Hospital · CCN 160083

Mercyone Des Moines Medical Center

1111 6th Ave, Des Moines, IA 50314 · Polk County
Part of Trinity Health · 591 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

142 admission types 61 outpatient services price file: ok
Billed per dollar paid, all admissions
5.16×
$442.1M billed against $85.6M paid across 5,130 Medicare discharges; the national figure is 5.03×.
2.5%
of adults in Polk County have medical debt in collections
5.5%
uninsured in the county · state 5.4%
$80K
median household income
4.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
37.0%
obesity in the countyⓘ
10.1%
diagnosed diabetes (PLACES)
5.5%
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
529
$75,365
$14,172
5.3× st 3.4×
291
Heart failure and shock with mcc
241
$53,687
$9,536
5.6× st 3.5×
274
Percutaneous and other intracardiac procedures without mcc
169
$78,695
$22,026
3.6× st 4.0×
193
Simple pneumonia and pleurisy with mcc
114
$50,306
$9,536
5.3× st 3.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
101
$142,690
$33,174
4.3× st 4.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
101
$77,001
$14,180
5.4× st 4.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
88
$51,450
$7,642
6.7× st 4.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
88
$194,653
$37,012
5.3× st 3.5×
189
Pulmonary edema and respiratory failure
85
$54,129
$9,259
5.8× st 3.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
82
$96,030
$13,383
7.2× st 5.6×
177
Respiratory infections and inflammations with mcc
79
$71,686
$12,324
5.8× st 3.4×
481
Hip and femur procedures except major joint with cc
73
$84,293
$14,388
5.9× st 4.2×
378
Gastrointestinal hemorrhage with cc
73
$51,357
$7,309
7.0× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
68
$46,913
$7,618
6.2× st 3.6×
690
Kidney and urinary tract infections without mcc
64
$38,059
$5,908
6.4× st 3.9×
235
Coronary bypass without cardiac catheterization with mcc
64
$195,506
$41,006
4.8× st 4.1×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
63
$272,872
$58,097
4.7× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
56
$64,552
$10,829
6.0× st 4.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
55
$38,856
$5,968
6.5× st 4.2×
280
Acute myocardial infarction, discharged alive with mcc
55
$73,237
$12,017
6.1× st 3.9×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
53
$274,388
$54,558
5.0× st 4.4×
309
Cardiac arrhythmia and conduction disorders with cc
52
$29,194
$5,865
5.0× st 3.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
51
$76,349
$15,220
5.0× st 4.1×
308
Cardiac arrhythmia and conduction disorders with mcc
51
$49,326
$9,319
5.3× st 3.6×
552
Medical back problems without mcc
50
$37,422
$7,187
5.2× st 3.9×
682
Renal failure with mcc
47
$63,769
$10,800
5.9× st 3.6×
377
Gastrointestinal hemorrhage with mcc
45
$79,546
$12,685
6.3× st 3.8×
312
Syncope and collapse
45
$44,841
$6,488
6.9× st 4.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
45
$181,350
$41,598
4.4× st 4.2×
603
Cellulitis without mcc
44
$33,013
$6,494
5.1× st 3.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
43
$105,836
$15,895
6.7× st 4.3×
480
Hip and femur procedures except major joint with mcc
42
$109,964
$21,722
5.1× st 3.9×
689
Kidney and urinary tract infections with mcc
42
$44,859
$8,924
5.0× st 3.8×
190
Chronic obstructive pulmonary disease with mcc
41
$49,057
$7,752
6.3× st 4.0×
236
Coronary bypass without cardiac catheterization without mcc
40
$161,232
$28,133
5.7× st 5.1×
039
Extracranial procedures without cc/mcc
39
$48,808
$8,169
6.0× st 5.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
39
$114,149
$21,138
5.4× st 3.9×
163
Major chest procedures with mcc
37
$116,179
$32,537
3.6× st 3.4×
698
Other kidney and urinary tract diagnoses with mcc
37
$76,700
$13,509
5.7× st 3.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
36
$116,100
$20,883
5.6× st 4.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
36
$60,835
$13,122
4.6× st 4.2×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
36
$36,964
$9,317
4.0× st 3.5×
683
Renal failure with cc
36
$41,715
$7,131
5.9× st 3.6×
281
Acute myocardial infarction, discharged alive with cc
36
$46,177
$6,685
6.9× st 4.8×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
35
$132,315
$38,791
3.4× st 4.0×
092
Other disorders of nervous system with cc
34
$46,149
$7,418
6.2× st 5.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
33
$40,105
$6,008
6.7× st 4.0×
483
Major joint or limb reattachment procedures of upper extremities
31
$75,388
$17,273
4.4× st 4.7×
330
Major small and large bowel procedures with cc
31
$75,239
$16,063
4.7× st 3.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
30
$51,242
$9,527
5.4× st 3.8×
331
Major small and large bowel procedures without cc/mcc
29
$59,418
$12,645
4.7× st 4.0×
025
Craniotomy and endovascular intracranial procedures with mcc
29
$186,244
$32,736
5.7× st 3.9×
521
Hip replacement with principal diagnosis of hip fracture with mcc
28
$72,791
$19,832
3.7× st 3.7×
194
Simple pneumonia and pleurisy with cc
28
$35,433
$6,032
5.9× st 3.9×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
28
$185,808
$36,708
5.1× st 4.3×
329
Major small and large bowel procedures with mcc
27
$219,463
$36,142
6.1× st 3.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
27
$20,305
$4,214
4.8× st 4.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
26
$56,121
$7,823
7.2× st 4.9×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
26
$94,500
$16,955
5.6× st 5.1×
091
Other disorders of nervous system with mcc
26
$78,097
$12,964
6.0× st 4.7×
314
Other circulatory system diagnoses with mcc
26
$61,009
$14,410
4.2× st 3.7×
460
Spinal fusion except cervical without mcc
26
$148,313
$24,793
6.0× st 4.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
26
$70,914
$13,556
5.2× st 3.6×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
25
$37,603
$6,702
5.6× st 5.6×
175
Pulmonary embolism with mcc or acute cor pulmonale
24
$53,840
$10,153
5.3× st 3.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
24
$81,243
$11,711
6.9× st 5.3×
069
Transient ischemia without thrombolytic
24
$41,294
$5,936
7.0× st 5.3×
243
Permanent cardiac pacemaker implant with cc
24
$80,640
$15,920
5.1× st 4.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
24
$96,751
$29,266
3.3× st 4.0×
270
Other major cardiovascular procedures with mcc
23
$207,183
$37,231
5.6× st 4.7×
467
Revision of hip or knee replacement with cc
23
$85,535
$23,816
3.6× st 4.2×
389
Gastrointestinal obstruction with cc
23
$32,831
$6,098
5.4× st 4.1×
184
Major chest trauma with cc
23
$73,563
$8,020
9.2× st 6.0×
100
Seizures with mcc
23
$58,570
$13,979
4.2× st 4.7×
472
Cervical spinal fusion with cc
22
$110,474
$21,192
5.2× st 4.6×
242
Permanent cardiac pacemaker implant with mcc
22
$134,965
$26,781
5.0× st 3.8×
536
Fractures of hip and pelvis without mcc
21
$44,866
$5,874
7.6× st 4.3×
253
Other vascular procedures with cc
21
$115,861
$18,521
6.3× st 5.3×
811
Red blood cell disorders with mcc
21
$62,535
$10,246
6.1× st 4.1×
870
Septicemia or severe sepsis with mv >96 hours
21
$295,072
$51,776
5.7× st 4.6×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
21
$43,463
$5,506
7.9× st 5.8×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
21
$234,295
$44,336
5.3× st 4.2×
038
Extracranial procedures with cc
21
$51,566
$11,503
4.5× st 4.5×
282
Acute myocardial infarction, discharged alive without cc/mcc
21
$42,700
$5,689
7.5× st 6.2×
315
Other circulatory system diagnoses with cc
20
$50,952
$7,029
7.2× st 6.1×
183
Major chest trauma with mcc
20
$85,220
$12,842
6.6× st 4.9×
551
Medical back problems with mcc
20
$60,841
$10,867
5.6× st 4.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
19
$44,631
$6,518
6.8× st 4.0×
165
Major chest procedures without cc/mcc
19
$68,009
$14,608
4.7× st 4.3×
374
Digestive malignancy with mcc
18
$77,470
$13,346
5.8× st 4.7×
371
Major gastrointestinal disorders and peritoneal infections with mcc
18
$64,930
$12,377
5.2× st 3.8×
812
Red blood cell disorders without mcc
18
$47,720
$6,334
7.5× st 4.2×
638
Diabetes with cc
17
$45,986
$6,188
7.4× st 4.2×
083
Traumatic stupor and coma >1 hour with cc
17
$60,971
$10,164
6.0× st 4.6×
086
Traumatic stupor and coma <1 hour with cc
17
$48,556
$9,476
5.1× st 4.5×
390
Gastrointestinal obstruction without cc/mcc
17
$22,681
$4,315
5.3× st 4.7×
300
Peripheral vascular disorders with cc
17
$62,041
$7,735
8.0× st 5.6×
186
Pleural effusion with mcc
17
$85,609
$12,945
6.6× st 5.4×
372
Major gastrointestinal disorders and peritoneal infections with cc
17
$41,300
$7,490
5.5× st 3.8×
388
Gastrointestinal obstruction with mcc
17
$68,742
$10,221
6.7× st 4.4×
948
Signs and symptoms without mcc
16
$36,633
$6,233
5.9× st 4.2×
082
Traumatic stupor and coma >1 hour with mcc
16
$82,454
$16,717
4.9× st 4.3×
637
Diabetes with mcc
16
$52,525
$10,477
5.0× st 4.1×
602
Cellulitis with mcc
16
$51,071
$11,356
4.5× st 4.2×
180
Respiratory neoplasms with mcc
16
$83,824
$12,694
6.6× st 5.1×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
15
$585,398
$151,221
3.9× st 3.6×
813
Coagulation disorders
15
$74,679
$11,635
6.4× st 3.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
15
$36,513
$6,188
5.9× st 3.2×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
15
$68,525
$13,511
5.1× st 5.1×
056
Degenerative nervous system disorders with mcc
14
$94,269
$18,148
5.2× st 4.0×
178
Respiratory infections and inflammations with cc
14
$38,818
$6,859
5.7× st 3.7×
164
Major chest procedures with cc
14
$81,745
$18,429
4.4× st 4.1×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
14
$91,080
$27,137
3.4× st 4.1×
444
Disorders of the biliary tract with mcc
14
$66,846
$12,349
5.4× st 4.7×
229
Other cardiothoracic procedures without mcc
14
$113,981
$21,881
5.2× st 5.2×
221
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
13
$163,142
$32,570
5.0× st 5.0×
244
Permanent cardiac pacemaker implant without cc/mcc
13
$69,184
$12,874
5.4× st 4.9×
840
Lymphoma and non-acute leukemia with mcc
13
$141,219
$23,747
5.9× st 4.6×
394
Other digestive system diagnoses with cc
13
$33,301
$6,847
4.9× st 3.6×
252
Other vascular procedures with mcc
13
$189,095
$31,098
6.1× st 5.8×
254
Other vascular procedures without cc/mcc
13
$69,903
$12,825
5.5× st 5.4×
660
Kidney and ureter procedures for non-neoplasm with cc
13
$53,661
$9,550
5.6× st 4.0×
272
Other major cardiovascular procedures without cc/mcc
13
$115,055
$18,803
6.1× st 7.2×
271
Other major cardiovascular procedures with cc
13
$102,335
$28,054
3.6× st 5.1×
176
Pulmonary embolism without mcc
13
$42,681
$5,954
7.2× st 4.1×
101
Seizures without mcc
13
$44,202
$6,559
6.7× st 4.5×
884
Organic disturbances and intellectual disability
13
$58,521
$11,401
5.1× st 3.5×
919
Complications of treatment with mcc
12
$76,241
$13,277
5.7× st 3.7×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
12
$132,859
$28,418
4.7× st 4.6×
454
Combined anterior and posterior spinal fusion with cc
12
$172,968
$41,399
4.2× st 3.1×
317
Concomitant left atrial appendage closure and cardiac ablation
12
$125,415
$42,984
2.9× st 2.9×
087
Traumatic stupor and coma <1 hour without cc/mcc
12
$39,456
$6,662
5.9× st 5.4×
445
Disorders of the biliary tract with cc
12
$69,570
$7,992
8.7× st 5.1×
375
Digestive malignancy with cc
12
$45,067
$8,874
5.1× st 5.1×
166
Other respiratory system o.r. procedures with mcc
12
$119,047
$29,094
4.1× st 4.1×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
11
$327,895
$69,398
4.7× st 4.7×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
11
$142,700
$22,157
6.4× st 5.4×
438
Disorders of pancreas except malignancy with mcc
11
$73,478
$13,076
5.6× st 6.9×
446
Disorders of the biliary tract without cc/mcc
11
$61,116
$6,461
9.5× st 9.5×
326
Stomach, esophageal and duodenal procedures with mcc
11
$224,021
$38,077
5.9× st 4.5×
199
Pneumothorax with mcc
11
$63,667
$14,244
4.5× st 4.4×
054
Nervous system neoplasms with mcc
11
$60,177
$11,967
5.0× st 5.6×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
701
$26,390
$2,315
11.4×
5115
Level 5 Musculoskeletal Procedures
499
$47,350
$11,168
4.2×
5191
Level 1 Endovascular Procedures
408
$24,124
$2,766
8.7×
5213
Level 3 Electrophysiologic Procedures
303
$82,511
$20,021
4.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
249
$10,086
$1,374
7.3×
5116
Level 6 Musculoskeletal Procedures
195
$118,786
$15,698
7.6×
5183
Level 3 Vascular Procedures
193
$19,778
$2,715
7.3×
5375
Level 5 Urology and Related Services
186
$25,925
$4,351
6.0×
5374
Level 4 Urology and Related Services
176
$25,052
$2,956
8.5×
5361
Level 1 Laparoscopy and Related Services
171
$30,808
$4,845
6.4×
5431
Level 1 Nerve Procedures
153
$16,340
$1,652
9.9×
5302
Level 2 Upper GI Procedures
151
$18,263
$1,619
11.3×
5114
Level 4 Musculoskeletal Procedures
142
$38,321
$6,085
6.3×
5223
Level 3 Pacemaker and Similar Procedures
137
$46,938
$9,130
5.1×
5193
Level 3 Endovascular Procedures
125
$56,319
$9,343
6.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
123
$21,148
$2,371
8.9×
5155
Level 5 Airway Endoscopy
113
$48,951
$5,772
8.5×
5373
Level 3 Urology and Related Services
88
$12,075
$1,742
6.9×
5194
Level 4 Endovascular Procedures
88
$70,594
$14,972
4.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
88
$44,009
$5,528
8.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
87
$17,730
$2,905
6.1×
5192
Level 2 Endovascular Procedures
83
$32,200
$4,796
6.7×
5362
Level 2 Laparoscopy and Related Services
75
$58,040
$8,802
6.6×
5165
Level 5 ENT Procedures
74
$31,216
$4,922
6.3×
5222
Level 2 Pacemaker and Similar Procedures
68
$33,020
$7,267
4.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
67
$28,092
$3,222
8.7×
5182
Level 2 Vascular Procedures
62
$7,143
$1,335
5.4×
5232
Level 2 ICD and Similar Procedures
60
$96,562
$26,739
3.6×
5184
Level 4 Vascular Procedures
59
$14,311
$4,637
3.1×
5154
Level 4 Airway Endoscopy
56
$21,120
$3,158
6.7×
5113
Level 3 Musculoskeletal Procedures
52
$13,536
$2,520
5.4×
5224
Level 4 Pacemaker and Similar Procedures
34
$66,475
$16,633
4.0×
5112
Level 2 Musculoskeletal Procedures
27
$11,905
$1,375
8.7×
5303
Level 3 Upper GI Procedures
24
$25,783
$3,276
7.9×
5464
Level 4 Neurostimulator and Related Procedures
20
$76,740
$18,669
4.1×
5415
Level 5 Gynecologic Procedures
19
$35,779
$4,255
8.4×
5163
Level 3 ENT Procedures
19
$11,120
$1,201
9.3×
5414
Level 4 Gynecologic Procedures
18
$17,131
$2,674
6.4×
5166
Cochlear Implant Procedure
17
$105,676
$28,602
3.7×
5231
Level 1 ICD and Similar Procedures
17
$96,504
$20,114
4.8×
5313
Level 3 Lower GI Procedures
17
$16,992
$2,402
7.1×
5164
Level 4 ENT Procedures
14
$18,132
$2,754
6.6×
5153
Level 3 Airway Endoscopy
14
$12,644
$1,452
8.7×
5200
Implantation Wireless PA Pressure Monitor
13
$152,699
$24,794
6.2×
5465
Level 5 Neurostimulator and Related Procedures
12
$96,462
$25,889
3.7×
5416
Level 6 Gynecologic Procedures
11
$50,756
$6,464
7.9×
5471
Implantation of Drug Infusion Device
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via mercyone.org/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-03-31, template 3.0.0, 4,921,128 rows scanned, 5,598 distinct code–setting items kept. 2,316 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)
$604
$393
$384
43
clean
PR Anes Procedures on External Middle & Inner Ear Incl Bx Nos
—
$756
$756
233
clean
HC Mayo Analysis Gene Jak2 Targeted Sequence Exons 12-15
$392
$255
$136
43
clean
HC Mayo Targeted Sequence Analysis Drug Metabolism Adverse Drug Reactions and Response
$1,200
$780
$735
43
clean
HC Mayo Gene Analysis Tpmt Nudt15 Comment Variants
$1,390
$904
$482
43
clean
HC Computed Tomography Cerebral Perfusion W/Contrast
$3,826
$2,487
$1,328
36
clean
HC Mayo Rmpu Immunoglobulin Paraprotein Ql Immunoprecip Mass Spectrometry Blood Urine Incl Isotype
$328
$213
$114
86
clean
PR Anesthesia for All Closed Procedures Involving Hip Joint
—
$630
$630
233
clean
HC External Infectious Disease Microbial Cell-Free Dna Plasma Untargeted Next-Generation Sequencing
$1,815
$1,180
$1,180
43
clean
PR Exc Rectal Tumor Transanal Endo Microsurg Appr Incl Muscularis Propria
—
$33,060
$5,210
622
clean
PR Anesthesia for Non-Invasive Imaging/Radiation Therapy
—
$1,134
$1,134
233
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
—
$5,531
$217
87
clean
HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2.1)
$541
$352
$378
46
clean
HC Infectious Disease Pathogen Specific Rna Sars-Cov-2/Inf a&B/Rsv Upper Resp Spec Detected or Not
$458
$298
$159
39
clean
HC Implantation or Replacement Carotid Sinus Baroreflex Activation Device Pulse Generator Only
$8,575
$5,574
$2,976
36
clean
PR Implantation/Repl Carotid Sinus Baroreflex Activation Device Pg Only
—
$629
$629
777
clean
PR I-Dev Eval Carotid Sinus Baroreflex Act System Telemetric Iterative Comm
—
$218
$218
777
clean
HC Interrogation Device Evaluation Carotid Sinus Baroreflex Activation Sys in Person
$436
$283
$151
36
clean
HC Interrogation Device Evaluation Carotid Sinus Baroreflex Activation Sys in Person W/Programming
$436
$283
$151
36
clean
HC Laminotomy/Laminectomy Lumbar Percutaneous Single or Multiple Levels Uni/Bil
$15,513
$10,083
$5,383
36
clean
HC Denervation Transcatheter Renal Sympathetic Bilat
$15,994
$10,396
$5,815
107
clean
HC Insertion/Replacement Cardiac Modulation System Pulse Generator With Transvenous Electrodes
—
$118,323
$32,069
80
clean
HC Insertion/Replacement Cardiac Modulation System Pulse Generator With Transvenous Electrodes
$64,765
$42,097
$32,069
107
clean
HC Programming Device Evaluation Iterative Adj Implantable Cardiac Contractility Modulation System
$110
$72
$38
110
clean
HC Interrogation Device Evaluation Analysis Implantable Cardiac Contractility Modulation System
$104
$68
$38
110
clean
HC Echocardiography Myocardial Contrast Perfusion Rest or Stress for Asmt Myo Isch or Viability
$1,360
$884
$472
31
clean
HC Creation Subcutaneous Pocket W/Insertion Implantable Interstitial Glucose Sensor Incl Actv&Pt Trn
$9,752
$6,339
$3,384
28
clean
HC Removal Implantable Interstitial Glucose Sensor From Subcutaneous Pocket via Incision
$596
$387
$207
28
clean
HC Removal Implantable Interstitial Glucose Sensor W/Create Subq Pocket Diff Site&Ins New Imp Sensor
$9,752
$6,339
$3,384
28
clean
HC Insertion/Replacement Icds W/Substernal Electrode
$25,390
$16,504
$32,069
107
clean
PR Insert/Repl Icd Sys W Substrnl Eltrd Incl All Imgng Guid & Ep Eval
—
$17,658
$17,658
538
clean
HC Programming Device Evaluation Icd System Substenal Electrode in Person Anyls Rvw Rpt Phys/Qhp
$112
$73
$173
652
clean
HC Interrogation Device Evaluation Icd System Substernal Electrode in Person Anyls Rvw Rpt Phy/Qhp
$108
$70
$38
110
clean
PR I-Dev Eval < 90 Days Substrnl Lead Aicd Sys W/ Interim Anlys/Review/Rpt
$92
$92
$92
538
clean
HC Auto Quant & Characterization Coronary Athrsclrtc Plaque Comp Ccta Anlys W/Interpretation/Report
$900
$585
$312
31
clean
HC Auto Quant & Characterization Coronary Athrsclrtc Plaque Comp Ccta Analysis W/Data Prep & Transm
$900
$585
$312
31
clean
HC Auto Quantification & Characterization Coronary Atherosclerotic Plaque Computerized Ccta Analysis
$3,481
$2,263
$1,208
31
clean
HC Ultrasound Tissue Characterization Quantitative W/Diagnostic Ultrasound Exam Same Anatomy
$670
$436
$232
28
clean
HC Insertion Transcath Perm Dual-Chamber Leadless Pacer Complete System
$38,988
$25,342
$19,679
107
clean
HC Programming Device Evaluation Iterative Adj Leadless Pacemaker Phys/Qhp
$113
$73
$38
107
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion
$2,785
$1,810
$29
893
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance 1st Lesion|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA
—
$2,794
$723
166
clean
HC Aspiration Fine Needle (Fna) Biopsy W/Ultrasound Guidance Each Additional Lesion
$725
$471
$39
808
clean
PR Aspiration Fine Needle (Fna) Biopsy W/Fluoroscopic Guidance 1st Lesion
—
$23,926
$7,210
83
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance 1st Lesion
$2,785
$1,810
$723
110
clean
HC Aspiration Fine Needle (Fna) Biopsy W/CT Guidance Each Additional Lesion
$195
$127
$68
28
clean
HC Aspiration Fine Needle (Fna) Biopsy W/MRI Guidance Each Additional Lesion
$557
$362
$193
28
clean
PR Aspiration Fine Needle (Fna) W/Biopsy W/O Imaging Guidance
—
$297
$23
778
clean
HC Aspiration Fine Needle (Fna) W/Biopsy W/O Imaging Guidance 1st Lesion
$780
$507
$415
110
clean
HC Drainage by Catheter Image Guided Soft Tissue Percutaneous Lt
$2,911
$1,892
$723
375
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous 1st Lesion Bl
$4,177
$2,715
$723
440
clean
HC Placement Soft Tissue Localization Device(S) Percutaneous Each Additional Lesion
$362
$235
$126
28
clean
HC Incision & Drainage Abscess Simple/Single
$1,880
$1,222
$46
890
clean
HC Incision & Drainage Abscess Simple/Single
—
$2,054
$205
83
clean
HC Incision & Drainage Abscess Complicated/Multiple
$407
$4,918
$78
864
clean
HC Incision & Drainage Abscess Complicated/Multiple
$3,635
$2,363
$415
110
clean
HC Incision & Drainage Cyst Pilonidal Simple
$344
$17,981
$47
861
clean
HC Incision & Drainage Cyst Pilonidal Complicated
$559
$22,940
$75
862
clean
HC Incision & Drainage Cyst Pilonidal Complicated
$2,052
$1,334
$723
110
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple
$236
$14,206
$46
861
clean
HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple
$545
$354
$46
888
clean
PR Incision & Removal Foreign Body Subcutaneous Tissues Complicated
—
$503
$77
778
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$263
$16,121
$52
861
clean
HC Incision & Drainage Hematoma/Seroma/Fluid Collection
$14,292
$9,290
$1,687
110
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$215
$6,098
$41
861
clean
HC Puncture Aspiration Abscess/Hematoma/Bulla/Cyst
$2,242
$1,457
$41
888
clean
PR Incision & Drainage Wound Post OP Infection Complex|MULTIPLE PROCEDURES
$399
$399
$78
778
clean
HC Incision & Drainage Wound Post OP Infection Complex
$399
$23,391
$78
861
clean
PR Debr Skin/Subq Tiss/Muscle/Fascia Necrotizing Sft Tiss Infec Gent&Peri|MULTIPLE PROCEDURES
$1,093
$1,093
$267
1,556
clean
PR Removal Prosthetic Material or Mesh Abdominal Wall for Infection
—
$21,076
$53
83
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$131
$1,907
$25
860
clean
HC Debridement Subcutaneous Tissue <= 20 Sq Cm
$1,264
$822
$25
888
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
$2,163
$1,406
$62
2,444
clean
HC Debridement Muscle/Fascia <= 20 Sq Cm
$337
$13,365
$62
861
clean
HC Debridement Bone <= 20 Sq Cm
$493
$13,583
$90
861
clean
HC Debridement Bone <= 20 Sq Cm
$5,325
$3,461
$90
888
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$55
$2,844
$20
860
clean
HC Debridement Subcutaneous Tissue Each Additional 20 Sq Cm
$643
$418
$223
28
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$827
$538
$7
806
clean
HC Debridement Muscle/Fascia Each Additional 20 Sq Cm
$120
$3,799
$42
861
clean
HC Debridement Bone Each Additional 20 Sq Cm
$212
$24,300
$75
861
clean
HC Paring/Cutting Benign Hyperkeratotic Lesion Single
$282
$183
$205
110
clean
PR Biopsy Skin Tangential Single Lesion
—
$110
$15
778
clean
HC Biopsy Skin Tangential Single Lesion
$402
$261
$415
110
clean
HC Biopsy Skin Tangential Additional Lesion
$200
$130
$69
28
clean
PR Biopsy Skin Tangential Additional Lesion
—
$98
$24
778
clean
HC Biopsy Skin Punch Single Lesion
—
$7,180
$415
83
clean
HC Biopsy Skin Punch Single Lesion
$741
$482
$17
890
clean
PR Biopsy Skin Punch Additional Lesion
—
$68
$24
778
clean
HC Biopsy Skin Punch Additional Lesion
$301
$196
$104
28
clean
HC Biopsy Skin Incisional Single Lesion
$531
$345
$755
110
clean
PR Biopsy Skin Incisional Single Lesion|MULTIPLE PROCEDURES
—
$173
$21
1,556
clean
HC Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions
—
$14,696
$31
1,639
clean
PR Excision Benign Lesion Trunk/Arms/Legs <= 0.5 Cm|MULTIPLE PROCEDURES
$190
$190
$35
1,556
clean
HC Excision Benign Lesion Trunk/Arms/Legs 0.6 - 1.0 Cm
$1,396
$907
$43
1,670
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
$1,410
$917
$46
1,670
clean
HC Excision Benign Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
—
$1,410
$723
165
clean
HC Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
—
$2,052
$723
82
clean
HC Excision Benign Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
$2,052
$1,334
$61
890
clean
PR Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm|MULTIPLE PROCEDURES
$654
$654
$90
780
clean
HC Excision Benign Lesion Trunk/Arms/Legs 3.1 - 4.0 Cm
$3,102
$2,016
$68
890
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
$5,048
$3,281
$101
890
clean
HC Excision Benign Lesion Trunk/Arms/Legs > 4.0 Cm
—
$8,150
$1,687
82
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia <= 0.5 Cm|MULTIPLE PROCEDURES
$1,044
$1,044
$149
780
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia <= 0.5 Cm
$273
$273
$35
780
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
—
$3,514
$723
82
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 0.6 - 1.0 Cm
$2,118
$1,377
$45
890
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1 - 2.0 Cm
$4,400
$2,860
$56
890
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 1.1 - 2.0 Cm
$531
$18,324
$72
863
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
$253
$253
$65
1,556
clean
HC Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
$3,235
$2,103
$10
888
clean
PR Excision Benign Lesion Scalp/Neck/Hands/Feet/Genitalia 3.1 - 4.0 Cm
—
$434
$74
778
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm
—
$14,783
$44
1,639
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 0.6 - 1.0 Cm
—
$16,381
$54
1,639
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 1.1 - 2.0 Cm
—
$15,533
$60
1,639
clean
HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.1 - 3.0 Cm
—
$17,369
$72
1,639
clean
PR Exc Skin/Subq Tiss Hidradenitis Perianal Peri/Umb Simple/Imtmd Rpr
—
$17,928
$124
861
clean
PR Excision Malignant Lesion Trunk/Arms/Legs 1.1 - 2.0 Cm
—
$457
$62
778
clean
HC Excision Malignant Lesion Trunk/Arms/Legs 2.1 - 3.0 Cm
$1,545
$1,004
$723
110
clean
PR Excision Malignant Lesion Trunk/Arms/Legs > 4.0 Cm
—
$905
$123
778
clean
HC Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia 2.1 - 3.0 Cm
$4,786
$3,111
$1,687
110
clean
PR Excision Malignant Lesion Scalp/Neck/Hands/Feet/Genitalia > 4.0 Cm|ASSISTANT AT SURGERY SERVICE
$89
$89
$89
1,556
clean
HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate
—
$11,653
$205
83
clean
PR Excision Pilonidal Cyst/Sinus Simple
—
$537
$80
778
clean
PR Excision Pilonidal Cyst/Sinus Complicated
$1,320
$23,814
$253
1,639
clean
Replacement Tissue Expander W/Permanent Implant
—
$48,444
$357
3,278
clean
Removal Tissue Expander W/O Insertion Implant
$2,510
$28,863
$106
3,195
clean
Removal Tissue Expander W/O Insertion Implant|MULTIPLE PROCEDURES
$1,255
$1,255
$80
3,890
clean
HC Removal Drug Delivery Implant
—
$11,732
$456
83
clean
PR Removal Drug Delivery Implant|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$25
$25
$28
2,334
clean
HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities <= 2.5 Cm
$1,707
$1,110
$27
888
clean
HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities <= 2.5 Cm
$179
$1,707
$27
860
clean
PR Repair Superficial Wd Simple Scalp/Neck/Ax/Gent/Trunk/Ext 2.6-7.5 Cm
—
$191
$32
778
clean
PR Repair Sprfcl Wd Simple Scalp/Neck/Axillae/Genitalia/Trunk 7.6-12.5 Cm
—
$285
$41
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm
$149
$149
$29
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm|MULTIPLE PROCEDURES
$149
$149
$29
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6-5.0 Cm
—
$190
$33
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb 5.1-7.5 Cm
—
$298
$43
778
clean
PR Repair Sprfcl Wd Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb 7.6-12.5 Cm
—
$347
$57
778
clean
HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities <= 2.5 Cm
$341
$17,110
$61
1,639
clean
PR Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm
$427
$427
$75
778
clean
PR Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities 2.6 - 7.5 Cm|MULTIPLE PROCEDURES
$427
$427
$75
778
clean
PR Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities > 30.0 Cm
—
$740
$136
778
clean
PR Repair Intermediate Wounds Neck/Hands/Feet/Ext Genitalia <= 2.5 Cm
$321
$321
$59
778
clean
PR Repair Intermediate Wounds Neck/Hands/Feet/Ext Genitalia <= 2.5 Cm|MULTIPLE PROCEDURES
$321
$321
$48
1,556
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
$16,316
$77
861
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm
—
$16,381
$68
861
clean
HC Repair Intermediate Wounds Face/Ears/Eyelids/Nose/Lips/Muc Memb 2.6 - 5.0 Cm
—
$17,369
$78
861
clean
PR Repair Intermediate Wd Face/Ears/Eyelids/Nose/Lips/Muc Memb 7.6-12.5 Cm
—
$631
$89
778
clean
HC Repair Complex Wound Trunk 2.6 - 7.5 Cm
—
$20,630
$96
861
clean
PR Repair Complex Wound Trunk Each Additional <=5.0 Cm
—
$20,630
$54
861
clean
HC Repair Complex Wound Scalp/Arms/Legs 2.6 - 7.5 Cm
$570
$21,284
$98
861
clean
PR Repair Complex Wound Scalp/Arms/Legs 2.6 - 7.5 Cm|MULTIPLE PROCEDURES
$570
$570
$98
778
clean
PR Repair Complex Wound Scalp/Arms/Legs Each Additional <= 5.0 Cm
$176
$176
$61
778
clean
PR Repair Complex Wd Frhd/Cheeks/Chin/Mouth/Neck/Ax/Gent/Hand/Ft 1. -2.5 Cm|MULTIPLE PROCEDURES
—
$860
$93
1,556
clean
HC Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 1.1 - 2.5 Cm
$4,910
$3,192
$415
110
clean
HC Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet 2.6 - 7.5 Cm
$671
$15,419
$123
1,639
clean
PR Repair Complex Wound Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet Ea Addl <=5.0cm
$274
$274
$93
778
clean
PR Repair Complex Wound Eyelids/Nose/Ears/Lips 2.6 - 7.5 Cm
—
$686
$143
778
clean
HC Closure Secondary Surgical Wound/Dehiscence Extensive/Complicated
$1,783
$16,737
$331
861
clean
PR Closure Secondary Surgical Wound/Dehiscence Extensive/Complicated|ASSISTANT SURGEON
$285
$285
$275
1,556
clean
PR Adj Tissue Transfer/Rearrangement Trunk Defect 10.1 Sq Cm to 30.0 Sq Cm
$1,473
$28,110
$268
1,639
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Scalp/Arms/Legs 10.1 - 30.0 Sq Cm
—
$18,038
$2,968
83
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Frhd/Cheeks/Chin/Mth/Neck/Ax/Genit/Hnd/Ft <= 10sqcm
—
$21,431
$247
1,639
clean
PR Trg/Rearng Adjacent Tiss Defect Frhd/Cheeks/Chin/Mth/Neck/ 10.1-30.0sqcm|MULTIPLE PROCEDURES
—
$2,514
$296
1,556
clean
PR Trf/Rearng Adjacent Tissue Defect Eyelids/Nose/Ears/Lips <= 10 Sq Cm
—
$1,596
$261
778
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Eyelids/Nose/Ears/Lips >= 10.1 Sq Cm - 30.0 Sq Cm
—
$22,829
$331
861
clean
PR Adjacent Tissue Transfer or Rearrangement Any Area Defect 30.1 Sq Cm to 60 Sq Cm|ASSISTANT SURGEON
$306
$306
$58
1,556
clean
HC Transfer/Rearrangement Adjacent Tissue Defect Any Area 30.1 - 60 Sq Cm
$1,911
$36,606
$344
2,417
clean
PR Adj Tiss Xfer or Rearng Any Area Each Addl 30.0 Sq Cm or Part Thereof
$462
$49,799
$194
861
clean
PR Adj Tiss Xfer or Rearng Any Area Each Addl 30.0 Sq Cm or Part Thereof|ASSISTANT SURGEON
$74
$74
$31
1,556
clean
HC Preparation/Creation Surgical Recipient Site Open Wound Trunk/Arms/Legs <=100 Sqcm
$476
$25,512
$176
861
clean
PR Prep/Creation Surg Recipient Site Open Wound Trunk/Arms/Legs <=100 Sqcm|ASSISTANT SURGEON
$76
$76
$28
1,556
clean
PR Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1% Tbsa Infants/Children
—
$20,760
$35
861
clean
HC Preparation/Creation Surg Recipient Site Open Wnd Face/Scalp/Mth/Neck/Ears/Genit/Hnd/Ft<=100sqcm
—
$35,119
$215
861
clean
PR Split-Thickness Autograft Trunk/Arm/Leg 1st 100 Sq Cm/<Tbsa Infant/Child
$1,615
$26,072
$293
861
clean
PR Split-Thickness Autograft Trunk/Arm/Leg 1st 100 Sq Cm/<Tbsa Infant/Child|MULTIPLE PROCEDURES
$1,615
$1,615
$293
778
clean
PR Stsg Trunk Arms Legs Each Add 100 Sq Cm/1% Body Area Infants/Children
—
$35,119
$88
861
clean
PR Autograft Stsg Face/Scalp/Mth/Neck/Ears/Genit/Hnd/Ft <= 100 Sq Cm
—
$35,119
$3,620
83
clean
PR Full Thickness Graft Free W Direct Clsr of Donor Site Trunk <= 20 Sq Cm
—
$59,729
$271
916
clean
PR Full Thickness Gft Free W Direct Clsr Donor Site Trunk Ea Addl 20 Sq Cm
—
$59,729
$6,784
138
clean
PR Ftsg Free Incl Dir Clsr of Donor Site Scalp/Arms &/or Legs <= 20 Sqcm
—
$35,373
$2,108
83
clean
HC Graft Full Thickness Frhd/Cheeks/Chin/Mth/Neck/Ax/Genit/Hnd/Ft <= 20 Sq Cm
—
$35,119
$316
861
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs <100 Sq Cm 1st 25 Sq Cm
—
$7,362
$38
861
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs <100 Sq Cm 1st 25 Sq Cm
$2,079
$1,351
$755
110
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs < 100 Sq Cm Each Additional 25 Sq Cm
$2,079
$1,351
$721
28
clean
PR Appl Skin Sub Graft Trunk/Arms/Legs < 100 Sq Cm Ea Add 25 Sqcm High Cost
—
$45
$16
778
clean
HC Application Skin Substitute Graft Trunk/Arms/Legs >= 100 Sq Cm 1st 100 Sq Cm
$3,285
$2,135
$2,108
110
clean
PR Appl Skin Sub Graft Trunk/Arms/Legs >= 100 Sq Cm <= 100 Sq Cm High Cost|MULTIPLE PROCEDURES
—
$464
$87
833
clean
PR Appl Skin Sub Graft Trunk/Arm/Leg >= 100 Sqcm Ea Addl 100 Sqcm High Cost
—
$110
$40
778
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
$6,238
$4,055
$39
1,666
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft <100 Sq Cm 1st 25 Sq Cm
$183
$9,381
$43
860
clean
HC Application Skin Substitute Graft Face/Scalp/Neck/Genit/Hnd/Ft < 100 Sq Cm Ea Additional 25 Sq Cm
$3,204
$2,083
$1,112
28
clean
PR Formation of Direct or Tubed Pedicle W/WO Transfer Scalp Arms or Legs
—
$49,715
$8,350
83
clean
PR Forehead Flap With Preservation of Vascular Pedicle
—
$2,331
$395
1,556
clean
PR Musc Myocutaneous or Fasciocutaneous Flap Head & Neck W Named Vasc Pdcle
$2,252
$2,252
$472
778
clean
PR Musc Myocutaneous or Fasciocutaneous Flap Head & Neck W Named Vasc Pdcle|MULTIPLE PROCEDURES
$2,252
$2,252
$472
778
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
$526
$526
$518
3,112
clean
PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk|ASSISTANT AT SURGERY SERVICE
$526
$526
$98
1,556
clean

Showing the first 200 of 5,598 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
485 of 2,684 comparable items (18%) 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 $1,012 exceeds the gross charge $604
CPT 0575T/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 24071/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 differ, so no cross-line comparison was made for this item
CPT 49321/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 72100/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 83525/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 C1752/b
info
mrf_item_fields_vary
this code and setting cover at least 40 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 J2274/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 V2788/b
info
mrf_item_fields_vary
this code and setting cover at least 18 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 24075/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 36620/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 49322/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 72110/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 83540/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 C1753/b
info
mrf_item_fields_vary
this code and setting cover at least 15 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 J2290/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 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 25246/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 49324/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 72170/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 83605/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 C1755/b
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 J2300/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 26010/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 36819/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 49324/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72170/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 83615/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, max differ, so no cross-line comparison was made for this item
CPT C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 158 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 J2305/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 10005/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 27093/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 36820/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 49325/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 72190/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 83655/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, max differ, so no cross-line comparison was made for this item
CPT 93657/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 C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 111 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 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 10005/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 27301/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 72202/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 83690/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 93750/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 C1759/b
info
mrf_item_fields_vary
this code and setting cover at least 24 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 10006/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 27301/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36821/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 49325/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 72220/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 83700/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 93799/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 C1760/b
info
mrf_item_fields_vary
this code and setting cover at least 26 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 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 27327/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 49326/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 73000/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 83789/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 C1760/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 10035/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 27337/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 36830/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 73000/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 83835/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 93880/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT C1761/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 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 10060/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 27337/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 73010/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 83874/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, max differ, so no cross-line comparison was made for this item
CPT C1762/b
info
mrf_item_fields_vary
this code and setting cover at least 200 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 27369/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 36832/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 49422/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 73020/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 83945/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 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT C1763/b
info
mrf_item_fields_vary
this code and setting cover at least 138 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 J2405/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min differ, so no cross-line comparison was made for this item
CPT 10061/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 27590/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 73030/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 83970/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 C1764/b
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 J2426/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, max differ, so no cross-line comparison was made for this item
CPT 27602/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 differ, so no cross-line comparison was made for this item
CPT 36901/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 49422/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 73030/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their cash differ, so no cross-line comparison was made for this item
CPT 83986/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 93923/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT C1765/b
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 10080/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 27602/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 49435/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 73040/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 C1766/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2440/b
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 27613/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 73050/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 84075/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, 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 4 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT C1767/b
info
mrf_item_fields_vary
this code and setting cover at least 48 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 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, min differ, so no cross-line comparison was made for this item
CPT 10081/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 27632/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 49436/b
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 73060/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 84100/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 C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 354 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 J2540/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 10120/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 27829/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 73060/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 84144/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 93971/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 C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 667 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 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 27880/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 73070/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 84145/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 C1770/b
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 J2560/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 10120/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 27882/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 differ, so no cross-line comparison was made for this item
CPT 37184/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 73070/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 84153/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 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 C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 32 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2590/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 28122/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 73080/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 84154/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 C1772/b
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 J2680/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 10140/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 28820/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 37184/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 49495/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 73080/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 84155/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 C1773/b
info
mrf_item_fields_vary
this code and setting cover at least 26 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 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 10160/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 28825/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 37187/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 49500/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 73090/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 84156/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 93979/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 C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 2567 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 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 29445/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 37193/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 49505/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 differ, so no cross-line comparison was made for this item
CPT 73100/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 84157/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 C1777/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2710/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 10160/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 49505/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73110/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 84165/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 93985/b
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 C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 59 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2720/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 29515/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 37211/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 49507/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 differ, so no cross-line comparison was made for this item
CPT 73110/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 84165/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 C1779/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 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, min, max differ, so no cross-line comparison was made for this item
CPT 10180/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 29580/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 37212/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 49553/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 73120/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 84244/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 93986/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 C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 489 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2783/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 11042/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 29580/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their cash, min, max differ, so no cross-line comparison was made for this item
CPT 49591/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 73130/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 84270/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 C1782/b
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 J2794/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, max differ, so no cross-line comparison was made for this item
CPT 29581/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 37215/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 49591/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73130/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 84305/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 93990/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 C1783/b
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 J2795/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, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,316 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. found via cms-hpt.txt · csv-tall · 146.0M bytes · fetched 2026-08-22 · sha256 146c314068b2…

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.