Hospital · CCN 250094

Merit Health Wesley

5001 W Hardy St, Hattiesburg, MS 39402 · Lamar County
Part of Community Health Systems · 121 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

27 admission types 52 outpatient services price file: ok 11 Medicare-file findings
Billed per dollar paid, all admissions
9.73×
$94.1M billed against $9.7M paid across 685 Medicare discharges; the national figure is 5.03×.
2.9%
of adults in Lamar County have medical debt in collections
13.1%
uninsured in the county · state 13.1%
$63K
median household income
9.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
38.7%
obesity in the countyⓘ
12.4%
diagnosed diabetes (PLACES)
6.4%
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
136
$159,970
$16,016
10.0× st 4.6×
291
Heart failure and shock with mcc
48
$124,289
$11,625
10.7× st 4.6×
190
Chronic obstructive pulmonary disease with mcc
35
$121,433
$9,209
13.2× st 5.9×
274
Percutaneous and other intracardiac procedures without mcc
34
$174,333
$25,587
6.8× st 4.1×
683
Renal failure with cc
33
$76,676
$7,707
9.9× st 4.4×
690
Kidney and urinary tract infections without mcc
29
$70,769
$6,871
10.3× st 4.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
29
$79,189
$8,999
8.8× st 4.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
26
$115,054
$15,940
7.2× st 7.0×
682
Renal failure with mcc
24
$103,455
$12,711
8.1× st 4.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
23
$426,637
$44,875
9.5× st 4.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
22
$71,485
$7,110
10.1× st 5.0×
378
Gastrointestinal hemorrhage with cc
21
$73,964
$8,639
8.6× st 5.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
21
$55,183
$6,907
8.0× st 4.0×
481
Hip and femur procedures except major joint with cc
20
$129,586
$17,208
7.5× st 4.7×
193
Simple pneumonia and pleurisy with mcc
19
$90,690
$11,303
8.0× st 5.0×
189
Pulmonary edema and respiratory failure
17
$111,050
$10,754
10.3× st 5.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$95,573
$9,287
10.3× st 5.2×
177
Respiratory infections and inflammations with mcc
16
$143,899
$13,953
10.3× st 4.6×
689
Kidney and urinary tract infections with mcc
16
$100,438
$10,255
9.8× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
14
$136,671
$10,605
12.9× st 4.1×
698
Other kidney and urinary tract diagnoses with mcc
14
$158,185
$15,088
10.5× st 4.1×
331
Major small and large bowel procedures without cc/mcc
13
$125,200
$14,032
8.9× st 4.4×
394
Other digestive system diagnoses with cc
12
$80,097
$8,290
9.7× st 4.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$217,448
$22,571
9.6× st 5.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$140,238
$9,492
14.8× st 6.6×
603
Cellulitis without mcc
11
$60,907
$7,704
7.9× st 4.9×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
11
$574,076
$35,939
16.0× st 5.1×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
167
$32,726
$2,261
14.5×
5374
Level 4 Urology and Related Services
83
$45,705
$2,903
15.7×
5191
Level 1 Endovascular Procedures
39
$68,641
$2,718
25.3×
5375
Level 5 Urology and Related Services
38
$45,870
$4,235
10.8×
5193
Level 3 Endovascular Procedures
32
$170,126
$9,158
18.6×
5361
Level 1 Laparoscopy and Related Services
32
$54,272
$4,688
11.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
31
$16,817
$1,329
12.7×
5373
Level 3 Urology and Related Services
29
$23,920
$1,696
14.1×
5194
Level 4 Endovascular Procedures
25
$205,430
$14,578
14.1×
5115
Level 5 Musculoskeletal Procedures
23
$82,084
$10,206
8.0×
5213
Level 3 Electrophysiologic Procedures
21
$206,856
$19,733
10.5×
5114
Level 4 Musculoskeletal Procedures
20
$61,564
$5,958
10.3×
5116
Level 6 Musculoskeletal Procedures
20
$88,852
$15,491
5.7×
5302
Level 2 Upper GI Procedures
15
$21,439
$1,585
13.5×
5222
Level 2 Pacemaker and Similar Procedures
14
$88,907
$7,076
12.6×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
14
$46,390
$5,431
8.5×
5183
Level 3 Vascular Procedures
13
$66,706
$2,655
25.1×
5113
Level 3 Musculoskeletal Procedures
12
$33,504
$2,551
13.1×
5223
Level 3 Pacemaker and Similar Procedures
12
$122,555
$8,285
14.8×
5362
Level 2 Laparoscopy and Related Services
11
$72,782
$7,940
9.2×
5192
Level 2 Endovascular Procedures
11
$111,170
$4,760
23.4×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-04-01, template 3.0.0, 18,196 rows scanned, 3,362 distinct code–setting items kept. 1,627 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Q39821 NASH FIBROSUR
$1,511
$317
$503
44
clean
BONE SRGRY CMPTR CT/MRI IMAG
$97,308
$20,435
$24,814
20
clean
TRLUML PERIP ATHRC ILIAC ART
$191,607
$40,238
$17,257
46
clean
US-CATH FLUID DRAIN
$2,204
$463
$637
165
clean
DRAINAGE OF SKIN ABSCESS
$5,899
$1,239
$223
55
clean
DRAINAGE OF SKIN ABSCESS
$15,232
$3,199
$397
55
clean
DRAINAGE OF PILONIDAL CYST
$3,143
$660
$631
55
clean
REMOVE FOREIGN BODY
$4,944
$1,038
$397
55
clean
DRAINAGE OF HEMATOMA/FLUID
$10,093
$2,120
$1,491
55
clean
PUNCTURE DRAINAGE OF LESION
$2,156
$453
$368
54
clean
DEBRIDE SKIN/MUSCLE/BONE, FX
$27,973
$5,874
$2,615
55
clean
DEBRIDE SKIN/TISSUE
$4,266
$896
$397
55
clean
DEBRIDE TISSUE/MUSCLE
$18,510
$3,887
$669
55
clean
DEBRIDE TISSUE/MUSCLE/BONE
$17,563
$3,688
$1,496
55
clean
DBRDMT SUBQ TISS EACH ADDL
$5,864
$1,231
$1,759
21
clean
DBRDMT MUSC&/FSCA EA ADDL
$15,645
$3,285
$4,694
21
clean
DBRDMT BONE EACH ADDL
$9,510
$1,997
$2,853
21
clean
PUNCH BX SKIN SINGLE LESION
$5,843
$1,227
$424
54
clean
PUNCH BX SKIN EA SEP/ADDL
$5,843
$1,227
$1,753
21
clean
REMOVAL OF SKIN TAGS
$23,403
$4,915
$209
54
clean
REMOVAL OF SKIN LESION
$18,337
$3,851
$667
54
clean
REMOVAL OF SKIN LESION
$30,650
$6,437
$641
55
clean
REMOVAL OF SKIN LESION
$32,503
$6,826
$844
54
clean
REMOVAL OF SKIN LESION
$31,046
$6,520
$1,555
54
clean
REMOVAL OF SKIN LESION
$56,137
$11,789
$1,833
55
clean
REMOVAL OF SKIN LESION
$22,588
$4,743
$668
54
clean
REMOVAL OF SKIN LESION
$25,785
$5,415
$667
54
clean
REMOVAL OF SKIN LESION
$25,586
$5,373
$1,555
54
clean
REMOVAL OF SKIN LESION
$21,357
$4,485
$1,496
55
clean
REMOVAL OF SKIN LESION
$33,957
$7,131
$2,615
55
clean
REMOVAL OF SKIN LESION
$37,652
$7,907
$1,833
55
clean
REMOVAL OF SKIN LESION
$47,029
$9,876
$1,780
54
clean
REMOVAL OF SKIN LESION
$35,492
$7,453
$844
54
clean
REMOVAL OF SKIN LESION
$30,308
$6,365
$640
54
clean
REMOVAL OF SKIN LESION
$34,942
$7,338
$1,555
54
clean
REMOVAL OF SKIN LESION
$29,146
$6,121
$2,615
55
clean
DEBRIDE NAIL, 1-5
$802
$169
$62
54
clean
REMOVAL OF NAIL PLATE
$13,492
$2,833
$209
54
clean
REMOVE NAIL PLATE, ADD-ON
$21,184
$4,449
$6,355
21
clean
DRAIN BLOOD FROM UNDER NAIL
$4,012
$842
$139
54
clean
REMOVAL OF NAIL BED
$10,207
$2,143
$397
55
clean
REPAIR OF NAIL BED
$34,582
$7,262
$786
54
clean
REMOVAL OF PILONIDAL LESION
$28,627
$6,012
$2,615
55
clean
REMOVAL OF PILONIDAL LESION
$29,793
$6,257
$2,615
55
clean
REPLACE TISSUE EXPANDER
$45,843
$9,627
$6,468
55
clean
REMOVE TISSUE EXPANDER(S)
$34,281
$7,199
$2,615
55
clean
REPAIR SUPERFICIAL WOUND(S)
$6,395
$1,343
$209
54
clean
REPAIR SUPERFICIAL WOUND(S)
$8,473
$1,779
$209
54
clean
REPAIR SUPERFICIAL WOUND(S)
$6,974
$1,465
$209
54
clean
REPAIR SUPERFICIAL WOUND(S)
$5,933
$1,246
$397
55
clean
REPAIR SUPERFICIAL WOUND(S)
$9,029
$1,896
$209
54
clean
REPAIR SUPERFICIAL WOUND(S)
$15,824
$3,323
$209
54
clean
REPAIR SUPERFICIAL WOUND(S)
$8,053
$1,691
$209
54
clean
REPAIR SUPERFICIAL WOUND(S)
$26,967
$5,663
$209
54
clean
LAYER CLOSURE OF WOUND(S)
$22,465
$4,718
$424
54
clean
LAYER CLOSURE OF WOUND(S)
$8,681
$1,823
$397
55
clean
LAYER CLOSURE OF WOUND(S)
$31,734
$6,664
$501
55
clean
LAYER CLOSURE OF WOUND(S)
$37,174
$7,806
$501
55
clean
LAYER CLOSURE OF WOUND(S)
$8,483
$1,781
$669
55
clean
LAYER CLOSURE OF WOUND(S)
$16,485
$3,462
$424
54
clean
LAYER CLOSURE OF WOUND(S)
$2,936
$616
$659
55
clean
LAYER CLOSURE OF WOUND(S)
$30,463
$6,397
$501
54
clean
LAYER CLOSURE OF WOUND(S)
$12,643
$2,655
$424
54
clean
LAYER CLOSURE OF WOUND(S)
$29,673
$6,231
$424
54
clean
REPAIR OF WOUND OR LESION
$34,315
$7,206
$537
55
clean
REPAIR WOUND/LESION ADD-ON
$34,315
$7,206
$9,504
21
clean
REPAIR OF WOUND OR LESION
$33,269
$6,986
$537
55
clean
REPAIR OF WOUND OR LESION
$21,357
$4,485
$722
55
clean
LATE CLOSURE OF WOUND
$7,286
$1,530
$3,097
55
clean
SKIN TISSUE REARRANGEMENT
$24,617
$5,170
$1,863
55
clean
TIS TRNFR ANY 30.1-60 SQ CM
$45,121
$9,475
$3,210
55
clean
TIS TRNFR ADDL 30 SQ CM
$45,121
$9,475
$9,504
21
clean
WOUND PREP TRK/ARM/LEG
$34,782
$7,304
$1,394
55
clean
SKIN SPLIT GRAFT
$36,610
$7,688
$1,863
55
clean
SKIN SPLIT GRAFT ADD-ON
$36,610
$7,688
$9,504
21
clean
SKIN FULL GRAFT
$39,743
$8,346
$1,896
55
clean
SKIN FULL GRAFT
$29,146
$6,121
$1,863
55
clean
SKIN SUB GRAFT TRNK/ARM/LEG
$15,035
$3,157
$1,394
53
clean
SKIN SUB GRAFT FACE/NK/HF/G
$20,035
$4,207
$1,394
53
clean
ACELLULAR DERM MATRIX IMPLT
$91,399
$19,194
$19,194
21
clean
REVISION OF UPPER EYELID
$29,218
$6,136
$1,863
55
clean
EXC EXCESSIVE SKIN ABDOMEN
$84,109
$17,663
$6,015
55
clean
EXC SKIN ABD ADD-ON
$84,109
$17,663
$21,448
20
clean
REMOVAL OF SUTURES
$31,638
$6,644
$1,863
55
clean
RMV SUTURE OR STAPLE
$31
$7
$81
44
clean
RMV SUTURE AND STAPL
$39
$8
$24
22
clean
INITIAL TREATMENT OF BURN(S)
$9,239
$1,940
$209
54
clean
TREATMENT OF BURN(S)
$2,599
$546
$223
55
clean
CHEMICAL CAUTERY, TISSUE
$2,304
$484
$209
54
clean
INCISION OF BREAST LESION
$57,715
$12,120
$1,833
55
clean
REMOVAL OF BREAST LESION
$35,710
$7,499
$3,524
55
clean
EXCISION, BREAST LESION
$37,724
$7,922
$3,524
55
clean
PERQ DEVICE BREAST 1ST IMAG
$43,685
$9,174
$1,555
52
clean
PARTIAL MASTECTOMY
$43,374
$9,109
$3,524
55
clean
P-MASTECTOMY W/LN REMOVAL
$42,833
$8,995
$5,919
55
clean
MAST SIMPLE COMPLETE
$68,728
$14,433
$6,487
55
clean
MAST MOD RAD
$65,457
$13,746
$6,015
55
clean
REDUCTION OF LARGE BREAST
$55,460
$11,647
$5,995
55
clean
REMOVAL OF BREAST IMPLANT
$30,884
$6,486
$3,490
55
clean
DELAYED BREAST PROSTHESIS
$57,200
$12,012
$7,379
55
clean
BREAST RECONSTRUCTION
$33,502
$7,035
$3,535
55
clean
BREAST RECONSTRUCTION
$100,280
$21,059
$13,258
53
clean
BREAST RECONSTRUCTION
$139,196
$29,231
$15,590
23
clean
SURGERY OF BREAST CAPSULE
$44,688
$9,385
$3,825
55
clean
REMOVAL OF BREAST CAPSULE
$43,402
$9,114
$3,535
55
clean
REVISE BREAST RECONSTRUCTION
$49,406
$10,375
$5,919
55
clean
EXPLORE WOUND, EXTREMITY
$24,674
$5,182
$1,491
55
clean
NEEDLE BIOPSY, MUSCLE
$23,293
$4,891
$1,496
55
clean
NJX 1/MLT TRIGGER POINT 1/2
$4,288
$900
$320
54
clean
S-JOINT ASP-INJ SM
$1,418
$298
$278
54
clean
S-JOINT ASP-INJ IM
$1,418
$298
$278
55
clean
DRAIN/INJECT, JOINT/BURSA
$11,424
$2,399
$300
55
clean
DRAIN/INJ JOINT/BURSA W/US
$13,869
$2,912
$300
55
clean
REMOVAL OF SUPPORT IMPLANT
$69,509
$14,597
$2,631
55
clean
APPLY BONE FIXATION DEVICE
$81,336
$17,081
$11,433
53
clean
SPINAL BONE ALLOGRAFT
$59,757
$12,549
$12,549
21
clean
CPTR-ASST DIR MS PX
$111,295
$23,372
$23,372
21
clean
TREATMENT OF NOSE FRACTURE
$18,441
$3,873
$2,955
55
clean
DRAIN NECK/CHEST LESION
$76,683
$16,104
$2,631
55
clean
NECK/CHEST SURGERY PROCEDURE
$26,953
$5,660
$263
53
clean
ARTHRD ANT NTRBDY CERVICAL
$74,237
$15,590
$11,402
53
clean
ARTHRD ANT NTRBD CERVICAL EA
$66,912
$14,052
$14,052
21
clean
NECK SPINE FUSION
$90,238
$18,950
$11,433
52
clean
ADDITIONAL SPINAL FUSION
$90,238
$18,950
$18,950
21
clean
LUMBAR SPINE FUSION
$53,869
$11,312
$15,572
52
clean
SPINE FUSION, EXTRA SEGMENT
$54,204
$11,383
$11,383
21
clean
LUMBAR SPINE FUSION
$98,831
$20,755
$24,110
46
clean
ARTHRD CMBN 1NTRSPC LUMBAR
$61,463
$12,907
$24,097
46
clean
ARTHRD CMBN 1NTRSPC EA ADDL
$61,278
$12,868
$12,868
21
clean
EXPLORATION OF SPINAL FUSION
$57,268
$12,026
$6,884
49
clean
INSERT SPINE FIXATION DEVICE
$135,341
$28,422
$27,068
21
clean
INSERT SPINE FIXATION DEVICE
$76,904
$16,150
$13,554
22
clean
INSJ BIOMECHANICAL DEVICE
$91,582
$19,232
$19,232
21
clean
EXC ABD LES SC 3 CM/>
$30,302
$6,363
$2,615
55
clean
EXC SHOULDER LES SC 3 CM/>
$33,673
$7,071
$1,496
55
clean
REMOVE SHOULDER BONE, PART
$45,185
$9,489
$3,063
55
clean
REMOVAL OF BONE LESION
$77,788
$16,336
$3,196
55
clean
S-INJ SHOULDER ARTH
$589
$124
$545
44
clean
REPAIR OF TENDON(S)
$45,185
$9,489
$6,468
55
clean
REPAIR BICEPS TENDON
$148,950
$31,279
$7,089
55
clean
REPAIR SHOULDER CAPSULE
$103,861
$21,811
$6,573
55
clean
RECONSTRUCT SHOULDER JOINT
$169,189
$35,530
$11,433
53
clean
RECONSTRUCT SHOULDER JOINT
$136,642
$28,695
$15,601
53
clean
TREAT CLAVICLE FRACTURE
$81,942
$17,208
$6,531
53
clean
TREAT CLAVICLE DISLOCATION
$81,942
$17,208
$6,531
53
clean
TREAT HUMERUS FRACTURE
$83,649
$17,566
$1,785
55
clean
TREAT HUMERUS FRACTURE
$91,081
$19,127
$11,433
53
clean
TREAT SHOULDER DISLOCATION
$15,577
$3,271
$286
54
clean
TREAT SHOULDER DISLOCATION
$12,708
$2,669
$1,452
55
clean
TREAT DISLOCATION/FRACTURE
$15,033
$3,157
$1,457
55
clean
FIXATION OF SHOULDER
$18,523
$3,890
$1,457
55
clean
EXC ARM/ELBOW LES SC 3 CM/>
$30,302
$6,363
$2,615
55
clean
S-INJ ELBOW ARTHRO
$783
$164
$470
21
clean
REPAIR OF RUPTURED TENDON
$59,093
$12,410
$6,573
55
clean
REPR ELBOW LAT LIGMNT W/TISS
$89,204
$18,733
$3,414
54
clean
RECONSTRUCT HEAD OF RADIUS
$89,204
$18,733
$11,433
53
clean
TREAT HUMERUS FRACTURE
$62,361
$13,096
$11,433
53
clean
TREAT HUMERUS FRACTURE
$65,679
$13,792
$11,433
53
clean
TREAT HUMERUS FRACTURE
$40,392
$8,482
$6,468
55
clean
TREAT ELBOW DISLOCATION
$8,881
$1,865
$287
55
clean
TREAT ELBOW DISLOCATION
$3,803
$799
$257
54
clean
TREAT ULNAR FRACTURE
$85,337
$17,921
$6,531
53
clean
INCISION OF TENDON SHEATH
$27,381
$5,750
$1,457
55
clean
EXCISE WRIST TENDON SHEATH
$27,381
$5,750
$1,457
55
clean
S-INJ WRIST ARTHRO
$856
$180
$485
22
clean
REPAIR WRIST JOINT(S)
$37,203
$7,813
$2,964
55
clean
TREAT FRACTURE OF RADIUS
$94,703
$19,888
$6,531
53
clean
TREAT FRACTURE OF ULNA
$94,703
$19,888
$314
54
clean
TREAT FRACTURE RADIUS & ULNA
$6,961
$1,462
$1,433
55
clean
TREAT FRACTURE RADIUS/ULNA
$78,825
$16,553
$6,531
53
clean
TREAT FRACTURE RADIUS/ULNA
$13,950
$2,930
$1,457
55
clean
PERQ SKEL FIXJ DSTL RDL FX
$27,103
$5,692
$2,945
55
clean
OPTX DST RD XARTC FX/EPI SEP
$51,538
$10,823
$6,468
53
clean
OPTX DST RD XART FX/EP SEP3+
$82,239
$17,270
$6,531
53
clean
PERQ SKEL FIX ULNAR STYLD FX
$51,538
$10,823
$2,964
55
clean
DRAINAGE OF FINGER ABSCESS
$3,737
$785
$242
54
clean
DRAINAGE OF FINGER ABSCESS
$3,444
$723
$1,467
55
clean
TREAT HAND BONE LESION
$35,110
$7,373
$1,785
55
clean
INCISE FINGER TENDON SHEATH
$21,464
$4,507
$1,457
55
clean
REPAIR FINGER TENDON
$37,203
$7,813
$1,850
55
clean
TREAT METACARPAL FRACTURE
$4,043
$849
$287
55
clean
TREAT METACARPAL FRACTURE
$34,407
$7,225
$2,954
55
clean
TREAT THUMB DISLOCATION
$6,159
$1,293
$287
55
clean
TREAT KNUCKLE DISLOCATION
$4,919
$1,033
$286
54
clean
TREAT FINGER FRACTURE, EACH
$7,945
$1,668
$1,433
55
clean
TREAT FINGER FRACTURE, EACH
$27,973
$5,874
$2,954
55
clean
TREAT FINGER DISLOCATION
$4,854
$1,019
$270
54
clean
FUSION OF FINGER JOINT
$30,048
$6,310
$2,945
55
clean
AMPUTATION OF FINGER/THUMB
$43,172
$9,066
$2,964
55
clean
DRAINAGE OF PELVIS LESION
$29,447
$6,184
$2,945
55
clean
S-INJ HIP ARTHRO
$1,450
$305
$1,271
44
clean
INJECT SACROILIAC JOINT
$20,030
$4,206
$1,090
32
clean
TOTAL HIP REPLACEMENT
$100,184
$21,039
$11,433
53
clean
TREAT HIP DISLOCATION
$16,648
$3,496
$287
55
clean
TREAT HIP DISLOCATION
$11,581
$2,432
$1,452
55
clean
EXC THIGH/KNEE LES SC 3 CM/>
$38,414
$8,067
$2,615
55
clean
S-INJ KNEE ARTHRO
$600
$126
$345
22
clean
REPAIR/GRAFT OF THIGH MUSCLE
$58,460
$12,277
$6,548
55
clean
TOTAL KNEE REPLACEMENT
$94,130
$19,767
$11,433
53
clean
REVISE/REPLACE KNEE JOINT
$97,229
$20,418
$11,433
49
clean

Showing the first 200 of 3,362 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT J7189/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $4
CPT 92547/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $293
CPT 92552/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $393
CPT 74220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $733 exceeds the gross charge $576
CPT 92555/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $236
CPT 92556/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $320
CPT L1930/o
warn
mrf_negotiated_above_gross
highest negotiated rate $612 exceeds the gross charge $353
CPT L4387/o
warn
mrf_negotiated_above_gross
highest negotiated rate $441 exceeds the gross charge $218
CPT 92557/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $511
CPT L4397/o
warn
mrf_negotiated_above_gross
highest negotiated rate $467 exceeds the gross charge $349
CPT 92563/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $677
CPT 36005/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,051 exceeds the gross charge $1,022
CPT 92565/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $320
CPT 36013/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,900 exceeds the gross charge $1,542
CPT 92567/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $524
CPT 36014/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,939 exceeds the gross charge $2,550
CPT 36217/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,527 exceeds the gross charge $5,958
CPT 92568/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $677
CPT 36223/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,399 exceeds the gross charge $16,218
CPT 92583/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $320
CPT 92596/o
warn
mrf_negotiated_above_gross
highest negotiated rate $819 exceeds the gross charge $393
CPT 75605/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,399 exceeds the gross charge $17,213
CPT 36470/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,417 exceeds the gross charge $1,249
CPT Q4101/o
warn
mrf_negotiated_above_gross
highest negotiated rate $249 exceeds the gross charge $49
CPT Q4105/o
warn
mrf_negotiated_above_gross
highest negotiated rate $249 exceeds the gross charge $178
CPT 15854/o
warn
mrf_negotiated_above_gross
highest negotiated rate $287 exceeds the gross charge $39
CPT 75726/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,399 exceeds the gross charge $16,489
CPT 36558/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,697 exceeds the gross charge $10,520
CPT Q4130/o
warn
mrf_negotiated_above_gross
highest negotiated rate $249 exceeds the gross charge $64
CPT 75736/o
warn
mrf_negotiated_above_gross
highest negotiated rate $18,399 exceeds the gross charge $17,213
CPT Q4160/o
warn
mrf_negotiated_above_gross
highest negotiated rate $249 exceeds the gross charge $186
CPT Q4195/o
warn
mrf_negotiated_above_gross
highest negotiated rate $249 exceeds the gross charge $206
CPT 75822/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,435 exceeds the gross charge $5,017
CPT 36597/o
warn
mrf_negotiated_above_gross
highest negotiated rate $6,435 exceeds the gross charge $5,017
CPT 75860/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,697 exceeds the gross charge $9,984
CPT 93270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,172 exceeds the gross charge $914
CPT S9443/o
warn
mrf_negotiated_above_gross
highest negotiated rate $238 exceeds the gross charge $61
CPT 75898/o
warn
mrf_negotiated_above_gross
highest negotiated rate $10,697 exceeds the gross charge $9,984
CPT 93286/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,109 exceeds the gross charge $1,963
CPT 93287/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,109 exceeds the gross charge $1,963
CPT 93668/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,109 exceeds the gross charge $229
CPT 93724/o
warn
mrf_negotiated_above_gross
highest negotiated rate $2,109 exceeds the gross charge $936
CPT 24220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,417 exceeds the gross charge $783
CPT G0270/o
warn
mrf_negotiated_above_gross
highest negotiated rate $118 exceeds the gross charge $92
CPT G0281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $222 exceeds the gross charge $143
CPT G0283/o
warn
mrf_negotiated_above_gross
highest negotiated rate $222 exceeds the gross charge $143
CPT 77417/o
warn
mrf_negotiated_above_gross
highest negotiated rate $472 exceeds the gross charge $172
CPT G0378/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,937 exceeds the gross charge $211
CPT 25246/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,417 exceeds the gross charge $856
CPT 94150/o
warn
mrf_negotiated_above_gross
highest negotiated rate $761 exceeds the gross charge $470
CPT 94200/o
warn
mrf_negotiated_above_gross
highest negotiated rate $761 exceeds the gross charge $293
CPT 94618/o
warn
mrf_negotiated_above_gross
highest negotiated rate $761 exceeds the gross charge $666
CPT 94625/o
warn
mrf_negotiated_above_gross
highest negotiated rate $761 exceeds the gross charge $229
CPT 94760/o
warn
mrf_negotiated_above_gross
highest negotiated rate $761 exceeds the gross charge $255
CPT 27369/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,417 exceeds the gross charge $600
CPT 94780/o
warn
mrf_negotiated_above_gross
highest negotiated rate $761 exceeds the gross charge $258
CPT 94781/o
warn
mrf_negotiated_above_gross
highest negotiated rate $761 exceeds the gross charge $159
CPT 80167/o
warn
mrf_negotiated_above_gross
highest negotiated rate $42 exceeds the gross charge $35
CPT 81220/o
warn
mrf_negotiated_above_gross
highest negotiated rate $957 exceeds the gross charge $211
CPT 81229/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,994 exceeds the gross charge $197
CPT 81256/o
warn
mrf_negotiated_above_gross
highest negotiated rate $147 exceeds the gross charge $121
CPT 95885/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,172 exceeds the gross charge $728
CPT 95886/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,172 exceeds the gross charge $728
CPT 84393/o
warn
mrf_negotiated_above_gross
highest negotiated rate $290 exceeds the gross charge $248
CPT 95937/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,172 exceeds the gross charge $736
CPT 87633/o
warn
mrf_negotiated_above_gross
highest negotiated rate $938 exceeds the gross charge $662
CPT 87811/o
warn
mrf_negotiated_above_gross
highest negotiated rate $141 exceeds the gross charge $0
CPT J1744/o
warn
mrf_negotiated_above_gross
highest negotiated rate $285 exceeds the gross charge $171
CPT J1790/o
warn
mrf_negotiated_above_gross
highest negotiated rate $8 exceeds the gross charge $7
CPT 96415/o
warn
mrf_negotiated_above_gross
highest negotiated rate $289 exceeds the gross charge $214
CPT 88271/o
warn
mrf_negotiated_above_gross
highest negotiated rate $466 exceeds the gross charge $74
CPT 88313/o
warn
mrf_negotiated_above_gross
highest negotiated rate $266 exceeds the gross charge $175
CPT 97010/o
warn
mrf_negotiated_above_gross
highest negotiated rate $222 exceeds the gross charge $61
CPT 97018/o
warn
mrf_negotiated_above_gross
highest negotiated rate $222 exceeds the gross charge $174
CPT 97024/o
warn
mrf_negotiated_above_gross
highest negotiated rate $222 exceeds the gross charge $70
CPT 97026/o
warn
mrf_negotiated_above_gross
highest negotiated rate $222 exceeds the gross charge $61
CPT 97542/o
warn
mrf_negotiated_above_gross
highest negotiated rate $222 exceeds the gross charge $92
CPT 97802/o
warn
mrf_negotiated_above_gross
highest negotiated rate $118 exceeds the gross charge $92
CPT 97803/o
warn
mrf_negotiated_above_gross
highest negotiated rate $118 exceeds the gross charge $92
CPT 99000/o
warn
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $10
CPT 99281/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,100 exceeds the gross charge $678
CPT 90870/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,716 exceeds the gross charge $1,679
CPT 91037/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,417 exceeds the gross charge $935
CPT J3315/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,042 exceeds the gross charge $891
CPT 91065/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,417 exceeds the gross charge $898
CPT 91132/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,417 exceeds the gross charge $935
CPT 91133/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,417 exceeds the gross charge $898
CPT 11720/o
warn
mrf_negotiated_above_gross
highest negotiated rate $1,417 exceeds the gross charge $802
warn
mrf_rate_without_estimate
3,847 of 3,847 percentage/algorithm rates across 766 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 11750/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 33016/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 58301/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 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 92542/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 C1747/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 11760/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 33208/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 58350/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 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 92544/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 C1751/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7189/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 11770/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 33217/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 58550/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 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 92545/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 C1752/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 J7502/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 11771/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 33223/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 58552/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 74177/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 92546/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 C1753/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 J7507/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 11970/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 33227/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 58558/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 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 C1757/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 J7512/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 11971/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 33228/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 58559/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 74181/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 92548/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 C1758/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 J7517/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 12001/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 33229/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 58561/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 74182/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 C1759/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 J8522/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 12002/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 33233/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 58562/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 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 92552/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 C1760/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 J8540/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 12004/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 33235/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 58563/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 92553/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 C1761/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 J9217/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 12005/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 33249/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 58570/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 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, max differ, so no cross-line comparison was made for this item
CPT C1762/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 J9280/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 12011/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 33262/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 58571/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 74221/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 92555/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 C1763/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9312/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 12013/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 33263/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 58572/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 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, max differ, so no cross-line comparison was made for this item
CPT C1765/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12014/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 33264/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 58573/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 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, max differ, so no cross-line comparison was made for this item
CPT 92556/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 C1766/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 12015/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 33285/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 58579/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 74246/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 C1767/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 12031/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 33286/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 58660/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 74250/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 92557/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 C1768/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 L8610/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 12032/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 33289/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 58661/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 74251/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 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 L8699/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 12034/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 36002/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 58662/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 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, max differ, so no cross-line comparison was made for this item
CPT 92563/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 C1771/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 M0249/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 12035/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 58670/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 74280/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

Showing the first 200 of 1,627 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $95,573 is 10.3× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $143,899 is 10.3× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $111,050 is 10.3× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $121,433 is 13.2× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $140,238 is 14.8× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $124,289 is 10.7× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $71,485 is 10.1× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $136,671 is 12.9× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $70,769 is 10.3× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $158,185 is 10.5× the total payment
MS-DRG 981
info
inp_charge_10x_payment
average charge $574,076 is 16.0× the total payment

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 · 140.9M bytes · fetched 2026-08-27 · sha256 60021b283c67…

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.