Hospital · CCN 240036

St Cloud Hospital

1406 6th Ave North, Saint Cloud, MN 56303 · Stearns County
Part of CentraCare · 458 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

148 admission types 59 outpatient services price file: ok
Billed per dollar paid, all admissions
2.59×
$299.6M billed against $115.6M paid across 5,196 Medicare discharges; the national figure is 5.03×.
0.2%
of adults in Stearns County have medical debt in collections
5.2%
uninsured in the county · state 5.4%
$75K
median household income
2.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
36.0%
obesity in the countyⓘ
10.1%
diagnosed diabetes (PLACES)
6.1%
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
373
$43,014
$19,221
2.2× st 3.3×
291
Heart failure and shock with mcc
202
$28,990
$12,738
2.3× st 3.4×
274
Percutaneous and other intracardiac procedures without mcc
154
$77,316
$30,685
2.5× st 3.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
116
$220,540
$64,139
3.4× st 3.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
107
$107,906
$49,014
2.2× st 3.3×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
107
$198,872
$47,752
4.2× st 3.5×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
104
$63,569
$17,881
3.6× st 5.1×
189
Pulmonary edema and respiratory failure
102
$29,239
$12,394
2.4× st 3.6×
309
Cardiac arrhythmia and conduction disorders with cc
91
$18,210
$7,412
2.5× st 3.3×
193
Simple pneumonia and pleurisy with mcc
90
$26,506
$12,763
2.1× st 3.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
87
$25,768
$9,963
2.6× st 3.7×
481
Hip and femur procedures except major joint with cc
86
$54,715
$20,417
2.7× st 3.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
84
$29,432
$13,167
2.2× st 3.4×
177
Respiratory infections and inflammations with mcc
84
$30,168
$15,986
1.9× st 3.1×
378
Gastrointestinal hemorrhage with cc
79
$21,650
$9,622
2.3× st 3.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
76
$41,811
$19,262
2.2× st 3.3×
683
Renal failure with cc
70
$21,542
$8,603
2.5× st 3.4×
280
Acute myocardial infarction, discharged alive with mcc
66
$34,211
$15,875
2.2× st 3.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
64
$53,480
$18,464
2.9× st 3.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
62
$19,086
$7,802
2.4× st 3.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
61
$26,037
$10,138
2.6× st 3.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
60
$99,279
$30,328
3.3× st 4.4×
885
Psychoses
58
$71,434
$16,560
4.3× st 4.3×
698
Other kidney and urinary tract diagnoses with mcc
55
$29,161
$16,373
1.8× st 3.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
48
$17,784
$7,557
2.4× st 3.7×
377
Gastrointestinal hemorrhage with mcc
47
$40,756
$17,256
2.4× st 3.5×
329
Major small and large bowel procedures with mcc
47
$103,215
$46,055
2.2× st 3.0×
312
Syncope and collapse
45
$19,985
$8,424
2.4× st 3.4×
243
Permanent cardiac pacemaker implant with cc
44
$80,557
$21,962
3.7× st 4.1×
330
Major small and large bowel procedures with cc
43
$50,476
$23,194
2.2× st 3.2×
682
Renal failure with mcc
42
$32,373
$14,470
2.2× st 3.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
41
$53,552
$20,901
2.6× st 3.8×
308
Cardiac arrhythmia and conduction disorders with mcc
41
$34,771
$11,590
3.0× st 3.6×
690
Kidney and urinary tract infections without mcc
41
$16,898
$7,945
2.1× st 3.3×
552
Medical back problems without mcc
40
$18,698
$9,304
2.0× st 3.5×
480
Hip and femur procedures except major joint with mcc
38
$66,821
$28,883
2.3× st 3.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
38
$30,352
$10,107
3.0× st 4.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
36
$79,702
$27,322
2.9× st 3.5×
813
Coagulation disorders
36
$31,821
$17,002
1.9× st 3.1×
178
Respiratory infections and inflammations with cc
35
$21,266
$9,239
2.3× st 3.3×
025
Craniotomy and endovascular intracranial procedures with mcc
35
$96,966
$44,031
2.2× st 3.0×
271
Other major cardiovascular procedures with cc
35
$140,315
$40,267
3.5× st 3.3×
314
Other circulatory system diagnoses with mcc
35
$42,381
$19,862
2.1× st 3.3×
418
Laparoscopic cholecystectomy without c.d.e. with cc
34
$44,887
$15,904
2.8× st 3.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
34
$42,891
$19,889
2.2× st 3.5×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
33
$66,303
$22,699
2.9× st 3.2×
660
Kidney and ureter procedures for non-neoplasm with cc
33
$34,682
$13,233
2.6× st 3.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
32
$55,465
$20,301
2.7× st 3.5×
389
Gastrointestinal obstruction with cc
32
$17,308
$7,497
2.3× st 3.2×
253
Other vascular procedures with cc
32
$81,187
$25,004
3.2× st 3.8×
281
Acute myocardial infarction, discharged alive with cc
31
$34,626
$12,258
2.8× st 4.0×
242
Permanent cardiac pacemaker implant with mcc
31
$95,746
$32,839
2.9× st 4.0×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
31
$101,966
$45,113
2.3× st 3.3×
699
Other kidney and urinary tract diagnoses with cc
31
$18,334
$9,966
1.8× st 3.4×
917
Poisoning and toxic effects of drugs with mcc
30
$29,986
$15,730
1.9× st 3.1×
689
Kidney and urinary tract infections with mcc
30
$26,583
$12,043
2.2× st 3.3×
035
Carotid artery stent procedures with cc
28
$83,273
$21,941
3.8× st 4.1×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
28
$39,741
$19,526
2.0× st 2.9×
269
Aortic and heart assist procedures except pulsation balloon without mcc
28
$122,347
$39,737
3.1× st 3.4×
460
Spinal fusion except cervical without mcc
27
$79,395
$34,746
2.3× st 2.8×
394
Other digestive system diagnoses with cc
27
$17,525
$9,022
1.9× st 3.1×
870
Septicemia or severe sepsis with mv >96 hours
27
$177,549
$68,047
2.6× st 3.5×
101
Seizures without mcc
26
$17,334
$8,862
2.0× st 3.6×
467
Revision of hip or knee replacement with cc
26
$71,042
$35,197
2.0× st 2.8×
472
Cervical spinal fusion with cc
26
$67,894
$28,326
2.4× st 3.0×
057
Degenerative nervous system disorders without mcc
25
$34,409
$13,060
2.6× st 3.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
25
$46,183
$16,977
2.7× st 3.4×
603
Cellulitis without mcc
23
$15,182
$8,519
1.8× st 3.3×
163
Major chest procedures with mcc
23
$94,716
$44,838
2.1× st 3.0×
270
Other major cardiovascular procedures with mcc
22
$199,553
$57,969
3.4× st 3.5×
036
Carotid artery stent procedures without cc/mcc
22
$68,588
$17,495
3.9× st 3.5×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
22
$60,996
$23,429
2.6× st 3.0×
091
Other disorders of nervous system with mcc
21
$32,950
$17,289
1.9× st 3.1×
194
Simple pneumonia and pleurisy with cc
21
$19,932
$8,159
2.4× st 3.0×
432
Cirrhosis and alcoholic hepatitis with mcc
21
$47,918
$18,575
2.6× st 3.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
20
$19,318
$8,822
2.2× st 3.3×
659
Kidney and ureter procedures for non-neoplasm with mcc
20
$64,557
$25,103
2.6× st 3.0×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
20
$148,554
$59,894
2.5× st 2.7×
315
Other circulatory system diagnoses with cc
20
$27,473
$10,344
2.7× st 3.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$22,939
$13,034
1.8× st 3.4×
948
Signs and symptoms without mcc
19
$18,986
$7,699
2.5× st 3.9×
637
Diabetes with mcc
19
$35,319
$13,921
2.5× st 3.6×
811
Red blood cell disorders with mcc
19
$28,260
$13,430
2.1× st 3.6×
812
Red blood cell disorders without mcc
19
$20,531
$9,026
2.3× st 3.9×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
19
$33,149
$17,224
1.9× st 3.5×
455
Combined anterior and posterior spinal fusion without cc/mcc
19
$71,034
$45,167
1.6× st 2.3×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
18
$193,084
$74,485
2.6× st 3.2×
483
Major joint or limb reattachment procedures of upper extremities
18
$59,357
$25,549
2.3× st 2.9×
393
Other digestive system diagnoses with mcc
18
$35,424
$15,603
2.3× st 3.1×
252
Other vascular procedures with mcc
18
$99,664
$34,357
2.9× st 3.4×
082
Traumatic stupor and coma >1 hour with mcc
18
$31,526
$22,472
1.4× st 3.3×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
18
$78,119
$41,493
1.9× st 2.6×
908
Other o.r. procedures for injuries with cc
17
$52,179
$19,484
2.7× st 2.9×
305
Hypertension without mcc
17
$18,874
$7,228
2.6× st 4.0×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
17
$32,905
$12,047
2.7× st 3.4×
673
Other kidney and urinary tract procedures with mcc
17
$77,386
$36,992
2.1× st 3.1×
180
Respiratory neoplasms with mcc
17
$24,443
$16,663
1.5× st 3.1×
884
Organic disturbances and intellectual disability
17
$45,069
$17,361
2.6× st 3.5×
071
Other cerebrovascular disorders with cc
17
$18,366
$10,142
1.8× st 4.1×
092
Other disorders of nervous system with cc
17
$18,925
$9,947
1.9× st 3.5×
435
Malignancy of hepatobiliary system or pancreas with mcc
17
$36,960
$17,023
2.2× st 3.0×
602
Cellulitis with mcc
16
$31,822
$14,293
2.2× st 3.5×
454
Combined anterior and posterior spinal fusion with cc
16
$74,290
$57,119
1.3× st 2.6×
638
Diabetes with cc
16
$18,110
$8,677
2.1× st 3.5×
100
Seizures with mcc
16
$50,590
$21,282
2.4× st 3.9×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
16
$46,295
$21,322
2.2× st 2.6×
862
Postoperative and post-traumatic infections with mcc
16
$35,956
$18,952
1.9× st 2.7×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
16
$45,408
$21,474
2.1× st 2.5×
907
Other o.r. procedures for injuries with mcc
15
$84,705
$41,681
2.0× st 2.9×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
15
$14,518
$6,582
2.2× st 4.2×
473
Cervical spinal fusion without cc/mcc
15
$51,498
$25,054
2.1× st 2.6×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
15
$65,410
$31,712
2.1× st 2.4×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
15
$169,340
$55,168
3.1× st 3.1×
184
Major chest trauma with cc
15
$18,797
$10,244
1.8× st 2.7×
205
Other respiratory system diagnoses with mcc
15
$22,036
$17,679
1.2× st 3.3×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
15
$132,241
$47,996
2.8× st 3.0×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
15
$153,555
$77,340
2.0× st 3.1×
273
Percutaneous and other intracardiac procedures with mcc
15
$92,464
$37,494
2.5× st 3.2×
657
Kidney and ureter procedures for neoplasm with cc
15
$58,376
$17,651
3.3× st 3.3×
215
Other heart assist system implant
14
$280,336
$106,312
2.6× st 3.2×
244
Permanent cardiac pacemaker implant without cc/mcc
14
$66,839
$18,031
3.7× st 4.9×
388
Gastrointestinal obstruction with mcc
14
$37,332
$13,895
2.7× st 3.4×
326
Stomach, esophageal and duodenal procedures with mcc
14
$112,477
$50,181
2.2× st 2.6×
283
Acute myocardial infarction, expired with mcc
14
$29,324
$18,848
1.6× st 2.2×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
13
$37,425
$17,923
2.1× st 2.8×
445
Disorders of the biliary tract with cc
13
$23,578
$10,447
2.3× st 3.3×
039
Extracranial procedures without cc/mcc
13
$37,247
$11,471
3.2× st 3.9×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
13
$147,967
$51,354
2.9× st 3.2×
535
Fractures of hip and pelvis with mcc
13
$25,166
$12,626
2.0× st 2.0×
164
Major chest procedures with cc
13
$53,851
$24,438
2.2× st 3.1×
264
Other circulatory system o.r. procedures
13
$65,300
$27,601
2.4× st 2.9×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
12
$21,261
$11,371
1.9× st 3.4×
521
Hip replacement with principal diagnosis of hip fracture with mcc
12
$78,140
$27,292
2.9× st 3.3×
439
Disorders of pancreas except malignancy with cc
12
$18,602
$8,718
2.1× st 3.1×
313
Chest pain
12
$14,833
$7,101
2.1× st 3.4×
919
Complications of treatment with mcc
12
$33,215
$16,128
2.1× st 3.1×
190
Chronic obstructive pulmonary disease with mcc
12
$20,133
$10,631
1.9× st 3.5×
038
Extracranial procedures with cc
12
$49,065
$15,321
3.2× st 3.7×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
12
$90,930
$28,088
3.2× st 3.5×
707
Major male pelvic procedures with cc/mcc
12
$41,560
$18,806
2.2× st 2.6×
390
Gastrointestinal obstruction without cc/mcc
11
$13,720
$5,382
2.5× st 2.7×
551
Medical back problems with mcc
11
$29,750
$16,298
1.8× st 3.4×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$160,819
$71,494
2.2× st 2.8×
565
Other musculoskeletal system and connective tissue diagnoses with cc
11
$19,646
$11,464
1.7× st 2.7×
196
Interstitial lung disease with mcc
11
$27,850
$18,135
1.5× st 3.3×
840
Lymphoma and non-acute leukemia with mcc
11
$55,867
$30,337
1.8× st 2.9×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
11
$40,516
$19,422
2.1× st 2.9×
402
Single level combined anterior and posterior spinal fusion except cervical
11
$72,780
$38,112
1.9× st 2.7×
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
618
$9,529
$2,742
3.5×
5191
Level 1 Endovascular Procedures
350
$13,923
$3,275
4.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
261
$6,907
$1,612
4.3×
5183
Level 3 Vascular Procedures
219
$11,556
$3,227
3.6×
5302
Level 2 Upper GI Procedures
213
$6,653
$1,913
3.5×
5193
Level 3 Endovascular Procedures
193
$50,743
$11,058
4.6×
5115
Level 5 Musculoskeletal Procedures
189
$43,883
$13,289
3.3×
5114
Level 4 Musculoskeletal Procedures
130
$26,048
$7,135
3.7×
5375
Level 5 Urology and Related Services
128
$19,284
$5,193
3.7×
5373
Level 3 Urology and Related Services
127
$8,579
$2,021
4.2×
5374
Level 4 Urology and Related Services
125
$15,553
$3,542
4.4×
5192
Level 2 Endovascular Procedures
122
$25,262
$5,769
4.4×
5223
Level 3 Pacemaker and Similar Procedures
115
$45,666
$10,838
4.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
107
$11,826
$2,866
4.1×
5361
Level 1 Laparoscopy and Related Services
106
$24,307
$5,863
4.1×
5194
Level 4 Endovascular Procedures
105
$79,281
$16,776
4.7×
5184
Level 4 Vascular Procedures
88
$23,696
$5,520
4.3×
5182
Level 2 Vascular Procedures
80
$3,942
$1,597
2.5×
5154
Level 4 Airway Endoscopy
79
$12,651
$3,805
3.3×
5213
Level 3 Electrophysiologic Procedures
67
$78,253
$23,731
3.3×
5116
Level 6 Musculoskeletal Procedures
66
$52,377
$18,891
2.8×
5232
Level 2 ICD and Similar Procedures
58
$110,290
$32,777
3.4×
5492
Level 2 Intraocular Procedures
58
$15,707
$4,074
3.9×
5362
Level 2 Laparoscopy and Related Services
56
$34,736
$10,134
3.4×
5313
Level 3 Lower GI Procedures
52
$11,101
$2,762
4.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
51
$26,582
$6,626
4.0×
5222
Level 2 Pacemaker and Similar Procedures
48
$21,951
$8,630
2.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
46
$17,592
$3,454
5.1×
5113
Level 3 Musculoskeletal Procedures
45
$15,738
$2,942
5.3×
5224
Level 4 Pacemaker and Similar Procedures
45
$68,895
$19,750
3.5×
5303
Level 3 Upper GI Procedures
40
$13,342
$3,736
3.6×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
32
$18,380
$3,873
4.7×
5372
Level 2 Urology and Related Services
28
$1,175
$694
1.7×
5331
Complex GI Procedures
28
$16,605
$5,377
3.1×
5155
Level 5 Airway Endoscopy
25
$17,517
$6,954
2.5×
5414
Level 4 Gynecologic Procedures
24
$14,067
$3,071
4.6×
5431
Level 1 Nerve Procedures
24
$11,364
$1,962
5.8×
5153
Level 3 Airway Endoscopy
23
$6,962
$1,665
4.2×
5465
Level 5 Neurostimulator and Related Procedures
22
$90,006
$30,099
3.0×
5112
Level 2 Musculoskeletal Procedures
18
$9,277
$1,499
6.2×
5627
Level 7 Radiation Therapy
14
$14,734
$7,912
1.9×
5231
Level 1 ICD and Similar Procedures
13
$75,762
$22,173
3.4×
5165
Level 5 ENT Procedures
12
$23,382
$5,950
3.9×
5491
Level 1 Intraocular Procedures
12
$12,708
$2,368
5.4×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-08-19, template 3.0.0, 15,056 rows scanned, 4,150 distinct code–setting items kept. 2,927 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
RED BLOOD CELL TYPING
$943
$547
$720
29
clean
GENE ANALYSIS (JANUS KINASE 2) OF TARGETED SEQUENCE EXONS 12-15
$513
$297
$122
58
clean
COMPUTED TOMOGRAPHY (CT) OF BRAIN BLOOD FLOW; VOLUME; AND TIMING OF FLOW ANALYSIS WITH CONTRAST
$1,279
$742
$700
8
clean
MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC OPERATION USING IMAGING GUIDANCE
$19,000
$11,020
$0
3
clean
DETECTION OF IMMUNOGLOBULIN PARAPROTEIN (M-PROTEIN) IN BLOOD OR URINE
$98
$57
$43
97
clean
ANESTHESIA FOR X-RAY OR RADIATION THERAPY
$4,380
$2,540
$775
1
clean
HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE
$1,213
$704
$493
15
clean
RESPIRATORY INFECTIOUS AGENT DETECTION BY RNA FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID 19); INFLUENZA A; INFLUENZA B; AND RESPIRATORY SYNCYTIAL VIRUS; UPPER RESPIRATORY SPECIMEN; EACH REPORTED AS DETECT
$330
$191
$143
3
clean
REMOVAL OF BONE FROM LOWER SPINE FOR DECOMPRESSION OF NERVE TISSUE USING IMAGING GUIDANCE; ACCESSED THROUGH THE SKIN
$16,300
$9,454
$775
1
clean
INFECTIOUS DISEASE (BACTERIAL); QUANTITATIVE ANTIMICROBIAL SUSCEPTIBILITY REPORTED AS PHENOTYPIC MINIMUM INHIBITORY CONCENTRATION (MIC) BASED ANTIMICROBIAL SUSCEPTIBILITY FOR EACH ORGANISMS IDENTIFIED
$180
$104
$8
16
clean
DESTRUCTION OF NERVES OF ARTERIES OF ONE KIDNEY ACCESSED THROUGH THE SKIN WITH FLUOROSCOPY AND RADIOLOGICAL SUPERVISION AND INTERPRETATION
$25,674
$14,891
$6,280
15
clean
REOPENING OF ARTERIES IN THIGH AND BEHIND KNEE WITH PLACEMENT OF STENT VIA CATHETER USING IMAGING GUIDANCE
$19,425
$11,267
$12,738
13
clean
FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; FIRST GROWTH
$1,878
$1,089
$781
93
clean
FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE; EACH ADDITIONAL GROWTH
$783
$454
$41
41
clean
FINE NEEDLE ASPIRATION BIOPSY OF GROWTH USING CT GUIDANCE; FIRST GROWTH
$2,953
$1,713
$781
13
clean
DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE
$1,920
$1,114
$781
15
clean
PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY; FIRST GROWTH
$4,392
$2,547
$781
197
clean
SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS
$9,700
$5,626
$221
71
clean
COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS
$9,700
$5,626
$449
43
clean
SIMPLE DRAINAGE OF CYST OF TAILBONE
$8,700
$5,046
$781
30
clean
COMPLICATED DRAINAGE OF CYST OF TAILBONE
$860
$499
$781
15
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE
$3,057
$1,773
$449
43
clean
REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; COMPLEX
$3,057
$1,773
$1,822
28
clean
DRAINAGE OF BLOOD OR FLUID ACCUMULATION
$3,140
$1,821
$1,822
97
clean
ASPIRATION OF ABSCESS; BLOOD; OR CYST
$8,000
$4,640
$449
58
clean
COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY
$3,609
$2,093
$3,205
30
clean
REMOVAL OF FOREIGN MATERIAL FROM SKIN AND TISSUE AT OPEN BROKEN AND/OR DISLOCATED BONE
$1,002
$581
$781
13
clean
REMOVAL OF FOREIGN MATERIAL FROM SKIN; TISSUE; MUSCLE; AND BONE AT OPEN BROKEN AND/OR DISLOCATED BONE
$14,600
$8,468
$3,205
93
clean
REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS
$4,372
$2,536
$449
121
clean
REMOVAL OF MUSCLE AND/OR TISSUE; 20.0 SQ CM OR LESS
$12,180
$7,064
$815
95
clean
REMOVAL OF BONE; 20.0 SQ CM OR LESS
$9,700
$5,626
$1,822
28
clean
REMOVAL OF SKIN AND TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS
$1,000
$580
$20
41
clean
REMOVAL OF MUSCLE AND/OR TISSUE; EACH ADDITIONAL 20.0 SQ CM OR LESS
$2,944
$1,708
$44
67
clean
REMOVAL OF NONCANCER THICKENED SKIN GROWTH; 1 GROWTH
$675
$392
$221
67
clean
BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH
$555
$322
$449
13
clean
PUNCH BIOPSY; FIRST SKIN GROWTH
$2,519
$1,461
$449
58
clean
PUNCH BIOPSY; EACH ADDITIONAL SKIN GROWTH
$1,604
$930
$20
30
clean
INCISION BIOPSY; FIRST SKIN GROWTH
$7,156
$4,151
$815
30
clean
REMOVAL OF SKIN TAG; 1-15 SKIN TAGS
$324
$188
$221
58
clean
REMOVAL OF SKIN TAG; EACH ADDITIONAL 10 SKIN TAGS
$2,000
$1,160
$12
15
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS
$8,000
$4,640
$781
15
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM
$8,000
$4,640
$449
43
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM
$8,000
$4,640
$781
15
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM
$4,594
$2,665
$781
43
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$2,297
$1,332
$1,822
56
clean
REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$4,460
$2,587
$1,822
95
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.5 CM OR LESS
$4,594
$2,665
$1,822
30
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.6-1.0 CM
$4,594
$2,665
$781
56
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 1.1-2.0 CM
$9,625
$5,583
$1,822
43
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM
$8,000
$4,640
$1,822
43
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM
$5,760
$3,341
$1,822
15
clean
REMOVAL OF NONCANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$4,594
$2,665
$3,205
30
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS
$4,000
$2,320
$781
15
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM
$6,750
$3,915
$781
54
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$2,000
$1,160
$781
43
clean
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM
$2,437
$1,413
$1,822
28
clean
REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$2,000
$1,160
$3,205
52
clean
REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR
$8,000
$4,640
$3,205
28
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS
$2,000
$1,160
$781
15
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.6-1.0 CM
$13,500
$7,830
$781
28
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 1.1-2.0 CM
$8,000
$4,640
$449
15
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 2.1-3.0 CM
$10,350
$6,003
$781
15
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 3.1-4.0 CM
$15,100
$8,758
$781
15
clean
REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; MORE THAN 4.0 CM
$12,350
$7,163
$1,822
15
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 0.5 CM OR LESS
$4,000
$2,320
$1,822
15
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 2.1-3.0 CM
$6,750
$3,915
$1,822
41
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; 3.1-4.0 CM
$10,775
$6,250
$1,822
13
clean
REMOVAL OF CANCER SKIN GROWTH OF SCALP; NECK; HANDS; FEET; OR GENITALS; MORE THAN 4.0 CM
$10,460
$6,067
$3,205
15
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS
$4,594
$2,665
$781
15
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.6-1.0 CM
$3,754
$2,177
$781
15
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 1.1-2.0 CM
$4,000
$2,320
$781
15
clean
REMOVAL OF CANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.1-3.0 CM
$12,350
$7,163
$1,822
15
clean
SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL
$424
$246
$221
82
clean
REMOVAL OF BLOOD ACCUMULATION UNDER FINGERNAIL OR TOENAIL
$328
$190
$147
54
clean
PERMANENT REMOVAL FINGERNAIL OR TOENAIL
$2,400
$1,392
$449
130
clean
REPAIR OF FINGERNAIL OR TOENAIL BED
$9,700
$5,626
$815
41
clean
REMOVAL OF SKIN OF FINGERNAIL OR TOENAIL
$685
$397
$449
28
clean
SIMPLE REMOVAL OF CYST OF TAILBONE
$4,594
$2,665
$3,205
30
clean
EXTENSIVE REMOVAL OF CYST OF TAILBONE
$13,280
$7,702
$3,205
15
clean
COMPLICATED REMOVAL OF CYST OF TAILBONE
$4,594
$2,665
$3,205
30
clean
INJECTION INTO SKIN GROWTH; 1-7 GROWTHS
$4,919
$2,853
$221
15
clean
INSERTION OF TISSUE EXPANDER
$11,150
$6,467
$3,910
15
clean
REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT
$33,750
$19,575
$8,007
43
clean
REMOVAL OF TISSUE EXPANDER
$675
$392
$3,205
45
clean
REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE
$901
$523
$493
30
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$878
$509
$221
67
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$1,880
$1,090
$221
28
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$900
$522
$221
41
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$750
$435
$449
28
clean
SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM
$750
$435
$449
15
clean
SIMPLE REPAIR OF SURFACE WOUND TO SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; MORE THAN 30.0 CM
$750
$435
$221
15
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$720
$418
$221
54
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$692
$402
$221
41
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$1,500
$870
$221
15
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$750
$435
$221
28
clean
SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 12.6-20.0 CM
$750
$435
$449
15
clean
SIMPLE CLOSURE OF SURFACE WOUND REOPENING
$765
$444
$815
56
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS
$2,200
$1,276
$449
43
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM
$9,700
$5,626
$449
84
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 7.6-12.5 CM
$2,058
$1,194
$449
71
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 12.6-20.0 CM
$4,000
$2,320
$449
71
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 20.1-30.0 CM
$1,831
$1,062
$815
26
clean
INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; MORE THAN 30.0 CM
$3,400
$1,972
$2,277
71
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.5 CM OR LESS
$8,025
$4,655
$449
30
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 2.6-7.5 CM
$4,850
$2,813
$449
41
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 7.6-12.5 CM
$836
$485
$815
15
clean
INTERMEDIATE REPAIR OF WOUND OF NECK; HANDS; FEET; OR GENITALS; 12.6-20.0 CM
$1,125
$653
$815
15
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS
$1,532
$889
$449
28
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.6-5.0 CM
$4,000
$2,320
$449
43
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 5.1-7.5 CM
$2,000
$1,160
$449
28
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 7.6-12.5 CM
$750
$435
$449
15
clean
INTERMEDIATE REPAIR OF WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 12.6-20.0 CM
$1,125
$653
$449
15
clean
COMPLICATED REPAIR OF WOUND OF TRUNK; 2.6-7.5 CM
$7,000
$4,060
$815
15
clean
COMPLICATED REPAIR OF WOUND OF TRUNK; EACH ADDITIONAL 5.0 CM OR LESS
$1,000
$580
$55
15
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; 2.6-7.5 CM
$750
$435
$449
15
clean
COMPLICATED REPAIR OF WOUND OF SCALP; ARMS; OR LEGS; EACH ADDITIONAL 5.0 CM OR LESS
$750
$435
$63
15
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 1.1-2.5 CM
$1,360
$789
$449
15
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 2.6-7.5 CM
$1,500
$870
$449
15
clean
COMPLICATED REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; EACH ADDITIONAL 5.0 CM OR LESS
$750
$435
$96
15
clean
COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; 2.6-7.5 CM
$4,000
$2,320
$815
43
clean
COMPLICATED REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIP; EACH ADDITIONAL 5.0 CM OR LESS
$750
$435
$106
28
clean
EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING
$1,500
$870
$3,910
43
clean
REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$8,000
$4,640
$2,277
28
clean
REPAIR OF WOUND OF SCALP; ARMS; OR LEGS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$12,350
$7,163
$2,277
15
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$5,037
$2,921
$2,277
41
clean
REPAIR OF WOUND OF FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$5,037
$2,921
$2,277
28
clean
REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.0 SQ CM OR LESS
$6,579
$3,816
$2,277
30
clean
REPAIR OF WOUND OF EYELIDS; NOSE; EARS; OR LIPS BY TRANSFERRING SKIN; 10.1-30.0 SQ CM
$6,933
$4,021
$2,277
15
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; 30.1-60.0 SQ CM
$1,000
$580
$3,910
67
clean
REPAIR OF WOUND BY TRANSFERRING SKIN; EACH ADDITIONAL 30.0 SQ CM
$5,538
$3,212
$168
67
clean
REPAIR OF TISSUE LOSS OF FINGER OR TOE
$5,508
$3,195
$2,277
15
clean
PREPARATION OF SKIN GRAFT SITE OF TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$11,333
$6,573
$815
26
clean
PREPARATION OF SKIN GRAFT SITE OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$3,640
$2,111
$36
13
clean
PREPARATION OF SKIN GRAFT SITE OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$2,844
$1,649
$449
15
clean
PARTIAL THICKNESS SELF SKIN GRAFT TO TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$6,640
$3,851
$2,277
41
clean
PARTIAL THICKNESS SELF SKIN GRAFT OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$2
$1
$93
28
clean
PARTIAL THICKNESS SELF SKIN GRAFT TO FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$11,100
$6,438
$3,910
28
clean
FULL THICKNESS SKIN GRAFT TO SCALP; ARMS; OR LEGS; 20.0 SQ CM OR LESS
$6,750
$3,915
$2,277
15
clean
FULL THICKNESS SKIN GRAFT TO FOREHEAD; CHEEKS; CHIN; MOUTH; NECK; UNDERARMS; GENITALS; HANDS; OR FEET; 20.0 SQ CM OR LESS
$5,037
$2,921
$2,277
54
clean
FULL THICKNESS SKIN GRAFT TO NOSE; EARS; EYELIDS; OR LIPS; 20.0 SQ CM OR LESS
$6,750
$3,915
$2,277
13
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF TRUNK; ARMS; OR LEGS; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$4,440
$2,575
$815
28
clean
SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK; ARMS; OR LEGS; 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$1,617
$938
$2,277
15
clean
SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF TRUNK; ARMS; OR LEGS; EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN; OR LESS
$1,617
$938
$35
15
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO WOUND OF FACE; SCALP; EYELIDS; MOUTH; NECK; EARS; AROUND EYES; GENITALS; HANDS; FEET; FINGERS; OR TOES; 25.0 SQ CM OR LESS OF WOUND 100.0 SQ CM OR LESS
$4,000
$2,320
$815
41
clean
TRANSFER OF SKIN FLAP TO TRUNK
$16,613
$9,635
$3,910
13
clean
TRANSFER OF SKIN FLAP TO FOREHEAD; CHEEKS; CHIN; NECK; UNDERARMS; GENITALS; HANDS; OR FEET
$16,350
$9,483
$2,277
15
clean
CREATION OF FLAP GRAFT TO NOSE; FOREHEAD; TEMPLE; OR SCALP
$26,240
$15,219
$3,910
15
clean
CREATION OF MUSCLE GRAFT TO TRUNK
$19,840
$11,507
$3,910
15
clean
CREATION OF SKIN AND TISSUE GRAFT
$5,667
$3,287
$2,277
13
clean
GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; 50.0 CC OR LESS
$6,750
$3,915
$3,910
43
clean
GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK; BREASTS; SCALP; ARMS; OR LEGS; EACH ADDITIONAL 50.0 CC
$1
$0
$117
82
clean
IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE
$18,400
$10,672
$168
39
clean
REPAIR OF LOWER EYELID DEFECT
$7,985
$4,631
$2,277
13
clean
REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID
$8,270
$4,797
$2,390
69
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN
$12,000
$6,960
$7,327
43
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF THIGH
$24,160
$14,013
$3,205
15
clean
REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA
$3,359
$1,948
$3,205
67
clean
EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN
$6,718
$3,896
$0
3
clean
REMOVAL OF PRESSURE SORE TISSUE AND LOWER PELVIC BONE WITH CLOSURE
$9,700
$5,626
$3,205
13
clean
FIRST DEGREE BURN TREATMENT
$500
$290
$221
15
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; LESS THAN 5% OF TOTAL BODY SURFACE
$650
$377
$221
28
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; 5-10% OF TOTAL BODY SURFACE
$575
$334
$221
15
clean
DRESSING CHANGE OR REMOVAL OF BURN TISSUE; MORE THAN 10% OF TOTAL BODY SURFACE
$650
$377
$449
15
clean
DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS
$4,000
$2,320
$221
15
clean
APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND
$4,150
$2,407
$221
82
clean
OTHER PROCEDURE ON SKIN; MUCOUS MEMBRANE; AND TISSUE
$400
$232
$221
30
clean
ASPIRATION OF CYST OF BREAST; FIRST CYST
$2,825
$1,639
$781
95
clean
ASPIRATION OF CYST OF BREAST; EACH ADDITIONAL CYST
$2,825
$1,639
$17
28
clean
DRAINAGE OF ABSCESS OF BREAST
$9,625
$5,583
$1,822
13
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH
$7,680
$4,454
$1,877
84
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; EACH ADDITIONAL GROWTH
$1,920
$1,114
$66
41
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH
$6,000
$3,480
$1,859
110
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; EACH ADDITIONAL GROWTH
$1,500
$870
$62
54
clean
BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI; FIRST GROWTH
$4,424
$2,566
$1,822
80
clean
BIOPSY OF BREAST THROUGH INCISION
$7,783
$4,514
$4,320
13
clean
EXPLORATION OF BREAST NIPPLE
$11,700
$6,786
$4,320
39
clean
REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE
$3,947
$2,289
$4,320
123
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; FIRST GROWTH
$12,350
$7,163
$4,320
80
clean
REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER; EACH ADDITIONAL GROWTH
$7,800
$4,524
$127
13
clean
PLACEMENT OF LOCATING DEVICE IN BREAST USING X-RAY WITH NEEDLE GUIDANCE; FIRST GROWTH
$1,869
$1,084
$781
52
clean
PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE; FIRST GROWTH
$1,470
$853
$781
173
clean
PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE; EACH ADDITIONAL GROWTH
$735
$426
$34
52
clean
PARTIAL REMOVAL OF BREAST
$16,950
$9,831
$4,320
106
clean
SIMPLE COMPLETE REMOVAL OF BREAST
$16,240
$9,419
$7,327
97
clean
REMOVAL OF BREAST AND UNDERARM LYMPH NODES
$32,800
$19,024
$7,327
41
clean
REPAIR FOR SAGGING OF THE BREAST
$26,550
$15,399
$7,327
28
clean
BREAST REDUCTION
$17,000
$9,860
$7,327
69
clean
INSERTION OF BREAST IMPLANT
$18,854
$10,935
$9,019
15
clean
REMOVAL OF INTACT BREAST IMPLANT
$11,363
$6,590
$4,320
28
clean
REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL
$3,892
$2,257
$4,320
13
clean
PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION
$26,597
$15,426
$15,206
15
clean
PLACEMENT OF IMPLANT ON SEPARATE DAY OF BREAST RECONSTRUCTION
$16,875
$9,788
$9,019
82
clean
RECONSTRUCTION OF NIPPLE OR AREA AROUND NIPPLE
$15,566
$9,028
$4,320
56
clean
RECONSTRUCTION OF BREAST USING TISSUE EXPANDER
$12,967
$7,521
$15,206
28
clean
REVISION OF CAPSULE AROUND BREAST IMPLANT
$22,500
$13,050
$4,320
13
clean
REMOVAL OF CAPSULE AROUND BREAST IMPLANT
$15,566
$9,028
$4,320
82
clean
SURGICAL CHANGE TO RECONSTRUCTED BREAST
$15,360
$8,909
$7,327
56
clean
BIOPSY OF MUSCLE
$10,320
$5,986
$1,822
15
clean
DEEP BIOPSY OF MUSCLE
$8,600
$4,988
$3,205
15
clean
NEEDLE BIOPSY OF MUSCLE
$1,240
$719
$1,822
28
clean

Showing the first 200 of 4,150 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
1,072 of 1,767 comparable items (61%) 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 $2,700 exceeds the gross charge $943
warn
mrf_rate_without_estimate
207,937 of 207,937 percentage/algorithm rates across 4,150 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 25565/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 45990/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64415/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81001/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0712/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9255/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11012/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 25575/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31622/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 46020/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64416/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74150/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81003/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96416/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0713/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 differ, so no cross-line comparison was made for this item
CPT J9260/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 differ, so no cross-line comparison was made for this item
CPT 11042/o
info
mrf_item_fields_vary
this code and setting cover at least 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 31624/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46050/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64417/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 74160/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96417/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0717/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9263/o
info
mrf_item_fields_vary
this code and setting cover at least 41 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 11043/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 25605/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31625/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 46220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64418/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 74170/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 81025/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 differ, so no cross-line comparison was made for this item
CPT 96450/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0736/o
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9264/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11044/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 25606/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31628/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 differ, so no cross-line comparison was made for this item
CPT 46221/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 64420/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 74174/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88271/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0739/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9267/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 11045/o
info
mrf_item_fields_vary
this code and setting cover at least 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 25607/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31629/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 46250/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64421/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 74175/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81170/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 88274/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96521/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J0744/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9271/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 differ, so no cross-line comparison was made for this item
CPT 11046/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 differ, so no cross-line comparison was made for this item
CPT 46255/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64425/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 74176/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81206/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88275/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96523/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J0780/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 differ, so no cross-line comparison was made for this item
CPT J9272/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11055/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 25609/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31632/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 46260/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64430/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74177/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81207/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97110/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0834/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9280/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 differ, so no cross-line comparison was made for this item
CPT 25628/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64445/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 74178/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0873/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9298/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11104/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31635/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 46320/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64447/o
info
mrf_item_fields_vary
this code and setting cover at least 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 74181/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 81208/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 88291/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97116/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0875/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9299/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11105/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 25652/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31636/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 46600/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64450/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 74183/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81219/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0878/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9301/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 differ, so no cross-line comparison was made for this item
CPT 11106/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 26010/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 31637/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 64454/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 74185/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81229/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0881/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 differ, so no cross-line comparison was made for this item
CPT J9303/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 differ, so no cross-line comparison was made for this item
CPT 11200/o
info
mrf_item_fields_vary
this code and setting cover at least 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 31638/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64479/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 88304/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 97162/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0885/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9305/o
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11401/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 26055/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 differ, so no cross-line comparison was made for this item
CPT 31640/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 46614/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64480/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 74220/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 81240/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88305/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 differ, so no cross-line comparison was made for this item
CPT J0887/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 J9306/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 differ, so no cross-line comparison was made for this item
CPT 11403/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 26121/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31641/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64483/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88307/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 J0888/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 differ, so no cross-line comparison was made for this item
CPT J9308/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11404/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 26123/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31645/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64484/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 74230/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 88309/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 J0894/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 differ, so no cross-line comparison was made for this item
CPT J9309/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11406/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 26125/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 46922/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 64490/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0895/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9312/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 differ, so no cross-line comparison was made for this item
CPT 11420/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 46946/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64491/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 differ, so no cross-line comparison was made for this item
CPT 74240/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 88312/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 J0896/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9317/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 differ, so no cross-line comparison was made for this item
CPT 11421/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 26160/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31652/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64493/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 81261/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88313/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 97530/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J0897/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 differ, so no cross-line comparison was made for this item
CPT J9319/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 differ, so no cross-line comparison was made for this item
CPT 11422/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31653/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64494/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 differ, so no cross-line comparison was made for this item
CPT 74250/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 85379/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97535/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 differ, so no cross-line comparison was made for this item
CPT J1010/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 differ, so no cross-line comparison was made for this item
CPT J9321/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11423/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31654/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64505/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81263/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 88321/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 97597/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 differ, so no cross-line comparison was made for this item
CPT J1100/o
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9332/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 differ, so no cross-line comparison was made for this item
CPT 11426/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 26320/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64517/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74261/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81264/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 85397/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97598/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 J1110/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9334/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11441/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 26356/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32550/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64520/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 81265/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J1120/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9347/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 differ, so no cross-line comparison was made for this item
CPT 11442/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 26410/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32551/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64530/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 74270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 81270/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item

Showing the first 200 of 2,927 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 59.9M bytes · fetched 2026-08-26 · sha256 01e7b2317025…

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.