Hospital · CCN 220011

Cambridge Health Alliance

1493 Cambridge Street, Cambridge, MA 02138 · Middlesex County
Part of Cambridge Health Alliance · 225 beds · 3
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

20 admission types 38 outpatient services price file: ok 7 Medicare-file findings
Billed per dollar paid, all admissions
1.10×
$14.8M billed against $13.5M paid across 605 Medicare discharges; the national figure is 5.03×.
1.1%
of adults in Middlesex County have medical debt in collections
2.4%
uninsured in the county · state 2.9%
$123K
median household income
2.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (12 in the inpatient or outpatient file)ⓘ
23.8%
obesity in the countyⓘ
8.5%
diagnosed diabetes (PLACES)
4.9%
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
109
$31,295
$27,491
1.1× st 2.3×
291
Heart failure and shock with mcc
85
$26,435
$22,034
1.2× st 2.3×
193
Simple pneumonia and pleurisy with mcc
53
$23,171
$21,212
1.1× st 2.2×
190
Chronic obstructive pulmonary disease with mcc
51
$18,202
$18,546
1.0× st 2.2×
177
Respiratory infections and inflammations with mcc
40
$28,791
$24,604
1.2× st 2.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
28
$15,438
$15,330
1.0× st 2.4×
280
Acute myocardial infarction, discharged alive with mcc
24
$36,427
$28,117
1.3× st 2.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
23
$13,461
$15,699
0.9× st 2.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
22
$19,821
$15,617
1.3× st 2.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
21
$20,965
$27,365
0.8× st 2.4×
481
Hip and femur procedures except major joint with cc
20
$30,802
$28,872
1.1× st 2.7×
189
Pulmonary edema and respiratory failure
20
$24,063
$20,793
1.2× st 2.3×
682
Renal failure with mcc
19
$32,335
$27,390
1.2× st 2.3×
690
Kidney and urinary tract infections without mcc
16
$15,549
$15,474
1.0× st 2.4×
683
Renal failure with cc
16
$15,111
$16,146
0.9× st 2.2×
698
Other kidney and urinary tract diagnoses with mcc
13
$23,284
$24,189
1.0× st 2.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
12
$18,884
$18,253
1.0× st 2.4×
312
Syncope and collapse
11
$16,056
$16,148
1.0× st 2.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
11
$19,207
$21,398
0.9× st 2.4×
603
Cellulitis without mcc
11
$16,202
$16,572
1.0× st 2.1×
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
5491
Level 1 Intraocular Procedures
113
$4,987
$2,485
2.0×
5372
Level 2 Urology and Related Services
84
$2,405
$734
3.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
56
$3,049
$1,741
1.8×
5373
Level 3 Urology and Related Services
39
$4,931
$2,143
2.3×
5112
Level 2 Musculoskeletal Procedures
35
$4,423
$1,726
2.6×
5115
Level 5 Musculoskeletal Procedures
34
$15,824
$13,750
1.2×
5113
Level 3 Musculoskeletal Procedures
33
$6,123
$3,476
1.8×
5114
Level 4 Musculoskeletal Procedures
28
$10,867
$7,683
1.4×
5361
Level 1 Laparoscopy and Related Services
27
$10,242
$6,197
1.7×
5302
Level 2 Upper GI Procedures
25
$6,130
$2,003
3.1×
8011
Comprehensive Observation Services
25
$11,753
$2,940
4.0×
5375
Level 5 Urology and Related Services
17
$8,251
$5,557
1.5×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
17
$8,034
$3,052
2.6×
5374
Level 4 Urology and Related Services
15
$8,344
$3,744
2.2×
5414
Level 4 Gynecologic Procedures
14
$6,076
$3,358
1.8×
5192
Level 2 Endovascular Procedures
12
$15,086
$6,138
2.5×
5431
Level 1 Nerve Procedures
11
$4,531
$2,074
2.2×
5183
Level 3 Vascular Procedures
11
$13,107
$3,423
3.8×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 3/20/2026, template 3.0.0, 1,022,366 rows scanned, 4,474 distinct code–setting items kept. 3,046 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC Perq Sacral Augmt Unilat Inj
$350
$350
$350
55
clean
HC Perq Sacral Augmt Bilat Inj
$9,636
$9,636
$9,636
55
clean
HC Njx Platelet Plasma
$200
$200
$200
63
clean
HC Perc Translum Ather;Iliac
$10,462
$10,462
$10,462
61
clean
HC Bia Whole Body Composition Assessment W/I&R
$53
$53
$53
64
clean
HC Prgrmg Dev Eval Ldls Pm Sys 2chmbr in Person
$60
$60
$60
64
clean
HC Rem Multi Day Cplx Uroflowmetry Setup&Pteducaj
$215
$215
$215
63
clean
HC Rem Mutli Day Cplx Uroflowmetry Dev Sply W/Reprt
$60
$60
$60
63
clean
HC Prgrmg Dev Eval Ldls Pm Single Car Chamber IP
$60
$60
$60
64
clean
HC Fna Bx W/O Img Gdn Ea Addl
$852
$852
$852
60
clean
HC Fine Needle Aspir W/ Image Guid 1st Lesion
$852
$852
$852
105
clean
HC Fine Needle Aspiration Bx W/US Gdn Ea Addl
$852
$852
$852
63
clean
HC Fine Needle Aspir W/O Ima-Guid
$292
$292
$292
56
clean
HC Guide Cathet Fluid Drainage
$283
$283
$283
55
clean
HC Soft Tissue Local 1st Image
$721
$721
$721
52
clean
HC Perq Dev Soft Tiss Add Imag
$150
$150
$150
57
clean
HC Acne Surgery
$190
$190
$190
56
clean
HC Incision and Drainage Skin Abcess Simple
$600
$600
$66
15
clean
HC Incision and Drainage Skin Abcess Simple
$425
$425
$425
56
clean
HC I&D Abscess Complex/Multi
$425
$425
$425
55
clean
HC I&D Pilonidal Cyst Simple
$2,170
$2,170
$2,170
56
clean
HC I&D Pilonidal Cyst Complex
$1,104
$1,104
$1,104
56
clean
HC Incision & Removal Foreign Body Smple
$607
$607
$24
50
clean
HC Incision & Removal Foreign Body Smple
$239
$239
$239
56
clean
HC FB Removal-Complicated
$1,538
$1,538
$1,538
55
clean
HC Incision & Drainage Hematoma
$1,123
$1,123
$1,123
56
clean
HC Aspirate Cyst/Abscess
$190
$190
$190
56
clean
HC I&D Complex, Postopwound Infect
$1,544
$1,544
$1,544
55
clean
HC Debridement Infctd Skin Up to 10% Bsa
$350
$350
$350
56
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$14,276
$14,276
$111
47
clean
HC Debrid Subcut Tiss, 1st 20 Cm
$1,250
$1,250
$1,250
55
clean
HC Debrid Subcut Tiss, 1st 20 Cm
$1,385
$1,385
$66
15
clean
HC Debrid Musc/Facia, 1st 20 Cm
$1,744
$1,744
$1,082
11
clean
HC Debrid Musc/Facia, 1st 20 Cm
$1,644
$1,644
$1,644
55
clean
HC Debridement Skin Subq Tiss Muscle Bone =<20
$1,781
$1,781
$1,781
55
clean
Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm
$4,158
$4,158
$5
44
clean
HC Subcutaneous Tissue Ea Addl 20 Sq Cm
$1,311
$1,311
$1,311
54
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$6,837
$6,837
$9
44
clean
HC Debridement, Skin, Sub-Q Tissue, Muscle, Ea Add 20 Sq Cm
$1,071
$1,071
$1,071
60
clean
HC Paring Benign Lesion/Callus/Corn Single
$180
$180
$180
56
clean
HC Paring Benign Lesion 2-4
$186
$186
$186
56
clean
HC Paring Benign Lesion >4
$172
$172
$172
56
clean
HC Tangntl Bx Skin Single Les
$190
$190
$190
54
clean
HC Tangntl Bx Skin Ea Sep/Addl
$190
$190
$190
60
clean
HC Punch Bx Skin Single Lesion
$190
$190
$190
54
clean
HC Punch Bx Skin Ea Sep/Addl
$190
$190
$190
60
clean
HC Incal Bx Skn Single Les
$190
$190
$190
54
clean
HC Incal Bx Skn Ea Sep/Addl
$190
$190
$190
63
clean
HC Removal Skin Tags Up to & Incl 15 Les
$800
$800
$66
15
clean
HC Removal Skin Tags Up to & Incl 15 Les
$625
$625
$625
56
clean
HC Remove Skin Tags; Ea Addl 10
$170
$170
$170
62
clean
HC Shaving Lesion 0.5 Cm or Less
$160
$160
$160
56
clean
HC Shaving Lesion 0.6 -1.0 Cm
$160
$160
$160
56
clean
HC Shaving Lesion 1.1 - 2.0 Cm
$220
$220
$220
56
clean
HC Shaving Lesion > 2.0 Cm
$725
$725
$725
56
clean
HC Shave Lesion S,N,H,F,Genit <.5cm
$220
$220
$220
56
clean
HC Shave Lesion S,N,H,F,Genit .6-1cm
$220
$220
$220
56
clean
HC Shave Lesion S,N,H,F 1.1-2.0 Cm
$220
$220
$220
56
clean
HC Shave Skin Lesion >2.0cm
$350
$350
$350
56
clean
HC Shave Lesion F,E,E,N,L <.5 Cm
$220
$220
$220
56
clean
HC Shave Lesion F,E,E,N,L, .6-1 Cm
$220
$220
$220
56
clean
HC Shave Lesion F,E,E,N,L 1.1-2 Cm
$220
$220
$220
56
clean
HC Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm
$570
$570
$570
56
clean
HC Exc Ben Lesion < 0.5 Cm
$600
$600
$600
55
clean
HC Exc Benign Lesion 0.6-1.0 Cm
$985
$985
$66
15
clean
HC Exc Benign Lesion 0.6-1.0 Cm
$750
$750
$750
55
clean
HC Exc Benign Lesion Trunk 1.1-2.0 Cm
$919
$919
$919
55
clean
HC Exc Benign Lesion 2.1-3.0 Cm
$1,952
$1,952
$260
15
clean
HC Exc Benign Lesion 2.1-3.0 Cm
$896
$896
$896
55
clean
HC Exc Benign Lesion 3.1-4.0 Cm
$3,760
$3,760
$1,573
9
clean
HC Exc Benign Lesion 3.1-4.0 Cm
$1,538
$1,538
$1,538
55
clean
HC Exc Benign Lesion >4.0 Cm
$4,231
$4,231
$1,573
9
clean
HC Exc Benign Lesion >4.0 Cm
$1,682
$1,682
$1,682
55
clean
HC Exc Ben Lesion S,N,H,F,Genit <.5cm
$682
$682
$682
55
clean
HC Exc Ben Lesion S,N,H,F,Genit <.5cm
$1,392
$1,392
$260
15
clean
HC Exc Ben Lesion S,N,H,F,G 0.6-1.0 Cm
$991
$991
$260
15
clean
HC Exc Ben Lesion S,N,H,F,G 0.6-1.0 Cm
$830
$830
$830
55
clean
HC Exc Ben Lesion S,N,H,F,Genit 1.1-2
$1,715
$1,715
$260
15
clean
HC Exc Ben Lesion S,N,H,F,Genit 1.1-2
$830
$830
$830
55
clean
HC Exc Ben Lesion S,N,H,F 2.1-3 Cm
$1,538
$1,538
$1,538
55
clean
HC Exc Ben Lesion S,N,H,F 2.1-3 Cm
$2,618
$2,618
$260
15
clean
HC Exc Ben Lesion S,N,H,F 3.1-4 C
$1,999
$1,999
$1,999
55
clean
HC Exc Ben Lesion S,H,H,F > 4 Cm
$1,782
$1,782
$1,782
55
clean
HC Exc Ben Lesion S,H,H,F > 4 Cm
$5,545
$5,545
$2,720
9
clean
HC Exc Benign Lesion F,E,E,N,L <=.5 Cm
$768
$768
$260
15
clean
HC Exc Benign Lesion F,E,E,N,L <=.5 Cm
$458
$458
$458
55
clean
HC Exc Other Ben Lesion F/E/E/N/L/M .6-1.0 Cm
$2,957
$2,957
$260
15
clean
HC Exc Other Ben Lesion F/E/E/N/L/M .6-1.0 Cm
$458
$458
$458
55
clean
HC Exc Other Ben Lesion F/E/E/N/L/M 1.1-2.0 C
$2,050
$2,050
$2,050
55
clean
HC Exc Other Ben Lesion F/E/E/N/L/M 2.1-3.0 Cm
$2,520
$2,520
$260
15
clean
HC Exc Other Ben Lesion F/E/E/N/L/M 2.1-3.0 Cm
$1,685
$1,685
$1,685
55
clean
HC Exc Other Ben Lesion 3.1-4.0 Cm
$1,266
$1,266
$1,266
55
clean
HC Exc Skin Benign >4cm Face Facial
$1,825
$1,825
$1,825
55
clean
Excision Hidradenitis Axillary Complex Repair
$4,941
$4,941
$2,720
9
clean
HC Exc Sweat Gland Lesn Inguin,Simpl
$4,077
$4,077
$4,077
55
clean
HC Exc Sweat Gland Lesn Perineal, Simpl
$1,345
$1,345
$1,345
55
clean
HC Exc Skin Malig <0.5cm Trunk,Arm,Leg
$620
$620
$620
55
clean
HC Exc Skin Malig 0.6 Cm Trunk,Arm,Leg
$458
$458
$458
55
clean
HC Mal Lesion Exc Trunk 1.1- 2 Cm
$1,743
$1,743
$260
15
clean
HC Mal Lesion Exc Trunk 1.1- 2 Cm
$458
$458
$458
55
clean
HC Mal Lesion Exc Trunk 2.1-3.0cm
$715
$715
$715
55
clean
HC Mal Lesion Exc Trunk 3.1- 4 Cm
$1,342
$1,342
$1,342
55
clean
HC Mal Lesion Exc Trunk 4+ Cm
$1,936
$1,936
$1,936
55
clean
HC Excision Malignant Lesion S/N/H/F/G 0.5 Cm/<
$2,523
$2,523
$2,523
55
clean
HC Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm
$1,055
$1,055
$1,055
55
clean
HC Exc Skin Malig 2.1-3 Cm Remaindr Body
$861
$861
$861
56
clean
HC Exc Skin Malig 3.1-4 Cm Remainder Body
$1,342
$1,342
$1,342
55
clean
HC Excision Malignant Lesion S/N/H/F/G >4.0 Cm
$4,300
$4,300
$4,300
55
clean
HC Excision Malignant Lesion F/E/E/N/L 0.5 Cm/<
$1,005
$1,005
$1,005
55
clean
HC Mal Lesion Exc Face .6-1.0cm
$352
$352
$352
55
clean
HC Mal Lesion Exc Face 1.1-2.0 Cm
$830
$830
$830
55
clean
HC Mal Lesion Exc Face 2.1- 3 Cm
$1,669
$1,669
$1,669
55
clean
HC Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm
$2,500
$2,500
$2,500
55
clean
HC Trimming Non-Dyst Nails
$160
$160
$125
11
clean
HC Trimming Non-Dyst Nails
$160
$160
$160
56
clean
HC Nail Debridement 1-5
$160
$160
$160
56
clean
HC Nail Debridement 6+
$75
$75
$75
56
clean
HC Removal Nail Plate
$725
$725
$725
56
clean
HC Removal Nail Plate
$860
$860
$66
15
clean
HC Avulsion Nail Plate Part/Co
$190
$190
$190
62
clean
HC Evacuation Subungual Hematoma
$160
$160
$160
56
clean
HC Exc of Nail and Nail Matrix
$735
$735
$704
11
clean
HC Exc of Nail and Nail Matrix
$725
$725
$725
55
clean
HC Biopsy Nail Unit (Sep Proc)
$1,116
$1,116
$1,116
55
clean
HC Repair Nail Bed
$540
$540
$66
15
clean
HC Repair Nail Bed
$325
$325
$325
56
clean
HC Excision Nail, Skin Fold
$220
$220
$220
56
clean
Excision of Nail Fold, Toe
$5,088
$5,088
$359
9
clean
HC Injection Skin Lesions Up to & Include 7
$160
$160
$160
56
clean
HC Injection Skin Lesions Greater Than 7
$625
$625
$625
56
clean
HC Subcutaneous Injection Filling Matrl 1.1-5.0 Cc
$878
$878
$878
56
clean
Removal Tissue Expander W/O Insertion Implant
$6,137
$6,137
$24
44
clean
HC Implant Hormone Pellet(S)
$85
$85
$85
59
clean
HC Insert Biodeg Drug Del Implant
$1,388
$1,388
$9
54
clean
HC Insert Biodeg Drug Del Implant
$460
$460
$460
59
clean
HC Removal Drug Delivery Implant
$1,230
$1,230
$1,230
59
clean
HC Remove/Insert Drug Implant
$210
$210
$210
59
clean
HC Simple Repair S,N,Ax,Gen,Trnk 2-6-7.5 Cm
$350
$350
$350
56
clean
HC Simple Repair S,N,Ax,Gen,Trnk 7.6-12.5cm
$1,680
$1,680
$1,680
56
clean
HC Repair Smpl Scalp.. 12.6-20cm
$975
$975
$975
55
clean
HC Repair Smpl Scalp.. 20.1-30cm
$972
$972
$972
55
clean
HC Repair Opn Wnd > 30.0 Cm
$1,825
$1,825
$1,825
55
clean
HC Simple Repair Face < 2.5cm
$2,170
$2,170
$2,170
56
clean
HC Repair Smpl Wound Face.. 2.6-5.0cm
$325
$325
$325
56
clean
HC Smple Repair Wound Face 5.1-7.5cm
$758
$758
$758
56
clean
HC Simple Repair Face 7.6 - 12.5
$193
$193
$193
56
clean
HC Repair Smpl Face.. 12.6-20cm
$975
$975
$975
59
clean
HC Repair Smpl Face.. > 30cm
$1,825
$1,825
$1,825
59
clean
HC Tx Supfcl Wound Dehiscence Smpl Clsd
$831
$831
$831
55
clean
HC Closure Superf Wnd Dehis W Packing
$1,235
$1,235
$1,235
55
clean
HC Repairn Wound Intermediate Scalp < 2.5cm
$2,704
$2,704
$260
15
clean
HC Repairn Wound Intermediate Scalp < 2.5cm
$825
$825
$825
56
clean
HC Repair Inter Wound Scalp.. 2.6-7.5cm
$825
$825
$825
56
clean
HC Repair Inter Wound Scalp.. 2.6-7.5cm
$2,617
$2,617
$260
15
clean
HC Repair Wound Intermediate Scalp.. 7.6-12.5 Cm
$3,896
$3,896
$260
15
clean
HC Repair Wound Intermediate Scalp.. 7.6-12.5 Cm
$975
$975
$975
55
clean
HC Repair Intermed Wound 12.6-20c
$975
$975
$975
55
clean
HC Repair Inter Scalp.. 20.1-30cm
$975
$975
$975
59
clean
HC Repair Inter Scalp.. > 30cm
$750
$750
$750
59
clean
HC Repair Interm Wound N,H,F,Genit < 2.5cm
$825
$825
$825
56
clean
HC Repair Inter N,H,F,Genit 2.6-7.5cm
$5,407
$5,407
$260
15
clean
HC Repair Inter N,H,F,Genit 2.6-7.5cm
$825
$825
$825
56
clean
HC Repair Wound Inter N,H,F,Genit 7.6-12.5cm
$1,381
$1,381
$1,381
55
clean
HC Repair Inter Neck.. 12.6-20cm
$975
$975
$975
59
clean
HC Repair Inter Neck.. 20.1-30cm
$1,381
$1,381
$1,381
59
clean
HC Repair Inter Face < 2.5cm
$725
$725
$725
56
clean
HC Repair Inter Face.. 2.6-5.0cm
$725
$725
$725
56
clean
HC Repair Inter Face.. 5.1-7.5cm
$725
$725
$725
54
clean
HC Repair Inter Face.. 7.6-12.5cm
$1,381
$1,381
$1,381
53
clean
HC Repair Inter Face.. 12.6-20cm
$1,381
$1,381
$1,381
53
clean
HC Repair Inter Face.. 20.1-30cm
$1,381
$1,381
$1,381
53
clean
HC Intmd Wnd Repair Face/Mm
$1,381
$1,381
$1,381
53
clean
HC Comp Repair Trunk 1.1-2.5 Cm
$975
$975
$975
55
clean
HC Comp Repair Trunk 2.6-7.5 Cm
$2,204
$2,204
$260
15
clean
HC Comp Repair Trunk 2.6-7.5 Cm
$1,125
$1,125
$1,125
55
clean
HC Repair Comp Trunk Ea +5cm
$1,125
$1,125
$1,125
62
clean
Repair Complex Trunk Each Additional 5 Cm/<
$4,236
$4,236
$126
9
clean
HC Repair Comp Scalp.. 1.1-2.5cm
$250
$250
$250
59
clean
HC Repair Comp Scalp.. 2.6-7.5cm
$1,125
$1,125
$1,125
55
clean
HC Repair Comp Scalp.. 2.6-7.5cm
$2,000
$2,000
$260
15
clean
HC Repair Comp Scalp.. Ea +5cm
$975
$975
$975
62
clean
HC Comp Repair Forehead 1.1-2.5 Cm
$975
$975
$975
55
clean
HC Comp Repair Forehead 2.6-7.5 Cm
$2,415
$2,415
$260
15
clean
HC Comp Repair Forehead 2.6-7.5 Cm
$1,125
$1,125
$1,125
55
clean
HC Repair Comp Frhead.. Ea +5cm
$975
$975
$975
62
clean
HC Repair Comp Eyelid.. 1.1-2.5cm
$1,125
$1,125
$1,125
59
clean
HC Repair Comp Eyelid.. 2.6-7.5cm
$1,125
$1,125
$1,125
59
clean
HC Repair Comp Eyelid.. Ea +5cm
$1,125
$1,125
$1,125
62
clean
HC Late Closure of Wound
$1,430
$1,430
$1,430
55
clean
Adjnt Tis Transfr/Rearrange Trunk 10.1-30.0 Sqcm
$7,100
$7,100
$1,771
9
clean
HC Adjace Tissue Trans/Rearrange
$1,386
$1,386
$1,386
50
clean
HC Adj Tiss Lid, Nose, Ear <10 Sqcm
$1,500
$1,500
$1,500
55
clean
HC Prep Site Trunk/Arm/Leg 1st 100 Sq Cm/1pct
$2,600
$2,600
$2,600
49
clean
Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct
$6,677
$6,677
$24
43
clean
Splt Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/</1%
$5,065
$5,065
$5
43
clean
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<
$6,866
$6,866
$1,771
9
clean
HC App Skin Sub Grft Trunk 1st 25
$375
$375
$375
54
clean
HC App Skn Sub Grft T/a/L Area/100sq Cm Ea Adl 25sc
$1,822
$1,822
$1,822
54
clean
HC App Skin Sub Grft Face 1st 25s
$375
$375
$375
54
clean
HC App Skin Sub Grft Face 1st 25s
$5,405
$5,405
$9
43
clean

Showing the first 200 of 4,474 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
2,585 of 4,027 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 $13,303 exceeds the gross charge $350
warn
mrf_rate_without_estimate
97,105 of 97,105 percentage/algorithm rates across 3,721 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 96165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1752/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J8610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90677/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 96167/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1757/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90680/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 96168/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9022/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1760/b
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 C1762/b
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 J9033/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1763/b
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 J9035/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1764/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1765/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9043/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1768/b
info
mrf_item_fields_vary
this code and setting cover at least 26 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9045/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 78 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 J9047/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90700/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C1771/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9055/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1773/b
info
mrf_item_fields_vary
this code and setting cover at least 22 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 J9060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1776/b
info
mrf_item_fields_vary
this code and setting cover at least 249 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 C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 58 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 J9075/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1785/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9130/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1786/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9171/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90715/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C1788/b
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 J9173/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1789/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9176/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9177/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 82977/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 35 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 J9181/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1880/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83001/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1884/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9190/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1886/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9201/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9206/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86664/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1892/b
info
mrf_item_fields_vary
this code and setting cover at least 45 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 J9217/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9260/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1898/b
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 J9263/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 83021/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C2617/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9267/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2625/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9280/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2627/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90785/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C2628/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9299/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90791/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90792/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90832/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97112/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9312/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90834/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9316/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90836/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 97116/b
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 C9352/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9354/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90837/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9358/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9355/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29075/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90838/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT C9360/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90839/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90840/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT D5988/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90846/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97161/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0625/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90847/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97162/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT E0116/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90849/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L1830/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90853/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT E0190/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L1832/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 90870/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90887/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97533/b
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 E0700/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3260/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT E0770/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT E1090/b
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 L3670/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3806/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L3807/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 97761/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97802/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT L3908/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT G0239/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86902/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 71271/b
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 80339/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 17999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT L8000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86978/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT L8600/b
info
mrf_item_fields_vary
this code and setting cover at least 26 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8613/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 92507/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0480/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8641/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 92522/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8699/b
info
mrf_item_fields_vary
this code and setting cover at least 20 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/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 92523/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT H0015/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87081/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT H2011/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 87106/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 99211/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 99212/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 72198/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99213/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0178/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99214/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0290/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99215/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0295/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0330/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0401/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99222/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0456/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99223/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0490/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99231/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0561/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q0480/b
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 81003/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 99232/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0574/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99233/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0585/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84153/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J0595/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0640/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84155/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0650/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 32557/b
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 99238/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0665/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99239/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0666/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0670/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99291/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0689/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99292/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0690/b
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 Q4049/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0692/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4101/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4117/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0703/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 99308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0736/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4128/b
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 99309/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0743/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4133/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0744/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q4140/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0751/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 3,046 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 190
info
inp_payment_exceeds_charge
total payment $18,546 exceeds the average charge $18,202
MS-DRG 470
info
inp_payment_exceeds_charge
total payment $27,365 exceeds the average charge $20,965
MS-DRG 603
info
inp_payment_exceeds_charge
total payment $16,572 exceeds the average charge $16,202
MS-DRG 640
info
inp_payment_exceeds_charge
total payment $21,398 exceeds the average charge $19,207
MS-DRG 683
info
inp_payment_exceeds_charge
total payment $16,146 exceeds the average charge $15,111
MS-DRG 698
info
inp_payment_exceeds_charge
total payment $24,189 exceeds the average charge $23,284
MS-DRG 897
info
inp_payment_exceeds_charge
total payment $15,699 exceeds the average charge $13,461

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 278.3M bytes · fetched 2026-08-24 · sha256 2efdf1cef584…

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.