Service
Code
Listed
Cash
Negotiated
Rates
Checks
MUSCULOSKELETAL SURGICAL NAV IMAGE GUIDE
$8,325
$2,498
—
0
clean
NJX PLTLT PLATELET PLASMA
$2,335
$397
$397
11
clean
WATERJET PROSTATE ABLJT CMPL
$13,789
$4,137
$7,492
3
clean
IMPLTJ SYNTH ABDL WALL
$4,000
$1,200
—
0
clean
PERQ NJX ALGC FLUOR LMBR 1ST
$16,000
$11,401
$11,401
9
clean
NJX B1 SUB SBCHDRL DFCT
$7,980
$2,906
$2,906
9
clean
FINE NEEDLE ASPIRATION W/O IMG
$500
$150
$361
1
clean
FINE NEEDLE ASPIRATION W/O RADIOLOGICAL
$1,041
$361
$361
15
clean
MARSUPIALIZATION OF CYST /
$569
$178
$178
15
clean
INCISION & DRAINAGE ABCESS
$345
$178
$178
15
clean
IRRIGATE & DEBRIDE-UPPER EXTREMITY
$1,041
$361
$361
15
clean
INCISION AND DRAINAGE OF PILONIDAL CYST /
$1,988
$629
$629
15
clean
DRAINAGE OF PILONIDAL CYST2046 /
$1,988
$629
$629
15
clean
INCISION & REMOVAL FOREIGN BODY
$1,041
$361
$361
45
clean
REMOVAL FOREIGN BODY SUBCUTANEOUS /
$4,474
$1,467
$1,467
15
clean
BREAST-EVACUATION OF HEMATOMA/SEROMA
$4,474
$1,467
$1,467
15
clean
INCISION & DRAINAGE POST-OP WOUND
$6,478
$2,579
$2,579
15
clean
DEBRIDEMENT EXT/ECZEMA/INFECT/SKIN /
$1,620
$361
$361
15
clean
DEBRIDE GENITALIA & PERINEUM /
$1,050
$315
$1,451
4
clean
DEBRIDE ABDOM WALL /
$1,050
$315
$1,451
4
clean
REMOVE MESH FROM ABDOM WALL /
$1,050
$315
$1,086
4
clean
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN/
$1,988
$629
$629
15
clean
DEBRIDE OPEN FX/DIS TO MUSCLE /
$1,988
$629
$629
15
clean
DEBRIDEMENT SKIN,SUBCUTANEOUS TISSUE,MUS/
$6,478
$2,579
$2,579
15
clean
DEBRIDEMENT SKIN&SUBCUTANEOUS TISSUE /
$1,041
$361
$361
30
clean
DEBRIDEMENT;SKIN,SUBCUT TISSUE/MUSCL /
$1,620
$656
$656
15
clean
DEBRIDEMENT, BONE /
$4,474
$1,467
$1,467
30
clean
DEB SUBQ TISSUE ADD-ON /
$1,050
$315
$361
3
clean
DEB MUSC/FASCIA ADD-ON /
$1,050
$315
$603
2
clean
TANGENTIAL BIOPSY SKIN SINGLE LESION
$569
$361
$361
14
clean
PUNCH BIOPSY SKIN SINGLE LESION /
$569
$361
$361
14
clean
PUNCH BIOPSY SKIN EA SEP/ADDL LESION /
$1,050
$315
$361
1
clean
INCISIONAL BIOPSY SKIN SINGLE LESION /
$1,041
$656
$656
14
clean
EXC SKIN TAG UP TO 15 /
$569
$178
$178
15
clean
REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTA/
$1,050
$315
$231
2
clean
SHAVE DERMAL LSN, TRK O.5CM OR LESS /
$569
$361
$361
15
clean
SHAVING EPIDRML LSN 0.6 TO 1.0CM /
$569
$178
$178
15
clean
SHAVE EPIDERMAL OR DERMAL LESION 1.1-2.0/
$569
$178
$178
15
clean
SHAVING EPIDERMAL/DERMAL LESION,SINGLE,S/
$569
$178
$178
15
clean
SHAVING DERMAL LSN, 0.5 OR LESS /
$569
$178
$178
15
clean
SHAVE SKIN LESION 0.6-1.0 CM /
$569
$178
$178
15
clean
SHAVE SKIN LESION 1.1-2.0 CM /
$1,041
$361
$361
15
clean
SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >/
$1,041
$361
$361
15
clean
EXC LESION/TRUNK,ARMS,LEGS .5CM OR /
$1,988
$629
$629
15
clean
EXC LESN BENIGN .6-1CM TRNK/ARM/LEG /
$1,041
$361
$361
15
clean
EXC BENIGN LESN 1.1-2.CM TRK/ARM/LGS /
$1,988
$629
$629
15
clean
EXC LESN BENIGN 2.1-3.CM TRK/ARM/LEG /
$1,988
$629
$629
15
clean
EXC LESN BENIGN 3.1-4CM TRNK/ARM/LEG /
$4,474
$1,467
$1,467
15
clean
EXC LESN BENIGN OVR 4CM TRNK/ARM/LEG /
$4,474
$1,467
$1,467
15
clean
EXC LESN .5CM< SCLP/NCK/FT/HNDS/GNTL /
$4,474
$1,467
$1,467
15
clean
EXC LESN .6-1CM SCLP/NK/HNDS/FT/GNTL /
$1,988
$629
$629
15
clean
EXC LSN 1.1-2CM SCLP/NK/HNDS/FT/GNTL /
$4,474
$1,467
$1,467
15
clean
EXC LSN 2.1-3CM SCLP/NK/HNDS/FT/GNTL /
$4,474
$1,467
$1,467
15
clean
EXC LSN 3.1-4CM SCLP/NK/HNDS/FT/GNTL /
$4,474
$1,467
$1,467
15
clean
EXCISION-MASS POSTERIOR NECK/BACK /
$5,771
$2,579
$2,579
15
clean
EXCISION OF MULTIPLE LESIONS /
$1,988
$629
$629
15
clean
EXC LSN .6-1CM FACE/EAR/EYLD/NSE/LIP /
$1,988
$629
$629
15
clean
EXC LSN 1.1-2CM FACE/EAR/EYLD/NSE/LP /
$1,988
$629
$629
60
clean
EXCISION-MASS OF HEAD/NECK /
$4,474
$1,467
$1,467
30
clean
EXC LSN, BNGN/3.1-4.0CM
$4,474
$1,467
$1,467
15
clean
EXC LSN OVR 4CM FACE/EAR/EYLD/NSE/LP /
$6,478
$2,579
$2,579
15
clean
EXCISION-HIDRADENITIS OF AXILLA
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TIS-HIDRADENITIS,AXL,OT
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TISS-HIDRADENITIS (ING
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TISS-HIDRADENITIS,ING,O
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TIS-HIDRADENITIS,PER,UM
$6,478
$2,579
$2,579
15
clean
EXC SKIN/SUB TIS-HIDRADENITIS,PER,OT
$6,478
$2,579
$2,579
15
clean
EXC MLGNT LSN .5CM< TRNK/ARMS/LEGS
$1,988
$629
$629
15
clean
EXC MLGNT LSN .6-1CM TRUNK/ARMS/LEGS
$1,988
$629
$629
15
clean
EXC MLGNT LSN 1.1-2CM TRNK/ARMS/LEGS
$1,041
$361
$361
15
clean
EXC MLGNT LSN 2.1-3CM TRNK/ARMS/LEGS
$1,988
$629
$629
15
clean
EXC MLGNT LSN 3.1-4CM TRNK/ARMS/LEGS
$1,988
$629
$629
15
clean
EXCISION-MASS UPPER EXTREMITY /
$4,474
$1,467
$1,467
15
clean
EXC M LSN .5CM< SCLP/NK/HNDS/FT/GNTL
$4,474
$1,467
$1,467
15
clean
EXC M LSN .6-1CM SCLP/NK/HNDS/FT/GEN
$1,988
$629
$629
15
clean
EXC M LSN 1.1-2CM SCLP/NK/HNDS/FT/GN
$1,988
$629
$629
15
clean
EXC MALGNT LSN/2.1-3CM
$4,474
$1,467
$1,467
15
clean
EXC M LSN 3.1-4CM SCLP/NK/HNDS/FT/GN
$4,474
$1,467
$1,467
15
clean
EXC M LSN OVR 4CM SCLP/NK/HNDS/FT/GN
$6,478
$2,579
$2,579
15
clean
EXC M LSN .5CM< FACE/EAR/EYLD/NSE/LP
$1,988
$629
$629
30
clean
EXC M LSN .6-1CM FCE/EAR/EYLD/NSE/LP
$1,988
$629
$629
15
clean
EXC M LSN 1.1-2CM FCE/ER/EYLD/NSE/LP
$1,988
$629
$629
30
clean
EXC M LSN 2.1-3CM FCE/ER/EYLD/NSE/LP
$4,474
$1,467
$1,467
30
clean
EXC M LSN 3.1-4CM FCE/ER/EYLD/NSE/LP
$4,474
$1,467
$1,467
15
clean
EXC M LSN OVR 4CM FCE/ER/EYLD/NSE/LP
$6,478
$2,579
$2,579
15
clean
TRIM NAIL(S) /
$179
$52
$52
15
clean
DEBRIDEMENT NAIL ANY METHOD /
$179
$52
$52
15
clean
REMOVAL OF NAIL PLATE. /
$569
$178
$178
15
clean
RMVL INGRWN TOENAIL, ADDTL /
$1,050
$315
$231
2
clean
EXCISION OF NAIL & NAIL MATRIX, PARIALOR/
$1,041
$361
$361
15
clean
BIOPSY, NAIL UNIT /
$1,988
$629
$629
15
clean
RECONSTRUCTION/NAIL BED SIMPLE /
$1,620
$656
$656
75
clean
NAIL BED RECONSTRUCTION W/GRAFT /
$5,289
$1,832
$1,832
15
clean
EXCISION OF NAIL FOLD, TOE /
$1,041
$361
$361
15
clean
EXC PILONIDAL CYST OR SINUS SIMPLE /
$6,478
$2,579
$2,579
15
clean
EXCISION-PILONIDAL CYST /
$6,478
$2,579
$2,579
15
clean
EXC PILONIDAL CYST OR SINUS, COMP /
$6,478
$2,579
$2,579
15
clean
INJECTION, INTRALESIONAL UP TO 7 /
$569
$178
$178
15
clean
TATTOOING, INTTRADERMAL INTRODUCTION OF
$1,620
$656
$656
15
clean
SUBCUTANEOUS INJECTION OF FILLING MATERI/
$1,620
$656
$656
15
clean
INSERTION OF TISSUE EXPANDER(S
$8,317
$3,147
$3,147
15
clean
BREAST-EXPANDER REMOVAL WITH IMPLANT INS/
$12,812
$6,444
$6,444
45
clean
REMOVAL TISS EXPANDER WO/INS PROSTH /
$6,478
$2,579
$2,579
15
clean
INSERT DRUG IMPLANT DEVICE /
$355
$118
$118
15
clean
REMOVE DRUG IMPLANT DEVICE /
$1,185
$397
$397
15
clean
REMOVAL W REINSERTION NON-BIODEGRADABLE /
$1,185
$397
$397
15
clean
RPAIR SCLP/NK/TRNK/GNTL/EXTRM 2.5CM OR L/
$569
$178
$178
15
clean
RPAIR SCLP/NK/TRNK/EXTRM 2.6-7.5CM /
$569
$178
$178
15
clean
SIMPLE REPAIR, SCAR
$569
$178
$178
15
clean
SIMP REPAIR WOUNDS-SCLP,TRNK,EXT>20 /
$1,041
$361
$361
15
clean
SIMP REPAIR, WOUNDS-SCLP,TRNK,EXT>30 /
$1,041
$361
$361
15
clean
SIMP REPAIR WOUNDS-SCLP,TRNK,EXT<30C /
$569
$178
$178
15
clean
HEAD/NECK-WOUND EXPLORATION WITH CLOSURE/
$569
$178
$178
30
clean
RPAIR FACE/EAR/EYLD/NOSE/LIP 2.6-5CM /
$569
$178
$178
15
clean
REPAIR SUPERFICIAL WOUND(S)2092 /
$569
$178
$178
15
clean
SIMP REPAIR WOUNDS-FACE,EARS >20CM /
$1,041
$361
$361
15
clean
SIMP REPAIR,WOUNDS-FACE,EARS >30 CM /
$1,041
$361
$361
15
clean
SIMP REPAIR, WOUNDS-FACE,EARS <30 CM /
$569
$178
$178
15
clean
TREATMENT WOUND DEHISCENCE, SIMPLE /
$1,620
$656
$656
15
clean
TREATMENT WOUND DEHISCENCE, W/PACK /
$1,041
$361
$361
15
clean
LAYERED CLOSURE,<2.6CM
$1,041
$361
$361
15
clean
INTRM REPAIR-TRNK 2.6-7.5CM
$1,041
$361
$361
30
clean
LYR CLSRE 7.6-12.5CM SCLP/TRNK/EXTRM
$1,041
$361
$361
15
clean
LYR CLSRE 12.6-20CM SCLP/TRNK/EXTRM
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-SCLP,TRNK,EXT>30
$1,620
$656
$656
15
clean
LAYER CLOSUR,WOUNDS-SCLP,TRNK,EXT<30
$5,289
$1,832
$1,832
15
clean
LAYER CLOSURE OF WOUNDS OF NECK, HANDS,
$1,041
$361
$361
15
clean
LAYERED CLOSURE-2.6 TO 7.5CM
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-NK,HNDS,FT>12.5C
$1,620
$656
$656
15
clean
LAYER CLOSUR,WOUNDS-NCK,HND,FT >20C
$1,620
$656
$656
15
clean
LAYER CLOSUR,WOUNDS-NCK,HND,FT >30C
$1,041
$656
$656
15
clean
LAYER CLOSUR,WOUNDS-NCK,HND,FT <30C
$5,289
$1,832
$1,832
15
clean
INTERMED RPR 2.5CM OR LESS
$1,041
$361
$361
15
clean
LAYER CLOSURE OF WOUND(S)2105 2.6CM TO
$1,041
$361
$361
30
clean
LAYER CLOSURE OF WOUND(S)2106
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-FACE,EARS >12.5
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-FACE,EARS >20 CM
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-FACE,EARS >30 CM
$1,041
$361
$361
15
clean
LAYER CLOSUR,WOUNDS-FACE,EARS <30 CM
$1,041
$361
$361
15
clean
REPAIR COMPLEX TRUNK 1.1-2.5CM /
$1,620
$656
$656
15
clean
REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM /
$1,620
$656
$656
15
clean
REPAIR COMPLEX ADDITIONAL 5 CM /
$1,050
$315
$603
2
clean
RPAIR COMPLEX 1.1-2.5CM SCLP/ARM/LEG /
$1,620
$361
$361
15
clean
REPAIR,COMPLEX,SCLP,ARMS,LGS 2.6CM TO 7./
$1,620
$361
$361
30
clean
REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEG/
$1,050
$315
$603
2
clean
RPR 1.1-2.5 FORHD/CHK/CHN/GEN/HND/FT /
$1,041
$361
$361
15
clean
RPR 2.6-7.5 FRHD/CHK/CHN/GEN/HND/FT /
$1,620
$361
$361
30
clean
CMPLX RPR F/C/C/M/N/AX/G/H/F
$1,050
$315
$361
6
clean
REPAIR,COMPLEX,LIDS,NOSE,EARS 1.1CM TO 2/
$1,620
$656
$656
15
clean
RPR 2.6-7.5CM EYLD/NOSE/EAR/LIP-COMP /
$1,620
$656
$656
15
clean
RPR COMP EYELID/NOSE/EAR/LIP ADDL 5CM/<
$1,620
$486
$603
2
clean
SEC CLOSUR WOUND/DEHISCENCE,EXT/COMP
$5,289
$3,147
$3,147
15
clean
ADJ TISS TRANSFER/REARRANGE,TRUNK 10 SQ /
$5,289
$1,832
$1,832
15
clean
ADJ TISS TRANSFER/REARRANGE,TRUNK 10.1 S/
$5,289
$1,832
$1,832
15
clean
ADJ TISS TRANS/REARRANGE,ARM,LEG 10 SQ C/
$5,289
$1,832
$1,832
15
clean
ADJ TISS TRANS/REARRANGE,ARM,LEG 10.1 SQ/
$5,289
$1,832
$1,832
15
clean
SKIN TISSUE REARRANGEMENT. /
$5,289
$1,832
$1,832
30
clean
ADJ TISS TRANS/REARRANGE,HND,FT 10.1 SQ /
$5,289
$1,832
$1,832
15
clean
ADJACENT TISSUE TRANSFER,EYELID,NOSE 10 /
$5,289
$1,832
$1,832
30
clean
ADJ TISS TRANS/REARRANGE,NSE,EARS 10.1 S/
$5,289
$1,832
$1,832
15
clean
SKIN TISSUE REARRANGEMENT /
$8,317
$3,147
$3,147
15
clean
SKIN TISSUE REARRANGE ADD-ON /
$1,050
$315
$1,873
2
clean
FILLETED FINGER OR TOE FLAP
$5,289
$1,832
$1,832
15
clean
WND PREP, CH/INF, TRK/ARM/LG, FIRST 100 /
$5,289
$656
$656
15
clean
WOUND PREP ADDL 100 CM /
$1,050
$315
$603
2
clean
Recip Prep sclp/ft 1st 100 sq cm /
$1,620
$361
$361
15
clean
WND PREP F/N/HF/G ADDL CM /
$1,050
$315
$603
2
clean
PINCH GRAFT TO 2CM DEFECT SML AREA /
$1,620
$656
$656
15
clean
SKIN GRAFT-SPLIT THICKNESS /
$5,289
$1,832
$1,832
15
clean
SPLIT GRAFT TRNK,ARMS,LEGS ADD’L 100 /
$1,050
$315
$1,671
2
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
$5,289
$1,832
$1,832
15
clean
EPIDERMAL AUTOGRAFT SCLP <= 100 SQ CM
$5,289
$1,832
$1,832
15
clean
SKIN SPLIT GRAFT PROCEDURE1183, FIRST 10/
$8,317
$3,147
$3,147
15
clean
SPLIT GRAFT FACE,LIDS,EARS ADD’L 100 /
$1,050
$315
$1,671
2
clean
DERM AUTOGRAFT FACE/NCK/HF/G /
$8,317
$3,147
$3,147
15
clean
FULL THICK GRAFT, TRUNK, 20CM OR
$5,289
$1,832
$1,832
15
clean
FULL THICK GRAFT, TRUNK, ADD’L 20CM /
$1,050
$315
$1,317
2
clean
FULL THICK SKIN GRAFT TRUNK 20 SQ CM OR /
$5,289
$1,832
$1,832
15
clean
FULL THICK GRAFT, ARM,LEGS ADD’T 20
$1,050
$315
$1,317
2
clean
FTSG FRHD/CHK/CHN/NK/GNTL/HND/FT 20 SQ
$5,289
$1,832
$1,832
15
clean
FULL THICKNESS SKIN GRAFT-UPPER EXTREMIT/
$1,050
$315
$1,671
2
clean
FULL THICKNESS SKIN GRAFT-HEAD/FACE /
$5,289
$1,832
$1,832
15
clean
FULL THICK GRFT,NOSE,EARS;EA ADDL 20 /
$1,050
$315
$1,317
2
clean
SKIN SUB GRAFT TRNK/ARM/LEG /
$5,289
$656
$656
15
clean
SKIN SUB GRAFT T/A/L ADD-ON /
$1,050
$315
$603
2
clean
SKIN SUB GRFT T/ARM/LG CHILD /
$8,317
$1,832
$1,832
15
clean
SKIN SUB GRFT T/A/L CHILD ADD /
$1,050
$315
$603
2
clean
SKIN SUB GRAFT FACE/NK/HF/G /
$5,289
$656
$656
15
clean
SKIN SUB GRAFT F/N/HF/G ADDL /
$1,050
$315
$603
2
clean
SKN SUB GRFT F/N/HF/G CHILD /
$5,289
$1,832
$1,832
15
clean
SKN SUB GRFT F/N/HF/G CH ADD /
$1,050
$315
$603
2
clean
FORM DIR PEDICLE,W-WO TRANSFER;TRUNK
$5,289
$1,832
$1,832
15
clean
FORM DIR PEDCL,W-WO TRANS;SCALP,ARMS
$8,317
$3,147
$3,147
15
clean
FORM DIR PEDCL,W-WO TRANS;FOREHD,CHK
$5,289
$1,832
$1,832
15
clean
FORM DIR PEDCL,W-WO TRANS;EYELIDS,NS
$5,289
$1,832
$1,832
15
clean
TRUNK-DELAY OF FLAP
$8,317
$3,147
$3,147
15
clean
SCALP-DELAY OF FLAP /
$5,289
$1,832
$1,832
15
clean
FOREHEAD-DELAY OF FLAP
$5,289
$1,832
$1,832
15
clean
FACE-DELAY OF FLAP /
$5,289
$1,832
$1,832
15
clean
TRANS,IMMED,ANY PED FLP,ANY LOCATION
$5,289
$1,832
$1,832
15
clean
Showing the first 200 of 5,012 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
CPT 21620/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 21740/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 21935/o
error
mrf_cash_above_gross
discounted cash price $2,579 exceeds gross charge $1,050
CPT 22325/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 22326/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 22327/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 22558/o
error
mrf_cash_above_gross
discounted cash price $24,096 exceeds gross charge $13,515
CPT 22600/o
error
mrf_cash_above_gross
discounted cash price $15,570 exceeds gross charge $6,917
CPT 63650/o
error
mrf_cash_above_gross
discounted cash price $5,659 exceeds gross charge $1
CPT 30930/o
error
mrf_cash_above_gross
discounted cash price $2,944 exceeds gross charge $1
CPT 22630/o
error
mrf_cash_above_gross
discounted cash price $24,096 exceeds gross charge $11,176
CPT 31000/o
error
mrf_cash_above_gross
discounted cash price $210 exceeds gross charge $1
CPT 64405/o
error
mrf_cash_above_gross
discounted cash price $273 exceeds gross charge $1
CPT 22633/o
error
mrf_cash_above_gross
discounted cash price $24,096 exceeds gross charge $17,866
CPT 31233/o
error
mrf_cash_above_gross
discounted cash price $347 exceeds gross charge $1
CPT 22830/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 31238/o
error
mrf_cash_above_gross
discounted cash price $1,581 exceeds gross charge $1
CPT 22855/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $3,675
CPT 23000/o
error
mrf_cash_above_gross
discounted cash price $2,579 exceeds gross charge $703
CPT 23335/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 35800/o
error
mrf_cash_above_gross
discounted cash price $4,941 exceeds gross charge $1,050
CPT 23395/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 23480/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 67912/o
error
mrf_cash_above_gross
discounted cash price $2,111 exceeds gross charge $1
CPT 23505/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 37617/o
error
mrf_cash_above_gross
discounted cash price $4,941 exceeds gross charge $1,050
CPT 23530/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $703
CPT 38562/o
error
mrf_cash_above_gross
discounted cash price $7,258 exceeds gross charge $1,050
CPT 23550/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $703
CPT 23575/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 23585/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 23605/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 23615/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 41250/o
error
mrf_cash_above_gross
discounted cash price $397 exceeds gross charge $355
CPT 23625/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 23630/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $4,417
CPT 23655/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $703
CPT 72285/o
error
mrf_cash_above_gross
discounted cash price $1,734 exceeds gross charge $1,702
CPT 23660/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 72295/o
error
mrf_cash_above_gross
discounted cash price $1,734 exceeds gross charge $1,702
CPT 23670/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $4,417
CPT 23680/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $4,417
CPT 75820/o
error
mrf_cash_above_gross
discounted cash price $1,398 exceeds gross charge $1,033
CPT 76080/o
error
mrf_cash_above_gross
discounted cash price $485 exceeds gross charge $452
CPT 24900/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $7,647
CPT 76098/o
error
mrf_cash_above_gross
discounted cash price $485 exceeds gross charge $170
CPT 86850/o
error
mrf_cash_above_gross
discounted cash price $46 exceeds gross charge $20
CPT 86891/o
error
mrf_cash_above_gross
discounted cash price $715 exceeds gross charge $511
CPT 25920/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 44345/o
error
mrf_cash_above_gross
discounted cash price $3,147 exceeds gross charge $1,050
CPT 86900/o
error
mrf_cash_above_gross
discounted cash price $118 exceeds gross charge $35
CPT 26055/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $1
CPT 44346/o
error
mrf_cash_above_gross
discounted cash price $3,147 exceeds gross charge $1,050
CPT 44376/o
error
mrf_cash_above_gross
discounted cash price $1,704 exceeds gross charge $1,412
CPT 88184/o
error
mrf_cash_above_gross
discounted cash price $318 exceeds gross charge $145
CPT 26992/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 88307/o
error
mrf_cash_above_gross
discounted cash price $318 exceeds gross charge $104
CPT 27005/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 88309/o
error
mrf_cash_above_gross
discounted cash price $715 exceeds gross charge $156
CPT 27025/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 88313/o
error
mrf_cash_above_gross
discounted cash price $118 exceeds gross charge $69
CPT 27030/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 46030/o
error
mrf_cash_above_gross
discounted cash price $1,063 exceeds gross charge $1,021
CPT 88331/o
error
mrf_cash_above_gross
discounted cash price $151 exceeds gross charge $64
CPT 27071/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 88333/o
error
mrf_cash_above_gross
discounted cash price $715 exceeds gross charge $98
CPT 27170/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 88342/o
error
mrf_cash_above_gross
discounted cash price $151 exceeds gross charge $139
CPT 27176/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 46945/o
error
mrf_cash_above_gross
discounted cash price $2,465 exceeds gross charge $2,048
CPT 89240/o
error
mrf_cash_above_gross
discounted cash price $46 exceeds gross charge $44
CPT 46947/o
error
mrf_cash_above_gross
discounted cash price $2,465 exceeds gross charge $1,555
CPT 93590/o
error
mrf_cash_above_gross
discounted cash price $16,279 exceeds gross charge $2,625
CPT 27226/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 46999/o
error
mrf_cash_above_gross
discounted cash price $826 exceeds gross charge $579
CPT 95990/o
error
mrf_cash_above_gross
discounted cash price $293 exceeds gross charge $260
CPT 47000/o
error
mrf_cash_above_gross
discounted cash price $1,467 exceeds gross charge $1,283
CPT 27244/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 97606/o
error
mrf_cash_above_gross
discounted cash price $361 exceeds gross charge $261
CPT 27245/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 99170/o
error
mrf_cash_above_gross
discounted cash price $180 exceeds gross charge $1
CPT C9757/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $10,000
CPT 27284/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 27303/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT J7340/o
error
mrf_cash_above_gross
discounted cash price $212 exceeds gross charge $97
CPT 27365/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 27450/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 49010/o
error
mrf_cash_above_gross
discounted cash price $5,749 exceeds gross charge $1,050
CPT 27455/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27457/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT Q4104/o
error
mrf_cash_above_gross
discounted cash price $111 exceeds gross charge $20
CPT 27472/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 49255/o
error
mrf_cash_above_gross
discounted cash price $5,749 exceeds gross charge $1,050
CPT 27487/o
error
mrf_cash_above_gross
discounted cash price $15,570 exceeds gross charge $1,050
CPT 27488/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 27495/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27511/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 27513/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 27514/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 51535/o
error
mrf_cash_above_gross
discounted cash price $3,130 exceeds gross charge $1
CPT 27519/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27535/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27536/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 15733/o
error
mrf_cash_above_gross
discounted cash price $3,147 exceeds gross charge $1,050
CPT 27540/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 51840/o
error
mrf_cash_above_gross
discounted cash price $4,442 exceeds gross charge $1,050
CPT 27598/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 15878/o
error
mrf_cash_above_gross
discounted cash price $1,832 exceeds gross charge $1,608
CPT 27646/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 52001/o
error
mrf_cash_above_gross
discounted cash price $3,130 exceeds gross charge $1,736
CPT 53447/o
error
mrf_cash_above_gross
discounted cash price $18,405 exceeds gross charge $12,112
CPT 27698/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $6,295
CPT 19316/o
error
mrf_cash_above_gross
discounted cash price $5,897 exceeds gross charge $5,460
CPT 27702/o
error
mrf_cash_above_gross
discounted cash price $24,096 exceeds gross charge $1
CPT 19325/o
error
mrf_cash_above_gross
discounted cash price $7,258 exceeds gross charge $6,825
CPT 53605/o
error
mrf_cash_above_gross
discounted cash price $3,130 exceeds gross charge $1,438
CPT 27715/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $1,050
CPT 19328/o
error
mrf_cash_above_gross
discounted cash price $3,477 exceeds gross charge $3,360
CPT 53665/o
error
mrf_cash_above_gross
discounted cash price $1,856 exceeds gross charge $1,517
CPT 27724/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 27725/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 20500/o
error
mrf_cash_above_gross
discounted cash price $1,378 exceeds gross charge $662
CPT 55000/o
error
mrf_cash_above_gross
discounted cash price $629 exceeds gross charge $342
CPT 27880/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 20661/o
error
mrf_cash_above_gross
discounted cash price $1,428 exceeds gross charge $1,050
CPT 27886/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 20950/o
error
mrf_cash_above_gross
discounted cash price $629 exceeds gross charge $520
CPT 57289/o
error
mrf_cash_above_gross
discounted cash price $6,585 exceeds gross charge $1
CPT 20955/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 20956/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 57421/o
error
mrf_cash_above_gross
discounted cash price $818 exceeds gross charge $682
CPT 20962/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 20969/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 28304/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $5,246
CPT 20970/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $1,050
CPT 28309/o
error
mrf_cash_above_gross
discounted cash price $6,444 exceeds gross charge $5,368
CPT 28320/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $7,442
CPT 21343/o
error
mrf_cash_above_gross
discounted cash price $5,257 exceeds gross charge $1,050
CPT 21422/o
error
mrf_cash_above_gross
discounted cash price $5,257 exceeds gross charge $1,050
CPT 28730/o
error
mrf_cash_above_gross
discounted cash price $11,401 exceeds gross charge $10,257
CPT 58805/o
error
mrf_cash_above_gross
discounted cash price $2,875 exceeds gross charge $1,050
CPT 21510/o
error
mrf_cash_above_gross
discounted cash price $2,906 exceeds gross charge $1,050
CPT 58999/o
error
mrf_cash_above_gross
discounted cash price $180 exceeds gross charge $1
warn
mrf_negotiated_above_gross_systematic
623 of 3,841 comparable items (16%) 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 $361 exceeds the gross charge $345
warn
mrf_rate_without_estimate
29,241 of 29,241 percentage/algorithm rates across 5,009 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 22999/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 3% of the gross charge $6,478
CPT 64999/o
info
mrf_cash_under_tenth_of_gross
cash price $273 is 9% of the gross charge $3,076
CPT 23500/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 1% of the gross charge $19,947
CPT 23525/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 5% of the gross charge $4,417
CPT 23540/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 2% of the gross charge $12,812
CPT 69420/o
info
mrf_cash_under_tenth_of_gross
cash price $210 is 3% of the gross charge $7,317
CPT 23570/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 2% of the gross charge $12,812
CPT 23600/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 2% of the gross charge $12,812
CPT 23620/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 1% of the gross charge $26,728
CPT 23650/o
info
mrf_cash_under_tenth_of_gross
cash price $219 is 2% of the gross charge $12,812
CPT 92596/o
info
mrf_cash_under_tenth_of_gross
cash price $33 is 0% of the gross charge $15,300
CPT C9363/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 7% of the gross charge $1,500
CPT J0668/o
info
mrf_cash_under_tenth_of_gross
cash price $1 is 0% of the gross charge $500
CPT J9280/o
info
mrf_cash_under_tenth_of_gross
cash price $23 is 7% of the gross charge $342
CPT Q4116/o
info
mrf_cash_under_tenth_of_gross
cash price $111 is 7% of the gross charge $1,681
CPT 51726/o
info
mrf_cash_under_tenth_of_gross
cash price $222 is 8% of the gross charge $2,733
CPT 51784/o
info
mrf_cash_under_tenth_of_gross
cash price $114 is 9% of the gross charge $1,255
CPT 51792/o
info
mrf_cash_under_tenth_of_gross
cash price $52 is 2% of the gross charge $2,648
CPT 69436/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 73050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 73630/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 81001/o
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 86769/o
info
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 87088/o
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 J0666/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT 20552/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 21510/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,829 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29075/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 58999/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1 — part of a file-wide pattern, counted once at the file level
CPT 29085/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 59120/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,594 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21620/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,685 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29086/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 59121/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,594 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21725/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,980 exceeds the gross charge $1,988 — part of a file-wide pattern, counted once at the file level
CPT 29105/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 59136/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29125/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 59899/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $541 — part of a file-wide pattern, counted once at the file level
CPT 21740/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,021 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29126/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 60254/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,941 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21805/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,975 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29130/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 60505/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,762 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21810/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29305/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 60512/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21820/o
info
mrf_negotiated_above_gross
highest negotiated rate $845 exceeds the gross charge $703 — part of a file-wide pattern, counted once at the file level
CPT 29325/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 61500/o
info
mrf_negotiated_above_gross
highest negotiated rate $5,623 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 21899/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $664 — part of a file-wide pattern, counted once at the file level
CPT 29345/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level
CPT 61501/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,592 exceeds the gross charge $1,050 — part of a file-wide pattern, counted once at the file level
CPT 29365/o
info
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $337 — part of a file-wide pattern, counted once at the file level