Hospital · CCN 180116

Jackson Purchase Medical Center

1099 Medical Center Circle, Mayfield, KY 42066 · Graves County
Part of Lifepoint Health · 95 beds · 5
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

18 admission types 33 outpatient services price file: ok
Billed per dollar paid, all admissions
6.34×
$25.2M billed against $4.0M paid across 396 Medicare discharges; the national figure is 5.03×.
6.2%
of adults in Graves County have medical debt in collections
7.3%
uninsured in the county · state 6.6%
$54K
median household income
6.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 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
79
$92,234
$14,646
6.3× st 4.3×
190
Chronic obstructive pulmonary disease with mcc
35
$50,017
$7,925
6.3× st 4.6×
291
Heart failure and shock with mcc
29
$64,895
$9,525
6.8× st 4.3×
193
Simple pneumonia and pleurisy with mcc
28
$62,653
$9,645
6.5× st 4.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
25
$40,221
$5,704
7.1× st 4.6×
177
Respiratory infections and inflammations with mcc
23
$67,025
$12,050
5.6× st 4.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
21
$48,038
$5,717
8.4× st 4.8×
690
Kidney and urinary tract infections without mcc
20
$39,409
$5,930
6.6× st 4.3×
683
Renal failure with cc
19
$44,752
$6,571
6.8× st 4.4×
689
Kidney and urinary tract infections with mcc
17
$52,747
$8,429
6.3× st 4.3×
189
Pulmonary edema and respiratory failure
15
$60,794
$9,038
6.7× st 4.5×
378
Gastrointestinal hemorrhage with cc
14
$57,592
$7,156
8.0× st 5.3×
194
Simple pneumonia and pleurisy with cc
13
$38,074
$6,108
6.2× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
13
$73,675
$8,835
8.3× st 5.0×
309
Cardiac arrhythmia and conduction disorders with cc
12
$38,228
$5,473
7.0× st 4.9×
603
Cellulitis without mcc
11
$31,809
$6,400
5.0× st 3.9×
698
Other kidney and urinary tract diagnoses with mcc
11
$78,569
$12,396
6.3× st 4.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
11
$141,442
$32,930
4.3× st 4.4×
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
5302
Level 2 Upper GI Procedures
75
$17,741
$1,706
10.4×
8011
Comprehensive Observation Services
73
$31,214
$2,450
12.7×
5115
Level 5 Musculoskeletal Procedures
49
$123,103
$11,812
10.4×
5113
Level 3 Musculoskeletal Procedures
36
$38,254
$2,896
13.2×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
31
$12,439
$1,483
8.4×
5191
Level 1 Endovascular Procedures
21
$35,130
$2,986
11.8×
5431
Level 1 Nerve Procedures
20
$25,394
$1,766
14.4×
5374
Level 4 Urology and Related Services
20
$34,494
$3,189
10.8×
5114
Level 4 Musculoskeletal Procedures
19
$72,078
$5,996
12.0×
5373
Level 3 Urology and Related Services
14
$35,267
$1,863
18.9×
5361
Level 1 Laparoscopy and Related Services
11
$40,161
$5,279
7.6×
5153
Level 3 Airway Endoscopy
11
$21,930
$1,553
14.1×
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 7/10/2026, template 3.0.0, 83,822 rows scanned, 2,751 distinct code–setting items kept. 2,494 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algorithm reported as qu
$2,086
$835
—
0
clean
Fine needle aspiration biopsy, including ultrasound guidance; first lesion
$2,944
$1,178
$1,202
1
clean
Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)
$2,429
$972
—
0
clean
Fine needle aspiration biopsy, including CT guidance; first lesion
$2,944
$1,178
$1,202
1
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single
$1,129
$451
—
0
clean
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple
$1,132
$453
$1,202
1
clean
Incision and drainage of pilonidal cyst; simple
$11,925
$4,770
—
0
clean
Incision and removal of foreign body, subcutaneous tissues; simple
$1,060
$424
$1,202
1
clean
Incision and drainage of hematoma, seroma or fluid collection
$22,049
$8,820
$1,845
1
clean
Puncture aspiration of abscess, hematoma, bulla, or cyst
$23,905
$9,562
—
0
clean
Incision and drainage, complex, postoperative wound infection
$23,494
$9,398
$1,613
1
clean
Debridement of extensive eczematous or infected skin; up to 10% of body surface
$24,635
$9,854
$1,202
1
clean
Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure
$24,432
$9,773
$1,613
1
clean
Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle
$10,094
$4,038
$1,613
1
clean
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less
$1,598
$639
$1,613
1
clean
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less
$2,815
$1,126
$1,613
1
clean
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less
$5,841
$2,336
$1,613
1
clean
Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$1,180
$472
—
0
clean
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$1,949
$779
—
0
clean
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
$4,570
$1,828
$1,202
1
clean
Punch biopsy of skin (including simple closure, when performed); single lesion
$1,175
$470
—
0
clean
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions
$2,074
$830
—
0
clean
Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm
$3,585
$1,434
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm
$11,384
$4,554
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm
$8,494
$3,398
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm
$24,411
$9,765
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm
$23,441
$9,377
$1,202
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm
$23,951
$9,581
$1,613
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less
$8,378
$3,351
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
$10,285
$4,114
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
$24,344
$9,738
—
0
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm
$28,223
$11,289
$1,202
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm
$25,657
$10,263
$1,613
1
clean
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm
$25,189
$10,076
$1,613
1
clean
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm
$10,593
$4,237
—
0
clean
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm
$9,974
$3,990
—
0
clean
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm
$8,899
$3,559
$1,202
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair
$22,450
$8,980
$1,613
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair
$8,783
$3,513
$1,613
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair
$12,637
$5,055
$1,613
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair
$12,637
$5,055
$1,613
1
clean
Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair
$20,016
$8,006
$1,613
1
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm
$7,377
$2,951
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm
$8,329
$3,332
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm
$8,913
$3,565
—
0
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm
$7,531
$3,012
$1,613
1
clean
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm
$25,210
$10,084
$1,613
1
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
$3,585
$1,434
—
0
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm
$21,934
$8,774
—
0
clean
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm
$24,572
$9,829
$1,613
1
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm
$9,832
$3,933
—
0
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm
$5,518
$2,207
$1,202
1
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm
$10,035
$4,014
$1,202
1
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm
$6,370
$2,548
$1,613
1
clean
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm
$5,678
$2,271
$1,613
1
clean
Debridement of nail(s) by any method(s); 1 to 5
$1,164
$466
—
0
clean
Debridement of nail(s) by any method(s); 6 or more
$10,865
$4,346
—
0
clean
Avulsion of nail plate, partial or complete, simple; single
$2,072
$829
—
0
clean
Evacuation of subungual hematoma
$1,089
$435
—
0
clean
Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal
$14,883
$5,953
—
0
clean
Repair of nail bed
$2,624
$1,050
$1,202
1
clean
Excision of pilonidal cyst or sinus; simple
$12,936
$5,175
$1,845
1
clean
Excision of pilonidal cyst or sinus; extensive
$25,154
$10,062
$1,845
1
clean
Excision of pilonidal cyst or sinus; complicated
$23,820
$9,528
$1,845
1
clean
Replacement of tissue expander with permanent implant
$32,368
$12,947
$1,845
1
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less
$2,105
$842
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm
$2,203
$881
—
0
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm
$2,236
$894
$1,613
1
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm
$2,270
$908
$1,613
1
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
$2,079
$831
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
$2,076
$830
—
0
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
$2,236
$894
$1,613
1
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
$3,253
$1,301
$1,613
1
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm
$2,171
$868
$1,613
1
clean
Treatment of superficial wound dehiscence; simple closure
$1,129
$452
$1,202
1
clean
Treatment of superficial wound dehiscence; with packing
$14,349
$5,740
$1,202
1
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less
$18,529
$7,412
—
0
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm
$2,858
$1,143
$1,613
1
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm
$2,243
$897
$1,613
1
clean
Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm
$28,068
$11,227
$1,613
1
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less
$3,585
$1,434
—
0
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm
$8,381
$3,352
$1,613
1
clean
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm
$2,124
$850
$1,613
1
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
$2,507
$1,003
—
0
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
$1,955
$782
$1,613
1
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm
$10,967
$4,387
$1,613
1
clean
Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm
$2,656
$1,062
$1,613
1
clean
Repair, complex, trunk; 2.6 cm to 7.5 cm
$4,938
$1,975
$1,845
1
clean
Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)
$4,938
$1,975
—
0
clean
Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm
$16,390
$6,556
$1,845
1
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm
$11,560
$4,624
$1,613
1
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm
$3,350
$1,340
$1,845
1
clean
Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)
$9,188
$3,675
—
0
clean
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm
$9,974
$3,990
$1,845
1
clean
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm
$11,409
$4,564
$1,845
1
clean
Secondary closure of surgical wound or dehiscence, extensive or complicated
$28,425
$11,370
$1,613
1
clean
Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm
$14,017
$5,607
$1,845
1
clean
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less
$13,370
$5,348
$1,613
1
clean
Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less
$28,791
$11,516
$1,845
1
clean
Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm
$14,190
$5,676
$2,278
1
clean
Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)
$14,190
$5,676
$2,278
1
clean
Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)
$11,099
$4,440
$1,613
1
clean
Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)
$8,783
$3,513
$1,845
1
clean
Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)
$20,016
$8,006
$1,613
1
clean
Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
$9,619
$3,847
$1,613
1
clean
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
$8,714
$3,486
$1,613
1
clean
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface ar
$4,431
$1,772
$1,202
1
clean
Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral
$17,648
$7,059
$1,845
1
clean
Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips
$22,052
$8,821
$1,845
1
clean
Graft; derma-fat-fascia
$13,354
$5,342
$1,845
1
clean
Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate
$12,844
$5,137
$1,613
1
clean
Blepharoplasty, lower eyelid
$12,844
$5,137
$2,278
1
clean
Blepharoplasty, upper eyelid; with excessive skin weighting down lid
$27,011
$10,805
$2,278
1
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy
$47,187
$18,875
$1,845
1
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh
$38,866
$15,546
$2,278
1
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area
$22,626
$9,050
$3,021
1
clean
Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure)
$20,788
$8,315
$1,845
1
clean
Suction assisted lipectomy; trunk
$27,715
$11,086
$1,845
1
clean
Suction assisted lipectomy; lower extremity
$22,184
$8,874
$2,594
1
clean
Initial treatment, first degree burn, when no more than local treatment is required
$1,628
$651
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)
$948
$379
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)
$716
$286
—
0
clean
Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)
$1,191
$476
$1,202
1
clean
Chemical cauterization of granulation tissue (ie, proud flesh)
$1,037
$415
—
0
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance
$7,811
$3,124
$1,613
1
clean
Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance
$7,811
$3,124
$1,613
1
clean
Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions
$30,054
$12,021
$1,845
1
clean
Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion
$27,640
$11,056
$1,845
1
clean
Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance
$1,202
$481
—
0
clean
Mastectomy for gynecomastia
$30,674
$12,269
$2,278
1
clean
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)
$13,010
$5,204
$1,845
1
clean
Mastectomy, simple, complete
$48,165
$19,266
$2,278
1
clean
Mastopexy
$18,167
$7,267
$2,278
1
clean
Breast reduction
$44,474
$17,790
$2,278
1
clean
Breast augmentation with implant
$13,032
$5,213
$2,278
1
clean
Removal of intact breast implant
$33,590
$13,436
$1,202
1
clean
Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)
$15,812
$6,325
$1,202
1
clean
Insertion of breast implant on same day of mastectomy (ie, immediate)
$14,429
$5,771
$1,613
1
clean
Insertion or replacement of breast implant on separate day from mastectomy
$17,431
$6,973
$1,845
1
clean
Nipple/areola reconstruction
$31,278
$12,511
$2,278
1
clean
Tissue expander placement in breast reconstruction, including subsequent expansion(s)
$15,397
$6,159
$2,594
1
clean
Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy
$30,862
$12,345
$2,278
1
clean
Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents
$32,094
$12,838
$2,278
1
clean
Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-bas
$40,651
$16,260
$2,594
1
clean
Unlisted procedure, breast
$8,592
$3,437
—
0
clean
Exploration of penetrating wound (separate procedure); chest
$21,212
$8,485
$1,613
1
clean
Exploration of penetrating wound (separate procedure); abdomen/flank/back
$23,950
$9,580
$1,613
1
clean
Exploration of penetrating wound (separate procedure); extremity
$30,932
$12,373
$1,613
1
clean
Removal of foreign body in muscle or tendon sheath; deep or complicated
$28,475
$11,390
$1,845
1
clean
Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel
$9,243
$3,697
—
0
clean
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)
$7,033
$2,813
—
0
clean
Injection(s); single tendon origin/insertion
$7,033
$2,813
—
0
clean
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
$4,655
$1,862
—
0
clean
Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance
$8,640
$3,456
—
0
clean
Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance
$2,622
$1,049
—
0
clean
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance
$2,364
$945
—
0
clean
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting
$28,955
$11,582
—
0
clean
Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)
$23,449
$9,380
$1,202
1
clean
Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)
$31,775
$12,710
$1,845
1
clean
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)
$24,432
$9,773
$1,613
1
clean
Removal, under anesthesia, of external fixation system
$9,360
$3,744
$1,202
1
clean
Bone graft, any donor area; minor or small (eg, dowel or button)
$23,392
$9,357
$1,845
1
clean
Cartilage graft; nasal septum
$12,478
$4,991
$1,845
1
clean
Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater
$9,620
$3,848
$1,845
1
clean
Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)
$17,648
$7,059
$3,602
1
clean
Closed treatment of nasal bone fracture with manipulation; without stabilization
$15,213
$6,085
$1,613
1
clean
Closed treatment of nasal bone fracture with manipulation; with stabilization
$22,571
$9,028
$1,613
1
clean
Open treatment of nasal fracture; with concomitant open treatment of fractured septum
$22,537
$9,015
$3,602
1
clean
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant
$33,527
$13,411
$3,602
1
clean
Closed treatment of mandibular fracture with interdental fixation
$32,020
$12,808
$1,845
1
clean
Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax
$22,536
$9,014
$1,613
1
clean
Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm
$13,281
$5,313
$1,613
1
clean
Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater
$22,705
$9,082
$1,613
1
clean
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation
$83,029
$33,212
$1,845
1
clean
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater
$22,253
$8,901
$1,613
1
clean
Unlisted procedure, abdomen, musculoskeletal system
$22,496
$8,998
—
0
clean
Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater
$11,298
$4,519
$1,613
1
clean
Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater
$22,528
$9,011
$1,613
1
clean
Claviculectomy; partial
$15,778
$6,311
$2,594
1
clean
Excision or curettage of bone cyst or benign tumor of clavicle or scapula
$32,333
$12,933
$2,278
1
clean
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography
$803
$321
—
0
clean
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic
$21,789
$8,716
$3,602
1
clean
Tenodesis of long tendon of biceps
$19,882
$7,953
$2,278
1
clean
Arthroplasty, glenohumeral joint; hemiarthroplasty
$61,164
$24,466
$2,594
1
clean
Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))
$58,557
$23,423
$2,594
1
clean
Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component
$36,330
$14,532
$2,594
1
clean
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed
$45,746
$18,298
$2,278
1
clean
Closed treatment of shoulder dislocation, with manipulation; without anesthesia
$2,072
$829
$1,202
1
clean
Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia
$2,502
$1,001
$1,202
1
clean
Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater
$24,413
$9,765
$1,613
1
clean
Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm
$19,987
$7,995
$1,613
1
clean
Excision, olecranon bursa
$33,837
$13,535
$1,845
1
clean
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
$33,423
$13,369
$2,278
1
clean
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft
$43,139
$17,256
$1,845
1
clean
Repair lateral collateral ligament, elbow, with local tissue
$96
$38
$1,845
1
clean
Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open
$33,911
$13,565
$1,845
1
clean
Arthroplasty, radial head; with implant
$25,903
$10,361
$2,594
1
clean
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension
$34,640
$13,856
$1,613
1
clean
Treatment of closed elbow dislocation; without anesthesia
$2,096
$838
$1,202
1
clean
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation
$2,072
$829
$1,202
1
clean

Showing the first 200 of 2,751 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 24343/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,845 exceeds the gross charge $96
CPT 25605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,845 exceeds the gross charge $1,165
CPT 26742/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $1,430
MS-DRG 951/i
warn
mrf_negotiated_above_gross
highest negotiated rate $6,804 exceeds the gross charge $5,109
CPT 27265/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,129
CPT 49500/o
warn
mrf_negotiated_above_gross
highest negotiated rate $12,739 exceeds the gross charge $10,388
CPT 89220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $50
CPT 52000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,756 exceeds the gross charge $13,614
CPT 52281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,756 exceeds the gross charge $9,185
CPT 10061/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,132
CPT 10120/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,060
CPT 81275/o
warn
mrf_negotiated_above_gross
highest negotiated rate $193 exceeds the gross charge $121
CPT 86870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $279
CPT 81323/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,000 exceeds the gross charge $463
CPT 86921/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $38
CPT 29806/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $14,507
CPT 86922/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $62
CPT 29807/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $17,341
CPT 86927/o
warn
mrf_negotiated_above_gross
highest negotiated rate $157 exceeds the gross charge $146
CPT 29822/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $16,949
CPT 76014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $773 exceeds the gross charge $94
CPT 29823/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $17,462
CPT 76015/o
warn
mrf_negotiated_above_gross
highest negotiated rate $773 exceeds the gross charge $188
CPT 86971/o
warn
mrf_negotiated_above_gross
highest negotiated rate $324 exceeds the gross charge $71
CPT 29824/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $19,882
CPT 29825/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $16,527
CPT 29826/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $19,882
CPT 29827/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $16,167
CPT 12020/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,202 exceeds the gross charge $1,129
CPT 29828/o
warn
mrf_negotiated_above_gross
highest negotiated rate $29,872 exceeds the gross charge $21,426
CPT 29880/o
warn
mrf_negotiated_above_gross
highest negotiated rate $19,521 exceeds the gross charge $17,241
CPT 30140/o
warn
mrf_negotiated_above_gross
highest negotiated rate $14,784 exceeds the gross charge $12,373
CPT 85097/o
warn
mrf_negotiated_above_gross
highest negotiated rate $777 exceeds the gross charge $261
CPT 32551/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,613 exceeds the gross charge $507
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $691 exceeds the gross charge $593
CPT 99283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,812 exceeds the gross charge $1,665
CPT Q9957/o
warn
mrf_negotiated_above_gross
highest negotiated rate $49 exceeds the gross charge $17
MS-DRG 768/i
warn
mrf_negotiated_above_gross
highest negotiated rate $12,134 exceeds the gross charge $11,559
MS-DRG 769/i
warn
mrf_negotiated_above_gross
highest negotiated rate $16,516 exceeds the gross charge $7,432
MS-DRG 779/i
warn
mrf_negotiated_above_gross
highest negotiated rate $11,218 exceeds the gross charge $11,005
warn
mrf_rate_without_estimate
69,318 of 69,318 percentage/algorithm rates across 2,746 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 24341/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43246/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72082/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 78761/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 differ, so no cross-line comparison was made for this item
CPT 82731/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86052/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87899/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0290/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 122/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 806/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24342/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43247/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72083/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 78801/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 82746/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86060/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87900/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0295/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 123/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 807/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43248/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72084/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 78802/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 82747/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86063/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87902/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0330/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 140/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 808/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24343/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43249/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72100/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 78803/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 differ, so no cross-line comparison was made for this item
CPT 82775/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86078/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87906/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 142/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 810/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24358/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43251/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72110/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 78814/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 82784/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86140/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88104/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 J0400/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 146/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 811/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24366/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43255/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72114/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 78815/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 82785/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86141/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88108/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 J0456/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 149/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 812/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24538/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43259/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72120/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 78816/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 82787/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86146/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88112/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 J0457/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 150/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 815/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24600/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43260/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72125/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 78831/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 82803/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86147/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88130/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0461/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 153/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 819/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24640/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43261/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72126/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 78832/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 82805/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86148/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88141/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0485/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
MS-DRG 155/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 832/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 24685/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43262/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72127/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 80047/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82941/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86156/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88142/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 159/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 841/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43264/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72128/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 80048/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82943/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86157/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88150/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0515/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 166/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 853/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25076/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72129/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 80051/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82945/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86160/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88160/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 J0517/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 167/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 854/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25111/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43274/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72130/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 80053/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82947/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86161/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88161/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 J0558/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 175/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 856/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25415/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43275/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72131/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 80055/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82948/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86162/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88162/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 J0561/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
MS-DRG 176/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 862/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25447/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43276/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 72132/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 80061/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82950/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86215/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88164/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0565/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 177/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 863/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25525/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 43762/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72133/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 80069/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82951/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86225/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88172/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 J0574/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
MS-DRG 178/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 864/i
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,494 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 · 20.8M bytes · fetched 2026-08-26 · sha256 cfa88490931f…

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.