Hospital · CCN 260048

University Health Truman Medical Center

2301 Holmes Street, Kansas City, MO 64108 · Jackson County
Part of University Health · 258 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

8 admission types 51 outpatient services price file: ok 5 Medicare-file findings
Billed per dollar paid, all admissions
1.04×
$6.1M billed against $5.9M paid across 219 Medicare discharges; the national figure is 5.03×.
6.3%
of adults in Jackson County have medical debt in collections
11.1%
uninsured in the county · state 10.2%
$66K
median household income
7.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (10 in the inpatient or outpatient file)ⓘ
37.2%
obesity in the countyⓘ
12.1%
diagnosed diabetes (PLACES)
6.2%
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
885
Psychoses
69
$33,647
$30,741
1.1× st 2.4×
291
Heart failure and shock with mcc
32
$22,468
$25,096
0.9× st 4.4×
871
Septicemia or severe sepsis without mv >96 hours with mcc
31
$43,864
$29,810
1.5× st 4.6×
812
Red blood cell disorders without mcc
23
$16,163
$22,604
0.7× st 4.3×
193
Simple pneumonia and pleurisy with mcc
22
$26,587
$23,932
1.1× st 4.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$22,715
$25,033
0.9× st 4.4×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
12
$14,835
$21,746
0.7× st 3.0×
190
Chronic obstructive pulmonary disease with mcc
11
$14,764
$24,044
0.6× 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
5491
Level 1 Intraocular Procedures
180
$6,772
$2,003
3.4×
5492
Level 2 Intraocular Procedures
103
$13,208
$3,515
3.8×
8011
Comprehensive Observation Services
54
$10,715
$2,310
4.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
44
$5,104
$1,406
3.6×
5372
Level 2 Urology and Related Services
32
$5,324
$593
9.0×
5462
Level 2 Neurostimulator and Related Procedures
29
$29,455
$5,708
5.2×
5192
Level 2 Endovascular Procedures
26
$18,810
$4,929
3.8×
5183
Level 3 Vascular Procedures
25
$13,400
$2,529
5.3×
5493
Level 3 Intraocular Procedures
23
$14,912
$4,525
3.3×
5164
Level 4 ENT Procedures
23
$9,224
$2,788
3.3×
5373
Level 3 Urology and Related Services
23
$6,188
$1,769
3.5×
5302
Level 2 Upper GI Procedures
18
$6,625
$1,652
4.0×
5191
Level 1 Endovascular Procedures
16
$10,571
$2,831
3.7×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
14
$5,882
$2,033
2.9×
5193
Level 3 Endovascular Procedures
13
$39,816
$9,495
4.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
13
$7,954
$2,079
3.8×
5165
Level 5 ENT Procedures
12
$27,521
$5,061
5.4×
5313
Level 3 Lower GI Procedures
11
$6,695
$2,439
2.7×
5374
Level 4 Urology and Related Services
11
$12,204
$3,030
4.0×
5375
Level 5 Urology and Related Services
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5361
Level 1 Laparoscopy and Related Services
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5114
Level 4 Musculoskeletal Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via universityhealthkc.org/cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 2026-08-05, template 3.0.0, 73,670 rows scanned, 6,082 distinct code–setting items kept. 4,968 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
0232T Njx Pltlt Plasma w Img Harvest/Prp
$635
$349
$384
52
clean
TRLUML PERIP ATHRC ILIAC ART
—
—
$18,271
17
clean
0449T Insert Aqueous Drain Dev 1st
$7,975
$4,386
$5,682
26
clean
0671T Anterir Seg Aq Drn Device
$3,646
$2,005
$3,646
118
clean
INSTLJ FECAL MICROBIOTA SSP
—
—
$7,017
14
clean
10004 Fine Need Asp wo Image Ea Addl Les
$196
$108
$181
39
clean
US Exam 2
$1,446
$795
$1,238
145
clean
FNA each Additional Nodule
$362
$199
$333
39
clean
10007 Fine Needle Asp w Fluoro 1st Les
$1,446
$795
$1,238
58
clean
FINE NEEDLE ASPIRATION W/O IMAGIN
$811
$446
$519
58
clean
US Exam 4
$1,428
$785
$1,142
58
clean
US Biopsy Lymph Node Clip Place Left
$1,428
$785
$1,222
87
clean
10040 Acne Surgery
$404
$222
$330
58
clean
I&D ABSCESS, SIMPLE OR SINGLE
$461
$254
$257
232
clean
I&D ABSCESS, COMPLICATE OR MULT 10061
$774
$426
$462
203
clean
I&D PILONIDAL CYST, SIMPLE
$1,502
$826
$816
203
clean
I&D PILONIDAL CYST, COMPLICAT
$2,500
$1,375
$1,428
116
clean
I&D FOREIGN BODY, SIMPLE
$832
$458
$462
174
clean
I&D FOREIGN BODY, COMP
$3,395
$1,867
$1,890
290
clean
I&D HEMOATOMA, SEROMA/FLUID COLL
$3,395
$1,867
$1,964
348
clean
PUNCTURE ASPIRATION/ABSCSS,HEMATO
$832
$458
$405
406
clean
I&D CX POST OP WOUND INFECTION
$5,277
$2,902
$3,043
116
clean
11000 Debride Infected Skin WSU
$257
$141
$336
116
clean
11001 Debride Infected Skin Each Add l 10% BS WSU
$282
$155
$157
40
clean
DBRDMT SKIN XTRNL GENT&PER
—
—
$3,100
7
clean
DBRDMT SKIN ABDOMINAL WALL
—
—
$3,100
7
clean
DBRDMT SKIN XTRNL GENT PER
—
—
$3,100
7
clean
RMV PRSTC MTRL/MESH ABD WALL
—
—
$3,100
7
clean
DEBRIDE FX/DISLOC SKIN/SUBQ
$1,428
$785
$816
29
clean
DEBRIDE FX/DISLOC MUSCLE/FASCIA
$1,428
$785
$816
29
clean
DEBRIDE FX/DISL SUBQ/MUSCLE/BONE
$5,807
$3,194
$3,247
58
clean
DEBRIDEMENT SKIN, AND SUB-Q TISSU
$832
$458
$467
261
clean
DEBRIDE SKIN/SUBQ/AND MUSCLE
$1,242
$683
$737
174
clean
DEBRIDE SKIN/SUBQ/MUSCLE/BONE
$3,308
$1,819
$1,819
232
clean
11045 DBRDMT SUBQ TIS EA ADDL 20 SQ CM
$525
$289
$449
137
clean
11046 DBRDMT M&JF EA ADDL 20 SQ CM/<
$525
$289
$449
117
clean
11047 Dbrdmnt Bone Ea Addl 20sqcm
$827
$455
$762
78
clean
TRIM SKIN LESION
$432
$238
$228
173
clean
11056 Trim Corn/Callus 2-4 WPD
$151
$83
$315
144
clean
11057 Trim Corn/Callus >4 WPD
$185
$102
$315
144
clean
11102 Tangential Bx of Skin, Single Les
$440
$242
$377
58
clean
11103 Tangential Bx of Skin, Ea Addl Les
$110
$61
$101
39
clean
11104 Punch Bx of Skin, Single Les
$832
$458
$578
87
clean
11105 Punch Bx of Skin, Ea Addl Les
$129
$71
$119
39
clean
11106 Incisional Bx of Skin, Single Les
$1,263
$695
$1,081
58
clean
11107 Incisional Bx of Skin, Ea Addl Les
$196
$108
$181
39
clean
REMOVE SKIN TAGS, ANY AREA 15 LES
$432
$238
$185
522
clean
11201 Rem Skin Tags Each Add l 15 EFP
$274
$151
$235
259
clean
11300 Shaving Lesion=<0.5 cm EFP
$151
$83
$209
290
clean
11301 Shaving Lesion .06-1.0 cm EFP
$151
$83
$151
290
clean
11302 Shaving Lesion 1.1-2.0 cm EFP
$164
$90
$178
261
clean
11303 Shaving Lesion =>2.0 cm EFP
$287
$158
$287
261
clean
11305 Shaving Lesion=<0.5 cm EFP
$185
$102
$185
290
clean
11306 Shaving Lesion .06-1.0 cm EFP
$185
$102
$185
232
clean
11307 Shaving Lesion 1.1-2.0 cm ESL
$217
$120
$205
232
clean
11308 Shaving Lesion =>2.0 cm ESL
$217
$120
$217
203
clean
11310 Shaving Lesion=<0.5 cm EFP
$185
$102
$185
290
clean
11311 Shaving Lesion .06-1.0 cm EFP
$185
$102
$185
261
clean
11312 Shaving Lesion 1.1-2.0 cm EFP
$185
$102
$185
290
clean
11313 Shaving Lesion =>2.0 cm EFP
$456
$251
$407
261
clean
EXCISION BENIGN LESION 0.5 CM OR LESS
$1,500
$825
$774
435
clean
11401 Exc Benign Lesion .06-1.0 cm EFP
$819
$450
$606
290
clean
11402 Exc Benign Lesion 1.1-2.0 cm EFP
$819
$450
$774
377
clean
11403 Exc Benign Lesion 2.1-3.0cm EFP
$1,507
$829
$1,200
377
clean
11404 Exc Benign Lesion 3.1-4.0cm EFP
$2,898
$1,594
$2,029
261
clean
11406 Exc Benign Lesion >4.0cm EFP
$2,898
$1,594
$2,029
232
clean
11420 Exc Benign Lesion=<0.5 cm EFP
$1,507
$829
$1,507
377
clean
11421 Exc Benign Lesion .06-1.0 cm EFP
$1,507
$829
$1,200
406
clean
11422 Exc Benign Lesion 1.1-2.0 cm EFP
$1,507
$829
$1,507
377
clean
11423 Exc Benign Lesion 2.1-3.0cm EFP
$2,898
$1,594
$2,116
377
clean
11424 Exc Benign Lesion 3.1-4.0cm EFP
$2,898
$1,594
$2,029
290
clean
11426 Exc Benign Lesion >4.0cm EFP
$3,981
$2,189
$2,909
261
clean
11440 Exc Benign Lesion=<0.5 cm EFP
$819
$450
$754
348
clean
11441 Exc Benign Lesion .06-1.0 cm EFP
$819
$450
$752
377
clean
11442 Exc Benign Lesion 1.1-2.0 cm EFP
$1,507
$829
$1,205
348
clean
11443 Exc Benign Lesion 2.1-3.0cm EFP
$1,507
$829
$1,507
290
clean
11444 Exc Benign Lesion 3.1-4.0cm EFP
$1,507
$829
$1,507
290
clean
11446 Exc Benign Lesion >4.0cm EFP
$3,981
$2,189
$2,909
232
clean
11450 Remove Sweat Gland
$5,807
$3,194
$3,003
29
clean
RT
$5,807
$3,194
$3,003
87
clean
RT
$8,205
$4,513
$3,300
87
clean
RT
$8,205
$4,513
$3,300
87
clean
RT
$8,205
$4,513
$3,300
87
clean
RT
$8,205
$4,513
$3,300
87
clean
11600 Exc Mal Les Trunk/Arm/Legs >=0.5cm ESL
$819
$450
$774
145
clean
11601 Exc Mal Les Trunk/Arm/Legs 0.6-1.0 cm ESL
$819
$450
$764
174
clean
11602 Exc Mal Les Trunk/Arm/Legs 1.1-2.0 cm ESL
$819
$450
$606
174
clean
11603 Excis Mal Les Trunk/Arm/Legs 2.1-3.0cm ESL
$1,507
$829
$1,200
145
clean
11604 Exc Mal Les Trunk/Arm/Legs 3.1-4.0cm ESL
$1,507
$829
$1,200
261
clean
11606 Exc Mal Les Trunk/Arm/Legs MAR >4.0cm ESL
$2,898
$1,594
$2,029
232
clean
11620 Exc Mal Les Scalp/Neck <=.5cm ESL
$1,507
$829
$1,507
174
clean
11621 Exc Mal Les Scalp/Neck 0.6-1.0cm ESL
$1,507
$829
$1,290
174
clean
11622 Exc Mal Les Scalp/Neck1.1-2.0cm ESL
$1,507
$829
$1,290
174
clean
11623 Exc Mal Les Scalp/Neck Mar 2.1-3.0cm ESL
$2,898
$1,594
$1,971
174
clean
11624 Exc Mal Les Scalp/Neck Mar 3.1-4.0cm ESL
$2,898
$1,594
$2,029
174
clean
11626 Exc Mal Les Scalp/Neck Mar > 4.0cm ESL
$3,981
$2,189
$2,909
145
clean
11640 Exc Mal Les Face/Ear O.5cm ESL
$15,068
$8,287
$1,245
174
clean
11641 Exc Mal Les Face/Ear 0.6-1.0cm ESL
$1,507
$829
$1,203
174
clean
11642 Exc Mal Les Face/Ear 1.1-2.0cm ESL
$1,507
$829
$1,203
174
clean
11643 Exc Mal Les Face/Ear 2.1-3.0cm ESL
$1,507
$829
$1,507
174
clean
11644 Exc Mal Les Face/Ear 3.1-4.0 ESL
$2,898
$1,594
$2,029
174
clean
11646 Exc Mal Les Face/Ear >4.0cm ESL
$3,981
$2,189
$2,909
116
clean
11719 Trim Nail(s) EFP
$151
$83
$121
115
clean
DEBRIDE OF NAILS,ANY METH 1-5
$157
$86
$121
144
clean
11721 Debrid Nails >=6 EFP
$151
$83
$121
116
clean
AVULSION OF NAIL PLATE, SINGLE 11730
$404
$222
$200
319
clean
AVULSION OF NAIL PLATE, EACH ADD
$159
$87
$146
136
clean
EVACUATION OF SUBUNGUAL HEMATOMA
$262
$144
$176
203
clean
11750 Ex Nail & Matrix Partial/Complete EFP
$819
$450
$606
377
clean
11755 BIOPSY NAIL UNIT ESL
$811
$446
$774
58
clean
REPAIR OF NAIL BED
$1,242
$683
$840
116
clean
11762 Reconstruction Of Nail Bed w Graft
$3,712
$2,042
$2,533
29
clean
EXCISISION WEDGE SKIN NAIL FOLD
$811
$446
$405
87
clean
EXCISION PILONIDAL CYST/SINUS
$5,807
$3,194
$2,895
87
clean
EXCISION PILONIDAL CYST EXTENSIVE
$5,510
$3,031
$2,895
87
clean
EXC PILONIDAL CYST COMP
—
—
$3,052
22
clean
11900 Intralesion Inj up to 7 ESL
$151
$83
$151
261
clean
11901 Intralesion Inj 8 or More ESL
$151
$83
$151
174
clean
11920 Tattoo Micropigment 6.0sqcm/<
$1,242
$683
$774
29
clean
11921 Tattoo Micropigment 6.5-20sqcm
$1,242
$683
$774
29
clean
11922 Tattoo Micropgmnt Ea Addl 20sqcm
$224
$123
$211
39
clean
11951 Tx Contour Defects 1.1-5.0cc EBC
$606
$333
$519
104
clean
INSERT TISSUE EXPANDER(S)
—
—
$3,324
22
clean
RPLCMT TISS XPNDR PERM IMPLT
—
—
$4,956
22
clean
RMVL TIS XPNDR WO INSJ IMPLT
—
—
$3,052
22
clean
IMPLANT HORMONE PELLET(S)
—
—
$810
22
clean
11981 Insert Drug Implant Device WFP
$262
$144
$202
261
clean
11982 Remove Implanon EFP
$236
$130
$236
290
clean
11981 Insert Drug Implant Device EPP
$236
$130
$236
232
clean
WOUND REPAIR, SIM 2.5CM OR LESS 12001
$388
$213
$252
261
clean
WOUND REPAIR, SIM 2.6 TO 7.5CM
$332
$183
$232
261
clean
WOUND REPAIR SIM 7.6-12.5CM
$404
$222
$272
232
clean
WOUND REPAIR SIM 12.6-20.0CM
$811
$446
$462
203
clean
WOUND REPAIR SIM 20.1 - 30.0 C
$811
$446
$462
261
clean
WOUND REPAIR SIM OVER 30.0 CM
$685
$377
$403
290
clean
FACE REPAIR, SIM 2.5CM OR LESS
$332
$183
$231
203
clean
FACE REPAIR SIM 2.6-5.0CM
$404
$222
$252
174
clean
FACE REPAIR SIM 2.6-5.0CM
$404
$222
$252
174
clean
FACE REPAIR SIM 7.6-12.5CM
$404
$222
$257
145
clean
FACE REPAIR SIM 12.6-20.0CM
$811
$446
$446
145
clean
WOUND REPAIR SIM 20.1 - 30.0 CM
$811
$446
$446
145
clean
12018 Wound Rep Sim Face >30 cm ESL
$252
$139
$284
232
clean
TRT SUPERFICIAL WOUND SIMPLE
$1,242
$683
$737
87
clean
TRT SUPRFCLSD WND DEHIS W/PACKING
$828
$455
$604
145
clean
WOUND REPAIR INTERM 2.5CM OR LESS
$811
$446
$481
406
clean
WOUND REPAIR INTERM 2.6 TO 7.5CM
$811
$446
$502
203
clean
WOUND RPR INT OTHER 7.5-12.5CM
$811
$446
$462
203
clean
WOUND RPR INT OTHER 12.6-20.0CM
$811
$446
$462
203
clean
WOUND RPR INT OTHER 20.1-30.0CM
$1,242
$683
$737
203
clean
12037 Wound Repair Interm Scalp >30.0 cm ESL
$628
$345
$2,056
145
clean
HAND FOOT RPR INT 2.5CM OR LESS
$832
$458
$468
261
clean
HAND FOOT RPR INT 2.6 TO 7.5CM
$832
$458
$481
232
clean
HAND FOOT RPR INT 7.7-12.5CM
$1,263
$695
$737
232
clean
HAND FOOT RPR INT 12.6-20.0CM
$1,263
$695
$737
232
clean
WOUND REPAIR INT 20.1-30.0 CM
$1,263
$695
$800
232
clean
12047 Wound Repair Interm Neck >30 cm ESL
$561
$308
$1,040
116
clean
FACE REPAIR INT 2.5CM OR LESS
$811
$446
$465
290
clean
FACE REPAIR INT 2.6 TO 5.0CM
$811
$446
$468
261
clean
FACE REPAIR INT 5.1-7.5CM
$811
$446
$481
232
clean
FACE REPAIR INT 7.6-12.5CM
$811
$446
$537
232
clean
FACE REPAIR INT 12.6-20.0CM
$811
$446
$537
232
clean
WOUND REPAIR INT 20.1-30.0 C
$811
$446
$537
203
clean
12057 Wound Repair Interm Face >30 cm ESL
$628
$345
$537
87
clean
REPR CMPLX TRUNK 1.1-2.5
$1,263
$695
$800
145
clean
13101 Trunk 2.6-75cm WPL
$947
$521
$840
87
clean
13102 Trunk Ea Addl 5cm/< WPL
$606
$333
$606
59
clean
REPR CPLX SCLP/ARM/LEG 1.1-2.5 CM
$1,263
$695
$628
145
clean
REPR CMPLX SCLP, ARM, LEG 2.6-7.5 CM
$1,263
$695
$695
145
clean
REPR CMPLX SCLP, ARM, LEG <5CM
$653
$359
$559
97
clean
REPAIR CMPLX 1.1-2.5 CM 13131
$832
$458
$547
145
clean
REPAIR CMPLX 2.6-7.5 CM 13132
$1,263
$695
$639
145
clean
REPAIR CMPLX EA <5 CM 13133
$1,263
$695
$774
97
clean
REPR CMPLX LIDS,NOSE,EAR,LIPS 1.1
$1,263
$695
$831
174
clean
REPR CMPLX LIDS,NOSE,EAR,LIPS 2.6
$1,263
$695
$840
145
clean
13153 Eyelids/Nose/Ers/Lps EaAd5cm/< WPL
$628
$345
$559
59
clean
13160 Wound Dehiscence (Second/Comp) WSU
$3,839
$2,111
$3,194
145
clean
14000 Tis Transfer Trunk 10sqcm/<
$4,133
$2,273
$2,170
58
clean
14001 Tis Transfer Trunk 10.1-30sqcm
$4,133
$2,273
$2,170
58
clean
14020 Tis Transfer S/A/L 10sqcm/<
$4,133
$2,273
$2,170
58
clean
14021 Tis Transfer S/A/L 10.1-30sqcm
$4,133
$2,273
$2,170
58
clean
TISSUE TRANS SCALP/ARM/LEG <10 CM
$4,133
$2,273
$2,273
116
clean
14041 Att/Rearng F/N/A/G/H/F 10.1-30
$4,133
$2,273
$2,170
58
clean
14060 Att/Rearng E/N/E/L Dfct 10cm/< WPL
$2,912
$1,601
$2,056
87
clean
14061 Att/Rearg E/N/E/L Dfct 10.1-30
$4,133
$2,273
$2,170
58
clean
14301 Tis Transfer Any 30.1-60sqcm
$8,498
$4,674
$3,549
58
clean
14302 Tis Transfer Ea Addl 30sqcm
$1,065
$586
$981
39
clean
FILLETED FINGER/TOE FLAP
—
—
$2,817
22
clean
15002 Prep Site T/Al 1st 100sqcm/1% WWC
$972
$535
$972
116
clean
15003 Wound Prep Addl 100cm ESL
$226
$124
$226
59
clean
15004 Wnd Prep Ch/Inf F/N/Hf/G WWC
$529
$291
$512
87
clean
WND PREP F/N/HF/G ADDL CM
—
—
$606
13
clean
15050 SKIN PINCH GRAFT WSU
$444
$244
$590
58
clean
15100 SKIN SPLT GRFT TRNK/ARM/LEG WSU
$3,786
$2,082
$2,472
87
clean
15101 SKIN SPLT GRFT T/A/L ADD-ON WSU
$1,205
$663
$1,073
59
clean
15110 EPIDRM AUTOGRFT TRNK/ARM/LEG WSU
$1,529
$841
$2,029
87
clean
15111 Epidrm Autogrft T/A/L Add-on
$752
$414
$644
39
clean
15115 Epidrm A-Grft Face/Nck/HF/G
$3,712
$2,042
$2,067
29
clean
15116 Epidrm A-Grft F/N/HF/G Addl
$752
$414
$644
39
clean
15120 Skn Splt Agrft F/N/H/G 1st 100
$7,428
$4,085
$3,548
29
clean
15121 Skn Splt Agrft F/N/H/G Add-on
$3,611
$1,986
$2,636
39
clean

Showing the first 200 of 6,082 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
910 of 1,998 comparable items (46%) 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 $3,100 exceeds the gross charge $196
warn
mrf_rate_without_estimate
22,056 of 22,056 percentage/algorithm rates across 2,732 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 11643/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 19342/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 23474/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 26540/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 27686/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 28805/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 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 38305/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 44405/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 52332/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 65860/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 70498/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 75565/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 82397/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 87150/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 93246/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 C9356/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 11644/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 19350/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 23480/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 26541/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 27687/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 28810/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 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 38500/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 44406/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 52344/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 60100/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 65865/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 87153/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 93247/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 96131/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 C9359/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 11646/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 19357/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 23485/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 26546/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 27690/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 28820/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 33230/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 38505/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 44407/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 52346/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 60200/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 65870/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 70540/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 75571/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 87176/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 C9363/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 11719/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 19371/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 23500/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 26548/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 27691/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 28825/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 33231/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 38510/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 44408/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 52351/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 60210/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 65875/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 70542/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 82523/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 87181/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 93260/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 96136/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 C9399/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 11720/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 19380/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 23505/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 26567/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 27695/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 28890/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 38525/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 44602/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 52352/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 60220/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 65920/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 75574/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 82525/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 87184/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 C9600/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 11721/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 19499/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 23515/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 26591/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 27696/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 33234/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 38530/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 44950/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 52353/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 60225/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 65930/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 70543/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 75580/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 87185/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 93261/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 96137/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 C9601/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 11730/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 20100/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 23520/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 26600/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 27698/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 28899/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 38531/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 45005/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 52354/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 60240/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 66020/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 82533/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 87186/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 11732/o
info
mrf_item_fields_vary
this code and setting cover at least 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 20101/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 23525/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 26605/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 27700/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 29065/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 33240/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 38570/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 45100/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 52356/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 60252/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 66170/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 70544/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 75605/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 82542/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87188/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 93282/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 96138/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 C9602/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 11740/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 20102/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 23530/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 26607/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 27702/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 29075/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 33241/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 38571/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 45300/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 52400/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 60271/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 66172/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 75625/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 82570/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 87205/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 C9604/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 11750/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 20103/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 23532/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 27703/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 29085/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 33244/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 38572/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 45317/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 52443/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 60280/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 66174/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 70545/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 75630/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 87206/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 93283/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 96139/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 C9607/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 11755/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 23540/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 26608/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 27704/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 29086/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 33249/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 38573/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 45327/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 52597/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 66175/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 87207/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 C9780/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 20200/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 23545/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 27705/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 29105/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 33262/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 38700/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 45330/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 52601/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 60300/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 66179/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 70546/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 75635/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 87209/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 93284/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 96146/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 11760/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 20205/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 23550/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 26641/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 27707/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 4,968 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 190
info
inp_payment_exceeds_charge
total payment $24,044 exceeds the average charge $14,764
MS-DRG 291
info
inp_payment_exceeds_charge
total payment $25,096 exceeds the average charge $22,468
MS-DRG 640
info
inp_payment_exceeds_charge
total payment $25,033 exceeds the average charge $22,715
MS-DRG 812
info
inp_payment_exceeds_charge
total payment $22,604 exceeds the average charge $16,163
MS-DRG 897
info
inp_payment_exceeds_charge
total payment $21,746 exceeds the average charge $14,835

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. found via cms-hpt.txt · csv-wide · 76.5M bytes · fetched 2026-08-22 · sha256 a4ac67749d7b…

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.