Hospital · CCN 180069

Tug Valley Arh Regional Medical Center

260 Hospital Drive, South Williamson, KY 41503 · Pike County
Part of Appalachian Regional Healthcare · 88 beds · 1
Rural areas: primary flow to a tract outside a urbanized area of 50,000 and greater or UC

12 admission types 15 outpatient services price file: ok
Billed per dollar paid, all admissions
3.96×
$9.5M billed against $2.4M paid across 241 Medicare discharges; the national figure is 5.03×.
3.9%
of adults in Pike County have medical debt in collections
7.1%
uninsured in the county · state 6.6%
$46K
median household income
4.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
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
$50,810
$14,118
3.6× st 4.3×
193
Simple pneumonia and pleurisy with mcc
33
$43,277
$10,310
4.2× st 4.4×
690
Kidney and urinary tract infections without mcc
25
$24,301
$6,450
3.8× st 4.3×
194
Simple pneumonia and pleurisy with cc
20
$38,953
$6,521
6.0× st 4.7×
190
Chronic obstructive pulmonary disease with mcc
19
$36,320
$8,405
4.3× st 4.6×
291
Heart failure and shock with mcc
19
$33,769
$9,919
3.4× st 4.3×
689
Kidney and urinary tract infections with mcc
15
$32,210
$8,939
3.6× st 4.3×
683
Renal failure with cc
13
$34,307
$7,257
4.7× st 4.4×
682
Renal failure with mcc
11
$41,293
$11,676
3.5× st 4.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
11
$27,595
$6,210
4.4× st 4.6×
189
Pulmonary edema and respiratory failure
11
$35,490
$9,596
3.7× st 4.5×
177
Respiratory infections and inflammations with mcc
11
$53,579
$13,016
4.1× st 4.5×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
93
$22,193
$2,282
9.7×
5491
Level 1 Intraocular Procedures
37
$14,287
$1,934
7.4×
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 1/1/2026, template 3.0.0, 87,028 rows scanned, 3,252 distinct code–setting items kept. 651 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
THYGENEXT W/RFX TO THYRAMIR
$2,411
$1,447
$2,170
2
clean
THYGENEXT W/RFX TO THYRAMIR
$2,411
$1,447
$1,266
19
clean
FNA BX W/O IMG GDN EA ADDL
$176
$106
$36
10
clean
FNA BX W US GUIDE 1ST LESION
$413
$248
$61
10
clean
FNA BX W US GUIDE 1ST LESION
$261
$157
$69
23
clean
FINE NDL ASP BX 1ST LESION WO
$138
$83
$65
23
clean
ACNE SURGERY OF SKIN ABSCESS
$163
$98
$41
10
clean
I&D SIMPLE OR SINGLE
$243
$146
$115
63
clean
I&D SIMPLE OR SINGLE
$225
$135
$94
14
clean
I&D COMPLICATED/MULTI
$891
$535
$802
4
clean
I&D COMPLICATED/MULTI
$891
$535
$231
50
clean
I&D PILONIDAL CYST
$464
$278
$359
40
clean
I&D PILONIDAL CYST
$1,000
$600
$99
14
clean
I+D PILONIDAL CYST CMPLC
$3,584
$2,150
$548
20
clean
I+D PILONIDAL CYST CMPLC
$989
$593
$160
12
clean
INCISION REMOVAL FB SQ SIMPLE
$340
$204
$96
12
clean
INCISION REMOVAL FB SQ SIMPLE
$950
$570
$219
43
clean
INCISION & REMOVAL FB SC COMP
$605
$363
$164
10
clean
I&D HEMATOMA/SEROMA
$326
$196
$109
14
clean
I&D HEMATOMA/SEROMA
$3,584
$2,150
$937
40
clean
PUNCTURE DRAINAGE OF LESION
$457
$274
$231
20
clean
PUNCTURE DRAINAGE OF LESION
$457
$274
$411
2
clean
COMPLEX DRAINAGE WOUND
$624
$374
$166
10
clean
DEBRIDE INFECTED SKIN 10% BODY
$111
$67
$24
10
clean
DEBRIDEMENT NECROTIZING TISSUE
$2,060
$1,236
$492
10
clean
DEBRIDE ABD WALL W/ OR W/O CLO
$2,806
$1,684
$674
10
clean
REMOVE MESH ABD WALL
$1,376
$826
$238
10
clean
DEBRIDE SQ TISSUE 1ST 20 SQ CM
$904
$542
$814
2
clean
DEBRIDE SQ TISSUE 1ST 20 SQ CM
$904
$542
$231
43
clean
DEBRIDE MUSC/FASCIA 1ST 20SQC
$559
$335
$134
12
clean
DEBRIDE MUSC/FASCIA 1ST 20SQC
$904
$542
$354
20
clean
DEBRIDE BONE 1ST 20 SQ CM
$2,649
$1,589
$937
20
clean
DEBRIDE BONE 1ST 20 SQ CM
$713
$428
$195
12
clean
DEBRIDE SQ TISSUE ADD 20 SQ CM
$904
$542
$595
12
clean
DEBRIDE SQ TISSUE ADD 20 SQ CM
$405
$243
$22
12
clean
DEBRIDE MUSC/FASCIA AD 20SQ
$155
$93
$47
12
clean
DEBRIDE MUSC/FASCIA AD 20SQ
$904
$542
$595
12
clean
DEBRIDE BONE ADD 20 SQ CM
$2,649
$1,589
$1,744
12
clean
DEBRIDE BONE ADD 20 SQ CM
$255
$153
$83
12
clean
PUNCH BX SKIN SINGLE LESION
$282
$169
$65
23
clean
PUNCH BX SKIN SINGLE LESION
$319
$191
$37
10
clean
PUNCH BX SKIN EA ADDL LESION
$157
$94
$21
10
clean
INCISIONAL BX SKIN SINGLE LES
$299
$179
$45
10
clean
RMVL SKIN TAGS TO 15 LESIONS
$174
$104
$65
10
clean
RMVL SKIN TAGS TO 15 LESIONS
$176
$106
$65
10
clean
SHAVE SKIN LESN SNHFG1.1-2.0CM
$115
$69
$50
10
clean
EXC BEN LES TRNK ARM LEG<.5CM
$125
$75
$72
23
clean
EXC BEN LES TRNK ARM LEG<.5CM
$313
$188
$72
10
clean
EXC BEN LES+MRGN.6-1CM EXC SKN
$152
$91
$93
23
clean
EXC BEN LESN+MARGN TAL 1.1-2CM
$336
$202
$103
23
clean
EXC BEN LES TRK ARM LEG2.1-3CM
$514
$308
$128
10
clean
EXC BEN LES TRK ARM LEG2.1-3CM
$206
$124
$133
23
clean
EXC BEN LES TRK ARM LEG3.1-4CM
$515
$309
$144
10
clean
EXC BEN LES TRNK ARM LEG > 4CM
$724
$434
$217
10
clean
EXC BEN LES TRNK ARM LEG > 4CM
$290
$174
$224
23
clean
EXC BEN LES SCLP HND FT GN <.5
$1,965
$1,179
$937
20
clean
EXC BEN LES SCLP HND FT GN <.5
$240
$144
$72
12
clean
EXC BEN LES SCL HN FT GN 1.1-2
$460
$276
$117
10
clean
EXC BEN LES SCL HN FT GN 2.1-3
$563
$338
$136
10
clean
EXC BEN LES SCL HN FT GN 3.1-4
$639
$383
$157
10
clean
EXC BEN LES SCL HN FT GN >4CM
$1,582
$949
$234
10
clean
EXC BEN LES SCL HN FT GN >4CM
$873
$524
$234
10
clean
EXC BEN LES FEENL <=0.5CM
$145
$87
$91
10
clean
EXC BEN LES FEENLMM .6-1.0CM
$561
$337
$113
10
clean
EXC BEN LES FEENLMM 1.1-2CM
$405
$243
$125
10
clean
EXC BEN LES FEENLMM >4CM
$888
$533
$270
10
clean
EXC H/P/P/U COMPLEX REPAIR
$1,221
$733
$315
10
clean
EXC MAL LES TRN ARM LEG<=0.5CM
$257
$154
$407
13
clean
EXC MAL LES TRN ARM LEG0.6-1CM
$337
$202
$135
23
clean
EXC MAL LES TRN ARM LEG0.6-1CM
$561
$337
$122
10
clean
EXC MAL LES TRN ARM LEG .1-2CM
$574
$344
$130
10
clean
EXC MAL LES TRN ARM LEG .1-2CM
$344
$206
$231
13
clean
EXC MA LES TRNK EXTRM 2.1-3CM
$650
$390
$156
10
clean
EXC MAL LES TRN ARM LEG>4.0CM
$920
$552
$265
10
clean
MAL LES SCLP HND FT GNT >4CM
$1,096
$658
$244
10
clean
EXC MAL LES FEENL+MRGNS .6-1CM
$681
$409
$128
10
clean
EXC MAL LES FEENL+MRGNS1.1-2CM
$851
$511
$148
10
clean
TRIM NONDYSTROPHIC NAILS ANY
$210
$126
$34
19
clean
TRIM NONDYSTROPHIC NAILS ANY
$210
$126
$189
2
clean
DEBRIDEMENT OF NAILS 6 OR MORE
$443
$266
$399
2
clean
DEBRIDEMENT OF NAILS 6 OR MORE
$443
$266
$68
19
clean
REMOVAL OF NAIL PLATE
$477
$286
$115
40
clean
REMOVAL OF NAIL PLATE
$477
$286
$429
4
clean
EVACUATION OF SUBUNGUAL HEM
$210
$126
$75
20
clean
EVACUATION OF SUBUNGUAL HEM
$210
$126
$189
2
clean
RMVL NAIL PART/COMP PERM
$561
$337
$90
12
clean
RMVL NAIL PART/COMP PERM
$901
$541
$231
20
clean
REPAIR OF NAIL BED
$492
$295
$353
20
clean
REPAIR OF NAIL BED
$492
$295
$443
2
clean
EXC PILONIDAL CYST SIMPLE
$801
$481
$172
10
clean
EXC PILONIDAL CYST COMPLICATED
$1,753
$1,052
$541
10
clean
INJ INTRALESIONAL </=7 LESIONS
$48
$29
$29
23
clean
REMOVE NON-BIO DRUG IMPLANT
$351
$211
$61
10
clean
SIMP SUPER WOUND <2.5CM
$492
$295
$443
2
clean
SIMP SUPER WOUND <2.5CM
$492
$295
$115
20
clean
SIMP SUPER WOUND 2.6-7.5CM
$492
$295
$115
20
clean
SIMP SUPER WOUND 2.6-7.5CM
$460
$276
$56
12
clean
SIMP SUPER WOUND 7.6-12.5CM
$492
$295
$115
20
clean
SIMP SUPER WOUND 7.6-12.5CM
$492
$295
$443
2
clean
SIMP SUPER WOUND 12.6-20CM
$492
$295
$443
2
clean
SIMP SUPER WOUND 12.6-20CM
$492
$295
$231
20
clean
SIMP SUPER WOUND 20.1-30CM
$492
$295
$231
20
clean
SIMP SUPER WOUND 20.1-30CM
$900
$540
$107
12
clean
SIMP LAC FACE <2.5CM
$492
$295
$115
20
clean
SIMP LAC FACE <2.5CM
$455
$273
$53
12
clean
SIMP LAC FACE 2.6-5CM
$492
$295
$443
2
clean
SIMP LAC FACE 2.6-5CM
$492
$295
$115
20
clean
SIMP LAC FACE 5.1-7.5CM
$492
$295
$115
20
clean
SIMP LAC FACE 5.1-7.5CM
$492
$295
$443
2
clean
SIMP LAC FACE 7.6-12.5
$492
$295
$115
20
clean
SIMP LAC FACE 7.6-12.5
$492
$295
$443
2
clean
SIMP LAC FACE 12.6-20CM
$492
$295
$443
2
clean
SIMP LAC FACE 12.6-20CM
$492
$295
$231
20
clean
SIMP SUPER WOUND DEH SIMP CLO
$1,279
$767
$354
20
clean
SIMP SUPER WOUND DEH SIMP CLO
$442
$265
$170
12
clean
LAYER WND SCLP ARM LEG<2.5CM
$492
$295
$231
20
clean
LAYER WND SCLP ARM LEG<2.5CM
$492
$295
$443
2
clean
LAYER WND SCL ARM LEG2.6-7.5CM
$593
$356
$157
12
clean
LAYER WND SCL ARM LEG2.6-7.5CM
$492
$295
$231
20
clean
LAYER WND SCL ARM LEG7.6-12.5C
$548
$329
$231
20
clean
LAYER WND SCL ARM LEG7.6-12.5C
$450
$270
$172
12
clean
LAYER WND SCL ARM LEG12.6-20CM
$1,413
$848
$231
20
clean
LAYER WND SCL ARM LEG12.6-20CM
$1,413
$848
$1,272
2
clean
LAYER WND NECK<2.5CM
$492
$295
$443
2
clean
LAYER WND NECK<2.5CM
$492
$295
$231
20
clean
LAYER WND NECK 2.6-7.5CM
$492
$295
$443
2
clean
LAYER WND NECK 2.6-7.5CM
$492
$295
$231
20
clean
LAYER WND FACE<2.5CM
$492
$295
$231
20
clean
LAYER WND FACE<2.5CM
$419
$251
$142
12
clean
LAYER WND FACE 2.6-5CM
$492
$295
$231
20
clean
LAYER WND FACE 2.6-5CM
$492
$295
$443
2
clean
LAYER WND FACE 5.1-7.5CM
$492
$295
$443
2
clean
LAYER WND FACE 5.1-7.5CM
$492
$295
$231
20
clean
LAYER WND FACE 7.6-12.5CM
$1,092
$655
$189
10
clean
CMPLC LAC TRUNK 2.6-7.5CM
$758
$455
$201
10
clean
CMPLC LAC RPR TRUNK EA ADD 5CM
$310
$186
$58
10
clean
COMP LAC SCL ARM LEG2.6-7.5CM
$486
$292
$207
10
clean
SECOND CLOSURE SURGICAL WND
$2,212
$1,327
$707
10
clean
SKIN ADJ TISSUE TRANSFER TRUNK
$1,639
$983
$571
10
clean
ADJ TRANS CHIN AX+HF <10SQ CM
$1,803
$1,082
$520
10
clean
ADJ TRNS ANY AREA 30.1-60SQCM
$3,135
$1,881
$734
10
clean
ADJ TRNS ANY AREA EA AD 30SQCM
$831
$499
$177
10
clean
WND PRP TRK ARM LEG 1ST100SQCM
$1,004
$602
$190
10
clean
SKIN SPLIT GRAFT PROCEDURE
$1,696
$1,018
$628
10
clean
SKIN SPLT GRFT T/A/L ADD ON
$832
$499
$96
10
clean
SKIN FULL GRAFT PROCEDURE
$1,747
$1,048
$575
10
clean
SKIN FULL GRAFT EA ADD 20 SQCM
$649
$389
$63
10
clean
FTG FOREHEAD CHIN AXL&FOOT <20
$2,250
$1,350
$663
10
clean
SKIN SUB GRAFT TRNK/ARM/LEG
$1,434
$860
$1,058
20
clean
SKIN SUB GRAFT TRNK/ARM/LEG
$327
$196
$73
12
clean
SKIN SUB GRAFT T/A/L ADD-ON
$1,017
$610
$610
11
clean
SKIN SUB GRAFT T/A/L ADD-ON
$76
$46
$14
12
clean
SKIN SUB GRFT T/ARM/LG CHILD
$902
$541
$167
10
clean
SKIN SUB GRFT T/A/L CHILD ADD
$228
$137
$38
10
clean
SKIN SUB GRFT F/NK/HF/G1ST 25S
$1,500
$900
$1,058
33
clean
SKIN SUB GRFT F/NK/HF/G1ST 25S
$350
$210
$82
12
clean
SKIN SUB GRAFT F/N/HF/G ADDL
$97
$58
$22
10
clean
FORM SKIN PEDICLE FLAP
$3,019
$1,811
$612
10
clean
TRANSFER SKIN PEDICLE FLAP
$1,554
$932
$360
10
clean
MUSCLE FLAP TRUNK
$5,142
$3,085
$1,327
10
clean
MUSCLE FLAP UPPER EXTREMITY
$5,578
$3,347
$1,058
10
clean
IMPLNT MESH/PROSTH DELAY CLO
$1,379
$827
$343
10
clean
EXC EXCESSIVE SKIN TISSUE ABD
$5,693
$3,416
$1,019
10
clean
BURN TX FIRST DEGREE
$291
$175
$262
2
clean
BURN TX FIRST DEGREE
$291
$175
$115
20
clean
BURN DEBRIDE/DSG W/O ANES SM
$332
$199
$115
40
clean
BURN DEBRIDE/DSG W/O ANES SM
$218
$131
$51
14
clean
BURN DEBRIDE/DSG W/O ANES MED
$390
$234
$115
20
clean
BURN DEBRIDE/DSG W/O ANES MED
$381
$229
$98
12
clean
BURN DEBRIDE/DSG W/O ANES LRG
$483
$290
$118
12
clean
BURN DEBRIDE DSG WO ANES LRG
$711
$427
$231
20
clean
DESTRUCT BENIGN LESIONS TO 14
$65
$39
$58
23
clean
CHEMICAL CAUTERY TISSUE
$367
$220
$34
12
clean
CHEMICAL CAUTERY TISSUE
$468
$281
$115
20
clean
ASP CYST BREAST RT
$191
$115
$36
10
clean
I+D ABSCESS BREAST
$1,046
$628
$297
10
clean
STEREOTAC BRST BX 1ST LES RT
$1,216
$730
$136
10
clean
US BX BREAST 1ST LES LT
$5,775
$3,465
$937
20
clean
US BX BREAST 1ST LES LT
$1,216
$730
$128
22
clean
US BX BREAST EA AD LES
$948
$569
$64
10
clean
EXC BREAST CYST ONE OR MORE
$1,116
$670
$387
10
clean
PERQ DEV BRST 1ST US IMG LT
$3,072
$1,843
$2,765
2
clean
PERQ DEV BRST 1ST US IMG LT
$3,072
$1,843
$470
20
clean
PARTIAL MASTECTOMY
$1,871
$1,123
$604
10
clean
MAST MOD RAD
$4,030
$2,418
$1,076
10
clean
BX BONE SUPERFICIAL
$219
$131
$937
13
clean
BX BONE SUPERFICIAL
$386
$232
$74
10
clean
BONE BX OPEN SUPERFICIAL
$585
$351
$123
10
clean
BONE BIOPSY OPEN DEEP
$3,900
$2,340
$294
10
clean
RMVL FB MUSCLE COMPL
$1,223
$734
$222
10
clean
INJ TENDON LIGAMENT
$76
$46
$49
23
clean
INJ TENDON LIGAMENT
$153
$92
$33
10
clean
INJECTION OF STEROIDS
$56
$34
$50
23
clean
TRIGGER PT INJ 1-2 MUSCLES
$109
$65
$44
23
clean
20560 NEEDLE INS WO INJ 1-2
$56
$34
$14
38
clean
20560 NEEDLE INS WO INJ 1-2
$56
$34
$50
4
clean
20561 NEEDLE INS WO INJ >/=3
$56
$34
$14
19
clean
20561 NEEDLE INS WO INJ >/=3
$56
$34
$50
2
clean
ASP/INJ SM JNT/BURSA
$712
$427
$641
2
clean
ASP/INJ SM JNT/BURS BIL
$183
$110
$109
89
clean

Showing the first 200 of 3,252 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 11043/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $904
CPT 11044/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $2,649
CPT 11045/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $904
CPT 11046/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $904
CPT 11047/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $2,649
CPT 11440/b
warn
mrf_negotiated_above_gross
highest negotiated rate $151 exceeds the gross charge $145
CPT 11600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $407 exceeds the gross charge $257
CPT 12005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $492
CPT 12006/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $492
CPT 12016/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $492
CPT 12020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $1,279
CPT 12034/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $548
CPT 12035/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $1,413
CPT 12041/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $492
CPT 12042/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $492
CPT 12053/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $492
CPT 15271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $1,434
CPT 16000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $291
CPT 16025/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $390
CPT 16030/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $711
CPT 19285/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $3,072
CPT 20220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $219
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $208 exceeds the gross charge $180
CPT 86902/o
warn
mrf_negotiated_above_gross
highest negotiated rate $208 exceeds the gross charge $168
CPT 86905/o
warn
mrf_negotiated_above_gross
highest negotiated rate $208 exceeds the gross charge $117
CPT 87154/o
warn
mrf_negotiated_above_gross
highest negotiated rate $218 exceeds the gross charge $43
CPT 27788/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $436
CPT 87507/o
warn
mrf_negotiated_above_gross
highest negotiated rate $573 exceeds the gross charge $465
CPT 29445/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $758
CPT 29584/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $318
CPT 31500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $1,304
CPT 91040/b
warn
mrf_negotiated_above_gross
highest negotiated rate $386 exceeds the gross charge $245
CPT 32408/b
warn
mrf_negotiated_above_gross
highest negotiated rate $212 exceeds the gross charge $163
CPT 36410/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $2,932
CPT 36430/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $1,043
CPT 36556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $2,693
CPT 36569/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $2,932
CPT 93325/b
warn
mrf_negotiated_above_gross
highest negotiated rate $83 exceeds the gross charge $45
CPT 36580/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $2,639
CPT 36620/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $212
CPT 38220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $1,445
CPT 46083/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $665
CPT 51600/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,136 exceeds the gross charge $1,408
CPT 64632/o
warn
mrf_negotiated_above_gross
highest negotiated rate $588 exceeds the gross charge $569
CPT 99244/b
warn
mrf_negotiated_above_gross
highest negotiated rate $153 exceeds the gross charge $150
CPT 99316/b
warn
mrf_negotiated_above_gross
highest negotiated rate $189 exceeds the gross charge $184
CPT A9541/o
warn
mrf_negotiated_above_gross
highest negotiated rate $315 exceeds the gross charge $271
CPT A9560/o
warn
mrf_negotiated_above_gross
highest negotiated rate $118 exceeds the gross charge $6
CPT G0279/o
warn
mrf_negotiated_above_gross
highest negotiated rate $120 exceeds the gross charge $67
CPT G0439/o
warn
mrf_negotiated_above_gross
highest negotiated rate $215 exceeds the gross charge $191
CPT 77063/o
warn
mrf_negotiated_above_gross
highest negotiated rate $120 exceeds the gross charge $67
warn
mrf_rate_without_estimate
12,235 of 12,235 percentage/algorithm rates across 279 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 80307/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 J1200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 80365/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1200/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 80365/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 J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81002/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1450/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, max differ, so no cross-line comparison was made for this item
CPT 81002/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, max differ, so no cross-line comparison was made for this item
CPT J1561/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81003/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1561/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, max differ, so no cross-line comparison was made for this item
CPT 81003/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1568/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81025/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1568/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 81025/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1569/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1569/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, max differ, so no cross-line comparison was made for this item
CPT 81220/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 J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82043/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1644/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, max differ, so no cross-line comparison was made for this item
CPT 82043/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 J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1650/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, max differ, so no cross-line comparison was made for this item
CPT 82150/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 J1652/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82340/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1652/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 82340/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 J1756/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82375/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1756/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 82375/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 J1805/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82465/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1805/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 82465/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 J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82533/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1885/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, 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, max differ, so no cross-line comparison was made for this item
CPT J1920/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82570/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1920/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 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, max differ, so no cross-line comparison was made for this item
CPT J1938/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82607/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1938/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 82607/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 J1939/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82657/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1939/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 82657/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 J1953/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82945/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1953/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 82945/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 J1956/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 82948/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J1956/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, max differ, so no cross-line comparison was made for this item
CPT 82950/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2003/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82950/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 J2003/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 83516/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2004/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 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 J2004/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 10005/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 83519/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10021/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 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, max differ, so no cross-line comparison was made for this item
CPT J2060/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 10060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83520/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2185/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10060/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, max differ, so no cross-line comparison was made for this item
CPT J2185/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 10061/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 83521/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10080/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83521/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 J2250/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, max differ, so no cross-line comparison was made for this item
CPT 10081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83529/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2270/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10120/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83529/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 J2270/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 10120/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 83615/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2312/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10140/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83615/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 J2312/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 11042/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 83735/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2354/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11043/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83735/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 J2354/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, max differ, so no cross-line comparison was made for this item
CPT 83986/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2357/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11044/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83986/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 J2357/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 84439/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2360/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11045/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 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, max differ, so no cross-line comparison was made for this item
CPT J2360/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 84478/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2371/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11046/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84478/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 J2371/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 84702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2405/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11047/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84702/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 J2405/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 85018/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2430/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11104/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 85018/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 J2430/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 11400/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 85049/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2543/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11401/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 85049/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 J2543/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 11402/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 86001/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2710/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11403/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 86001/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 J2710/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 11406/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 86003/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2919/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 651 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 · 18.3M bytes · fetched 2026-08-26 · sha256 308ae62445db…

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.