mrf_negotiated_above_gross
highest negotiated rate $425 exceeds the gross charge $370
CPT 94668/b
warn
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $233
CPT 13121/o
warn
mrf_negotiated_above_gross
highest negotiated rate $789 exceeds the gross charge $570
CPT 94681/b
warn
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $416
CPT 94726/b
warn
mrf_negotiated_above_gross
highest negotiated rate $724 exceeds the gross charge $471
CPT 94729/o
warn
mrf_negotiated_above_gross
highest negotiated rate $166 exceeds the gross charge $18
CPT 20680/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,352 exceeds the gross charge $933
CPT 96360/b
warn
mrf_negotiated_above_gross
highest negotiated rate $413 exceeds the gross charge $369
CPT 96374/b
warn
mrf_negotiated_above_gross
highest negotiated rate $413 exceeds the gross charge $310
CPT 97533/b
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $96
CPT 97607/b
warn
mrf_negotiated_above_gross
highest negotiated rate $789 exceeds the gross charge $630
CPT 25111/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,122 exceeds the gross charge $752
CPT J3030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $66 exceeds the gross charge $18
CPT 25608/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,087 exceeds the gross charge $1,864
CPT 26055/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,122 exceeds the gross charge $679
CPT 26160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,122 exceeds the gross charge $727
CPT 29826/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,087 exceeds the gross charge $370
CPT J7131/b
warn
mrf_negotiated_above_gross
highest negotiated rate $75 exceeds the gross charge $30
CPT 29855/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,087 exceeds the gross charge $1,745
CPT A9543/b
warn
mrf_negotiated_above_gross
highest negotiated rate $114,217 exceeds the gross charge $55,035
CPT 29880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,352 exceeds the gross charge $1,264
CPT 29882/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,352 exceeds the gross charge $1,567
CPT 31720/b
warn
mrf_negotiated_above_gross
highest negotiated rate $425 exceeds the gross charge $315
CPT 36600/b
warn
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $175
CPT 43239/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,761 exceeds the gross charge $301
CPT 45385/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,323 exceeds the gross charge $551
CPT 51705/b
warn
mrf_negotiated_above_gross
highest negotiated rate $485 exceeds the gross charge $479
CPT 54150/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,058 exceeds the gross charge $3,650
CPT 64718/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,791 exceeds the gross charge $1,369
CPT 64721/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,791 exceeds the gross charge $995
CPT 75571/b
warn
mrf_negotiated_above_gross
highest negotiated rate $169 exceeds the gross charge $100
CPT P9022/b
warn
mrf_negotiated_above_gross
highest negotiated rate $741 exceeds the gross charge $660
CPT P9100/b
warn
mrf_negotiated_above_gross
highest negotiated rate $115 exceeds the gross charge $113
CPT 76942/o
warn
mrf_negotiated_above_gross
highest negotiated rate $177 exceeds the gross charge $104
CPT 80175/b
warn
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $22
CPT 80326/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $50
CPT 80345/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $60
CPT 80349/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $96
CPT 80353/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $89
CPT 80361/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $109
CPT 80362/b
warn
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $57
CPT 81263/b
warn
mrf_negotiated_above_gross
highest negotiated rate $592 exceeds the gross charge $464
CPT G0379/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,156 exceeds the gross charge $231
CPT 84410/b
warn
mrf_negotiated_above_gross
highest negotiated rate $103 exceeds the gross charge $72
CPT J0285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $34 exceeds the gross charge $9
CPT 86581/b
warn
mrf_negotiated_above_gross
highest negotiated rate $185 exceeds the gross charge $110
CPT 86860/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $132
CPT 86870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $449
CPT J0572/b
warn
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $3
CPT 86885/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $142
CPT 86900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $258 exceeds the gross charge $129
CPT 86901/b
warn
mrf_negotiated_above_gross
highest negotiated rate $73 exceeds the gross charge $69
CPT 86902/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $360
CPT 86905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $696 exceeds the gross charge $139
CPT 86920/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $165
CPT 86922/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $223
CPT 86923/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $295
CPT 86971/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $92
CPT 86972/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $116
CPT 86977/b
warn
mrf_negotiated_above_gross
highest negotiated rate $331 exceeds the gross charge $199
CPT 87497/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 J0741/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 V2790/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87899/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 J0870/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 J0878/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0881/b
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 J0885/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0896/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 J0897/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 J1010/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 90460/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 J1100/b
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 90461/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 J1160/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90471/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 J1163/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 90472/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 J1165/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 90473/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J1171/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90474/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 J1190/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90480/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 J1250/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 90653/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 J1265/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 90656/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 J1271/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90658/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J1303/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 90675/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 J1308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 90707/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 J1326/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 90715/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 J1335/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 90732/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 J1447/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 90744/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 J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90746/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 J1453/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 J1561/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J1568/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1569/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93306/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1570/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 93308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J1580/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1596/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93308/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93321/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1650/b
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 93325/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 J1720/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1805/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 93325/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1815/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93350/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1885/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 J1939/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93880/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1940/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 J1950/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 93922/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J1953/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 J1956/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93926/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2060/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2175/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 93978/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2182/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 J2185/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2270/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11606/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J2272/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 differ, so no cross-line comparison was made for this item
CPT 11760/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 94060/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2274/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 12034/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2312/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 J2353/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 12042/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J2354/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2371/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 13121/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J2405/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 20610/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94727/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2430/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 20610/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2470/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 20611/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 94729/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2540/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2543/b
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 20680/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT J2560/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 20900/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96380/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 J2598/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 23350/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 96381/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2690/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 23410/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 differ, so no cross-line comparison was made for this item
CPT 97110/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2704/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 23410/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97112/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2765/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 23430/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2783/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 23700/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT J2795/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 25071/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 differ, so no cross-line comparison was made for this item

Showing the first 200 of 723 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 32.3M bytes · fetched 2026-08-23 · sha256 54d3cacc94fe…

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.