Hospital · CCN 250034

Baptist Memorial Hospital North Ms

1100 Belk Blvd /Po Box 946, Oxford, MS 38655 · Lafayette County
Part of Baptist Memorial Health Care Corporation · 190 beds · 2
Micropolitan high commuting: primary flow 30% or more to a urban cluster of 10,000 to 49,999

83 admission types 51 outpatient services price file: ok
Billed per dollar paid, all admissions
3.65×
$161.8M billed against $44.4M paid across 3,772 Medicare discharges; the national figure is 5.03×.
3.8%
of adults in Lafayette County have medical debt in collections
14.0%
uninsured in the county · state 13.1%
$73K
median household income
3.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
34.4%
obesity in the countyⓘ
10.9%
diagnosed diabetes (PLACES)
5.4%
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
799
$47,939
$13,676
3.5× st 4.6×
291
Heart failure and shock with mcc
246
$30,938
$9,007
3.4× st 4.6×
177
Respiratory infections and inflammations with mcc
152
$38,918
$11,689
3.3× st 4.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
140
$29,085
$7,805
3.7× st 4.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
120
$29,624
$9,369
3.2× st 4.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
96
$95,486
$30,051
3.2× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
93
$36,769
$11,216
3.3× st 4.4×
682
Renal failure with mcc
92
$31,194
$10,163
3.1× st 4.6×
698
Other kidney and urinary tract diagnoses with mcc
89
$37,241
$11,310
3.3× st 4.1×
683
Renal failure with cc
85
$23,668
$7,116
3.3× st 4.4×
689
Kidney and urinary tract infections with mcc
75
$28,360
$8,423
3.4× st 4.4×
193
Simple pneumonia and pleurisy with mcc
61
$37,411
$9,457
4.0× st 5.0×
189
Pulmonary edema and respiratory failure
58
$37,721
$8,962
4.2× st 5.2×
481
Hip and femur procedures except major joint with cc
56
$55,418
$14,642
3.8× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
54
$31,662
$8,876
3.6× st 4.9×
690
Kidney and urinary tract infections without mcc
53
$21,589
$6,231
3.5× st 4.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
47
$60,674
$14,722
4.1× st 4.9×
378
Gastrointestinal hemorrhage with cc
44
$29,526
$7,589
3.9× st 5.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
43
$21,919
$5,909
3.7× st 4.0×
309
Cardiac arrhythmia and conduction disorders with cc
43
$25,659
$6,173
4.2× st 4.4×
305
Hypertension without mcc
43
$22,775
$5,755
4.0× st 5.0×
377
Gastrointestinal hemorrhage with mcc
38
$49,086
$12,388
4.0× st 4.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
38
$23,371
$6,599
3.5× st 5.0×
480
Hip and femur procedures except major joint with mcc
37
$70,843
$19,852
3.6× st 4.2×
637
Diabetes with mcc
35
$40,202
$10,109
4.0× st 3.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
34
$76,813
$13,689
5.6× st 8.6×
281
Acute myocardial infarction, discharged alive with cc
34
$28,589
$6,869
4.2× st 6.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
34
$34,902
$7,485
4.7× st 5.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
33
$42,731
$12,515
3.4× st 4.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
33
$48,929
$14,207
3.4× st 4.4×
274
Percutaneous and other intracardiac procedures without mcc
33
$110,893
$22,005
5.0× st 4.1×
638
Diabetes with cc
32
$22,671
$6,767
3.4× st 3.8×
699
Other kidney and urinary tract diagnoses with cc
31
$25,315
$7,575
3.3× st 4.0×
312
Syncope and collapse
30
$27,635
$6,516
4.2× st 4.6×
388
Gastrointestinal obstruction with mcc
28
$32,864
$9,881
3.3× st 4.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
27
$62,812
$18,907
3.3× st 5.2×
660
Kidney and ureter procedures for non-neoplasm with cc
26
$44,932
$12,059
3.7× st 3.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
25
$96,662
$21,390
4.5× st 7.5×
389
Gastrointestinal obstruction with cc
24
$25,516
$6,188
4.1× st 4.7×
811
Red blood cell disorders with mcc
24
$40,119
$10,233
3.9× st 4.5×
812
Red blood cell disorders without mcc
23
$29,815
$6,775
4.4× st 3.9×
304
Hypertension with mcc
22
$31,681
$8,590
3.7× st 3.7×
242
Permanent cardiac pacemaker implant with mcc
22
$107,753
$23,893
4.5× st 4.8×
314
Other circulatory system diagnoses with mcc
22
$47,834
$13,881
3.4× st 3.9×
070
Other cerebrovascular disorders with mcc
21
$36,042
$11,541
3.1× st 3.9×
190
Chronic obstructive pulmonary disease with mcc
21
$30,131
$7,465
4.0× st 5.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
20
$16,322
$4,361
3.7× st 4.1×
330
Major small and large bowel procedures with cc
20
$59,879
$18,122
3.3× st 4.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$33,390
$9,551
3.5× st 4.3×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
19
$109,176
$28,486
3.8× st 5.1×
243
Permanent cardiac pacemaker implant with cc
19
$91,905
$16,855
5.5× st 5.4×
552
Medical back problems without mcc
19
$29,479
$6,961
4.2× st 4.0×
482
Hip and femur procedures except major joint without cc/mcc
19
$46,181
$11,392
4.1× st 5.3×
390
Gastrointestinal obstruction without cc/mcc
19
$18,410
$4,419
4.2× st 3.6×
329
Major small and large bowel procedures with mcc
18
$141,117
$33,218
4.2× st 4.7×
603
Cellulitis without mcc
18
$19,960
$6,708
3.0× st 4.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$27,156
$10,295
2.6× st 4.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
17
$41,619
$8,462
4.9× st 6.6×
521
Hip replacement with principal diagnosis of hip fracture with mcc
17
$70,487
$19,269
3.7× st 4.0×
236
Coronary bypass without cardiac catheterization without mcc
16
$118,499
$27,373
4.3× st 4.2×
092
Other disorders of nervous system with cc
16
$27,184
$7,277
3.7× st 4.0×
091
Other disorders of nervous system with mcc
16
$26,885
$11,080
2.4× st 3.6×
331
Major small and large bowel procedures without cc/mcc
16
$47,909
$12,343
3.9× st 4.4×
178
Respiratory infections and inflammations with cc
15
$28,228
$6,970
4.1× st 4.1×
071
Other cerebrovascular disorders with cc
15
$29,549
$7,660
3.9× st 4.6×
191
Chronic obstructive pulmonary disease with cc
15
$22,615
$6,358
3.6× st 5.9×
393
Other digestive system diagnoses with mcc
15
$49,829
$11,866
4.2× st 4.4×
282
Acute myocardial infarction, discharged alive without cc/mcc
15
$26,188
$5,512
4.8× st 4.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
14
$55,157
$13,794
4.0× st 7.0×
884
Organic disturbances and intellectual disability
13
$23,744
$10,488
2.3× st 3.5×
244
Permanent cardiac pacemaker implant without cc/mcc
12
$83,144
$12,818
6.5× st 5.5×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
12
$58,988
$16,528
3.6× st 3.5×
056
Degenerative nervous system disorders with mcc
12
$44,520
$16,126
2.8× st 3.8×
919
Complications of treatment with mcc
12
$43,499
$13,113
3.3× st 3.4×
194
Simple pneumonia and pleurisy with cc
12
$20,221
$6,241
3.2× st 5.2×
433
Cirrhosis and alcoholic hepatitis with cc
11
$31,672
$7,742
4.1× st 3.6×
813
Coagulation disorders
11
$49,565
$12,113
4.1× st 3.6×
602
Cellulitis with mcc
11
$37,623
$10,854
3.5× st 4.2×
300
Peripheral vascular disorders with cc
11
$28,630
$8,181
3.5× st 3.2×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$76,962
$13,104
5.9× st 3.7×
394
Other digestive system diagnoses with cc
11
$27,308
$7,026
3.9× st 4.4×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$43,012
$13,280
3.2× st 3.8×
673
Other kidney and urinary tract procedures with mcc
11
$92,247
$26,881
3.4× st 3.3×
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
802
$19,445
$2,247
8.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
314
$10,435
$1,344
7.8×
5191
Level 1 Endovascular Procedures
226
$23,138
$2,684
8.6×
5361
Level 1 Laparoscopy and Related Services
151
$20,633
$4,759
4.3×
5183
Level 3 Vascular Procedures
136
$15,557
$2,638
5.9×
5374
Level 4 Urology and Related Services
134
$15,122
$2,884
5.2×
5222
Level 2 Pacemaker and Similar Procedures
121
$36,785
$7,114
5.2×
5115
Level 5 Musculoskeletal Procedures
111
$45,544
$10,923
4.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
108
$12,399
$2,363
5.2×
5223
Level 3 Pacemaker and Similar Procedures
104
$59,970
$8,867
6.8×
5213
Level 3 Electrophysiologic Procedures
94
$117,079
$19,257
6.1×
5373
Level 3 Urology and Related Services
65
$12,210
$1,685
7.2×
5193
Level 3 Endovascular Procedures
65
$64,969
$9,207
7.1×
5375
Level 5 Urology and Related Services
64
$16,522
$4,333
3.8×
5114
Level 4 Musculoskeletal Procedures
57
$35,020
$5,990
5.8×
5362
Level 2 Laparoscopy and Related Services
55
$39,305
$8,617
4.6×
5116
Level 6 Musculoskeletal Procedures
51
$71,696
$15,573
4.6×
5192
Level 2 Endovascular Procedures
45
$40,034
$4,707
8.5×
5182
Level 2 Vascular Procedures
42
$6,319
$1,341
4.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
37
$18,782
$2,834
6.6×
5232
Level 2 ICD and Similar Procedures
35
$125,829
$27,467
4.6×
5154
Level 4 Airway Endoscopy
33
$12,585
$3,136
4.0×
5194
Level 4 Endovascular Procedures
31
$92,518
$14,183
6.5×
5224
Level 4 Pacemaker and Similar Procedures
30
$107,777
$16,281
6.6×
5376
Level 6 Urology and Related Services
28
$29,385
$7,714
3.8×
5302
Level 2 Upper GI Procedures
28
$8,633
$1,593
5.4×
5153
Level 3 Airway Endoscopy
27
$8,930
$1,379
6.5×
5112
Level 2 Musculoskeletal Procedures
25
$8,233
$1,303
6.3×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
24
$29,040
$5,460
5.3×
5113
Level 3 Musculoskeletal Procedures
19
$16,215
$2,615
6.2×
5414
Level 4 Gynecologic Procedures
19
$13,169
$2,618
5.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
17
$17,417
$3,192
5.5×
5155
Level 5 Airway Endoscopy
14
$26,268
$5,731
4.6×
5464
Level 4 Neurostimulator and Related Procedures
11
$44,786
$18,275
2.5×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via baptistonline.org/cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-02-27, template 3.0.0, 1,803,696 rows scanned, 4,588 distinct code–setting items kept. 1,781 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC VIZ.AI NTAP
$292
$67
$204
23
clean
HC STENT PL INTRATHOR CAROTID INI
$20,457
$4,705
$11,251
25
clean
NFCT DS MCRB CLL FR DNA UNTRGT NEXT GENRJ SEQ 0152U
$4,679
$1,076
$3,827
86
clean
INJECTION(S), PLATELET RICH PLASMA, ANY SITE, INCLUDING IMAGE GUIDANCE, HARVESTING AND PREPARATION WHEN PERFORMED
$5,000
$1,150
$653
158
clean
HC ATHERECTOMY BRACH TRUNK/BRANCH EA VESSEL
$26,624
$6,124
$18,571
86
clean
HC ATHERECTOMY ILIAC ARTERY EA VESSEL LT
$26,624
$6,124
$29,405
172
clean
ONC SLD ORG NEO DNA 505 GENE
$9,852
$2,266
$5,255
86
clean
PERCUTANEOUS LAMINOTOMY/LAMINECTOMY (INTERLAMINAR APPROACH) FOR DECOMPRESSION OF NEURAL ELEMENTS, (WITH OR WITHOUT LIGAMENTOUS RESECTION, DISCECTOMY, FACETECTOMY AND/OR FORAMINOTOMY), ANY METHOD, UNDER INDIRECT IMAGE GUI
—
—
$11,698
72
clean
HC 0352U NFCT DS BCT VAGINOSIS&VAGINITIS MULT AMP PROBE
$463
$106
$232
25
clean
HC 0361U NEUROFILAMENT LIGHT CHAIN DIGITAL IA PLASMA QUAN
$1,271
$292
$209
84
clean
TRANSURETHRAL WATERJET ABLATION OF PROSTATE, INCLUDING CONTROL OF POST-OPERATIVE BLEEDING, INCLUDING ULTRASOUND GUIDANCE, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTER
—
—
$15,143
72
clean
HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING
$8,806
$2,025
$4,403
27
clean
HC PL DEVICE/ MONITOR/REMOVE
$212
$49
$138
23
clean
HC FINE NEEDLE ASPIRATION BX INCLUDE US GUIDE 1ST LESION
$2,029
$467
$1,152
86
clean
HC FINE NEEDLE ASPIRATION BX INCLUDE US GUIDE EA ADD'L LESION
$1,015
$233
$558
23
clean
HC ED 10007-FINE NEEDLE ASP W IMAGE
$2,029
$467
$1,152
84
clean
HC FINE NEEDLE ASPIRATION BX INCLUDE CT GUIDE 1ST LESION
$2,029
$467
$1,152
86
clean
HC FINE NEEDLE ASPIRATION BX INCLUDE CT GUIDE EA ADD'L LESION
$1,015
$233
$558
23
clean
HC ED 10021-FINE NEEDLE ASPIRATION/BX W/O IMAGE 1ST LESION
$415
$95
$654
84
clean
HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE
$3,669
$844
$1,152
86
clean
HC PLACEMENT WIRE LOCALIZATION DEVICE
$1,133
$261
$1,152
86
clean
INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE
$818
$188
$325
328
clean
INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); COMPLICATED OR MULTIPLE
$1,078
$248
$654
242
clean
HC 10080-DRAINAGE OF PILONIDAL CYST
$1,991
$458
$1,152
170
clean
HC ED 10081 - I&D PILONIDAL CYST COMP
$931
$214
$1,152
84
clean
INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE
$1,078
$248
$654
242
clean
HC 10121 INCISION & REMOVAL F B SUBQ TISSUES COMPLICATED
$4,731
$1,088
$2,653
170
clean
INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION
$4,727
$1,087
$2,653
242
clean
HC PUNCTURE/ASPIRATION ABSCESS/HEMATOMA
$652
$150
$654
170
clean
INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION
—
—
$4,687
72
clean
HC ED 11000-DEBRIDE INFECTED SKIN
$773
$178
$1,002
84
clean
REMOVAL OF PROSTHETIC MATERIAL OR MESH, ABDOMINAL WALL FOR INFECTION (EG, FOR CHRONIC OR RECURRENT MESH INFECTION OR NECROTIZING SOFT TISSUE INFECTION) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$2,123
4
clean
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN AND SUBCUTANEOUS TISSUES
$1,699
$391
$1,152
156
clean
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, MUSCLE, AND BONE
$3,717
$855
$4,687
156
clean
DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LESS
$1,618
$372
$654
242
clean
DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); FIRST 20 SQ CM OR LESS
$2,425
$558
$1,002
242
clean
DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); FIRST 20 SQ CM OR LESS
$3,143
$723
$2,653
242
clean
HC WD DEBRIDE SQ TISS EA ADD 20 SQ CM
$2,364
$544
$1,182
27
clean
HC WD DEBRIDE MUS/FAS EA ADD 20 SQ CM
$2,364
$544
$1,229
23
clean
HC WD DEBRIDE BONE EA ADD 20 SQ CM
$2,364
$544
$1,229
23
clean
HC WD PARING OF BENIGN LESION SINGLE
$606
$139
$325
170
clean
HC WD PARING OF BENIGN LESIONS 2-4
$606
$139
$325
170
clean
HC WD PARING OF BENIGN LESIONS OVER 4
$606
$139
$325
86
clean
HC TANGENTIAL BX OF SKIN(SHAVE,SCOOP,SAUCERIZE,CURETTE) SLG LESION
$606
$139
$325
86
clean
HC TANGENTIAL BX OF SKN(SHAVE,SCOOP,SAUCERIZE,CURETTE) EA ADD'L LESION
$606
$139
$394
23
clean
HC PUNCH BX SKIN SINGLE LESION
$818
$188
$654
86
clean
HC PUNCH BX SKIN EA SEP/ADDL
$606
$139
$394
23
clean
HC INCISIONAL BIOPSY SKIN SINGLE LESION
$1,078
$248
$1,002
86
clean
HC INCISIONAL BX SKN EA SEP/ADDL
$1,078
$248
$593
23
clean
REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDING 15 LESIONS
$341
$78
$325
242
clean
HC WD EXCISE LESION BENIGN 0.5 CM OR LESS
$1,204
$277
$1,152
170
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$654
72
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM
$865
$199
$1,152
156
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM
$1,699
$391
$1,152
156
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM
—
—
$2,653
72
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$2,653
72
clean
HC ED 11421 EXCISION LESN BENGN SCALP/HAND/FT/GEN 0.6-1.0CM
$2,019
$464
$1,152
84
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$2,653
72
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$2,653
72
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$2,653
72
clean
EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
—
—
$4,687
72
clean
HC ED 11440-REMOVAL OF SKIN LESION
$865
$199
$1,152
84
clean
EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$1,152
72
clean
EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$1,152
72
clean
EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$2,653
72
clean
EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR INTERMEDIATE REPAIR
—
—
$4,687
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$1,152
72
clean
HC WD EXC TRUNK,EXTREM & MARGINS 0.6 TO 1.0 CM
$1,178
$271
$1,152
86
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM
$1,554
$357
$654
158
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$1,152
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$1,152
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER OVER 4.0 CM
—
—
$2,653
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$2,653
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$1,152
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$1,152
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$2,653
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$2,653
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
—
—
$4,687
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.5 CM OR LESS
—
—
$1,152
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.6 TO 1.0 CM
—
—
$1,152
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 1.1 TO 2.0 CM
—
—
$1,152
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 2.1 TO 3.0 CM
—
—
$2,653
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 3.1 TO 4.0 CM
—
—
$2,653
72
clean
EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER OVER 4.0 CM
—
—
$4,687
72
clean
HC ED TRIMMING NONDYSTROPHIC NAILS ANY NUMBER
$172
$40
$97
84
clean
HC ED 11720-DEBRIDEMENT OF NAILS 5 OR LESS
$164
$38
$97
84
clean
HC WD AVULSION OF NAIL PLATE SINGLE
$606
$139
$325
170
clean
HC WD AVULSION OF NAIL PLATE ADDL
$204
$47
$78
44
clean
HC ED 11740-DRAIN BLOOD FROM UNDER NAIL
$177
$41
$211
84
clean
EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), FOR PERMANENT REMOVAL
$778
$179
$654
242
clean
HC BIOPSY OF NAIL UNIT
$1,991
$458
$1,152
86
clean
REPAIR OF NAIL BED
$773
$178
$1,002
156
clean
HC ED 11765-EXCISION OF NAIL FOLD
$506
$116
$654
84
clean
EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE
—
—
$4,687
72
clean
EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED
—
—
$4,687
72
clean
HC ED 11900-INJ,INTRALESIONAL,UP TO AND INCLUDING 7 LESIONS
$606
$139
$325
84
clean
REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT
—
—
$11,698
72
clean
INSERTION, DRUG-DELIVERY IMPLANT (IE, BIORESORBABLE, BIODEGRADABLE, NON-BIODEGRADABLE)
—
—
$211
72
clean
HC ED 11982 REMV NONBIODEGRD DRUG DELV IMPLT
$456
$105
$653
84
clean
SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.5 CM OR LESS
$328
$75
$325
242
clean
HC ED 12002-REPAIR SUPERFICIAL WOUND
$250
$58
$325
84
clean
HC ED 12004-REPAIR SUPERFICIAL WOUND
$240
$55
$325
84
clean
HC ED 12005-REPAIR SUPERFICIAL WOUND
$506
$116
$654
84
clean
HC ED 12006-REPAIR SUPERFICIAL WOUND
$506
$116
$654
84
clean
HC ED 12007-REPAIR SUPERFICIAL WOUND
$406
$93
$325
84
clean
HC ED 12011-REPAIR SUPERFICIAL WOUND
$240
$55
$325
84
clean
HC ED 12013-REPAIR SUPERFICIAL WOUND
$240
$55
$325
84
clean
HC ED 12014-REPAIR SUPERFICIAL WOUND
$348
$80
$325
84
clean
HC ED 12015-REPAIR SUPERFICIAL WOUND
$240
$55
$325
84
clean
HC ED 12016-REPAIR SUPERFICIAL WOUND
$523
$120
$654
84
clean
HC ED 12017-REPAIR SUPERFICIAL WOUND
$506
$116
$654
84
clean
HC ED 12018-REPAIR SUPERFICIAL WDS > 3.0 CM
$272
$63
$325
84
clean
TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE
$630
$145
$1,002
156
clean
REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.5 CM OR LESS
$432
$99
$654
156
clean
REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM
$498
$115
$654
240
clean
REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 7.6 CM TO 12.5 CM
$432
$99
$654
156
clean
HC ED 12035-LAYER CLOSURE OF WOUND
$630
$145
$654
84
clean
HC ED 12036-LAYER CLOSURE OF WOUND
$630
$145
$1,002
84
clean
HC ED 12037-REPAIR,INTERM WOUNDS SCALP,AXIL,TRUNK>30CM
$4,166
$958
$2,995
84
clean
HC ED 12041-LAYER CLOSURE OF WOUND
$506
$116
$654
84
clean
HC ED 12042-LAYER CLOSURE OF WOUND
$432
$99
$654
84
clean
REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 7.6 CM TO 12.5 CM
$785
$181
$1,002
156
clean
HC ED 12045-LAYER CLOSURE OF WOUND(S)
$785
$181
$1,002
84
clean
HC ED 12051-LAYER CLOSURE OF WOUND
$431
$99
$654
84
clean
REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.6 CM TO 5.0 CM
$432
$99
$654
156
clean
HC ED 12053-LAYER CLOSURE OF WOUND
$432
$99
$654
84
clean
HC ED 12054-LAYER CLOSURE OF WOUND
$506
$116
$654
84
clean
HC ED 12055-LAYER CLOSURE OF WOUND
$434
$100
$654
84
clean
ER 13100 RPR COMPLEX WOUND TRUNK 1.1 TO 2.5
$961
$221
$1,002
84
clean
REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM
—
—
$1,002
72
clean
REPAIR, COMPLEX, TRUNK; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$456
4
clean
REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM
$630
$145
$1,002
156
clean
HC ED 13122-REPAIR WOUND LESION ADD ON
$435
$100
$261
25
clean
REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 1.1 CM TO 2.5 CM
$773
$178
$654
156
clean
REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 2.6 CM TO 7.5 CM
$630
$145
$1,002
156
clean
HC ED 13133-REPAIR WOUND LESION ADD ON
$550
$127
$330
25
clean
REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM
$666
$153
$1,002
156
clean
REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 2.6 CM TO 7.5 CM
$638
$147
$1,002
156
clean
SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED
—
—
$2,995
72
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10 SQ CM OR LESS
—
—
$2,995
72
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM
—
—
$2,995
72
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10 SQ CM OR LESS
—
—
$2,995
72
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10.1 SQ CM TO 30.0 SQ CM
—
—
$2,995
72
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10 SQ CM OR LESS
$5,372
$1,236
$2,995
156
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10.1 SQ CM TO 30.0 SQ CM
—
—
$2,995
72
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10 SQ CM OR LESS
$5,372
$1,236
$2,995
156
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10.1 SQ CM TO 30.0 SQ CM
—
—
$2,995
72
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; DEFECT 30.1 SQ CM TO 60.0 SQ CM
—
—
$5,995
72
clean
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; EACH ADDITIONAL 30.0 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$456
4
clean
SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, OR
—
—
$1,002
72
clean
SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)
—
—
$2,995
72
clean
HC 15110 EPIDEMAL ATGRFT TRNK,ARMS,LEGS 1ST 100 SQ CM > INFTS/CHILD
$5,323
$1,224
$2,995
86
clean
TISSUE CULTURED SKIN AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; FIRST 25 SQ CM OR LESS
—
—
$5,995
72
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; 20 SQ CM OR LESS
—
—
$2,995
72
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$456
4
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; 20 SQ CM OR LESS
—
—
$2,995
72
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$456
4
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; 20 SQ CM OR LESS
—
—
$2,995
72
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO C
—
—
$456
4
clean
FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS
—
—
$2,995
72
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA
$5,323
$1,224
$2,995
158
clean
HC WD SKIN SUBSTITUTE GRAFT TRUNK/ARM/LEG EA ADDL 25 SQ CM
$2,660
$612
$1,383
23
clean
HC WD SKIN SUB GRFT AND/OR INFT/CHILD TRK/ARM/LEG 1ST 100 SQ CM
$9,504
$2,186
$5,995
86
clean
HC WD SKIN SUB GRAFT INFANT/CHILD TRUNK/ARM/LEG EA ADDL 100 SQ CM
$4,752
$1,093
$2,471
23
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA
$5,323
$1,224
$2,995
158
clean
HC WD SKIN SUBSTITUTE GRAFT FACE/NECK/HAND/FEET EA ADDL 25 SQ CM
$2,660
$612
$1,383
23
clean
APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; FIRST 100 SQ CM WOUND
$5,323
$1,224
$2,995
158
clean
HC WD SKIN SUB INFANT/CHILD GRAFT FACE/NECK/HAND/FEET EA ADDL 100 SQ CM
$2,660
$612
$1,383
23
clean
DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT FOREHEAD, CHEEKS, CHIN, NECK, AXILLAE, GENITALIA, HANDS, OR FEET
—
—
$2,995
72
clean
DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT EYELIDS, NOSE, EARS, OR LIPS
—
—
$2,995
72
clean
FOREHEAD FLAP WITH PRESERVATION OF VASCULAR PEDICLE (EG, AXIAL PATTERN FLAP, PARAMEDIAN FOREHEAD FLAP)
—
—
$5,995
72
clean
IMPLANTATION OF BIOLOGIC IMPLANT (EG, ACELLULAR DERMAL MATRIX) FOR SOFT TISSUE REINFORCEMENT (IE, BREAST, TRUNK) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
—
—
$456
4
clean
BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN WEIGHTING DOWN LID
—
—
$2,995
72
clean
EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); OTHER AREA
—
—
$4,687
72
clean
REMOVAL OF SUTURES OR STAPLES REQUIRING ANESTHESIA (IE, GENERAL ANESTHESIA, MODERATE SEDATION)
—
—
$2,995
72
clean
HC ED 15853 REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA
$261
$60
$144
21
clean
HC ED 15854 REMOVAL SUTURES&STAPLES NOT REQUIRING ANESTHESIA
$282
$65
$155
21
clean
HC ED 16000-INITIAL TREAT OF BURN
$212
$49
$325
84
clean
HC WD DRESSING/DEBRIDE SMALL BURN < 5% TOTAL BODY
$818
$188
$325
170
clean
HC WD DRESSING/DEBRIDE MEDIUM BURN 5-10% TOTAL BODY
$606
$139
$325
170
clean
DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT; LARGE (EG, MORE THAN 1 EXTREMITY, OR GREATER THAN 10% TOTAL BODY SURFACE AREA)
$1,078
$248
$654
242
clean
HC ED 16035 ESCHAROTOMY 1ST INCISION
$1,078
$248
$654
84
clean
HC ED 16036 ESCHAROTOMY EA ADDL INCISON
$540
$124
$324
23
clean
HC ED 17110-DESTRUCT BENIGN LESION 1-14
$212
$49
$325
84
clean
HC WD CHEMICAL CAUTERIZATION
$818
$188
$325
170
clean
UNLISTED PROCEDURE, SKIN, MUCOUS MEMBRANE AND SUBCUTANEOUS TISSUE
$212
$49
$325
156
clean
HC BREAST CYST ASPIRATION
$1,221
$281
$1,152
86
clean
HC BREAST CYST ASPIRATION EA ADDL CYST
$487
$112
$317
23
clean
MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP
$4,541
$1,044
$2,653
156
clean
HC MM DUCTOGRAM/GALACTOGRAM INJECTION
$386
$89
$251
23
clean
BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING STEREOTACTIC GUIDANCE
$7,154
$1,645
$2,653
158
clean
HC BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE
$2,206
$507
$1,103
27
clean
BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCE
$8,206
$1,887
$2,653
158
clean
HC BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE
$3,948
$908
$2,053
23
clean
HC MR BRST BX/ DEV PL 1ST LESION
$7,143
$1,643
$2,653
86
clean
HC MR BRST BX/ DEV PL ADD LESION
$1,863
$428
$969
23
clean
BIOPSY OF BREAST; OPEN, INCISIONAL
—
—
$6,271
72
clean
EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19300), OPEN, MALE OR FEMALE, 1 OR MORE LESIONS
—
—
$6,271
72
clean
EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; SINGLE LESION
—
—
$6,271
72
clean
EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; EACH ADDITIONAL LESION SEPARATELY IDENTIFIED BY A PREOPERATIVE RADIOLOGICAL MARKER (LIST SEPARATELY IN ADDITION TO CODE FOR PRI
—
—
$456
4
clean

Showing the first 200 of 4,588 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
927 of 2,438 comparable items (38%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $1,135 exceeds the gross charge $292
warn
mrf_rate_without_estimate
2,430 of 2,430 percentage/algorithm rates across 1,912 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 86316/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 J0834/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 41899/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 86317/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 J0872/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 J0877/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 42000/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 86332/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 J0878/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, max differ, so no cross-line comparison was made for this item
CPT 86335/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 J0883/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86341/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 J0894/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, max differ, so no cross-line comparison was made for this item
CPT 86352/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 J0895/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 0232T/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 42700/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 J1010/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, max differ, so no cross-line comparison was made for this item
CPT 73600/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 86376/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 J1050/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73620/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 86382/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 J1071/o
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 0387T/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 86403/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 J1100/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, max differ, so no cross-line comparison was made for this item
CPT 27266/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 42960/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 J1110/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 0523T/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 86580/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 97016/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 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, max differ, so no cross-line comparison was made for this item
CPT 27301/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 86592/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 J1160/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 43246/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 86606/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 J1165/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 86612/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 J1170/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 43248/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 86618/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 97035/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 J1171/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, max differ, so no cross-line comparison was made for this item
CPT 86631/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 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, max differ, so no cross-line comparison was made for this item
CPT J1190/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 86632/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 97112/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 J1200/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 43760/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 86635/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 J1205/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 10022/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 43762/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 74485/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 86651/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 97116/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 J1230/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43999/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 86652/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 J1250/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10060/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 86653/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 J1265/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, max differ, so no cross-line comparison was made for this item
CPT 10061/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 27532/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 86654/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 J1270/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 10080/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 86658/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 97140/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 J1301/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 86665/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 97530/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 J1325/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 10120/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 45382/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 86666/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 J1327/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86677/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 J1335/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10121/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 86682/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 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, max differ, so no cross-line comparison was made for this item
CPT J1380/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10140/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 46040/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 86695/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 J1450/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10160/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 86696/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 97542/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 J1451/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 46050/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 86698/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 J1453/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, max differ, so no cross-line comparison was made for this item
CPT 86702/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 J1455/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 11010/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 86703/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 J1568/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 27781/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 86706/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 97597/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 J1570/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 11012/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 86711/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 97598/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 J1572/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 11042/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 86735/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 97602/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 J1580/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, max 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 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 86753/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 97605/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 J1595/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 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, min differ, so no cross-line comparison was made for this item
CPT 75984/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 86757/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 J1596/o
info
mrf_item_fields_vary
this code and setting cover at least 65 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max 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 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 86762/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 97607/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 J1626/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 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, max differ, so no cross-line comparison was made for this item
CPT 27818/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 76098/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 86777/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 J1630/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 11056/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 76380/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 86778/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 J1631/o
info
mrf_item_fields_vary
this code and setting cover at least 37 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 27825/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 86780/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 97760/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 J1642/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 76705/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 86788/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 J1643/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 76815/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 86789/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 97763/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 J1644/o
info
mrf_item_fields_vary
this code and setting cover at least 94 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76857/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 86790/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 99152/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 J1650/o
info
mrf_item_fields_vary
this code and setting cover at least 93 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 76882/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 86850/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 99153/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 J1652/o
info
mrf_item_fields_vary
this code and setting cover at least 31 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 28190/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 99195/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 J1740/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 11200/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 86870/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 99202/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 J1741/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 11400/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 86886/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 99203/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 J1742/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 77065/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 99204/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 J1744/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 11402/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 77066/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 86902/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 99205/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 J1790/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 86905/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 99211/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 J1800/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 11403/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 99212/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 J1805/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, max differ, so no cross-line comparison was made for this item
CPT 49082/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 99213/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 J1806/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 49083/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 99214/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 J1815/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 86927/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 99215/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 J1836/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 11602/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 J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 46 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 11730/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 77306/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 J1920/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, max differ, so no cross-line comparison was made for this item
CPT 11732/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 77307/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 J1930/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

Showing the first 200 of 1,781 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. found via cms-hpt.txt · csv-tall · 54.7M bytes · fetched 2026-08-22 · sha256 9fe19d62e0e6…

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.