Hospital · CCN 160089

Ottumwa Regional Health Center

1001 E Pennsylvania, Ottumwa, IA 52501 · Wapello County
Part of Lifepoint Health · 88 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

10 admission types 42 outpatient services price file: ok

Billed per dollar paid, all admissions

3.58×

$8.9M billed against $2.5M paid across 198 Medicare discharges; the national figure is 5.03×.

6.8%

of adults in Wapello County have medical debt in collections

6.7%

uninsured in the county · state 5.4%

$62K

median household income

3.6×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

41.7%

obesity in the countyⓘ

13.5%

diagnosed diabetes (PLACES)

7.6%

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

$53,490

$16,544

3.2× st 3.4×

291

Heart failure and shock with mcc

$37,331

$11,506

3.2× st 3.5×

193

Simple pneumonia and pleurisy with mcc

$42,931

$11,053

3.9× st 3.4×

177

Respiratory infections and inflammations with mcc

$43,746

$13,854

3.2× st 3.4×

280

Acute myocardial infarction, discharged alive with mcc

$46,334

$13,344

3.5× st 3.9×

683

Renal failure with cc

$31,522

$7,500

4.2× st 3.6×

481

Hip and femur procedures except major joint with cc

$65,108

$17,227

3.8× st 4.2×

309

Cardiac arrhythmia and conduction disorders with cc

$28,002

$6,257

4.5× st 3.8×

189

Pulmonary edema and respiratory failure

$49,819

$10,185

4.9× st 3.9×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$38,473

$8,523

4.5× st 3.6×

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

5191

Level 1 Endovascular Procedures

105

$23,912

$2,994

8.0×

8011

Comprehensive Observation Services

$21,311

$2,497

8.5×

5115

Level 5 Musculoskeletal Procedures

$54,977

$12,138

4.5×

5373

Level 3 Urology and Related Services

$17,284

$1,812

9.5×

5302

Level 2 Upper GI Procedures

$18,175

$1,757

10.3×

5223

Level 3 Pacemaker and Similar Procedures

$58,261

$9,855

5.9×

5375

Level 5 Urology and Related Services

$30,270

$4,779

6.3×

5374

Level 4 Urology and Related Services

$23,308

$2,963

7.9×

5222

Level 2 Pacemaker and Similar Procedures

$46,748

$7,847

6.0×

5114

Level 4 Musculoskeletal Procedures

$33,193

$6,231

5.3×

5361

Level 1 Laparoscopy and Related Services

$41,469

$5,329

7.8×

5113

Level 3 Musculoskeletal Procedures

$18,759

$2,989

6.3×

5462

Level 2 Neurostimulator and Related Procedures

$27,451

$5,859

4.7×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5331

Complex GI Procedures

—

5313

Level 3 Lower GI Procedures

—

5362

Level 2 Laparoscopy and Related Services

—

5372

Level 2 Urology and Related Services

—

5415

Level 5 Gynecologic Procedures

—

5464

Level 4 Neurostimulator and Related Procedures

—

5376

Level 6 Urology and Related Services

—

5414

Level 4 Gynecologic Procedures

—

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

—

5431

Level 1 Nerve Procedures

—

5461

Level 1 Neurostimulator and Related Procedures

—

5232

Level 2 ICD and Similar Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5153

Level 3 Airway Endoscopy

—

5154

Level 4 Airway Endoscopy

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5182

Level 2 Vascular Procedures

—

5193

Level 3 Endovascular Procedures

—

5194

Level 4 Endovascular Procedures

—

5200

Implantation Wireless PA Pressure Monitor

—

5192

Level 2 Endovascular Procedures

—

5224

Level 4 Pacemaker and Similar Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-07-23, template 3.0.0, 4,096 rows scanned, 1,973 distinct code–setting items kept. 180 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Tpmt & nudt15 genotype

CPT 0034U

$1,813

—

$466

clean

Ig paraprotein qual bld/ur

CPT 0077U

$671

—

$43

clean

Nfct ds 22 trgt sars-cov-2

CPT 0202U

$1,540

—

$417

clean

Drainage of skin abscess

CPT 10060

$12,591

—

$204

clean

Drainage of pilonidal cyst

CPT 10081

$18,536

—

$723

clean

Remove foreign body

CPT 10120

$15,293

—

$411

clean

Remove foreign body

CPT 10121

$13,538

—

$1,666

clean

Drainage of hematoma/fluid

CPT 10140

$20,683

—

$1,666

clean

Puncture drainage of lesion

CPT 10160

$18,978

—

$411

clean

Debride genitalia & perineum

CPT 11004

$29,487

—

clean

Deb subq tissue 20 sq cm/<

CPT 11042

$2,639

—

$411

clean

Deb musc/fascia 20 sq cm/<

CPT 11043

$3,476

—

$629

clean

Deb bone 20 sq cm/<

CPT 11044

$20,856

—

$1,666

clean

Deb subq tissue add-on

CPT 11045

$4,676

—

clean

Deb musc/fascia add-on

CPT 11046

$4,953

—

clean

Incal bx skn single les

CPT 11106

$1,606

—

$629

clean

Removal of skin tags <w/15

CPT 11200

$31,849

—

$204

clean

Shave skin lesion 0.5 cm/<

CPT 11305

$19,507

—

$204

clean

Exc tr-ext b9+marg 1.1-2 cm

CPT 11402

$12,980

—

$723

clean

Exc tr-ext b9+marg >4.0 cm

CPT 11406

$18,586

—

$1,666

clean

Exc h-f-nk-sp b9+marg 0.6-1

CPT 11421

$19,384

—

$723

clean

Exc h-f-nk-sp b9+marg 1.1-2

CPT 11422

$19,507

—

$1,666

clean

Exc h-f-nk-sp b9+marg 3.1-4

CPT 11424

$14,770

—

$1,666

clean

Exc h-f-nk-sp b9+marg >4 cm

CPT 11426

$14,930

—

$2,942

clean

Exc face-mm b9+marg 0.6-1 cm

CPT 11441

$9,388

—

$723

clean

Exc face-mm b9+marg 2.1-3 cm

CPT 11443

$32,653

—

$1,666

clean

Exc tr-ext mal+marg >4 cm

CPT 11606

$18,510

—

$1,666

clean

Exc s/n/h/f/g mal+mrg 1.1-2

CPT 11622

$37,130

—

$723

clean

Exc s/n/h/f/g mal+mrg >4 cm

CPT 11626

$37,130

—

$2,942

clean

Exc f/e/e/n/l mal+mrg 0.6-1

CPT 11641

$32,749

—

$723

clean

Removal of nail plate

CPT 11730

$14,382

—

$204

clean

Remove nail plate add-on

CPT 11732

$14,382

—

clean

Removal of nail bed

CPT 11750

$15,136

—

$411

clean

Repair of nail bed

CPT 11760

$18,152

—

$629

clean

Remove pilonidal cyst simple

CPT 11770

$18,728

—

$2,942

clean

Remove pilonidal cyst exten

CPT 11771

$19,657

—

$2,942

clean

Remove drug implant device

CPT 11982

$34,912

—

$410

clean

Rpr s/n/ax/gen/trnk 2.5cm/<

CPT 12001

$19,812

—

$204

clean

Closure of split wound

CPT 12020

$25,068

—

$629

clean

Intmd rpr s/a/t/ext 2.6-7.5

CPT 12032

$20,527

—

$411

clean

Intmd rpr s/tr/ext 7.6-12.5

CPT 12034

$18,510

—

$411

clean

Intmd rpr s/a/t/ext 12.6-20

CPT 12035

$58,967

—

$411

clean

Cmplx rpr s/a/l 2.6-7.5 cm

CPT 13121

$68,284

—

$629

clean

Cmplx rpr s/a/l addl 5 cm/>

CPT 13122

$68,284

—

clean

Cmplx rpr f/c/c/m/n/ax/g/h/f

CPT 13132

$18,278

—

$629

clean

Tis trnfr s/a/l 10 sq cm/<

CPT 14020

$37,130

—

$1,881

clean

Tis trnfr f/c/c/m/n/a/g/h/f

CPT 14040

$20,245

—

$1,881

clean

Skin full graft sclp/arm/leg

CPT 15220

$30,005

—

$1,881

clean

Skin full grft face/genit/hf

CPT 15240

$32,749

—

$1,881

clean

Skin sub graft trnk/arm/leg

CPT 15271

$12,882

—

$1,881

clean

Skin sub graft t/a/l add-on

CPT 15272

$14,980

—

clean

Skin sub graft face/nk/hf/g

CPT 15275

$10,417

—

$1,881

clean

Transfer skin pedicle flap

CPT 15650

$41,527

—

$1,881

clean

Revision of upper eyelid

CPT 15823

$20,015

—

$1,881

clean

Removal sutr/stapl xreq anes

CPT 15853

$105

—

clean

Dress/debrid p-thick burn s

CPT 16020

$1,266

—

$204

clean

Chem caut of granltj tissue

CPT 17250

$1,815

—

$204

clean

Removal of breast lesion

CPT 19120

$15,313

—

$3,937

clean

Explore wound extremity

CPT 20103

$32,892

—

$1,666

clean

Inj trigger point 1/2 muscl

CPT 20552

$1,661

—

$303

clean

Inject trigger points 3/>

CPT 20553

$3,021

—

$303

clean

Dry needle 1 or 2 muscle(s) cq

CPT 20560

$49

—

$25

clean

Dry needling 3 + muscles cq

CPT 20561

$49

—

$25

clean

Drain/inj joint/bursa w/o us

CPT 20610

$2,562

—

$303

clean

Drain/inj joint/bursa w/o us

CPT 20610

$1,533

—

$303

clean

Removal of support implant

CPT 20670

$13,777

—

$1,666

clean

Removal of support implant

CPT 20680

$23,121

—

$2,942

clean

Removal of support implant

CPT 20680

$19,957

—

$2,942

clean

Exc face les sc <2 cm

CPT 21011

$10,838

—

$1,666

clean

Remove maxilla cyst complex

CPT 21048

$25,077

—

$6,082

clean

Ear cartilage graft

CPT 21235

$28,780

—

$6,082

clean

Closed tx nose fx w/o stablj

CPT 21315

$24,970

—

$1,523

clean

Closed tx nose fx w/ stablj

CPT 21320

$18,280

—

$3,334

clean

Open tx septal fx w/wo stabj

CPT 21336

$30,024

—

$3,336

clean

Closed tx septal&nose fx

CPT 21337

$22,936

—

$3,334

clean

Exc neck tum deep 5 cm/>

CPT 21554

$41,802

—

$2,942

clean

Exc neck tum deep 5 cm/>

CPT 21554

$18,278

—

$2,942

clean

Exc abd les sc 3 cm/>

CPT 22903

$20,028

—

$2,942

clean

Injection for shoulder x-ray

CPT 23350

$14,633

—

clean

Reconstruct shoulder joint

CPT 23472

$79,289

—

$18,906

clean

Reconstruct shoulder joint

CPT 23472

$88,537

—

$18,906

clean

Revis reconst shoulder joint

CPT 23473

$76,745

—

$13,228

clean

Revis reconst shoulder joint

CPT 23473

$76,745

—

$13,228

clean

Treat clavicle fracture

CPT 23515

$47,763

—

$7,344

clean

Exploratory elbow surgery

CPT 24000

$14,500

—

$3,336

clean

Removal of elbow bursa

CPT 24105

$17,238

—

$3,336

clean

Repair arm tendon/muscle

CPT 24341

$40,937

—

$7,344

clean

Repair elbow w/deb open

CPT 24358

$18,984

—

$3,336

clean

Treat ulnar fracture

CPT 24685

$46,355

—

$7,344

clean

Treat ulnar fracture

CPT 24685

$46,355

—

$7,344

clean

Incision of tendon sheath

CPT 25000

$13,372

—

$1,645

clean

Exc forearm les sc 3 cm/>

CPT 25071

$20,695

—

$1,666

clean

Exc forearm les sc < 3 cm

CPT 25075

$14,726

—

$1,666

clean

Remove wrist tendon lesion

CPT 25111

$20,759

—

$1,645

clean

Treat fracture radius/ulna

CPT 25575

$55,517

—

$7,344

clean

Treat fracture radius/ulna

CPT 25575

$55,517

—

$7,344

clean

Treat fracture radius/ulna

CPT 25605

$14,630

—

$1,645

clean

Treat fx rad extra-articul

CPT 25607

$40,049

—

$7,344

clean

Treat fx rad intra-articul

CPT 25608

$37,989

—

$7,344

clean

Drainage of finger abscess

CPT 26010

$10,619

—

$204

clean

Release palm contracture

CPT 26045

$13,454

—

$3,336

clean

Incise finger tendon sheath

CPT 26055

$15,037

—

$1,645

clean

Explore/treat finger joint

CPT 26075

$17,508

—

$3,336

clean

Exc hand les sc < 1.5 cm

CPT 26115

$11,380

—

$1,666

clean

Release palm contracture

CPT 26123

$20,863

—

$3,336

clean

Release palm contracture

CPT 26125

$11,313

—

clean

Remove tendon sheath lesion

CPT 26160

$22,651

—

$1,645

clean

Partial removal finger bone

CPT 26235

$16,730

—

$1,645

clean

Partial removal finger bone

CPT 26236

$21,422

—

$1,645

clean

Removal of implant from hand

CPT 26320

$36,856

—

$1,666

clean

Treat metacarpal fracture

CPT 26608

$19,113

—

$3,336

clean

Treat metacarpal fracture

CPT 26615

$33,637

—

$3,336

clean

Treat finger fracture each

CPT 26765

$16,115

—

$3,336

clean

Amputation of finger/thumb

CPT 26951

$19,292

—

$3,336

clean

Inject sacroiliac joint

CPT 27096

$5,610

—

clean

Total hip arthroplasty

CPT 27130

$62,418

—

$13,228

clean

Total hip arthroplasty

CPT 27130

$65,581

—

$13,228

clean

Exploration of knee joint

CPT 27310

$23,314

—

$3,336

clean

Biopsy thigh soft tissues

CPT 27323

$31,962

—

$1,666

clean

Exc thigh/knee tum deep <5cm

CPT 27328

$21,104

—

$2,942

clean

Exc thigh/knee tum deep <5cm

CPT 27328

$21,104

—

$2,942

clean

Removal of kneecap bursa

CPT 27340

$18,406

—

$3,336

clean

Repair of thigh muscle

CPT 27385

$30,926

—

$7,344

clean

Revision of knee joint

CPT 27446

$62,375

—

$13,228

clean

Total knee arthroplasty

CPT 27447

$60,695

—

$13,228

clean

Total knee arthroplasty

CPT 27447

$59,009

—

$13,228

clean

Treat kneecap dislocation

CPT 27566

$43,113

—

$7,344

clean

Fixation of knee joint

CPT 27570

$13,180

—

$1,645

clean

Leg surgery procedure

CPT 27599

$13,223

—

$247

clean

Removal of tendon lesion

CPT 27630

$23,762

—

$3,336

clean

Repair of achilles tendon

CPT 27654

$38,271

—

$7,344

clean

Repair of leg tendon each

CPT 27659

$20,367

—

$7,344

clean

Repair of leg tendon each

CPT 27664

$30,561

—

$7,344

clean

Repair lower leg tendons

CPT 27675

$31,754

—

$3,336

clean

Release of lower leg tendon

CPT 27680

$25,580

—

$3,336

clean

Repair of ankle ligament

CPT 27695

$33,679

—

$7,344

clean

Repair of ankle ligament

CPT 27698

$36,951

—

$7,344

clean

Repair fibula nonunion

CPT 27726

$32,421

—

$7,344

clean

Treatment of tibia fracture

CPT 27759

$70,096

—

$13,228

clean

Optx medial ankle fx

CPT 27766

$28,830

—

$7,344

clean

Treatment of ankle fracture

CPT 27814

$14,227

—

$7,344

clean

Treatment of ankle fracture

CPT 27818

$14,227

—

$1,645

clean

Treatment of ankle fracture

CPT 27822

$15,588

—

$7,344

clean

Treat lower leg joint

CPT 27829

$56,426

—

$7,344

clean

Treat lower leg joint

CPT 27829

$56,426

—

$7,344

clean

Decompression of tibia nerve

CPT 28035

$15,345

—

$2,008

clean

Exc foot/toe tum deep <1.5cm

CPT 28045

$23,762

—

$2,942

clean

Partial removal foot fascia

CPT 28060

$16,639

—

$3,336

clean

Partial removal foot fascia

CPT 28060

$16,639

—

$3,336

clean

Removal of foot lesion

CPT 28080

$14,522

—

$1,645

clean

Removal of foot lesion

CPT 28090

$18,284

—

$1,645

clean

Removal of toe lesions

CPT 28092

$24,642

—

$1,645

clean

Part removal of metatarsal

CPT 28110

$18,946

—

$3,336

clean

Part removal of metatarsal

CPT 28113

$26,287

—

$3,336

clean

Removal of heel bone

CPT 28118

$23,762

—

$3,336

clean

Removal of heel spur

CPT 28119

$17,383

—

$3,336

clean

Part removal of ankle/heel

CPT 28120

$41,527

—

$3,336

clean

Partial removal of foot bone

CPT 28122

$19,567

—

$3,336

clean

Partial removal of toe

CPT 28124

$18,374

—

$3,336

clean

Partial removal of toe

CPT 28126

$20,538

—

$3,336

clean

Partial removal of toe

CPT 28153

$15,509

—

$3,336

clean

Removal of foot foreign body

CPT 28190

$15,256

—

$723

clean

Removal of foot foreign body

CPT 28193

$21,915

—

$1,666

clean

Repair of foot tendon

CPT 28200

$21,947

—

$3,336

clean

Release of foot tendon

CPT 28225

$18,140

—

$3,336

clean

Revision of foot tendon

CPT 28238

$20,288

—

$7,344

clean

Release of foot contracture

CPT 28270

$32,878

—

$3,336

clean

Fusion of toes

CPT 28280

$14,655

—

$3,336

clean

Repair of hammertoe

CPT 28285

$24,388

—

$3,336

clean

Corrj halux rigdus w/o implt

CPT 28289

$16,819

—

$3,336

clean

Correction hallux valgus

CPT 28296

$25,120

—

$3,336

clean

Incision of metatarsal

CPT 28308

$29,161

—

$3,336

clean

Repair of metatarsals

CPT 28322

$21,767

—

$7,344

clean

Treat ankle fracture

CPT 28445

$37,456

—

$7,344

clean

Treat midfoot fracture each

CPT 28465

$20,962

—

$7,344

clean

Treat metatarsal fracture

CPT 28476

$20,665

—

$3,336

clean

Repair foot dislocation

CPT 28555

$22,486

—

$7,344

clean

Fusion of foot bones

CPT 28725

$63,551

—

$13,228

clean

Fusion of foot bones

CPT 28730

$34,071

—

$13,228

clean

Fusion of foot bones

CPT 28735

$34,550

—

$13,228

clean

Fusion of foot bones

CPT 28740

$52,976

—

$7,344

clean

Fusion of big toe joint

CPT 28750

$31,801

—

$7,344

clean

Fusion of big toe joint

CPT 28755

$34,111

—

$7,344

clean

Amputation toe & metatarsal

CPT 28810

$14,558

—

$3,336

clean

Amputation toe & metatarsal

CPT 28810

$45,069

—

$3,336

clean

Amputation of toe

CPT 28820

$18,190

—

$3,336

clean

Partial amputation of toe

CPT 28825

$16,924

—

$3,336

clean

Foot/toes surgery procedure

CPT 28899

$20,751

—

$247

clean

App spl long arm - ota co

CPT 29105

$663

—

$162

clean

App spl shrt arm st - ota co

CPT 29125

$498

—

$133

clean

App spl shrt arm dyn - ota co

CPT 29126

$522

—

$133

clean

App spl finger st - ota co

CPT 29130

$273

—

$133

clean

Strap thorax - pta cq

CPT 29200

$623

—

$162

clean

Apply rigid leg cast

CPT 29445

$1,714

—

$273

clean

App spl long leg - pta cq

CPT 29505

$663

—

$162

clean

Strapping of hip

CPT 29520

$341

—

$133

clean

Strap hip - pta cq

CPT 29520

$341

—

$133

clean

Strap knee - pta cq

CPT 29530

$524

—

$133

clean

Appl unna boot bilat

CPT 29580

$962

—

$162

clean

Apply multlay comprs lwr leg

CPT 29581

$1,867

—

$162

clean

Showing the first 200 of 1,973 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

CPT 71045/b

warn

mrf_negotiated_above_gross

highest negotiated rate $866 exceeds the gross charge $668

CPT 71046/b

warn

mrf_negotiated_above_gross

highest negotiated rate $866 exceeds the gross charge $768

CPT 74430/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,144 exceeds the gross charge $827

CPT 75820/b

warn

mrf_negotiated_above_gross

highest negotiated rate $5,160 exceeds the gross charge $3,409

CPT 75822/b

warn

mrf_negotiated_above_gross

highest negotiated rate $5,160 exceeds the gross charge $4,082

CPT 76000/b

warn

mrf_negotiated_above_gross

highest negotiated rate $782 exceeds the gross charge $673

CPT 76080/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,791 exceeds the gross charge $1,728

CPT 78012/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,310 exceeds the gross charge $1,033

CPT 86580/b

warn

mrf_negotiated_above_gross

highest negotiated rate $95 exceeds the gross charge $29

CPT 86860/b

warn

mrf_negotiated_above_gross

highest negotiated rate $558 exceeds the gross charge $513

CPT 86870/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,175 exceeds the gross charge $1,048

CPT 86886/b

warn

mrf_negotiated_above_gross

highest negotiated rate $558 exceeds the gross charge $389

CPT 86900/b

warn

mrf_negotiated_above_gross

highest negotiated rate $436 exceeds the gross charge $364

CPT 86902/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,175 exceeds the gross charge $872

CPT 86904/b

warn

mrf_negotiated_above_gross

highest negotiated rate $193 exceeds the gross charge $153

CPT 86905/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,175 exceeds the gross charge $872

CPT 86920/b

warn

mrf_negotiated_above_gross

highest negotiated rate $558 exceeds the gross charge $234

CPT 86970/b

warn

mrf_negotiated_above_gross

highest negotiated rate $193 exceeds the gross charge $166

CPT 86975/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,464 exceeds the gross charge $277

CPT 86978/b

warn

mrf_negotiated_above_gross

highest negotiated rate $193 exceeds the gross charge $166

CPT 87633/b

warn

mrf_negotiated_above_gross

highest negotiated rate $417 exceeds the gross charge $201

CPT 88184/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,175 exceeds the gross charge $917

CPT 88313/b

warn

mrf_negotiated_above_gross

highest negotiated rate $436 exceeds the gross charge $383

CPT 88333/b

warn

mrf_negotiated_above_gross

highest negotiated rate $2,641 exceeds the gross charge $2,389

CPT 88346/b

warn

mrf_negotiated_above_gross

highest negotiated rate $558 exceeds the gross charge $259

CPT 90471/b

warn

mrf_negotiated_above_gross

highest negotiated rate $236 exceeds the gross charge $120

CPT 90473/b

warn

mrf_negotiated_above_gross

highest negotiated rate $236 exceeds the gross charge $175

CPT 92953/b

warn

mrf_negotiated_above_gross

highest negotiated rate $2,167 exceeds the gross charge $1,940

CPT 94010/b

warn

mrf_negotiated_above_gross

highest negotiated rate $708 exceeds the gross charge $633

CPT 94610/b

warn

mrf_negotiated_above_gross

highest negotiated rate $718 exceeds the gross charge $632

CPT 94668/b

warn

mrf_negotiated_above_gross

highest negotiated rate $436 exceeds the gross charge $339

CPT 94681/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,223 exceeds the gross charge $1,076

CPT 94727/b

warn

mrf_negotiated_above_gross

highest negotiated rate $708 exceeds the gross charge $633

CPT 94762/b

warn

mrf_negotiated_above_gross

highest negotiated rate $866 exceeds the gross charge $633

CPT 97608/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,333 exceeds the gross charge $826

CPT 99465/b

warn

mrf_negotiated_above_gross

highest negotiated rate $2,167 exceeds the gross charge $1,906

CPT A9572/b

warn

mrf_negotiated_above_gross

highest negotiated rate $1,915 exceeds the gross charge $893

CPT G0008/b

warn

mrf_negotiated_above_gross

highest negotiated rate $153 exceeds the gross charge $120

CPT G0009/b

warn

mrf_negotiated_above_gross

highest negotiated rate $153 exceeds the gross charge $120

CPT G0379/b

warn

mrf_negotiated_above_gross

highest negotiated rate $2,722 exceeds the gross charge $959

CPT P9052/b

warn

mrf_negotiated_above_gross

highest negotiated rate $2,272 exceeds the gross charge $482

CPT Q4101/b

warn

mrf_negotiated_above_gross

highest negotiated rate $408 exceeds the gross charge $248

CPT Q4102/b

warn

mrf_negotiated_above_gross

highest negotiated rate $408 exceeds the gross charge $55

CPT Q4103/b

warn

mrf_negotiated_above_gross

highest negotiated rate $408 exceeds the gross charge $65

CPT Q4110/b

warn

mrf_negotiated_above_gross

highest negotiated rate $408 exceeds the gross charge $388

MS-DRG 329/i

warn

mrf_negotiated_above_gross

highest negotiated rate $69,250 exceeds the gross charge $66,297

MS-DRG 432/i

warn

mrf_negotiated_above_gross

highest negotiated rate $29,652 exceeds the gross charge $19,461

MS-DRG 468/i

warn

mrf_negotiated_above_gross

highest negotiated rate $41,401 exceeds the gross charge $14,767

MS-DRG 789/i

warn

mrf_negotiated_above_gross

highest negotiated rate $27,151 exceeds the gross charge $6,034

MS-DRG 792/i

warn

mrf_negotiated_above_gross

highest negotiated rate $36,899 exceeds the gross charge $4,606

MS-DRG 793/i

warn

mrf_negotiated_above_gross

highest negotiated rate $62,818 exceeds the gross charge $10,987

MS-DRG 794/i

warn

mrf_negotiated_above_gross

highest negotiated rate $22,236 exceeds the gross charge $9,311

MS-DRG 833/i

warn

mrf_negotiated_above_gross

highest negotiated rate $7,878 exceeds the gross charge $4,668

MS-DRG 908/i

warn

mrf_negotiated_above_gross

highest negotiated rate $30,059 exceeds the gross charge $12,998

MS-DRG 951/i

warn

mrf_negotiated_above_gross

highest negotiated rate $8,377 exceeds the gross charge $7,927

MS-DRG 956/i

warn

mrf_negotiated_above_gross

highest negotiated rate $56,692 exceeds the gross charge $43,418

MS-DRG 974/i

warn

mrf_negotiated_above_gross

highest negotiated rate $43,480 exceeds the gross charge $34,992

CPT 11106/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,423 exceeds the gross charge $1,606

CPT 20560/b

warn

mrf_negotiated_above_gross

highest negotiated rate $95 exceeds the gross charge $49

CPT 20561/b

warn

mrf_negotiated_above_gross

highest negotiated rate $95 exceeds the gross charge $49

CPT 27659/b

warn

mrf_negotiated_above_gross

highest negotiated rate $23,786 exceeds the gross charge $20,367

CPT 28238/b

warn

mrf_negotiated_above_gross

highest negotiated rate $23,786 exceeds the gross charge $20,288

CPT 28322/b

warn

mrf_negotiated_above_gross

highest negotiated rate $23,786 exceeds the gross charge $21,767

CPT 28465/b

warn

mrf_negotiated_above_gross

highest negotiated rate $23,786 exceeds the gross charge $20,962

CPT 28555/b

warn

mrf_negotiated_above_gross

highest negotiated rate $23,786 exceeds the gross charge $22,486

CPT 28730/b

warn

mrf_negotiated_above_gross

highest negotiated rate $42,086 exceeds the gross charge $34,071

CPT 28735/b

warn

mrf_negotiated_above_gross

highest negotiated rate $42,086 exceeds the gross charge $34,550

CPT 29130/b

warn

mrf_negotiated_above_gross

highest negotiated rate $436 exceeds the gross charge $272

CPT 29520/b

warn

mrf_negotiated_above_gross

highest negotiated rate $436 exceeds the gross charge $341

CPT 29520/o

warn

mrf_negotiated_above_gross

highest negotiated rate $436 exceeds the gross charge $341

CPT 31500/b

warn

mrf_negotiated_above_gross

highest negotiated rate $776 exceeds the gross charge $683

CPT 31720/b

warn

mrf_negotiated_above_gross

highest negotiated rate $718 exceeds the gross charge $632

CPT 33229/b

warn

mrf_negotiated_above_gross

highest negotiated rate $63,141 exceeds the gross charge $60,328

CPT 42820/b

warn

mrf_negotiated_above_gross

highest negotiated rate $19,406 exceeds the gross charge $16,528

CPT 42825/b

warn

mrf_negotiated_above_gross

highest negotiated rate $19,406 exceeds the gross charge $14,920

CPT 54150/o

warn

mrf_negotiated_above_gross

highest negotiated rate $6,852 exceeds the gross charge $5,516

CPT 58353/b

warn

mrf_negotiated_above_gross

highest negotiated rate $16,398 exceeds the gross charge $11,979

CPT 64418/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,314 exceeds the gross charge $1,699

warn

mrf_rate_without_estimate

27,844 of 27,844 percentage/algorithm rates across 1,848 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

CPT 64721/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 69205/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 69210/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 69420/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 69424/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 69436/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 69610/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 69620/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 69631/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 97597/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT G0260/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 11750/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 15275/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 19120/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 20610/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 23472/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 23515/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 24105/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 24358/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 24685/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 25111/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 25575/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 25607/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 25608/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 26123/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 26160/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 26608/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27096/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item

CPT 27130/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27446/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27447/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27566/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27570/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27654/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27675/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27695/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27814/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 27822/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28035/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28090/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28113/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28118/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28119/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28122/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28126/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28190/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28296/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28308/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28750/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 28755/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross 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 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29822/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29824/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29826/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item

CPT 29827/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29828/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29877/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29879/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29880/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29881/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29888/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29895/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 29897/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 30130/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 30140/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 30520/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 30580/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 31000/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 31255/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 31267/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 31276/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 31541/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 33208/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 42410/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 42415/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 42420/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross 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 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 49650/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 50590/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 52332/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 52351/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 52352/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 52356/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 55040/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 55530/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 58661/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 62323/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 64405/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 64418/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 64450/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 64483/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 64491/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item

CPT 64492/b

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item

CPT 64493/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 64494/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item

CPT 64495/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item

CPT 64635/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 64636/b

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item

CPT 64704/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

CPT 64718/b

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
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)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Ottumwa Regional Health Center — standard charges file · IA · updated 2026-07-23
· csv-wide · 7.5M bytes · fetched 2026-08-26 · sha256 860fce670dcd…

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.