Hospital · CCN 220101
Newton-Wellesley Hospital
2014 Washington Street, Newton, MA 02462 · Middlesex County
Part of Mass General Brigham · 216 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
141 admission types 54 outpatient services price file: ok
Billed per dollar paid, all admissions
2.80×
$224.3M billed against $80.0M paid across 5,906 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
426
$49,339
$17,673
2.8× st 2.3×
291
Heart failure and shock with mcc
420
$37,872
$11,746
3.2× st 2.3×
177
Respiratory infections and inflammations with mcc
228
$38,629
$14,220
2.7× st 2.3×
690
Kidney and urinary tract infections without mcc
145
$22,361
$7,368
3.0× st 2.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
140
$20,269
$7,430
2.7× st 2.5×
193
Simple pneumonia and pleurisy with mcc
136
$36,018
$11,954
3.0× st 2.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
132
$46,608
$17,517
2.7× st 2.4×
698
Other kidney and urinary tract diagnoses with mcc
123
$37,533
$14,234
2.6× st 2.3×
689
Kidney and urinary tract infections with mcc
118
$27,758
$10,161
2.7× st 2.3×
280
Acute myocardial infarction, discharged alive with mcc
103
$47,624
$14,690
3.2× st 2.5×
603
Cellulitis without mcc
99
$20,185
$7,893
2.6× st 2.1×
178
Respiratory infections and inflammations with cc
89
$29,427
$9,019
3.3× st 2.6×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
88
$27,440
$9,434
2.9× st 2.6×
813
Coagulation disorders
88
$29,629
$14,997
2.0× st 2.6×
552
Medical back problems without mcc
88
$25,675
$8,591
3.0× st 2.4×
884
Organic disturbances and intellectual disability
82
$42,206
$16,423
2.6× st 2.5×
309
Cardiac arrhythmia and conduction disorders with cc
82
$20,712
$7,140
2.9× st 2.5×
683
Renal failure with cc
72
$23,551
$7,837
3.0× st 2.2×
682
Renal failure with mcc
71
$38,652
$13,225
2.9× st 2.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
69
$38,703
$12,092
3.2× st 2.4×
194
Simple pneumonia and pleurisy with cc
68
$21,808
$7,662
2.8× st 2.4×
699
Other kidney and urinary tract diagnoses with cc
68
$24,513
$9,260
2.6× st 2.4×
378
Gastrointestinal hemorrhage with cc
65
$24,667
$9,381
2.6× st 2.6×
394
Other digestive system diagnoses with cc
62
$22,598
$8,624
2.6× st 2.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
62
$28,812
$11,868
2.4× st 2.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
61
$19,925
$6,958
2.9× st 2.4×
312
Syncope and collapse
60
$23,540
$8,142
2.9× st 2.6×
057
Degenerative nervous system disorders without mcc
56
$26,413
$11,619
2.3× st 2.4×
481
Hip and femur procedures except major joint with cc
54
$55,995
$18,248
3.1× st 2.7×
190
Chronic obstructive pulmonary disease with mcc
53
$25,436
$9,910
2.6× st 2.2×
308
Cardiac arrhythmia and conduction disorders with mcc
53
$34,397
$11,579
3.0× st 2.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
53
$27,067
$9,367
2.9× st 2.4×
330
Major small and large bowel procedures with cc
52
$54,815
$20,881
2.6× st 2.7×
389
Gastrointestinal obstruction with cc
50
$20,284
$7,413
2.7× st 2.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
50
$64,151
$19,513
3.3× st 2.6×
638
Diabetes with cc
46
$24,957
$8,240
3.0× st 2.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
45
$116,572
$43,066
2.7× st 2.4×
643
Endocrine disorders with mcc
42
$36,929
$13,899
2.7× st 2.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
38
$26,314
$7,907
3.3× st 2.3×
202
Bronchitis and asthma with cc/mcc
38
$25,311
$8,901
2.8× st 2.3×
092
Other disorders of nervous system with cc
37
$35,187
$9,169
3.8× st 2.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
37
$37,775
$8,896
4.2× st 2.8×
393
Other digestive system diagnoses with mcc
37
$35,173
$14,707
2.4× st 2.7×
305
Hypertension without mcc
37
$19,430
$7,093
2.7× st 2.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
37
$47,189
$16,266
2.9× st 2.6×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
37
$39,179
$14,917
2.6× st 2.7×
377
Gastrointestinal hemorrhage with mcc
36
$43,274
$15,592
2.8× st 2.7×
472
Cervical spinal fusion with cc
35
$69,066
$28,616
2.4× st 2.7×
644
Endocrine disorders with cc
34
$22,452
$9,176
2.4× st 2.2×
329
Major small and large bowel procedures with mcc
33
$111,909
$47,830
2.3× st 2.4×
467
Revision of hip or knee replacement with cc
33
$76,281
$28,735
2.7× st 2.7×
602
Cellulitis with mcc
33
$32,901
$12,502
2.6× st 2.4×
191
Chronic obstructive pulmonary disease with cc
32
$22,360
$7,408
3.0× st 2.4×
811
Red blood cell disorders with mcc
31
$43,304
$15,021
2.9× st 2.6×
460
Spinal fusion except cervical without mcc
30
$82,766
$33,472
2.5× st 2.4×
331
Major small and large bowel procedures without cc/mcc
30
$44,994
$15,470
2.9× st 2.7×
468
Revision of hip or knee replacement without cc/mcc
30
$48,588
$24,848
2.0× st 2.2×
056
Degenerative nervous system disorders with mcc
29
$60,752
$19,579
3.1× st 2.3×
551
Medical back problems with mcc
29
$31,043
$13,921
2.2× st 2.6×
184
Major chest trauma with cc
29
$27,496
$9,647
2.9× st 2.6×
149
Dysequilibrium
29
$24,761
$6,821
3.6× st 2.6×
480
Hip and femur procedures except major joint with mcc
28
$76,564
$27,449
2.8× st 2.6×
812
Red blood cell disorders without mcc
27
$23,776
$8,705
2.7× st 2.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
26
$39,075
$12,904
3.0× st 2.7×
445
Disorders of the biliary tract with cc
26
$31,523
$10,366
3.0× st 3.0×
176
Pulmonary embolism without mcc
25
$23,631
$7,242
3.3× st 2.8×
660
Kidney and ureter procedures for non-neoplasm with cc
25
$39,078
$12,384
3.2× st 2.7×
536
Fractures of hip and pelvis without mcc
25
$23,858
$7,197
3.3× st 2.2×
164
Major chest procedures with cc
24
$42,493
$23,514
1.8× st 3.0×
637
Diabetes with mcc
24
$37,622
$12,709
3.0× st 2.5×
303
Atherosclerosis without mcc
23
$21,048
$5,974
3.5× st 3.3×
418
Laparoscopic cholecystectomy without c.d.e. with cc
23
$59,876
$16,383
3.7× st 3.0×
455
Combined anterior and posterior spinal fusion without cc/mcc
23
$97,475
$44,589
2.2× st 1.9×
917
Poisoning and toxic effects of drugs with mcc
22
$50,128
$15,694
3.2× st 2.7×
372
Major gastrointestinal disorders and peritoneal infections with cc
22
$24,171
$9,775
2.5× st 2.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
22
$22,814
$7,796
2.9× st 2.1×
435
Malignancy of hepatobiliary system or pancreas with mcc
22
$42,716
$17,537
2.4× st 2.8×
454
Combined anterior and posterior spinal fusion with cc
21
$105,951
$56,289
1.9× st 2.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
21
$17,389
$5,091
3.4× st 2.5×
300
Peripheral vascular disorders with cc
21
$21,631
$9,211
2.3× st 2.3×
281
Acute myocardial infarction, discharged alive with cc
20
$24,982
$7,739
3.2× st 3.2×
554
Bone diseases and arthropathies without mcc
20
$21,411
$7,762
2.8× st 2.4×
521
Hip replacement with principal diagnosis of hip fracture with mcc
20
$77,111
$25,358
3.0× st 2.7×
242
Permanent cardiac pacemaker implant with mcc
20
$82,505
$30,473
2.7× st 2.7×
432
Cirrhosis and alcoholic hepatitis with mcc
19
$30,755
$17,521
1.8× st 2.7×
074
Cranial and peripheral nerve disorders without mcc
19
$30,789
$9,465
3.3× st 3.0×
314
Other circulatory system diagnoses with mcc
19
$46,992
$17,754
2.6× st 2.7×
374
Digestive malignancy with mcc
19
$40,436
$18,538
2.2× st 2.7×
390
Gastrointestinal obstruction without cc/mcc
18
$16,712
$5,999
2.8× st 2.4×
196
Interstitial lung disease with mcc
18
$42,865
$16,994
2.5× st 2.9×
483
Major joint or limb reattachment procedures of upper extremities
18
$67,808
$22,889
3.0× st 2.7×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
18
$29,137
$9,503
3.1× st 2.6×
375
Digestive malignancy with cc
18
$28,837
$10,773
2.7× st 2.7×
243
Permanent cardiac pacemaker implant with cc
18
$60,339
$20,445
3.0× st 2.7×
205
Other respiratory system diagnoses with mcc
17
$36,361
$14,376
2.5× st 3.3×
948
Signs and symptoms without mcc
17
$26,541
$7,244
3.7× st 3.1×
371
Major gastrointestinal disorders and peritoneal infections with mcc
17
$55,263
$16,698
3.3× st 2.7×
180
Respiratory neoplasms with mcc
17
$41,219
$14,533
2.8× st 2.9×
253
Other vascular procedures with cc
16
$99,687
$26,331
3.8× st 3.2×
101
Seizures without mcc
16
$28,198
$8,186
3.4× st 2.9×
183
Major chest trauma with mcc
15
$38,736
$14,379
2.7× st 2.8×
885
Psychoses
15
$50,834
$20,241
2.5× st 2.8×
091
Other disorders of nervous system with mcc
15
$70,067
$16,467
4.3× st 2.7×
863
Postoperative and post-traumatic infections without mcc
15
$25,430
$8,732
2.9× st 2.4×
438
Disorders of pancreas except malignancy with mcc
15
$50,328
$16,322
3.1× st 3.3×
299
Peripheral vascular disorders with mcc
15
$30,313
$13,548
2.2× st 2.9×
482
Hip and femur procedures except major joint without cc/mcc
14
$45,147
$13,049
3.5× st 2.5×
282
Acute myocardial infarction, discharged alive without cc/mcc
14
$19,940
$7,256
2.7× st 3.1×
388
Gastrointestinal obstruction with mcc
14
$42,600
$13,755
3.1× st 2.9×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
14
$53,805
$17,815
3.0× st 3.0×
947
Signs and symptoms with mcc
14
$35,747
$10,457
3.4× st 3.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
14
$99,887
$29,455
3.4× st 2.9×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
14
$49,127
$15,137
3.2× st 3.2×
519
Back and neck procedures except spinal fusion with cc
14
$48,371
$17,989
2.7× st 3.0×
444
Disorders of the biliary tract with mcc
14
$50,598
$14,543
3.5× st 3.0×
544
Pathological fractures and musculoskeletal and connective tissue malignancy without cc/m
13
$22,101
$7,524
2.9× st 2.8×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
13
$50,155
$16,701
3.0× st 2.7×
315
Other circulatory system diagnoses with cc
13
$22,699
$8,523
2.7× st 3.1×
189
Pulmonary edema and respiratory failure
13
$42,023
$11,314
3.7× st 2.3×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
13
$29,313
$9,169
3.2× st 2.5×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
12
$33,164
$16,185
2.0× st 2.3×
880
Acute adjustment reaction and psychosocial dysfunction
12
$21,698
$9,286
2.3× st 3.0×
292
Heart failure and shock with cc
12
$28,937
$7,913
3.7× st 2.7×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
12
$23,065
$11,146
2.1× st 3.3×
535
Fractures of hip and pelvis with mcc
12
$24,567
$8,887
2.8× st 2.1×
546
Connective tissue disorders with cc
12
$40,248
$11,565
3.5× st 3.8×
694
Urinary stones without mcc
12
$21,839
$7,968
2.7× st 2.6×
439
Disorders of pancreas except malignancy with cc
12
$21,785
$8,521
2.6× st 2.6×
206
Other respiratory system diagnoses without mcc
12
$24,049
$8,190
2.9× st 3.1×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
12
$40,825
$14,619
2.8× st 2.3×
920
Complications of treatment with cc
11
$24,739
$9,283
2.7× st 2.8×
919
Complications of treatment with mcc
11
$45,136
$16,686
2.7× st 2.7×
195
Simple pneumonia and pleurisy without cc/mcc
11
$18,783
$5,761
3.3× st 2.6×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
11
$33,511
$16,771
2.0× st 2.8×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
11
$27,539
$9,986
2.8× st 2.9×
073
Cranial and peripheral nerve disorders with mcc
11
$67,614
$14,625
4.6× st 2.7×
179
Respiratory infections and inflammations without cc/mcc
11
$28,958
$8,103
3.6× st 2.6×
865
Viral illness with mcc
11
$26,290
$13,814
1.9× st 3.0×
862
Postoperative and post-traumatic infections with mcc
11
$41,617
$16,995
2.4× st 2.7×
100
Seizures with mcc
11
$38,752
$17,792
2.2× st 2.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
11
$150,066
$40,939
3.7× st 2.8×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
1,246
$13,821
$2,917
4.7×
5115
Level 5 Musculoskeletal Procedures
675
$32,683
$13,980
2.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
434
$4,437
$1,734
2.6×
5112
Level 2 Musculoskeletal Procedures
349
$7,247
$1,722
4.2×
5114
Level 4 Musculoskeletal Procedures
310
$23,945
$7,664
3.1×
5113
Level 3 Musculoskeletal Procedures
291
$12,899
$3,457
3.7×
5431
Level 1 Nerve Procedures
231
$9,309
$2,074
4.5×
5302
Level 2 Upper GI Procedures
221
$7,139
$2,043
3.5×
5373
Level 3 Urology and Related Services
208
$6,915
$2,171
3.2×
5375
Level 5 Urology and Related Services
163
$15,380
$5,531
2.8×
5374
Level 4 Urology and Related Services
161
$12,907
$3,726
3.5×
5361
Level 1 Laparoscopy and Related Services
159
$21,885
$6,167
3.5×
5362
Level 2 Laparoscopy and Related Services
142
$38,093
$10,935
3.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
141
$13,015
$3,695
3.5×
5183
Level 3 Vascular Procedures
120
$8,240
$3,378
2.4×
5116
Level 6 Musculoskeletal Procedures
103
$56,287
$19,966
2.8×
5491
Level 1 Intraocular Procedures
95
$9,970
$2,503
4.0×
5414
Level 4 Gynecologic Procedures
93
$9,567
$3,306
2.9×
5222
Level 2 Pacemaker and Similar Procedures
87
$20,858
$9,067
2.3×
5415
Level 5 Gynecologic Procedures
82
$20,598
$5,342
3.9×
5191
Level 1 Endovascular Procedures
80
$25,091
$3,505
7.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
73
$15,961
$4,094
3.9×
5313
Level 3 Lower GI Procedures
70
$8,615
$3,014
2.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
67
$10,490
$3,052
3.4×
5165
Level 5 ENT Procedures
61
$24,618
$6,289
3.9×
5182
Level 2 Vascular Procedures
55
$4,235
$1,720
2.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
40
$22,565
$7,003
3.2×
5416
Level 6 Gynecologic Procedures
39
$22,587
$8,115
2.8×
5223
Level 3 Pacemaker and Similar Procedures
36
$20,558
$11,454
1.8×
5331
Complex GI Procedures
36
$21,147
$6,121
3.5×
5376
Level 6 Urology and Related Services
34
$23,893
$9,886
2.4×
5155
Level 5 Airway Endoscopy
23
$18,324
$7,096
2.6×
5462
Level 2 Neurostimulator and Related Procedures
22
$21,896
$7,345
3.0×
5303
Level 3 Upper GI Procedures
20
$15,022
$4,113
3.7×
5193
Level 3 Endovascular Procedures
13
$45,574
$11,017
4.1×
5464
Level 4 Neurostimulator and Related Procedures
12
$35,296
$23,431
1.5×
5372
Level 2 Urology and Related Services
12
$7,102
$734
9.7×
5154
Level 4 Airway Endoscopy
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
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 2026-03-27, template 3.0.0, 36,240 rows scanned, 3,135 distinct code–setting items kept. 487 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US|BILATERAL PROCEDURE
$680
$510
$425
1
clean
Showing the first 200 of 3,135 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
MS-DRG 823/i
warn
mrf_negotiated_above_gross
highest negotiated rate $43,676 exceeds the gross charge $40,172
MS-DRG 906/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,712 exceeds the gross charge $18,512
MS-DRG 949/i
warn
mrf_negotiated_above_gross
highest negotiated rate $11,333 exceeds the gross charge $10,821
CPT G0379/b
warn
mrf_negotiated_above_gross
highest negotiated rate $728 exceeds the gross charge $110
CPT 10030/b
warn
mrf_negotiated_above_gross
highest negotiated rate $835 exceeds the gross charge $782
CPT 11422/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,924 exceeds the gross charge $1,306
CPT 11422/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,573 exceeds the gross charge $1,306
CPT 15769/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,766 exceeds the gross charge $2,623
CPT 15771/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,260 exceeds the gross charge $2,600
CPT Q9969/b
warn
mrf_negotiated_above_gross
highest negotiated rate $10 exceeds the gross charge $1
CPT 15771/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,263 exceeds the gross charge $2,600
MS-DRG 009/i
warn
mrf_negotiated_above_gross
highest negotiated rate $375,920 exceeds the gross charge $183,943
CPT 19281/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,885 exceeds the gross charge $808
CPT 19285/b
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $447
CPT 20606/o
warn
mrf_negotiated_above_gross
highest negotiated rate $685 exceeds the gross charge $259
CPT 20611/b
warn
mrf_negotiated_above_gross
highest negotiated rate $361 exceeds the gross charge $305
CPT 20611/o
warn
mrf_negotiated_above_gross
highest negotiated rate $425 exceeds the gross charge $305
CPT 25608/b
warn
mrf_negotiated_above_gross
highest negotiated rate $8,313 exceeds the gross charge $3,883
CPT 25609/b
warn
mrf_negotiated_above_gross
highest negotiated rate $16,363 exceeds the gross charge $4,936
CPT 25609/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,130 exceeds the gross charge $4,936
CPT 33228/b
warn
mrf_negotiated_above_gross
highest negotiated rate $12,427 exceeds the gross charge $6,484
CPT 33228/o
warn
mrf_negotiated_above_gross
highest negotiated rate $11,298 exceeds the gross charge $6,484
CPT 33229/b
warn
mrf_negotiated_above_gross
highest negotiated rate $22,646 exceeds the gross charge $8,995
CPT 33249/b
warn
mrf_negotiated_above_gross
highest negotiated rate $38,071 exceeds the gross charge $24,081
CPT 33249/o
warn
mrf_negotiated_above_gross
highest negotiated rate $35,057 exceeds the gross charge $24,081
CPT 33262/o
warn
mrf_negotiated_above_gross
highest negotiated rate $25,154 exceeds the gross charge $9,000
CPT 33263/b
warn
mrf_negotiated_above_gross
highest negotiated rate $26,654 exceeds the gross charge $9,351
CPT 33264/b
warn
mrf_negotiated_above_gross
highest negotiated rate $38,071 exceeds the gross charge $9,703
CPT 33270/b
warn
mrf_negotiated_above_gross
highest negotiated rate $38,071 exceeds the gross charge $14,577
CPT 36556/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,663 exceeds the gross charge $2,621
CPT 42975/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,048 exceeds the gross charge $622
CPT 43265/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,069 exceeds the gross charge $6,501
MS-DRG 146/i
warn
mrf_negotiated_above_gross
highest negotiated rate $18,345 exceeds the gross charge $15,666
CPT 43274/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,069 exceeds the gross charge $5,548
CPT 43276/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,069 exceeds the gross charge $5,577
CPT 45390/b
warn
mrf_negotiated_above_gross
highest negotiated rate $3,256 exceeds the gross charge $2,497
CPT 47531/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,191 exceeds the gross charge $369
CPT 47531/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,370 exceeds the gross charge $369
CPT 47534/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,191 exceeds the gross charge $1,507
CPT 47535/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,107 exceeds the gross charge $1,111
CPT 47536/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,316 exceeds the gross charge $753
CPT 47536/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,653 exceeds the gross charge $753
CPT 47537/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,147 exceeds the gross charge $508
CPT 47537/o
warn
mrf_negotiated_above_gross
highest negotiated rate $871 exceeds the gross charge $508
CPT 47538/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,136 exceeds the gross charge $1,689
CPT 49185/b
warn
mrf_negotiated_above_gross
highest negotiated rate $1,924 exceeds the gross charge $633
CPT 49185/o
warn
mrf_negotiated_above_gross
highest negotiated rate $663 exceeds the gross charge $633
CPT 49320/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,136 exceeds the gross charge $1,625
CPT 49320/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,256 exceeds the gross charge $1,625
CPT 49591/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,488 exceeds the gross charge $1,618
CPT 49591/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,935 exceeds the gross charge $1,618
CPT 49592/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,420 exceeds the gross charge $2,245
CPT 49592/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,790 exceeds the gross charge $2,245
CPT 49593/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,777 exceeds the gross charge $2,704
CPT 49593/o
warn
mrf_negotiated_above_gross
highest negotiated rate $3,935 exceeds the gross charge $2,704
MS-DRG 226/i
warn
mrf_negotiated_above_gross
highest negotiated rate $26,327 exceeds the gross charge $25,227
CPT 49594/b
warn
mrf_negotiated_above_gross
highest negotiated rate $7,420 exceeds the gross charge $3,515
CPT 49594/o
warn
mrf_negotiated_above_gross
highest negotiated rate $5,790 exceeds the gross charge $3,515
CPT 50432/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,984 exceeds the gross charge $1,097
CPT 50435/b
warn
mrf_negotiated_above_gross
highest negotiated rate $2,384 exceeds the gross charge $523
CPT 50435/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,984 exceeds the gross charge $523
CPT 50693/b
warn
mrf_negotiated_above_gross
highest negotiated rate $4,014 exceeds the gross charge $1,050
CPT 54150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,990 exceeds the gross charge $398
CPT 58559/b
warn
mrf_negotiated_above_gross
highest negotiated rate $5,862 exceeds the gross charge $5,176
MS-DRG 261/i
warn
mrf_negotiated_above_gross
highest negotiated rate $28,484 exceeds the gross charge $22,322
CPT 69209/o
warn
mrf_negotiated_above_gross
highest negotiated rate $96 exceeds the gross charge $72
MS-DRG 361/i
warn
mrf_negotiated_above_gross
highest negotiated rate $134,888 exceeds the gross charge $56,071
CPT 86870/b
warn
mrf_negotiated_above_gross
highest negotiated rate $427 exceeds the gross charge $230
CPT 86880/b
warn
mrf_negotiated_above_gross
highest negotiated rate $71 exceeds the gross charge $68
CPT 86900/b
warn
mrf_negotiated_above_gross
highest negotiated rate $158 exceeds the gross charge $94
CPT 86902/b
warn
mrf_negotiated_above_gross
highest negotiated rate $427 exceeds the gross charge $167
CPT 86905/b
warn
mrf_negotiated_above_gross
highest negotiated rate $427 exceeds the gross charge $139
CPT 88184/b
warn
mrf_negotiated_above_gross
highest negotiated rate $440 exceeds the gross charge $202
MS-DRG 609/i
warn
mrf_negotiated_above_gross
highest negotiated rate $86,823 exceeds the gross charge $19,964
warn
mrf_rate_without_estimate
360 of 360 percentage/algorithm rates across 226 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
MS-DRG 191/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $84,564; the same hospital's average submitted charge to Medicare for this DRG is $22,360 (3.8×)
MS-DRG 305/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $99,247; the same hospital's average submitted charge to Medicare for this DRG is $19,430 (5.1×)
MS-DRG 460/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $20,776; the same hospital's average submitted charge to Medicare for this DRG is $82,766 (0.3×)
MS-DRG 863/i
warn
mrf_vs_medicare_charge
price file lists a gross charge of $171,947; the same hospital's average submitted charge to Medicare for this DRG is $25,430 (6.8×)
CPT A4648/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 623/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1713/b
info
mrf_item_fields_vary
this code and setting cover at least 992 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 625/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 992 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 626/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 633/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1726/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 634/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 639/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1729/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
MS-DRG 640/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1729/o
info
mrf_item_fields_vary
this code and setting cover at least 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
MS-DRG 660/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1734/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
MS-DRG 661/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1734/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 662/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1750/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 663/i
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 C1751/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
MS-DRG 680/i
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 C1753/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
MS-DRG 691/i
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 C1753/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 696/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, 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 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
MS-DRG 710/i
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 C1758/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 711/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross 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 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 720/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1763/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 721/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1765/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 722/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1767/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
MS-DRG 723/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1767/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 724/i
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 C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 48 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 755/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 48 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 775/i
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 C1771/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
MS-DRG 794/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1771/o
info
mrf_item_fields_vary
this code and setting cover at least 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
MS-DRG 811/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, 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 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 812/i
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1773/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 813/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, 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 285 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 815/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 285 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 816/i
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 C1778/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
MS-DRG 817/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross differ, so no cross-line comparison was made for this item
CPT C1778/o
info
mrf_item_fields_vary
this code and setting cover at least 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 C1781/b
info
mrf_item_fields_vary
this code and setting cover at least 29 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 850/i
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 C1781/o
info
mrf_item_fields_vary
this code and setting cover at least 29 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 861/i
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 C1782/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 862/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1785/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 863/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, min, max differ, so no cross-line comparison was made for this item
CPT C1787/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 C1787/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1788/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
MS-DRG 950/i
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 C1788/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 951/i
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, 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 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
MS-DRG 952/i
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 C1789/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1820/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1821/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1874/o
info
mrf_item_fields_vary
this code and setting cover at least 27 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1876/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 C1876/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1887/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 C1887/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 167 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1889/o
info
mrf_item_fields_vary
this code and setting cover at least 167 distinct 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 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 C1894/o
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 C1898/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 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 C2617/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C2625/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 G0008/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 G0008/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 G0009/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 G0010/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 G0104/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 G0399/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 G0399/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 J0585/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 J2805/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 J2805/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 J3301/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 L0625/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 L0625/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 10005/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 L1830/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 10005/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 L1830/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 10006/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 L8606/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 10006/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8606/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10009/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 L8613/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L8699/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11104/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 Q0091/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 11104/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 Q4116/b
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
Showing the first 200 of 487 findings, errors first — every finding as JSON →
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Newton-Wellesley Hospital — standard charges file · MA · updated 2026-03-27· csv-tall · 1.0M bytes · fetched 2026-08-27 · sha256 aad204b63a2c…
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.