Hospital · CCN 260032

Barnes Jewish Hospital

One Barnes-Jewish Hospital Plaza, Saint Louis, MO 63110 · St. Louis city
Part of BJC Healthcare · 1,216 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

277 admission types 67 outpatient services price file: ok
Billed per dollar paid, all admissions
3.67×
$1,335.0M billed against $363.3M paid across 10,160 Medicare discharges; the national figure is 5.03×.
5.2%
of adults in St. Louis city have medical debt in collections
9.6%
uninsured in the county · state 10.2%
$55K
median household income
3.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ
37.0%
obesity in the countyⓘ
13.3%
diagnosed diabetes (PLACES)
6.1%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
421
$116,515
$27,754
4.2× st 4.6×
291
Heart failure and shock with mcc
273
$63,751
$17,470
3.6× st 4.4×
885
Psychoses
167
$70,766
$22,390
3.2× st 2.4×
025
Craniotomy and endovascular intracranial procedures with mcc
138
$210,809
$57,700
3.7× st 3.8×
698
Other kidney and urinary tract diagnoses with mcc
119
$64,513
$21,196
3.0× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
118
$239,680
$66,299
3.6× st 4.4×
309
Cardiac arrhythmia and conduction disorders with cc
116
$32,609
$10,187
3.2× st 4.7×
481
Hip and femur procedures except major joint with cc
116
$94,999
$22,017
4.3× st 4.9×
330
Major small and large bowel procedures with cc
113
$81,610
$26,874
3.0× st 4.3×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
108
$354,558
$90,395
3.9× st 4.3×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
108
$62,026
$16,394
3.8× st 3.7×
812
Red blood cell disorders without mcc
105
$32,412
$11,391
2.8× st 4.3×
652
Kidney transplant
98
$255,559
$55,697
4.6× st 8.6×
699
Other kidney and urinary tract diagnoses with cc
97
$43,713
$13,087
3.3× st 4.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
94
$128,789
$33,731
3.8× st 4.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
94
$96,241
$24,389
3.9× st 4.9×
177
Respiratory infections and inflammations with mcc
92
$91,612
$25,969
3.5× st 4.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
84
$36,875
$10,794
3.4× st 4.8×
189
Pulmonary edema and respiratory failure
80
$102,376
$22,639
4.5× st 5.1×
682
Renal failure with mcc
78
$67,311
$20,694
3.3× st 4.4×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
77
$75,769
$17,837
4.2× st 4.6×
164
Major chest procedures with cc
77
$80,159
$26,469
3.0× st 4.2×
314
Other circulatory system diagnoses with mcc
77
$100,807
$28,007
3.6× st 4.1×
683
Renal failure with cc
75
$44,313
$11,975
3.7× st 4.5×
329
Major small and large bowel procedures with mcc
75
$179,364
$54,403
3.3× st 4.5×
472
Cervical spinal fusion with cc
74
$123,216
$30,772
4.0× st 4.0×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
74
$179,862
$48,346
3.7× st 4.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
73
$66,718
$13,846
4.8× st 5.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
72
$52,695
$14,485
3.6× st 4.6×
057
Degenerative nervous system disorders without mcc
72
$40,463
$15,656
2.6× st 3.4×
840
Lymphoma and non-acute leukemia with mcc
71
$250,764
$70,404
3.6× st 3.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
70
$59,794
$17,479
3.4× st 4.4×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
68
$246,845
$62,551
3.9× st 4.1×
327
Stomach, esophageal and duodenal procedures with cc
67
$89,594
$27,036
3.3× st 3.3×
328
Stomach, esophageal and duodenal procedures without cc/mcc
67
$59,871
$18,526
3.2× st 3.2×
552
Medical back problems without mcc
62
$42,154
$12,434
3.4× st 4.6×
460
Spinal fusion except cervical without mcc
61
$164,608
$39,911
4.1× st 4.8×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
60
$826,674
$284,969
2.9× st 3.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
59
$22,345
$8,151
2.7× st 4.6×
846
Chemotherapy without acute leukemia as secondary diagnosis with mcc
58
$118,973
$36,029
3.3× st 3.3×
690
Kidney and urinary tract infections without mcc
58
$31,354
$10,296
3.0× st 4.5×
919
Complications of treatment with mcc
57
$82,689
$21,947
3.8× st 3.6×
205
Other respiratory system diagnoses with mcc
57
$83,840
$24,002
3.5× st 3.7×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
57
$194,813
$63,500
3.1× st 4.3×
378
Gastrointestinal hemorrhage with cc
56
$48,221
$12,626
3.8× st 4.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
56
$98,129
$23,884
4.1× st 4.3×
603
Cellulitis without mcc
56
$37,914
$11,205
3.4× st 4.0×
660
Kidney and ureter procedures for non-neoplasm with cc
56
$57,067
$16,117
3.5× st 4.1×
454
Combined anterior and posterior spinal fusion with cc
52
$312,289
$78,862
4.0× st 3.8×
101
Seizures without mcc
52
$38,283
$12,635
3.0× st 4.9×
193
Simple pneumonia and pleurisy with mcc
51
$83,047
$19,831
4.2× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
51
$75,460
$19,582
3.9× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
51
$35,065
$10,617
3.3× st 4.5×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
51
$75,570
$24,791
3.0× st 4.0×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
51
$221,388
$61,357
3.6× st 4.8×
393
Other digestive system diagnoses with mcc
51
$84,934
$26,228
3.2× st 3.8×
377
Gastrointestinal hemorrhage with mcc
51
$82,757
$22,114
3.7× st 4.8×
394
Other digestive system diagnoses with cc
50
$42,062
$13,078
3.2× st 4.5×
270
Other major cardiovascular procedures with mcc
50
$241,439
$63,155
3.8× st 4.8×
308
Cardiac arrhythmia and conduction disorders with mcc
49
$60,094
$15,762
3.8× st 5.0×
326
Stomach, esophageal and duodenal procedures with mcc
48
$183,842
$58,276
3.2× st 3.1×
253
Other vascular procedures with cc
48
$106,484
$28,936
3.7× st 4.3×
001
Heart transplant or implant of heart assist system with mcc
47
$1,176,730
$321,764
3.7× st 3.9×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
47
$101,659
$25,006
4.1× st 4.6×
252
Other vascular procedures with mcc
47
$143,192
$40,141
3.6× st 4.9×
016
Autologous bone marrow transplant with cc/mcc
46
$256,794
$70,611
3.6× st 3.6×
274
Percutaneous and other intracardiac procedures without mcc
45
$118,146
$33,328
3.5× st 5.2×
018
Chimeric antigen receptor (car) t-cell and other immunotherapies
45
$1,704,939
$435,401
3.9× st 3.9×
086
Traumatic stupor and coma <1 hour with cc
44
$51,833
$15,138
3.4× st 4.8×
180
Respiratory neoplasms with mcc
44
$107,671
$24,623
4.4× st 4.7×
271
Other major cardiovascular procedures with cc
43
$142,597
$35,878
4.0× st 5.0×
054
Nervous system neoplasms with mcc
43
$113,220
$39,198
2.9× st 3.4×
389
Gastrointestinal obstruction with cc
42
$39,295
$11,872
3.3× st 4.6×
519
Back and neck procedures except spinal fusion with cc
42
$82,266
$20,632
4.0× st 4.1×
435
Malignancy of hepatobiliary system or pancreas with mcc
42
$108,117
$24,019
4.5× st 4.3×
236
Coronary bypass without cardiac catheterization without mcc
42
$208,264
$47,533
4.4× st 4.8×
315
Other circulatory system diagnoses with cc
42
$57,193
$14,124
4.0× st 4.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
41
$122,819
$34,902
3.5× st 5.1×
483
Major joint or limb reattachment procedures of upper extremities
40
$93,640
$25,456
3.7× st 4.4×
689
Kidney and urinary tract infections with mcc
40
$56,266
$14,893
3.8× st 4.5×
026
Craniotomy and endovascular intracranial procedures with cc
39
$132,670
$39,178
3.4× st 4.1×
083
Traumatic stupor and coma >1 hour with cc
39
$49,450
$15,323
3.2× st 4.1×
406
Pancreas, liver and shunt procedures with cc
38
$93,042
$28,703
3.2× st 4.7×
300
Peripheral vascular disorders with cc
37
$42,925
$12,746
3.4× st 4.0×
841
Lymphoma and non-acute leukemia with cc
37
$128,461
$26,633
4.8× st 5.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
37
$57,091
$14,267
4.0× st 5.7×
235
Coronary bypass without cardiac catheterization with mcc
37
$265,394
$63,799
4.2× st 4.5×
196
Interstitial lung disease with mcc
37
$123,585
$42,461
2.9× st 3.3×
920
Complications of treatment with cc
36
$57,479
$16,020
3.6× st 3.8×
432
Cirrhosis and alcoholic hepatitis with mcc
35
$93,417
$22,900
4.1× st 4.1×
811
Red blood cell disorders with mcc
35
$65,615
$17,508
3.7× st 5.0×
834
Acute leukemia with mcc
35
$340,219
$94,033
3.6× st 3.6×
838
Chemotherapy with acute leukemia as secondary diagnosis with cc or high dose chemotherap
35
$92,333
$23,013
4.0× st 4.0×
056
Degenerative nervous system disorders with mcc
35
$81,649
$35,215
2.3× st 2.8×
100
Seizures with mcc
35
$113,418
$27,691
4.1× st 5.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
35
$157,765
$32,927
4.8× st 5.9×
141
Major head and neck procedures with cc
35
$83,612
$25,139
3.3× st 3.3×
870
Septicemia or severe sepsis with mv >96 hours
34
$283,236
$85,168
3.3× st 4.5×
336
Peritoneal adhesiolysis with cc
34
$70,899
$22,438
3.2× st 3.2×
374
Digestive malignancy with mcc
34
$111,865
$25,640
4.4× st 3.9×
331
Major small and large bowel procedures without cc/mcc
34
$53,022
$21,034
2.5× st 4.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
34
$81,476
$21,555
3.8× st 4.6×
269
Aortic and heart assist procedures except pulsation balloon without mcc
34
$178,141
$38,902
4.6× st 4.5×
659
Kidney and ureter procedures for non-neoplasm with mcc
34
$129,765
$37,244
3.5× st 3.8×
091
Other disorders of nervous system with mcc
33
$65,943
$18,880
3.5× st 3.6×
178
Respiratory infections and inflammations with cc
33
$50,076
$13,494
3.7× st 5.0×
184
Major chest trauma with cc
33
$52,499
$13,421
3.9× st 4.0×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
33
$87,909
$20,098
4.4× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
33
$46,955
$14,347
3.3× st 5.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
32
$101,306
$22,664
4.5× st 4.6×
092
Other disorders of nervous system with cc
32
$50,121
$12,321
4.1× st 4.5×
444
Disorders of the biliary tract with mcc
32
$66,113
$19,376
3.4× st 3.8×
312
Syncope and collapse
31
$40,452
$10,449
3.9× st 5.3×
862
Postoperative and post-traumatic infections with mcc
31
$61,526
$22,342
2.8× st 3.1×
467
Revision of hip or knee replacement with cc
31
$148,282
$37,213
4.0× st 4.3×
371
Major gastrointestinal disorders and peritoneal infections with mcc
31
$73,525
$22,366
3.3× st 3.9×
884
Organic disturbances and intellectual disability
31
$77,327
$27,963
2.8× st 3.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
30
$103,980
$23,699
4.4× st 6.6×
005
Liver transplant with mcc or intestinal transplant
30
$522,096
$139,285
3.7× st 3.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
30
$259,690
$72,134
3.6× st 4.4×
354
Hernia procedures except inguinal and femoral with cc
29
$62,703
$20,074
3.1× st 3.8×
837
Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy a
29
$274,706
$76,132
3.6× st 3.6×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
29
$102,452
$31,325
3.3× st 3.9×
194
Simple pneumonia and pleurisy with cc
29
$44,740
$10,531
4.2× st 4.5×
480
Hip and femur procedures except major joint with mcc
29
$143,606
$32,449
4.4× st 4.6×
074
Cranial and peripheral nerve disorders without mcc
28
$39,351
$13,498
2.9× st 3.4×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
28
$62,687
$13,402
4.7× st 3.9×
207
Respiratory system diagnosis with ventilator support >96 hours
28
$303,297
$93,620
3.2× st 3.7×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
28
$132,317
$27,454
4.8× st 4.2×
823
Lymphoma and non-acute leukemia with other procedures with mcc
27
$266,149
$77,160
3.4× st 3.4×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
27
$93,385
$24,014
3.9× st 4.9×
388
Gastrointestinal obstruction with mcc
27
$47,464
$18,514
2.6× st 4.1×
478
Biopsies of musculoskeletal system and connective tissue with cc
27
$91,117
$28,140
3.2× st 3.7×
268
Aortic and heart assist procedures except pulsation balloon with mcc
27
$344,158
$88,713
3.9× st 3.9×
637
Diabetes with mcc
27
$93,703
$30,520
3.1× st 4.4×
650
Kidney transplant with hemodialysis with mcc
27
$344,239
$60,157
5.7× st 10.4×
657
Kidney and ureter procedures for neoplasm with cc
26
$77,615
$21,616
3.6× st 3.9×
082
Traumatic stupor and coma >1 hour with mcc
26
$87,516
$26,517
3.3× st 3.9×
305
Hypertension without mcc
26
$35,466
$10,457
3.4× st 4.9×
907
Other o.r. procedures for injuries with mcc
26
$181,272
$47,097
3.8× st 4.0×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
26
$145,265
$41,483
3.5× st 3.7×
375
Digestive malignancy with cc
26
$59,765
$13,933
4.3× st 3.9×
206
Other respiratory system diagnoses without mcc
26
$69,239
$16,798
4.1× st 4.1×
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
25
$346,959
$81,390
4.3× st 4.3×
163
Major chest procedures with mcc
25
$178,518
$54,504
3.3× st 4.3×
292
Heart failure and shock with cc
25
$50,939
$14,806
3.4× st 4.8×
638
Diabetes with cc
25
$40,748
$11,983
3.4× st 4.4×
456
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
24
$445,292
$114,810
3.9× st 3.9×
908
Other o.r. procedures for injuries with cc
24
$107,272
$26,650
4.0× st 4.0×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
24
$65,497
$26,389
2.5× st 3.8×
948
Signs and symptoms without mcc
24
$48,716
$14,660
3.3× st 4.7×
165
Major chest procedures without cc/mcc
24
$57,883
$19,772
2.9× st 3.9×
085
Traumatic stupor and coma <1 hour with mcc
24
$105,396
$24,687
4.3× st 4.8×
405
Pancreas, liver and shunt procedures with mcc
24
$181,693
$71,521
2.5× st 3.6×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
23
$125,062
$28,257
4.4× st 3.6×
602
Cellulitis with mcc
23
$58,636
$19,987
2.9× st 3.8×
014
Allogeneic bone marrow transplant
23
$452,295
$137,666
3.3× st 3.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
23
$35,815
$10,464
3.4× st 4.8×
299
Peripheral vascular disorders with mcc
23
$74,383
$19,235
3.9× st 3.9×
243
Permanent cardiac pacemaker implant with cc
23
$75,045
$26,649
2.8× st 5.0×
839
Chemotherapy with acute leukemia as secondary diagnosis without cc/mcc
23
$50,348
$14,811
3.4× st 3.4×
445
Disorders of the biliary tract with cc
23
$52,172
$13,164
4.0× st 5.1×
183
Major chest trauma with mcc
23
$80,095
$22,440
3.6× st 3.8×
551
Medical back problems with mcc
22
$58,990
$19,351
3.0× st 5.1×
536
Fractures of hip and pelvis without mcc
22
$38,756
$10,479
3.7× st 4.6×
813
Coagulation disorders
22
$201,475
$59,219
3.4× st 5.3×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
22
$63,078
$16,785
3.8× st 4.4×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
22
$192,694
$55,912
3.4× st 3.6×
390
Gastrointestinal obstruction without cc/mcc
22
$20,928
$7,882
2.7× st 3.9×
038
Extracranial procedures with cc
21
$72,023
$16,665
4.3× st 6.0×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
21
$103,487
$31,665
3.3× st 3.3×
453
Combined anterior and posterior spinal fusion with mcc
21
$455,852
$106,220
4.3× st 4.3×
166
Other respiratory system o.r. procedures with mcc
21
$173,205
$59,781
2.9× st 3.2×
477
Biopsies of musculoskeletal system and connective tissue with mcc
21
$137,511
$39,072
3.5× st 3.5×
281
Acute myocardial infarction, discharged alive with cc
21
$45,258
$13,500
3.4× st 5.7×
012
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc
20
$142,040
$45,033
3.2× st 3.2×
545
Connective tissue disorders with mcc
20
$116,641
$33,738
3.5× st 3.5×
737
Uterine and adnexa procedures for ovarian or adnexal malignancy with cc
20
$102,750
$22,398
4.6× st 4.6×
674
Other kidney and urinary tract procedures with cc
19
$109,565
$28,683
3.8× st 3.8×
385
Inflammatory bowel disease with mcc
19
$68,752
$21,414
3.2× st 3.2×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
19
$83,405
$25,127
3.3× st 6.1×
167
Other respiratory system o.r. procedures with cc
19
$68,875
$22,058
3.1× st 4.1×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
19
$310,114
$76,410
4.1× st 3.8×
033
Ventricular shunt procedures without cc/mcc
19
$81,419
$17,016
4.8× st 4.8×
032
Ventricular shunt procedures with cc
18
$102,436
$22,786
4.5× st 4.5×
626
Thyroid, parathyroid and thyroglossal procedures with cc
18
$62,419
$15,910
3.9× st 3.9×
654
Major bladder procedures with cc
18
$140,637
$34,153
4.1× st 4.1×
673
Other kidney and urinary tract procedures with mcc
18
$136,256
$49,767
2.7× st 3.5×
407
Pancreas, liver and shunt procedures without cc/mcc
18
$93,382
$22,099
4.2× st 4.2×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
17
$64,376
$15,419
4.2× st 4.2×
071
Other cerebrovascular disorders with cc
17
$44,733
$13,907
3.2× st 4.5×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
17
$470,195
$128,079
3.7× st 3.7×
142
Major head and neck procedures without cc/mcc
17
$63,637
$15,846
4.0× st 4.0×
463
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
17
$192,335
$67,218
2.9× st 3.6×
306
Cardiac congenital and valvular disorders with mcc
17
$104,485
$22,807
4.6× st 4.6×
814
Reticuloendothelial and immunity disorders with mcc
17
$147,843
$31,191
4.7× st 4.7×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
17
$588,704
$161,521
3.6× st 3.3×
607
Minor skin disorders without mcc
17
$38,103
$11,201
3.4× st 3.4×
356
Other digestive system o.r. procedures with mcc
17
$198,543
$57,370
3.5× st 4.2×
355
Hernia procedures except inguinal and femoral without cc/mcc
17
$49,477
$14,004
3.5× st 3.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
17
$53,750
$12,880
4.2× st 4.3×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
17
$71,297
$20,134
3.5× st 3.6×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
16
$141,077
$31,506
4.5× st 5.2×
643
Endocrine disorders with mcc
16
$90,138
$21,441
4.2× st 4.0×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
16
$148,606
$49,400
3.0× st 3.4×
242
Permanent cardiac pacemaker implant with mcc
16
$148,102
$34,414
4.3× st 4.1×
181
Respiratory neoplasms with cc
16
$68,376
$13,891
4.9× st 5.2×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
16
$38,883
$12,112
3.2× st 5.8×
073
Cranial and peripheral nerve disorders with mcc
16
$107,747
$28,234
3.8× st 3.8×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
16
$158,794
$39,691
4.0× st 4.2×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
16
$231,445
$55,267
4.2× st 4.2×
191
Chronic obstructive pulmonary disease with cc
16
$52,381
$11,670
4.5× st 4.7×
168
Other respiratory system o.r. procedures without cc/mcc
15
$49,840
$15,034
3.3× st 3.3×
658
Kidney and ureter procedures for neoplasm without cc/mcc
15
$55,636
$16,187
3.4× st 4.3×
863
Postoperative and post-traumatic infections without mcc
15
$34,341
$13,490
2.5× st 3.0×
577
Skin graft except for skin ulcer or cellulitis with cc
15
$112,620
$29,200
3.9× st 3.9×
580
Other skin, subcutaneous tissue and breast procedures with cc
15
$71,177
$18,805
3.8× st 3.5×
011
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc
15
$211,851
$60,217
3.5× st 3.5×
158
Dental and oral diseases with cc
15
$46,872
$11,072
4.2× st 4.2×
455
Combined anterior and posterior spinal fusion without cc/mcc
15
$154,778
$47,666
3.2× st 3.8×
829
Myeloproliferative disorders or poorly differentiated neoplasms with other procedures wi
15
$82,941
$34,889
2.4× st 2.4×
917
Poisoning and toxic effects of drugs with mcc
15
$104,717
$24,283
4.3× st 4.4×
835
Acute leukemia with cc
14
$168,213
$32,709
5.1× st 5.1×
740
Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with cc
14
$88,268
$20,009
4.4× st 4.4×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
14
$105,881
$26,777
4.0× st 4.0×
007
Lung transplant
14
$618,478
$135,008
4.6× st 4.6×
866
Viral illness without mcc
14
$38,476
$12,852
3.0× st 3.0×
824
Lymphoma and non-acute leukemia with other procedures with cc
14
$222,421
$43,258
5.1× st 5.1×
176
Pulmonary embolism without mcc
14
$43,100
$10,633
4.1× st 5.1×
501
Soft tissue procedures with cc
14
$105,572
$20,889
5.1× st 5.1×
436
Malignancy of hepatobiliary system or pancreas with cc
14
$79,503
$16,760
4.7× st 4.6×
303
Atherosclerosis without mcc
14
$29,085
$8,966
3.2× st 3.2×
520
Back and neck procedures except spinal fusion without cc/mcc
14
$60,913
$14,651
4.2× st 5.1×
283
Acute myocardial infarction, expired with mcc
14
$108,890
$23,190
4.7× st 4.7×
426
Multiple level combined anterior and posterior spinal fusion except cervical with mcc or
14
$443,225
$113,055
3.9× st 3.9×
614
Adrenal and pituitary procedures with cc/mcc
14
$108,501
$24,915
4.4× st 4.4×
380
Complicated peptic ulcer with mcc
14
$111,592
$25,232
4.4× st 4.4×
546
Connective tissue disorders with cc
13
$64,424
$16,309
4.0× st 4.0×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
13
$43,168
$13,777
3.1× st 3.0×
039
Extracranial procedures without cc/mcc
13
$54,393
$12,012
4.5× st 5.9×
854
Infectious and parasitic diseases with o.r. procedures with cc
13
$73,626
$22,401
3.3× st 4.4×
644
Endocrine disorders with cc
13
$51,682
$13,406
3.9× st 4.2×
438
Disorders of pancreas except malignancy with mcc
13
$49,684
$20,262
2.5× st 4.2×
468
Revision of hip or knee replacement without cc/mcc
13
$105,634
$25,404
4.2× st 4.5×
744
D&c, conization, laparoscopy and tubal interruption with cc/mcc
13
$120,223
$23,662
5.1× st 5.1×
199
Pneumothorax with mcc
13
$83,183
$22,324
3.7× st 3.7×
459
Spinal fusion except cervical with mcc
13
$326,600
$81,282
4.0× st 4.0×
964
Other multiple significant trauma with cc
13
$39,993
$16,341
2.4× st 2.4×
963
Other multiple significant trauma with mcc
13
$147,947
$34,568
4.3× st 4.7×
482
Hip and femur procedures except major joint without cc/mcc
13
$58,968
$17,428
3.4× st 4.9×
651
Kidney transplant with hemodialysis without mcc
13
$299,565
$75,953
3.9× st 3.9×
560
Aftercare, musculoskeletal system and connective tissue with cc
13
$37,768
$13,962
2.7× st 2.7×
433
Cirrhosis and alcoholic hepatitis with cc
12
$58,012
$14,330
4.0× st 4.1×
020
Intracranial vascular procedures with principal diagnosis hemorrhage with mcc
12
$372,050
$112,096
3.3× st 3.7×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
12
$62,736
$22,603
2.8× st 3.8×
554
Bone diseases and arthropathies without mcc
12
$34,907
$11,757
3.0× st 3.1×
055
Nervous system neoplasms without mcc
12
$76,268
$19,971
3.8× st 3.8×
307
Cardiac congenital and valvular disorders without mcc
12
$45,127
$12,402
3.6× st 3.6×
656
Kidney and ureter procedures for neoplasm with mcc
12
$143,555
$35,437
4.1× st 4.1×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
12
$126,603
$39,118
3.2× st 3.0×
843
Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mc
12
$99,305
$21,760
4.6× st 4.6×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
12
$364,384
$98,514
3.7× st 4.3×
240
Amputation for circulatory system disorders except upper limb and toe with cc
12
$138,965
$39,356
3.5× st 3.6×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
12
$31,715
$10,724
3.0× st 4.5×
742
Uterine and adnexa procedures for non-malignancy with cc/mcc
12
$73,857
$19,416
3.8× st 3.8×
146
Ear, nose, mouth and throat malignancy with mcc
12
$79,309
$23,755
3.3× st 3.3×
264
Other circulatory system o.r. procedures
11
$119,952
$36,846
3.3× st 3.3×
272
Other major cardiovascular procedures without cc/mcc
11
$120,439
$29,266
4.1× st 4.1×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
11
$205,619
$40,682
5.1× st 5.1×
145
Other ear, nose, mouth and throat o.r. procedures without cc/mcc
11
$48,671
$15,010
3.2× st 3.2×
521
Hip replacement with principal diagnosis of hip fracture with mcc
11
$134,037
$36,729
3.6× st 3.9×
335
Peritoneal adhesiolysis with mcc
11
$221,200
$62,892
3.5× st 3.5×
103
Headaches without mcc
11
$49,721
$11,171
4.5× st 4.2×
337
Peritoneal adhesiolysis without cc/mcc
11
$76,285
$19,216
4.0× st 4.0×
125
Other disorders of the eye without mcc
11
$40,492
$9,973
4.1× st 4.9×
070
Other cerebrovascular disorders with mcc
11
$99,698
$21,447
4.6× st 4.5×
439
Disorders of pancreas except malignancy with cc
11
$61,299
$11,992
5.1× st 5.2×
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
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
851
$11,907
$1,406
8.5×
5491
Level 1 Intraocular Procedures
659
$11,351
$2,056
5.5×
5302
Level 2 Upper GI Procedures
606
$9,289
$1,663
5.6×
5183
Level 3 Vascular Procedures
526
$14,352
$2,797
5.1×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
442
$20,240
$2,352
8.6×
5154
Level 4 Airway Endoscopy
365
$14,697
$3,268
4.5×
5431
Level 1 Nerve Procedures
360
$16,859
$1,695
9.9×
5492
Level 2 Intraocular Procedures
345
$18,818
$3,543
5.3×
5373
Level 3 Urology and Related Services
330
$11,577
$1,730
6.7×
5191
Level 1 Endovascular Procedures
328
$19,040
$2,848
6.7×
8011
Comprehensive Observation Services
309
$15,152
$2,386
6.4×
5114
Level 4 Musculoskeletal Procedures
293
$35,807
$6,189
5.8×
5193
Level 3 Endovascular Procedures
270
$53,017
$9,669
5.5×
5362
Level 2 Laparoscopy and Related Services
242
$45,639
$9,002
5.1×
5184
Level 4 Vascular Procedures
238
$42,043
$4,285
9.8×
5331
Complex GI Procedures
225
$18,691
$4,130
4.5×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
214
$14,098
$2,080
6.8×
5374
Level 4 Urology and Related Services
209
$19,743
$3,008
6.6×
5361
Level 1 Laparoscopy and Related Services
202
$32,041
$4,993
6.4×
5113
Level 3 Musculoskeletal Procedures
199
$20,049
$2,736
7.3×
5375
Level 5 Urology and Related Services
175
$39,850
$4,459
8.9×
5182
Level 2 Vascular Procedures
159
$9,525
$1,418
6.7×
5165
Level 5 ENT Procedures
153
$32,264
$5,130
6.3×
5115
Level 5 Musculoskeletal Procedures
138
$58,774
$11,333
5.2×
5112
Level 2 Musculoskeletal Procedures
131
$9,874
$1,419
7.0×
5194
Level 4 Endovascular Procedures
125
$83,820
$15,339
5.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
112
$16,184
$3,030
5.3×
5192
Level 2 Endovascular Procedures
110
$29,891
$4,939
6.1×
5116
Level 6 Musculoskeletal Procedures
108
$69,034
$15,860
4.4×
5303
Level 3 Upper GI Procedures
108
$14,850
$3,289
4.5×
5627
Level 7 Radiation Therapy
101
$84,753
$6,930
12.2×
5213
Level 3 Electrophysiologic Procedures
99
$122,870
$20,887
5.9×
5414
Level 4 Gynecologic Procedures
96
$18,377
$2,738
6.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
89
$35,747
$5,597
6.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
88
$24,408
$3,285
7.4×
5313
Level 3 Lower GI Procedures
78
$11,170
$2,498
4.5×
5153
Level 3 Airway Endoscopy
77
$11,275
$1,486
7.6×
5155
Level 5 Airway Endoscopy
74
$26,211
$6,091
4.3×
5465
Level 5 Neurostimulator and Related Procedures
66
$115,027
$26,770
4.3×
5462
Level 2 Neurostimulator and Related Procedures
65
$26,656
$5,338
5.0×
5223
Level 3 Pacemaker and Similar Procedures
64
$32,129
$9,251
3.5×
5493
Level 3 Intraocular Procedures
53
$24,062
$4,582
5.3×
5464
Level 4 Neurostimulator and Related Procedures
53
$80,571
$19,086
4.2×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
51
$23,385
$3,280
7.1×
5415
Level 5 Gynecologic Procedures
51
$44,443
$4,427
10.0×
5232
Level 2 ICD and Similar Procedures
47
$105,734
$28,606
3.7×
5164
Level 4 ENT Procedures
40
$17,843
$1,892
9.4×
5432
Level 2 Nerve Procedures
39
$44,077
$5,244
8.4×
5378
Level 8 Urology and Related Services
32
$50,193
$17,405
2.9×
5416
Level 6 Gynecologic Procedures
31
$52,978
$6,725
7.9×
5372
Level 2 Urology and Related Services
27
$4,784
$590
8.1×
5376
Level 6 Urology and Related Services
25
$46,202
$8,198
5.6×
5222
Level 2 Pacemaker and Similar Procedures
24
$28,271
$7,314
3.9×
5231
Level 1 ICD and Similar Procedures
18
$66,769
$19,853
3.4×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
16
$49,586
$7,966
6.2×
5224
Level 4 Pacemaker and Similar Procedures
14
$63,676
$17,303
3.7×
5461
Level 1 Neurostimulator and Related Procedures
12
$22,973
$3,028
7.6×
5495
Level 5 Intraocular Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via www.bjc.org/cms-hpt.txt, the file itself ↗ read as json, last updated 2025-12-15, template 3.0.0, 787,760 rows scanned, 5,329 distinct code–setting items kept. 2,807 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC Ag Typ Dna Hea Gen Alys
$2,071
$1,243
$1,553
65
clean
HC Adrenal Mass Pnl, 24 Hr, Urine
$3,754
$2,252
$2,816
64
clean
HC Onc Thyroid 10 Seq Mrna Rt-Pcr Fna Alg Anal
$4,077
$2,446
$3,920
30
clean
HC Cdx Flt3 Mutation Assay
$774
$464
$592
31
clean
HC Onc Thyroid Dna & Mrna 112 Genes Fna Nodule Alg Anal
$10,351
$6,211
$7,763
65
clean
HC Jak2 Exons 12 to 15 Seq
$382
$229
$287
65
clean
HC Tpmt and Nudt15 Genotype
$1,451
$871
$1,088
65
clean
HC Rt-Quic for Prion Detection
$1,187
$712
$890
65
clean
HC Onc Merkel Cll Carc Srm Quan
$1,005
$603
$754
64
clean
HC Onc Merkel Cll Carc Srm +/-
$1,005
$603
$754
64
clean
HC Laboratory Testing
$57
$34
$43
31
clean
HC Tc Xcran Vertebral Stnt Ini
$2,519
$1,511
$1,889
31
clean
HC Ig Paraprotein Qual Bld/UR
$136
$82
$102
64
clean
HC Perc Sacral Augmt Ij Uni
$10,249
$6,149
$7,236
31
clean
Perq Sac Agmntj Uni W/WO Balo/Mchnl Dev 1/> Ndl
$43,013
$25,808
$9,994
11
clean
Perq Sac Agmntj Bi W/WO Balo/Mchnl Dev 2/> Ndls
$38,438
$23,063
$7,631
30
clean
HC Perc Sacral Augmt Ij Bi
$13,141
$7,885
$9,994
62
clean
HC Resp Pathogen Pnl 22 Tgts Sars Cov2
$1,796
$1,078
$1,305
64
clean
HC Trnslm per Ath W S&I Bra
$13,740
$8,244
$9,591
31
clean
HC Trnslm per Ath W S&I Ili
$16,299
$9,779
$9,994
31
clean
Trluml Peripheral Atherectomy Iliac Artery Ea|LEFT SIDE
$64,070
$38,442
$19,279
71
clean
HC Onc Thyroid 10 Gene 37 Rna Fusion 4 Mrna Ngs Fna Mut Anal
$2,057
$1,234
$1,790
30
clean
Perc Lamino-/Laminectomy Indir Imag Guide Lumbar
$21,319
$12,792
$8,528
31
clean
Onc Cutan Sq Cell Ca Mrna 40
$6,728
$4,037
$10,200
31
clean
Transcatheter Renal Sympath Denervation Bilat
$77,325
$46,395
$5,986
30
clean
HC Renal Denervation Bilat
$17,361
$10,417
$10,069
31
clean
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd
$126,444
$75,866
$31,440
18
clean
HC Ins/Repl Ccm System
$18,169
$10,901
$10,538
31
clean
HC Glycine Receptor Alpha1 Igg Serum/CSF Qual
$630
$378
$410
65
clean
HC Khl11 Ab Serum/CSF Assay Qual
$735
$441
$478
65
clean
Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve
$15,399
$9,239
$5,505
30
clean
HC Revendvas Fempop Xlumnl Crossng Un Wstn
$27,116
$16,270
$15,727
31
clean
HC Perc Tricuspid Clip
$17,788
$10,673
$10,317
31
clean
HC Perc Tricuspid Clip Adtl
$5,800
$3,480
$4,350
31
clean
Ablation Mal Brst Tumor Perq Crtx Unilateral
$11,429
$6,857
$5,505
120
clean
HC Ablation, Ire, 1+ Tumor per Org W Img Guide Perq
$18,193
$10,916
$10,552
31
clean
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq
$82,588
$49,553
$10,129
30
clean
Endovascular Venous Arterialization Tibl/Prnl Vn
$116,792
$70,075
$9,437
11
clean
HC CT, Breast, Incl 3d, Bilat, WO & W Contrast
$5,884
$3,530
$1,378
31
clean
HC Implt Tricspd Valve Perc
$13,267
$7,960
$9,260
31
clean
HC Quant MRI Anal Tissue Comp W/O MRI Same Sess 1 Organ
$1,705
$1,023
$1,204
25
clean
HC MRI Quant W/ MRI Single Organ
$1,705
$1,023
$1,379
31
clean
Ablation B9 Thyroid Nodule Perq Laser W/Img Gdn
$13,638
$8,183
$5,505
30
clean
HC Histotripsy Mal Hepatocellular Tissue W/ Img Guide
$33,505
$20,103
$19,433
31
clean
HC Quant US Tissue Charac W/ Dx US Same Anatomy
$198
$119
$138
25
clean
HC Crt Surface Activation Mapping Follow Up
$122
$73
$86
26
clean
HC Quant Mrcp W/ MRI Same Anatomy
$1,826
$1,096
$1,282
76
clean
Dgtz Gls Mcrscp Sld Level II
$100
$60
$70
61
clean
Dgtz Gls Mcrscp Sld Lvl III
$136
$82
$95
61
clean
Dgtz Gls Mcrscp Sld Level IV
$168
$101
$117
61
clean
Dgtz Gls Mcrscp Sld Level V
$287
$172
$200
61
clean
Dgtz Gls Mcrscp Sld Spc Grpi
$153
$92
$107
61
clean
Dgtz Gls Mcrscp Sl Spc Grpii
$86
$52
$60
61
clean
Dgtz Gls Mcrscp Sl Imm 1st
$148
$89
$103
61
clean
Dgtz Gls Mcrscp Sl Imm Ea 1
$98
$59
$68
61
clean
Dgtz Gls Mcrscp Sl Imm Ea M
$214
$128
$149
61
clean
Dgtz Gls Mcrscp Mphmtrc Alys
$148
$89
$103
61
clean
HC Impl Dual Leadless Pm System
$18,976
$11,386
$12,790
26
clean
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys
$116,824
$70,095
$19,293
14
clean
HC Impl Dual Leadless Pm Ra Pacer
$15,181
$9,109
$10,232
26
clean
HC Impl Dual Leadless Pm Rv Pacer
$15,181
$9,109
$10,232
26
clean
HC Fine Ndl Asp Bx WO Guide Ea Addl
$408
$245
$285
25
clean
Fine Needle Aspiration Bx W/O Img Gdn Ea Addl
$13,063
$7,838
$5,505
30
clean
Fine Needle Aspiration Bx W/US Gdn 1st Lesion|LEFT SIDE
$6,130
$3,678
$745
115
clean
HC Fine Ndl Asp Bx W US Guide 1st Les
$5,847
$3,508
$4,081
25
clean
Fine Needle Aspiration Bx W/US Gdn Ea Addl|UNUSUAL NON-OVERLAPPING SERVICE
$9,337
$5,602
$709
45
clean
HC Fine Ndl Asp Bx W US Guide Ea Addl
$2,953
$1,772
$2,061
25
clean
HC Fine Ndl Asp Bx W Fluoro Guide 1st Les
$3,897
$2,338
$2,720
25
clean
Fine Needle Aspiration Bx W/CT Gdn 1st Lesion
$6,446
$3,867
$709
15
clean
HC Fine Ndl Asp Bx W CT Guide 1st Les
$1,632
$979
$1,139
25
clean
HC Fine Ndl Asp Bx W CT Guide Ea Addl
$1,213
$728
$847
25
clean
Fine Needle Aspiration Bx W/O Img Gdn 1st Lesion|RIGHT SIDE
$6,745
$4,047
$428
49
clean
HC Fine Ndl Asp Bx WO Guide 1st Lesion
$766
$460
$541
56
clean
Img-Guided Flu Collj Drg Cath Soft Tiss Perq
$3,287
$1,972
$5,505
60
clean
HC Gd Cath Fluid Drainage
$1,531
$919
$1,148
31
clean
HC Perq Dev Sft Tis 1st Img
$2,007
$1,204
$1,505
31
clean
Plmt Sft Tiss Loclzj Dev Perq 1st Lesion|NON-EXCEPTED OFF-CAMPUS SVC|RIGHT SIDE
$4,123
$2,474
$8,528
364
clean
Plmt Sft Tiss Loclzj Dev Perq Each Addl Lesion
$10,858
$6,515
$8,528
85
clean
HC Perq Dev Sft Tis Add Img
$1,162
$697
$872
31
clean
Incision & Drainage Abscess Simple/Single
$1,658
$995
$5,505
30
clean
HC Inc/Drain Absc Simp/Sngl
$398
$239
$299
31
clean
HC Inc/Drain Absc Comp/Mult
$766
$460
$575
62
clean
Incision & Drainage Abscess Complicated/Multiple
$1,671
$1,002
$5,505
30
clean
Incision & Drainage Pilonidal Cyst Simple|UNUSUAL NON-OVERLAPPING SERVICE
$14,959
$8,975
$5,505
60
clean
HC Inc/Drain Piln Cyst Simp
$1,223
$734
$917
31
clean
HC Inc/Drain Piln Cyst Comp
$1,345
$807
$1,009
31
clean
Incision & Removal Foreign Body Subq Tiss Simple
$13,079
$7,847
$5,505
60
clean
HC Inc/Rem Foreig Bdy Simp
$766
$460
$575
31
clean
Incision & Removal Foreign Body Subq Tiss Comp
$17,046
$10,227
$5,505
30
clean
HC Inc/Rem Foreig Bdy Comp
$2,988
$1,793
$2,241
31
clean
HC Inc/Drain Hemtoma/Seroma
$2,988
$1,793
$2,241
62
clean
I&D Hematoma Seroma/Fluid Collection|EXCEPTED OFF-CAMPUS SERVICE
$7,221
$4,333
$5,505
108
clean
Puncture Aspiration Abscess Hematoma Bulla/Cyst|RIGHT SIDE
$3,314
$1,988
$428
75
clean
HC Punc Asp Abs/Hem/Bul/Cst
$1,502
$901
$1,060
56
clean
Incision & Drainage Complex Po Wound Infection
$26,934
$16,161
$5,505
60
clean
HC Inc/Drain Cmpx Wound Inf
$5,361
$3,217
$4,021
62
clean
HC Debridement Ext Genitalia/Perineum
$1,500
$900
$1,125
31
clean
Dbrdmt W/Rmvl Fm Fx&/Dislc Skin&Subq Tissus|UNUSUAL NON-OVERLAPPING SERVICE
$21,430
$12,858
$8,188
123
clean
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc
$25,757
$15,454
$7,268
90
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$44,996
$26,998
$8,528
92
clean
Debridement Subcutaneous Tissue 1st 20 Sq Cm/<
$2,800
$1,680
$5,505
180
clean
HC Debrid Sbq 20sq Cm
$2,796
$1,678
$2,097
31
clean
HC Debrd Musc 20sq Cm
$1,172
$703
$879
31
clean
Debridement Muscle &/Fascia 1st 20 Sq Cm/<|UNUSUAL NON-OVERLAPPING SERVICE
$19,369
$11,622
$5,505
120
clean
HC Debrd Bone 20sq Cm
$2,988
$1,793
$2,241
31
clean
Debridement Bone 1st 20 Sq Cm/<|LEFT SIDE
$3,449
$2,069
$7,268
221
clean
Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm
$3,096
$1,858
$9,994
55
clean
HC Debrd Sbq Ea Ad 20sq Cm
$338
$203
$254
31
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm|UNUSUAL NON-OVERLAPPING SERVICE
$20,245
$12,147
$8,528
47
clean
HC Debrd Musc Ea Ad 20sq Cm
$475
$285
$356
31
clean
Debridement Bone Each Additional 20 Sq Cm
$23,988
$14,393
$5,505
30
clean
Paring/Cutting Benign Hyperkeratotic Lesion 1
$657
$394
$5,505
80
clean
HC Pare Hyperker Lesn Sngl
$381
$229
$286
31
clean
HC Pare Hyperker Lesn 2-4
$547
$328
$764
62
clean
Paring/Cutting Benign Hyperkeratotic Lesion 2-4|LEFT SIDE
$547
$328
$5,505
127
clean
Paring/Cutting Benign Hyperkeratotic Lesion >4
$972
$583
$5,505
60
clean
HC Pare Hyperker Lesn >4
$696
$418
$522
31
clean
Tangential Biopsy Skin Single Lesion
$1,322
$793
$5,505
90
clean
Tangential Biopsy Skin Ea Sep/Additional Lesion
$2,165
$1,299
$5,505
30
clean
Punch Biopsy Skin Single Lesion
$2,780
$1,668
$5,505
150
clean
Punch Biopsy Skin Ea Sep/Additional Lesion
$3,905
$2,343
$5,505
30
clean
Incisional Biopsy Skin Single Lesion
$15,624
$9,374
$8,358
48
clean
Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15
$17,333
$10,400
$13,156
42
clean
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm
$1,456
$874
$5,505
30
clean
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/<
$1,048
$629
$5,505
30
clean
HC Shav Lesn Sngl <0.5cm
$381
$229
$286
31
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<
$30,418
$18,251
$15,709
23
clean
HC Exc Benign Lesion .5or <
$1,223
$734
$917
31
clean
HC Exc Benign Lesion .6-1.0
$1,528
$917
$1,146
31
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.6-1.0 Cm|UNUSUAL NON-OVERLAPPING SERVICE
$35,810
$21,486
$5,505
60
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 1.1-2.0 Cm
$14,061
$8,437
$5,505
60
clean
HC Exc Lesn T/a/L 1.1-2cm
$1,670
$1,002
$1,253
31
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm
$15,153
$9,092
$5,505
30
clean
HC Exc Benign Lesion 2.1-3
$2,175
$1,305
$1,631
31
clean
HC Exc Benign Lesion 3.1-4
$2,394
$1,436
$1,796
31
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm|EXCEPTED OFF-CAMPUS SERVICE
$7,233
$4,340
$5,505
107
clean
HC Exc Benign Lesion > 4cm
$3,593
$2,156
$2,695
31
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L >4.0 Cm|EXCEPTED OFF-CAMPUS SERVICE
$9,552
$5,731
$8,528
114
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE PRIOR TO THE ADMINISTRATION OF ANESTHESIA
$7,575
$4,545
$5,505
167
clean
HC Exc Les S/N/H/F/G <-.5c
$1,194
$716
$896
31
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.6-1.0cm|EXCEPTED OFF-CAMPUS SERVICE
$7,064
$4,238
$5,505
112
clean
HC Exc Les S/N/H/F/G .6-1cm
$1,556
$934
$1,167
31
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 1.1-2.0cm
$18,835
$11,301
$5,505
90
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0cm|EXCEPTED OFF-CAMPUS SERVICE
$8,502
$5,101
$5,505
90
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0cm
$20,099
$12,060
$5,505
60
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G > 4.0cm|EXCEPTED OFF-CAMPUS SERVICE
$12,416
$7,450
$5,505
120
clean
Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm|EXCEPTED OFF-CAMPUS SERVICE
$15,147
$9,088
$5,929
137
clean
Avulsion Nail Plate Partial/Complete Simple 1|LEFT HAND, THUMB
$6,364
$3,818
$5,505
270
clean
HC Avul Nail Plate Smp Sngl
$381
$229
$286
31
clean
Avulsion Nail Plate Partial/Comp Simple Ea Addl|LEFT FOOT, FIFTH DIGIT
$13,508
$8,105
$5,505
240
clean
HC Avul Nail Plate Ea Addl
$161
$97
$121
31
clean
HC Excision Nail Part/Compl
$766
$460
$575
31
clean
Excision Nail Matrix Permanent Removal|LEFT FOOT, SECOND DIGIT
$726
$436
$5,505
330
clean
Repair Nail Bed|RIGHT HAND, FIFTH DIGIT
$16,723
$10,034
$8,188
179
clean
HC Wedge Exc Skin Nail Fold
$766
$460
$575
31
clean
Wedge Excision Skin Nail Fold|BILATERAL PROCEDURE
$1,280
$768
$5,505
30
clean
Excision Pilonidal Cyst/Sinus Simple|EXCEPTED OFF-CAMPUS SERVICE
$9,733
$5,840
$5,505
60
clean
HC Exc Piln Cyst Simpl
$5,361
$3,217
$4,021
31
clean
Excision Pilonidal Cyst/Sinus Extensive
$14,177
$8,506
$5,505
30
clean
Excision Pilonidal Cyst/Sinus Complicated
$10,288
$6,173
$5,505
30
clean
HC Exc Piln Cyst Compli
$10,288
$6,173
$7,263
31
clean
Injection Intralesional Up to & Includ 7 Lesions|NON-EXCEPTED OFF-CAMPUS SVC
$54,859
$32,916
$5,505
107
clean
HC Inj Intralesional <=7 Cm
$381
$229
$286
31
clean
HC Inject Skin Lesions >7
$413
$248
$310
31
clean
Injection Intralesional >7 Lesions
$675
$405
$5,505
30
clean
Insertion Drug Delivery Implant|RIGHT SIDE
$1,086
$652
$5,505
90
clean
HC Insert Drug Implant Dev
$360
$216
$270
31
clean
Removal Non-Biodegradable Drug Delivery Implant|LEFT SIDE
$1,038
$623
$5,505
90
clean
HC Remove Drug Implant Dev
$762
$457
$572
31
clean
Rmvl W/Rinsj Non-Biodegradable Drug Dlvr Implt
$5,909
$3,545
$8,528
66
clean
HC Remv & Insrt Drug Implnt
$762
$457
$572
31
clean
Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<
$6,274
$3,764
$5,505
30
clean
Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm
$22,414
$13,449
$5,505
30
clean
Simple Repair F/E/E/N/L/M 2.5cm/<|SEPARATE STRUCTURE
$36,505
$21,903
$8,528
47
clean
HC Closure of Split Wound
$1,172
$703
$879
31
clean
Tx Superficial Wound Dehiscence Simple Closure
$31,937
$19,162
$8,528
83
clean
HC Closure Split Wound W/Pk
$766
$460
$575
31
clean
Repair Intermediate S/a/T/E 2.6-7.5 Cm|SEPARATE STRUCTURE
$43,725
$26,235
$8,528
87
clean
Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<
$20,451
$12,270
$5,505
90
clean
HC Rep Intmd N/H/F 2.5c Or<
$766
$460
$575
31
clean
Repair Intermediate F/E/E/N/L&/Muc 2.5 Cm/<
$1,528
$917
$8,528
47
clean
Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm|LEFT SIDE
$30,671
$18,402
$8,188
124
clean
HC Repr Cmplx Wound Head/Ext 1st 2.6-7.5cm
$1,172
$703
$879
31
clean
HC Rep Comp S/a/L Ea Ad 5c<
$194
$116
$146
31
clean
Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<|UNUSUAL NON-OVERLAPPING SERVICE
$39,548
$23,729
$8,528
82
clean
Repair Complex F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm|UNUSUAL NON-OVERLAPPING SERVICE
$31,012
$18,607
$8,528
113
clean
Secondary Closure Surg Wound/Dehsn Xtnsv/Comp
$22,370
$13,422
$5,505
30
clean
Adjt Tis Trnsfr/Rearrgmt E/N/E/L Dfct 10 Sq Cm/<|SEPARATE STRUCTURE
$8,895
$5,337
$5,505
370
clean
Prep Site Trunk/Arm/Leg 1st 100 Sq Cm/1pct
$23,798
$14,279
$5,505
30
clean
Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct
$27,563
$16,538
$5,505
30
clean
Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct
$29,580
$17,748
$5,505
137
clean
HC Grft Prp Hgf 1st 100 Sqcm
$1,539
$923
$1,154
31
clean
Splt Agrft T/a/L 1st 100 Sqcm/</1% Bdy Inft/Chld
$23,798
$14,279
$5,505
30
clean
Splt Agrft T/a/L Ea Add 100 Sqcm/Ea 1% Inft/Chld
$22,307
$13,384
$5,505
30
clean
Splt Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/</1%|EXCEPTED OFF-CAMPUS SERVICE
$19,475
$11,685
$5,505
107
clean
Splt Agrft F/S/N/H/F/G/M/Dgt Ea 100 Sqcm/Ea 1%
$22,160
$13,296
$5,505
30
clean
App Skn Sub Grft T/a/L Area/100sq Cm /<1st 25
$6,565
$3,939
$5,505
60
clean
HC Ap Sknsbt/a/L 1st25sqcm
$3,495
$2,097
$2,621
31
clean
HC Ap Sknsb T/a/L Add25sqcm
$263
$158
$197
31
clean
App Skn Sub Grft T/a/L Area/100sq Cm Ea Adl 25sc
$6,334
$3,800
$3,841
29
clean

Showing the first 200 of 5,329 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT G0480/b
error
mrf_negotiated_above_max
a negotiated rate of $3,042 is above the file's own maximum $174
CPT G0480/b
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $29
CPT 29580/b
error
mrf_negotiated_below_min
a negotiated rate of $267 is below the file's own minimum $575
warn
mrf_negotiated_above_gross_systematic
1,337 of 4,191 comparable items (32%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $2,261 exceeds the gross charge $2,071
warn
mrf_rate_without_estimate
198,784 of 198,784 percentage/algorithm rates across 1,741 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 95938/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0463/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9190/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26340/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 43254/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 51700/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 76857/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95939/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0463/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, min, max differ, so no cross-line comparison was made for this item
CPT 26418/o
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43254/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 64615/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 87800/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0475/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J9201/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26433/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 36200/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 43255/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 51701/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 76882/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95940/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J9202/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43255/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 64616/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J9203/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10005/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 36215/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 43259/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 51702/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 76942/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9206/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10006/o
info
mrf_item_fields_vary
this code and setting cover at least 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 26605/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 36216/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 43259/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 64620/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 J9207/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26608/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 36216/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 64624/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 96125/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J9208/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10021/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26727/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 36217/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 43260/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 51705/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 64625/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 76981/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96365/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0498/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J9210/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10021/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 26756/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 36217/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 43261/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 51720/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 64628/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 96366/b
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 J0129/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9217/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26951/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43261/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 64629/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 76998/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88108/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96367/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0133/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J9227/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10030/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 27093/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 36218/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 43262/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 76999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 88112/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0139/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9228/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 27096/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 43262/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 64633/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 77002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0153/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9245/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10035/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, min, max differ, so no cross-line comparison was made for this item
CPT 27369/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 36221/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 43264/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 52000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 77012/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96372/b
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 J0165/b
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 J9260/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43264/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 52000/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 64634/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 J0166/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10036/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 36222/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 52281/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 J9263/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27590/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 36223/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43266/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 64635/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 88274/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96374/b
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 J0169/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9267/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 27594/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 36224/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 52310/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 77047/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 88300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0174/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9280/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 27596/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 36224/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 43270/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 64636/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 88304/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96375/b
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 J0184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9286/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27599/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 55700/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 64636/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 77063/b
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 J0207/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J9299/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36225/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 43274/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 55874/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 64640/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 77065/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0256/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 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, max differ, so no cross-line comparison was made for this item
CPT 27600/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 36226/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43274/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 64640/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 77066/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88331/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96377/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J9303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36226/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 43275/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 77067/b
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 J0280/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36227/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 43275/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 55876/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 64642/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 96401/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0282/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9306/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10120/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 27602/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 36227/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 43276/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 77071/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88341/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9309/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43276/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 56405/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 88344/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96402/b
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 J0285/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9311/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 27880/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 36228/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 43277/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 77073/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 88346/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0289/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9312/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10140/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 27899/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 43277/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 64646/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 96413/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J0290/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9316/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 28010/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 36245/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43278/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 56440/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 96417/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J0295/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9321/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 10160/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

Showing the first 200 of 2,807 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 · json · 2,554.1M bytes · fetched 2026-08-22 · sha256 e5ce1a6b6c02…

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.