Hospital · CCN 190183

Leonard J Chabert Medical Center

1978 Industrial Blvd, Houma, LA 70363 · Terrebonne Parish
Part of Ochsner Health System · 64 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

2 admission types 34 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
1.25×
$646K billed against $518K paid across 31 Medicare discharges; the national figure is 5.03×.
8.6%
of adults in Terrebonne Parish have medical debt in collections
9.6%
uninsured in the county · state 8.3%
$63K
median household income
3.0×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
41.3%
obesity in the countyⓘ
15.2%
diagnosed diabetes (PLACES)
7.7%
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
19
$26,595
$17,388
1.5× st 4.8×
280
Acute myocardial infarction, discharged alive with mcc
12
$11,725
$15,666
0.7× st 4.5×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
62
$5,042
$2,247
2.2×
5491
Level 1 Intraocular Procedures
43
$6,754
$1,938
3.5×
5372
Level 2 Urology and Related Services
26
$1,460
$569
2.6×
5373
Level 3 Urology and Related Services
12
$4,000
$1,694
2.4×
5374
Level 4 Urology and Related Services
12
$5,436
$2,898
1.9×
5431
Level 1 Nerve Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5191
Level 1 Endovascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 4/1/2026, template 3.0.0, 95,642 rows scanned, 9,415 distinct code–setting items kept. 2,646 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC JAK2 GENE TARGET SEQ ANALYSIS EXONS 12-15
$321
$151
$243
52
clean
HC TPMT AND NUDT15 GENOTYPE
$415
$195
$466
26
clean
HC PROTEIN 14-3-3 RT-QUIC
$1,488
$699
$744
26
clean
BONE SURGERY USING COMPUTER
—
—
$1,163
9
clean
BONE SURGERY USING COMPUTER
—
—
$1,163
9
clean
PERQ STENT/CHEST VERT ART
—
—
$14,859
9
clean
HC M PROTEIN ISOTYPE MALDI-TOP MS - RL
$261
$123
$46
28
clean
EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS
—
—
$549
21
clean
HC LUNGTRAC
$2,468
$1,160
$2,753
26
clean
HC KARIUS TEST - RL
$2,030
$954
$2,126
26
clean
EXC RECTAL TUMOR ENDOSCOPIC
—
—
$5,466
21
clean
HC IR SACROPLASTY UNILATERAL INC IMAGING
$6,300
$2,961
$6,055
32
clean
HC IR SACROPLASTY BILATERAL INC IMAGING
$6,300
$2,961
$6,559
32
clean
POST VERT ARTHRPLST 1 LUMBAR
—
—
$3,293
1
clean
CLEAR EYELID GLAND W/HEAT
—
—
$130
19
clean
NJX PLATELET PLASMA
—
—
$366
13
clean
TRLUML PERIP ATHRC BRCHIOCPH
—
—
$25,754
19
clean
HC ATHERECTOMY ILIAC ANASTOMOSIS
$40,382
$18,980
$24,386
32
clean
HC INFECTIOUS DIS PATH SPEC, RNA 3 TARGETS (INCL COVID-19), UPPER RESP SPEC
$395
$186
$198
23
clean
HC INFECTIOUS DIS PATH SPEC, RNA 4 TARGETS (INCL COVID-19), UPPER RESP SPEC
$395
$186
$198
23
clean
IMPLTJ/RPLCMT CRTD SNS BRORFLX ACTV DEV TOT SYS
—
—
$41,318
11
clean
IMPLTJ/RPLCMT CRTD SNS BRORFLX ACTV DEV PLS GEN
—
—
$61,249
19
clean
PERQ LAMOT/LAM ANY METH SINGLE/MLT LVL LUMBAR
—
—
$14,324
19
clean
TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS
—
—
$144
19
clean
TRANSCATHETER RENAL SYMPATH DENERVATION BILAT
—
—
$10,390
19
clean
*HC BETA AMYLOID 42/40 RATIO, PLASMA - RL
$456
$214
$228
24
clean
*HC ID BACTERIAL VAGINOSIS & VAGINITIS MULTIPLEX AMP PROBE
$376
$177
$188
24
clean
HC BETA AMYLOID 1 42/1 40, CSF - RL
$700
$329
$281
26
clean
HC NEUROFILAMENT LIGHT CHAIN, P - RL
$800
$376
$116
26
clean
COLLAGEN CROSS-LINKING CORNEA&PACHYMETRY
—
—
$2,142
21
clean
INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
—
—
$37,472
19
clean
TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL
—
—
$8,490
21
clean
HC GLYCINE ALPHA1 LCBA
$550
$259
$37
26
clean
IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL
—
—
$4,882
9
clean
ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE
—
—
$1,793
21
clean
ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV
—
—
$7,094
19
clean
CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN
—
—
$2,109
21
clean
RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC
—
—
$455
21
clean
RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE
—
—
$2,109
21
clean
INSJ AQUEOUS DRAIN DEV W/O EO RSVR INITIAL DEV
—
—
$4,737
21
clean
FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM
—
—
$1,253
21
clean
FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM
—
—
$129
9
clean
TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
—
—
$12,065
9
clean
TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE
—
—
$12,065
9
clean
PREP & CANNULJ CDVR DON LNG ORGN PRFUJ SYS
—
—
$3,293
1
clean
INIT & MNTR CDVR DON LNG ORGN PRFUJ SYS 1ST 2 HR
—
—
$3,293
1
clean
EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
—
—
$16,521
19
clean
HC EXTRACORPOREAL SHOCK WAVE, INTEG WOUND HEAL, INITIAL WOUND
$827
$389
$463
32
clean
HC EXTRACORPOREAL SHOCK WAVE, INTEG WOUND HEAL, EA ADDTL WOUND
$414
$195
$110
22
clean
HC INTRAPROC CORONARY FFR, W/3D FUNCTIONAL MAPPING
$6,948
$3,266
$1,852
22
clean
HC INSERT/REPLACE, IIMS, COMPLETE
$19,473
$9,152
$17,082
32
clean
HC PRGRM DEV EVAL, IIMS, IN PERSON
$98
$46
$73
32
clean
HC INTERROG DEVICE EVAL, IIMS, IN PERSON
$8,234
$3,870
$127
32
clean
EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL
—
—
$147
19
clean
TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
—
—
$12,065
9
clean
TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS
—
—
$2,839
9
clean
INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
—
—
$73,356
19
clean
ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL
—
—
$7,555
19
clean
IRE ABLATION 1+TUMORS PER ORGAN W/IMG GDN PERQ
—
—
$9,559
21
clean
IRE ABLATION 1+TUMORS W/FLUOR&US GDN OPEN
—
—
$15,221
19
clean
CYSTO W/TRURL ANT PRST8 COMMISSUROTOMY & RX DLVR
—
—
$8,490
19
clean
HC ENDOVASC VENOUS ARTERIALIZATION, TIBL/PERONEAL VEIN
$8,600
$4,042
$27,776
32
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR 1ST
—
—
$21,042
19
clean
PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR EA
—
—
$0
9
clean
PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST
—
—
$21,042
19
clean
TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ
—
—
$8,649
19
clean
TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH
—
—
$3,293
1
clean
INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY
—
—
$2,834
19
clean
EGD FLEXIBLE TRANSNASAL W/INSJ INTRAL TUBE/CATH
—
—
$3,272
21
clean
TRANSPERINEAL FOCAL LASER ABLTJ MAL PRST8 TISS
—
—
$5,365
19
clean
IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS
—
—
$3,694
11
clean
INSJ ANT SGM DRG DEV TRAB MW W/O RES&CTRC RMVL1+
—
—
$4,737
19
clean
ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN
—
—
$1,488
21
clean
NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT
—
—
$4,942
19
clean
INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC
—
—
$320
19
clean
TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS
—
—
$31,723
19
clean
TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT
—
—
$31,723
19
clean
TCAT INSJ PERM 2CHMBR LDLS PM R VENTR PM COMPNT
—
—
$31,723
19
clean
SUBRETINAL NJX RX AGT W/VTRC & 1+ RETINOTOMIES
—
—
$4,251
19
clean
OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ
—
—
$35,614
19
clean
OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF
—
—
$35,614
19
clean
REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBCUTANEOUS
—
—
$5,539
19
clean
TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL
—
—
$31,723
19
clean
CANNULJ LVR ALGRFT PREPJ CONNJ NRMTHRMC PRFU DEV
—
—
$0
9
clean
HC FINE NEEDLE ASP BIOPSY, W/O IMAGING GUIDANCE, EA ADDTL LESION
$141
$66
$114
22
clean
HC FINE NEEDLE ASP BIOPSY, W/US GUIDANCE, 1ST LESION
$2,751
$1,293
$1,038
36
clean
HC FINE NEEDLE ASP BIOPSY, W/US GUIDANCE, EA ADDTL LESION
$688
$323
$263
22
clean
HC FINE NEEDLE ASP BIOPSY, W/FLUORO GUIDANCE, 1ST LESION
$2,751
$1,293
$1,038
36
clean
HC FINE NEEDLE ASP BIOPSY, W/CT GUIDANCE, 1ST LESION
$2,751
$1,293
$1,038
36
clean
HC FINE NEEDLE ASP BIOPSY, W/CT GUIDANCE, EA ADDTL LESION
$688
$323
$557
22
clean
HC FINE NEEDLE ASP BIOPSY, W/MR GUIDANCE, 1ST LESION
$2,751
$1,293
$1,444
34
clean
HC FINE NEEDLE ASP BIOPSY, W/MR GUIDANCE, EA ADDTL LESION
$688
$323
$183
22
clean
HC FINE NEEDLE ASP,W/O IMAGING GUIDANCE
$282
$133
$367
36
clean
HC IMG GUIDE CATH FLUID DRAINAGE/SOFT TISSUE/PERQ
$1,636
$769
$646
36
clean
HC PLACEMENT SOFT TISS DEV PERQ, 1ST LESION, INCL GUID
$1,264
$594
$683
36
clean
HC PLACEMENT SOFT TISS DEV PERQ, EACH ADDL LESION, INCL GUID
$1,264
$594
$1,024
22
clean
HC ACNE SURGERY
$153
$72
$101
34
clean
HC INCISION & DRAINAGE SINGLE
$271
$127
$226
36
clean
HC INCISION & DRAINAGE MULTI
$271
$127
$367
36
clean
HC I&D PILONIDAL CYST, SIMPLE
$271
$127
$646
36
clean
HC I&D PILONIDAL CYST COMPLEX
$1,685
$792
$803
36
clean
HC REMO F/B SUBQ SIMPLE
$521
$245
$370
36
clean
HC REM F/B SUBQ DEEP
$3,252
$1,528
$1,628
36
clean
HC DRAIN HEMATOMA,SEROMA OR FLUID COLL
$2,346
$1,103
$1,488
36
clean
HC PUNCTURE ASPIRATION, ABSCESS/HEMATOMA/BULLA/CYST
$271
$127
$295
36
clean
HC COMPLEX DRAINAGE, WOUND
$3,606
$1,695
$2,628
36
clean
HC DEBRIDE INF SKIN <10% TBSA
$1,284
$603
$647
36
clean
DEBRIDE INFECTED SKIN ADD-ON
—
—
$1,320
1
clean
DEBRIDE GENITALIA & PERINEUM
—
—
$9,642
9
clean
DEBRIDE ABDOM WALL
—
—
$126
3
clean
DEBRIDE GENIT/PER/ABDOM WALL
—
—
$3,293
1
clean
REMOVE MESH FROM ABD WALL
—
—
$1,782
10
clean
DEBRIDE SKIN AT FX SITE
—
—
$646
29
clean
DEBRIDE SKIN MUSC AT FX SITE
—
—
$646
29
clean
HC DEBRIDE BONE W/OPEN FX
$6,114
$2,874
$2,105
36
clean
HC DEBRIDEMENT SUBCUTANEOUS 1ST 20 SQ CM LE
$521
$245
$435
36
clean
HC DEBRIDEMENT MUSCLE FASCIA 1ST 20 SQ CM L
$487
$229
$562
36
clean
HC DEBRIDEMENT BONE 1ST 20 SQ CM OR LESS
$3,545
$1,666
$1,628
36
clean
HC DEBRIDEMENT SUBCUTANEOUS EA ADD 20 SQ CM
$261
$123
$70
22
clean
DEB MUSC/FASCIA ADD-ON
—
—
$0
9
clean
DEB BONE ADD-ON
—
—
$0
9
clean
HC PARING/ CUTTING HYPERKERATOTIC LESION, SINGLE LESION
$164
$77
$182
36
clean
HC PARING/ CUTTING HYPERKERATOTIC LESION, 2-4 LESIONS [CPT 11056]
$164
$77
$165
36
clean
HC PARING/ CUTTING HYPERKERATOTIC LESION, >4 LESIONS
$164
$77
$182
36
clean
HC TANGENTIAL BIOPSY, SKIN, SINGLE LESION
$319
$150
$182
36
clean
HC TANGENTIAL BIOPSY, SKIN, EA ADDTL LESION
$80
$38
$65
22
clean
HC PUNCH BIOPSY, SKIN, SINGLE LESION
$319
$150
$367
36
clean
HC PUNCH BIOPSY, SKIN, EA ADDTL LESION
$80
$38
$65
22
clean
HC INCISIONAL BIOPSY, SKIN, SINGLE LESION
$826
$388
$562
36
clean
HC INCISIONAL BIOPSY, SKIN, EA ADDTL LESION
$207
$97
$168
22
clean
HC EXC SKIN TAGS UP TO AND INC 15 LESIONS
$164
$77
$182
36
clean
HC EXC EACH ADDITIONL 10 LESIONS
$164
$77
$133
22
clean
HC SHAVE LESION < 0.5CM TRUNK/EXT
$164
$77
$209
36
clean
HC SHAVE LESION .6-1 CM TRUNK/EXT
$164
$77
$182
36
clean
SHAVE SKIN LESION
—
—
$182
23
clean
HC SHAV SKIN LES >2.1 CM TRUNK,ARM,LEG
$287
$135
$367
36
clean
HC SHAVE LESION<=.5CM SCALP/HANDS
$164
$77
$182
36
clean
HC SHAVE LESION .6-1CM SCALP/HNDS
$164
$77
$182
36
clean
HC SHAV SKIN LES 1.1-2.0 CM REMAINDER BODY
$482
$227
$218
36
clean
HC SHAV SKIN LES >2.1 CM REMAINDER BODY
$164
$77
$261
36
clean
HC SHAVING OF EPIDERMAL LESION, FACE EARS EYELIDS NOSE, .5 OR LESS
$164
$77
$182
36
clean
HC SHAV SKIN LES 0.6-1.0 CM FACE,FACIAL
$164
$77
$182
36
clean
HC SHAV SKIN LES 1.1-2.0 CM FACE,FACIAL
$164
$77
$261
36
clean
HC SHAV SKIN LES >2.1 CM FACE,FACIAL
$164
$77
$367
36
clean
HC EXC LESION TRUNK,ARMS,LEGS BGN <.5CM
$811
$381
$646
36
clean
HC EXC LESION TRUNK,ARMS,LEGS BGN.6-1.0 CM
$811
$381
$416
36
clean
HC EXC LESION TRUNK,ARMS,LEGS BGN 1.1-2.0CM
$811
$381
$646
36
clean
HC EXC LESION TRUNK,ARMS,LEGS BGN 2.1-3.0CM
$1,525
$717
$758
36
clean
HC EXC LESION TRUNK,ARMS,LEGS BGN 3.1-4.0CM
$3,252
$1,528
$1,488
36
clean
HC EXC LESION TRUNK,ARMS,LEGS BGN >4.0CM
$3,252
$1,528
$1,628
36
clean
HC EXC LESION SCLP,NCK,HND,FT,GNTL BGN <.5CM
$1,525
$717
$1,488
36
clean
HC EXC LESION SCLP,NCK,HND,FT,GNTL BGN .6-1.0CM
$1,525
$717
$758
36
clean
HC EXC LESION SCLP,NCK,HND,FT,GNTL BGN 1.1-2.0CM
$1,525
$717
$1,404
36
clean
HC EXC LESION SCLP,NCK,HND,FT,GNTL BGN 2.1-3.0CM
$3,252
$1,528
$1,488
36
clean
HC EXC LESION SCLP,NCK,HND,FT,GNTL BGN 3.1-4.0CM
$3,252
$1,528
$1,628
36
clean
HC EXC LESION SCLP,NCK,HND,FT,GNTL BGN >4.0CM
$4,346
$2,043
$2,628
36
clean
HC EXC LESION FACE,EARS,EYELD,NS,LP BGN <.5CM
$811
$381
$646
36
clean
HC EXC LESION FACE,EARS,EYELD,NS,LP BGN .6-1.0CM
$811
$381
$646
36
clean
HC EXC LESION FACE,EARS,EYELD,NS,LP BGN 1.1-2.0CM
$1,525
$717
$758
36
clean
HC EXC LESION FACE,EARS,EYELD,NS,LP BGN 2.1-3.0CM
$1,525
$717
$1,404
36
clean
HC EXC LESION FACE,EARS,EYELD,NS,LP BGN 3.1-4.0CM
$1,525
$717
$1,404
36
clean
HC EXC LESION FACE,EARS,EYELD,NS,LP BGN >4.0CM
$4,346
$2,043
$2,628
36
clean
REMOVAL SWEAT GLAND LESION
$3,735
$1,755
$2,628
29
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,628
29
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,628
29
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,628
29
clean
REMOVAL SWEAT GLAND LESION
$3,356
$1,577
$2,628
29
clean
REMOVAL SWEAT GLAND LESION
—
—
$2,628
29
clean
EXC TR-EXT MLG+MARG 0.5 < CM
—
—
$646
23
clean
HC MALIGNANT LESION TRUNK,ARMS,LEGS .6-1.0 CM
$811
$381
$646
36
clean
HC EXC CA LESION TRUNK,ARMS,LEGS 1.1-2.0CM
$811
$381
$496
36
clean
HC EXC CA LESION TRUNK,ARMS,LEGS 2.1-3.0CM
$1,525
$717
$758
36
clean
HC EXC CA LESION TRUNK,ARMS,LEGS 3.1-4.0CM
$1,526
$717
$758
36
clean
HC EXC CA LESION TRUNK,ARMS,LEGS >4.0CM
$3,021
$1,420
$1,605
36
clean
HC EXC CA LESION SCLP,NCK,HND,FT,GNTL <.5CM
$1,525
$717
$1,404
36
clean
HC EXC CA LESION SCLP,NCK,HND,FT,GNTL .6-1.0CM
$781
$367
$646
36
clean
HC EXC CA LESION SCLP,NCK,HND,FT,GNTL 1.0-2.0CM
$1,525
$717
$758
36
clean
HC EXC CA LESION SCLP,NCK,HND,FT,GNTL 2.1-3.0CM
$3,021
$1,420
$1,488
36
clean
HC EXC CA LESION SCLP,NCK,HND,FT,GNTL 3.1-4.0CM
$3,021
$1,420
$1,605
36
clean
HC EXC CA LESION SCLP,NCK,HND,FT,GNTL >4.0CM
$4,798
$2,255
$2,628
36
clean
HC EXC CA LESION FACE,EARS,EYELD,NS,LP <.5CM
$851
$400
$646
36
clean
HC EXC CA LESION FACE,EARS,EYELD,NS,LP .6-1.0CM
$851
$400
$646
36
clean
HC EXC CA LESION FACE,EARS,EYELD,NS,LP 1.1-2.0CM
$851
$400
$646
36
clean
HC EXC CA LESION FACE,EARS,EYELD,NS,LP 2.1-3.0CM
$1,420
$667
$1,488
36
clean
HC EXC CA LESION FACE,EARS,EYELD,NS,LP 3.1-4.0CM
$3,021
$1,420
$1,605
36
clean
HC EXC CA LESION FACE,EARS,EYELD,NS,LP >4.0CM
$3,994
$1,877
$2,628
36
clean
HC TRIM NONDYSTROPHIC NAIL(S)- MD
$83
$39
$55
36
clean
HC DEBRIDE NAIL(S), 1-5
$153
$72
$66
36
clean
HC DEBRIDE NAIL(S); 6 OR MORE
$153
$72
$66
36
clean
HC AVULSION NAIL PLATE SINGLE
$164
$77
$182
36
clean
HC AVULSION NAIL PLATE EA ADD
$166
$78
$134
22
clean
HC EVAC SUBUNGUAL HEMATOMA
$101
$47
$118
36
clean
HC EXCISION INGROWN TOENAIL
$851
$400
$428
36
clean
BIOPSY NAIL UNIT
—
—
$646
29
clean
HC RECONSTRUCTION OF NAIL BED
$255
$120
$383
36
clean
RECONSTRUCTION OF NAIL BED
—
—
$1,351
23
clean
HC WEDGE RES INGROWN NAIL
$241
$113
$367
36
clean
REMOVAL OF PILONIDAL LESION
$3,551
$1,669
$2,628
29
clean
REMOVAL OF PILONIDAL LESION
$3,727
$1,752
$2,628
29
clean
REMOVAL OF PILONIDAL LESION
$3,928
$1,846
$2,628
29
clean

Showing the first 200 of 9,415 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,767 of 2,755 comparable items (64%) 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 $1,453 exceeds the gross charge $415
warn
mrf_rate_without_estimate
53,059 of 53,059 percentage/algorithm rates across 6,008 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 82570/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 J1950/o
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 82607/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88350/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 98960/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1953/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, max differ, so no cross-line comparison was made for this item
MS-DRG 158/i
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 82653/o
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 88360/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 differ, so no cross-line comparison was made for this item
CPT J1956/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 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 82657/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, max differ, so no cross-line comparison was made for this item
CPT J2003/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 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 82664/o
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 88364/o
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 99001/o
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 J2020/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 176/i
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 82670/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 88365/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 differ, so no cross-line comparison was made for this item
CPT J2150/o
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
MS-DRG 177/i
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 88368/o
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
MS-DRG 178/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82784/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88377/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 J2182/o
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
MS-DRG 180/i
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 82803/o
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 88381/o
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 J2185/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 186/i
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 82941/o
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 J2248/o
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 82962/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 J2250/o
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
MS-DRG 189/i
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 83010/o
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 J2260/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 190/i
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 29125/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 64405/o
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 83018/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
MS-DRG 191/i
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 83020/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
MS-DRG 192/i
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 83021/o
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 J2274/o
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 193/i
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 J2280/o
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
MS-DRG 194/i
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 83088/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2290/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 43999/o
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 83497/o
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 J2305/o
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 64425/o
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 83516/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 90633/o
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 J2310/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 83519/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 90696/o
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 J2353/o
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
MS-DRG 202/i
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 83520/o
info
mrf_item_fields_vary
this code and setting cover at least 29 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90710/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2354/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64447/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83521/o
info
mrf_item_fields_vary
this code and setting cover at least 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 90714/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 A4216/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 J2357/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 64450/o
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 83605/o
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 90734/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A4217/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2359/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
MS-DRG 207/i
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 83690/o
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 A4306/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 J2371/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, max differ, so no cross-line comparison was made for this item
CPT 83735/o
info
mrf_item_fields_vary
this code and setting cover at least 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 90945/o
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 A4648/o
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2404/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 J2430/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
MS-DRG 242/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83789/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2440/o
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 83880/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2469/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 264/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83883/o
info
mrf_item_fields_vary
this code and setting cover at least 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 A9577/o
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 J2470/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
MS-DRG 280/i
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 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, max differ, so no cross-line comparison was made for this item
CPT 83916/o
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 A9579/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 J2471/o
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 281/i
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 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 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 64520/o
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 83935/o
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 A9585/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2540/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
MS-DRG 282/i
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 64612/o
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 83945/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2543/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 286/i
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 A9698/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 J2590/o
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 64616/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83986/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT B4185/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 J2597/o
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
MS-DRG 291/i
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 44799/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 75827/o
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 C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 2088 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2598/o
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
MS-DRG 292/i
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 64640/o
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 84075/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1714/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 J2680/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
MS-DRG 299/i
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 C1715/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 J2690/o
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 300/i
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 84100/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 C1721/o
info
mrf_item_fields_vary
this code and setting cover at least 70 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2700/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, max differ, so no cross-line comparison was made for this item
CPT 84105/o
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 C1722/o
info
mrf_item_fields_vary
this code and setting cover at least 57 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2704/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
MS-DRG 304/i
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 84133/o
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 C1724/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 J2710/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, max differ, so no cross-line comparison was made for this item
MS-DRG 305/i
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 C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 194 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2783/o
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
MS-DRG 309/i
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 84145/o
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 C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 124 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2785/o
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 84146/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1727/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 J2790/o
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 312/i
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 C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 219 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2794/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 84153/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 C1730/o
info
mrf_item_fields_vary
this code and setting cover at least 58 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2795/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, max differ, so no cross-line comparison was made for this item
CPT 64999/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84154/o
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 C1731/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, max differ, so no cross-line comparison was made for this item
CPT J2800/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
MS-DRG 315/i
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 76499/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 84182/o
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 C1732/o
info
mrf_item_fields_vary
this code and setting cover at least 33 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2802/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 84207/o
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 C1733/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, max differ, so no cross-line comparison was made for this item
CPT J2919/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, max differ, so no cross-line comparison was made for this item
MS-DRG 326/i
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 84295/o
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 C1734/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 J2997/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
MS-DRG 327/i
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 84300/o
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 C1747/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 J3030/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 C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 62 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3105/o
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
MS-DRG 329/i
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 84311/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 C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 165 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3230/o
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
MS-DRG 330/i
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 76641/o
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 84392/o
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 C1752/o
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3260/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 76642/o
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 84402/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3262/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84403/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 83 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J3301/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84432/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 35 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,646 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 280
info
inp_payment_exceeds_charge
total payment $15,666 exceeds the average charge $11,725

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 · 693.8M bytes · fetched 2026-08-23 · sha256 6fcf81197c3a…

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.