Hospital · CCN 161381

SANFORD SHELDON MEDICAL CENTER

118 NORTH SEVENTH AVENUE, PO BOX 250, SHELDON, IA 51201 · Sioux County
Part of Sanford Health · 25 beds · 1

price file: ok
Billed per dollar paid, all admissions
—
$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.
1.4%
of adults in Sioux County have medical debt in collections
6.0%
uninsured in the county · state 5.4%
$86K
median household income
—
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (0 in the inpatient or outpatient file)ⓘ
33.0%
obesity in the countyⓘ
9.8%
diagnosed diabetes (PLACES)
5.9%
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
Not in the Medicare inpatient file.
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-03-04, template 3.0.0, 394,056 rows scanned, 1,942 distinct code–setting items kept. 345 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CDMR NFCT DS 22 TRGT SARS-COV-2 0202U
$1,375
$1,100
$867
23
clean
SURG 10021 FINE NDL ASPIR BX WO GDN 1ST LESION
$895
$716
$564
23
clean
TX RM 10060 I&D ABSCESS SIMPLE
$592
$474
$373
46
clean
TX RM 10061 INC&DRNG ABSCESS MULT COMPLIC
$1,069
$855
$674
69
clean
ED 10080 I&D PILONIDAL CYST SMPL
$763
$610
$481
46
clean
ED 10081 I&D PILONIDAL CYST COMPL
$2,120
$1,696
$1,336
46
clean
TX RM 10120 INCISION RMV FB SUBQ SMP
$1,013
$810
$638
46
clean
ED 10121 INC&REMV FB COMPL
$5,274
$4,219
$3,324
23
clean
SURG 10140 DRAIN HEMATOMA SEROMA
$3,571
$2,857
$2,251
46
clean
SURG 10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST
$690
$552
$435
69
clean
TX RM 11000 DEBRIDE INFECT SKIN NECRO
$1,204
$963
$759
23
clean
TX RM 11005 DEBRIDE SKIN/SUBQ/MUSCLE NECROTIZ ABDOMINAL WALL
$6,208
$4,966
$3,913
23
clean
TX RM 11042 DEBRIDE SKIN & SUBQ TISSUE
$1,361
$1,089
$858
23
clean
ED 11045 DEBR SKIN SUBQ TISSUE EA ADD 20 SQ CM
$980
$784
$618
23
clean
ED 11046 DEBRIDE MUSCLE AND/OR FASCIA EA ADD 20 SQ CM
$1,130
$904
$712
23
clean
SURG 11102 TANGENTIAL BX SKIN SINGLE LESION
$517
$414
$326
23
clean
SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION
$647
$518
$408
23
clean
SURG 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15
$489
$391
$308
23
clean
TX RM 11303 SHAVING SKIN LSN TRUNK/ARMS/LEGS DIAM > 2.0 CM
$278
$222
$175
23
clean
TX RM 11305 SHAVE SNGL NK HND FT GEN .5 CM
$256
$205
$161
23
clean
SURG 11400 EXC LESN BGN TRUNK ARM <0.5CM
$1,653
$1,322
$1,042
23
clean
TX RM 11401 EXC BNGN LSN TRUNK EXTREM 0.6-1.0CM
$823
$658
$519
46
clean
TX RM 11402 EXCISION LESION BENIGN TRUNK ARM LEG 1.1 TO 2.0CM
$1,069
$855
$674
23
clean
TX RM 11403 EXC BNGN LSN TRUNK EXTREM 2.1-3.0CM
$1,560
$1,248
$983
46
clean
TX RM 11404 EXC BNGN LSN TRUNK EXTREM 3.1-4.0CM
$2,647
$2,118
$1,668
46
clean
TX RM 11406 EXC BNGN LSN TRUNK EXTREM > 4.0CM
$4,980
$3,984
$3,139
46
clean
TX RM 11420 EXC BNGN LSN SCALP NECK HANDS FEET GENITAL <0.5CM
$2,662
$2,130
$1,678
23
clean
TX RM 11421 EXC BNGN LSN SCALP NECK HANDS FEET GENITAL 0.6-1.0CM
$1,495
$1,196
$942
46
clean
TX RM 11422 EXC BNGN LSN SCALP NECK HANDS FEET GENITAL 1.1-2.0CM
$2,968
$2,374
$1,871
46
clean
SURG 11423 EXC BNGN LSN S/N/H/F/G 2.1-3.0CM
$3,718
$2,974
$2,343
23
clean
SURG 11426 EXC BNGN LSN S/N/H/F/G >4.0 CM
$5,593
$4,474
$3,525
23
clean
TX RM 11440 EXC BNGN LSN FACE EAR NOSE LIP MUC MEM <0.5CM
$1,589
$1,271
$1,002
23
clean
TX RM 11441 EXC BNGN LSN FACE EAR NOSE LIP MUC MEM 0.6-1.0CM
$1,704
$1,363
$1,074
46
clean
TX RM 11442 EXC BNGN LSN FACE EAR NOSE LIP MUC MEM 1.1-2.0CM
$2,606
$2,085
$1,643
46
clean
TX RM 11443 EXC BNGN LSN FACE EAR NOSE LIP MUC MEM 2.1-3.0CM
$1,560
$1,248
$983
23
clean
TX RM 11602 EXC MAL LSN TRUNK EXTREM 1.1-2.0CM
$865
$692
$545
23
clean
TX RM 11641 EXC MAL LSN FACE EAR NOSE LIP MUC MEM 0.6-1.0CM
$1,589
$1,271
$1,002
23
clean
TX RM 11642 EXC MAL LSN FACE EAR NOSE LIP MUC MEM 1.1-2.0CM
$1,363
$1,090
$859
23
clean
TX RM 11720 DEBRIDE NAILS 1-5
$257
$206
$162
23
clean
TX RM 11721 DEBRIDE NAILS 6+
$289
$231
$182
23
clean
TX RM 11730 REMOV NAIL PLATE PART COMP SGL
$436
$349
$275
46
clean
TX RM 11732 REMOV NAIL PLAT PART COMP ADDL
$194
$155
$122
46
clean
ED 11740 DRAIN BLOOD UNDER NAIL
$244
$195
$154
23
clean
TX RM 11750 REMOVE NAIL BED PERMANENT
$1,072
$858
$676
46
clean
ED 11760 RPR OF NAIL BED
$1,057
$846
$666
23
clean
ED 11765 EXC OF NAIL FOLD
$533
$426
$336
23
clean
SURG 11770 EXC PILONIDAL CYST SINUS SMPL
$8,162
$6,530
$5,145
23
clean
SURG 11981 INSERTION DRUG DELIVERY IMPLANT
$588
$470
$371
23
clean
ED 12001 RPR SUPERFCL WND 2.5CM OR<
$569
$455
$359
23
clean
ED 12002 RPR SUPERFCL WND 2.6-7.5CM
$467
$374
$294
23
clean
ED 12004 RPR SUPRFCL WND 7.6-12.5CM
$509
$407
$321
23
clean
ED 12005 RPR SUPRFL WND 12.6-20.0CM
$652
$522
$411
23
clean
ED 12006 RPR SUPRFL WND 20.1-30.0CM
$660
$528
$416
23
clean
ED 12007 RPR SUPERFCL WND >30CM
$688
$550
$434
23
clean
ED 12011 RPR SUPERFCL WND 2.5CM OR<
$459
$367
$289
23
clean
ED 12013 RPR SUPERFCL WND 2.6-5.0CM
$485
$388
$306
23
clean
ED 12014 RPR SUPERFCL WND 5.1-7.5CM
$552
$442
$348
23
clean
ED 12015 RPR SUPERFL WND 7.6-12.5CM
$606
$485
$382
23
clean
ED 12016 SMPL RPR FACE 12.6-20.0 CM
$650
$520
$410
23
clean
ED 12017 RPR SUPRFL WND 20.1-30.0CM
$773
$618
$487
23
clean
ED 12018 SMPL RPR LAC FCE EARS LID NSE LPS MOUTH>30.0CM
$598
$478
$377
23
clean
TX RM 12020 CLOSURE SIMPLE WOUND DEHISCENCE SUPERFICIAL
$920
$736
$580
23
clean
ED 12021 WND TX DEHISCENCE WPACK
$776
$621
$489
23
clean
ED 12031 LYR CLSR OF WND 2.5CM OR <
$917
$734
$578
46
clean
ED 12032 LYR CLSR OF WND 2.6-7.5CM
$938
$750
$591
69
clean
ED 12034 LYR CLSR OF WND 7.6-12.5CM
$950
$760
$599
23
clean
ED 12035 LYR CLSR OF WD 12.6-20.0CM
$1,079
$863
$680
23
clean
ED 12036 LYR CLSR WD 20.1-30.0 CM
$1,450
$1,160
$914
23
clean
ED 12037 LYR CLSR OF WND >30.0CM
$3,004
$2,403
$1,893
23
clean
ED 12041 LYR CLSR WND 2.5CM OR <NHF
$724
$579
$456
46
clean
ED 12042 LYR CLSR WND 2.6-7.5CM NHF
$1,069
$855
$674
46
clean
ED 12044 LYR CLSR WD 7.6-12.5CM NHF
$978
$782
$616
23
clean
ED 12045 LYR CLR WD 12.6-20.0CM NHF
$1,157
$926
$729
23
clean
ED 12046 INTRMD RPR LAC NCK HNDS FEET GNTL 20.1-30.0CM
$1,097
$878
$691
23
clean
ED 12047 LYR CLSR WND >30.0CM NHF
$2,416
$1,933
$1,523
23
clean
ED 12051 LYR CLSR OF WND 2.5CM OR <
$775
$620
$488
23
clean
ED 12052 LYR CLSR OF WND 2.6-5.0CM
$824
$659
$519
23
clean
ED 12053 LYR CLSR OF WND 5.1-7.5CM
$822
$658
$518
23
clean
ED 12054 LYR CLSR OF WND 7.6-12.5CM
$859
$687
$541
23
clean
ED 12055 LYR CLSR WND 12.6-20.0CM
$988
$790
$623
23
clean
ED 12056 INTRMD RPR LAC FCE EAR LID NS LP MTH20.1-30CM
$839
$671
$529
23
clean
ED 12057 INTRMD RPR LAC FCE EAR LID NSE LIP MTH>30.0CM
$1,201
$961
$757
23
clean
ED 13100 EXC LSN MAL FACE EAR 2.1-3
$2,094
$1,675
$1,320
23
clean
ED 13101 RPR CMPLX TRUNK 2.6-7.5CM
$3,147
$2,518
$1,984
23
clean
ED 13102 RPR CPX TRK EA ADD 5CM OR <
$1,538
$1,230
$969
23
clean
ED 13120 RPR CMPLX WND 1.1-2.5CM
$1,224
$979
$771
23
clean
ED 13121 RPR CMPLX WND 2.6-7.5 CM
$1,852
$1,482
$1,167
23
clean
ED 13122 RPR CMPLX EACH ADD 5CM
$821
$657
$517
23
clean
ED 13131 RPR CPX WD OR LSN 1.1-2.5CM
$1,013
$810
$638
23
clean
ED 13132 RPR CPX WD OR LSN 2.6-7.5CM
$1,563
$1,250
$985
23
clean
ED 13133 RPR CX WD OR LN EA AD 5CM <
$905
$724
$570
23
clean
ED 13151 RPR CX WD OR LSN 1.1-2.5CM
$1,335
$1,068
$841
23
clean
ED 13152 RPR CX WD OR LSN 2.6-7.5CM
$1,599
$1,279
$1,008
23
clean
ED 13153 RPR CMPLX WND OR LSN EA ADD 5CM
$984
$787
$620
23
clean
TX RM 15852 DRSG CHG WANES NOT FOR BURN
$732
$586
$461
23
clean
ED 16000 BURN FIRST DEGREE INIT TX
$477
$382
$301
23
clean
ED 16020 DRSG DEBRIDEMENT BURN<5% BSA
$449
$359
$283
23
clean
ED 16025 BURN DRESS DEBRID MEDIUM
$492
$394
$310
23
clean
ED 16030 BURN DRESS DEBRID LARGE
$723
$578
$456
23
clean
SURG 19000 PUNCTURE ASPIRATION CYST BREAST
$1,388
$1,110
$875
23
clean
TX RM 19020 INCISION OF BREAST LESION ABSCESS DEEP
$3,522
$2,818
$2,220
23
clean
TX RM 19100 BIOPSY BREAST NEEDLE WITHOUT GUIDANCE BILATERAL
$3,232
$2,586
$2,037
23
clean
SURG 19281 PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE
$1,386
$1,109
$874
23
clean
ED 20100 EXPLORE PENETRATING WOUND NECK
$6,445
$5,156
$4,062
23
clean
ED 20101 EXPLORE PENETRATING WOUND CHEST
$2,828
$2,262
$1,782
23
clean
ED 20102 EXPLORE PENETRATING WOUND ABDOMEN/BACK/FLANK
$5,706
$4,565
$3,596
23
clean
ED 20103 EXPLOR WND EXTREMITY
$3,090
$2,472
$1,948
23
clean
SURG 20501 INJ SINUS TRACT DIAGNOSTIC
$910
$728
$574
23
clean
ED 20520 RMVL FB MUSC TEND SMPL
$2,986
$2,389
$1,882
23
clean
SURG 20550 INJ SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS
$592
$474
$373
23
clean
SURG 20552 INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES
$683
$546
$430
69
clean
ED 20553 INJ SIN MULTI TRIG+3 MUSCLE
$815
$652
$514
23
clean
DRY NEEDLING 1 OR 2 MUSCLE(S) 20560
$49
$39
$31
23
clean
DRY NEEDLING 3 OR MORE MUSCLE(S) 20561
$86
$69
$54
23
clean
SURG 20600 ARTHROCENTESIS ASP INJ SM JNT BURSA WO US GUID
$830
$664
$523
23
clean
SURG 20605 ARTHROCENTESIS ASP INJ INTRM JNT BURSA WO US GUID
$862
$690
$543
69
clean
SURG 20610 ARTHROCENTESIS ASP INJ MJR JNT BURSA WO US GUID
$998
$798
$535
69
clean
SURG 20611 ARTHROCENT ASP INJ JT BURSA MAJOR W US
$1,085
$868
$684
23
clean
ED 21315 CLSD TX NSL BONE FX W MANIP WO STAB
$3,234
$2,587
$2,038
23
clean
ED 21450 CLSD TX MANDIBLE WO MANIP
$386
$309
$243
23
clean
ED 21480 CLSD TX TEMPMAND DISL
$568
$454
$358
23
clean
ED 21820 CLSD TX STERNUM FX
$584
$467
$368
23
clean
TX RM 21931 EXC TUMOR TISSUE BACK FLANK SUBQ 3CM+
$2,840
$2,272
$1,790
23
clean
SURG 23350 INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG
$802
$642
$506
23
clean
ED 23500 CLSD TX CLAVICLE FX
$441
$353
$278
23
clean
ED 23505 CLSD TX CLVCLE FX WMANIP
$1,740
$1,392
$1,097
23
clean
ED 23520 CLSD TX CLAVICLE DISLOC
$1,906
$1,525
$1,201
23
clean
ED 23540 CLSD TX CLAVICLE DISLOC
$558
$446
$352
23
clean
ED 23545 CLSD TX CLAVICLE DISLOC WMANIP
$573
$458
$361
23
clean
ED 23570 CLSD TX SCAPULA FX
$430
$344
$271
23
clean
ED 23600 CLSD TX HUMERAL FX
$524
$419
$330
23
clean
ED 23620 CLSD TX GT HUMERAL
$442
$354
$279
23
clean
ED 23625 CLSD TX GT HUMERAL WMANIP
$2,235
$1,788
$1,409
23
clean
ED 23650 CLSD TX SHOULDER DISLOC W MANIP WO ANES
$731
$585
$461
23
clean
ED 23655 CLSD TX SLDR DSL WMNP ANS
$2,476
$1,981
$1,561
23
clean
ED 23665 CLSD TX SHLDR DSLOC WFX WMAN
$1,614
$1,291
$1,017
23
clean
ED 23675 CLSD TX SHR DISLC NECK FX
$1,405
$1,124
$886
23
clean
ED 24500 CLSD TX HUMERAL FX
$508
$406
$320
23
clean
ED 24505 CLSD TX HUMERAL FX W MANIP
$1,351
$1,081
$852
23
clean
ED 24530 CLSD TX HUMERAL FX
$529
$423
$333
23
clean
ED 24535 CLSD TX HUMERAL FX W MANIP
$1,551
$1,241
$978
23
clean
ED 24560 CLSD TX HUMERAL WO MANIP
$496
$397
$313
23
clean
ED 24565 TX FX HUMER EPICOND WMAN
$2,090
$1,672
$1,317
23
clean
ED 24576 CLSD TX HUMERAL FX
$554
$443
$349
23
clean
ED 24577 TX FX HUMER CONDYLAR MAN CL
$1,243
$994
$783
23
clean
ED 24600 CLSD TX ELBOW DISLOC W/O ANES
$676
$541
$426
23
clean
ED 24605 CLSD TX ELBOW DISLOC W ANES
$2,422
$1,938
$1,527
23
clean
ED 24620 CLSD TX ELBOW FX
$1,270
$1,016
$800
23
clean
ED 24640 CLSD TX RADIAL HEAD ELB W MANIP
$731
$585
$461
23
clean
ED 24650 CLSD TX RADIAL HEAD NECK
$484
$387
$305
23
clean
ED 24655 CLSD TX RAD HEAD NECK FX WMAN
$1,588
$1,270
$1,001
23
clean
ED 24670 CLSD TX OLECRANON FX
$509
$407
$321
23
clean
ED 24675 CLSD TX ULNA FX WMANIP
$1,657
$1,326
$1,044
23
clean
ED 25500 CLSD TX RAD SHAFT FX
$468
$374
$295
23
clean
ED 25505 CLSD TX RAD SHAFT FX W MANIP
$1,373
$1,098
$865
23
clean
ED 25520 CLSD TX RADIAL SHAFT FX WDISLOC RADIO-ULNAR
$1,256
$1,005
$792
23
clean
ED 25530 CLSD TX ULNAR SHAFT FX
$435
$348
$274
23
clean
ED 25535 CLSD TX ULNAR SHAFT FX WMANIP
$2,371
$1,897
$1,494
23
clean
ED 25560 CLSD TX RAD ULNAR SHAFT
$534
$427
$337
23
clean
ED 25565 CLSD TX RAD ULNAR SHAFT WMANIP
$1,517
$1,214
$956
23
clean
ED 25600 CLSD TX DISTAL RADIAL FX
$529
$423
$333
23
clean
ED 25605 CLSD TX DISTAL RADIAL WMANIP
$1,521
$1,217
$959
69
clean
ED 25622 CLSD TX NAVICULAR FX WO MANIP
$527
$422
$332
23
clean
ED 25624 CLSD TX NAVICULAR FX WMANIP
$2,118
$1,694
$1,335
23
clean
ED 25630 CLSD TX CARPAL BONE FX
$461
$369
$291
23
clean
ED 25635 CLSD TX CARPAL FX WMANIPULATION
$1,506
$1,205
$949
23
clean
ED 25650 CLSD TX ULNAR FX
$756
$605
$477
23
clean
ED 25660 CLSD TX WRIST DISLOC
$746
$597
$470
23
clean
ED 25675 CLSD TX WRIST DISLOC WMANIP
$604
$483
$381
23
clean
ED 25690 CLSD TX LNTE DISLC WMANIP
$3,183
$2,546
$2,006
23
clean
ED 26010 DRN FINGER ABSCESS SIMPLE
$564
$451
$355
23
clean
ED 26011 DRN FINGER ABSCESS COMPL
$2,747
$2,198
$1,731
23
clean
ED 26410 RPR HAND TENDOR
$3,898
$3,118
$2,457
23
clean
ED 26600 CLSD TX METACARPAL FX WO MANIP EA BONE
$467
$374
$294
23
clean
ED 26605 CLSD TX METACARPAL FX WMANIP
$705
$564
$444
23
clean
ED 26641 CLSD TX CMC THUMB DISLOC
$526
$421
$332
23
clean
ED 26645 TX FX THUMB WMAN CLSD
$1,294
$1,035
$816
23
clean
ED 26670 CLSD TX CMC DISLOC
$553
$442
$349
23
clean
ED 26700 CLSD TX KNUCKLE DISLOC W MANIP
$614
$491
$387
23
clean
ED 26720 CLSD TX FINGER FX
$480
$384
$303
23
clean
ED 26725 CLSD TX FINGER FX WMANIP
$639
$511
$403
23
clean
ED 26740 CLSD TX FINGER FX
$504
$403
$318
23
clean
ED 26742 CLSD TX ARTICULAR FX W MC/IP JNT W MANIP EA
$1,243
$994
$783
23
clean
ED 26750 CLSD TX FINGER FX
$444
$355
$280
23
clean
ED 26755 CLSD TX FINGER FX W MANIP EACH
$609
$487
$384
23
clean
ED 26770 CLSD TX FINGER DISLOC W MANIP
$610
$488
$384
23
clean
SURG 27093 INJ HIP ARTHROGRAPHY W/O ANESTHESIA
$942
$754
$594
23
clean
SURG 27096 INJ SI JOINT UNILAT
$1,498
$1,198
$944
23
clean
ED 27200 CLSD TX COCCYGEAL FX
$420
$336
$265
23
clean
ED 27220 CLSD TX HIP SOCKET FX
$527
$422
$332
23
clean
ED 27230 CLSD TX FEMUR FX
$531
$425
$335
23
clean
ED 27238 CLSD TX FEMUR FX
$1,825
$1,460
$1,150
23
clean
ED 27246 CLSD TX THIGH FX
$461
$369
$291
23
clean
ED 27250 CLSD TX HIP DISLOC
$710
$568
$448
23
clean
ED 27252 CLSD TX HIP DSLC TRM WANS
$2,264
$1,811
$1,427
23
clean
ED 27256 TX DISLOC HIP SPONTANEOUS W/O ANES W/O MANIP
$584
$467
$368
23
clean
ED 27265 CLSD TX HIP DISLOC WO ANES
$731
$585
$461
23
clean
ED 27266 CLSD TX HIP DISLOC WANES
$3,085
$2,468
$1,944
23
clean
TX RM 27301 I&D ABCESS HEMATOMA THIGH KNEE
$6,071
$4,857
$3,827
23
clean
ED 27372 REMOVE FB THIGH KNEE DEEP
$7,026
$5,621
$4,428
23
clean

Showing the first 200 of 1,942 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
7,250 of 7,250 percentage/algorithm rates across 1,827 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 82525/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 J7307/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82530/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 J7500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82533/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7507/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82570/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7515/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82784/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7517/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82785/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7518/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83018/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7520/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83088/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7608/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83516/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7614/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83519/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7620/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 83520/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 J7626/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83655/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7699/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83789/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7999/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83825/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 J8499/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83874/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8540/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83880/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8610/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83883/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8999/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83921/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J9025/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 84075/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9035/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84146/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9040/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 84156/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9041/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84165/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9045/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9075/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 84305/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 J9190/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84311/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9201/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84402/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9206/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84403/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9217/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84432/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9260/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 84439/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9263/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84585/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9271/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84630/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9305/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9312/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86146/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0120/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86147/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1812/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86160/o
info
mrf_item_fields_vary
this code and setting cover at least 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 L1830/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86235/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3030/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 86255/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 L3670/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 86258/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3807/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86331/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3809/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86376/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3908/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86430/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3923/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86431/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3925/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86606/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3927/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86611/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L4350/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86618/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L4360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86635/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT P9047/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 86638/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0144/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86698/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0162/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86713/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q2009/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 86788/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4133/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86789/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5101/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86790/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5115/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86800/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5123/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86812/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5125/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87046/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q5126/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87070/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 Q9950/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87077/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q9967/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87081/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q9968/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87116/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 S0119/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87186/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 S0170/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87329/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87491/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 87494/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 87498/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87591/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 87798/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 87899/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88720/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 89321/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90375/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90471/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90675/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 90700/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90707/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90714/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90715/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90732/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94640/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95811/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 96365/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 96366/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 96372/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99211/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99212/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A4217/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 A9585/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1758/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 C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1771/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 C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 42 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1788/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1894/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9254/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT G0145/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 J0131/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 J0132/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0133/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0153/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0166/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0169/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0278/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0282/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0283/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0290/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0295/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J0330/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0456/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0457/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0461/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0490/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0517/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0558/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 J0585/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0612/o
info
mrf_item_fields_vary
this code and setting cover at least 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 J0616/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0618/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0640/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 J0665/o
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 J0690/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0692/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0694/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0696/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0702/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0713/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0717/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0736/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0743/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0780/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0834/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 J0878/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0881/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0895/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0897/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 345 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 101.5M bytes · fetched 2026-08-24 · sha256 787097935f20…

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.