Hospital · CCN 160047

Methodist Jennie Edmundson

933 East Pierce Street, Council Bluffs, IA 51503 · Pottawattamie County
Part of Methodist Health System · 127 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

41 admission types 45 outpatient services price file: ok
Billed per dollar paid, all admissions
3.17×
$36.9M billed against $11.6M paid across 1,154 Medicare discharges; the national figure is 5.03×.
3.5%
of adults in Pottawattamie County have medical debt in collections
5.7%
uninsured in the county · state 5.4%
$71K
median household income
3.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
39.1%
obesity in the countyⓘ
11.7%
diagnosed diabetes (PLACES)
7.0%
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
885
Psychoses
152
$13,001
$9,675
1.3× st 2.3×
871
Septicemia or severe sepsis without mv >96 hours with mcc
109
$45,832
$13,497
3.4× st 3.4×
280
Acute myocardial infarction, discharged alive with mcc
65
$37,127
$10,662
3.5× st 3.9×
291
Heart failure and shock with mcc
55
$27,965
$8,958
3.1× st 3.5×
177
Respiratory infections and inflammations with mcc
47
$41,785
$11,403
3.7× st 3.4×
193
Simple pneumonia and pleurisy with mcc
46
$32,304
$9,360
3.5× st 3.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
35
$19,532
$5,834
3.3× st 4.2×
189
Pulmonary edema and respiratory failure
34
$36,577
$9,100
4.0× st 3.9×
690
Kidney and urinary tract infections without mcc
34
$16,655
$5,833
2.9× st 3.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
33
$72,921
$13,003
5.6× st 5.6×
190
Chronic obstructive pulmonary disease with mcc
26
$33,444
$8,012
4.2× st 4.0×
281
Acute myocardial infarction, discharged alive with cc
26
$29,646
$7,004
4.2× st 4.8×
378
Gastrointestinal hemorrhage with cc
25
$21,134
$7,063
3.0× st 4.0×
481
Hip and femur procedures except major joint with cc
22
$43,862
$14,431
3.0× st 4.2×
603
Cellulitis without mcc
21
$13,155
$6,329
2.1× st 3.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
21
$28,258
$9,131
3.1× st 4.0×
308
Cardiac arrhythmia and conduction disorders with mcc
20
$23,438
$8,709
2.7× st 3.6×
194
Simple pneumonia and pleurisy with cc
20
$20,058
$6,044
3.3× st 3.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
20
$33,103
$7,606
4.4× st 4.9×
683
Renal failure with cc
19
$16,339
$6,554
2.5× st 3.6×
682
Renal failure with mcc
19
$26,653
$10,346
2.6× st 3.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
18
$55,041
$15,620
3.5× st 4.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
18
$114,507
$31,530
3.6× st 3.5×
689
Kidney and urinary tract infections with mcc
18
$18,591
$8,297
2.2× st 3.8×
309
Cardiac arrhythmia and conduction disorders with cc
18
$18,839
$5,319
3.5× st 3.8×
312
Syncope and collapse
18
$14,915
$6,907
2.2× st 4.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
18
$31,956
$9,182
3.5× st 3.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$26,592
$7,126
3.7× st 4.8×
389
Gastrointestinal obstruction with cc
17
$16,978
$5,853
2.9× st 4.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$16,928
$5,664
3.0× st 4.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$97,462
$20,435
4.8× st 4.8×
388
Gastrointestinal obstruction with mcc
15
$25,544
$9,913
2.6× st 4.4×
069
Transient ischemia without thrombolytic
15
$22,966
$5,895
3.9× st 5.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
14
$41,728
$15,494
2.7× st 4.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
14
$43,752
$13,475
3.2× st 4.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
13
$45,230
$15,029
3.0× st 4.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
13
$21,596
$7,364
2.9× st 3.6×
811
Red blood cell disorders with mcc
13
$25,469
$10,231
2.5× st 4.1×
377
Gastrointestinal hemorrhage with mcc
12
$27,776
$12,144
2.3× st 3.8×
698
Other kidney and urinary tract diagnoses with mcc
11
$32,744
$11,294
2.9× st 3.4×
812
Red blood cell disorders without mcc
11
$29,824
$6,597
4.5× st 4.2×
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
5191
Level 1 Endovascular Procedures
125
$20,736
$2,941
7.1×
5115
Level 5 Musculoskeletal Procedures
110
$37,753
$11,751
3.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
95
$8,256
$1,461
5.7×
8011
Comprehensive Observation Services
95
$11,876
$2,467
4.8×
5114
Level 4 Musculoskeletal Procedures
62
$28,913
$6,447
4.5×
5183
Level 3 Vascular Procedures
60
$13,061
$2,872
4.5×
5361
Level 1 Laparoscopy and Related Services
50
$24,979
$5,199
4.8×
5155
Level 5 Airway Endoscopy
47
$43,749
$6,167
7.1×
5116
Level 6 Musculoskeletal Procedures
45
$59,986
$16,085
3.7×
5153
Level 3 Airway Endoscopy
40
$4,383
$1,529
2.9×
5374
Level 4 Urology and Related Services
39
$13,524
$3,142
4.3×
5375
Level 5 Urology and Related Services
38
$18,854
$4,663
4.0×
5431
Level 1 Nerve Procedures
37
$6,354
$1,702
3.7×
5193
Level 3 Endovascular Procedures
35
$56,880
$9,906
5.7×
5302
Level 2 Upper GI Procedures
32
$7,705
$1,715
4.5×
5113
Level 3 Musculoskeletal Procedures
31
$16,366
$2,842
5.8×
5154
Level 4 Airway Endoscopy
26
$16,996
$3,374
5.0×
5223
Level 3 Pacemaker and Similar Procedures
24
$39,787
$9,616
4.1×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
23
$11,198
$2,560
4.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
21
$20,273
$2,999
6.8×
5373
Level 3 Urology and Related Services
20
$10,402
$1,835
5.7×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
19
$15,548
$3,435
4.5×
5182
Level 2 Vascular Procedures
19
$7,563
$1,443
5.2×
5192
Level 2 Endovascular Procedures
18
$27,619
$5,151
5.4×
5362
Level 2 Laparoscopy and Related Services
17
$28,821
$8,821
3.3×
5414
Level 4 Gynecologic Procedures
15
$10,528
$2,710
3.9×
5462
Level 2 Neurostimulator and Related Procedures
15
$27,743
$6,163
4.5×
5112
Level 2 Musculoskeletal Procedures
14
$8,055
$1,366
5.9×
5232
Level 2 ICD and Similar Procedures
12
$126,946
$29,558
4.3×
5222
Level 2 Pacemaker and Similar Procedures
12
$37,368
$7,148
5.2×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
11
$35,124
$5,876
6.0×
5372
Level 2 Urology and Related Services
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-02-15, template 3.0.0, 219,035 rows scanned, 5,161 distinct code–setting items kept. 6,176 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
See Image - Karius Test
$2,112
$634
$2,006
39
clean
END-Excision of rectal tumor transanal endoscopic
$8,442
$2,533
$5,065
38
clean
Sacroplasty Unilateral-CT
$7,320
$2,196
$4,941
38
clean
Sacroplasty Bilateral-CT
$7,320
$2,196
$4,941
38
clean
MSP Exam
$25,113
$7,534
$12,557
76
clean
MSP Exam
$27,576
$8,273
$16,546
76
clean
PERC LAMINO--LAMINECTOMY INDIR IMAG GUIDE LUMBAR
$5,702
$1,711
$3,706
33
clean
Myocardial Contrast Perfusion Echo at rest or w/st
$508
$152
$297
28
clean
SP Exam
$8,442
$2,533
$4,221
28
clean
SP Exam
$31,241
$9,372
$15,621
38
clean
NER-ELECTRORETINOGRAPHY (ERG) WITH INTERPRETATION
$440
$132
$220
39
clean
0569T CATH- TRICUSPID VALVE REPAIR/REPLACEMENT INT
$1,834
$550
$1,238
56
clean
SP Exam
$52,263
$15,679
$26,132
38
clean
END-EGD FLEX TRNSNL W/INSERT INTRLUM TUBE OF CATH
$5,418
$1,625
$3,251
36
clean
FNA biopsy w/o image guidance each addtl lesion
$318
$95
$185
114
clean
FINE NEEDLE ASPIRATION BX W-US GDN 1ST LESION
$5,702
$1,711
$934
117
clean
FINE NEEDLE ASPIRATION BX W-US GDN EA ADDL
$5,702
$1,711
$554
116
clean
SP Exam
$1,872
$562
$842
39
clean
CT Exam
$1,872
$562
$934
39
clean
FNA Ea Add Lesion-CT
$937
$281
$521
58
clean
MRI Exam
$1,872
$562
$897
38
clean
FNA ea add Lesion-MR
$937
$281
$469
56
clean
SP Exam
$635
$191
$409
115
clean
SP Exam
$3,004
$901
$1,406
234
clean
Soft Tissue Loc 1st Lesion
$1,759
$528
$880
78
clean
INCISION AND DRAINAGE ABSCESS SIMPLE-SINGLE
$3,753
$1,126
$270
193
clean
END-Incision and drainage abscess complicated/mult
$526
$158
$409
154
clean
INCISION AND DRAINAGE PILONIDAL CYST SIMPLE
$5,702
$1,711
$727
154
clean
INCISION AND DRAINAGE PILONIDAL CYST COMPLICATED
$5,702
$1,711
$1,478
156
clean
INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE
$3,753
$1,126
$406
193
clean
Incision/Removal Foreign Body Subq Tissue Complica
$3,548
$1,064
$1,735
76
clean
Incision and Drain Hematoma
$3,359
$1,008
$1,688
232
clean
Asp Abscess Hematoma Cyst-CT
$621
$186
$373
232
clean
Incision Drainage Complex PO Wound Infection
$8,283
$2,485
$2,925
115
clean
Debride infected skin </ 10
$926
$278
$611
76
clean
END-Debridement of skin subcutaneous tissue muscle
$3,281
$984
$1,969
29
clean
DBRDMT FXAND-DISLC SUBQ T-M-F BONE
$7,619
$2,286
$2,925
76
clean
DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM-LESS
$5,702
$1,711
$477
232
clean
DEBRIDEMENT MUSCLE AND-FASCIA 1ST 20 SQ CM-LESS TH
$5,702
$1,711
$744
154
clean
DEBRIDEMENT BONE 1ST 20 SQ CM-LESS THAN
$5,702
$1,711
$1,663
115
clean
Debridement SubQ addtl 20 sq cm
$617
$185
$370
87
clean
WC-Debride muscle and/or fascia ea addl 20 sq cm
$617
$185
$309
29
clean
WC-Debride bone ea addl 20 sq cm
$1,918
$575
$959
29
clean
Paring/Cutting Corn/Callus Single
$336
$101
$205
76
clean
WC-Paring Benign Lesion 2-4
$309
$93
$192
36
clean
WC-Paring Benign Lesion >4
$309
$93
$191
39
clean
Tangential biopsy of skin single lesion
$572
$172
$282
154
clean
Tangential biopsy of skin ea addtl lesion
$288
$86
$167
114
clean
PUNCH BIOPSY SKIN SINGLE LESION
$5,702
$1,711
$400
232
clean
Punch biopsy of skin ea addtl lesion
$288
$86
$167
114
clean
INCISIONAL BIOPSY SKIN SINGLE LESION
$5,702
$1,711
$663
193
clean
Incisional biopsy of skin ea addtl lesion
$509
$153
$296
114
clean
RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TOANDINC 15
$3,753
$1,126
$207
76
clean
Shaving Epidermal/Dermal Lesion Single Lesion Trun
$451
$135
$271
37
clean
Shaving Epidermal/Dermal Lesion Single Lesion Trun
$277
$83
$204
37
clean
Shave Skin Lesion
$277
$83
$204
37
clean
EXC B9 LESION MRGN XCP SK TG T-A-L 0.5 CM-LESS THA
$8,937
$2,681
$724
115
clean
EXC B9 LESION MRGN XCP SK TG T-A-L 0.6-1.0 CM
$8,937
$2,681
$603
115
clean
EXC B9 LESION MRGN XCP SK TG T-A-L 1.1-2.0 CM
$5,702
$1,711
$713
115
clean
EXC B9 LESION MRGN XCP SK TG T-A-L 2.1-3.0 CM
$5,702
$1,711
$1,264
78
clean
EXC B9 LESION MRGN XCP SK TG T-A-L 3.1-4.0 CM
$5,702
$1,711
$2,270
78
clean
EXC B9 LESION MRGN XCP SK TG T-A-L GREATER THAN 4.
$5,702
$1,711
$2,011
115
clean
EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.5 CM-LESS
$5,702
$1,711
$1,663
115
clean
EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 0.6-1.0CM
$3,753
$1,126
$829
115
clean
EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 1.1-2.0CM
$5,702
$1,711
$1,663
115
clean
EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 2.1-3.0CM
$5,702
$1,711
$1,919
115
clean
EXC B9 LESION MRGN XCP SK TG S-N-H-F-G 3.1-4.0CM
$5,702
$1,711
$2,270
78
clean
EXC B9 LESION MRGN XCP SK TG S-N-H-F-G GREATER THA
$5,702
$1,711
$2,968
78
clean
EXC B9 LESION MRGN XCP SK TG F-E-E-N-L-M 0.5CM-LES
$5,702
$1,711
$820
78
clean
Excision benign lesion face/ears/eyelids/nose
$1,640
$492
$738
39
clean
EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 1.1-2.0CM
$5,702
$1,711
$953
78
clean
EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 2.1-3.0CM
$5,702
$1,711
$1,684
78
clean
EXC B9 LES MRGN XCP SK TG F-E-E-N-L-M 3.1-4.0CM
$5,702
$1,711
$1,684
78
clean
Excision benign lesion face/ears/eyelids/nose
$5,250
$1,575
$2,968
39
clean
EXCISION HIDRADENITIS AXILLARY SMPL-INTRM RPR
$5,702
$1,711
$2,968
39
clean
EXCISION HIDRADENITIS INGUINAL SMPL-INTRM RPR
$3,753
$1,126
$2,627
39
clean
END-Perianal Hidradenitis Simple/Interm Closure
$5,715
$1,715
$2,968
39
clean
END-Perianal Hidradenitis Complex Closure
$5,715
$1,715
$2,968
39
clean
Excision malignant lesion trunk/arms/legs
$1,867
$560
$840
39
clean
Excision malignant lesion trunk/arms/legs
$1,640
$492
$738
39
clean
EXCISION MAL LESION TRUNK-ARM-LEG 1.1-2.0 CM
$5,702
$1,711
$562
78
clean
EXCISION MAL LESION TRUNK-ARM-LEG 2.1-3.0 CM
$5,702
$1,711
$1,024
78
clean
Excision malignant lesion trunk/arms/legs
$1,867
$560
$934
39
clean
EXCISION MALIGNANT LESION TRUNK-ARM-LEG GREATER TH
$5,702
$1,711
$1,919
117
clean
Excision malignant lesion scalp/neck/hands/feet
$1,867
$560
$1,307
39
clean
Excision malignant lesion scalp/neck/hands/feet
$1,640
$492
$738
39
clean
Excision malignant lesion scalp/neck/hands/feet
$2,048
$614
$922
39
clean
EXCISION MALIGNANT LESION S-N-H-F-G 2.1-3.0 CM
$5,702
$1,711
$1,832
78
clean
EXCISION MALIGNANT LESION S-N-H-F-G 3.1-4.0 CM
$5,702
$1,711
$2,270
78
clean
EXCISION MALIGNANT LESION S-N-H-F-G GREATER THAN 4
$5,702
$1,711
$2,968
78
clean
Excision malignant lesion face/ears/eyelids/nose/l
$1,640
$492
$738
39
clean
Excision malignant lesion face/ears/eyelids/nose/l
$999
$300
$649
39
clean
EXCISION MALIGNANT LESION F-E-E-N-L 1.1-2.0 CM
$5,702
$1,711
$854
78
clean
EXCISION MALIGNANT LESION F-E-E-N-L 2.1-3.0 CM
$5,702
$1,711
$1,684
78
clean
EXCISION MALIGNANT LESION F-E-E-N-L 3.1-4.0 CM
$5,702
$1,711
$2,270
78
clean
EXCISION MALIGNANT LESION F-E-E-N-L GREATER THAN 4
$5,702
$1,711
$2,968
78
clean
Trimming Nondystrophic Nails Any Number
$119
$36
$60
76
clean
Debridement Nails Any Method 1-5
$186
$56
$94
76
clean
Debridement of nails 6 or more
$213
$64
$108
76
clean
AVULSION NAIL PLATE PARTIAL-COMPLETE SIMPLE 1
$7,619
$2,286
$252
154
clean
Avulsion Nail Plate Partial or Complete Simple Eac
$213
$64
$128
56
clean
Evacuation Subungual Hematoma
$340
$102
$156
37
clean
EXCISION NAILANDNAIL MATRIX PRTL-COMPL PERM RMVL
$3,753
$1,126
$545
115
clean
WC-Biopsy of Nail Unit (wd)
$1,184
$355
$710
39
clean
REPAIR NAIL BED
$7,619
$2,286
$744
76
clean
Wedge Excision Skin Nail Fold (Ingrown Nail)
$953
$286
$415
37
clean
EXCISION PILONIDAL CYST-SINUS SIMPLE
$5,702
$1,711
$2,968
78
clean
EXCISION PILONIDAL CYST-SINUS EXTENSIVE
$5,702
$1,711
$2,968
78
clean
EXCISION PILONIDAL CYST-SINUS COMPLICATED
$5,702
$1,711
$3,421
78
clean
F 11900 Injection Intralesional </ 7 Lesions
$579
$174
$261
37
clean
REPLACEMENT TISSUE EXPANDER W-PERMANENT IMPLANT
$5,702
$1,711
$3,991
39
clean
INSERTION DRUG DELIVERY IMPLANT
$5,702
$1,711
$1,128
39
clean
REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
$5,702
$1,711
$450
115
clean
Remove/reinsert non-bio drug deliv implant
$879
$264
$456
39
clean
SIMPLE REPAIR SCALP-NECK-AX-GENIT-TRUNK 2.5CM-LESS
$7,619
$2,286
$299
271
clean
Repair Simple Wound Scalp Neck Axillae External Ge
$451
$135
$241
154
clean
Repair Simple Wound Scalp Neck Axillae External Ge
$294
$88
$205
37
clean
Repair Simple Wound Scalp Neck Axillae External Ge
$953
$286
$438
37
clean
Repair Simple Wound Scalp Neck Axillae External Ge
$396
$119
$396
37
clean
Repair Simple Wound Scalp Neck Axillae External Ge
$294
$88
$205
37
clean
Simple repair face ear eyelid nose lip
$270
$81
$205
76
clean
Repair Simple Wound Face Ears Eyelids Nose Lips Mu
$329
$99
$205
37
clean
Repair Simple Wound Face Ears Eyelids Nose Lips Mu
$349
$105
$209
37
clean
Simple repair of superficial wounds 7.6-12.5 cm
$367
$110
$220
37
clean
Repair Simple Wound Face Ears Eyelids Nose Lips Mu
$671
$201
$415
37
clean
Repair Simple Wound Face Ears Eyelids Nose Lips Mu
$953
$286
$438
37
clean
Repair Simple Wound Face Ears Eyelids Nose Lips Mu
$294
$88
$205
37
clean
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE
$5,702
$1,711
$771
154
clean
Treatment Superficial Wound Dehiscence w/Packing
$3,346
$1,004
$908
37
clean
REPAIR INTERMEDIATE S-A-T-E 2.5 CM-LESS THAN
$5,702
$1,711
$498
115
clean
REPAIR INTERMEDIATE S-A-T-E 2.6-7.5 CM
$5,702
$1,711
$576
115
clean
REPAIR INTERMEDIATE S-A-T-E 7.6-12.5 CM
$5,702
$1,711
$640
115
clean
Repair intermediate wound scalp/axillae/trunk
$735
$221
$674
76
clean
Repair intermediate wound scalp/axillae/trunk
$735
$221
$744
76
clean
Repair intermediate wound scalp/axillae/trunk
$3,965
$1,190
$2,078
76
clean
Repair intermediate wound neck/hands/feet/genitali
$702
$211
$434
76
clean
REPAIR INTERMEDIATE N-H-F-XTRNL GENT 2.6-7.5 CM
$5,702
$1,711
$586
115
clean
Repair intermediate wound neck/hands/feet/genitali
$1,434
$430
$807
76
clean
Repair intermediate wound neck/hands/feet/genitali
$735
$221
$744
76
clean
Repair intermediate wound neck/hands/feet/genitali
$735
$221
$744
76
clean
Repair intermediate wound neck/hands/feet/genitali
$3,014
$904
$1,808
76
clean
REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 2.5 CM-LESS T
$5,702
$1,711
$542
115
clean
Repair intermediate wound face/ears/eyelids/nose
$735
$221
$441
76
clean
Repair intermediate wound face/ears/eyelids/nose
$735
$221
$441
76
clean
REPAIR INTERMEDIATE F-E-E-N-LAND-MUC 7.6-12.5 CM
$5,702
$1,711
$746
115
clean
Repair intermediate wound face/ears/eyelids/nose
$735
$221
$468
76
clean
Repair intermediate wound face/ears/eyelids/nose
$735
$221
$468
76
clean
Repair intermediate wound face/ears/eyelids/nose
$735
$221
$468
76
clean
REPAIR COMPLEX TRUNK 1.1-2.5 CM
$8,937
$2,681
$752
115
clean
REPAIR COMPLEX TRUNK 2.6-7.5 CM
$3,753
$1,126
$755
115
clean
REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM-LESS THA
$3,753
$1,126
$633
58
clean
Repair complex scalp/arms/legs
$735
$221
$714
76
clean
REPAIR COMPLEX SCALP-ARM-LEG 2.6-7.5 CM
$5,702
$1,711
$755
115
clean
Repair complex scalp/arms/legs
$270
$81
$311
56
clean
REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 1.1-2.5 CM
$7,619
$2,286
$663
115
clean
REPAIR COMPLEX F-C-C-M-N-AX-G-H-F 2.6-7.5 CM
$7,619
$2,286
$809
115
clean
Repair complex forehead/cheeks/chin/mouth/neck
$735
$221
$441
56
clean
REPAIR COMPLEX EYELID-NOSE-EAR-LIP 1.1-2.5 CM
$5,702
$1,711
$755
115
clean
REPAIR COMPLEX EYELID-NOSE-EAR-LIP 2.6-7.5 CM
$5,702
$1,711
$942
115
clean
Repair complex eyelids/nose/ears/lips
$735
$221
$441
56
clean
SECONDARY CLOSURE SURG WOUND-DEHSN XTNSV-COMP
$5,702
$1,711
$2,444
78
clean
ADJT TIS TRNSFR-REARGMT SCALP-ARM-LEG 10 SQ CM-LES
$5,702
$1,711
$2,566
39
clean
ADJT TIS TRNS-REARGMT F-C-C-M-N-A-G-H-F 10SQCM-LES
$5,702
$1,711
$2,098
76
clean
ADJT-REARGMT F-C-C-M-N-AX-G-H-F 10.1-30.0 SQ CM
$5,702
$1,711
$2,366
78
clean
ADJT TIS TRNSFR-REARRGMT E-N-E-L DFCT 10 SQ CM-LES
$5,702
$1,711
$2,177
76
clean
ADJT TIS REARGMT EYE-NOSE-EAR-LIP 10.1-30.0 SQCM
$5,702
$1,711
$2,566
39
clean
ADJNT TIS TRNSFR-REARGMT ANY AREA 30.1-60 SQ CM
$5,702
$1,711
$3,421
39
clean
ADJT TIS TRNSFR-REARGMT DEFEC EA ADDL 30 SQCM
$5,702
$1,711
$2,623
29
clean
PREP SITE TRUNK-ARM-LEG 1ST 100 SQ CM-1PCT
$7,619
$2,286
$2,108
78
clean
PREP SITE TRUNK-ARM-LEG ADDL 100 SQ CM-1PCT
$7,619
$2,286
$972
58
clean
WC-Graft Prep other than trunk first 100 sq cm (fa
$1,081
$324
$755
39
clean
WC-Graft Prep other than trunk each addl 100sq cm
$1,317
$395
$790
29
clean
Pinch Graft Single or Multiple 2cm or <
$1,349
$405
$809
37
clean
SPLT AGRFT T-A-L 1ST 100 SQCM-LESS THAN -1PERCENT
$5,702
$1,711
$2,566
39
clean
SPLT AGRFT F-S-N-H-F-G-M-DGT 1ST 100 SQCM-LESS THA
$5,702
$1,711
$3,421
39
clean
FTH-GFT FREE W-DIRECT CLOSURE S-A-L 20 SQ CM-LESS
$5,702
$1,711
$2,566
39
clean
FTH-GFT FR W-DIR CLSR S-A-L EA ADDL 20 SQ CM
$5,702
$1,711
$2,623
29
clean
FTH-GFT FR DIR CLSR F-C-C-M-N-AX-G-H-F 20SQCM-LESS
$5,702
$1,711
$2,138
76
clean
FTH-GFT FREE W-DIRECT CLOSURE N-E-E-L 20 SQ CM-LES
$5,702
$1,711
$2,566
39
clean
APP SKN SUB GRFT T-A-L AREA-100SQ CM -LESS THAN 1S
$7,619
$2,286
$2,078
117
clean
APP SKN SUB GRFT T-A-L AREA-100SQ CM EA ADL 25SC
$7,619
$2,286
$172
58
clean
APP SKN SUBGRFT T-A-L AREA-100SQ CM 1ST 100SQ CM
$7,619
$2,286
$3,467
78
clean
APP SKN SUB GRFT T-A-L AREAGREATER THAN 100SCM AD
$7,619
$2,286
$467
58
clean
SUB GRFT F-S-N-H-F-G-M-D LESS THAN 100SQ CM 1ST 25
$5,702
$1,711
$2,078
117
clean
WC-Apply Skin Subst Head/Neck/Face/Digits/Genitali
$283
$85
$142
29
clean
WC-Apply Skin Subst Head/Neck/Face/Digits/Genitali
$4,659
$1,398
$2,108
39
clean
WC-Apply Skin Subst Head/Neck/Face/Digits/Genitali
$766
$230
$383
29
clean
Formation direct or tubed pedicle w or w/o transfe
$4,480
$1,344
$2,119
39
clean
DELAY FLAP-SCTJ FLAP EYELIDS NOSE EARS-LIPS
$7,619
$2,286
$2,999
39
clean
FOREHEAD FLAP W-PRESERVATION VASCULAR PEDICLE
$7,619
$2,286
$3,621
39
clean
Muscle myocutaneous or fasciocutaneous flap head a
$8,677
$2,603
$3,991
39
clean
MUSC MYOCUTANEOUS-FASCIOCUTANEOUS FLAP TRUNK
$8,937
$2,681
$4,022
39
clean
IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT
$7,619
$2,286
$3,429
29
clean
WC-Abrasion single lesion
$213
$64
$202
39
clean
WC-Abrasion - four lesions or less
$213
$64
$109
29
clean
EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY
$7,619
$2,286
$4,584
39
clean
EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA
$5,702
$1,711
$2,954
39
clean
IV INJECTION AGENT TEST VASCULAR FLOW FLAP-GRAFT
$7,619
$2,286
$933
39
clean
First Degree Burn Initial Treatment
$336
$101
$202
37
clean
Dressing/Debridement Partial Thickness Burns Initi
$486
$146
$219
76
clean

Showing the first 200 of 5,161 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,784 of 2,947 comparable items (61%) 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 $1,301 exceeds the gross charge $438
warn
mrf_rate_without_estimate
772 of 772 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 12034/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 21930/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27830/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 30420/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37259/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43246/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 45341/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64417/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 72198/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 76828/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80202/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83916/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86706/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 89050/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96570/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6443/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 G0296/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7297/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT P9057/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, min, max differ, so no cross-line comparison was made for this item
CPT 12035/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 21931/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 26145/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35081/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37260/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49651/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57295/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64418/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 72200/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76830/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 83921/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 86707/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93613/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96571/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6446/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 G0378/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 J7298/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT P9059/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 12036/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 26160/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27840/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 30465/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35206/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 37263/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43247/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45342/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64420/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 72202/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76831/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80203/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83930/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86708/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 89051/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6451/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 J7300/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT P9073/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 12037/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 21933/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27842/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35207/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37265/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49659/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57300/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64421/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 72220/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76856/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 80204/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83935/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86709/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93619/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96900/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6456/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0379/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7301/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q0144/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 12041/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26236/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 30469/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35226/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 37267/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43248/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45346/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49999/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 72240/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76857/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 80230/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83945/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86735/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 89055/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6457/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, min, max differ, so no cross-line comparison was made for this item
CPT G0390/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7307/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q0161/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12042/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 22310/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26356/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27870/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37269/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57410/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64425/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72255/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76870/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 80235/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83970/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93620/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 97010/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6504/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT G0455/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 Q0162/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12044/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 22510/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 30520/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35302/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43249/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45347/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50200/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57420/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 64430/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, min, max differ, so no cross-line comparison was made for this item
CPT 72265/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76872/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 86738/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 89060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93621/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A6530/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, min, max differ, so no cross-line comparison was made for this item
CPT J7308/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q0163/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 12045/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 22511/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26357/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27871/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 30560/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37270/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57421/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72270/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76873/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80285/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83986/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86747/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 97012/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6532/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0463/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7315/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q0164/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12046/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 22512/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26410/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 35351/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37271/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43250/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45349/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50382/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64435/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76882/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 83992/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86753/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 89125/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93623/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6533/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 J7318/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q0169/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12047/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 22513/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 26418/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 27884/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 30630/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50384/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 57425/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64445/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 72285/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 76885/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80299/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 83993/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86757/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97014/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6536/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0480/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J7323/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q0173/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12051/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 22514/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 30801/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35371/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37272/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43251/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45350/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50386/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 57454/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64447/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, min, max differ, so no cross-line comparison was made for this item
CPT 80307/o
info
mrf_item_fields_vary
this code and setting cover at least 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 84060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86762/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 89190/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 93624/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6545/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G0482/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 Q0175/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12052/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 22515/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 26437/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 6,176 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 98.4M bytes · fetched 2026-08-24 · sha256 752d8c2ff1a6…

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.