Hospital · CCN 190060

Lake Charles Memorial Hospital

1701 Oak Park Blvd, Lake Charles, LA 70601 · Calcasieu Parish
Part of Lake Charles Memorial Health System · 227 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

55 admission types 53 outpatient services price file: ok
Billed per dollar paid, all admissions
4.20×
$82.5M billed against $19.6M paid across 1,547 Medicare discharges; the national figure is 5.03×.
17.4%
of adults in Calcasieu Parish have medical debt in collections
8.1%
uninsured in the county · state 8.3%
$64K
median household income
4.5×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
43.0%
obesity in the countyⓘ
14.2%
diagnosed diabetes (PLACES)
7.2%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
224
$57,218
$14,220
4.0× st 4.8×
291
Heart failure and shock with mcc
99
$38,664
$9,769
4.0× st 4.3×
177
Respiratory infections and inflammations with mcc
61
$52,037
$12,464
4.2× st 4.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
50
$34,195
$8,177
4.2× st 4.8×
481
Hip and femur procedures except major joint with cc
49
$65,020
$14,903
4.4× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
47
$34,544
$9,802
3.5× st 4.4×
690
Kidney and urinary tract infections without mcc
45
$25,579
$6,416
4.0× st 4.4×
689
Kidney and urinary tract infections with mcc
42
$36,377
$8,950
4.1× st 4.5×
193
Simple pneumonia and pleurisy with mcc
41
$48,422
$10,084
4.8× st 5.1×
190
Chronic obstructive pulmonary disease with mcc
36
$45,305
$8,503
5.3× st 5.4×
378
Gastrointestinal hemorrhage with cc
35
$29,865
$7,831
3.8× st 4.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
34
$27,320
$7,899
3.5× st 5.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
32
$65,085
$14,509
4.5× st 6.0×
039
Extracranial procedures without cc/mcc
31
$40,783
$8,920
4.6× st 6.7×
280
Acute myocardial infarction, discharged alive with mcc
31
$46,016
$11,608
4.0× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
28
$142,663
$31,617
4.5× st 5.3×
682
Renal failure with mcc
25
$42,646
$10,992
3.9× st 4.6×
812
Red blood cell disorders without mcc
24
$31,786
$7,232
4.4× st 4.0×
480
Hip and femur procedures except major joint with mcc
24
$85,991
$20,340
4.2× st 5.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
24
$133,698
$33,754
4.0× st 5.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
24
$22,495
$6,311
3.6× st 4.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
22
$41,934
$14,280
2.9× st 5.3×
683
Renal failure with cc
22
$23,415
$7,270
3.2× st 4.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
21
$31,889
$10,604
3.0× st 4.5×
389
Gastrointestinal obstruction with cc
21
$19,755
$6,552
3.0× st 4.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$105,135
$20,478
5.1× st 7.6×
603
Cellulitis without mcc
20
$22,073
$7,063
3.1× st 4.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
20
$103,636
$20,412
5.1× st 5.6×
309
Cardiac arrhythmia and conduction disorders with cc
19
$24,141
$6,121
3.9× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
19
$28,051
$6,064
4.6× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
19
$48,728
$8,843
5.5× st 5.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
19
$72,523
$13,702
5.3× st 8.1×
811
Red blood cell disorders with mcc
17
$32,655
$10,324
3.2× st 4.8×
178
Respiratory infections and inflammations with cc
17
$36,342
$7,687
4.7× st 5.1×
377
Gastrointestinal hemorrhage with mcc
17
$39,184
$12,358
3.2× st 5.0×
482
Hip and femur procedures except major joint without cc/mcc
17
$47,159
$11,618
4.1× st 6.1×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
15
$19,055
$5,685
3.4× st 6.0×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
15
$57,988
$15,725
3.7× st 5.5×
189
Pulmonary edema and respiratory failure
15
$41,113
$8,873
4.6× st 4.8×
314
Other circulatory system diagnoses with mcc
15
$37,801
$14,414
2.6× st 4.4×
312
Syncope and collapse
15
$27,400
$6,950
3.9× st 4.8×
698
Other kidney and urinary tract diagnoses with mcc
14
$47,395
$12,399
3.8× st 4.9×
194
Simple pneumonia and pleurisy with cc
14
$36,919
$6,574
5.6× st 4.8×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
14
$205,370
$37,881
5.4× st 5.8×
100
Seizures with mcc
14
$44,196
$14,590
3.0× st 5.3×
235
Coronary bypass without cardiac catheterization with mcc
13
$222,112
$43,513
5.1× st 3.7×
236
Coronary bypass without cardiac catheterization without mcc
13
$163,469
$27,352
6.0× st 5.9×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
13
$156,827
$44,913
3.5× st 4.3×
253
Other vascular procedures with cc
12
$86,204
$21,665
4.0× st 5.6×
388
Gastrointestinal obstruction with mcc
12
$45,905
$10,858
4.2× st 4.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$17,778
$4,824
3.7× st 4.6×
069
Transient ischemia without thrombolytic
12
$25,357
$6,452
3.9× st 6.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
11
$37,008
$8,416
4.4× st 6.6×
331
Major small and large bowel procedures without cc/mcc
11
$78,184
$13,119
6.0× st 6.4×
071
Other cerebrovascular disorders with cc
11
$47,225
$8,400
5.6× st 4.8×
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
415
$14,555
$2,326
6.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
225
$7,289
$1,370
5.3×
5191
Level 1 Endovascular Procedures
164
$17,501
$2,768
6.3×
5115
Level 5 Musculoskeletal Procedures
129
$57,957
$11,201
5.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
101
$17,288
$2,399
7.2×
5183
Level 3 Vascular Procedures
96
$15,967
$2,734
5.8×
5361
Level 1 Laparoscopy and Related Services
93
$40,419
$4,949
8.2×
5114
Level 4 Musculoskeletal Procedures
91
$39,352
$6,031
6.5×
5491
Level 1 Intraocular Procedures
87
$13,035
$1,999
6.5×
5375
Level 5 Urology and Related Services
84
$31,792
$4,438
7.2×
5431
Level 1 Nerve Procedures
81
$9,303
$1,642
5.7×
5193
Level 3 Endovascular Procedures
77
$46,927
$9,431
5.0×
5374
Level 4 Urology and Related Services
75
$24,641
$2,959
8.3×
5302
Level 2 Upper GI Procedures
74
$9,116
$1,632
5.6×
5154
Level 4 Airway Endoscopy
64
$17,244
$3,172
5.4×
5313
Level 3 Lower GI Procedures
54
$11,378
$2,407
4.7×
5153
Level 3 Airway Endoscopy
49
$6,276
$1,456
4.3×
5113
Level 3 Musculoskeletal Procedures
48
$24,818
$2,684
9.2×
5192
Level 2 Endovascular Procedures
46
$24,735
$4,840
5.1×
5492
Level 2 Intraocular Procedures
39
$23,389
$3,488
6.7×
5373
Level 3 Urology and Related Services
37
$14,098
$1,710
8.2×
5223
Level 3 Pacemaker and Similar Procedures
37
$29,717
$8,952
3.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
37
$23,837
$3,270
7.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
32
$34,099
$2,968
11.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
31
$49,923
$5,450
9.2×
5362
Level 2 Laparoscopy and Related Services
21
$82,009
$8,827
9.3×
5182
Level 2 Vascular Procedures
20
$5,129
$1,374
3.7×
5112
Level 2 Musculoskeletal Procedures
20
$11,021
$1,269
8.7×
5116
Level 6 Musculoskeletal Procedures
20
$66,773
$15,953
4.2×
5194
Level 4 Endovascular Procedures
16
$68,767
$15,013
4.6×
5155
Level 5 Airway Endoscopy
12
$21,371
$5,871
3.6×
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related 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-wide, last updated 4/1/2026, template 3.0.0, 12,881 rows scanned, 3,709 distinct code–setting items kept. 1,675 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
CT SACROPLASTY INJ UNILAT
$14,184
$8,510
$6,013
95
clean
CT SACROPLASTY INJ BILAT
$6,400
$3,840
$6,013
95
clean
ATHERECTOMY ILIAC UNILATERAL
$17,007
$10,204
$15,616
37
clean
Fine needle aspiration biopsy, including ultrasound guidance; first lesion
$714
$428
$590
103
clean
DRAIN PLCMT IN MUSCLE/ SOFT TISSUE
$735
$441
$590
58
clean
TISSUE MARKER PLACEMENT
$149
$89
$149
37
clean
Incision and drainage of abscess; simple or single and complex or multiple
$473
$284
$174
235
clean
INC & DRNG ABSCESS CMPLCTD OR MULTI
$525
$315
$339
169
clean
INC & DRNG PILONIDAL CYST
$165
$99
$165
36
clean
REMOVAL FOREIGN BODY
$596
$358
$339
125
clean
INCISION & RMVL FB SUBQ CMPLCTD
$2,484
$1,491
$1,615
36
clean
Incision and drainage of hematoma, seroma or fluid collection
$2,063
$1,238
$1,363
133
clean
Puncture aspiration of abscess, hematoma, bulla, or cyst
$865
$519
$339
204
clean
I&D CMPLX POSTOP WND INFCTN
$3,190
$1,914
$2,348
36
clean
DEBRIDEMENT SUBCUT TISSUE 1ST 20SQ CM
$1,004
$602
$460
181
clean
DBRDMNT TO MSCLE 1ST 20SQ CM OR LESS
$1,605
$963
$957
36
clean
DEBRIDEMENT TO BONE 1ST 20SQ CM OR LESS
$3,715
$2,229
$2,341
36
clean
DEBRIDEMENT SUBCUT TISSUE ADD'L 20SQ CM
$1,004
$602
$429
45
clean
DEBRIDE MUSC/ FAS EA ADD'L 20 SQ CM
$629
$377
$283
23
clean
DEBRIDE BONE EA ADD'L 20 SQ CM
$965
$579
$434
23
clean
Tangential biopsy of skin (e.g., for example, shave, scoop, saucerize, curette); single lesion
$403
$242
$164
128
clean
Tangential biopsy of skin (e.g., for example, shave, scoop, saucerize, curette); each separate/additional lesion
$403
$242
$181
69
clean
PUNCH BIOPSY, SINGLE
$403
$242
$308
236
clean
EA ADD'L PUNCH BIOPSY
$123
$74
$72
107
clean
INCISIONAL BIOPSY, SINGLE
$717
$430
$528
108
clean
INCISIONAL BIOPSY EACH ADDITIONAL
$717
$430
$323
46
clean
Removal of skin tags, multiple fibrocutaneous tags, any area
$181
$109
$155
97
clean
REMOVAL SKIN TAGS EA ADDTL 10 LSNS
$45
$27
$20
23
clean
SHAVE LESION TRUNK/EXT 0.5CM OR LESS
$128
$77
$90
98
clean
SHAVE LESION TRUNK/EXT 0.6 TO 1 CM
$156
$93
$99
61
clean
SHAVE LESION TRUNK/EXT 1.1 TO 2 CM
$181
$109
$102
61
clean
SHAVE LESION TRUNK/EXT OVER 2 CM
$319
$192
$153
61
clean
SHAVE LESION<=.5CM SCLP/HND/FEET/GNTL
$156
$93
$75
61
clean
SHAVE LESION 0.6-1 CM SCLP/HND/FEET/GNTL
$181
$109
$97
61
clean
SHAVE LESION 1.1-2 CM SCLP/HND/FEET/GNTL
$181
$109
$164
37
clean
SHAVE LESION< 0.5 CM FACE
$156
$93
$75
61
clean
SHAVE LESION 0.6-1CM FACE
$128
$77
$100
61
clean
EXC TRK ARM LEG<=0.5CM BENIGN
$586
$351
$586
37
clean
Under Excision-Benign Lesions Procedures on the Skin 0.6-1 CM
$783
$470
$339
97
clean
EXC TRK ARM LG 1.1-2 CM BENIGN
$586
$351
$439
61
clean
EXC TRK ARM LG 2.1-3CM BENIGN
$1,016
$610
$590
61
clean
EXC TRK ARM LG 3.1-4CM BENIGN
$1,953
$1,172
$1,367
37
clean
EXCISIONAL BIOPSY OVER 4.0CM
$1,953
$1,172
$1,367
36
clean
EXC BENIGN LESION 0.6 TO 1 CM
$1,016
$610
$590
61
clean
Under Excision-Benign Lesions Procedures on the Skin 1.1-2 CM
$1,016
$610
$762
61
clean
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3
$746
$448
$271
24
clean
EXCISION BENIGN LESN FACE
$1,844
$1,106
$590
66
clean
EXC TRK ARM LEG <=0.5CM MALIG
$1,016
$610
$590
37
clean
EXC TRK ARM LEG 0.6-1CM MALIG
$586
$351
$586
37
clean
Excision-Malignant Lesions
$586
$351
$410
37
clean
EXC TRK ARM LEG 2.1-3CM MALIG
$1,016
$610
$711
37
clean
EXC TRK ARM LEG 3.1-4 CM MALGNT
$1,389
$833
$972
37
clean
EXC TRK ARM LEG OVER 4.0 CM MALGNT
$2,484
$1,491
$1,739
37
clean
EXC LSN SCLP/HND/FET/GNTL 0.6-1.0CM MLGT
$1,907
$1,144
$590
36
clean
EXC LSN SCLP/HND/FET/GNTL 2.1-3.0CM MLGT
$4,311
$2,587
$1,363
37
clean
EXC LSN SCL//HND/FET/GNTL 3.1-4.0 CM ML
$4,311
$2,587
$2,520
36
clean
DEBRIDEMENT OF NAIL 1 TO 5
$126
$76
$52
71
clean
Removal of 6 or more nails
$126
$76
$52
36
clean
Separation and removal of the entire nail plate or a portion of nail plate
$159
$95
$143
132
clean
AVULSION OF NAIL PLATE EA
$125
$75
$52
18
clean
REMOVAL OF NAIL & NAIL MATRIX PERMANENT
$691
$415
$449
36
clean
INGROWN NAIL
$128
$77
$128
36
clean
Injections to remove up to 7 lesions on the skin
$128
$77
$56
61
clean
INSERT DRUG DELIVERY IMPLANT
$112
$67
$106
61
clean
REMOVE DRUG DELIVERY IMPLANT
$115
$69
$143
61
clean
REMOVAL W REINSERT DRUG DELIVERY IMPLANT
$115
$69
$115
37
clean
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities
$375
$225
$164
60
clean
SMPL RPR SCLP/AXILL/TR 2.6CM - 7.5CM
$357
$214
$232
36
clean
SMPL RPR SCLP/AXILL/TR 7.6CM - 12.5CM
$357
$214
$164
60
clean
SMPL RPR SCLP/AXILL/TRNK/EXT 20.1-30 CM
$431
$259
$339
36
clean
SMPL RPR SCLP/AXILL/TRNK/EXT >30 CM
$181
$109
$164
36
clean
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes
$357
$214
$173
132
clean
SMPL RPR WND 2.6CM - 5.0CM
$357
$214
$232
36
clean
SMPL RPR WND 5.1CM - 7.5CM
$357
$214
$232
36
clean
SMPL RPR WND 7.6 CM TO 12.5 CM
$357
$214
$232
36
clean
SMPL RPR WND 12.6 - 20 CM
$181
$109
$181
36
clean
SMPL RPR WND 20 - 30 CM
$181
$109
$164
72
clean
INTRMDT RPR SCLP/AXILL/TRNK/EXT 2.5 OR <
$202
$121
$202
36
clean
INTRMDT RPR SCLP/AXILL/TRNK/EXT 2.6-7.5
$253
$152
$253
36
clean
INTRMDT RPR SCLP/AXILL/TRNK/EXT 7.6-12.5
$327
$196
$320
60
clean
INTRMDT RPR SCLP/AXILL/TRNK/EXT 12.6-20.
$479
$287
$339
36
clean
INTRMDT RPR SCLP/AXIL/TRNK/EXT 20.1-30CM
$887
$532
$580
36
clean
INTRMDT RPR SCLP/AXIL/TRNK/EXT > 30CM
$914
$548
$914
36
clean
REPAIR INTRMDT WOUND <=2.5 CM
$1,059
$635
$339
96
clean
INTRMDT RPR NCK/HNDS/FET/GNTLIA 2.6-7.5
$277
$166
$277
36
clean
INTRMDT RPR NCK/HNDS/FET/GNTL 20.1-30 CM
$431
$259
$431
36
clean
INTRMDT RPR NCK/HNDS/FET/GNTL 20.1-30 CM
$914
$548
$914
36
clean
INTRMDT RPR FACE/EAR/EYELD/NOS/LIP <2.5
$438
$263
$337
60
clean
INTRMDT REPR FACE/EAR/EYELID/NOSE/LIP
$438
$263
$339
36
clean
INTRMDT REPR FACE/EAR/EYELID/NOSE/LIP
$785
$471
$549
73
clean
INTRMDT RPR FACE/EAR/EYELID/NOSE/LIP
$431
$259
$339
36
clean
CMPLX RPR TRUNK 1.1 TO 2.5 CM
$685
$411
$528
36
clean
CMPLX RPR EYELDS/ NOSE/ LIP 2.6-7.5 CM
$463
$278
$463
36
clean
WND PREP 100SQCM TRK/ARM/
$5,250
$3,150
$1,569
36
clean
WOUND PREP UP TO 100 SQ CM OF FEET
$1,605
$963
$528
36
clean
APPLY SKIN SUB 1ST 25SQ CM TRK ARM LEG
$2,449
$1,469
$1,569
36
clean
APPLY SKIN SUB ADDL 25SQ CM TRK ARM LEG
$198
$119
$82
18
clean
APPLY SKIN SUB 1ST 100SQ CM TRK ARM LEG
$4,037
$2,422
$2,957
36
clean
APPLY SKIN SUB 1ST 25SQ CM FAC HND FEET
$2,449
$1,469
$1,569
36
clean
APPLY SKIN SUB 1ST 100SQ CM FAC HND FEET
$2,449
$1,469
$1,569
36
clean
BLEPH UPPER EYELIDS BILAT
$5,010
$3,006
$1,600
29
clean
BURN FIRST DEGREE LOCAL AREA INITIAL TX
$101
$60
$101
36
clean
BURN TX SMALL LESS THAN 5 PRCNT BS AREA
$178
$107
$164
101
clean
BURN TX MED 5 TO 10 PRCNT BS AREA
$189
$114
$164
101
clean
BURN TX LRG GRTR THAN 10 PRCNT BS AREA
$260
$156
$265
101
clean
Destruction of pre-cancerous lesion
$156
$93
$109
98
clean
Destruction of 2-14 pre-cancerous lesions
$152
$91
$24
70
clean
DEST PREMLGNT LESION 15 OR MORE
$365
$219
$339
74
clean
DEST VASCULAR LESION OVER 50 SQ CM
$376
$226
$376
37
clean
Destruction of 1-14 common or plantar warts
$2,551
$1,531
$164
139
clean
Chemical destruction of pre-cancerous lesions of the skin
$179
$107
$164
73
clean
DEST MALIG LSN TRK/EXTRM 0.5 CM OR LESS
$186
$112
$164
36
clean
DEST MALIG LSN TRK/EXTRM 2.1 TO 3CM
$186
$112
$164
36
clean
DEST MALIG LSN SP/HD/FT/GNT 0.5CM OR LES
$186
$112
$164
37
clean
DEST MALIG LESION FACE 0.5CM OR LESS
$186
$112
$164
36
clean
US GUIDED CYST ASPIRATION LT
$1,651
$991
$1,062
74
clean
US GUIDED CYST ASP EACH ADDITIONAL LT
$240
$144
$197
46
clean
INCISION & DRNG BREAST ABSCESS DEEP
$2,296
$1,378
$1,608
37
clean
INJECTION GALACTOGRAM
$196
$118
$88
23
clean
STEREOTACTIC BREAST BIOPS LEFT
$3,715
$2,229
$1,365
111
clean
STEREO BREAST BIOPS LEFT EACH ADD LESION
$1,089
$653
$833
46
clean
US GUIDED BREAST BX W/ CLIP LT
$3,715
$2,229
$2,454
74
clean
US GUIDED BREAST BX W CLIP ADD LES LT
$871
$523
$666
46
clean
PERC NDL BRST BX WO GUID
$476
$286
$476
37
clean
BREAST BX
$3,243
$1,946
$3,125
36
clean
REMOVAL OF BREAST LESION
$5,467
$3,280
$3,125
87
clean
MAMMO NEEDLE PLACEMENT
$1,651
$991
$1,363
66
clean
PL NL LOCALZ WIRE EA ADDL
$160
$96
$122
23
clean
WIRE LOCALIZATION US GUIDE LT
$1,651
$991
$1,062
74
clean
WIRE LOCALIZATION ADDITIONAL MASS
$160
$96
$128
69
clean
EXPLORATION PENETRATING WOUND SPX EXTREM
$1,408
$845
$1,363
37
clean
MUSCLE BX PERC NDL
$3,715
$2,229
$1,363
124
clean
BONE BX SUPERFCL TROCAR OR NDL
$3,715
$2,229
$1,363
58
clean
BONE BX DEEP TROCAR OR NDL
$3,715
$2,229
$1,363
58
clean
FISTULA/SINUS TRACT THERAPEUTIC INJ
$894
$536
$1,262
29
clean
FISTULA/SINUS TRACT
$165
$99
$127
64
clean
REMOVAL OF FB MUSCLE SIMPLE
$3,185
$1,911
$1,391
29
clean
REMOVAL OF FB MUSCLE DEEP
$5,365
$3,219
$2,395
29
clean
INJECT CARPAL TUNNEL/TARSAL TUNNEL
$397
$238
$247
35
clean
Injection of medication into a tendon or ligament
$397
$238
$247
136
clean
Injection of medication into the tendon/ligament origin
$397
$238
$247
35
clean
INJ TRIGGER POINT 1 OR 2
$318
$191
$247
107
clean
DRY NEEDLE 1-2 MUSCL
$76
$46
$23
37
clean
DRY NEEDLE >2 MUSCL
$96
$58
$23
37
clean
Draining or injecting medication into a small joint/bursa without ultrasound
$800
$480
$247
252
clean
Draining or injecting medication into a large joint/bursa without ultrasound
$800
$480
$247
620
clean
Draining or injecting medication into a major joint/bursa without ultrasound
$318
$191
$247
877
clean
ARTHROCENTESIS MJT W/US
$717
$430
$430
66
clean
Removal of fluid or injection of medication into a ganglion cyst
$397
$238
$278
72
clean
MNL PREP&INSJ I-ARTIC RX DEV
$456
$274
$262
16
clean
RF ABLATION BONE TUMOR
$13,007
$7,804
$6,013
29
clean
CLSD TX NASAL FX W MANPLTN
$3,043
$1,826
$2,586
36
clean
PERC VERTEBROPLASTY THOR
$4,240
$2,544
$2,706
29
clean
CT VERTEBROPLASTY LUMB
$4,240
$2,544
$2,968
111
clean
CT VERTEBROPLASTY LUMB ADDT LEVEL
$3,200
$1,920
$1,536
23
clean
CT THORACIC KYPHOPLASTY
$13,007
$7,804
$6,243
66
clean
CT LUMBAR KYPHOPLASTY
$13,007
$7,804
$6,243
66
clean
CT KYPHOPLASTY ADD LEVEL
$13,007
$7,804
$6,504
38
clean
SHOULDER ARTHRO INJ LT
$207
$124
$118
128
clean
CLSD TX CLAVICLE FX WO MANIP
$371
$223
$241
36
clean
CLAVICLE FX CLSD TX W MANIP
$885
$531
$885
36
clean
CLSD TX ACROMOCLAVICAL DISLC W/MANPU
$487
$292
$339
37
clean
CLSD TX PRXML HUMERAL FX WO MANIPLTN
$334
$201
$217
36
clean
ELBOW ARTHRO INJECT LT
$185
$111
$129
32
clean
CLSD TX HUMERAL SHAFT FX WO MANIPLTN
$233
$140
$188
36
clean
WRIST ARTHROGRAPHY INJ LT
$220
$132
$154
32
clean
CLSD TX RADIAL SHAFT FX WO MANIPLTN
$233
$140
$188
36
clean
CLSD TX ULNAR SHAFT FX WO MANIPLTN
$334
$201
$217
36
clean
CLSD TX RADL AND ULNR SHFT FX WO MANIPLN
$233
$140
$188
36
clean
CLSD TX DISTAL RADIAL FX WO MANIPLTN
$507
$304
$322
36
clean
INCSN AND DRNG FINGER ABSCESS SIMPLE
$341
$205
$222
36
clean
INCSN AND DRNG FINGER ABSCESS COMPLEX
$1,263
$758
$1,263
36
clean
EXC SOFT TISS HAND/FNGR SQ 1.5CM />
$3,592
$2,155
$2,395
36
clean
CLSD TX METACARPAL FX WO MANIP EA BONE
$269
$161
$188
36
clean
CLSD TX METACARPAL FX W MANIP EA BONE
$610
$366
$352
36
clean
CLSD TX PHALANGEAL SHAFT FX WO MANIP
$269
$161
$188
36
clean
CLSD TX PHALANGEAL SHAFT FX W MANIP
$354
$213
$230
36
clean
AMPUTATION FINGER THUMB
$7,410
$4,446
$5,029
36
clean
PELVIC ABSCESS DRAINAGE
$2,246
$1,347
$2,706
29
clean
HIP ARTHROGRA INJ LT
$246
$148
$172
32
clean
SIJ INJ ARTHROGR/ANESTH
$1,002
$601
$679
32
clean
KNEE ARTHRO INJECT LT
$170
$102
$119
30
clean
INCISION & DRAINAGE LEG ABSCESS/HEMATOMA
$5,230
$3,138
$3,400
36
clean
TENOTOMY-PERCUTANEOUS ACHILLES TENDON
$4,813
$2,888
$2,618
36
clean
ANKLE ARTHRO INJECT LT
$220
$132
$154
32
clean
CLSD TX TIBIAL SHAFT FX WO MANIP
$233
$140
$188
36
clean
REMOVAL FOREIGN BODY FOOT
$1,016
$610
$660
36
clean
REMOVAL FOREIGN BODY FOOT COMPLEX
$1,016
$610
$1,016
36
clean
TENOTOMY, TOE, SINGLE TENDON
$3,481
$2,089
$2,218
36
clean
CLSD TX METATARSAL FX WO MANIP EA BONE
$263
$158
$188
36
clean
CLSD TX FX GREAT TOE WO MANIPLTN
$233
$140
$188
36
clean
CLSD TX FX PHALANX WO MANIPLTN EACH
$233
$140
$188
36
clean
CLSD TX FX PHALANX W MANIPLTN EACH
$233
$140
$188
36
clean
SERIAL CASTING LONG ARM
$233
$140
$218
37
clean
SERIAL CASTING SHORT ARM
$237
$142
$218
37
clean
SPICA CAST (WRIST)
$206
$123
$140
36
clean
APPLY LONG ARM SPLINT
$341
$205
$135
72
clean
APPLY SHORT ARM SPLINT
$341
$205
$197
36
clean
APPLY FINGER SPLINT
$115
$69
$106
36
clean
STRAPPING ELBOW OR WRIST
$98
$59
$52
110
clean

Showing the first 200 of 3,709 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,199 of 2,562 comparable items (47%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $21,287 exceeds the gross charge $14,184
warn
mrf_rate_without_estimate
766 of 766 percentage/algorithm rates across 765 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 90853/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 99395/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 29260/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 99396/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 29280/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 99397/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 29405/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT A4397/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 92507/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 A4411/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 A4648/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 92522/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 29515/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 92523/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 92524/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 A6257/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 92526/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 differ, so no cross-line comparison was made for this item
CPT A9517/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 29580/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 differ, so no cross-line comparison was made for this item
CPT 29581/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 differ, so no cross-line comparison was made for this item
CPT 92551/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 417 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 30901/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 C1714/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 31500/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 64520/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 92609/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 differ, so no cross-line comparison was made for this item
CPT C1721/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 31575/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 92610/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 C1722/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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78018/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 differ, so no cross-line comparison was made for this item
CPT 92920/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 differ, so no cross-line comparison was made for this item
CPT C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 32550/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 differ, so no cross-line comparison was made for this item
CPT 92928/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 differ, so no cross-line comparison was made for this item
CPT C1730/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 C1732/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 32553/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 differ, so no cross-line comparison was made for this item
CPT C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9070/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 C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 32555/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 differ, so no cross-line comparison was made for this item
CPT 92943/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 differ, so no cross-line comparison was made for this item
CPT C1752/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 32557/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 differ, so no cross-line comparison was made for this item
CPT 92950/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 C1753/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 C1757/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 C1758/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92960/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C1760/o
info
mrf_item_fields_vary
this code and setting cover at least 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 69200/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 C1762/o
info
mrf_item_fields_vary
this code and setting cover at least 36 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 69210/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 78452/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 differ, so no cross-line comparison was made for this item
CPT C1763/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93005/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 C1766/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 70100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93010/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 C1767/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 70110/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 78597/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 C1768/o
info
mrf_item_fields_vary
this code and setting cover at least 26 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93017/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 C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 70150/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 C1771/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 78645/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 differ, so no cross-line comparison was made for this item
CPT C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 264 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 70160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C1777/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 70200/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93225/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 C1778/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 93226/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 C1780/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 70220/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 C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 38 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1783/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 70260/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 93228/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 C1785/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 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, min differ, so no cross-line comparison was made for this item
CPT 93278/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 C1786/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 78803/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 differ, so no cross-line comparison was made for this item
CPT C1788/o
info
mrf_item_fields_vary
this code and setting cover at least 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 93280/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 C1813/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1815/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 71045/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93282/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 C1820/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 71046/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 differ, so no cross-line comparison was made for this item
CPT C1821/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 C1874/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 71048/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 differ, so no cross-line comparison was made for this item
CPT 93288/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 C1876/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80299/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 C1878/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 71100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80307/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 93306/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 C1880/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 71101/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 differ, so no cross-line comparison was made for this item
CPT 80321/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 C1882/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 71110/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80323/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 C1887/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80325/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 C1889/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 71120/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80348/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 C1892/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 80349/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 C1893/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80353/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1894/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 33967/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 80358/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 C1895/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 72040/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80360/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 C1896/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 72050/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 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, min, max differ, so no cross-line comparison was made for this item
CPT C1898/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 80367/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 C1900/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 72070/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 80371/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 C2617/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 0200T/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C2621/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 0201T/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 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, max differ, so no cross-line comparison was made for this item
CPT C2623/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 72100/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C2625/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 10005/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 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 min, max differ, so no cross-line comparison was made for this item
CPT C2628/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/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 C9353/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10061/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 36005/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72170/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C9359/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9361/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 L0120/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 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 36140/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 differ, so no cross-line comparison was made for this item
CPT C9600/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 differ, so no cross-line comparison was made for this item
CPT C9601/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 10140/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 10160/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 72202/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C9604/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 differ, so no cross-line comparison was made for this item
CPT L0180/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 differ, so no cross-line comparison was made for this item
CPT C9606/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 11042/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 differ, so no cross-line comparison was made for this item
CPT 72220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C9607/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 differ, so no cross-line comparison was made for this item
CPT 11045/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 73000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 93971/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 94002/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 11101/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 73010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 94003/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 11102/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 36251/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 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 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 36252/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 differ, so no cross-line comparison was made for this item
CPT 11105/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 73030/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 82139/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 94640/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 differ, so no cross-line comparison was made for this item
CPT 11200/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 36415/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 differ, so no cross-line comparison was made for this item
CPT 73040/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT C9898/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 11300/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 36430/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 differ, so no cross-line comparison was made for this item
CPT 11301/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 73060/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT G0108/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 11302/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 94660/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11303/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82570/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11305/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,675 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-wide · 83.2M bytes · fetched 2026-08-25 · sha256 3fb2ace95180…

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.